EA180772 - Building - Lower Level - Issued Date 01/26/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(65 1) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
.. I=�/:: a r; a K' Permit Number: EA180772
Site Address: 2124 Shale Lane
Lot: 13 Block: 7 Addition: Cedar Grove 4th
PID: 10-16703-07-130
Use:
Description:
Sub Type:
Lower Level
Work Type:
Alteration
Description:
Basement Finish
Census Code:
434 - Residential Additions, Alterations
Zoning:
R-1
Square Feet:
0
* E R 1 8 0 7 7 2*
Date Issued: 1/26/2023
* 1 0— 1 6 7 0 3— 0 7— 1 3 0*
Construction Type: V -B
Occupancy: IRC -1
Comments: Improvements to the home 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).
Separate plumbing and electrical permits required if such work is being done.
Fee Summary: BL - Base Fee $232.45 0801.4085
BL - Plan Review 65% $151.09 0720.4222
Valuation: 10,520.00 Surcharge - Based on Valuation $5.50 9001.2195
Total: $389.04
Contractor:
Owner:
Valerie Lois Domeier
2124 Shale Lane
Eagan MN 55122
- Applicant -
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 Stat(
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
sued B : Signature
/bio v
1 1 fEAGAN
f
I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildi nginsaections(d)citvofeaaan.com
---------------------
For Office Use
I 180772 I
1 Building Permit #:
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I S&W Permit #: I
L� GI Permit Fee: / i
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Date Received: I
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I Date Issued:
---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �r ite Address: Z0-1 1/fs, kme, 'A= l► I !�5)Uj Unit #:
Homeowner Name: 64r Ick— lil 11� c5 j� �� ice✓' Phone:
Contact
Information
,.
, � � ILL
Address/City/Zip: LL2 `Jhc )cn�, �c,� �f
Applicant is: 4�f Owner 1:1Contractor Email:
A ccp-,
Description of work: tip �liv
Type of
Work
Construction Cost: 42 NO.+
/� �
Type of building: Z Single Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
Building _
Address: City:
Contractor
State: Zip: Phone: Email:
License #: Expiration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License #: Expiration Date:
I 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.000herstateonecall.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
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
X- P -&OL 6a,4) X
Applicant's Printed Name plicant' ignature
Required Information for Site Address: DN '4Alu Lr""
Lower -Level Finish Permits
® 1. Show size of area to be finished and all dimensions on plan.
2. Show locations of all new and existing walls on plan.
(3( 3. Show use of rooms on plan (i.e., family room, bedroom, etc.)
❑ 4. Window locations, and information:
Window Glass size of Type (casement, slider,
t `� location operable sash double hung, etc.)
Window A !111—ne!-�" X Liar'
Window B 5kj 2�" n �f Gl' i�s�..�,•ti
Window C _
Window D
❑ 5.
a)
Exterior wall construction
Size of studs/stripping: U A p t�
C-2Crc..r,
\\
rtj c
b)
Spacing of studs: " C�
c)
Type and thickness of insulation:
(I ��
d)
Vapor barrier (i.e., 4 or 6 mil polyethylene):
, Ari
e)
Wall covering (i.e., 1/2 inch sheetrock):
Ili. ;,1flk
❑ 6. Interior wall construction
u Lu
a) Size of studs: 2 X
b) Spacing of studs: c"
c) Wall covering (i.e., '/z inch sheetrock):
El7. Ceiling covering (i.e., '/2 inch or 518 -inch sheetrock): 10 �, I
U ,,-,
8. Smoke detector location (also show on plan)
9. Plumbing to be installed (check applicable):
a. None
b. '/ bath, existing rough -in
c. '/a or full bath, existing rough -in
d. % bath, new rough -in
e. '/. or full bath, new rough -in
f. Solid -based shower
_ g. Tiled shower vxl t s phl_�
h. Other (please specify):
10. Type of water heater: ❑ Natural ❑ Power -vented
❑ 11. Heating to be installed (check applicable):
x a. Extended supply and returns back to trunk line
b. Use existing with no changes
X c. Other (please specify): L C,
❑ 12. Type and number of fireplaces being added:
❑ 13. Total square footage of finished basement area: 2,�0
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinainsoectionsCcDcityofea4an com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.
SUB TYPES
Single Family
01 of _ Plex
Deck
WORK TYPES
_ New
_ Addition
✓ Alteration
Replace
FOR OFFICE USE ONLY
Site Address: 2124 Shale lane
Fireplace
Foundation
Garage
Repair
Fire Repair
Water Damage
Egress Window
Calculated Valuation $10,520.00
Plan Review ❑25% 0100%
Census Code
# of Units
# of Buildings
Type of Construction VB
REQUIRED INSPECTIONS
✓ Lower Level
_ Porch
Pool
Siding
Reroof
_ Windows
Solar
Permit #: 180772
_ Retaining Wall
_ Move Building
_ Demolish Building*
*Demolition of entire building - give PCA
handout to applicant
Occupancy 1RC-1 MCES System
Code Edition 2020 MNRC SAC Units
Zoning R-1 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
_ Footings: New Addition Deck
_ Foundation: Before Backfill Poured Wall
✓ Framing: 1 Hour ✓ Residential Alteration
Braced Wall Framing/Blocking
_ Braced Wall Sheathing (prior to house wrap)
_ Interior Braced Wall Panel(s)
_ Firewalls
✓ Insulation REVIEWED FOR
CODE COMPLIANT
_ 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:
Fireplace: _Rough In _Air Test
HVAC: Rough In Final
Radon Control
Reviewed By:
EAGAN
Derek DOalle
01262023 2A 1 V PM
IBUILDING INSPECTIONS1
✓ Final/No C.O. Required
Final/C.O. Required
Building Inspector
FEES
Finishing the following in the Basement:
Calculated Valuation
$10,520.00
2 bedrooms
Base Fee
$ 232.45
1 bath
Plan Review
$151.09
1 Living room
State Surcharge
$ 5.50
Met Council SAC
$ 0.00
526 sf x $20= $10,520
City SAC
$ 0.00
Treatment Plant
$ 0.00
Water Supply & Storage
$ 0.00
S&W Permit & Surcharge
$ 0.00
Meter
$ 0.00
Radio Read
$ 0.00
Other: 0
$ 0.00
TOTAL
$ 389.04
Required Information for Site Address: DLL S[AL 1(4fY-,
Lower -Level Finish Permits
® 1. Show size of area to be finished and all dimensions on plan.
2. Show locations of all new and existing walls on plan.
3. Show use of rooms on plan (i.e., family room, bedroom, etc.)
❑ 4. Window locations, and information:
❑ 8. Smoke detector location (also show on plan)
J
9. Plumbing to be installed (check applicable).
a. None
b. '/ bath, existing rough -in
X c. % or full bath, existing rough -in
d. % bath, new rough -in
e % or full bath, new rough -in
f. Solid -based shower
g. Tiled shower V'AG1tS C*11-�
h. Other (please specify):
10. Type of water heater: ❑ Natural ❑ Power -vented
❑ 11. Heating to be installed (check applicable):
X a. Extended supply and returns back to trunk line
b. Use existing with no changes
i�c, Other (please specify): C_ "�
❑ 12. Type and number of fireplaces being added: - LC(1 C j
❑ 13. Total square footage of finished basement area: 5 2�
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-56751 FAX: (651) 675-5694 buildinginsoections .citYofeagan.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.
Window Glass size of
Type (casement, slider,
Completely
new opening
location operable sash
Window A �/ �r-�2�' x Wo"
double hung, et
��
._
Window B L.� 2�," „ yG'I
Existing
Window C
opening
Window D
with sill
❑ 5.
a)
Exterior wall construction 3" minimum
"
Size of studs/stripping:CCC4_1�
lowered for
egress
b)
Spacing of studs: " Gn
c)
Type and thickness of insulation: ic�`
P i CL
d)
Vapor barrier (i.e._40r6 mil polyethylene): yt�,
o
House buil��1965
e)
Wall covering (i.e., '/2 inch sheetrock)
❑ 6.
Interior wall construction
a)
u
Size of studs: 2, X i
b)
Spacing of studs: (�" C
c)
Wall covering (i.e., '/2 inch sheetrock): I /L i„ck
❑ 7.
Ceiling covering (i e., '/2 inch or 518 -inch sheetrock):
11 11
�( ,
❑ 8. Smoke detector location (also show on plan)
J
9. Plumbing to be installed (check applicable).
a. None
b. '/ bath, existing rough -in
X c. % or full bath, existing rough -in
d. % bath, new rough -in
e % or full bath, new rough -in
f. Solid -based shower
g. Tiled shower V'AG1tS C*11-�
h. Other (please specify):
10. Type of water heater: ❑ Natural ❑ Power -vented
❑ 11. Heating to be installed (check applicable):
X a. Extended supply and returns back to trunk line
b. Use existing with no changes
i�c, Other (please specify): C_ "�
❑ 12. Type and number of fireplaces being added: - LC(1 C j
❑ 13. Total square footage of finished basement area: 5 2�
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-56751 FAX: (651) 675-5694 buildinginsoections .citYofeagan.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.