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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 1 1 S&W Permit#: I i E I V E Permit ;U9 i 11/6/2023 3830 PILOT KNOB ROAD te EAGAN, IVIN 55122-1810 NOV 0 6 2023 1 QaRece!ved; I (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