EA183335 - Building - 01 of __-plex - Issued Date 06/12/2023 PERMIT
City of Eagan EAGAN Permit Type: Building
3830 Pilot Knob Rd `e` o % °� Permit Number: EA183335
Eagan,MN 55122 ••••
(651)675-5675 1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 3 3 3 S *
Date Issued: 6/12/2023
Site Address: 4186 Hilltop Lane
Lot: 201 Block: 01 Addition: Hilltop of Eagan
PID:10-33050-01-201
Use: * 10 - 33050 - 0 1 — Z0 1
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-3
Zoning: R-3
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within R
feet of all sleeping room openings in residential homes(Minnesota State Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
BL-Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Window Concepts MN Katherine C Blatchford
291 Eva St 4186 Hilltop Ln
St Paul MN 55107 Eagan MN 55123--144
(651)905-0105
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 ssued B : Signature
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 j Date Received: j
(651)675-56751 FAX:(651)675-5694 JUN 0 2 2023 I I
buildinainsoectionsCla citvofea,aan com I Data Issued: I
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RESIDENTIAL BUIEfir,� G PERMIT APPLICATION
Epplicant
3 SHe Address: 4186 Hilltp Lane Eagan MN 55123
Unit#L:
Owner 0 Contractor 9-13,
,I�'I b�D
Name: Katherine Blatchford
Homeowner Address:4186 Hilltop Lane an Ea
City: 9
State: MN Zi : 55123 Phone: 651-358-5232 Email:
Description of work: Replacing shower, wall surround and fixture
Type of 4993.00
Work Construction Cost:
Type of building: ❑Single Family 0 Townhome, of units ❑Twin Home
Company: Window Concepts of Minnesota Contact: Steve Mickelson
Building Address: 291 Eva St city: St Paul
Contractor
State: MN Zip: 55107 Phone: 651-604-827E Email: csteve.mickelson w -mn.com
License#: BC163493 3/31/2025
Ex iration Date:
FWater
Company: Contact:
Address: City:
Required for State: ZIP: Phone: Email:
new construction
License#: Ex iration Date:
0 1 understand that Plumbing, Mechanical,and {sire 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 non-public 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 cooherstateonecall org 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 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 approval of plans.
XSteve Mickelson
X
Applicant's Printed Name Applicants Sign tura
FOR OFFICE USE ONLY
Site Address: 4186 Hilltp Lane Eagan MN 55123
SUB TYPES Permit#:
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 Buildin
Alteration _ Water Damage _ Windows — g
_ Demolish Building*
_ Replace _ Egress Window Solar
— `Demolition of entire building-give PCA
DESCRIPTION handout to applicant
Calculated Valuation _�,000 a Occupancy Vel-'SMCES System
Plan Review 025%.129-00/o Code Edition/�tbi2_� 0 SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet
Type of Construction PRd
WS
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 Wail 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: S. / ��®,® , Building Inspector
FEES 11
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