EA185295 - Building - Single Fam - Issued Date 07/19/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4465 Whitetail Way
Lot: 17 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-170
Use:
PERMIT
Permit Type: Building
Permit Number: EA185295
EAGAN
* E R 1 8 5 2 9 5
Date Issued: 7/19/2023
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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: PD
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 Timothy Peterson
16916 Island Avenue 4465 Whitetail Way
Lakeville MN 55044 Eagan MN 55123
(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
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5684
buildinninsDec UonsCaD-citvofeaaan.com
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I For Office Use r I
Building Permit*..
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I S&W Permit # 2 I
I Permit Fee:
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Date Received: �% 1
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I Date Issued: I
L--------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: T "%" Z 3 SiteAddress: �' IJL: Et1w;� (.iw Unit #:
Applicant is: ❑ Owner M Contractor
Name: SJIri1Nrr 1- %ar. P-4wo—,
Address: 11&5- City: Amt=
Homeowner
State zip: USIX2 Phone:' ISS -ail:
Description of work:
Type of
Construction Cast: 12 !� PD � MI FI 4
Work
1
Type of building: ErSingle Family ❑ Townhome, of units ❑ Twin Home
Company: 4:: 12 Stb�t `i3,�s f . Contact: �S&oI)
Building
Address: jGcil L 3SG....t Ant— City: _I-04CtL-v,Y/r.
Contractortt
10611g'i _"? t�,fb►!r
State:d./",,Zip: Phone: Email: "iata. ®Gts�a hKe.�ro+tta ca
_3S�yv .
License#: Expiration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License # iration Date:
Erl 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.aopherstateonecall.oro 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 worts will be in
accordance with the approved pian in the case of work which requires a review and approval of plans.
x_SSA&i•✓ V. *i4&V*Z0 x /j
Applicant's Printed Name Ap cant's Slgnature
SUB TYPES
Single Family
01 of _ Plex
Deck
WORK TYPES
New
Addition
Alteration
_ Replace
FOR OFFICE USE ONLY
— Fireplace
— Foundation
— Garage
Repair
_ Fire Repair
— Water Damage
_ Egress Window
Calculated Valuation tel, ®c)o
Plan Review 1325% ZI100%
Census Code
# of Units
# of Buildings
Type of Construction VR
Lower Level
— Porch
Pool
Siding
_ Reroof
_ Windows
Solar
1 D; 2- of
Permit #:
Retaining Wall
Move Building
— Demolish Building*
'Demolition of entire building — give PCA
handout to applicant
Occupancy .1—t.C- I
MCES System
Code Edition ° AfA(Wc- �&h °
SAC Units '
Zoning pIj
City Water
Stories
Booster Pump
Square Feet
4 PRV
Fire Suppression Required
Separate Stormwater Management�Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wull
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 Tile
Grading
Meter Size:
tiding;` _ -Stucco Lath _Stone Lath _Brick
Roof... Ice & Water Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire -Suppresglop;.yRough In _Final
Windows
Other ' ° " `
�Final/No C.O. Required
Final/C.O.'Required .
Reviewed By: 0 e - - . Building Inspector
FEES
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