EA181107 - Building - Single Fam - Issued Date 01/26/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd % ;:, Permit Number: EA181107
Eagan,MN 55122 EAGAN
(651)675-5675
111111111111 IN 1111111111111111111111111 IN III
www.cityofeagan.com * E A 1 8 1 1 0 7 *
Date Issued: 1/26/2023
Site Address: 4250 Wexford Way
Lot: 036 Block: 001 Addition: Wexford 2nd
PID: 10-83851-01-360
Use: * 10 - 8385 1 - 0 1 - 360 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions,Alterations Occupancy: R-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 $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: Owner: - Applicant -
David J&Dawn M Oberle
4250 Wexford Way
Saint Paul MN 55122--256
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 sued 13 : Signature
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For Office Use I
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Permit Fee: I
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I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
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(651)675-5675 1 FAX: (651)675-5694 JAN 2 5 LJLJ i Date Issued: j
buildinainsoectionsOcilyofeagan com i---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/25/23 site Address:4250 Wexford Way, Eagan MN. 55122 Unit#:
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Applicant is: 0 Owner ❑ Contractor 2 X -U ZVl
Name:David and Dawn Oberle
Homeowner Address:4250 Wexford Way City. Eagan
State: MN Zip:55122 Phone:6512060848 Email: Dawn.oberle@comcast.net
Description of work: Removal of corner tub, cap off water lines.
Type of
Work Construction Cost: 15,000.00
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company:American Stone Contact:Jay Curiel
Building Address: City: St. Paul
Contractor State: Zip: Phone: Email:MN 6123282714 Ameicanstone2714@yahoo.com
License#: Expiration Date:
Sewer& Company: Contact:
Water
Contractor Address: City: 1
Required for State: Zip: Phone: Email: j
new construction 9
License#: Expiration Date:
0 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,ggoherstateonecall.oro 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.
Dawn Oberle
Xx
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: �Z� J��° d �/ Permit#: (% I L C 7
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 -Z Occupancy ( MCES System
Plan Review Code Edition -1-0 7.0 SAC Units
(25%_100%Pte-) Zoning R- Z City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 17 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) !k Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings —Air/Gas Tests _Final
voFraming__g 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
vc Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control Stormwater Management
Shower Pan Other: Permit Required:
Reviewed By: '�f , Building Inspector
RESIDENTIAL FEES ?�D
Calculated Valuation
Base Fee
Plan Review !�14.?.8
State Surcharge * 00
MCES SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Radio Read
Other:
Copies:
TOTAL $0.00