EA181361 - Building - Single Fam - Issued Date 02/17/2023PERMIT
City of Eagan
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Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EA181361
(651) 675-5675
111111111111
www.cityofeagan.com
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Date Issued:
2/17/2023
Site Address: 3919
Worchester Dr
Lot: 1 Block: 2
Addition: Hills of Stonebridge
PID:10-32990-02-010
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Use:
*10-32990-02-010*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Solar
Description: 9.2 KW DC solar array flush -mounted to south and
east roofs Occupancy: IRC -1
Census Code: 434 - Residential Additions, Alterations
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 - Plan Review - Fixed $40.00 0720.4222
BL - Solar/Wind Energy $94.00 0801.4085
Surcharge -Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant _ Owner:
TruNorth Solar LLC Timothy E & Elizabeth L Seifert
3735 Dunlap St N 3919 Worchester Dr
St. Paul MN 55112 Eagan MN 55123
(952) 500-0789
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 B : Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinainspections cityofea4an.com
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181361
I Building Permit #:
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S&W Permit #:
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Permit Fee: �� r
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2/14/23
Date Received: I
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I Date Issued:
I ---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/14/2023 Site Address: 3919 Worchester Drive, Eagan, MN, 55123 unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Tim Seifert
Homeowner Address: 3919 Worchester Drive, Eagan, MN, 55123 city:
State: Zi : Phone: (651) 248-0959 Email: seiftim@yahoo.com
9 2 KW DC solar arra flush -mounted to south and east roofs
Description of work: y
Type of
Work Construction Cost: 13800.00 R -I, HIIIs o -F �t nebrl dye
Type of building: 21 Single Family ❑ Townhome, of units ❑ Twin Home
Company: TruNorth Solar Contact: Donna Pickard
Building Address: 3735 Dunlap St. N. City: Arden Hills
Contractor State: Zip: Phone: MN 55112 952-500-70 Email: p �% d ickardntrunorthsolar.com
License #: BC639643 Expiration Date:3/31/2023
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Expiration Date:
We will pull an Electrical Permit with the State.
14 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, Portlons 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 DICT. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.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.
XDonna Pickard X J)MTC-2_AjW ,
Applicant's Printed Name Applicant's Signature
SUB TYPES
7A Single Family
_ 01 of _ Plex
Deck
WORK TYPES
New
Addition
_ Alteration
_ Replace
�'Ot� QFFICE.I�S�,QN,�Y
Site Address: 3919 Worchester Drive, Eagan, MN, 55123 Permit #: 181361
Fireplace
Foundation
_ Garage
Repair
_ Fire Repair
_ Water Damage
Egress Window
DESCRIPTION #
Calculated Valuation w 135•
Plan Review. 1325%0100%
Census Code
# of Units
# of Buildings
Type of Construction VQ
Lower Level
Porch
Pool
_ Siding
Reroof
_ Windows
Solar
_ Retaining Wall
Move Building
Demolish Building*
*Demolition of entire building - give PCA
handout to applicant
Occupancy I 1U' 11- MCES System
Code Edition ANIp("Z07,0 SAC Units
Zoning 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
�C Framing: 1 Hour _Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain Tile
Meter Size:
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:
_ Grading X Final/No C.O. Required
Final/C.O. Required
Reviewed By: i^•Ri F�GI"K, BuildingInspector
P
FEES
Calculated Valuation �• 00
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 4175, em