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APRVD App EA186206 11.17.233830 PILOT KNOB ROAD | EAGAN, MN 55122-1810 (651) 675-5675 | FAX: (651) 675-5694 buildinginspections@cityofeagan.com For Office Use Building Permit #: ______________________ S&W Permit #: ______________________ Permit Fee: ______________________ Date Received: ______________________ Date Issued: ______________________ RESIDENTIAL BUILDING PERMIT APPLICATION Date: _________________ Site Address: _____________________________________________________Unit #: _____________ Applicant is:  Owner  Contractor Homeowner Name: _____________________________________________________________________________________ Address: _______________________________________________ City: _______________________________ State: _____ Zip: __________ Phone: _______________ Email: ______________________________________ Type of Work Description of work: __________________________________________________________________________ Construction Cost: ____________________ Type of building:  Single Family  Townhome, _____ of _____ units  Twin Home Building Contractor Company: __________________________________________ Contact: ________________________________ Address: _______________________________________________ City: _______________________________ State: _____ Zip: __________ Phone: _______________ Email: ______________________________________ License #: ____________________________ Expiration Date: _____________________ Sewer & Water Contractor Required for new construction Company: __________________________________________ Contact: ________________________________ Address: _______________________________________________ City: _______________________________ State: _____ Zip: __________ Phone: _______________ Email: ______________________________________ 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_________________________________________ x_________________________________________ Applicant's Printed Name Applicant's Signature 186149 8/17/2023 186206 R-1, Coventry Pass FOR OFFICE USE ONLY Site Address: __________________________________ Permit #: _____________ 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 DESCRIPTION Calculated Valuation Occupancy MCES System Plan Review 25% 100%Code Edition SAC Units Census Code Zoning City Water # of Units Stories Booster Pump # of Buildings Square Feet PRV Type of Construction Fire Suppression Required Separate Stormwater Management Permit Required REQUIRED INSPECTIONS 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: __________________________________ Final/No C.O. Required Footings: ____ New ____ Addition ____ Deck Foundation: ____Before Backfill ____Poured Wall Framing: ____1 Hour ____Residential Alteration Braced Wall Framing/Blocking Braced Wall Sheathing (prior to house wrap) Interior Braced Wall Panel(s) Firewalls Insulation Radon Control Drain Tile Grading Final/C.O. Required Reviewed By: ________________________________, Building Inspector FEES Calculated Valuation Base Fee Plan Review State Surcharge Met Council SAC City SAC Treatment Plant Water Supply & Storage S&W Permit & Surcharge Meter Radio Read Other: _________________________ TOTAL *Demolition of entire building – give PCA handout to applicant New home - no deck being built on this permit Fin basement 1,737sf x $95.73 = $166,283.01 Unfin basement 247sf x $16.50 = $4,075.50 Main level 1,984sf x $95.73 = $189,928.32 Garage 955sf x $40 = $38,200 Front stoop 96sf x $16.50 = $1,584 Total valuation: $ 400,070.83 Already Issued REVIEWED FOR CODE COMPLIANCE 11/17/2023 11:15:19 AM Derek Qualle BUILDING INSPECTIONS