EA185011 - Building - Single Fam - Issued Date 06/30/2023 PERMIT
City of Eagan ® ® ® ® EAGAN Permit Type: Building
3830 Pilot Knob Rd •®a;® ®®®°® Permit Number: EA185011
Eagan, MN 55122 •®®® m®®®
(651)675-5675 111111111111 IN 111111
www.cityofeagan.com * E R 1 8 5 0 1 1
Date Issued: 6/30/2023
Site Address: 1593 Sherwood Way
Lot: 5 Block: 3 Addition: Brittany 3rd
PID:10-15002-03-050
Use: * 10 - 1S002 - 03 - 0S0 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: shower replacement
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-I
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 $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Van Sickle Construction Robert&Lindsey Furniss
522 Stoughton Ave 1593 Sherwood Way
Chaska MN 55318 Eagan MN 55122
(612)226-9618
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
-------------�
I For Office Use
I Building Permit#: ® I
S&WPermit
EAGAN I #:
iPermit Fee
I I
Date Received: ul G I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued:
buildinainsoectionsOcityofeagan.com t-----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i23 Site Address: t S " StrMWOOID I,J,--�f Unit#:
Applicant is: ❑ Owner U6ntractor fzrt 5YI-MYNI
Name:
Homeowner Address: City:
State: Zi Phone: Email: �J
Description of work: kPL ArC K 5 ADW UP— � u-oSy� P eWAt(,S M
Type of !A °I S Z� D D �Pk9_ F^^►T �I QS
Work Construction Cost: V'pELZ%%j
Type of building: ❑ Single Family ❑ Townhome, of units ❑ Twin Home
Company: VA PJ Si Gle-l..1v Contact: GW(v VAJ St C�_L-6
Building Address: S2-7- 5%06 r&,J 4eJt-_- City: C.. *SV. ,
Contractor
State:LW zip: SS i 8 Phone: �Z"22(��g6�8Email: GreIVet y%S i c.Re-Lru>gh14 r'•L0�
License#: D C -7 8 5-57 21�' Expiration Date: 331 1 Z D ZS
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.raoaherstateonecall.org 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 plants. ,
X G��(� � rJ S I G�I, G�--
x
Applicant's Printed Name Applicant' 'Signature
FOR OFFICE USE ON
Site Address: Permit#: /K0/I
SUB TYPES
y_/ 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 a,000 Occupancy T- C-1 MCES System
Plan Review 1325%AR100% Code Edition MAr--aooan SAC Units
Census Code Zoning R-t City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction YR 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 we'-- Final/No C.O.Required
` � ll Final/C.O. Required
Reviewed By: � . Nt /se-� , Building Inspector
FEES �
ov c�
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