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
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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