EA183050 - Building - Drain Tile - Issued Date 05/25/2023 PERMIT
City of Eagan o • ® ® Permit"': Building
3830 Pilot Knob Rd '•° • ®�° Permit Number: EA183050
Eagan, MN 55122 `- ••
(651)675-5675 111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E A 1 8 3 0 5 0 *
Date Issued: 5/25/2023
Site Address: 4500 Ches Mar Dr
Lot: 036 Block: 002 Addition: Wilderness Ponds
PID:10-84275-02-360
Use: * 1 0 — 8 4 2 7 5 — 0 2 — 3 6 0
Description:
Sub Type: Drain Tile Construction Type: V-B
Work Type: New
Description: lateral line
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments:
Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085
BL-Plan Review-Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant _ Owner:
American Waterworks James A Kampa
1307 Valleyhigh Dr NW 4500 Ches Mar Dr
Rochester MN 55901 Eagan MN 55123-180
(800)795-1204
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----------------
For
----------- ---For Office Use
a�a 0 ®er I Permit#: 183050
ECEIVE I PermitEAGAN Fe
1 1
MAY 12 2023 Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1
(651)675-5675 TDD:(651)454-85351 FAX:(651)675-569 Y, Staff: j
buildinginspectionsCaD-cityofea an.com ----------------
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6J101 Z Site Address: �l ���� l i l�� b�� Unit#:
Name:� Ulm (A Phone:
Resident/
Owner Address/City/Zip: U,JLC ` l�►11i��J Y a 1 1 .DI����l1 Y J l ✓T3
Applicant is: Owner Contractor r
Description of work: �l i�t�`I l.V a
Type of Work
310
Construction Cost: 2410 Multi-Family Building:•(Yes /No )
Company:AftCfI CLtil )N k'Tt,d NNt����� Contact: m W CaJ
Contractor Address: 10 U-11 V 1� h C MAJ.MAJ. City: _.ZqMz 17 e f,
State: 'Lit-" Zip: Phone: 6671V715715Email: 'h(JFa6u.M' 1(9Y1
License M&C, �g7 3 q5 Lead Certificate#: NAT 10OU
If the project is exempt from lead certification, please explain why: R-1,Wilderness Ponds
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that,you submit are considered to be public Information. Port/ons of the Information may be
classified as non:public it you&ovide s eclflc reasons that wouid ermit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cllnfeagan.com/subscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.dopherstateonecall.org
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 appy al of plans.
X 1-a ,1 V x
A A4,4=1
Applicant's Printed Name pplicant'a Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) — Exterior Alteration (Single Family)
Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows — Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
_ Retaining Wall ✓ C>94'em N T!ti *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation + L�✓�• Occupancy MCES System
Plan Review Code Edition ♦VW"' AC Units
(25%_100-A-) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction %j Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:,Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:____Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 44�" A , Building Inspector
RESIDENTIAL FEES I.3S• a®
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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