EA188315 - Building - Single Fam - Issued Date 12/06/2023 PERMIT
City of Eagan , , , Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA188315
Eagan,MN 55122 •- •• EAGAN
(651)675-5675 111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 8 3 1 S *
Date Issued: 12/6/2023
Site Address: 3949 Pumice Ct
Lot: 16 Block: 1 Addition: Cedar Grove 5th
PID:10-16704-01-160 IFFEKEEEEELUIREM
Use: * 1 0 — 1 6 7 0 4 — 0 1 — 1 6 0 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-1
Zoning: R-1
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 $83.50 0801.4085
BL-Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Mad City Windows&Baths Patrick W&Kimalene Hazel
5020 Voges Road 3949 Pumice Ct
Madison WI 53718 Saint Paul MN 55122-166
(651)500-0514
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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For Office Use
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Building Permit#: O 3L �J I
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Permit Fee:
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I Date Received: I
3830 PILOT KNOB ROAD EAGAN, MN 55122-18
(651)675-5675 1 FAX: (651)675-5694 DEC 0 4 2023 I Date Issued: j
buildinginspections(@cityofeagan.com I_____________________
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12/01/23 Site Address: 3949 PUMICE CT EAGAN MINI 55122 Unit#:
Applicant is: ❑ Owner Q Contractor R- 1 Gr Ld �
Name: PAT & KIM HAZEL
Homeowner Address: SAME AS SITE ADDRESS City:
State: Zig: _Phone: 651-454-8006 Email:
Description of Work: REPLACING TUB WITH A SHOWER.EXPOSING PART OF EXTERIOR WALL WILL REINSULATE TO CODE
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Type of
Work Construction Cost: 6,186
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: MAD CITY WINDOWS&BATHS Contact:
Building Address: 2621 FAIRVIEW AVE N City: MAPLEWOOD
Contractor
State: MN Zip: 55113 Phone: 651-867-4388 Email: PERMITS MADCITYWINDOWS.COM
a i BC775012 03/31/2024
$ � License#: Expiration Date:
Sewer &_ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Ex iration Date:
❑ 1 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.
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.
GUADALUPE VEGA � �9
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Applicant's Printed Name Applicant's Signature