EA184837 - Building - Reroof - Issued Date 06/26/2023 PERMIT
City of Eagan ® , Permit Type: Building
3830 Pilot Knob Rd ®®®e® ®®®®® A AMIh, A M, Permit Number: EA184837
AM C MIL
IL E
Eagan, MN 55122 ®®®® g®®®
(651)675-5675 1111111111111
www.cityofeagan.com * E R 1 8 4 8 3 7
Date Issued: 6/26/2023
Site Address: 4897 Royale Tr
Lot: 23 Block: 1 Addition: Safari Estates 2nd
PID:10-65851-01-230
Use: * 1 0 — 6 S 8 S 1 — 0 1 — 2 3 0
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Please print pictures of ice and water protection and leave on site.
If water damage is encountered,please call(651)675-5675 to schedule a site visit to verify the extent of the damage.Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair t
water damage.
Fee Summary: BL-Base Fee $133.15 0801.4085
Valuation: 5,000.00
Surcharge-Based on Valuation $2.50 9001.2195
Total: $135.65
Contractor: - Applicant - Owner:
Mike Mohs Construction Company Jane S Lenz
131 W Robie Street 4897 Royale Trl
St.Paul MN 55107 Saint Paul MN 55122-301
(612)721-1107
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B fr Signature
---------------------
For Office Use
I AA I
Building Permit#:
® A � ® ef I I
®,e s® IS&WPermit
EAGAN I #:
I
®®®® ®®,s I /�
Permit Fee: nl •��
Date Received: 2�12'J I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
651 675-5675 FAX: 651 675-5694 I I
� ) � � ) Date Issued: I
buildinainspectionsOcitvofeagan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6'2j&'-25 Site Address: g 0 19 (moo VA le, Tr l• Unit#:
Applicant is: ❑ Owner Contractor
Name: 7ixjL Lc n2
Homeowner Address: 7 �1 r Ci �A+t.►_
�� City:
�zy
State:MA/ Zip: S'�� 2 Phone: fio 5/r j Email:
Description of work:
Type of
Work Construction Cost:
Type of building: ILS Single Family ❑ Townhome, of units ❑ Twin Home
Company:AA; dYloL.y ra►5'h7"0 On Contact:
� M off$
Building Address: l3/ W• C066 I)f,, City: `�"• E"I
Contractor
State:4►IV Zip: 5TI(r7 Phone:G/Z'2S2'7yr3Email: Cahn rAAS $8P, y GyM
License#: S�S�p Expiration Date:
Sewer& Company: Contact:
Water'
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
WI 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.aoaherstateonecali.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.
x_—)A J ^ N66 x 1, ,-pa,
Applicant's Printed Name AppffEarfts signatare
FOR OFFICE USE ONLY
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 Occupancy MCES System
Plan Review 025% 0100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction 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 Panels) Retaining Wall:_Footings_Backfill_Final
Firewalls .Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
grain,rile .
Grading Final/No C.O. Required
Final/C.O. Required
Reviewed By: , Building Inspector
FEES
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