EA187622 - Building - 01 of __-plex - Issued Date 11/22/2023 PERMIT
City of Eagan , / Permit Type: Building
3830 Pilot Knob Rd `�` � � '• E AG A N Permit Number: EA187622
Eagan, MN 55122 `-•• '_-'
(651)675-5675 111111111111111111111111 IN
www.cityofeagan.com * E A 1 8 7 6 Z 2
Date Issued: 11/22/2023
Site Address: 4813 Avery Ct
Lot: 4 Block: 1 Addition: Avery Pines
PID:10-12350-01-040 111111111111111111111111111111111111111111111111111111111111111111111111
Use: * 10 — 12350 - 0 1 - 040
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: New
Description: Building 1 -4 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: 196 395.00 BL-Base Fee $1,841.40 0801.4085
BL-Plan Review 25% $460.35 0720.4222
City SAC(01 Unit) $139.00 9376.4681
Radio Read Unit(Domestic) $240.00 6101.4509
Surcharge-Based on Valuation $98.20 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: $8,663.35
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
18�f� 22
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I Building Permit#:
� , w , ; r #: Igo SSW Permit 1
I EAGANPermit FeA 9 1
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Date Received: i
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued: I
buildinginspections( cityofeagan.com I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4813 Avery Court Unit#:
Applicant is: Owner 14 Contractor
Name: Pulte Homes of MN
Homeowner 11
Address: 1650 W. 82nd Street, Suite 300 city. Bloomington
State: MN Z; : 55431 phone: 214-415-78% Email: permitsmn@pulte.com
Description of work: New Home Construction
T e of
Work Construction Cost: 170,000
Type of building: ❑ Single Family Townhome, 3 of 6 units ❑ Twin Home
Company: Pulte Homes of MN Contact: Charlee Koppelmann
1650 W. 82nd Street Suite 300 Bloomington
Building Address: City:
�ontraotor MN 55431 842-870-782e
p @prmitsmn ulte.com
State: Zip: Phone: Email.
License#: BC627723 Expiration Date: 4-1-24
Sewer& Company: Q Outs d 'lam(/►J I h 0 Contact:
Water -. �aV I
Contractor Address: 00 so)( 13 d'0 City: c
.Required for., State:M Zip: `9��_ Phone: Email:
new`Cdhatrud ion,
License#: Expiration Date:
{� 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Nt)7 :
Plan end tuppesrking`documeht'Ahat you°sut rtt�t are considered to be public informatlon,`,Portions of::::
infonnatib�rn be ( ssifletl.�s non.pubit if you provide specific teason rthat would permit-the_City.to onchey
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