EA187699 - Building - Single Fam - Issued Date 11/21/2023 City Of Eagan PERMITPermitType: Building
3830 Pilot Knob Rd .m °
Eagan, �;��� ���® EAGAN Permit Number: EA187699
g MN 55122
(651)675-5675 444�
www.cityofeagan.com XFH WE=
* E R 1 8 7 6 9 9
Date Issued: 11/21/2023
Site Address: 4062 Johnny Cake Ridge Rd
Lot: 14 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-140
Use:
* 110 - 53764 — fd4 - 14 �J *
Description:
Sub Type: Single Fam
Work Type: Egress Window Construction Type: V-B
Description:
Census Code: 434-Residential Additions,Alterations
Zoning: PD Occupancy: IRC-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 $133.15
BL-Plan Review 65% 0801.4085
Valuation: 4,950.00 $86.55 0720.4222
Surcharge-Based on Valuation $2.50
9001 2195
Total: $222.20
Contractor:
- Applicant - O
wner:
Standard Water Control Systems Inc
5337 Lakeland Avenue North ori H Tstes Barnes
Crystal MN 55429 Cake Ridge Rd
(763)537-4849 5122
Fhereby
all 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
wledge that I have read this application and state that the information is correct and agree to comply with all applicable State
tatutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
ECEIVE
OCT 2 5 2023
BY: I For Office Use I
4 e 1 I
w q a 187699
I Building Permit#: I
a o I I
a
EAGA ItI S&W Permit#: I
I
1222. 20
Permit Fee: I
I I
I10/25/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Date Received: I
(651)675-56751 FAX: (651)675-5694 I i
buildinolnspections aOcit ofeaoan com i Date Issued:
-----------------------I
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 101/25/23 site Address: 4062 Johnny Cake Ridge Rd
Unit#:
Applicant is: ❑Owner 14 Contractor
Name: Lori Barnes
Homeoinmer�. Address: 4062 Johnny Cake Ridge Rd an Ea
city: 9
State* MN zi ; 55122 702-232-69
Phone: Email:
Description of work: Egress
ryp oVI
4950
Work.; Construction Cost: PD, Oakbrooke
Type of buildin
g: Single Family ❑Townhome, of units ❑Twin Home
~.` Company: Standard Water Control Kell Henderson
Contact: y
Bull�iing Address: 5337 Lakeland Ave Crystal
Contractor' city: Y
State: MN Zip: 55429 Phone: 763-537-48Email:
� servee@standardwater.com
-
License#: BC778929 3/31/25
Expiration Date:
Sewer& Company:
Water' contact:
ContractOr, Address:
City:
Requ,lred fof _,,; State: Zip: Phone: Email:
new,construction
`' License#: Ex iration Date:
❑ 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE' Plans anc sppppr#trtg"{IoCutnetltg that you submit are cpi ill Fred to be puiilic information. Portions.of the
iriformatlan rrlay beclassified as non• uhlic it au a
are trade secrets p �' p�ovlde seeciflc resbns;thatwould permit the Cityto conclude fhat they
CALL BEFORE YOU DIG. Contact Gopher State one Call at(651)454-0002 or www.gopherstateonecall ora 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 11ans.
x Kelly Henderson
Applicant's Printed Name X
App cants Si atur