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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 ® i �0 j S&W Permit#: I a o,e.� �►w,,.oEAG i I 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: Ca� P i 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