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EA184464 - Building - Single Fam - Issued Date 06/13/2023 PERMIT City of Eagan ® , Permit Type: Building 3830 Pilot Knob Rd e�m®� ®®® Permit Number: EA184464 Eagan,MN 55122 ®® EAGAN (651)675-5675 1111111111111 IN 11111111111111111111 M ®� www.cityofeagan.com * E R 1 8 4 4 6 4 * Date Issued: 6/13/2023 Site Address: 4616 Black Wolf Run Lot: 5 Block: 1 Addition: Dakota Path PID:10-19540-01-050 Use: * 10 — 19540 - 0 1 - 050 Description: Sub Type: Single Fam Construction Type: V-B Work Type: Solar Description: roof mounted solar Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 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-Plan Review-Fixed $40.00 0720.4222 BL-Solar/Wind Energy $94.00 0801.4085 Surcharge-Fixed $1.00 9001.2195 Total: $135.00 Contractor: - Applicant - Owner: Cedar Creek Energy Corporation Derek Lumbard 10361 Jamestown St NE 4616 Black Wolf Run Blaine MN 55449 Eagan MN 55123 (763)450-9767 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 000e# back, Pm'1ai led lol o ECEIVE �., r �Office Use ------------- For I ® ® ® ® � , i Building Permit#: 184464 I ®®®®® ®®®®® MM Mj S&WPermit#: "'Nob" A mNkmI Permit Fee: l�"J , I I Date Received: 6/8/23 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 I Date Issued: j buildinginsoectionsCaD-cityofeaQan.com I____________________ RESIDENTIAL BUILDING PERMIT APPLICATION Date: 05/10/2023 Site Address: 4616 Black Wolf Run Eagan MN 55123 —Unit#: Applicant is: ❑ Owner 14 Contractor Name: Derek Lumbard Homeowner Address: 4616 Black Wolf Run City: Eagan State: MN Zi 55123 Phone: 952-807-4130 Email.. derek.lumbard@gmail.com Description of work: Roof Mounted Solar. Type of 15 649.68 PD, Dakota Path Work Construction Cost: Type of building: 14 Single Family ❑ Townhome, of units ❑ Twin Home Company: Cedar Creek Energy Contact: Trystian Building Address: 10361 Jamestown St NE City: Blaine Contractor, MN 55449 7634325261 . permits@cedarcreekenergy.com State: Zip: Phone: Email. License#: BC638279 Ex iration Date: 03/31/2024 fewer& 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:Plaits 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.aoi3herstateonecall.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. XTrystian Alperin X tum Applicant's Printed Name App ant's Signature FOR OFFICE USE ONLY 4616 Black Wolf Run Eagan MN 55123 184464 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 1 &,-0 Occupancy T?-C-t MCES System Plan Review 025%A3100% Code Edition MNpcaa,20 SAC Units Census Code Zoning P®') City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction V3 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: �/V, I -, Building Inspector FEES Al Calculated Valuation i Lyq /A/ s-fr.jc+kj4-cL 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