EA188106 - Building - Radon Mitigation - Issued Date 11/30/2023FOX fk,I _'
City of Eagan
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Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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EAGAN
Permit Number:
EA188106
(651) 675-5675
www.cityofeagan.com
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Date Issued:
11/30/2023
Site Address: 4860
Safari Pass
Lot: 6 Block: 2
Addition: Safari Estates
PID:10-65850-02-060
Use:
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Description:
Sub Type: Radon Mitigation Construction Type: V -B
Work Type: Alteration
Description: Includes sump basket
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R -I
Square Feet: 0
Comments:
Fee Summary: BL - Drain Tile/Radon $94.00 0801.4085
Valuation: 6,991.00 BL - Plan Review - Fixed $40.00 0720.4222
Surcharge -Fixed S1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Safe Basements of Minnesota Inc Francis Ambrose
60335 US Highway 12 4860 Safari Pass
Litchfield MN 55355 Eagan MN 55122
(320) 593-8729
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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EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECEIVE
(651) 675-56751 FAX: (651) 675-5694
buildinginsr)ectionsna citvofeaoan.com NOV 17 2023
Date: 11/17/23
RESIDENTIAL BUI
Site Address: 4860 Safari Pass
Applicant is: ❑ Owner 14 Contractor
Name: Brian Bohrer
Address:
State:
Phone. Email:
469-4693 Email:
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APPLICATION
City:
Unit #•
So -fa 12-i
Description of work: 600 sq ft combo floor liner, active radon mitigation, sump basket,
Construction Cost: $6,991 304 sq ft 120 mil wall encapsulation, 5 ft coredrill
bottom block
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: SafeBasements of Minnesota, Inc
Contact: Stephanie
Address: 60335 US Hwy 12 city. Litchfield
State: MN Zip: 55355 Phone. 55355 Email: info@safe basements .com
License #: BC446489 Expiration Date: 3/31/24
Company:
Address:
State: Zip: Phone:
License #:
Contact:
C ity:
Email:
Date:
14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.00aherstateonecall.oro 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.
X Stephanie Hanson x
Applicant's Printed Name Applicant's Signature