EA181915 - Building - Single Fam - Issued Date 03/28/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd �,�;; ;;•', Permit Number: EA181915
Eagan,MN 55122 EAGAN
(651)675-5675
111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 1 9 1 5 *
Date Issued: 3/28/2023
Site Address: 4281 Fox Ridge Rd
Lot: 2 Block: 3 Addition: Sun Cliff 5th
PID:10-72979-03-020 11111 IN 111111111111111111111 HIM
Use: * 10 - 72979 - 03 - 020 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Water Damage
Description: repairs due to water damage
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
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 $1,169.75 0801.4085
Valuation: 97,601.00 BL-Plan Review 65% $760.34 0720.4222
Surcharge-Based on Valuation $49.00 9001.2195
Total: $1,979.09
Contractor: - Applicant _ Owner:
ICC Restoration&Cleaning Services Robert W&Mary L Mullvain
451 Commerce Dr,Suite 800 4281 Fox Ridge Rd
Woodbury MN 55125-0000 Eagan MN 55122--225
(651)739-4289
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 slued B ! Signature
------------
s, I For Office Use
I
4 o e ® 8Y: i Building Permit#: 181915
o I
#0Ek N
S&W Permit#: I 1 1 t
I
®mom •®.. EAG I I
Permit Fee:
.� Date Received: 3/27/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
651 675-5675 FAX: 651 675-5694 1 I
� ) I ( ) I Date Issued: 1
buildinoinsoections(&citvofeaaan.com I————--——--——————--———
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/27/2023 site Address: 4281 Fox Ridge Rd Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Bob Mullvain
Homeowner Address: 4281 Fox Ridge Rd. City: Eagan
State: MN 55122 Phone: 651-260-44 Email: mulivain23@comcast.net
Description of work: Repairs due to water damage.
Ty,pb:,Of $110 000 PD, Sun Cliff
Work. Construction Cost: r�
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: ICC Restoration & Cleaning Services Contact: Katelyn Laska
BulIdin g Address: 451 Commerce Dr. Suite 800 City: Woodbury
Contractor State: Zip: Phone: Email.. katelyn@icchelps.com
MN 55125 651-739-42� katel Icchel s.com
@.
License#: BC316232 Expiration Date: 3/31/2024
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new ooristtudtlon
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents,that you subunit are considered, be public toformation. Portaons of the
infprfnatitrn'may be clasaified:as non�publ1c if you provide;apeciflc reaana-tktat wou10,01 arimit:tlte City to:conclude that they
aretrade aebrets,, �° -
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aoaherstateonecall.ora 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.
1 1 Digitally signed by Katelyn
Katelyn X Katelyn Laska X y 05'00?023.03 .27 12:10:57
Applicant's Printed Name Applicant's Signature
FOR_QFFICE:USE ONLY,
Site Address: 4281 Fox Ridge Rd Permit#:181915
SUB TYPES
✓_'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 9?,too/. 79 Occupancy Tt C-1 MCES System
Plan Review 025%-9K00% Code Edition 14A/jZC-,jpbp SAC Units
Census Code Zoning po' City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction V►3 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 Framing/Blocking 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: .,Ale , Building Inspector
FEES
Calculated Valuation
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