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EA187108 - Building - Commercial/Industrial - Issued Date 11/21/2023 PERMIT City of Eagan , , Permit Type: Building 3830 Pilot Knob Rd ,��, ° % Permit Number: EA187108 Eagan, MN 55122 `"' ®®-' EAGAN (651)675-5675 RIM www.cityofeagan.com * E R 1 8 7 1 0 8 * Date Issued: 11/21/2023 Site Address: 1305 Corporate Center Dr Lot: 1 Block: 1 Addition: Eagandale Office Park 3rd PID:10-22532-01-010 Use: Rasmussen University * 1 0 — 2 2 $ 3 2 — 0 1 — 0 1 0 Description: Sub Type: Commercial/Industrial Construction Type: II-B Work Type: Int Impr Description: Census Code: - Occupancy: B Zoning: Square Feet: 0 Comments: Fee Summary: BL-Base Fee $1,119.05 0801.4085 BL-Plan Review 65% $727.38 0720.4222 Valuation: 91,397.00 Surcharge-Based on Valuation $46.00 9001.2195 Total: $1,892.43 Contractor: - Applicant - Owner: Greiner Construction Snh Medical Office Properties Trust 121 South 8th Street,Suite 1200 %Ryan Pts Minneapolis MN 55402 150 5th St S Ste 2500 (612)338-1696 Minneapolis MN 55402 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 � 1 r------------------------- kL I L3 I For Office Use I ' 187108 Building Permit#: I w a I I t ® � � I S&W Permit#: I OEAG Permit Fee: �} 9 0 EI Date Received: 9/27/2023 I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 2 t ; (651)675-5675 1 FAX: (651)675-5694Date Issued: I Plan Submittal: buildinginspectionsCeilI citvofeagan.comb y: --------------------------I COMMERCIAL BUILDING PERMIT APPLICATION Date: 9/27/2023 site Address: 1305 Corporate Center Dr. suite#: Tenant Name: Rasmussen University Tenant is: ❑ New V Existing Former Tenant(if applicable): Name: Brian Mickschl Phone: 763-453-9586 Applicant Applicant is: ❑ Owner �ry bmickschl@greinerconstruction.com pp Contractor 11 Agent Email: Type Of Description of work: Office remodel Work $91 ,397 Construction Cost: company: Greiner Construction contact. Brian Mickschl Bullclirig �"' Address/city/zip: 121 S. 8th St., Suite 1200, Minneapolis, MN 55402 Contractor, 763-453-9586 bmickschl@greinerconstruction.com Phone: Email: License#: Expiration Date: Company: Interform Architecture and Design Contact: Allan Mellske ° Archltetrtl 19 S. Lasalle St., Suite 300, Chicago, IL 60603 Erlglneer Address/City/Zip: Phone: 312-933-2701 Email: allan@interform.design Sewer& Company: Contact: Water c6ntrad or ! Address/city/zip: Roquired for Phone: Email: new constroct]on and additions License#: Expiration Date: 1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications. NOTE:•Plans'and.supj�otti,ngydocuments that you submit are considered tri be public informatian.' PortianS of the information Ma, be alasslfled pis non- ublic`1 ou eovide s eclfic reasons thatwuouldl ermlt the Ci . to conclude that the .ems trade secrets. 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. xBrian Mickschl x Applicant's Printed Name Applicant's Signature i FOR OFFICE USE ONLY • SUB TYPES Site Address: 1305 Corporate Center Dr. _ Foundation _ Public Facility Antennae Tenant: Rasmussen University — Commercial/Industrial — Accessory Building 187108 Apartments _ Greenhouse/Tent Permit#: — WORK TYPES _ New Interior Improvement Demolish Building" _ Addition — Exterior Improvement Demolish Interior _ Alteration — Retaining Wall Demolish Foundation 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation g03g Code Edition Zai 008(f- MCES System l./ Plan Review — — Zoning SAC Units n, r Census Code — Stories — City Water #of Units Square Feet — Fire Sprinklers Type of Construction' Length Occupancy Q Width REQUIRED INSPECTIONS Footings_New Building_Addition Retaining Wall Foundation Foundation Before Backfill Other: Vapor Barrier Other: VFraming 30 Minutes 1 Hour Insulation Sheetrock Final/C.O. Required Roof:_Decking _Insulation _Ice&Water _Final ✓Final/No C.O. Required Siding:_Lath _Brick_EFIS Fireplace:_Rough In _Air Test _Final Pool:_Footings —Air/Gas Tests _Final �' Final C/O Inspection: Sched Fire Marshal to be present: y Yes No New Business to Eagan: Reviewed By: Building Inspector FEES O� Base Fee a°�/ Landscape Guarantee (9001.2257) r Surcharge YS, i Tree Mitigation (9111.4677) Plan Review X27 ,3$ Tree Performance Security (9111.2257) MCES SAC Stormwater Performance Security (6501.2257) City SAC S&W Permit& Surcharge ' Treatment Plant Treatment Plant(Irrigation) ^ Park Dedication (9328.4670) 0�9Z lj Trail Dedication (9375.4671) TOTAL: $ 0.00 � �3 t MCES USE:Letter Reference: 231019A5 Address ID:4982 Payment ID:472364 Date of Determination: 10/19/23 Determination Expiration: 10/19/25 Greetings! Please see the determination below. Project Name: Rasmussen University Project Address: 1305 Corporate Center Drive Suite#/Campus: Partial 15`Floor and 2nd Floor City Name: Eagan Applicant: Brian Mickschl,Greiner Construction Special Notes: A SAC determination is not necessary because the scope of the work(interior remodel)does not change the use(educational)or size of Rasmussen University charged in letter 221019133, reported 10/2022;therefore, no additional SAC is due. The project is required to be reported by the City with the normal SAC Activity Report if a permit is issued. Net SAC: 0.00 = 0 SAC Due The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be made. If you have any questions email me at:sara.running@metc.state.mn.us. Thank you, Sara Running SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram Street390 Hobert 000 I Fax 651.602.1550 1 T-FY651.291.0904 I metrocourcil.org METROPOLITAN C 0 U N C I L PERMIT Eagan , • Permit Type: Building nob Rd E55122 -..♦ ��� � Permit Number: EA186149 .-__ . 75 agan.com A 1 8 6 1 4 9 * Date Issued: 11/21/2023 ress: 654 Witham Lane Block: Addition: * * on: Single Fam Construction Type: V-B New 101-Single Family Houses Occu anc R-1 p Y IRC-1 0 :S: 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). iary: 3/4"Meter $300.00 BL-Base Fee 6101.4509 1,070.00 BL-Plan Review 65% $3,218.40 0801.4085 City SAC(O1 Unit) $2,091.96 0720.4222 Radio Read Unit(Domestic) $139.00 9376.4681 $240.00 6101.4509 Surcharge-Based on Valuation $209001.2195 Treatment Plant-Residential Water Supply&Storage $1,1266.04.00 6101.4685 $1,812.40 6101.4680 SAC(1 unit)- Single FamilyHouse $2,485.00 9220 2275 Total: $11,612.80 - Applicant - �na ner: nesJthan and Christina Kretman 'ircle NW 654 Witham Lane 330 Eagan MN 55123 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 edge that I have read this application and state that the information is correct and agree to comply with all applicable State tutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Coaled V111-7 ---------------, For Office Use I I I Building Permit#: 18614 ® ® I lV,, I ��® j S&W Permit#: 10601 Q` 00 I I Y Permit Fee: EAGA... t m s V 1 I 8/17/2023 Date Received: I OT KNOB ROAD I EAGAN, MN 55122-1810 ; 2 i-56751 FAX: (651)675-5694 1 Date Issued: — 1 E� _ lspections(ccityofeagan.com BY- . — -- L------------------ RESIDENTIAL BUILDING PERMIT APPLICATION 12/2023 Site Address:654 Witham Lane Unit#: it is: ❑ Owner ® Contractor Name:Jonathan and Christina Kretman :owner 654 Witham Lane City: Eagan Address: state: MN zip:55123 Phone:612-751-0559 Email:thekretmans@gmail.com Description of work: Single Family New Construction F )e of 810,072.00 fes' Construction Cost: coven t)ey past 'ork Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home Company: Price Custom Homes Contact: Nikki Ilding Address: 11110 Industrial Circle NW Suite E City. Elk River tractor MN 55330 763-276-7197 nikki@pricecustomhomesmn.com State: Zip: Phone: Email: BC638046 3/31/2024 License#: Ex iration Date: $� Company: Siteworx Contact: Cherrish Wer Iter 2025 Gateway Circle #2 city: Centerville tractor Address: wired for state: MN zip:55038 Phone: 763-202-3924 Email: Cherrish@siteworxmn.com instruction License#: Ex iration Date: understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. : Plari>�and Supportipgdocur»entsthat you submit are considered to be public infprmatlah. Portions of the ration nt�y be�classified as non-publi�if y+du provide.specific reasons#hat would permit the City to conclude that they , tde secrets: . SEFORE YOU DtG. Contact Gopher State One Call at(651)454-0002 or www oopherstateonecall.org for protection against underground utility �. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of 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 ince with the approved plan in the case of work which requires a review and approval of plans. J Fonkert X _ :ant's Printed Name Ap licant's Signature O,R ,; F ,ICEfUSEOI�L Site Address: 654 Witham Lane Permit#: 186206 5 amily _ Fireplace _ Lower Level Plex _ ;oundation _ Porch Garage _ Pool SES _ Repair ` 3iding _ Retaining Wall _ Fire Repair _ Reroof _ Move Building ,n _ Water Damage _ Windows _ Demolish Building* Egress Window _ Solar 'Demolition of entire building—give PCA handout to applicant TION ed Valuation $400,070.83 Occupancy 1Rc-1 MCES System yes Plan Review 025% 0100% Code Edition 202OMNRC SAC Units 1 'ensus Code Zoning R 1 City Water yes #of Units Stories Booster Pump q of Buildings Square Feet PRS/ required Construction VB Fire Suppression Required Separate Stormwater Management Permit Required yes :D INSPECTIONS igs: ✓ New Addition Deck %I Meter Size: 3�4 cation: ✓ Before Backfill ✓ Poured Wall ✓ Siding:_Stucco Lath _Stone Lath _Brick ng: ✓ 1 Hour Residential Alteration ✓ Roof: ✓ Ice&Water ✓ Final d Wall Framing/Blocking Erosion Control d Wall Sheathing(prior to house wrap) Pool:_Footings —Air/Gas Tests _Final )r Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final ails REVIEWED FOR Fire Suppression:_Rough In_Final CODE COMPLIANCE ✓ Windows tion ,:, A . n Control ✓—7 M Other: -6—is�w'E✓'`l Tile ng EAGAN Final/No C.O. Required DerekQuaUe ✓ Final/C.O. Required 11/17/2023 11:15:19 AM I By: BUILDING INSPECTIONS Building Inspector New home J Valuation $400,070.83 - no deck being built on this permit $3,218.40 $2,091.96 Fin basement 1 ,737sf x $95.73 = e"' $166,283.01 charge $200.04 V, cil SAC $2,485.00 ✓ Unfin basement 247sf x $16.50 = $4,075.50 $139.00 t Plant $1,126.00 ✓ Main level 1 ,984sf x $95.73 = $189,928.32 pply&Storage $1,812.40 ✓ mit&Surcharge Already Issued $0.00 ,r Garage 955sf x $40 = $38,200 $300.00 ✓ Front stoop 96sf x $16.50 = $1 ,584 ad $240.00 Total valuation: $ 400,070.83 TOTAL $ 11,612.80 PLAN REVIEW MEMO EAGAN Permit# 186149 ly: Missy R Date Received: 8/21/2023 Wer: Derek Qualle Date: 8/21/2023 Address: 654 Witham Lane Contractor: Price Custom Homes Contact Info: Nikki Fonkert- 763-276-7197 or nikki@pricecustomhomesmn.com are located on the J:Drive under the Address. Please review the plans and updated the memo accordingly. R@VIQ.Wed - x y „ k.x 'et'3"" ..,. .e 'e. ;. r . � •'w^ Nelson Engineeringi 8/21/2023 Reviewed, ready to be issued No additional items needed yendecker Water Resources 8/22/2023 Reviewed, ready to be issued No additional items needed ichnaible Forestry 10/10/2023 Reviewed, ready to be issued No additional items needed Already issued >elow any fees that are to be collected with the building permit. Amount Staff Initials ® No Tree Performance Security AS Zoning: DW/DQ ❑ No Sewer&Water Permit Required AN/DQ ❑ No PRV Required AN 0 No Stormwater Management Permit Required, Deposit due on Stormwater Management Permit included in the Plan Review Memo: Requires a SMP and a $3,900 Stormwater Management Permit financial security 0/10/2023 - No Mitigation Required for this application. Tree protection Fence must be tnd inspected prior to construction. 2023 - Per Aaron and Nick, a right of nrmit will be required to connect sewer ater. DQ struction Energy Code Compliance Certificate Certificate Posted REVIEWED IEWED P Ficate.A building certificate shall be posted on or in the electrical distribution panel. DaCODE IEWED ro posed DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 11/14/2023energy ass of the Dwelling or Dwelling Unit: City: _h Certificate EAGAN for new I Lane D�kouaa home idential Contractor: MN License Number 7223 11 03 31 M EA186206 BUILDING INSPECTIONS ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply Passive(No Fan) Active(With fan and monometer or other system monitoring ° m device) En > Location(or future location)of Fan: c dEL: : IF fan is required;Attic caO O n ° m v U ) c Q m CO N c N L >. N N � U c ON N O CL LL X O O Z m co U 0 Lu w ration m o rn 21 E E �, o 0 c N m m c m a� F° c z° E iTL ti Ug Other Please Describe Here Slab X /all R-15 X R402.2.8,Exception;a.R-10-by plan Slab on Grade X t Floor) R-20 X d Floor+) R-20 X R-21 X R-49 X ed R-49 X s or cantilevered areas R-30 X inconditioned area R-30 X er insulated areas envelope airtightness: Duct system air tightness: Doors Heating or Cooling Ducts outside Conditioned Spaces actor(excludes skylights and one door)U: 0.32 X Not applicable,all ducts located in conditioned space iain Coefficient(SHGC): 10.34 1 JR-value ICAL SYSTEMS Make-up Air Select a Type Domestic Water Cooling Sy stem Ippliances Heating System Heater X Not required per mech.code Natural Gas Natural Gas 410A Passive Bryant AO Smith Bryant Powered r Interlocked with exhaust device. 912SD6008OE21 GPVT-50 200 BA13NA036 Describe: Input in 80000 Capacity in 50 Output 3 Other,describe: �g BTU Gallons: in Tons: AFUE or 96% .72 UEF SEER 13 Location of duct or system: HSPFou /EER dential Load Heating Loss Heating Gain Cooling Load ERV/HRV in Mechanical Room 31culation 62767 28874 32744 j 's und duct OR IICAL VENTILATION SYSTEM etal duct t additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type pump with gas back-up furnace): Not required per mech.code X Passive B ;cover Ventilator(HRV) Capacity in cfms: Low: 90 High: 180 Other,describe: Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system: :d Ventilation capacity in cfms: Mechanical Room Cfm's on of fan(s),describe: 90 5' "round duct OR :ity continuous ventilation rate in cfms: ✓entilation(intermittent+continuous)rate in cfms: 180 "metal duct Builders Association of Minnesota version 101014 k ledger detail for 654 Witham Lane framing notes from new home permit EA186149 to if blocking was added per plan review comment. Add 2x10 or 2X12 SCALE: 1/4" = 1 blocking between each truss end for 2X1 BAND ledger board Ledger board cannot oTTRUSSD attachment be attached to 1/2 2X4 BAND sheathing with this SUBFLOOR ACROSS TRUSSES detail.Add blocking I/2' OSS 3/4' SUBFLOOR or provide 209 RU05 5 SHEATHING s 19.2 RO.C. S �m engineering for attachment. 1/2" OSB DBL 2XL DBL 2XL ENTIREHIUNALL TOP PLATE TOP PLATE RIM DETAIL IN DECK LEDGER AREA SCALE: 1/4" WIOTHETYVEK APOOVERLFLASHING z STAGGER FASTNERS iv IN 2 ROWS 0 5" MAX. U 06 -1/2' MIN. 0 0 DECK LEDGER LAG SCREWS Z OPTION �I - 1/2' DIA. LAG SCREW FA5TNER5 15" O.C. OPTION -' - I/2' DIA. BOLT FASTNER5 29" O.C. OPTION a3 - 1/2" DIA. BOLT WITH 1/2' STACKED fV WASHERS FASTNERS • 24' O.C. NOTE... ANY RISER OR DECK FASTNER DETAIL TREAD SHALL NOT EXCEED OTHERS BY MORE THAN 3/8' ILE LD MINIMUM TREAD WIDTH TO BE SCALE: I/`" = V-0"MEASURED FROM THE NOSE OF THE ADJUSTABLE THRESHOLD %1 '------'r7-3/4" MAX —. THESE d Utility Easements are Cettifica te of Survey Lt for 5toL _ Price Custom Homes - - Lot 2 Biock 1 WOODS OF WITHAM LANE o 50 N.T.S. LO , , Minnesota ° it In width and adjoining City of Eagan Dakota County, 3 n and 10 feet In width ,g street and rear lot Address: 654 Witham Lane SCALE: I" = 50" c i otherwise shown. nATION OR CONSTRUCTION CAN BEGIN UNTIL THIS PLAN IS APPROVED BY THE LOCAL BUILDING o ° Z INSTALL PERIMETER 3:1 MAX.SLOPES OR ELEVATION IS SUBJECT TO SOIL AND WATER TABLE CONDITIONS. CONTROL RETAINING WALL REQUIRED v °� STANCE INFORMATION IS PER THE RECORDED PLAT. PRV Required on INSTALL INLET p I? ) DETERMINE EXACT LOCATION AND ELEVATION OF SEWER SERVICE. Q PROTECTION UNTIL 0 DOR ELEVATION IS SUBJECT TO THE ACTUAL DEPTH AND ELEVATION OF THE SEWER SERVICE. supply plumbing to FINAL TURF IS o SHOWN PER RECORDED PLAT UNLESS OTHER DOCUMENTATION WAS PROVIDED TO US. building ESTABLISHED 7 'a DIMENSIONS AND FINAL ELEVATIONS. EXCAVATION, EXCAVATOR MUST COMPARE SURVEY WITH HOUSE PLAN AND BUILDER TO VERIFY TYPE OF HOUSE, SON AND ASSOCIATES, INC. DID NOT DESIGN OR APPROVE THE PROPOSED HOUSE LOCATION, ELEVATIONS AND SITE GRADING. FOR FURTHER INFORMATION REGARDING M tEFER TO PLANS COMPLETED BY SAMBATEK. THESE ELEMENTS ARE SHOWN ON THE SURVEY FOR REFERENCE PURPOSES ONLY. N 'AS PERFORMED WITHOUT THE BENEFIT OF A TITLE REPORT. NO SEARCH FOR RESTRICTIONS OR EASEMENTS WAS MADE BY THE SURVEYOR. WE RESERVE THE RIGHT TO Q to URVEY UPON RECEIPT OF TITLE DOCUMENTATION. JND UTILITIES SHOWN HEREON HAVE BEEN LOCATED FROM OBSERVED EVIDENCE TOGETHER WITH EVIDENCE FROM PLANS AND MARKINGS BY UTILITY COMPANIES AND O RIATE SOURCES. THE SURVEYOR MAKES NO GUARANTEES THAT THE UNDERGROUND UTILITIES SHOWN COMPRISE ALL SUCH UTILITIES OR THAT ALL UTILITY COMPANIES THE LOCATE REQUEST IN THE AREA, EITHER IN SERVICE OR ABANDONED. THE SURVEYOR FURTHER DOES NOT WARRANT THAT THE UNDERGROUND UTILITIES SHOWN ACT LOCATION INDICATED, ALTHOUGH HE DOES CERTIFY THAT THEY ARE LOCATED AS ACCURATELY AS POSSIBLE FROM INFORMATION AVAILABLE GOPHER ATE ONE 216 Z 1183752 DATED 4/28/2023. j PROPOSED HOUSE FI-EVATIONS_ Top of Foundation House Elev = 850.0 :EWGTH f Top of Foundation Garage Elev =848.5 N Garage Floor Elev = 848.2 a AWA j ��` Lowest Floor Elev = 84LO �'< �• � s em HOUSE Zft NyFul30 y �C IP 3Y Walkout /5'Rear Resldent/al (R-l) C .�� 10 3lde v 4 V 4535/ VIM MNDOT Geodetic Monument '19/8 A" Elevation - 86171 feet (NAVD 88) 3 ilk 15 a / "_, PROCT BENCHA/�8K ;g 14 '- Pafit spot of top bads curb. 4/ feet NE g v ♦ ��t� d L _ of Hghtpde at the end of Witham Lane. �e Elevation 837.06 feet (NAVD 88) g o k. bIE a Qr.`•. o` ' • Denotes found Iron monument o$`c Eq,@ Denotes proposed elevation o T Denotes proposed drainage flow = 5 S *56, „ W '�— /_ x 976.4 Denotes aWsting ground elevation ;9 0-. r 91.36 - )eK Denotes found PK nail = gl •� /� Denotes cutch basin r ' / , r� ay00k. `\ ® Denotes electrical cabinet f%V /i i i Denotes septic deonout Denotes sanitary manhole +* / Ut Ity Eas en V.-837 Denotes Denotes wateva/ve Doc. 82 012) Denotes power pole IP 45 V Denotes tslgphone pedestal \1v Denotes fiber optk vault 3 �A� 0 I w Denotes light pole / .k' 848 N� ��% Denotes culvert %"N LS 9018 Denotes Lary Couture, LS / /Ro>C `�!„ LS 14891 Denotes Robert SNckah, LS LS LS 45351 Denotes Ty Dodge, v / Denotes bituminous surfoce 1"M posedfo; PERMIT RMP Permit Type: N agan ° ° - Permit Number: EA188115 b Rd EAGAN �:°� -'�-' 122 *111111:11,11 1111,111 1111111 EF118 �"s 3feagan.com Date Issued: 11/21/2023 ess: 654 Witham Lane Block: 1 Addition: Woods of Witham Lane -01-020 * 1 5 — 8 4 8 5 0 — 0 MO * tS: Please call Water Resources at(651)675-5300 for inspections. Before construction begins,an inspection is required to verify that the erosion and sediment control measures shown on the plan have been installed accordingly. Erosion&Sediment Control De osit $3,900-00 6501.2257 mart': Total: $3,900.00 �CtOr: - Applicant - O wner: than Kretman mm Homes Colette Place strial Circle NW .Paul MN 55116 ,AN 55330 7197 tit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or:app1icab1:eSt]ate re a acknowledge that I have read this application and state that the information is correct and agree to comply with all sota Statutes and City of Eagan Ordinances. s Issued By: Signature Applicant/Permitee: Signature ed -------------------------- For Office Use ® j Stormwater Management Permit* itI 0 10 ii I I AN EAG 1 Building Permit I I Escrow Deposit: 00 I � I I I I KNOB ROAD I EAGAN, MN 55122-1810 , Staff: I 300 I waterres@c—:Ityofeaqan.com tvofeagan.com I ——————- ----------- STORMWATER MANAGEMENT PERMIT 1-23 Site Address: 654 Witham Lane Woods of Witham Lane - Lot 1 , Block 2 of Project: id Being Disturbed: 0.4 acre Start Date: Completion Date: ;e submit a Land Disturbance and Stormwater Pollution Prevention Plan with this application. Jonathan Kretman 612-751-0559 Phone: Name: " 1239 Colette Place, St. Paul, 55116 Address/City/Zip: 'r dwner ' Jonathan thekretmans@gmail.com Contact: Email: Applicant is: V( Owner Contractor jl Price Custom Homes License#: BC638046 Name: 11110 Industrial Cir., Ste E Elk River ' City: Address: intra MN 55330 612-298-2625 State: Zip: Phone: Adam Price adam@pricecustomhomesmn.com Contact: Email: )n and Sediment control Performance Security control (ESC) y requires an escrow deposit The sects, in urit secureperformance pay foarnany City costs or expensestto bring the site ingto comp uiremen lian a wcluith lion and maintenance. Y ater management permit, including any engineering, legal, or extract from the security escrow. The escrow deposit be released only upon necessary ntractor(s). The City maynotice of conformance by the City. lowing escrow deposits include two(2) required City inspections, initial and final.ing Single-Family Residential Lot(addition,demolition, pool, retaining wall, etc.) $3,900/lot Single-Family Construction I-Family or Commercial Construction(new, addition,demolition) $6,500/acre* :imum of$15,600 .ion and Sediment Control Reinspection Fee(for as needed City reinspections after the two (2)included) 5/trip $11 Security Amount: $3900