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EA189235 - Building - Single Fam - Issued Date 02/20/2024 PERMIT City of Eagan EAGAN Permit Type: Building 3830 Pilot Knob Rd `�' + % '�° Permit Number: EA189235 Eagan, MN 55122 •-�� (651)675-5675 1111111111111111111111111111111111111111111111111 www.cityofeagan.com * E R 1 8 9 Z 3 S * Date Issued: 2/20/2024 Site Address: 3963 Thames Ave Lot: 18 Block: 1 Addition: Perron Acres PID:10-56975-01-180 Use: * 10 - 56975 - 0 1 — 180 * Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: Bathroom Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: R-1 Square Feet: 0 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: Status Contracting Inc Adam&Jodi L Husemann 1910 Stoughton Ave 3963 Thames Ave Chaska MN 55318 Eagan MN 55123-470 (952)941-8896 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 ----------------------I For Office Use c c I ° Building Permit r " q I I t % ` Of f rrrr ,, ep Elle S&W Permit#: EAGANI Permit Fee: I I « I I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MECEIVE N 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694Date Issued: I build inginspectionsocityofeagan.com FEB 14 2024 `---------------------' RESIDENTIAL BUILD APPLICATION Date: 2-13-2024 site Address: 3963 Thames Avenue unit#: t Applicant is: ❑ Owner Contractor Name: Adam & Jodi Husemann Homeowner "" Address: 3963 Thames Avenue City: Eagan State: MN Zip: 55123 Phone: 651-263-782E Email: adamjodi5@msn.com Description of work: Bathroom Remodel Type of Work Construction Cost: 12,000'00 Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home Company: Status Contracting Inc. Contact: Dale Schultz Building Address: 1910 Stoughton Ave City: Chaska Contractor State: Zip: Phone:MN 55318 612-554-211 Email: dale@statuscontractinginc.com License#: 649726 Expiration Date: 3-31-2024 Sewer& Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License#: Expiration Date: 0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. f 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. 3 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 a d 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 With o't a ermit, hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. XDale Schultz X Applicant's Printed Name Applicant's Signa ur FOR OFFICE USE ONLY Site Address: 3963 Thames Avenue Permit#: /f923S SUB TYPES X 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 Z ow Occupancy T/lC MCES System Plan Review 1325% 121100% Code Edition /YIN/1CZOLo SAC Units Census Code Zoning /l-/ 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 X 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 Fire Suppression:_Rough In_Final Insulation Windows Radon Control Other: Drain Tile Grading Final/No C.O. Required Final/C.O. Required Reviewed By: ����� t�� , Building Inspector FEES Calculated Valuation Zovo Base Fee Plan Review State Surcharge Met Council SAC City SAC Treatment Plant Water Supply S Storage SSW Permit&Surcharge Meter Radio Read Other: TOTAL $ 0.00