EA187926 - Building - Single Fam - Issued Date 11/14/2023 PERMIT
City of Eagan e , , ° Permit Type: Building
3830 Pilot Knob Rd op;° Permit Number: EA187926
Eagan, MN 55122 .. EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 7 9 2 6
Date Issued: 11/14/2023
Site Address: 1295 Dunberry Cir
Lot: 14 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-140
Use: * 10 — 17 103 - 0 1 — 140
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Repair
Description: R&R 3 post footings and posts
Census Code: - Occupancy: IRC-1
Zoning: R-1
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:
.1&M Concrete&Waterproofing Thomas L Mueller
12535 Dodd Rd 1295 Dunberry Cir
Rosemount MN 55068 Saint Paul MN 55123--185
(651)329-7741
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.
I 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
For Office Use
I 187926
1 wilding Permit#;AM M& all
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1 S&W Permit#: I
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E I V E Permit ;U9
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11/6/2023
3830 PILOT KNOB ROAD te EAGAN, IVIN 55122-1810 NOV 0 6 2023 1 QaRece!ved;
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(651)675-56751 FAX: (651)675-5694 i Date Issued: ►
buildinainspection&citvofeaaan.com BY: I_____________________-
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:JL1 . . - Site Address: :/" Unit#; 1
Applicant is: ❑ Owner Contractor
Name:
Homeowner Address: /"° V Lt-n 6 e.rr'V Or City: l-q!�a-n
State MN zi Phone; 7' ail: L �rs�ll�r- a��-ftp®s�.
Description of work: Rg,r"caue. r a ula,CA ..3 r��k �,�,�. + s s
Type of
Work Construction Cost: 4000i""* R-1, Ches Mar
Type of building: Single Family ❑Townhome, of units 1 Twin Home
Company:Jt" ontact: M&ek Se-Ak-6 ed t'k-
Buiiding Address: vzG'a Z�oe�c $tt, city: l �'rr�aec r�� i
Contractor is sr•-329. 77*/
Stater N Zip: Gy Se(p8 Phone: Email: A. IC w cr`o • c
License#: a C- -7 iration Date: -g, 4 2)l L D
S ewer& Company: Contact:
Water
Contractor Address: City`
i
Required for Stater Zip: Phone: Email:
new construction
License#: Ex iration Date
nderstand that Plumbing, Mechanical,and Fire Suppression workrequire separate applications.
NOTE: Plans and supporting documents that you submit are considenad to be public Inf,arr'ation. portions of the
information may be classified as tion-public if ytru provide specifib reasons that would poermit the i�ity to conclude that they
are trade secrets.
CALL BEFORE YOU DIC;, Contact Gopher State One Call at(651')454-0002 or www.aoDherstateonecall.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.
X /VictrK L Gkror-de-r X MA2,,,L i�
Applicant's Printed Name Applicant's Signature