3623 St. Francis Way - Unit B "
For Office Use I `l7
* REcEINTED
Permit#:
7 020 6
2
APR � Permit Fee: ����`� /
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buiidinginspectionsAcityofeagan.com J
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
4/7/2020 3623 ST FRANCIS WAYlk. -E
Date.: Site Address.: Unit#:
Name: Betsy Schaller Phone: 651 -456-0844
Resident/ 3623 ST FRANCIS WAY #E
Owner Address/City/Zip:
Applicant is: ✓ Owner Contractor
Description of work: Bathroom remodel
Type of Work p
Construction Cost: $12 000 Multi-Family Building: (Yes ✓ /No )
Company: Ohana Construction Contact: Ryan Sewell
Contractor
Address: 13482 Georgia Ct City: Apple Valley
State: MN Zip: 55124 Phone: 651-274-3116 Email: rm@ohanamn.com
License#: BC580521 Lead Certificate#: NAT 69391 -1
If the project is exempt from lead certification, please explain why:
e7,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. w WAN gopherstateonecall o�
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 Ryan Sewell
x — er-- _,it
Applicant's Printed Name Applicarft's Signature
• DO NOT WRITE BELOW THIS LINE -f e S4 .qaci c G1)4 /(p / O
SUB TYPES
/oundation _ Fireplace _ Porch (3-Season) Exterior Alteration(Single Family)
ingle Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi — Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
— New )( Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof Demolish Interior
�
Alteration Fire Repair Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 4-? 600 Occupancy -5 MCES System
Plan Review Code Edition 142 G Lo/3 SAC Units
(25%_ 100%X) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet 5 7 PRV
#of Buildings Length Fire Suppression Required
Type of Construction ic 0 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) /Final / No C.O. Required
Foundation Foundation Before Backfill 7 HVAC_Service Test Gas Line Air Test_ Hood --
Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test Final Siding: Stucco Lath TStone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings— Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
(�
Reviewed By: �* �1 , Building Inspector
RESIDENTIAL FEES (�
Base Fee r ) 1\r.ettv.. Ce„. o.t.'
Surcharge ✓
Plan Review II
MCES SAC 71 'Ai "y x /1 ` �! 22 �CS t'
City SAC / •�
Utility Connection Charge V
S&W Permit & Surcharge /22 •S lye/ ! 56 .1/06
Treatment Plant
Radio Meter Read
Copies 5? st, ri.. x 4 2,0,0.0 ) pit
TOTAL ri ,n
�`i . ��00D Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161026
Date Issued:04/30/2020
Permit Category:ePermit
Site Address: 3623 St Francis Way B
Lot:025 Block: 04 Addition: St Francis Wood 4th
PID:10-65903-04-025
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Elizabeth Tste C Schaller
3623 St Francis Way B
Eagan MN 55123
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature