EA181517 - Building - Single Fam - Issued Date 03/06/2023 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd EAGAN Permit Number: EA181517
Eagan, MN 55122 •-
(651)675-5675 111111111111
www.cityofeagan.com * E A 1 B 1 5 1 7
Date Issued: 3/6/2023
Site Address: 613 Greenleaf Dr S
Lot: 6 Block: 3 Addition: South Oaks
PID:10-71200-03-060
Use: * 10 - 7 12 D0 - 03 060
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Water Damage
Description: water damage repairs
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I
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 $199.35 0801.4085
BL-Plan Review 65% $129.58 0720.4222
Valuation: 9,000.00 Surcharge-Based on Valuation $4.50 9001.2195
Total: $333.43
Contractor: - Applicant _ Owner:
Arko Restoration&Remodeling Inc Co Keith R Tste Nelson
1548 94th Ln NE 613 Greenleaf Dr S
Blaine MN 55449 Eagan MN 55123
(763)257-9715
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.
./i Wd
Applicant/Permitee: Signature sued B,: Signature
7---------------------
I For Office Use I
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i i 1 Building Permit#: 181517
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#:
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I Permit Fee: Q-
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Date Received: 3/1/2023
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(651)675-5675 I FAX: (651)675-5694 II Date Issued: I
buildinginspections@cityofeagan.com I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/1/2023 site Address: 613 Greenleaf Dr S
Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: Keith Nelson
Homeowner Address: 613 Greenleaf Dr S City: Eagan
State: MN Zip: 55123 Phone: 608-438-5887 Email: nelsonridge@tds.net
Description of work: %k4tv A a ty � �, ff V0,�
Type of $9 01650 --�f
Work Construction Cost: . R-1, South Oaks
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Arko Restoration contact: Jason Wetzell
Building Address: 1548 94th Lane NE City: Blaine
Contractor State: Zip: Phone: Email:MN 55449 763-257-971E jasonjw@arkocompanies.com
License#: BC686898 Expiration Date: 3/31/2024
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
0 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.gopherstateonecall.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 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.
xKayla Alexander XLle(�& C A� m
Applicant's Printed Name Applicant'g Signature
FOR OFFICE USE ONLY
SUB TYPES
Site Address: 613 Greenleaf Dr S Permit#: 181517
_✓ Single Family _ Fireplace _ Lower Level
_ 01 of_Plex Foundation _ Porch
Deck _ Garage 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 0fXD Occupancy 7'x_t MCES System
Plan Review 025° 0% Code Edition /y&gc-d0d0 SAC Units
Census Code Zoning _ ( City Water
#of Units Stories Booster Pump
#of Buildings Square Feet _ _ PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New _Addition Deck Meter Size:
Foundation: _Before Backfill _Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
Framing: 1 Hour _Residential Alteration Roof:_Ice&Water _Final
Braced Wall FraminglBlocking Erosion Control
Braced Wall Sheathing(prior to house wrap) Pool:_Footings —Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading / Final/No C.O.Required
Final/C.O.Required
Reviewed By: Building Inspector
FEES
Calculated Valuation 7�coo
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