EA180003 - Building - Single Fam - Issued Date 11/10/2022 PERMIT
City of Eagan ® ® ® ° Permit Type: Building
3830 Pilot Knob Rd NA, °® EAGAN
Permit Number: EA180003
Eagan,MN 55122 ®®®- ®--®
(651)675-5675 1111111111111 IN 1111111111111111111111111 IN IN
www.cityofeagan.com * E R 1 8 0 0 0 3 *
Date Issued: 11/10/2022
Site Address: 613 Greenleaf Dr S
Lot: 6 Block: 3 Addition: South Oaks
PID: 10-71200-03-060
Use: * 10 - 71200 - 03 - 060 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Front Entry Addition
Census Code: 434-Residential Additions,Alterations 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 $250.75 0801.4085
Valuation: 13,689.00 Plan Review $162.99 0720.4222
Surcharge-Based on Valuation $7.00 9001.2195
Total: $420.74
Contractor: - Applicant - Owner:
Roberts Residential Inc Keith R Nelson
12268 Nicollet Ave 613 Greenleaf Dr S
Burnsville MN 55337 Eagan MN 55123
(952)224-3680
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 slued B : Signature
ECEIVE
0 C T 3 1 2022r--------------------- I
1 For Office Use t
I Building Permit tk 180003 i
S&W PermitE AAk G "Am N #. I
IPermit Fee., v®�
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l
We Received: 10/31/22 I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 � t
(651)675-56751 FAX:(651)675-5694 1 Date lssued: 11 /tot 22� t
b u Ift no Irtsvec fion s ctcitvafeagan.com i_____-- i
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RFsinF
'10131/22 613 S. Greenleaf Drive
[)ate: Site Address: Unit#: i
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Applicant is: t...i Owner 0 Contractor
i
Name:Keith Nelson & Kari McKim
Homeowner Address:613 B. Greenleaf DriveEagan
C �
3r ity:
State;
MN Zip: Phone: Email:55123 6-8-212-5079 mail.k.mckim@gmaii.com
Description of work: Front Entry Addition
Typeof $55 000.00
Word Construction Cost R-1, South Oaks
Type of building: ®Single Family ®Townhome,_ of units ❑Twin Nome
company: Roberts' Residential Remodeling, Inc. Contact: Kory Holm
. 12268 Nicollet Ave. Burnsville
Building Address. city:
contractor State: MN Zip:55337 Phone: 952-292-817C Emait Kory@robertsresidentalremodeling.com
I i..ic ense M BC006885 Expiration Date: 03/31/24
Sewer& Company: Contact
Water .
t::tlrlktrador Address: City:
Required for State: Zip: Phone: Email:
$ new construction
License#: _ _ _ -_ Expiration Date:
0 1 understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
NOTE:Plans and suppo&ng documents that you submi#are considered to be,public information. Portions of fire _
i information may lie classified as non-public ff you provide specific reasons that would permit the City to conclude that they
CALL BEFORE YOU BIG. Contact Gopher State One Call at(651)454-0002 or www.aonherstateonecatl.oro for protection against underground utility
—M. %.ra MMA%x"w btm une asci qo rims More you mien to mo w receive(orates or unaerorowm unnueL
I hereby acknowh dge that this Infomation is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of
Fagan;Chet l understand this Is riot a permit,but only an application for a permit.and work Is not to start without a that the work will be In
arx mlwith thn anranvmf plan in the,rimy of wruk whk*►remAms n inview aM annmval of nr
x p x
AwAcenr's PAded NamQ AroAlicarrt's sianature
FOR OFF E#J$E 014LY
Site Address: 613 S. Greenleaf Drive 1
-
SUB TYPES
X Single Family _ Fireplaces _ Lower Level
_ nl of P'le:c Foundation _ Parch
Deck Garage Pool
WORK TYPES
NOW _ Repair i Siding _ Retaining Wad
X- Addition _ Fire Repair _ Reroof Move Building
AltordtlOn _ Water Daanago _ Windows _ Demolish Building-
Replace Egress Witulow _ Solar -DemONKM artenure b -ajrue PCA
handout to appffmnt
DESCRIPTION
Calculated Valuation 1.3110 -Occupancy MCES System
Plan Review 02So/ 1 Do% Code Edition C'2&2b SAG units
Census Cade Zoning City Water
#of Units Stories Boostor Pump
#of Buildings _ — _.. _-._ Square Feet --- ___ PRV
Type of Construction Fire Suppression Required
Separate Storrawater Management Permit Requires!
REQUIRED INSPECTIONS
Footinga: New Addition Deck Skiing:PUww,Lath Stores Lath __,Mck
!( Foundatibm y D� Se#ore BadA --Poured Wall k- , Roof:—lee&Water �LFinal
Fronting: PL-1 Noun Residential Alteration Erosion Control
Braced Wall Framing/Blocking Pool:`Footings AidGas Tests _Final
Braced Wall Sheathing(prior to house wrap) Retaining Waft:4 Footings___Backfil!_ Fina!
Interior Braced Wall Panel(s) Firs Suppression:,Rough in_Final
Firewaiis _ Windows
K Insulation tither:
Fireplace:_Rough In Air Test _Final
y/ HVAC: X- Rough In Final r- FlnallNo C.O.Required
Radon Control Final/C.O.Required
Reviewed By: Building Inspector
FEES y q'
Calculated Valuation 1 ,3 8 111) 13 Z 043 x /5. 13, 0 !p
. 3 9
Base Fee
Plain Review
State Surcharge
Met Council SAC -
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit S Surcharge
Meter
Radio Read
Other.
TOTAL ' 00