EA182424 - Building - Single Fam - Issued Date 05/08/2023PERMIT
City of Eagan Permit"': Building
3830 Pilot Knob Rd ®®®o® ;o Permit Number: EA182424
Eagan, MN 55122 ®® ®®®®
(651) 675-5675
www.cityofeagan.com * E A 1 8 2 4 2 4
Site Address: 4220 Boulder Ridge Pt
Lot: 5 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-050
Use:
Description:
Date Issued: 5/8/2023
I III i I III V I I I IIV I I I I I
0 r q p r S q
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Kitchen Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -3
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:
Kirsten Lempke
4220 Boulder Ridge Pt
Eagan MN 55122
- Applicant -
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
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
"FoTss—ued B . Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinoinspectionsO.citvofeaoan.com
--------------
jFor Office Use
i 182424
I Building Permit #:
I �
S&W Permit #:
Permit Fee:*) 3
Date Received:
I I
I Date Issued:
I----------------------
RESIDENTIAL
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/16/23 Site Address: 4220 Boulder Ridge Point
Applicant is: 14 Owner ❑ Contractor
Name: Kirsten Lempke
Address: 4220 Boulder Ridge Pt.
State: MN Zip: 55122 Phone: 95e
Description of work: see attachment
Construction Cost: $15000
of building: ❑ Single F
- city: Eagan
kirstenlempke@yahoo.com
PD, Boulder Ridge
14 Townhome, of units ❑ Twin Home
company: 'self (contracting subs for electric, floor Contact:
Address:
State: Zip: Phone:
License #:
Company: not applicable
City:
Email:
ration Date:
Contact:
Address: City:
State: Zip: Phone: Email:
License #:
V] I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE Plans and supportn7g documents that you. submit are considered to be public Information. Portions of the
hformatlon'may be classified'asnon-public. if you provide specific.reasons that would permit the City to conclude that they
are trad��secrets:...
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aor)herstateonecall.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 codes of the City of
Eagan; that 1 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.
XKirsten Lempke X
Applicant's Printed Name Applicant's Signature
FOR OFFICE' USE ONLY
Site Address: 4-9-2,6 Bacildec R, dale fPermit#: 1?21+��-°
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
&llt Alteration
_ Water Damage _ Windows _ Demolish Building*
Replace
_ Egress Window _ Solar *Demolition of entire building — give PCA
handout to applicant
DESCRIPTION]
Calculated Valuation
Occupancy C' MCES System
Plan Review
025% 0100% Code Edition SAC Units
Census Code
Zoning City Water
# of Units
Stories Booster Pump
# of Buildings
Square Feet PRV
Type of Construction
V5 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
X
Grading
Final/No C.O. Required
00, Final/C.O. Required
Reviewed By:
, Building Inspector
FEES
��
Calculated Valuation
Base Fee
C63.
Plan Review
52q ,
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $