EA187962 - Building - Single Fam - - Issued Date 12/05/2023 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd +;•� %,;:, Permit Number: EA187962
Eagan, MN 55122 •-•- •--' EAGAN
(651)675-5675 ,�,�,,
www.cityofeagan.com * E R 1 8 7 9 6 2
Date Issued: 12/5/2023
Site Address: 1615 Clemson Dr B
Lot: 46 Block: 02 Addition: The Trails of Thomas Lake
PID:10-75865-02-460
Use: * 10 - 75865 - 02 - 460 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Main Level Kitchen Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: 1 RC-3
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may 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).
Fee Summary: BL-Base Fee $215.90 0801.4085
Valuation: 9,240.00 BL-Plan Review 65% $140.34 0720.4222
Surcharge-Based on Valuation $4.62 9001.2195
Total: $360.86
Contractor: - Applicant - Owner:
Great Northern Builders LLC Katheryn AAnresen
3320 Terminal Dr 1615 Clemson Dr Unit B
Eagan MN 55121 Saint Paul MN 55122-481
(651)302-4764
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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Building Permit#: 187962 I
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Date Received: 11/8/2023 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E I V E 1 j
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued:
buildinginspections(a,cityofeagan.corn NOV U 8 2023 1_ —— —
RESIDENTIAL BUIL NG PERIVII APPLICATION
Date: 9-27-2023 site Address: 1615 Clemson Dr. Unit B Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Katheryn Andersen
Homeowner Address: 1615 Clemson Dr. Unit B City: Eagan
State:
MN Zip Phone:55122 612-308-012 Email: katie@andresen.com
Description of work; Main Level Kitchen Remodel
Type of $133,141 PD, The Trails of Thomas Lake
Work Construction Cost:
Type of building: ❑ Single Family 21 Townhome, 1 of 4 units ❑ Twin Home
Company: Great Northern Builders contact: natalie@gnbmn.com
Building Address: 3320 Terminal Dr City: Eagan
Contractor State; Zip: Phone: Email:MN 55121 651-455-9371 natalie@gnbmn.com
License#: BC636785 Expiration Date:
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Ernail:
new construction
License#: Expiration Date:
® I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. w
CALL BEFORE YOU DIG. Contact Gopher State One Cali 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 conforn nce with the o"rdin nces and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not start without a pb Writ; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applicant's Signature ���