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EA190248 - Building - Single Fam - Issued Date 04/25/2024 PERMIT City of Eagan , , , ® Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA190248 Eagan, MN 55122 ,"®' '® EAGAN (651)675-5675 111111111111111111111111111111111111111111111111 www.cityofeagan.com * E R 1 9 0 2 4 8 * Date Issued: 4/25/2024 Site Address: 1187 Kittiwake Cir Lot: 49 Block: 1 Addition: Duckwood Estates PID:10-21900-01-490 Use: * 1 0 — 2 1 9 0 0 — 0 1 — 4 9 0 Description: Sub Type: Single Fam Construction Type: Work Type: Demolish Building Description: Census Code: - Occupancy: Zoning: 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-Demolition $94.00 0801.4085 Surcharge-Fixed $1.00 9001.2195 Total: $95.00 Contractor: Owner: - Applicant - Jerzy Szoka 3684 Bridgewater Dr Eagan MN 55123 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 ----------------------- For Office Use t�. I Building Permit#: L� O 1 EAGAN 1 Building Permit Fee: ` 1 ;n 95.00 1 W {� I I Date Issued: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 (651)675-5675 1 FAX: (651)675-5694Staff: I Plan Submittal: buildinginspections(a.citvofeagan.com ----- ---------------� DEMOLITION PERMIT APPLICATION Date: 't Z4 Site Address: t' 17- !t �- Description of Demolition: t J- Ie4K"I Anticipated Start Date: Anticipated Completion Date: Name: ?' �� Phone: !9�2� 42 -7457- fZ Rrop ty Owner Address/City/Zip: GO 7 � r1.���Gct�/,q���2- "00 Contact: 2 �?� Email: 2 GX L 6L 4-0 Name: /y,f7 I: tV/fy �1-Yft�t�f''G e6C License#: TG G 2.5 15 I� + liltra, �u�� 6 Address: �5�� 4� City: C !>(1066-toC s^�J ,/ ,p State:��Zip: J�.7 J d 3 Phone: WS. 4 C1 0 — D6 �3 Contact: CO D 1C zj 6 Email: &1A j,,2,tl4,k-gWA7'1.r/G e 4�,,NA 1�4, Gs STORMWATER MANAGEMENT REQUIREMENTS All building demolitions require a separate Stormwater Management Permit. ❑ Please attach a Stormwater Management Permit application (pages 3 &4) and Land Disturbance Plan. SEWER & WATER Will you be disconnecting from City sewer or water? [9 Yes ❑ No If you answer"no," please proceed to the next section. If you answer"yes," a separate Sewer & Water permit is required. ❑ Please attach a Sewer&Water permit application to this permit submittal. ❑ Water meters must be returned to Utilities prior to Demolition Permit issuance. Please call (651)675-5200 to coordinate water meter removal. SEPTIC ABANDONMENT Will you be disconnecting from a septic system? ❑ Yes ❑ No If you answer"no," please proceed to the next section. If you answer"yes," a separate Plumbing Permit is required. ❑ Please attach a Plumbing permit application to this permit submittal.