EA184553 - Building - Windows/Doors - Issued Date 06/13/2023 PERMIT
City of Eagan ® ® Permit Type: Building
3830 Pilot Knob Rd ";m Permit Number: EA184553
Eagan,MN 55122 ®®®® ®®®®
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 S S 3
Date Issued: 6/13/2023
Site Address: 4011 Mica Tr
Lot: 25 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-250
Use: * 1 0 — 1 6 7 0 4 — 0 S — 2 S 0
Description:
Sub Type: Windows/Doors Construction Type: V-B
Work Type: Replace
Description:
Census Code: - Occupancy: IRC-1
Zoning: R-I
Square Feet: 0
Comments: Improvements to the home 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).
If the door or window opening is altered or you are installing Bay or Bow windows,please call for a framing inspection.Ca
for final inspection after installation.
Fee Summary: BL-Base Fee $65.00 0801.4085
BL-Plan Review 65% $42.25 0720.4222
Valuation: 1,500.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $108.25
Contractor: Owner: - Applicant -
Terrance&Dorothy Johnson
4011 Mica Trl
Saint Paul MN 55122--294
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
N
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J U N I �J' 2023 i For Office Use
10
1 Building Permit#: 1'L! �
SBWPermit#:
EAGANI I
Permit Fee: C l
I I
Date Received: b "� 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX:(651)675-5694 I Date Issued:
buildinainsoections(&citvofeaaan.com I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address:T D /�O/ /G2
Unit#:
Applicant is: Owner ❑ Contractor
r C
Name:
Homeowner Address: `f®�f / PC 11"-A -� City:
State: Zihone: -� � I: �! / `'v�LN
Description of work: A
Type of
Work Construction CosS- 0� —Il Cedap, Grab'-,
Type of building: 915ngle Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License#: Ex iration Date:
Sewer$ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration 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 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.00aherstateonecall.ora 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.
pplicant's Printed Name App icant's Signature
FOR OFFidt USE ONLY
SUB TYPES 2
Site Address: I 1 N41 ceL �Q/I 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 Building
_ Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation $ 1,500 Occupancy IRC 1 MCES System
Plan Review 1325% 00% Code Edition 2020 MNRC SAC Units
Census Code zoning R-1 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) REVIEWED FOR Retaining Wall:_Footings_Backfill_Final
Firewalls CODE COMPLIANCE Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control '
_ Other:
Drain Tile
Grading EAGAN ✓ Final/No C.O. Required
Derek QuWle Final/C.O. Required
06/13/2023 10:10:56 AM
Reviewed By: IBUILDING INSPECTIONS . Building Inspector
FEES
Calculated Valuation $ 1,500 Replacing old block window well
Base Fee $ 65.0o with new metal window well
Plan Review $ 42.25 meeting 3'x3' code requirements -
State Surcharge $ 1.00 located on rear elevation of home
Met Council SAC —
City SAC — 1 inspection required - $1 ,500 val
Treatment Plant —
Water Supply&Storage
S&W Permit&Surcharge —
Meter —
Radio Read
Other:
TOTAL $ 108.25