EA187621 - Building - 01 of __-plex - Issued Date 11/22/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd EAGAN Permit Number: EA187621
Eagan,MN 55122
(651)675-5675
ww-vv.cityofeagan.com * E R 1 8 7 6 2 1
Date Issued: 11/22/2023
Site Address: 4809 Avery Ct
Lot: 4 Block: 1 Addition: Avery Pines
PID:10-12350-01-040
Use: * 10 - 12350 - 0 1 - 0410 *
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: New
Description: Building 1 -3 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
Valuation: 207,836.00 BL-Base Fee $1,915.65 0801.4085
BL-Plan Review 25% $478.91 0720.4222
City SAC(01 Unit) $139.00 9376.4681
Radio Read Unit(Domestic) $240.00 6101.4509
Surcharge-Based on Valuation $103.92 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: $8,761.88
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 Ii
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I Building Permit#: I
ewes ®®ar rA S&W Permit#:EAGAN I S$1 5
Permit Fee*�I Iy I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5 I I
� � ( � � 694 I Date Issued: I
build inginspections(cp-citvofeagan.com I———--———————--——--———
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4809 Avery Court Unit#:
Applicant is: 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 l Email: permitsmn@pulte.com
Description of work: New Home Construction
Type of 181 ,000
WoCk Construction Cost:
Type of building: ❑ Single Family Townhome, 4 of 6 units ❑ Twin Home
Company: Pulte Homes of MN contact: Charlee Koppelmann
Building Address: 1650 W. 82nd Street, Suite 300 City: Bloomington
'
Cot�ttapto MN 55431 842-870-782e
State: Zip: Phone: Email prmitsmn@pulte.com
BC627723 4-1-24
License#: Expiration Date:
Sewer& Company:_Q rOVV1 d +W V1 L n 0 Contact:
'Water
P 0 PJO A gV50
Contractor Address: City: S'�. Pau 1
Required for: State:M Zip:G✓{09 Phone: Email:
new construction
License#: Ex iration Date:
14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE' :R14 grid suppcirkirig.d auiir►er►ts that;ynu Sttbmit are corieidered to be public information;,Portio fts of the
inforrnatlOn m jr';be ciasaifi cT'as tion-public if youprovide specific seasons that would permit the,ty 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.
XTina Sparks X
Applicant's Printed Name Applicant's Signature