EA182303 - Building - Single Fam - Issued Date 04/20/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
e r e Permit Number: EA182303
* E A 1 8 2 3 0 3*
Date Issued: 4/20/2023
Site Address: 1344 Jurdy Rd
Lot: 13 Block: 04 Addition: Donnywood
PID:10-20960-04-130 KUH 1111111111111111111 [1�1 1111111111 MIR 1111 111� 111111
Use: * 1 0— 2 0 9 6 0— 0 4— 1 3 0*
Description:
Sub Type:
Single Fam
Work Type:
Alteration
Description:
window to patio door
Census Code:
434 - Residential Additions, Alterations
Zoning:
PD
Square Feet:
0
Construction Type: V -B
Occupancy: IRC -1
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 $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:
Owner:
Josefina Muniz
1344 Jurdy Rd
Eagan MN 55121
- Applicant -
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 13 : Signature
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ECEIVE
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EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsacitvofeaoan.com
Description of work: r'1 (X1
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For Office Use
23CI Building Permit #: �
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jS&W Permit #:
Permit Fee:
Date Received: V I
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I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: D ,_-935ite Address: �� �` r C�`, �("'�/ PID D Unit #:
Applicant is: Owner ❑ Contractor
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State: Phone: -IL) Email:
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Description of work: r'1 (X1
Type of
Work
Construction Cost: PD Wj� ny woci
Type of building: 13'Single Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
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.gooherstateonecall.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.
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Applicant's Printed Name Applicant's Signature
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FOR OFFICE USE ONLY
DESCRIPTION
Calculated Valuation 19 Oor� Occupancy ?,'�C-) MCES System
Plan Review 025% '100% Code Edition /1'jNK?c>-02C SAC Units
Census Code Zoning City Water
# of Units Stories Booster Pump
# of Buildings Square Feet PRV
Type of Construction Vr3 Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
i 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
Grading
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:
t/ Final/No C.O. Required
Final/C.O. Required
Reviewed By: S A/- Iso Building Inspector
FEES
Calculated Valuation o%oor�
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
Site Address: P4+
Permit #: I9J2"
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 19 Oor� Occupancy ?,'�C-) MCES System
Plan Review 025% '100% Code Edition /1'jNK?c>-02C SAC Units
Census Code Zoning City Water
# of Units Stories Booster Pump
# of Buildings Square Feet PRV
Type of Construction Vr3 Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
i 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
Grading
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:
t/ Final/No C.O. Required
Final/C.O. Required
Reviewed By: S A/- Iso Building Inspector
FEES
Calculated Valuation o%oor�
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