EA181291 - Building - Single Fam - Issued Date 02/08/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
EAGAN Permit Number: EA181291
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•••® of
*ER 181291*
Date Issued: 2/8/2023
Site Address: 4070 Mica Tr
Lot: 6 Block: 12 Addition: Cedar Grove 5th
PID: 10-16704-12-060
Use: * 10-16704— 12-060*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Remove 2 load bearing walls
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
BL - Plan Review 65%
$54.28
0720.4222
Valuation: 2,000.00
Surcharge - Based on Valuation
$1.00
9001.2195
Total:
Contractor:
$138.78
Owner:
Gillen Living Trust Dated 8/23/2013
4070 Mica TH
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 State
of Minnesota Statutes and City of Eagan Ordinances.
,moi
Applicant/Permitee: Signature ssued B : Signature
\ \/ I
/
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE
(651) 675-56751 FAX: (651) 675-5694 FE79 u � 1u23
buildin4insgectionsO-chtofea4an.com
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BY:
RESIDENTIAL BUILD IT
---------------------
I For Office Use
I 2�I Building Permit #:
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I S&W Permit #: I
Permit Fee: 3 o y I
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I Date Received: I
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I Date Issued: I
I ---------------------J
APPLICATION
Date: /[?- % o2a SiteAddress: �O 70 Mc mil• �� �— Unit #:
Applicant Is: "S Owner ❑ Contractor
Name: R b e–ve �t
Address: LAD, ,> Ci q
Homeowner
State: I � Zi 111- Phone: 4 SZ • t%h> 1411 b Email: Q � � 11 � Q iVxC A
Description of work:T t••k*I i WO', L<, Ae?a %a t e_gG73
Type of
Work
Construction Cost:
Type of building: MS ngle Family ❑ Townhome, of units ❑ Twin Home
ompan ` L lko*a+G t���1� d►� Contact: Nh��-�W
Building
re Sit tL y City:
Contra
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State: :–�-�`—" ho 2 t0SVw fnail-
License #: (. y �tk®i Ex iration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License #: Expiration Date:
RA 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.ctooherstateonecall.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 tans.
x i L L eJ x
Applicant's Printed Name Ap Ilcant's Signature
SUB TYPES
✓Single Family
01 of _ Plex
Deck
WORK TYPES
New
Addition
Alteration
Replace
FOR_OFFICE USE ONLY
Site Address: </O-70 /`I-T�
_ Fireplace _ Lower Level
Foundation _ Porch
Garage _ Pool
Repair _ Siding
Fire Repair _ Reroof
_ Water Damage _ Windows
Egress Window _ Solar
DESCRIPTION rrJJ
Calculated Valuation ; , C)ap
Plan Review 025°/�'I00%
Census Code
# of Units
# of Buildings
Type of Construction Vt3
Permit M /cam / 02 �/
Retaining Wall
Move Building
Demolish Building*
`Demolition of entire building — give PCA
handout to applicant
Occupancy TeC- I MCES System
Code Edition /`'MMC -d0,20 SAC Units
Zoning lk- City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
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
Fireplace: _Rough In Air Test _Final
HVAC: Rough In Final
Radon Control
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:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: -, Ale Aso— , Building Inspector
FEES
Calculated Valuation .9, Oop
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00