EA188111 - Building - Lower Level - Issued Date 11/30/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob _`•" '�' EAGAN
Permit Number: EA188111
Eagan, MN 551222
(651)675-5675 .�. 1111111111111 IN 11111111111111111111111111111 IN
* E R 1 8 8 1 1 1
www.cityofeagan.com
Date Issued: 11/30/2023
Site Address: 1273 Interlachen Dr
Lot: 7 Block: 2 Addition: Dakota Path 5th
PID:10-19544-02-070
Use: * 1 D — 19544 - 02 - 070
Description:
Sub Type: Lower Level Construction Type: V-B
Work Type: Alteration
Description: Finish Lower Level
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 10 feet
of all sleeping room openings in residential homes(Minnesota State Building Code).
Separate plumbing and electrical permits required if such work is being done.
Fee Summary' BL-Base Fee $215.90 0801.4085
Valuation: 10,000.00 BL-Plan Review 65% $140.34 0720.4222
Surcharge-Based on Valuation $5.00 9001.2195
Total: $361.24
Contractor: Owner: - Applicant -
Uday Sambhara
1273 Interlachen Dr
Eagan MN 55123
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 2023
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(651)675-5675 1 FAX: (651)675-5694 1 Date Issued:
buildinainspectionsAcityofeagan.com BY:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/17/2023 Site Address: 1273 Interlachen Dr. , Eagan, MN-55123Unit#:
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Applicant is: 14 Owner 11 Contractor P6C'�L�
Name: Uday Sambhara
Homeowner Address: 1273 Interlachen Dr. City: Eagan
State: MN Zip: 55123 Phone: 408.203.53 Email: uday.sambhara@gmail.com
Description of work: Finishing Lower level ( basement)
T of
Work Construction Cost: 15000
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
B.uliding Address: City:
Contractor,',
State: Zip: Phone: Email
License#: Ex iration Date:
Sewer Company: Sabre Plumbing and heating Contact:
waxer
Contractor_ Address: City:
Required for ; State: Zip: Phone: Email:
new const ctI n
License#: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTe.Plans,and supporting dcr+uments that y6u submit are.corisider$d to fas public infarmatten:` ' rbons of the
informatidtt may be clsaifi$d a$non public if ycu proyids �PecifiC`reasons that yr►o'uid permit tie Cif ta!donclude tha 1hey
ar$trad$.s$C $ts
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.cior)herstateonecall.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.
Digitally signed by uday sambhara
X Uday Sambhara Xuday sambhara Dat®:2023.11.1711:36:46-06'00'
Applicant's Printed Name Applicant's Signature