EA187620 - Building - 01 of __-plex - Issued Date 11/22/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4805
Lot: 5 Block: 1
PID:10-12350-01-050
Use:
Description:
PERMIT
Permit Type: Building
Permit Number: EA187620
EAGAN
®,
+' * E R 1 8 7 6 2 0
Avery Ct
Addition: Avery Pines
Sub Type:
01 of _-plex
Work Type:
New
Description:
Building 1 - 2 of 6 - Ashton
Census Code:
101- Single Family Houses
Zoning:
PD
Square Feet:
0
Comments:
Date Issued: 11/22/2023
* 1 0— 1 2 3 S 0— 0 1— 0 S 0*
Construction Type: V -B
Occupancy: IRC -3
Fee Summary: 3/4" Meter
$300.00
6101.4509
BL - Base Fee
Valuation: 197,735.00
$1,848.15
0801.4085
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
$98.87
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:
$8,672.46
Contractor: - Applicant - Owner:
Pulte Homes Pulte Homes Of Minnesota LLC
7500 FLying Cloud Dr, Suite 670 7500 Flying Cloud Dr Ste 670
Eden Prairie MN 55344 Eden Prairie MN 55344
(952) 229-0730
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
--------------
r For Office Use
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Building Permit #:
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I S&W Permit #:EAGAN I ;
I Permit Fee: TI
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Date Received: I
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 1 I
( ) � ( ) I Date Issued: I
build inginspectionsc cityofeapan.corn I ---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4805 Avery Court unit #:
Applicant is: Owner 14 Contractor
Name: Pulte Homes of MN
Homeowner Address: City: 1650 W. 82nd Street, Suite 300 Bloomington
State: MN Z; :55431 phone: 214-415-78 Email: Permitsmn@pulte.com
Description of work: New Home Construction
Ty0e of
Work Construction Cost: 171,000
Type of building: ❑ Single Family Townhome, 5 of 6 units ❑ Twin Home
C Pulte Homes of MN contact: Charlee Koppelmann
B�)tdln Address: 1650 W. 82nd Street, Suite 300 Cary Bloomington
Contractor? MN 55431 842-870-78 permitsmn@pulte.com
State: Zip: Phone: Email. p @p
License #: BC627723 Expiration Date: 4-� -24
Sewer .&, Company: Cr4U h � �G V) I ig C Contact:
Water q2$�
'Contractor ', Address: Al 100x city: St p6101
G' p00011`0Required for State: r
Zip: �� Phone: t0�J�' bq4 Email:
new 60n4tructidn''
License #: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
DOTE: Pians ani! su�porting,�li�atirrterwts tttaf 7o-u-au� It are Conslcicred #o�he public in#orr�ation, � Portions afttte
infiyrrnaton may be classified as non -pubic if',yotu przvide specific reasons.,khat would permit the City tb conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gor)herstateonecall.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 plans.
xTina Sparks X
Applicant's Printed Name Applicant's Signature