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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 tN. ork', h!_ Type of building: ❑ Single Family 0 Townhome, of units ❑ Twin Home KT Y k F.�T4nn4�Y�1 } I;E r 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