EA189003 - Building - Single Fam - Issued Date 02/06/2024 . PERMIT
City of Eagan , A Permit Type: Building
3830 Pilot Knob Rd ,`�;; ®' Permit Number: EA189003
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 9 0 0 3
Date Issued: 2/6/2024
Site Address: 4053 Johnny Cake Ridge Ct
Lot: 3 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-030
Use: * 10 - 53764 — OZ - 030
Description:
Sub Type: Single Fam Construction Type: V-13
Work Type: Int Impr
Description: Remodel Entire Home
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
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 $536.15 0801.4085
Valuation: 30,560.00 BL-Plan Review 65% $348.50 0720.4222
Surcharge-Based on Valuation $15.50 9001.2195
Total: $900.15
Contractor: - Applicant - Owner:
Cedarstone Construction Inc Frank R&Patricia Martin
16916 Island Avenue %Jan Johnson
Lakeville MN 55044 3933 Donegal Way
(651)497-0446 Eagan MN 55122
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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I Building Permit#: 19)90o"3
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1 Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JAN 3 0 2024 1
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued: 1
buildinginsgections(o-)citvofeagan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /�(— Z Site Address: ��J �jy�� �,;,�� pl i^(4 r �j_Unit#:
Applicant is: ❑ Owner Contractor
Name: ,A---- CA-%�4S�.✓i
Homeowner Address: L/��3 �!/kkK�, ��G 1�, Gf City:
State Zip: S�/L Phone: Email:
Description of work: 0 4 Mir, h - (,e)%_, r,7
Type of
Work Construction Cost: �3S. k b i ()a R p roa
Type of building: � Single Family ❑ Townhome, of units ❑ Twin Home
Company: ��i¢Q 5%D.'U�_e�.rlSjlUthG�, Z�c Contact: .�✓f3o v Ph
Building Address: �(��►�(s GSL�..�C At- City: z4key'/ls A10
Contractor __
State:t& Zip: S 50'-/ Phone:GSI �/4 r GyN�. Email: '�.j ST�r,P�,rslur t�cs.e.Ccw+
License#: Expiration Date: - /- 7-f
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
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.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.orq 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 a/p�proved plan in the case of work which requires a review and approval of plans.
x '�G�✓ opant's
Applicant's Printed Name !gig-nature