EA180600 - Building - Single Fam - Issued Date 12/12/2022PERMIT
City of Eagan • ®®° Permit Type: Building
3830 Pilot Knob Rd `e° EAGAN Permit Number: EA180600
Eagan, MN 55122 •- •-
(651) 675-5675 1111111111111 IN 1111111111111111111111111 IN IN
www.cityofeagan.com * E R 1 8 0 6 0 0
Date Issued: 12/12/2022
Site Address: 912 Lakewood Hills Rd
Lot: 1 Block: 1 Addition: Lakewood Hills 2nd
PID: 10-44351-01-010
Use: * 10-4435 1 —0 1 —0 10*
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:
Mad City Windows & Baths Robert Jr Mickelson
5020 Voges Road 912 Lakewood Dr
Madison WI 53718 Eagan MN 55123
(651)500-0514
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
ssued B :Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinainsoections(M-cityofeagan.com
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j For Office Use I
j Building Permit #: 180600
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j S&W Permit # `n 1,
Permit Fee: � 1 /�� • �V 9
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12/9/22
Date Received: I
I Date Issued:
I ---------------------J.
RESIDENTIAL BUILDING PERMIT APPLICATION
12/09/22 912 LAKEWOOD HILLS RD Unit#:
Date: Site Address:
Applicant is: ❑ Owner 14 Contractor
STEVEN AND ROBERT ADAMS
Name:
Address: City: 912 LAKEWOOD HILLS RD EAGAN
Homeowner
State: MN zi : 55123 Phone: 651-558-61 Email: STEVEN.JP.ADAMS@GMAIL.COM
REPLACING i TUB AND TWO SHOWERS, WORMS AGAINST EXTERIOR WALLS 80 THEY WU BE OPENED AND REINSULATED TO CODE
Description of work:
Typeof
Wo
Q-1, LkWC)d d Hill S
15392
Construction Cost:
Work
Type of building: 91 Single Family ❑ Townhome, of units ❑ Twin Home
MADCITY WINDOWS AND BATH BELLA OR LUPE
Company: contact:
Building
Address: 2621 FAIRVIEW AVE N SUITE 2 City: ROSEVILLE
ContractorMN
55113 651-603-47 PERMITS@MADCITYWINDOWS.COM
:
State: Zip. Phone: Email.
BC775012 03/31/24
License #: Expiration Date:
Sewers
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License #: Expiration Date:
141 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 sp clfic reasons that would permit the City to; conclude that they
are :trade secrete.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.00pherstateonecall.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 S.
XBELLA KBAT X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: 912 LAKEWOOD HILLS RD
SUB TYPES
Single Family
_ Fireplace
_ Lower Level
_ 01 of _ Plex
_ Foundation
_ Porch
Deck
_ Garage
_ Pool
WORK TYPES
_ New
_ Repair
_ Siding
Addition
_ Fire Repair
_ Reroof
,e -Alteration
_ Water Damage
_ Windows
_ Replace
_ Egress Window
_ Solar
DESCRIPTION
Calculated Valuation
Plan Review 132501qi6M 00%
Census Code
# of Units
# of Buildings
Type of Construction VQ
Permit #: 180600
_ Retaining Wall
Move Building
Demolish Building*
`Demolition of entire building — give PCA
handout to applicant
Occupancy 1 AC- % MCES System
Code Edition MNRc-2oao SAC Units
Zoning t2-\ 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 r' 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:
vo-' Final/No C.O. Required
Final/C.O. Required
Reviewed By: S. Jl% /S.*— , Building Inspector
FEES
Calculated Valuation
loce..•er. fT
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