EA180151 - Building - Single Fam - Issued Date 11/22/2022City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4372
Lot: 004 Block: 003
PID: 10-84353-03-040
Use:
PERMIT
Permit Type: Building
Permit Number: EA180151
... ... s EAGAN
*ER 180151*
Date Issued: 11/22/2022
Svensk Lane
Addition: Wilderness Run 4th
* 1 0— 8 4 3 5 3— 0 3— 0 4 0*
Description:
Sub Type: Single Fain Construction Type: V -B
Work Type: Alteration
Description: remove kitchen wall before 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: $122.69
Contractor:
Owner:
Nicholas R Jensen
4372 Svensk Ln
Eagan MN 55123
- Applicant -
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read.this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
"
Applicant/Permitee: Signature sued B :Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buiidinainspections(&citvofeagan.com
IBJ
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For Office Use i
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I Building Permit #:
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I S&W Permit #: I
I Permit Fee: T IT -1 + tog
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Date Received: I
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Date Issued:
I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: % 12 Site Address: HS72 SVEWS K i,.n/ Unit #:
Applicant is: Wowner ❑ Contractor
Name: Alle—HAMS .&J$EA%
Homeowner Address: y372. :rylmK W ci
ty: EA6A�1
State: Zi S/ 3 Phone: Z'2ft-Z11Z Email: IL
Description of work: Ramom Kfr! GtJAu, Bgam Kire"AI UPAM
TWork ype f Construction Cost: . S40 �� J W, p 1 Wf 90,
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: /� Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License #: Expiration Date:
Sewer & Company: A/�A Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License M Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Pians 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.00pherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 46 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.
x A 4f'I"5 ITF*SEN x w9n==
Applicant's Printed Name Applicant' Signature
SUB TYPES
(Single Family
01 of _ Plex
Deck
WORK TYPES
_ New
Addition
,/Alteration
Replace
FOR OFFICE USE ONLY
Site Address: 4Y11- gy8n X < GI Yl $ Permit #: 0 V51
_ Fireplace
Foundation
Garage
Repair
_ Fire Repair
Water Damage
Egress Window
DESCRIPTION �/
Calculated Valuation 01,0C)o
Plan Review ❑259/..,2 00%
Census Code
# of Units
# of Buildings
Type of Construction V&
_ Lower Level
Porch
Pool
Siding
_ Reroof
Windows
_ Solar
Retaining Wall
_ Move Building
_ Demolish Building*
`Demolition of entire building -give PCA
handout to applicant
Occupancy YZe-1 MCES System
Code Edition MNRC4WC) SAC Units
Zoning R- I City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
./ Framing:, 1 Hour v -"-Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Fireplace: _Rough In _Air Test _Final
HVAC: Rough In Final
Radon Control
Siding: _Stucco Lath _Stone Lath _Brick
Roof: Ice & Water _Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: S. Alt A, , Building Inspector
FEESw►ax� o� ne.. ioe�cL
Calculated Valuation �, 000
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 $ 0.00