EA189546 - Building - Single Fam - Issued Date 03/15/2024 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA189546
Eagan, MN 55122 EAGAN
(651)675-5675 --�,,,
111111111111
www.cityofeagan.com * E A 1 8 9 5 4 6
Date Issued: 3/15/2024
Site Address: 4141 Deerwood Tr
Lot: 29 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-290
Use: * 10 - 23900 - 02 - 29 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
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 $116.60 0801.4085
Valuation: 3,740.00 BL-Plan Review 65% $75.79 0720.4222
Surcharge-Based on Valuation $2.00 9001.2195
Total: $194.39
Contractor: - Applicant - Owner:
Custom Homes Andrea J Gotz
1464 Selby Avenue 4141 Deerwood Trl
St.Paul MN 55104 Eagan MN 55122
(612)788-9608
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
MAR 0 6 2024 1 For office Use -
I i '
Building Permit#:
1 S&W Permit#: '
•.•• ••.i EAGAN
1 Permit Fee:
' Date Received: ✓�� I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j 1
(651)675-5675 1 FAX: (651)675-5694 Date Issued: 1
buildinginspectionsca-cityofeagan.com I____________________
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2-29-24 Site Address: 4141 DeerwoodTrail unit#:
Applicant is: ❑ Owner 0 Contractor
Name: Matt Wheeler and Andrea Gotz
Homeowner Address: City: g 4141 Deerwood Trail Eagan
State: MN zip: 55122 phone: 612-741-709E Email: andrea.gotz.mn@gmail.com
Description of work: Bathroom Remodel
TW oaf Construction Cost: 28 000.00 P pj e v))& rc m E woo d
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Custom Homes Contact: Jason
1464 Selby Ave St Paul
Building Address: City:
Contractor MN 55104 651-245-814E Jason@customrmn.com
State: Zip: Phone: Email.
License#: BC636095 Expiration Date: 3-31-2025
S,W r& Company: Contact:
Y Water
Contractor Address: City:
Required f(W, State: Zip: Phone: Email:
new Construction
License#: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are considered to be pubNc Information. PgrNons of#, *
Information may be classified as'non-pubNc If you provide specific Treasons 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.
Jason Timmers
Applicant's Printed Name Appli ant's Signature
Site Address: 4141 DeerwoodTrail Permit#: 109(;+b
SUB TYPES
�4 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
,4 Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation 3 ?yo Occupancy .TRC• / MCES System
Plan Review 025% P1100% Code Edition ION RC 0020 SAC Units
Census Code Zoning PO 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
)G 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 X Final/No C.O.Required
Final/C.O.Required
Reviewed By: C.T A.G/.y►►.s.,,► , Building Inspector
FEES
Calculated Valuation 3 ;?yp ��-
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 $ 0.00