EA184470 - Building - Pool - Issued Date 07/06/202301 MMA
City of Eagan° ®®, Permit"': Building
3830 Pilot Knob Rd °®° ®%'.° Permit Number: EA184470
Eagan, MN 55122 ®®®® ®m®®
(651) 675-5675 111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 4 4 7 0*
Date Issued: 7/6/2023
Site Address: 1316 Interlachen Dr
Lot: 6 Block: 3 Addition: Dakota Path 4th
PID:10-19543-03-060
Use: * 10— 19543-03-060*
Description:
Sub Type: Pool Construction Type: V -B
Work Type: New
Description:
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL - Base Fee $298.65 0801.4085
Valuation: 15,000.00 BL - Plan Review 65% $194.12 0720.4222
Surcharge - Based on Valuation $7.50 9001.2195
Total: $500.27
Contractor: - Applicant - Owner:
Blaiser Pools Gregory Gazzillo
861 180th Ave 1316 Interlachen Dr
New Richmond WI 54017 Eagan MN 55123
(651) 260-3248
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
sued B . Signature
C�------------- i
I For office Use
I LI9 0� 1
®® 1 Building Permit #: 184470
I I
%'14 ® ®�®® 1 S&WPermit #: 1
® ® ® I
Permit Fee:EANUO
b 1 6/8/2023 1
� Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
651 675-5675 FAX: 651 675-5694 1 I
� ) I � ) I Date Issued: 1
buildinginspectionsCa)cityofeagan.com I ------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/8/2023 Site Address: Unit #:
Applicant is: ❑ Owner ❑ Contractor
Name: Gregory & Maria Gazzillo
Homeowner Address: City: 1316 Inerlachen Drive Egan
State: MN zi ; 55123 Phone: (732) 239-6 Email: ggazzillo@yahoo.com
Descriptionofwork: Swimming Pool
Type of
Work Construction Cost: 105000 PD, Dakota Path
Type of building: 21 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Blaiser Pools Contact: Carson
Building Address: 861 180th Ave City, New Richmond
Contractor WI 54017 651-260-32% carson@schifskycompanies.com
State: Zip: Phone: Email.
License #: Expiration Date:
sewer & Company: Contact:
Water
contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Ex iration Date:
14 1 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) 45470002 or www.goaherstateonecall.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 plans.
Digitally signed by Carson J
x Carson Schifsky xD
Carson J Schifsky Schifsky
2 20023.08.08 11:37:14 -0600'
Applicant's Printed Name Applicant's Signature
FOR OFFICEUSE ONLY
DESCRIPTION
Calculated Valuation %S/ b®® Occupancy T2C e 1 MCES System
Plan Review 025% E'C00% Code Edition % NWM fib SAC Units
Census Code Zoning D�) City Water
# of Units Stories Booster Pump
# of Buildings Square Feet PRV
Type of Construction UB Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
Framing: 1 Hour Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain Tile
Grading
Meter Size:
Siding: _Stucco Lath _Stone Lath _Brick
Roof: Ice & Water _Final
Erosion Control
Pool: _Footings —Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: Ale- /s®Building Inspector
FEES %ck
Calculated Valuation 15/p6c,
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
Site Address: /316 3;�,,r
/,cke, 1N-
Permit #: /e!Z V7®
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 %S/ b®® Occupancy T2C e 1 MCES System
Plan Review 025% E'C00% Code Edition % NWM fib SAC Units
Census Code Zoning D�) City Water
# of Units Stories Booster Pump
# of Buildings Square Feet PRV
Type of Construction UB Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
Framing: 1 Hour Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain Tile
Grading
Meter Size:
Siding: _Stucco Lath _Stone Lath _Brick
Roof: Ice & Water _Final
Erosion Control
Pool: _Footings —Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: Ale- /s®Building Inspector
FEES %ck
Calculated Valuation 15/p6c,
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
POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS
Address: 1316 Interlachen Dr.
Applicant Name: Gregory & Maria Gazzillo
ELEVATIONS
Existing
0 ❑ ❑ House corners
0 ❑ ❑ Property corners
❑ 0 ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest
height
Proposed
D ❑ ❑ Finished pool deck corners
0 ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
0 ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
0 ❑ ❑ All property/lot lines
0 ❑ ❑ All Easements on the property
Proposed
0 ❑ ❑ Pool
D ❑ ❑ Pool plus integrated deck/patio
0 ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed By: Dave Westermayer
GA Engineering/Forms/Pool Permit Checklist 10-142019
7-5-23
d
o
z
r
GENERAL INFORMATION
0
❑
a
❑
Applicant name and contact information
0
❑
❑
Property owner name
0
❑
❑
Address of property
0
❑
❑
North arrow, scale 0" = 30' or 40')
0
❑
❑
Site Plan, drawn to scale showing location of house, pool, and other existing or
proposed structures, including retaining walls and fences.
0
❑
❑
Location and name of all streets adjacent to property
0
❑
❑
Directional drainage arrows (existing and proposed)
D
❑
❑
Lot Square Footage
0
❑
❑
Lot Coverage
ELEVATIONS
Existing
0 ❑ ❑ House corners
0 ❑ ❑ Property corners
❑ 0 ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest
height
Proposed
D ❑ ❑ Finished pool deck corners
0 ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
0 ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
0 ❑ ❑ All property/lot lines
0 ❑ ❑ All Easements on the property
Proposed
0 ❑ ❑ Pool
D ❑ ❑ Pool plus integrated deck/patio
0 ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed By: Dave Westermayer
GA Engineering/Forms/Pool Permit Checklist 10-142019
7-5-23