EA189749 - Building - Drain Tile - Issued Date 03/21/2024 PERMIT
City of Eagan ® , ® Permit Type: Building
3830 Pilot Knob Rda'e*' I E A A N Permit Number: EA189749
Eagan, MN 55122 •-
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 9 7 4 9 *
Date Issued: 3/21/2024
Site Address: 963 Kettle Creek Rd
Lot: 4 Block: 1 Addition: Lexington Square 7th
PID:10-45081-01-040
Use: * 10 - 4508 1 - 0 1 - 040 *
Description:
Sub Type: Drain Tile Construction Type: V-B
Work Type: New
Description: 33'of interior drain tile
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085
BL-Plan Review-Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Safe Basements of Minnesota Inc Elizabeth Catherine Phillips
60335 US Highway 12 963 Kettle Creek Rd
Litchfield MN 55355 Eagan MN 55123
(320)593-8729
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.
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Applicant/Permitee: Signature Issued By: Signature
ECEIVE
MAR 19 2024
I I or Office tJse I
189749 l
BY• I Building Permit#:_...
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I S&W Permit#: i
EAGAN I
Permit Fee:
Date Received: 3/19/2024
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 l I
(651)675-5675 1 FAX:(651)675-5694 I Date Issued: l
buildinginspectionsCa.cityofeagan.com I_____________________
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 03/19/2024 site Address: 963 Kettle Creek Rd unit#:
Applicant Is: ❑ Owner ❑ Contractor
Name: Elizabeth Phillips
Homeowner Address: 963 Kettle Creek Rd City: Eagan
MN55123 612-360 0841 evwtforever@live-com
State Zip Phone Email
Description of work: 33' interior drain tile tie to existing basin an pump
Type ofL e' 'l 99 1 v
Work Construction Cost: 3957'00 PD� `/ I
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: SafeBasernents Contact:
Building Address: 60335 US Hwy 12 City: Litchfield
Contractor Slate: Zip: — Phone.MN 55355 0-593-8729 Email.. info@safebasements.com
License#: BC446489 Ex iration Data: 03/31/2024
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#; Expiration Date:
® 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are considared 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 vnwr 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.
xHeather Roering X F ,
Applicant's Printed Name A4116-ant's Signature
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