EA184513 - Building - Pool - Issued Date 07/10/2023PERMIT
City of Eagan
Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EA184513
(651) 675-5675111111111111
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IN 11111111111111111111111111111111
www.cityofeagan.com
* E A 1 8 4 S 1 3*
Date Issued:
7/10/2023
Site Address: 4014
Haven Woods Ct
Lot: 5 Block: 1
Addition:
PID:10-32090-01-052
Use:
* 1 0— 3 2 0 9 0— 0
1— 0 S 2
Description:
Sub Type: Pool
Construction Type:
V -B
Work Type: New
Description: 20 x 40 Steel Walled Vinyl lined pool
Census Code: -
Occupancy:
IRC -1
Zoning: R-1
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:
Valley Pools Camille L Abrams
301 E Cliff Rd 3816 Ridge Dr N
Burnsville MN 55337 Eagan MN 55123
(952) 894-1480
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 slued B : Signature
Meed 01V6
EIV
i 1 2 2023 --------------------
JUS
1 For Office Use `` I
BY: i Building Permit M. ) 1
I
�•���0 S&W Permit kEAGAN I I
Permit F 1
�` I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
I
(651) 675-5675 1 FAX: (651) 675-5694 I
I Date Issued: I
buildinoinsuections(&citvofeaoan.com I – – – – – – -- – – – – – – – – – – – – –
I
RESIDENTIAL BUILDING PERMIT APPLICATION
Date.3 30-2023 Site Address: 40I gAm) Woods C..T —Unit #:
Applicant is: ❑ Owner OContractor
Name
Address: 40 N Hmenwoods C_� City: Eaqwa
Homeowner
1-4
State: Zi . Phone: Email:
Description of work: o Q vim
Type of____
Work
aa
Construction Cost: 5500D R I, NA Veen woo ds` U�1
Type of building: osingle Family ❑ Townhome, of units ❑ Twin Home
Company: QI'��/ U p �5 Contact: %
Building
Address: 1 C -2Q wi City: SAY"5 Vi
Contractor
-7
State: Zip: Phone: Z I Z 5tmail:1C
License #: All A EiTiration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License #: EiTiration Date:
0�el 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.cooherstateonecall.om 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 approva tans.
x RZU44 M(_RO,r/D x G
Appll nrs Prl ed Name Applican s Ylawre
FOR OFFICE USE ONLY
DESCRIPTION
Calculated Valuation /S, Oc)o
Plan Review 1325% 43"0%
Census Code
# of Units
# of Buildings
Type of Construction VIR.
Occupancy J- C- I MCES System
Code Edition MN2C.R090 SAC Units
Zoning 1? -9 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stonnwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck (P.,f
Foundation: Before Backfill Poured Wall
Framing: 1 Hour Residential Alteration
Braced Wall FramingBlocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain The
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:
,.,,L�Flnal/No C.O. Required
Final/C.O. Required
Reviewed By: �/���so,� . Building Inspector
Calculated Valuation JS,Onc�
Site Address: _�
47� N'Qy&Woods &i'
Permit #: G 1"b
SUB TYPES
Plan Review
Single Family
_ Fireplace
_ Lower Level
_ 01 of _ Plex
Foundation
Porch
_ Deck
_
_ Garage
_
Pool
WORK TYPES
Radio Read
L/ --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, Oc)o
Plan Review 1325% 43"0%
Census Code
# of Units
# of Buildings
Type of Construction VIR.
Occupancy J- C- I MCES System
Code Edition MN2C.R090 SAC Units
Zoning 1? -9 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stonnwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck (P.,f
Foundation: Before Backfill Poured Wall
Framing: 1 Hour Residential Alteration
Braced Wall FramingBlocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain The
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:
,.,,L�Flnal/No C.O. Required
Final/C.O. Required
Reviewed By: �/���so,� . Building Inspector
Calculated Valuation JS,Onc�
0�0YVo e•�����-�}��/�V
o® \
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