EA185910 - Building - Single Fam - Issued Date 08/21/2023 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd ,®m,® EAG` .w, Permit Number: EA185910
Eagan, MN 55122 ,®•• �•md
(651)675-5675 A N
www.cityofeagan.com * E A 1 8 5 9 1 0
Date Issued: 8/21/2023
Site Address: 4004 Pennsylvania Ave
Lot: 15 Block: 6 Addition: Stafford Place
PID:10-72500-06-150
Use: * 1 0 - 72S00 - 06 — 1 S 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Kitchen
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 $100.05 0801.4085
BL-Plan Review 65% $65.03 0720.4222
Valuation: 2,440.00 Surcharge-Based on Valuation $1.50 9001.2195
Total: $166.58
Contractor: - Applicant - Owner:
CBK Remodeling&Design LLC Nathan J Waite
13867 Garrett Ave 4004 Pennsylvania Ave
Apple Valley MN 55124 Eagan MN 55123
(651)253-6963
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 Issued By: Signature
---------------------
For Office Use p, I
I Building Permit#: I
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Permit Fee:AnNIVE I
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1816 i I
(651)675-56751 FAX:(651)675-5694 �`� �� 1I Data issued:
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bui{dinginsoectianscltvofesaan.com t_____________--------�
BY:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/7/23 site Address: 4004 Pennsylvania Ave Unit#:
Applicant is: ❑Owner 0 Contractor R- S- -�P4C-ote.(. P (ot C-e.-
Name: Nathan Waite-Tianna Jensen
Homeowner 4004 Pennsylvania Ave Eagan
Address: City:
State: MN Zip: 65123 phone: (612)669-174kmail: Nathan.waite@gmail.com
Description of work: kitchen remodel
T e of
..Work Construction Cost: 50,000 I
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: CBK Remodel ing&Design,LLC contact: Jake Woodruff
BuildingAddress: 13867 Garrett Ave City: Apple Valley
Contractor MN 55124 (651)253.696.mail.. Jake@CBKRemodeling.com
State: Zip: Phone:
License#: 777-611 Ex iration Date: 3/25
SBWer& Company: Contact:
Water
contractorAddress: city:
Repotted for State: Zip: Phone: Email:
new corstructian
License#: Ex iration Date:
0 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. Portlons of the
I"
formation may be classified as hon-public if you provide specific reasons that would permit the City to conclude that they,
are t M6 secreta.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or wM.aoI2berstateqagpgfl.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 approval of plans.
XJacob Woodruff X - - --�---"
Applicant's Printed Name pticant's§JIOWure
FQR.OFFICEJS1=ONLY
Site Address: 4004 Pennsylvania Ave Permit#: EA185910
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 $2.440.00 Occupancy IRC-1 MCES System
Plan Review 025% 0100% Code Edition 202OMNRC SAC Units
Census Code Zoning R-t 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 Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls REVIEWED FOR Fire Suppression:_Rough In_Final
CODE COMPLIANCE
✓ Insulation ,, Windows
;t.:
Radon Control Other:
Drain Tile
Grading EAGAN ✓ Final/No C.O. Required
Derekoualie Final/C.O. Required
08/21/2023 11:47:20 AM
Reviewed By: BUILDING INSPecrloNs Building Inspector
FEES
Calculated Valuation $2,440.00 Kitchen remodel
Base Fee $100.05
Plan Review $65.03
State Surcharge $1.50 13' x 9'4" = 122 sf
Met Council SAC
City SAC
Treatment Plant Valuation :
Water Supply&Storage 122sf x $20 = $2,440
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 166.58