EA188484 - Building - Single Fam - Issued Date 12/28/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4680
Lot: 4 Block: 07
PID:10-39801-07-040
Use:
Description:
PERMIT
Permit Type: Building
EAGAN ` Permit Number: EA188484
* E A 1 8 8 4 8 4
Date Issued: 12/28/2023
Ridge Cliffe Dr
Addition: Johnny Cake Ridge 2nd
Sub Type:
Single Fam
Work Type:
Alteration
Description:
Bathroom Remodel
Census Code:
434 - Residential Additions, Alterations
Zoning:
R-3
Square Feet:
0
III lllIIIII(III)IIIVIIIIIIIIIIIIIIIIIIIIII'IIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIi
0 B 0 0 0' 0
Construction Type: V -B
Occupancy: IRC -1
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:
Innovative Building & Design LLC ,lane F Pollack
P.O. Box 490298 4680 Ridge Cliff Dr
Blaine MN 55449 Saint Paul MN 55122--370
(612) 808-6025
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
Cq ECEIV'E
DEC 13 2023
r For Office Use 188484
1 Building Permit fk:
I I
d�sb S&W Permit #t:
A G A N
Permit Fee: In C7 • -
12/13/2023 I
Date Received:
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 I t
(651) 6175-5675 i FAX: (651) 675-5694 I Date Issued: i
buildiML pections@cityofcagan.corLi t _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12-13/2023 site Address: 4680 Ridge Cliff Eagan, 55122 Unit #:
Applicant is: 11 Owner 0 Contractor
Name:
IifartlGttAlttr Address: City: _
k� �y
State: Zip: Phone: Email:
Description of work: Bathroom
p
T " "1 t
Construction Cost: 15,000 R-3, Johnny Cake Ridge
g;tt)�
Type of building: 0 Single Family ® Townhome, _ � of units El Twin Home
Innovative Building and Design Dave Stenson
Company: Contact: .
x
1543 92nd Lane NE Maine
�� Address: City:
"n
Mn 55434 763 528 1488 dave a@innovativebuilding.com
State: Zip:._ Phome: Email: __..
a
�
BC635375 `
License #: Expiration Date: �� % � �r
or Company: t L Contact:
VI(atr
irCfttiaCtC31' Address: l _ City:
Required for State: Zip: Phone: Email:
new construction
License #: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Nf�'C�: plans ani auplp�lrtl�g:d�t?e�et�s thy# jrbu �tubmit-arecott�id��d t� be �ulai�clnft>rt��iiara. Partiar#s,atte��
'irtfcirm�t��h rriay, be �la��l+��'as n>ln�publlc if y�ru p�vide"speciflc r�asotts that+fuc�uld pe�nnit the l it? ,canelud� ttt�t they
ire trati =BCaGt`�t$ .»�.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or cvww. n1Lh� rr, ptoonyc�jlf.S rg 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 approva4 of plans.
XDavid Stenson x
Applicant's Printed Name A Jpicant's Signature
§QB TYPES
MCES System
Code Edition �&�'�yL�x��p
Single Family
Fir"pla^eLowe
Level
4 01 of a P|ox
__. Foundation ---
Porch
__ Deck
Garage
puo|
Separate StonnwaterManagement Permit Required
New
Repair
Siding
Addition
Fire Repair
Re,00f
� A|��mbpn
-�~
Water
__. Damage
--
Windows
Replace
Egress Window
-- Sp|m,
Calculated Valuation Z 000
Plan Review 025n`9u100m
Census Code
#nfUnits
#ofBuildings
__________
Type ufConstruction
Permit #: 188484
Retaining Wall
Move Building
Demolish Building*
.Demolition ofentire building - give PCA
handout mapplicant
Occupancy
MCES System
Code Edition �&�'�yL�x��p
SAC Units
Zoning �,�i`
C|tyVVotwr__________
Stndon
Booster Pump
Square Feet
PRV
Fire Suppression Required
Separate StonnwaterManagement Permit Required
Footings: —New —Addition Deck
Foundation: Before Backfill Poured Wall
k
Framing: 1Hour )( Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior tnhouse wrap)
Interior Braced Wall panw|(s)
F|rwwaUs-/»~.m"" +°//
insulation
Radon Control
Drain Tile
Grading
Meter Size:
Giding:__Stucco Lath ___ Stone Lath
Roof: Ice &Water __Flna|
Erosion Control
PooL__Footinon __Ai�GamTos� __�Final
RmuininQWall: __�ooUngo__BaokD||--Fine|
Fire a"pnmssiun:___Rougx In __Final
X Final/No C.O.Requ|md
nnm|/C,O.Requimd
Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
o0ut Council SAC
City SAC
Treatment Plant
Water Supply &Storage
8&VVPermit &GunzharQw
Meter
Radio Read
TOTAL
000