EA187619 - Building - 01 of __-plex - Issued Date 11/22/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
EAGAN
Permit Number: EA187619
w• e ° °
1111111111111 IN 111111111111111111111111111111
* E A 1 8 7 6 1 9*
Site Address: 4801 Avery Ct
Lot: 6 Block: 1 Addition: Avery Pines
PID:10-12350-01-060
Use:
Description:
Sub Type: 01 of _-plex
Work Type: New
Description: Building 1 - 1 of 6 Bowman
Census Code: 101- Single Family Houses
Zoning: PD
Square Feet: 0
Date Issued: 11/22/2023
IIIIIIIIIIIIIIIiIII IIIIIIII I IIIIIIIIII IIII III III II III II III
0 G 0 0 6 0
Construction Type: V -B
Occupancy: IRC -3
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1(
feet of all sleeping room openings in residential homes (Minnesota State Building Code).
Fee Summary: 3/4" Meter
$300.00
6101.4509
BL - Base Fee
$1,834.65
0801.4085
Valuation: 195,246.00 BL - Plan Review 25%
$458.66
0720.4222
City SAC (01 Unit)
$139.00
9376.4681
Radio Read Unit (Domestic)
$240.00
6101.4509
Surcharge - Based on Valuation
$97.62
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: $8,654.33
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
------ ---------------
''t`'-I�..�,� For Office Use I (�
I Building Permit #: ` b ' I
Io
S&W Permit #:
.EAGAN I I
o a r r
�.._ �.� 5 4.33
I Permit Fee:t� l I
I I
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
I Date Issued: I
buildinginspectionsto)cityofeagan.com I — — — — — — — — — — — — — — — — — — — — — J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-21-23 Site Address: 4801 Avery Court Unit #:
Applicant is: Owner 14 Contractor
Name: Pulte Homes of MN
Homeowner Address: 1650 W. 82nd Street, Suite 300 City:Bloomington
State: MN zi :55431 phone: 214-415-78 'Email: Permitsmn@pulte.com
Description of work: New Home Construction
T � of
Work Construction Cost: 169,000
Type of building: ❑ Single Family Townhome, 6 of 6 units ❑ Twin Home
Company: Pulte Homes of MN contact: Charlee Koppelmann
Building Address: 1650 W. 82nd Street, Suite 300 City: Bloomington
Contractor MN 55431 842-870-782p @p ermitsmn ulte.com
State: Zip: Phone: Email
License #: BC627723 Expiration Date: 4-1-24
Sealer $c Company: Q YOV Y)J kC h I n G Contact:
CbtraCt-
ntraci Address: 1Pd 100)('� 0i( 60 City: �� • Fou
or
00110
Requited -for "' State: Zip: Phone: � l:
rew cofitruction
License #: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Pllansa.lW suppc rtirlg db4iafinents that you submit are'consiilered to be public information. 'P,ortlwns 66f the
infbrrriafiort`rwiay. be:classified as nbn-public.if;yoti protide specific ressons that would permit tfte City,to coriCiude that they
are trade secrets.°
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.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.
)Tina Sparks ) �?�
Applicant's Printed Name Applicant's Signature