EA179269 - Building - Single Fam - Issued Date 11/21/2022PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA179269
Eagan, MN 55122 EAGAN
(651) 675-5675 �-�
111111111111
www.cityofeagan.com * E R 1 7 9 2 6 9
Date Issued: 11/21/2022
Site Address: 745 Hay Lake Rd N
Lot: 24 Block: 1 Addition: Fawn Ridge
PID: 10-25800-01-240 iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillillilillillillillilillillim
Use: * 1 0— 2 S 8 0 0— 0 1— 2 4 0*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Addition
Description:
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
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 $324.50 0801.4085
Valuation: 18,763.00 Plan Review $210.93 0720.4222
Surcharge - Based on Valuation $9.50 9001.2195
Total: $544.93
Contractor: - Applicant -
Owner:
Hauer Construction
Gregory P Gamboni
9720 Justen Trail N
745 Hay Lake Rd N
Grant MN 55115
Eagan MN 55123
(651)472-4772
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/Petmitee: Signature
ssued B . Signature
For Office Use
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I Building Permit P I
I-EAGAN IS&W Permit P. ,
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Permit Fee:"'P 7 4 A, 013
CEIEVE
I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 ®/
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(651) 675-5675 1 FAX: (651) 675-5694 1 Date Issued: I
buildinainsoectionsOcitvofeaaan.com SEP Z 7 2022 1 _____________________I
RESIDENTIAL B IT APPLICATION
Date: ® 2 Siite AA'ddress: 7 Lis N G�.cJ 1.a,Kes "1?oc�d Unit #:
Applicant is: ❑ Owner IJ Contractor
Name: _ b ' of sr I', QV 6UL
Homeowner Address: '7qg N . �ia.�.a La*e.S Ro P-d City: 6 A4*%.
State: IYNv Zi Phone: Email: 'lt�,
Description of work: A WL
Type of
Work Construction Cost: %Oa1 3
Type of building: Mingle Family ❑ Townhome, of units ❑ Twin Home
Company: +AQUUCV Contact: n tA !7 L~ej-
laUiidif g Address: Q?20 Tu_Aj—, " "tea N. City., GY g!=t±
Contractor
StateAm_ Zip: rJ'SJ VAS Phone: (41.1172A 7Z Email: 10f'kP b"tY e,0'% fvUCh'an • Ca jA_
License #: 13 C tp 34 13 Expiration Date: 91 ZO 23
Sewer"& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Expiration Date:
0 'lunderstand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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) 4540002 or www.aopherstateonecall.org for protection against underground utility
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
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.
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Applicant's Printed Name Ap ica is Signature
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FOR OFFICE USE ONLY
Site Address: SYS N /L. -y L&.VLS kZl 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
2/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 I$ .X63. bg
Plan Review
(25%_ 1000/61t:fT
Census Code
# of Units
# of Buildings
Type of Construction VQ
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Occupancy 3?c.I
Code Edition ,/VAW.,�ppo
Zoning Qty
Stories
Square Feet
Length
Width
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
./ Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control Stormwater Management
Other: Permit Required:
Reviewed By: ^/yc% . Building Inspector
RESIDENTIAL FEES
Calculated Valuation ��, �G3 •yg
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Radio Read
Other:
Copies:
TOTAL $ 0.00
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