EA188950 - Building - Drain Tile - Issued Date 01/26/2024 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd � � EAGAN
Permit Number: EA188950
Eagan, MN 55122 •-•• ••-•
(651)675-5675 r�-•.,
1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 9 5 0 *
Date Issued: 1/26/2024
Site Address: 745 Hay Lake Rd N
Lot: 24 Block: 1 Addition: Fawn Ridge
PID:10-25 800-01-240
Use: * 10 - 25800 - 0 1 - 240 *
Description:
Sub Type: Drain Tile Construction Type: V-B
Work Type: New
Description: 7 feet of waterguard
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085
BL-Plan Review-Fixed $40.00 0720.4222
Valuation: 2,000.00 Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
American Waterworks Gregory P Gamboni
1307 Valleyhigh Dr NW 745 Hay Lake Rd N
Rochester MN 55901 Eagan MN 55123
(800)795-1204
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
ECEIVE
JAN 111111 r--------------------
For Office Use I
9
BY: I Building Permit#: 188950 I
S&W Permit#: I
EAGAN
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IPermit Fee:
1/25/24
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675(FAX:(651)675-5694 1 Date Issued: I
buildinginspectionsO.citvofeagan.com I—————————————————————--
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��! �L k Site Address: Iy 14 k+ J(AA �0 RK) _Unit#:
Applicant is: ❑ Owner l." Contractor
Name: l71Y�� IJ omlboY - t
Homeowner Address:-1415- M City: �crrA�n
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State: �Zi : J�Z Phone: U 12' Cao^ Email:
Description of work: `l 4�v
Type of � LJJ�' PD, Fawn Ridge
Work Construction Cost:
Type of building: esingie Family ❑ Townhome, of units ❑ Twin Home
Company:&W&AC 4Cca Vl I AICAk v`WQ C-S Contact: �\1 r f Q40-V1 YYxCA.q
Building Address: ISU l JC,t 1 f,e.Ca Ir-11 G 1�t QV' t�A City: nr an -�c ✓'
Contractor �,{ A� � /�
State:0Zip: SQ Pho�e? Slla���$� Email: aMl r QMMtr,rC n �t�>�- Y -CO'h
License#: Expiration Date: I / 2-5
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
021*01
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 specifiic 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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: 715 N Hay Lake Rd Permit#: EA188950
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 $2,000.00 Occupancy IRC-1 MCES System
Plan Review 025% 0100% Code Edition 202OMNRC SAC Units
Census Code Zoning PD 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
Insulation CODE COMPLIANCE Windows
Radon Control A Other:
✓ Drain Tile
Grading EAGAN ✓ Final/No C.O. Required
Derek Oualle Final/C.O. Required
01/2&202412:18:20 PM
Reviewed By: Bul�D1Nc INSPECTIONS Building Inspector
FEES
Calculated Valuation $2,000.00 Adding 7 ft of drain tile
Base Fee $83.50
Plan Review $54.28 and extending
State Surcharge $1.00
Met Council SAC discharge pipes from
City SAC existing sump baskets
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter Min Val $2,000
Radio Read
Other:
TOTAL $ 138.78