EA183103 - Building - Single Fam - Issued Date 06/05/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Building
3830 Pilot Knob Rd ®®° ® ® ®®® Permit Number: EA183103
Eagan,MN 55122 ®®®® ®®®°
EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 3 1 0 3
Date Issued: 6/5/2023
Site Address: 4444 Slater Rd
Lot: 062 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10-17402-03-062 111111111111 IN 111111111111111111111111111111 1111H911[iffim
Use: 10 — 17402 - 03 - 062 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: bathroom shower redo
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: - Applicant - Owner:
White Birch Design LLC Julia A Wrycza
16465 Dunfield Dr 4444 Slater Rd
Lakeville MN 55044 Saint Paul MN 55122--238
(952)686-8443
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 issued B : Signature
ECEIVE
MAY 2 4 2023 --------------------
For Office Use
Building Permit#: 183103
BY. g I
ee�t�o oolOsl j S&W PermitEAGAN I
p� I
Permit Fee: 0
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued:
buildinginspections@cityofeagan.com I------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: L/4/ / -/ � '.d hr K c' • Unit#:
Applicant is: ❑ Owner gContractor
h Name; Julia Wrycza
F 'Y�
Hoimeoiiler
Address: 4444 Slater Road city: Eagan
s�:_ state: MN Zi55122 Phone: 612-458-9991 Emaa: luliawrycza@gmail.com
Descri tion of work: Bathroom shower redo
Tempe of r , Construction Cost: 0000 PD G l n haync►n R► d g=2
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Type of building: ❑ Single Family 0 Townhome, of units
❑ Twin Home
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Company: White Birch Design LLC Contact: Steve
Y�BIdl
Address 16465 Dunfield City: Lakevill
Cotrt�ac drr,
IN 55044 612-910-295,r Steve@whitebirchdesignlic.com
ry State: Zip: Phone: Email:
BC736504 3-25
License#: Ex iration Date:
�g
;Sewer Company: Contact:
'�Vllater r
COt>ItratOr_ Address: City:
State: ZI
°.FtegUired;for� P: Phone: Email:
neW.constru'ctlon
License M Ex iration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE Plans and supporting docurr�en s`that you stfbMllt are consid jr1• ,to be publig,10i rmatloh P .1 . ns'of the
Info metloti'may be�(al3s tied as noh pUblierlif you�rovlc)e specific;reesons'that wo(ild pfirttilt ihe�,C�t�td'conalu a khat}hey
areirade secrets.` t �2
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www•oopherstateonecall•orn 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 th ty 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 wo k Ill a in
accordance with the approved plan In the case of work which requires a review and approv ¢ ns.
XSteve McDonald
Applicant's Printed Name pp8e s S gnature
FOR OFFICE USE ONLY
Site Address: Permit#:
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
Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Occupancy 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 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
Grading Final/No C.O. Required
Final/C.O. Required
Reviewed By: , Building Inspector
FEES
Calculated Valuation
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
FOR OFFICE USE ONL
Site Address: 4444 Slater Rd Permit#: EA183103
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
✓ Alteration _ Water Damage _ Windows _ Demolish Building*
Replace Egress Window _ Solar *Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated Valuation $2.000.00 Occupancy IRC-3 MCES System
Plan Review 025% 0100% Code Edition 202OMNRC SAC Units
Census Code Zoning PD City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VB 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 REVIEWED FOR Fire Suppression:_Rough In_Final
✓ Insulation CODE COMPLIANCE Windows
Radon ControlOther:
Drain Tile !*x"I"
Grading EAGAN ✓ Final/No C.O.Required
Der8k Ouafle Final/C.O.Required
06/06/202310:18:56 AM
Reviewed By: BUILDING INSPECTIONS , Building Inspector
FEES
Calculated Valuation $2,000.00 Curbed to cu rbless
Base Fee $83.50 shower swap on fire wall
Plan Review $rA.28
State Surcharge $1.00
Met Council SAC 42 sf x $20 = $840
City SAC
Treatment Plant
Water Supply&Storage Min Valuation is $2,000
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $138.78