EA182526 - Building - Single Fam - Issued Date 05/02/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA182526
Eagan,MN 55122 ®®®® ®®®® E A
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 B 2 S 2 6
Date Issued: 5/2/2023
Site Address: 4743 West Wind Tr
Lot: 7 Block: 2 Addition: Park Ridge
PID:10-56750-02-070
Use: * 10 — S67S0 - 02 - 070 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: frame walls for bathroom and 1 wall for furnace
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 $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Cox Construction Inc Paul V&Carol Jorgenson
122 Meridan St S Suite 101 4743 West Wind Tri
Belle Plaine MN 56011 Eagan MN 55122
(952)797-3119
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 sued B : Signature
r----------------------
APR 2g 2 2j 1 For Office Use I
® ® ® ® BY. I Building Permit#: 182526
sI ®® I S&W Permit MEAGAN I
j Permit Fee$1 3 6. T O I
i Date Received: 4/27/23 I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-56751 FAX (651)675-5694 I I
I
buildinainsoections I
citvofeagan com I Date Issued: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5122 1 ZM23 Site Address:_y�y ��� Me-1=ad Unit M
Applicant is: ❑ Owner 13 Contractor
Name: l arA Ancinennon
Homeowner "
Address: (-I�4� I . Wird Ira D City: �2Qar�
State:
Zip: Z Phone Email:
Description of work: amr3 11 ial lS Tr,r and I Mal lx- One -Pit rnw4
Type of .
Work Construction Coat: PD, Park Ridge
Type of building: M Single Family ❑Townhome, of units 13 Twin Home
Company: Contact: .,,7i e VP Cox
Building Address: 127 S. Nerd n & city: Ue �12un
Contractor
Stater Zip: 11 Phone: -t3 Email: L
License#: Expiration Date:
Sewer$ Company: Contact:
Water
Contractor Address: City:
Required for State: ZIP: Phone: Email:
new construction
License#: Ex iration Date:
® 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you siubmifi are considered.to be,public Information.' Portions of the
Information,maybe classified a&non-public If you.prouide Pp c reasons"'thatwoutd perimtt the;City to conclude that they
Op trade secret$..
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.nocherstateonecall.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 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 pian in the case of work which requires a review and approval of plans.
x_�i ca_oVi no xl._d �rrn�
Applicant's Printed Name Applicant's Signature
FOR 0FF,!0E,',1VUI,0NLY
Site Address: y-7q --
�T�•
SUS 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's
_ Replace _ Egress Window _ Solar °Demolition of entire building-give PCA
DESCRIPTION handout to applicant
Calculated Valuation 2,coo Occupancy TQC- 1 MCES System
025%--EM 00% y
Plan Review Code Edition I"11Vkr'--,2QJ0 SAC Units
Census Code Zoning _ City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction uQ 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: 7/��cs-� , 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