EA189088 - Building - Single Fam - Issued Date 02/27/2024 PERMIT
City of Eagan P o Permit Type: Building
3830 Pilot Knob Rd ,+ %}pPermit Number: EA189088
Eagan, MN 55122
(651)675-5675 EAGAII
www.cityofeagan.com Ann
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Date Issued: 2/27/2024
Site Address: 2105 Copper Lane
Lot: 13 Block: 5 Addition: Cedar Grove 4th
PID:10-16703-05-130
Use:
� 1121 - 1 E67 3 - O 5 - 1 3O
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Int Impr
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
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001 2195
Total: $138.78
Contractor: Owner:
- Applicant -
Ruben J Mera Mieles
2105 Copper Ln
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.
1 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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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Date Received: I
(651)675-5675 1 FAX: (651)675-5694 FEB 0 6 2024 I I
Date Issued:
buildinainsi)ections(a)cityofeagan.com I---------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02—0 6—202NSite Address:21QS Qta17 Qt/ j,/U Q ►�- Unit#:
Applicant is: aOwner ❑ Contractor
a Name:
Homeowner � Address: 1 Q Q
City: WIVI
Stater Zip: „� Phone: - c' Email: d c in O
t Description of work:
Type of I , �`� aR &f0ve.
t Work Construction Cost / O (� C) �—�
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i Type of buildingamm
: Single Family ❑ Townhoe, of units
, M �� m ❑ Twin Home
jCompany: Contact:
t Building Address:
Contractor city:
State: Zip: Phone: Email:
C
License#: Expiration Date:
_
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.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.
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Applicant's Printed Name Applicant's44 ��ure