EA180034 - Building - Single Fam - Issued Date 11/07/2022 PERMIT
City of Eagan a Permit Type: Building
3830 Pilot Knob Rd °.q'a '.' Permit Number: EA180034
Eagan,MN 55122 •* - EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 0 0 3 4 �K
Date Issued: 11/7/2022
Site Address: 3900 Danbury Tr
Lot: 6 Block: 2 Addition: Danbury Place
PID: 10-19700-02-060
Use: * 1 0 — 1 9 7 0 0 — 0 2 — 0 6 0
Description:
Sub Type: Single Fain Construction Type: V-B
Work Type: Alteration
Description: Foundation Repairs
Census Code: - Occupancy: IRC-1
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 $118.00 0801.4085
Valuation: 5,000.00 Plan Review $76.70 0720.4222
Surcharge-Based on Valuation $2.50 9001.2195
Total: $197.20
Contractor: - Applicant - Owner:
American Waterworks Scott A Gorski
1307 Valleyhigh Dr NW 3900 Danbury Tri
Rochester MN 55901 Eagan MN 55123-450
(800)795-1204
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 ssued B : Signature
----------------,
I / i For Office Use
I Permit#: I
�•-- --•• j Permit Fee:EAGAN
I
Date ReceiveAl I -%0 ZZ I
3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810 I I
(651)675-5675 l TDD:(651)454-85351 FAX(651)675-5694 I gam; I
buildinainspectionsOdtvofeaaan.com I I
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/1 Site Address: 3900 Danbury Trl unit :
Name: Scott Gorski Phone:
gResitlt/ ' 3900 Danbury Tri
Q�IiJn®r Address/City/Zip:
,� Applicant is: Owner V0' Contractor
�p 7 3 hell—playa low pmffie Wmke%rowdaft repair 0.6.7 heuveW pler=w 1 I lao==rW a removal
7yp® Vll�lr�Cy Description of work:
Construction Cost: 20,107.10 Muhl-Family Building:(Yes /No )
CompanyAmerican Waterworks contact Riley Downey
Cpn�trac�or4
Address: 1307 Valleyhigh•Dr NW Chy. Rochester
State: MN zip: 55901 Phone: 507-516-2704 Email: Tiley@american-waterworks.com
#: MN BC387395 NAT107063-3
License
Lead Certificate M
If the project is exempt from lead cetttfication,please explain why.
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:
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c�asst>�ed��s.�oln..tr�c)f-'u i'o.Vl�l�spec flc►,canons thaiutcf� .tmlrt~f/le•: . ta;�i�ltnde;f/iat>fhe `�a1e i�si'es�Xets.��_� �a:..:._r, , _._a,,:._:
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
webalte at www.cltyofeanan.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(851)454-0002 for protection against underground utility,damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. mm nooherstateonecall.oro
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 riot to start without a permit; that the work will be In
acofZra with thewo!��
plan In the case of work which requires a review and approval off maks.
X , X
Appllcant's Printed Name Applicant's Signature
11
FOR OFFICE USE ONLY
Site Address: .3`I� P—*07 u"y T) Permit#: 1&®03q
SUB TYPES
Single Family _ Fireplace _ Lower Level
01 of_Plex r- Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
JL New _ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows _ Demolish Building*
_ Replace _ Egress Window _ Solar *Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated Valuation ' Occupancy lyz-:L MCES System
Plan Review ❑25% 00% Code Edition A4AAC 7.07.01 SAC Units
Census Code Zoning Z-:L City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VFire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Siding:_Stucco Lath _Stone Lath _Brick
Foundation: l- Before Backfill Poured Wall Roof:_lee&Water _Final
Framing: 1 Hour Residential Alteration Erosion Control
Braced Wall Framing/Blocking Pool:_Footings Air/Gas Tests _Final
Braced Wall Sheathing(prior to house wrap) Retaining Wall:_Footings_Backfill_Final
Interior Braced Wall Panels) Fire Suppression:_Rough In_Final
Firewalls Windows
Insulation Other:
Fireplace:_Rough In Air Test _Final
HVAC: Rough In Final Final/No C.O.Required
Radon Control Final/C.O.Required
Reviewed By: � . Building Inspector
FEES
Calculated Valuation , IIS
D
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL