EA189625 - Building - Commercial/Industrial - Issued Date 03/28/2024 PERMIT
City of Eagan . , , . Permit Type: Building
3830 Pilot Knob Rd ,��;*� %,;�', Permit Number: EA189625
Eagan, MN 55122
EAGAN(651)675-5675 ,,..--•.,,
www.cityofeagan.com * E A 1 8 9 6 2 5
Date Issued: 3/28/2024
Site Address: 4150 Pilot Knob Rd
Lot: 1 Block: 1 Addition: Beautiful Savior 1st
PID:10-13525-01-010
Use: Crown of Life Church * 1 0 — 1 3 5 2 5 — 0 1 — 0 1 0
Description:
Sub Type: Commercial/Industrial Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: - Occupancy: A-3
Zoning: PF
Square Feet: 0
Comments:
Fee Summary: BL- Base Fee $524.15 0801.4085
Valuation: 30,000.00 BL-Plan Review 65% $340.70 0720.4222
Surcharge-Based on Valuation $15.00 9001.2195
Total: $879.85
Contractor: - Applicant - Owner:
J Carsten Homes Crown Of Life Ev Luth Ch
2150 67th St E Pres Of Crown Of Life Ev Luth Church
Inver Grove Heights MN 55077 115 Crusader Ave
(651)592-7877 West Saint Paul MN 55118
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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For
------------------------For Office Use I
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e e I Building Permit#: 6 �D I
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EAG
I Permit Fee:
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I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1 MAR 13 2024 II
(651)675-56751 FAX: (651)675-5694 1 Date Issued: I
Plan Submittal: buildin ins ections ci ofea an. ________________________I
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 3/12/24 Site Address: 4150 Pilot Knob Rd Suite#:
Tenant Name: Crown of Life Church Tenant is: ❑ New �Zl Existing
Former Tenant(if applicable):
Name:
J Carsten Remodeling Phone: 651-592-7877
Applicant
Applicant is: ❑ Owner Contractor ❑ Agent Email: jason@jcarstenremodeling.com
y8 Cf,: Description of work: Bathroom Facelift
Work, $30,000
Construction Cost:
Company: J Carsten Remodeling contact: Jason Myrlie
Building ; Address/City/Zip: 2150 67th St E IGH, MN 55077
Contractor
Phone: 651-592-7877 Email: ason@j g'carstenremodelin com
License#: BC512128 Expiration Date: 3/31/25
Company: Pope Design Group contact: Dan Pollastrini
Architect)_ " 767 N Eustis St#190 St Paul, MN 55114
Engineer. Address/City/Zip:
Phone: 651-789-1604 Email: dpollastrini@popedesign.com
r& "� Company: Contact:
Water
Contractor Address/City/Zip:
Requ�rsii_for, a Phone: Email:
new con9tructl�i�
end addittans F
License#: Expiration Date:
�) 1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications.
NfyE. Iti�ne and supdrt€ng documetits'thatyou sutamitare consldere+d to-be public lnforrna#ion. Portionsof the information
ma' be classified s npn irliiip iif +v . ro�lde s`ecl#ic reasoni'that would ert�iit the a to onc1ud6.that the `areArad#sbcrets.
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 Jason Myrlie X
Applicant's Printed Name Applicant' Signature