EA187624 - Building - 01 of __-plex - Issued Date 11/22/2023 PERMIT
City of Eagan • , , , Permit Type: Building
3830 Pilot Knob Rd
EAGAN
Permit Number: EA187624
Eagan,MN 55122 •-•• ---•
111111111111111111111111111111111111111111111111
(651)675-5675 � * E R 1 8 7 6 2 4
www.cityofeagan.com
Date Issued: 11/22/2023
Site Address: 4821 Avery Ct
Lot: 1 Block: 1 Addition: Avery Pines
PID:10-12350-01-010 111111111 11111111111111111111111111 IBM
Use: * 10 - 12350 - 0 1 - 0 10 *
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: New
Description: Building 1 - 6 of 6- Ashton
Census Code: 101-Single Family Houses Occupancy: IRC-3
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: 3/4"Meter $300.00 6101.4509
Valuation: 206,159.00 BL-Base Fee $1,908.90 0801.4085
BL-Plan Review 25% $477.23 0720.4222
City SAC(01 Unit) $139.00 9376.4681
Radio Read Unit(Domestic) $240.00 6101.4509
Surcharge-Based on Valuation $103.08 9001.2195
Surcharge-Fixed $1.00 9001.2195
SW-Sewer Permit Fee $80.00 6201.4532
SW-Water Permit $80.00 6101.4507
Treatment Plant-Residential $1,126.00 6101.4685
Water Supply& Storage $1,812.40 6101.4680
SAC-Townhouses/Condos $2,485.00 9220.2275
Total: $8,752.61
Contractor: - Applicant - Owner:
Pulte Homes Pulte Homes Of Minnesota LLC
7500 FLying Cloud Dr,Suite 670 7500 Flying Cloud Dr Ste 670
Eden Prairie MN 55344 Eden Prairie MN 55344
(952)229-0730
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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For Office Use
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Permit Fee: - t
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694
I Date Issued:
build inginspectionsoa cityofeagan.com I---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4821 Avery Court Unit#:
Applicant is: 14 Owner 14 Contractor
Name: Pulte Homes of MN
Homeowner Address: City:1650 W. 82nd Street, Suite 300 Bloomington
State: MN zip: 55431 phone: 214-415-78 � Email: permitsmn@pulte.com
Description of work: New Home Construction
Type of 179,000
Work Construction Cost:
Type of building: ❑ Single Family Townhome, 1 of 6 units El
Home
Company: Pulte Homes of MN contact: Charlee Koppelmann
Building. Address: 1650 W. 82nd Street, Suite 300 City: Bloomington
CDntractor MN 55431 842-870-782permitsmn@pulte.com
ulte.com
State: Zip: Phone: Email.
License#: BC627723 —Expiration Date: 4-1-24
SeW£r$ Company: rol ry)d kG I I Inc. Contact:
Water p6 �i6x a��o Cit . Pad I
Contractor Address: I y:
Required for State: NNZip:Zip:�l� Phone: Email:
new construction
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Nt77E:Flans"and supporting,docum'ettts that yvu stabtnit 21re considefed to be public inforinatian. Portiortis ofths
infermatiryn,may ba;classi ied,as non-public if you provide specific reasons that would permit the cfty.to cericlutle'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.
XTina Sparks X
Applicant's Printed Name Applicant's Signature