EA180542 - Building - Reroof - Issued Date 12/06/2022 PERMIT
City of Eagan o , Permit Type: Building
3830 Pilot Knob Rd •,�; S ;°°, Permit Number: EA180542
Eagan,MN 55122 EAGAN
(651)675-5675 iiiiiiiiiiiiiiiiiiiiiillillilillillillilin
www.cityofeagan.com * E A 1 8 0 5 4 2 *
Date Issued: 12/6/2022
Site Address: 4844 Safari Ct N
Lot: 19 Block: 2 Addition: Safari Estates
PID: 10-65850-02-190 11111111111111111111111111 IN 111111111111111111111 11111M
Use: * 1 0 — 6 5 8 5 0 — 0 2 — 1 9 0
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments: Please print pictures of ice and water protection and leave on site.
If water damage is encountered,please call(651)675-5675 to schedule a site visit to verify the extent of the damage.Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair
the water damage.
Fee Summary: BL-Base Fee $118.00 0801.4085
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $120.50
Contractor: - Applicant - Owner:
ALBACHTF,N ROOFING LLC James P&Linda D Houser
8744 78th St NW 4844 Safari Ct N
Annandale MN 55302 Saint Paul MN 55122-261
(612)237-4710
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee:Signature sZed B .Signature
--------------------�
I For Office Use I
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Date Received: I
3830 PILOT KNOB ROAD1EAGAN, MN 55122-18102022I I
(651)675-5675 FAX: (651)675-5694 I Date Issued: j
buildinginsaectionsOpitvofeaoan.com I———————————————--———
BY..
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C�^to Ite Address:q? �. LSA G—r - 9)
Unit#:
Applicant is: ❑ Owner EX Contractor
Name:
Homeowner Address: City:
State: Zip: Phone: Email:
Description of work:
_L Y,&O/L
Type of g S
Work Construction Cost:
Type of buildin : IV Single Family ❑ Townhome, of units ❑Twin Home
Company: Alb r� CR4__0_I Contact: C—-%�/4 G-e-
Building Address:n2 f�(T �(� S� IDS) City: A0Aa_'V_Aa_
Contractor 1-1��� rr
State:�. .._ i Phone: -- -` ?rvhail:��&I zA �'G� Cf I�I101=
License#: Ex iration Date:
Sewer$ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License M Expiration Date:
❑ 1 understand 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)454-0002 or www.00pherstateonecall.ora 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 applicationfor a permit, and 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 appro al plans.
XL C._G-v a—A a C x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: Permit#:
S 13 TYPES
Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
_ 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 MCES System
Plan Review [125% 0100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Siding:_Stucco Lath _Stone Lath _Brick
Foundation: Before Backfill Poured Wall Roof: Ice&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 Panel(s) 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
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