EA182798 - Building - Single Fam - Issued Date 06/02/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Building
3830 Pilot Knob Rd ®a® ®®®®® Permit Number: EA182798
Eagan, MN 55122 ®®®® ®®®® EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 2 7 9 8
Date Issued: 6/2/2023
Site Address: 3784 South Hills Ct
Lot: 12 Block: 2 Addition: South Hills 1st
PID:10-70790-02-120
Use: * 10 - 70790 - 02 - 120 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Addition
Description:
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I
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 $823.30 0801.4085
Valuation: 56,580.00 BL-Plan Review 65% $535.15 0720.4222
Surcharge-Based on Valuation $28.50 9001.2195
Total: $1,386.95
Contractor: - Applicant - Owner:
James Barton Design/Build Inc. W Dustin&Zella W Tstes Mirick
5920- 148th St W#100 3784 South Hills Ct
Apple Valley MN 55124 Eagan MN 55123-121
(952)431-1670
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
lm� bl2
ECEIVE
r----------------------
MAY I 0 2023 I For Office Use
® , I Building Permit* 182798
® BY' � I
ee 1 S&W Permit#:A GAN
I Permit Fe : n �
l Date Received: 5/10/23
I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j I
(651)675-56751 FAX:(651)675-5694 I Date Issued: �I
buildinolnsoections(&-citvofeagan.com I———————--————————————
RESIDENTIAL BUILDING PERMIT APPLICATION
a ae
5-9-2023 3784 South .Hills Court '
Date: Site Address: Unit M
Applicant is: ❑ Owner ® Contractor -
Name: W. Dustin and Zella Mirick
Homeowner Address: City:3784 South Hills Court Eagan
State; MN Zl ; 55123 Phone: Email:
Description of work: Addtion
Type,of $125,000.00 pb) Soul" I-II I15
Work ConstructiorrCost:
Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home
Company: James Barton Design Build Inc. Contact; John Miller
Building Address: 5920 148th Street W Suite #100 City, Apple Valley
Contractor State: MZip: Phone: Email-MN Zip: 952-292-2718 john@jbdb.biz
License#: BC1910213 Expiration Date: 3-31-2025
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: ' Phone: Email,
• new construction
License M Ex•iratlon date:
I 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 may be,classified as nonpublic if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 46 hours before you Intend to dlg 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 s 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 o
x JpAtt, A. �•��
Applicant's Printed Name Applic s Sig re
• e
FOR.OFFICE USE ONLY
Site Address: 3784 South Hills Court Permit#: 182798
W13 TYPES
— Single Family _ Fireplace _ Lower Level
01 of_Plex _ Foundation _ Porch
7 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
DESCRIPTION4
Calculated Valuation _rpI,,�9� Occupancyi� -1 MCES System
Plan Review 025% R100% Code Edition.4004-E028 SAC Units
Census Code Zoning ?V 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 _ nal
7 Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing (prior to house wrap) Pool:_Footings _Alr/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 By: , Building Inspector
FEES
Calculated Valuation t G�'O�"''�
Base Fee %2Z . bots�J'"�',a"� , : 37' 8•
Plan Review {,fit. 1 �a0ds !r2 I ��
State Surcharge 21. 60
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $