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EA182511 - Building - Reroof - Issued Date 04/26/2023 PERMIT City of Eagan ® ® Permit Type: Building 3830 Pilot Knob Rd o.',: ®®®®, Permit Number: EA182511 Eagan,MN 55122 EAGAN (651)675-5675 11111111111111111111111111111111111111110 www.cityofeagan.com * E R 1 8 Z 5 1 1 * Date Issued: 4/26/2023 Site Address: 1220 Mourning Dove Ct Lot: 30 Block: 1 Addition: St Francis Wood PID:10-65900-01-300 Use: * 1 0 — 6 5 9 0 0 — 0 1 — 3 0 0 Description: Sub Type: Reroof Construction Type: Work Type: Reroof Description: Census Code: 434-Residential Additions,Alterations Occupancy: Zoning: Square Feet: 0 Comments: Please print pictures of ice and water protection and leave on site. If water damage is encountered,please call(651)675-5675 to schedule a site visit to verify the extent of the damage.Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair t water damage. Fee Summary: BL-Base Fee $133.15 0801.4085 Valuation: 5,000.00 . Surcharge-Based on Valuation $2.50 9001.2195 Total: $135.65 Contractor: Owner: - Applicant - Mark A&Kathleen A Johnson 1220 Mourning Dove Ct Eagan MN 55123 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 r--------------------i For Office Use (� I 110251 I I Building Permit#: I •=,`1 I'�i0 S&W Permit# EAGAN I ••��•' Permit Fee: 1 . I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX:(651)675-5694 1 Date Issued: buildinoinsoections(&citvofeaoan.com I_____________________ RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2� Site Address: 9 "6l/� /V 1/�"`I IJ�V � 7 Unit#: Applicant is: 0owner ❑ Contractor Name: MAR-9- A c �©J,1 HomeownerA n/� Address: )220 r 61A e_A)/AJq 6 VC Ci State:Mu zip:55!23 Phone:fP/Z- - /' Email: g Description of work: ,k) Type of Work Construction Cost! ! �� i Type of building: ingle Family ❑Townhome, of units ❑ Twin Home Company: Contact: Building Address: City: Contractor State: Zip: Phone: Email: License#: Ex irabon 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.aooherstateonerall.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 odes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an work is not to start with a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a o I of pi S. X MAE.Y, P , �o �sa� X Applicant's Printed Name Ica 's Signa re ----- ---- ---- - FOR OFFICE USE_ONLIe 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 025% 13100% 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