EA184563 - Building - Single Fam - Issued Date 06/14/2023 PERMIT
City of Eagan , a ® , Permit Type: Building
3830 Pilot Knob Rd 41�®® e;®, Permit Number: EA184563
Eagan,MN 55122 ®®®® ®®-� EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 S 6 3
Date Issued: 6/14/2023
Site Address: 4712 Covington Ct
Lot: 2 Block: 6 Addition: Beacon Hill
PID:10-13500-06-020 111111111111 IN 1111111111111111111111111111111111111111111111111111111111"11
Use: * 10 — 13500 - 06 - 020 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: 2 Push Piers at Garage Interior
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-Base Fee $116.60 0801.4085
Valuation: 3,600.00 BL-Plan Review 65% $75.79 0720.4222
Surcharge-Based on Valuation $2.00 9001.2195
Total: $194.39
Contractor: - Applicant - Owner:
Innovative Basement Authority Sandra S Blaeser
1741 Corporate Landing Pkwy#103 4714 Covington Ct
Virginia Beach VA 23454 Eagan MN 55122
(320)629-3990
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature '""sZed B : Signature
----------------------
For Office Use !!��
1 1 j Building Permit#: Aq S to J j
S&W Permit#:
EAG 1 I
�.. I V E o Permit Fee: 019 4 , 3
I Date Received: 1
3830 PILOT KNOB ROAD I EAGAN.MN 55122-1810 J� � ' 3 2023
(651)675-5675 1 FAX:(651)675-5694 I Date Issued: I
buiiirtc r�specUo ci of a0 cc�m sP L---------------------�
e
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y ? -� Site Address: t ? �// 19 f Unit#:
Applicant Is: ❑ Owner Contractor D Ito-VI
Name: ar
// n
IIOM8OtNn@F Address: `7 l✓G!/ on City: ze
State: Zi hone: 1 Email:
Description of work:
Type of 3�DO
WOfk Construction Cost: c
Type of building: Single Family ❑Townhome, of units ❑Twin Home
Company Contact:
Building Address:(0 �� j �� 1Y/: City: t�
'' ,Contractor'' ��A
State: Zip: 2`� Phone:�D/ZC�GL/���OJrEmail:„L, i j/yj/i'I Cosa �� 't:C)
—�-
License#: Ex iration Date:
BBVh@r$ Company: Contact:
,.,-Water
COtrtractOr Address: City:
Required for State: Zip: Phone: Email: `
new consttucdon
License#: Ex 'ration Date:
I understand that Plumbing,Mechanical,and Fire Suppression work require separate applications. D
NOTE:Plans and supporting Joeurnents that you submit are'consldered to be public Information. Portions'of the ^�
Irrbrmation may be classified as norr-public if you prc►vids specific reasons that would permit the City to conclude that they
are trade aearats.
CALL BEFORE YOU OIC. Contact Gopher State One Call at(651)454.0002 or wwrw.oQpherstateonecall.ora for protection against underground utility
damage. Contact Gopher Stale One Call 46 hours before you intend to dig to receive locales 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 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 lans.
x �
App ant's Printed,/Na5nej A pl a s Signature
FOR OFFICE USE ONLY
Site Address: q7 h� C6U-.,% �, C-� Permit#:
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Miscellaneous
_✓Single Family _ Garage _ Porch(4-Season) _ Accessory Building
Multi _ Deck _ Porch(Screen/Gazebo/Pergola)
_ 01 of_Plex _ Lower Level _ 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 Ve C-i MCES System
Plan Review Code Edition HNRCAa Zo SAC Units
(25%_1000/6x:�:J- Zoning P6 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vie Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) f Final/No C.O.Required
r Foundation ,Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control Stormwater Management
Shower Pan Other: Permit Required:
Reviewed By: a�N, plc�o.� . Building Inspector
RESIDENTIAL FEES
Calculated Valuation 3, ®U
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Radio Read
Other:
Copies:
TOTAL $0.00