EA180662 - Building - Single Fam - Issued Date 12/19/2022PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd�a,,4, �p Permit Number: EA180662
Eagan, MN 55122 ----� EAGAN
(651) 675-5675 111111111111 IN 11111 11"M
www.cityofeagan.com * E A 1 B 0 6 6 2
Date Issued: 12/19/2022
Site Address: 4021 Johnny Cake Ridge Rd
Lot: 13 Block: 2 Addition: Oakbrooke 5th
PID: 10-53764-02-130 1111111111111111111111111 IT 111111 11111M
Use: * 10-53764-0Z— 130*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Sump Pump
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC- I
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
Plan Review $47.94 0720.4222
Valuation: 2,000.00 Surcharge - Based on Valuation $1.00 9001.2195
Total: $122.69
Contractor: - Applicant - Owner:
Innovative Basement Authority Rose M Herring
1741 Corporate Landing Pkwy # 103 4021 Johnny Cake Ridge Rd
Virginia Beach VA 23454 Eagan MN 55122
(320) 629-3990
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
L'M 11-/110
Date: 12/14/22 Site Address: 4021 Johnny Cake Ridge Road Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Rose Herring
Homeowner Address: 4021 Johnny Cake Ridge Road City: Eagan
State: MN zl : 55122 Phone: 651-207-608E Email:
Description of work: Installing sump pump
Type of
Work Construction Cost: 2100
Type of building: 0 Single Family ❑ Townhome, of units 0 Twin Home
Contact:
Company:
Innovative Basement Authority Sophia Bagley
Building Address:
6265 Carmen Avenue East City: Inver Grove Heights
Contractor State: MZip: Phone: Email: MN Zip: 612-424-516E IBAminneapolispermits@teaminnovative.com
License #: BC765730 Ex iration Date:
Sewer & Company: _ _ Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction`
License #: 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 Slate One Call at (651) 454-0002 or www.po�iherstateonecall.arst 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,
&4wx x %
Appli M s Printed N A ' an Signatur
---------------------
For Office Use _ f�
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j
Building Permit #: I
S&W Permit #:
•mow• wwif
t Permit Fee: x
-'
ECEIVE'
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-18
Date Received:
i
(651) 675-5675 1 FAX: (651) 675-5694
DEC 14 20
Date Issued: I
�tztildin tp,pe ti n'riaci f _
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RESIDENTIAL BU'
IT APPLICATION
Date: 12/14/22 Site Address: 4021 Johnny Cake Ridge Road Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Rose Herring
Homeowner Address: 4021 Johnny Cake Ridge Road City: Eagan
State: MN zl : 55122 Phone: 651-207-608E Email:
Description of work: Installing sump pump
Type of
Work Construction Cost: 2100
Type of building: 0 Single Family ❑ Townhome, of units 0 Twin Home
Contact:
Company:
Innovative Basement Authority Sophia Bagley
Building Address:
6265 Carmen Avenue East City: Inver Grove Heights
Contractor State: MZip: Phone: Email: MN Zip: 612-424-516E IBAminneapolispermits@teaminnovative.com
License #: BC765730 Ex iration Date:
Sewer & Company: _ _ Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction`
License #: 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 Slate One Call at (651) 454-0002 or www.po�iherstateonecall.arst 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,
&4wx x %
Appli M s Printed N A ' an Signatur
FOR OFFICE USE ONLY
DESCRIPTION
Calculated Valuation
Plan Revieww
(25%_ 100% V )
Census Code
# of Units
# of Buildings
Type of Construction
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
Reviewed By:
RESIDENTIAL FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Read
Other:
Copies:
TOTAL $ 0.00
Occupancy j! ---
Code Edition ;2p,,4o A4A)9 L
Zoning
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 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
Other:
Building Inspector
/� ^ 9 )/00-0
an,
Site Address: yU
Q Permit #: 190662
n
SUB TYPES
Foundation
_ Fireplace _
Porch (3 -Season)
Miscellaneous
Single Family
_ Garage _
Porch (4 -Season)
—
_ Accessory Building
Multi
Deck _
Porch (Screen/Gazebo/Pergola)
_ 01 of _ Plex
Lower Level _
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
Plan Revieww
(25%_ 100% V )
Census Code
# of Units
# of Buildings
Type of Construction
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
Reviewed By:
RESIDENTIAL FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Read
Other:
Copies:
TOTAL $ 0.00
Occupancy j! ---
Code Edition ;2p,,4o A4A)9 L
Zoning
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 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
Other:
Building Inspector
/� ^ 9 )/00-0
an,