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EA185313 - Building - Single Fam - Issued Date 08/04/2023
PERMIT City of Eagan , ® ® Permit Type: Building 3830 Pilot Knob Rd i>` Permit Number: EA185313 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 5 3 1 3 Date Issued: 8/4/2023 Site Address: 1030 Boston Hill Rd Lot: 9 Block: 2 Addition: Lexington Square 2nd PID:10-45076-02-090 Use: * 10 45076 - 02 090 Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: wall with pocket door and window install 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 $116.60 0801.4085 BL-Plan Review 65% $75.79 0720.4222 Valuation: 4,000.00 Surcharge-Based on Valuation $2.00 9001.2195 Total: $194.39 Contractor: - Applicant - Owner: Premium Home Design and Build LLC Dean A&Sharon M Olson 7635 148th Ct N 1030 Boston Hill Rd Apple Valley MN 55124 Saint Paul MN 55123--254 (612)787-7003 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 --------------------- For Office Use I ��. I Building Permit#: 1 00 0 I 00 0 1EAGAI�U IS&W Permit#: I I Permit Fee. *[ 4. S9 I !�1�• I •^_ I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 I I Date Issued: I buildinginsoections(&cityofeagan.com L-_____________________ RESIDENTIAL BUILDING PERMIT APPLICATION Date• 17T// Site Address:A)w ��AlC, gR Unit#• Applicant is: ❑ Owner dContractor Name: 0/"5cd HomeownerRP Address: &STU/ City: Stats: Zi Phone: s J F ail: AC Description of work:/ Iki- AJ& Oe ff I R_W= , /d5agm-_ 1Ah1h&d Type of Wow Construction Cost: P -61 1 Type of building: Single Family ❑Tow h me, of units ❑Twin Home n Company: C a Contact: �K-A/ Building Address: 3 J J City: I CV Contractor Stater Zip: Phone `' 7�mai1: u License#: Ex iration Date: 3 7 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)454-0002 or www.aoaherstateonecall.ora 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 ns. a6ex x Applicant Printed Name A rcanrs ig ture FOR OFFICE USE ONLY Site Address: r 0�)© lbGj�v'✓1 M2/f Permit#: 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 oo Occupancy TC_1 MCES System Plan Review ❑25°� �% Code Edition 1 AI12C. SAC Units Census Code Zoning _[k\1 City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction VE Fire Suppression Required Separate Stonnwater 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 Panel(s) Retaining Wall:_Footings_Backfill_Final Firewalls Fire Suppression:_Rough In_Final Insulation Windows Radon Control Other: Drain Tile Grading Final/No C.O.Required Final/C.O. Required Reviewed By: . Building Inspector FEES Calculated Valuation ,Ooo x Base Fee A/C, w �. 11 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