EA183190 - Building - Pool - Issued Date 06/01/2023 PERMIT
City of Eagan , ® Permit Type: Building
3830 Pilot Knob Rd ®®®�® °®®:a Permit Number: EA183190
Eagan, MN 55122 •®®- --®® EAGAN
(651)675-5675 1111111111111111111
www.cityofeagan.com * E R 1 8 3 1 9 0
Date Issued: 6/1/2023
Site Address: 4765 Hauge Cir
Lot: 8 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-080 111111111111 IN 1111111 11M
Use: * 1 0 — 6 3 9 8 0 — 0 4 — 0 8 0
Description:
Sub Type: Pool Construction Type: V-B
Work Type: New
Description: Above Ground
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments:
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: $138.78
Contractor: Owner: - Applicant -
Justin&Samantha Willey
4765 Hauge Cir
Eagan MN 55122
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature slued B : Signature
'y r--------
I For Office Use I
4 0 lY: Building Permit#: 183190
S&W Permit#:
AGAN Permit Fee: �) �$• �O j
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-56751 FAX:(651)675-5694 1 Date Issued: ;
build inglnsaectionsO.cltyofeagan.com I————————————————————
RESIDENTiAL BUILDING PERMIT APPLICATION
Date: 5/24/23 Site Address: 4765 Hauge Circle Unit#:
Applicant is: ®Owner ❑ Contractor
Justin and Samantha Willey
Name:
HomeoIwnerAddress:4765 Hauge Circle City: Eagan
State: MN Z; : 55122 Phone: 6124831625 Email:justinwilley@yahoo.com
Description of work: Setting up above ground pool
,,/�
Wr' f` Construction Cost: N/A R-1� I 89VI I�[
pi
Type of building: 0 Single Family ❑ Townhome, of units ❑Twin Home
Company: Contact:
Building Address: City:
Gahte`actor
State: Zip: Phone: Email:
License#: Expiration Date:
Sewer& Company: Contact:
Water
Cpt1 r>;Cto
Address: City:
f euirei for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
0 1 understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
NOTE: P anii and supporking documents that you>ecubrtiit am cotistder+�tl to,b6 publlG In 606009 Portions of'tha
Mformattott.may be classified tis noir-pubiic'if you provide specific res Iona that would permit the city,to conclune that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.oro 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 t9 start without a rmih that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
Bustin Willey
X
Applicant's Printed Name Appll Signature
1=OR OOFICE USE ONLY
Site Address: 4765 Hauge Cir Permit#: 183190
SUB TYPES
Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ FoundationPorch
_
Deck _ Garage Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
_ Addition _ Fire Repair _ Reroof _ Move Building
_ Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation ®00 Occupancy :I-&-I MCES System
Plan Review 025% °E 100% Code Edition MNi2C:;,2n SAC Units
Census Code Zoning Z-% City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VIS 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 Panels) 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: /fie/® Building Inspector
FEES A/c,' A6L,-
Calculated Valuation ®C,C,
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