EA180432 - Building - 01 of __-plex - Issued Date 12/15/2022PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd �', I, EAGAN Permit Number: EA180432
Eagan, MN 55122 *--- •--"
(651) 675-5675 111111111111 IN 111111
www.cityofeagan.com * E R 1 8 0 4 3 2
Date Issued: 12/15/2022
Site Address: 1891 Ruby Ct N
Lot: 050 Block: 04 Addition: Diffley Commons 2nd
PID: 10-20451-04-050
Use: * 10-2045 1-04-050*
Description:
Sub Type: 01 of _-plex Construction Type: V -B
Work Type: Addition
Description: Bathroom Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -3
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 $73.75 0801.4085
Valuation: 2,000.00 Plan Review $46.94 0720.4222
Surcharge - Based on Valuation $1.00 9001.2195
Total:
$121.69
Contractor: - Applicant -
Owner
Great Lakes Home Renovations
Nancy S Fortney
14690 Galaxie Ave, Suite 100
1891 Ruby Ct N
Apple Valley MN 55124
Eagan MN 55122
(952)891-3400
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
�m 1�,� Is
----------------------
For Office Use �)
e a I Building Permit #: 4
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40 0
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S&W Permit #
EAGAN
I
Permit Fee
I I
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3830 PILOT KNOB ROAD i EAGAN, MDate Received:
N 55122-1810 I I
(651) 675-56751 FAX: (651) 675-5694 I I
I Date Issued:
buildin.qinspections@citvofeagan com
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/28/22 site Address: 1891 N Ruby Ct unit #:
Applicant is: ❑ Owner 14 Contractor t I -e,)
Name: Nancy Fortney
Homeowner Address: 1891 N Ruby Ct Eagan
City:
MN 55122 612-382-93
State: Zi Phone: Email.
Description of work: Bathroom Remodel
Type of 11,000
Work Construction Cost
Type of building: ❑ Single Family 0 Townhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding Contact: Derek
Building Address 14690 Galaxie Ave city. Apple Valley
Contractor State: Zip: Phone: MN 55124 952-891-34% Emailg �g derek. lwsco mail.com
License #: BC060427 Expiration Date: 03/31 /2024
Sewer & Company; Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
p License #: Ex iration 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 Vm op herstatgQnecalLorg 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. —7
x Derek Brouillet
x
Applicant's Printed Name Applicant's ignature
SUB TYPES
_ Single Family
,14---01 of _ Plex
Deck
WORK TYPES
_ New
Addition
Alteration
Replace
FOR OFFICE USE ONLY
Site Address: 1 891 N Ruby Ct
_ Fireplace
_ Foundation
_ Garage
` Repair
Fire Repair
Water Damage
Egress Window
DESCRIPTION
Calculated Valuation
Plan Review X25% Kld0%
Census Code
# of Units
# of Buildings _
Type of Construction Lam_
Lower Level
_ Porch
Pool
_ Siding
Reroof
Windows
Solar
Permit #: I � u � J�
_ Retaining Wall
— Move Building
Demolish Building`
`Demolition of entire building — give PCA
handout to applicant
Occupancy 1"-3 MCES System _
Code Edition 44A) ZDLD SAC Units
Zoning _ 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
ji- Framing: 1 Hour 'k- 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
Reviewed By:
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:
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:
X Final/No C.O. Required
Final/C.O. Required
Building Inspector
TOTAL $ 0.00 1 'Z2 . V1