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EA184728 - Building - Single Fam - Issued Date 06/30/2023 PERMIT City of Eagan ® ® Permit Type: Building 3830 Pilot Knob Rd ®®m®® ®®®®® Permit Number: EA184728 Eagan, MN 55122 °®®® ®®®® EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 4 7 2 8 Date Issued: 6/30/2023 Site Address: 4172 Country-view Dr Lot: 1 Block: 3 Addition: Country Hollow 2nd PID:10-18276-03-010 Use: * 10 — 18276 - 03 - 0 10 * Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: bathroom remodel Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: R-1 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: Cedarstone Construction Inc Richard E& Sally T Goodsell 16916 Island Avenue 4172 Countryview Dr Lakeville MN 55044 Saint Paul MN 55123-394 (651)497-0446 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 Cg Iltd bled I __ _______ _ _ ¢1 U N 2 0 2013 1 For Office Use ----- I i Q�1 i Building Permit#: 1 ) S&WPermit#: EAGAN I Permit Fee: �;5•7b � I Ioma, I I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 651 675-5675 FAX: 651 675-5694 1 I � ) � � ) I Date Issued: 1 buildinainsoectionsCc�cityofeagan.com I_____________________J RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: iL✓f�Y`t0 i/,` Unit#: Applicant is: ❑ Owner R Contractor Name: /_\ ,�� C;L � /�/ � Homeowner Address: e�_ ,tiX -,Aya� L fll . City: � &A---- State: Jad: Zi Phone: Email: Description of work: `fL.v- P d' war Type ofConstruction Cost: �/��- �I C®u� � Hq I O 1� Work Type of building: Wsingle Family ❑ Townhome, of units ❑ Twin Home Company: V'5TG.*VZ- �� n�,r...y ��, a Contact: .54k,ti Building Address: 1641!® 144.Z AL_ City: z&&reV Wat Contractor State: 94df/Zip: 5752 =qef Phone: Z�a Email: Ay,.@Le,&­5l--e-4o le License#: Expiration Date: &=j 07-4 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)4540002 or www.000herstateonecall.orp 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 Applicant's Printed Name Ap n s ignature FOR OFFICE USE ONLY Site Address: 4172 Countryview Dr. Permit#: EA184728 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 $2,000.00 Occupancy IRC-1 MCES System Plan Review 025% 0100% Code Edition 202OMNRC 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 Panels) Retaining Wall:_Footings_Backfill_Final Firewalls REVIEWED FOR Fire Suppression:_Rough In_Final CODE COMPLIANCE ✓ Insulation •, ,, Windows Radon Control Other: Drain Tile Grading EAGAN ✓ Final/No C.O.Required Demkoude Final/C.O. Required oei3or=10:3829 AM BUILDING INSPECTIONS Reviewed By: . Building Inspector FEES Calculated Valuation $2,000.00 Bathroom remodel: Base Fee $83.50 60o" x 127" = 7,620 Sq in Plan Review $51.28 State Surcharge $1.00 7,620 / 144 = 52.92 Sf Met Council SAC City SAC Treatment Plant 53Sf x $20 = $1 ,060 Water Supply&Storage S&W Permit&Surcharge Min val required - $2,000 Meter Radio Read Other: TOTAL $ 138.78