EA189395 - Building - Single Fam - Issued Date 03/11/2024 PERMIT
City of Eagan ° Permit Type: Building
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3830 Pilot Knob Rd ° ° EAGA Permit Number: EA189395
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Eagan, MN 55122 ��-' s .�
(651)675-5675 IN IMMEMEM
www.cityofeagan.com * E A 1 8 9 3 9 $ *
Date Issued: 3/11/2024
Site Address: 4359 Bent Tree Lane
Lot: 6 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-060
Use:
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Int Impr
Description: half bath in basement
Census Code: 434-Residential Additions,Alterations Occupancy: I RC-I
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:
The Management Matrix LLC Tara Truax-Newhouse
902 U2 6th St E 15140 Dupont Path
St.Paul MN 55106 Apple Valley MN 55124
(651)248-9926
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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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
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651 675-5675 FAX: 651 675-5694 build inginspectionsCa�cityofeagan.com BY. I Date Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 Site Address: ��6y��7/S/ �� &/,�5 Unit#:
Applicant is: ❑ Owner OContractor
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Name:
Homeowner i Address: z</z/0 'a fi✓i. �k City: /c
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i Description of work: `'� �✓.�Sc�?���i' //.1--� .�N�✓�
Type of � � L� 7
Work s Construction Cost:
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I Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: �l'Yli�t/ /���'/���c L��Contact:�i✓
BUllding, � Address: ����, 7� � ���;� City: 49S,Cm /la
Contractor i "
State Zip: 13 Phone�J��r�`1�1��J��Email:/1LAA/Af74_`nS�s;5115 7l2
License#: �` -v��� Expiration Date: j
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
Xl 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 rade 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 witho 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 p
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Applicant's Printed Name Applicant's Signature