EA188039 - Building - Single Fam - Issued Date 11/17/2023PERMIT
City of Eagan
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Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122E
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A G A N
Permit Number:
111111111111
EA188039
(651) 675-5675
www.cityofeagan.com
* E Fl 1 8 8 0
3 9
Date Issued:
11/17/2023
Site Address: 4188
Meadowlark Rd
Lot: 2 Block: 1
PID:10-32951-01-020
Addition: Hillandale 2nd
Use:
* 10-3295
1-0
1-020*
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434 - Residential Additions, Alterations
Zoning: R-3
Square Feet: 0
Construction Type: V -B
Occupancy: IRC -3
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: $138.78
Contractor: - Applicant - Owner:
Custom Contracting LLC Salvador M Rosas
1854 Grand Ave 4188 Meadowlark Rd S
St. Paul MN 55105 Eagan MN 55122
(612) 865-0430
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
Df Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
wileo N iso
EAG
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsCaD-cityofeagan.com
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For Office Use (� /y
I Building Permit#:
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S&W Permit #:
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I Permit Fee:
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Date Received: 4
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I Date Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4-11 SS m e-Akow kA lat Unit #:
Applicant is: ❑ Owner 0 Contractor
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Name: '6J UAA b P_ SAs
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Address:$g W .e-6 90L0 ? k,4 city: k)
Homeowner
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State: hone: mi
Description of work: �•-�i�'GCJ®V�(i �PIMO�`�
Construction Cost: H111CIncOI&
Type of
Work
Type of building: ❑ Single Family t Townhome, of units ❑ Twin Home
Company:�CAN% /,kC Contact: NbV-?C2eL
Building
Address: I Estq City: P k)
Contractor
State:NAZip: Phone: f0/2 36S'0qaiL
JLC ' 3/ 31 8
License #: Expiration Date:
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.gopherstateonecall.org 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.
X c'J . 7;? o -2— e /C X_� d_- ' 1.�.
Applicant's Printed Name Applicant's Signature
930
M
FOR OFFICE USE ONLY
Site Address: + 9)16 Meodovy(ov k P -b Permit #: Iffio;1
SUB TYPES
2, Jvu
Base Fee
5C',
Single Family
_ Fireplace
Lower Level
_ 01 of _ Plex
_ Foundation
_ Porch
Deck
Garage
Pool
WORK TYPES
Meter
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 2Oau
Plan Review 1:125°0 11100%
Census Code
# of Units
# of Buildings
Type of Construction ;M
Occupancy 1-R6 -S MCES System
Code Edition /YIN 1,('C 2020 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
X Framing: 1 Hour A Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
XFirewalls
X Insulation
Radon Control
Drain Tile
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: _
X Final/No C.O. Required
Final/C.O. Required
Reviewed By:( V f�/It,"II , Building Inspector
FEES
Calculated Valuation
2, Jvu
Base Fee
5C',
Plan Review�I-
2,
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00 /YS7, .19'