EA187863 - Building - Single Fam - Issued Date 11/08/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 3510
Lot: 11 Block: 1
PID:10-31900-01-110
Use:
Description:
PERMIT
Permit Type: Building
a s '0 Permit Number: EA187863
EAGAN
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* E R 1 8 7 8 6 3
Coachman Rd
Addition: Hampton Heights
Date Issued: 11/8/2023
Sub Type: Single Fam Construction Type: V-13
Work Type: Alteration
Description: Bathroom
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $83.50 0801.4085
BL - Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge - Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Mad City Windows & Baths William Irvin Jr Smith
5020 Voges Road 3510 Coachman Rd
Madison WI 53718 Eagan MN 55122
(651) 500-0514
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
�Y�o 111b
Applicant is: ❑ Owner 14 Contractor
Name: WILLIAM SMITH
Pot
Homeowner Address: SAME AS SITE ADDRESS City:
State: ZiD:- Phone. Email
REPLACING TUB WITH SHOWER. EXPOSING PART OR EXT WALL WILL REINSULATE TO CODE.
Description of work:
Type of
Yp )Construction Cost: 6,583
Work -s
Type of building: 4u Single Family ❑ Townhome, of units ❑Twin Home
Building
Contractor
Company: MAD CITY WINDOWS & BATHS Contact:
Address: 2621 FAIRVIEW AVE N City: ROSEVILLE
State: MN Zip: 55113 Phone: 651-867-43% Email: PERMITS@MADCITYWINDOWS.COM
License #:
BC775012 Expiration Date 3/31/24
_ ...___.._....�,-
Sewer &
Company:
--------------
For Office Use
Contractor
I Building Permit #: O I
Required for
State:
new construction
9, ® r �I ®
EAGAN
S&W Permit #:
Permit Fee:
-"�
ECEIVE
i Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694 NOV 0 2 2023
B 0
1 Date Issued:— I
buildinginspections(c)cityofeagan
com
1---------------- — — — —
RESIDENTIAL BUILNG PERITM-'APPLICATION
11/2/23
3510 COACHMAN RD
Unit#:
Date:
Site Address:
Applicant is: ❑ Owner 14 Contractor
Name: WILLIAM SMITH
Pot
Homeowner Address: SAME AS SITE ADDRESS City:
State: ZiD:- Phone. Email
REPLACING TUB WITH SHOWER. EXPOSING PART OR EXT WALL WILL REINSULATE TO CODE.
Description of work:
Type of
Yp )Construction Cost: 6,583
Work -s
Type of building: 4u Single Family ❑ Townhome, of units ❑Twin Home
Building
Contractor
Company: MAD CITY WINDOWS & BATHS Contact:
Address: 2621 FAIRVIEW AVE N City: ROSEVILLE
State: MN Zip: 55113 Phone: 651-867-43% Email: PERMITS@MADCITYWINDOWS.COM
License #:
BC775012 Expiration Date 3/31/24
_ ...___.._....�,-
Sewer &
Company:
Water
Contractor
Address: _
Required for
State:
new construction
License #:
Zip: Phone:
Contact.
City:
Email:
on Date:
V3 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of`the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG, Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
XGUADALUPE VEGA X
Applicant's Printed Name Applicant's ignature