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EA180160 - Building - Single Fam - Issued Date 11/15/2022
PERMIT City of Eagan , , Permit Type: Building 3830 Pilot Knob Rd `' ' '' Permit Number: EA180160 EAGAN Eagan,MN 55122 •-•• -•-• (651)675-5675 ^� www.cityofeagan.com * E R 1 8 0 1 6 0 Date Issued: 11/15/2022 Site Address: 1206 Carlson Lake Lane Lot: 023 Block: 003 Addition: Wilderness Park PID: 10-84250-03-230 Use: * 10 - 84250 - 03 - 230 * Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: Bathroom Remodel 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 $73.75 0801.4085 Valuation: 2,000.00 Plan Review $47.94 0720.4222 Surcharge-Based on Valuation $1.00 9001.2195 Total: $122.69 Contractor: - Applicant - Owner: House Lift Remodelers Donald&Jean Tstees Mueting 4330 Nicollet ave S 1206 Carlson Lake Ln Minneapolis MN 55409 Eagan MN 55123 (612)821-1100 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. ssued B .Si ature Applicant/Permitee: Signature gn I For Office Use I 7 t Building Permit#: I V I �� I I S&W Permit M •��• 4PEAGAN 1 I X22• b� fl � Permit Fee: I Date Received: 1 I 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 I I (651)675-56751 FAX(651)675-5694 �' 1 Date Issued: � buildinainsoectionsOcitvofeagan.com NOV U 8 2022 1-------------------- RESIDENTIAL BUI9JNG PERMI APPLICATION Date:A/M-9- --20-Vfflte Address: 1:)d 4 66W 5 0^1 L" LAAJ0 Unit Applicant is: ❑ Owner 5d Contractor A, 4 Name: D�e9M-s4—�-ectal /r,1A *Kf!ll Homeowner Address: C�rt150AJ 4MA e L}k(1�p City: State: Zi .13 Phone: Description of work: AA Room &Y►1 alP Type of, Work Construction Cost: -/-: tw. �d Type of building: 21 Single Family ❑ Townhome, of units ❑ Twin Home Qi veil (Zd)LAp -Pne- . Company:baA Wasy� l��{- LLi�2Mp� �� Contact: f 6S% 2/ "76 'Building Address: Y3 3 o At,co l/tLT ave- 5 City: Da k!S Contractor State:1101 Zip:,, Phone: /'3113' mail: len4u-rhe i usi AQ tg 6d �_L04 License MkI�. Q-P-I Expiration Date: '�J _ � s ,SeWer& Company: Contact: Water Contractor Address: City: Required for State: Zip; Phone: Email: new conStrudi:16n License M Expiration Date: j I understand that Plumbing, Mechanical,and Fire Suppression work require separate applications. i I 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. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.cooherstateonecall.ora for protection against underground utility 1 damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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 gi Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to s 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 lens. 1 x l.l°©AAh 9-0 �A2J s e4 x _ Applicant's Printed Name Applicant' nature i t 7 3 FOR OFFICE USE ONLY Site Address: 0-A0 C(91 COV1 (ake Oki Permit#: SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Miscellaneous Single Family _ Garage _ Porch(4-Season) _ Accessory Building _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) 01 of_Plex _ Lower Level _ Pool WORK TYPES _ New _ Repair _ Siding _ Retaining Wall Addition _ Fire Repair _ Reroof _ Move Building Q Alteration _ Water Damage _ Windows _ Demolish Building* _ Replace _ Egress Window _ Solar *Demolition of entire building-give PCA handout to applicant DESCRIPTION Calculated Valuation Z�� Occupancy tQG-Z MCES System Plan Review Code Edition .tf VZ-Z4rW SAC Units (25%_100%.!-j Zoning 2.1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vib Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 1L Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final K Framing K 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS oL Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Stormwater Management Shower Pan Other: Permit Required: Reviewed By: Building Inspector RESIDENTIAL FEES Calculated Valuation Z�U Base Fee • 7 Plan Review State Surcharge . MCES SAC City SAC Treatment Plant Water Supply&Storage S&W Permit&Surcharge Radio Read Other: Copies: TOTAL $0.00 a i n � ,. k a