EA182580 - Building - Single Fam - Issued Date 05/08/2023 PERMIT
City of Eagan ® ® ® ® EAGAN Permit Type: Building
3830 Pilot Knob Rd °®® ® ® °®° Permit Number: EA182580
Eagan, MN 55122 °®®® ®®
(651)675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 Z 5 8 0
Date Issued: 5/8/2023
Site Address: 3696 Ashbury Rd
Lot: 26 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-260
Use: * 1 0 — 1 4 3 5 0 — 0 1 — 2 6 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Laundry Room
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: Owner: - Applicant -
Han Seung Lee
3696 Ashbury Rd
Eagan MN 55122
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
cq (led X15
-----------
I For Office Use 19
I I
I Building Permit#: i
1
Admah. A&
I I
®®®® 0 ® ® ® I SBWPermit#: l
EAUA
Permit Fee: J� .
C `, I I
C G �/ E I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 1 FAX: 651 675-5694I I
v I Date Issued:
buildinainsoectionsCa�citvofeacaan.com � ���� I________________-----j
RESIDENTIAL BUILD APPLICATION
Date: 30 APR 2023 Site Address: 3696 Ashbury Rd. Unit
Applicant is: qu Owner
❑ Contractor
Name: Han Seung Lee
Homeowner Address: 3696 Ashbury Rd. City: Eagan
State: MN Zip: 55122 Phone: 562'278-72 Email: leex3870@umn.edu
Description of work: Laundry Room Finish
Type of $1 000.00
WorkConstruction Cost: rr��II
Type of building: Single Family ❑Townhome, of units ❑ Twin Home
Company: Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License#: Expiration Date:
Sewer& Company: Contact:
YV>�tdr
,,, ,Contractor. Address: City:
Required fore State: Zip: Phone: Email:
new construction
License#: Expiration Date:
1 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 triay`be classified a non-public if you•provide s�sCific reason's that would pdrmit the Cityto cdnclude that they
are trade secrets, .
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00aherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 46 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.
Digltally signed by Han Seung Lee
X Han Seung Lee XHan Seung Lee Date:2023.04.3000:38:17-05'00'
Applicant's Printed Name Applicant's Signature
FOR QFFICE,USE ONLY
Site Address: 3696 Ashbury Rd. 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
�C Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
00
Calculated Valuation z Occupancy Vkc--L MCES System
Plan Review 025%A100% Code Edition MAIC4- ?BOZO SAC Units
Census Code Zoning CD 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 B Y �i✓SN , Building Inspector
FEES
Calculated Valuation TZ"
Base Fee $3 .
Plan Review 5 Z8
State Surcharge ago
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ ���f •y�