EA187623 - Building - 01 of __-plex - Issued Date 11/22/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd `�" � � '• EAGAN Permit Number: EA187623
Eagan,MN 55122 ``•- ••-•
(651)675-5675 -�
www.cityofeagan.com * E R 1 8 7 6 2 3
Date Issued: 11/22/2023
Site Address: 4817 Avery Ct
Lot: 2 Block: I Addition: Avery Pines
PID:10-12350-01-020
Use: * 10 - 123S D - 0 1 - 020
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: New
Description: Building 1 -5 of 6- Bowman
Census Code: 101- Single Family Houses Occupancy: IRC-3
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: 3/4"Meter $300.00 6101.4509
BL-Base Fee $1,848.15 0801.4085
Valuation: 197,785.00 BL-Plan Review 25% $462.04 0720.4222
City SAC(01 Unit) $139.00 9376.4681
Radio Read Unit(Domestic) $240.00 6101.4509
Surcharge-Based on Valuation $98.89 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: $8,672.48
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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rFor Office Use
1® I Building Permit#: l
1 2 I
eof 1S&W Permit#:
EAGAN I
Permit Fee+ V
I 1
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 l I
651 675-5675 FAX: 651 675-5694 1 I
( ) ( ( ) I Date Issued: l
build inginspections aecitvofeagan.corn I———--———————————--———--
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4817 Avery Court unit#:
Applicant is: Owner 0 Contractor
Name: Pulte Homes of MN
Homeowner 1650 W. 82nd Street, Suite 300 Bloomington
Address: City:
permitsmn@pulte.com
55431 214-415-78 ermitsmnn ulte.com
State: MN Zi Phone: Email p
Description of work: New Home Construction
T e of
Work- Construction Cost: 171 ,000
Type of building: ElSingle Family Townhome, 2 of 6 units El Home
company: Pulte Homes of MN Contact: Charlee Koppelmann
Buildingu Address: 1650 W. 82nd Street, Suite 300 Cit,. Bloomington
I'llont>�actor�' MN 55431 842-870-782p �p ermitsmn ulte.com
State: Zip: Phone: Email.
License#: BC627723 Expiration Date: 4-1-24
Sewer 4 Company:�Y()U h a frzVi Ila C. Contact:
Water
Contractor lAddress: box -J 9 City: O�• 'PQJ�
Required for State:MSG Zip: �1 00i Phone: Email:
new constritctioil
"� License#: Ex iration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Ptan "grid suppQrtin 'documents that you submit rte considered to;tie putilic information. Portions of the'
information may.be classified as ribri pubI '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.
� ,ea�
XTina Sparks x v
Applicant's Printed Name Applicant's Signature