EA189174 - Building - Single Fam - Issued Date 02/16/2024 PERMIT
City of Eagan , , Permit"':
Building
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3830 Pilot Knob Rd , E
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� Permit Number: EA189174
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Eagan, MN 55122 '•�' A N111111111111111111111 M11 111111111 IN
(651)675-5675 ^ * E A 1 8 9 1 7 4
www.cityofeagan.com
Date Issued: 2/16/2024
Site Address: 4289 Amber Dr
Lot: 18 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-180 imnuffIffilmErm
Use: * 10 - 1670 1 - 07 - 18 � *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Water Damage
Description:
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:
24 Restore Gregory C&Laurie D Mccullum
6615 141st Ave NW 4289 Amber Dr
Anoka MN 55303 Saint Paul MN 55122-205
(763)753-8080
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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Permit Fee: y<�
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F tB 12 2024 Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181
(651) 675-56751 FAX: (651)675-5694 BY, I Date Issued: j
buildinginspections(c�cityofeagan.com I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/9/24 site Address: 4289 Amber Dr Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Greg McCullun
Homeowner Address: City:4289 Amber Dr Eagan
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State: MN Zig: Phone:55112 651-231-72Email glm—mccullun@q.com
Description of work: repair Drywall, painting, FNC, Carpet and pad, from wat(
Type of = " 10158.36
Work Construction Cost:
Type of building: 14 Single Family ❑ Townhome, of units ❑ Twin Home
Company:
24Restore Contact.. Kelsi Knack
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Building Address:
6250 McKinley St NW City: Ramsey
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Contractor State: Zip: Phone: Email:
MN 55303 763-753-80 permits@24restore.com
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License#: BC301371 Ex iration Date: 3/31/25
Sewer & Company: Contact:
Water -
Contractor < Address: City:
Required for State: Zip: Phone: Email: i
new construction
License#:#: Ex�irationw 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.
x Kelsi Knack x
Applicant's Printed Name Applicant's Signature