EA181567 - Building - Foundation - Issued Date 03/09/2023 PERMIT
City of Eagan Permit Type: Building
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3830 Pilot Knob Rd � �p,e®, Permit Number: EA181567
Eagan, MN 55122 '"' ��`" EAGAN
(651)675-5675
1111111111111 IN 1111111111111111111111111 IN III
www.cityofeagan.com _ * E R 1 8 1 5 6 7 *
Date Issued: 3/9/2023
Site Address: 3749 Denmark Tr
Lot: 14 Block: 3 Addition: Pilot Knob Heights 4th
PID:10-57503-03-140 111�11111 111� 1111 HUM
Use: * 10 - 575 D3 - 03 — 14 (x *
Description:
Sub Type: Foundation Construction Type: V-B
Work Type: Alteration
Description: Install 2 Smart Jacks
Census Code: 434-Residential Additions,Alterations Occupancy: I Rc-I
Zoning: PD
Square Feet: 0
Comments:
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: $138.78
Contractor: - Applicant - Owner:
American Waterworks Aaron M&Lindsay Bergstreser
1307 Valleyhigh Dr NW 3749 Denmark Trl W
Rochester MN 55901 Eagan MN 55123-401
(800)795-1204
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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For Office Use I
Permit
CoEAGAN
Permit Fee:
r I I
ECEIVE
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810j l
(651)675-5675 1 TDD: (651)454-8535 1 FAX: (651)675-5 �' 02 I Staff: j
buildinginspections6d�cityofeagan.com I—--——————————----,
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
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Name:/`1ouy-on V e.1/ Phone: (.p Il—
Resident/ —1 Q
Owner Address!City/Zip: L374q f.:�rmcarlz- 7—H. 1J1aoojo, /1'ttIPJ 5S/'Z3
Applicant is: Owner Contractor n, P, j at- kG,6 6 44,s
Description of work: i.}'� ( �
Type of Work -^�
Construction Cost: / _ Multi-Family Building: (Yes /No�)
Company: I�I.YLI�iCL Contact: (J (_ —1,
Contractor Address:)3077 V(,�1�f,(/h.1Gi'► 1 IY ISI illi City: �G���l�Y
State:0Zip: (�f! Phone: JCI(D' g3Email:/tZAC�Fvtt",riL� —WG.Tcv oyks-eC,n
—. License#: 5 Lead Certificate#:161/1 �Z
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 No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information maybe
classified as non-public If you provide s ecific reasons that would permit the City to conclude that they are trade secrets.
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.cltvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gogherstateonecall.orcci
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 approv I of plans.
X f7ah& PevivnA--ti
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Applicant's Printed Name App i n s ignature
FOR OFFICE USE ONLY
Site Address: '�����t �. yak 1� lJ Permit#:
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Miscellaneous
A/Single Family _ Garage _ Porch (4-Season) _ Accessory Building
Multi _ Deck _ Porch (Screen/Gazebo/Pergola)
01 of Plex Lower Level 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 .2 Occupancy :P-(2- I MCES System
Plan Review Code Edition )1NP-C-,ZZ) SAC Units
(25%_100%✓f Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V,3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
f Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof:_Ice&Water _Final Pool:_Footings —Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control Stormwater Management
Shower Pan Other: Permit Required:
Reviewed By: =41els— , Building Inspector
RESIDENTIAL FEES
Calculated Valuation -7, �c-,
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Radio Read
Other:
Copies:
TOTAL $0.00