EA187424 - Building - Drain Tile - Issued Date 12/04/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 676
Lot: 5 Block: 2
PID:10-12303-02-050
Use:
PERMIT
Permit Type: Building
A ` g Permit Number: EA187424
EAGANp�- a
* E R 1 8 7 4 2 4
Crimson Leaf Tr
Addition: Autumn Ridge 4th
Date Issued: 12/4/2023
IIII 1111111 III'III�IIIIIIIIIIIIII IIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIIII'IIIIIIIIIII)
0 U 4 i S 0
Description:
Sub Type: Drain Tile Construction Type: V -B
Work Type: New
Description: install drain tile and sump pump
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
Square Feet: 0
Comments:
Fee Summary: BL - Drain Tile/Radon $94.00 0801.4085
BL - Plan Review - Fixed $40.00 0720.4222
Surcharge -Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Innovative Basement Authority Kenneth .i & Melissa M Mack
1741 Corporate Landing Pkwy # 103 676 Crimson Leaf Trl
Virginia Beach VA 23454 Eagan MN 55123
(320) 629-3990
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
-------------i
For Office Use 1
1 187424 1
1 Building Permit #:
1 S&W Permit #:
C�:AGAN 1 � �� I
1 Permit Fee: 1
1 I
1 10/12/2023
Date Received: 1
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I
(651) 675-56751 FAX: (651) 675-5694 1
I Date Issued:
buildinginspectionsncityofeagan.com I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/11/2023 Site Address: 676 Crimson Leaf Tr Unit #:
Applicant is: ❑ Owner ❑ Contractor
Name: Ken Mack
Homeowner Address: City: 676 Crimson Leaf Tr St Paul
t
I
State: MN Zig Phone Email
55123 6514428074 indyjones321 @yahoo.com
Description of work: Installation of drain the and sump pump.
Type of $3,860.00 R-1 Autumn Ridge
Work Construction Cost: g
Type N of building: V1 Single Family ❑ Townhome of units ❑ Twin Home
`I
Company: Innovative Basement Authority Contact: Katherine Glader
Building Address: 6265 Carmen Ave E City: Inver Grove Heights
i contractor State: Zip: Phone: MN 55076 463-224-617 Email: ibaminneapolispermits@teary
l
License #: BC765730 2/4/2024
Expiration Date
Sewer �& �;l Company: of �h - Contact: i
Water ✓1 h o
Address:y�fi ,
Contractor �city:
Required for. l State: Zip. Phone: Email:
new construction
License #: Expiration Date:
V1 I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
l NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
Information may be classified as non-public If you provide specific reasons that would permit the City 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.
X Katherine Glader - IBA X -- 16
Applicant's Printed Name Applicant's Signature