EA180690 - Building - 01 of __-plex - Issued Date 12/16/2022City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
r e r; a Ki Permit Number: EA180690
* E A 1 8 0 6 9 0*
Date Issued: 12/16/2022
Site Address: 4673 Jackstone Pt
Lot: 3 Block: 08 Addition: Ridgecliffe 4th I®
PID: 10-63983-08-030 1
Use: * 1 0— 6 3 9 8 3— 0 8— 0 3 0
Description:
Sub Type: 01 of _-plex
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434 - Residential Additions, Alterations
Zoning: R-3
Square Feet: 0
Construction Type: V -B
Occupancy: IRC -3
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:
Your Home Improvement Company Aaron Schroeder
23823 67th Ave 4673 Jackstone Pt
St Cloud MN 56301 Eagan MN 55122
(320)230-9182
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
E AG
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 FAX: (651) 675-5694
build inginspectionsacityofeagan.com
ILCEIVE
DEC 10" 2022
r----For Office Use
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Staff:
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2022 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12/16/22 site Address: 4673 Jackstone Point Unit #:
Name: Aaron Schroeder Phone: 612-210-8535
Resident/ 4673 /city /zip: 4673 Jackstone Point Eagan MN 55122Owner 3 t
Applicant is: Owner V/ Contractor Owner Email:
Type of Work
Description of work: Replacing the tub and surround walls in the upstairs bathroom
Construction Cost: 7000 Multi -Family Building: (Yes X / No )
Company: Your Home Improvement Company contact: Taylor Lupkes
Contractor
Address: 614 2nd Street South city; Waite Park
State: MN Zip: 56387 Phone: 612-473-474� Email: permits@yhic.com
License #: BC506363 Lead Certificate #: NAT -41264-2
If the project is exempt from lead certification, please explain why:
Built in 1980
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non- ubliC if ou provide specific reasons that would permit the CitV to conclude that theV are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.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.
Digitally signed by Taylor Lupkes
Taylor Lupkes Date:: 022.12.1609:19:21
XTaylor Lupkes X
Applicant's Printed Name Applicant's Signature
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
_ New
_ Addition
_ Alteration
Replace
DESCRIPTION
Calculated Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
FOR OFFICE USE ONLY
Site Address:
Fireplace
_ Porch (3 -Season)
Garage
_ Porch (4 -Season)
Deck
_ Porch (Screen/Gazebo/Pergola)
_ Lower Level
_ Pool
_ Repair
_ Fire Repair
_ Water Damage
Egress Window
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
_ Siding
_ Reroof
_ Windows
Solar
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Permit #:
Miscellaneous
Accessory Building
Retaining Wall
Move Building
Demolish Building"
*Demolition of entire building - give PCA
handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
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: Building Inspector
RESIDENTIAL FEES
Calculated Valuation
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
FOR OFFICE USE ONLY
DESCRIPTION
Calculated Valuation $2,000
Plan Review $47.94
(25% 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction VB
REQUIRED INSPECTIONS
Site Address: 4673 JaCkStone Point
Permit #: EA180690
SUB TYPES
Footings (Deck)
_ Footings (Addition)
Foundation
_ Fireplace
_ Porch (3 -Season)
_ Miscellaneous
Single Family
_ Garage
_ Porch (4 -Season)
_ Accessory Building
Multi
Deck
Porch (Screen/Gazebo/Pergola)
CODE COMPLIANCE
✓ 01 of 4 Plex
_
Lower Level
_
Pool
$ 0.00
WORK TYPES
_
EAGAN
Shower Pan
Derek Qualle
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
$122.69
handout to applicant
DESCRIPTION
Calculated Valuation $2,000
Plan Review $47.94
(25% 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction VB
REQUIRED INSPECTIONS
_ Footings (New Building)
Calculated Valuation $2,000.00
Footings (Deck)
_ Footings (Addition)
_ Foundation Foundation Before Backfill
_ Roof: Ice & Water
Final
✓ Framing ✓ 30 Minutes
1 Hour
Fireplace: _Rough In
_Air Test _Final
✓ Insulation
REVIEWED FOR
Sheathing
CODE COMPLIANCE
_ Sheetrock
37.5sf x $20 = $750
✓ Fire Walls
$ 0.00
Braced Walls
_
EAGAN
Shower Pan
Derek Qualle
_
12/16/2022 10:38:54 AM
Occupancy IRC -3
Code Edition 202OMNRC
Zoning R-3
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
_ Meter Size:
Final / C.O. Required
✓ Final / No C.O. Required
_ HVAC Service Test Gas Line Air Test
_ Pool: _Footings —Air/Gas Tests _Final
Drain Tile
_ Siding: _Stucco Lath _Stone Lath _Brick _
Windows
_ Retaining Wall: Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Hood
EFIS
Erosion Control Stormwater Management
Other: Permit Required:
Reviewed By: (BUILDING INSPECTIONS( , Building Inspector
RESIDENTIAL FEES
Tub swap in upper level bathroom
Calculated Valuation $2,000.00
(fire walls present)
Base Fee
$73.75
Plan Review
$ 47.94
7.5 x 5 = 37.5sf
State Surcharge
$1.00
MCES SAC
$ 0.00
37.5sf x $20 = $750
City SAC
$ 0.00
Treatment Plant
$0.00
Min Val $2,000
Water Supply & Storage
$ 0.00
S&W Permit & Surcharge
$ 0.00
Radio Read
$ 0.00
Other:
$ 0.00
Copies:
$ 0.00
TOTAL
$122.69