EA181184 - Building - Single Fam - Issued Date 02/07/2023PERMIT
City of Eagan , ,
Permit Type: Building
° ,
3830 Pilot Knob Rd °°° °:
Eagan, MN 55122 EAGAN
Permit Number: EA181184
(651) 675-5675
a'
111111111111
www.cityofeagan.com
* E R 1 8 1 1 8 4
Date Issued: 2/7/2023
Site Address: 4635 Fairway Hills Dr
Lot: 8 Block: 3 Addition: Fairway Hills
PID: 10-25600-03-080
Use: * 1 0— 2 S 6 0 0— 0 3— 0 8 0
Description:
Sub Type: Single Fam Construction Type:
V -B
Work Type: Repair
Description: Foundation
Census Code: 434 - Residential Additions, Alterations Occupancy:
IRC -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: - Applicant -
Safe Basements of Minnesota Inc
60335 US Highway 12
Litchfield MN 55355
(320) 593-8729
Owner:
Samuel P Tompsett
4635 Fairway Hills Dr
Eagan MN 55123
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
""'Issued B : Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 676-56751 FAX: (651) 675-5694
buildinainsoections(dchvofe mn.com
For Office Use
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Permit
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Permit Fee: l I
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Date Received: I
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Staff: I
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2022 RESIDENTIAL BBUII �G ®E......, --AtPPLICATION
Date: ` �� 2 Site Address: "'I l0 7- l ) YAL W0A\,1 t4-- 1 \�� � Unit :
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Name: SLS C2�:-1—L Phone:
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Address / City / Zip:
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Applicant is: Owner Contractor Owner Email:
bescription of work: r .
T p�yaf�ro tc
-ji7 S'i`DI�II( iIn CAPe'l f 1ooy-
-,,,Construction
Cost: Multi -Family Building: (Yes / No_)
SafeBasements of Minnesota, Inc. Stephanie 320-434-7778
Company: Contact
60335 US Hwy 12
contractor
Address; City:Litchfield
MN 55355 320.593-872R info@safebasements.com
state: Zip: phone: Email:
BC446489 NAT -106229-3
License;w Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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 V( No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
Fire Suppression Contractor: Phone:
Pfansandsuppo ocumenifs'thstYousuoml at ;oo s� d iffdbe bllc..n'forFhatl n.�Podlansoftil; infoFfrretlonmayb9 4 Y
RT(: .f►�
s #,h Med as hang 0bl%o li 4jirot a ec A`0 1& h fh&,t hie Id orrrili fis:Cl .fo:citnclUdeiiiaf ti►o ;aro treda secyets:� .... .
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.dtvofeeaan.comisubscnbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (681) 454-0002 or www.noaherstateonecall.om for protection against underground utility
damage. Contact, Gopher State One Cali 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 understandthis is not 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 aDproval of pians.
XStephanie Hanson x
Applicant's Printed Name pII 6a n 's Sign e
SUB TYPES
_k Foundation
Single Family
_ Multi
01 of _ Plex
WORK TYPES
_ New
_ Addition
_ Alteration
it. Replace
FOR OFFICE USE ONLY
Site Address:A�G I �wN, f S p a
Permit #: IVI o4'
Fireplace _ Porch (3 -Season) _ Miscellaneous
Garage _ Porch (4 -Season) _ Accessory Building
Deck _ Porch (Screen/Gazebo/Pergola)
_ Lower Level _ Pool
_ Repair
_ Fire Repair
Water Damage
Egress Window
DESCRIPTION
Calculated Valuation 0
Plan Review
(25%_ 1009/6 K)
Census Code
# of Units
# of Buildings
Type of Construction J (,7
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
1L _ Framing X 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
_ Siding
_ Reroof
_ Windows
Solar
Occupancy f�C`
Code Edition A41V (L L, ` ZDZo
Zoning_
Stories
Square Feet
Length
Width
_ 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
)L-- 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: A&S K&.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:
Tim®
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TOTAL $ 0.00 139 . "Ib