EA183310 - Building - Single Fam - Issued Date 06/13/2023 PERMIT
City of Eagan ® ® ® , Permit Type: Building
3830 Pilot Knob Rd ®®® ®®®® Permit Number: EA183310
Eagan, MN 55122 ®m®® ®®®®
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E A 1 8 3 3 1 0
Date Issued: 6/13/2023
Site Address: 630 Wildflower Way
Lot: 39 Block: 3 Addition: Country Hollow
PID:10-18275-03-390
Use: * 10 — 18275 - 03 - 390 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Repair
Description: repair rotted framing at chimney chase
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
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 $133.15 0801.4085
BL-Plan Review 65% $86.55 0720.4222
Valuation: 4,500.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $222.20
Contractor: - Applicant - Owner:
Kellington LLC James W Hymer
18491 Goodwin Ave 630 Wildflower Way
Hastings MN 55033 Saint Paul MN 55123-463
(612)490-4626
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sued B : Signature
05/19/2012 17:51 6514808802 KELLINGTON LLC PAGE 01/02
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JUN 01 2013I
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EAGN
3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810
(651)675-56751 FAX:(651)675-5694
buildinginsoactian& D_Citvofeattan.com
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/01/2023 Site Address: 630 Wildflower Way Un$trt
Applicant is: ❑ Owner 14 Contractor
Name: Jim Hymer
Address: 630 Wildfire Way City. Eagan
State: MN Zi : 55123 Phone: 651-336-63ail:
Email:
Description of work: Repair rotted framing at chimney chase
� t`
Construction Cost: 4500.00P-1 CSU ®I 1
1 /
A Type of building: ❑Single Family ❑Townhome, of units ❑Twin Home
Company: Kellington LLC contact Chuck
18491 Goodwin ave Hastings
Address: City:
State: MN Zip: 55033 Phone: 612-iso-a6�Fr i=mail: chuckkellington@yahoo.com
License P BC630759 Expiration Data: 03-31-24
Company: Contact
Address: City:
State: Zlp: Phone: JEmail:
License#: Ex iration Date:
I understand that Plumbing,Mechanical,and Fire Suppression work require separate applications.
CALL BEFORE YOU 010. Contact Gopher state One Call at(851)4540002 or ow.aopherstateonecau.om for protection against underground utility
damage. Contact Gopher Slate one Call 48 hours before you intend to dig to receive locales of underground utitltles.
I hereby acknowledge that this Information is complete and accurate;that the work wM 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 IN approved plan in the case of work which requires a review and approval of plans.
,Chuck Kellington x
Applicants Minted Name Applicants Signature
FOR OFFICE iUSE ONLY 2
Site Address: U!u0 VV� �-F�0 Ori[ 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 Tis'C. / MCES System
Plan Review 025% 1:1100% Code Edition MNRC Godo SAC Units
Census Code Zoning12-0 City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VK 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
,i 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 v.--' Final/No C.O. Required
Final/C.O. Required
Reviewed By: IS, A/C/Sa , Building Inspector
FEES
Calculated Valuation o ®®
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