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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 Page 2 of 3