EA182022 - Building - Windows/Doors - Issued Date 04/04/2023 PERMIT
City of Eagan ® ° , , Permit Type: Building
3830 Pilot Knob Rd °°°m ; a ®a® Permit Number: EA182022
Eagan,MN 55122
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 2 0 2 2
Date Issued: 4/4/2023
Site Address: 1795 Bluestone Dr E
Lot: 21 Block: 8 Addition: Cedar Grove 7th
PID:10-16706-08-210
Use: * 10 — 16706 - 08 - 2 10 *
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Overhead Garage Door
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home 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).
If the door or window opening is altered or you are installing Bay or Bow windows,please call for a framing inspection.Ca
for final inspection after installation.
Fee Summary: BL-Base Fee $65.00 0801.4085
Valuation: 1,500.00 Surcharge-Based on Valuation $0.75 9001.2195
Total: $65.75
Contractor: Owner: - Applicant -
Charles&Maurine Tebow
1795 Bluestone Dr E
Saint Paul MN 55122--290
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 ssued B : Signature
--------------------i
For Office Use /� 1
I OC
I Building Permit*
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EAGAN`` ••'' I CjQ / I
� Permit Fee: I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 �l� 1��
(651)675-5675 FAX: (651)675-5694 1 Date Issued:
buildinoinspections(ccDcitvofeaoan.com I_____________________
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �/ ��� SlteAddress: c /7/ / `°y� 'Ole Unit#:
Applicant is: Owner ❑ Contractor /
Name:
Homeowner Address:_7ff-L �GGCf�-�� City:
State: N Zi : Lat. Phone:,OW- Y`010 Email:C4d4o0a)@//_0l�GO
Description of work:
Type of
Work Construction Cost:
Type of building: lei Single Family ❑Townhome, of units ❑Twin Home
Company: r Contact: e,
Building Address: City:
Contractor
State: Zip: Phone: Email:
License#: Expiration Date:
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
❑ 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.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.
X C 7,- � � i�
Appllcant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: Permit#:
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 Occupancy MCES System
Plan Review 1325% 0100% Code Edition 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 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: . 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