EA182474 - Building - Single Fam - Issued Date 05/01/2023City of Eagan
Permit Type: Building
3830 Pilot Knob Rd
®®®,
®�®;® ®a �® Permit Number: EA182474
Eagan, MN 55122
EAGAN
(651) 675-5675
Eagan MN 55123-490
www.cityofeagan.com * E R 1 8 2 4 7 4*
Date Issued: 5/1/2023
Site Address: 4162 Jacob Ct
Lot: 12 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-120
Use: * 10-53400-02-120*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: upper level remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
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 $232.45 0801.4085
Valuation: 10,820.00 BL - Plan Review 65% $151.09 0720.4222
Surcharge - Based on Valuation $5.50 9001.2195
Total: $389.04
Contractor: - Applicant -
Owner:
Hansen Hometech Inc
Patrick E Lutter
7920 Kerber Blvd
4162 Jacob Ct
Chanhassen MN 55317
Eagan MN 55123-490
(952) 934-0854
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
ECEIVE
2 i �;j .i
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I
s I Building Permit # 182474
EAGAN'• • �" mf i
iI Permit it Feoef :
3 �wPermit
5-/ 1 � , 0
iI
3830 PILOT KNOB ROAD ( FAGAN, MN 66122-1810 i Date Received: 4/25/2023
(661)676.5676 1 FAX (661) 676.6694 I Data Issued:
t ---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z S c _ Siite Address: -f_ 16 2 eTte Unit #•
Applicant is: ❑ Owner .Contractor
Name: POTiCA i; to C6 ty If -"t e to cc
Homeowner Address:16 L . &,tO6 &t
City: 970 -4c� �
State:tAZi :.5Phone: Email:
Description of work:(-)
Type 6V
,Work Construction Cost: 2 2 S� ,� r� n R-1, Oak Bluffs
Type of building: x:31 Single Family ❑ Townhome, of units ❑ Twin Home
Company: &A -sem Home -Veda- TAA Contact: Of, F1a,�iae�i�
Building Address: -3 q Zea l'C ,rber jk %,,;A City: Cbt4asse n
Contractor
State: Zip: SS 3i I Phone qSZ -13`1 •035°� Email: ,`tie d�>,r►5 **q e 1�, a c:�n
License #: Ex iration Date: 31 Z
Sewer & Company: Contact:
Water,
Contractor Address: City:
Required for State: Zip: Phone: Email:
now construction
License #: Expiration Date:
�I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Platisand supporting documerrts that yaw�subnntt are conslderod tq, bo puEblio tn#bnnatlan., arttons of the:;
ittfarmatian knay'be classttied as nett-pobitc if your provide all crltlo rebsoris that would permit the City,46 conclude -that they
are treat secrets.
CALL BEFORE YOU 010. Contact Gopher State One Cell at (651) 454-0002 or www.aaohe'statean=q.om 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 to complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that t understand this is not a parmit but only an application for a parmn, and work is not to start without a permit; that the work will be In
accordance with the approved plan in the oast of work which requires a review and approval of plans.
x_ IlJt'tJaCrtu� iii x
Applicant's Printed NYme Appit nt's Sig re
SUB TYPES
_ Single Family
01 of _ Plex
Deck
WORK TYPES
New
_ Addition
_ Alteration
Replace
DESCRIPTION
Calculated Valuation
Plan Review
Census Code
# of Units
# of Buildings
Type of Construction
FOR OFFICE; USE ONLY
Site Address: 4162 Jacob Ct
_ Fireplace _ Lower Level
Foundation _ Porch
Garage _ Pool
Repair
_ Siding
Fire Repair
_ Reroof
Water Damage
_ Windows
Egress Window
_ Solar
❑25% ❑100%
Permit #: 182474
_ Retaining Wall
_ Move Building
_ Demolish Building*
*Demolition of entire building - give PCA
handout to applicant
Occupancy MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
_ Footings: New Addition Deck
_ Foundation: Before Backfill Poured Wall
_ Framing: 1 Hour Residential Alteration
_ Braced Wall Framing/Blocking
_ Braced Wall Sheathing (prior to house wrap)
_ Interior Braced Wali 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:
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
Calculated Valuation $10,820.00
Plan Review 025% 0100%
Census Code
# of Units
# of Buildings
Type of Construction VB
REQUIRED INSPECTIONS
Occupancy IRC -1 MCES System
Code Edition 202OMNRC SAC Units
Zoning R-1 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
_ Footings: New Addition Deck
_ Foundation: Before Backfill Poured Wall
✓ Framing: 1 Hour ✓ Residential Alteration
Braced Wall Framing/Blocking
_ Braced Wall Sheathing (prior to house wrap)
_ Interior Braced Wall Panels)
_ Firewalls
✓ Insulation
Radon Control
_ Drain Tile
Grading
REVIEWED FOR
)DE COMPLIANCE
-- =-
Z..
EAGAN
Derek ouane
04/292023 3:52:39 PM
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:
✓ Final/No C.O. Required
Final/C.O. Required
Reviewed By: " -"" - " -"' . Building Inspector
FEES
Interior remodel
Calculated Valuation $10,820.00
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Road
Other:
$232.45 Upper level:
OR OFFICE USE ON
New laundry
78sf
4162 Jacob Ct
182474
Guest bath
Site
Site Address:
Main level
Permit #:
SUB TYPES
85sf
Total square feet
541 sf
✓ 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
Calculated Valuation $10,820.00
Plan Review 025% 0100%
Census Code
# of Units
# of Buildings
Type of Construction VB
REQUIRED INSPECTIONS
Occupancy IRC -1 MCES System
Code Edition 202OMNRC SAC Units
Zoning R-1 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
_ Footings: New Addition Deck
_ Foundation: Before Backfill Poured Wall
✓ Framing: 1 Hour ✓ Residential Alteration
Braced Wall Framing/Blocking
_ Braced Wall Sheathing (prior to house wrap)
_ Interior Braced Wall Panels)
_ Firewalls
✓ Insulation
Radon Control
_ Drain Tile
Grading
REVIEWED FOR
)DE COMPLIANCE
-- =-
Z..
EAGAN
Derek ouane
04/292023 3:52:39 PM
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:
✓ Final/No C.O. Required
Final/C.O. Required
Reviewed By: " -"" - " -"' . Building Inspector
FEES
Interior remodel
Calculated Valuation $10,820.00
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Road
Other:
$232.45 Upper level:
$151.09 Master Bedroom and bath 292sf
New laundry
78sf
$5.50
Hall
26sf
Guest bath
60sf
Main level
Mud room
85sf
Total square feet
541 sf
Valuation 541 sf x $20 = $10,820
TOTAL $ 389.04