EA189947 - Building - Single Fam - Issued Date 04/11/2024City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
® Permit Type: Building
®
EAGAN Permit Number: EA189947
ekR,g®A
111111111111111111111111111111111111111111 IN I
* E A 1 8 9 9 4 7*
Date Issued: 4/11/2024
Site Address: 4396 Nybro Cir
Lot: 012 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-120
Use: * 101-843$3-03-120*
Description:
Sub Type:
Single Fam
Work Type:
Ext Impr
Description:
rebuilding the exterior of chimney on roofline
Census Code:
434 - Residential Additions, Alterations
Zoning:
R-1
Square Feet:
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:
Mohler Chimney Repair Alan P & Patricia Malcolm
887 West Pierce Butler Route 4396 Nvbro Cir
St. Paul MN 55104 Saint Paul MN 55123-174
(952) 922-2507
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
Df Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
ECEIVE
APR 0 3 2024 �I l o
BY:
E AG A N
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
..� buildinainsoectionsOcitvofeagan.com
--------------
For Office Use I
I 189947
I Building Permit #:
I I
j S&W Permit #:
Permit Fee:
Date Received: 4/3/2024
I I
Date Issued: I
I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: y 3 I �w �i C o tr.-' i r cA e- Unit #:
Applicant is: ❑ Owner P Contractor
Name: kk 1' i aic.b(M
Address: 9 sc) G N *6 % C c.k e' City: E o' h G s
Homeowner
State: Zi : JS a3 Phone: VS (' yds — Email: cAGCA A -COPI
$ Z.t I '
Description of work: w w f t C e� u �\ A n a +� a -erre r k u r o f e
Type of
.
S
rkCWork
Construction Cost:ib 0 ovf-
„ R-1, Wilderness Run
roof-(;n�
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
f 4c,, r Contact: ot! L Al lL-► ref
Company: 1' ► o mtir C. 'I M n,c1-94
Building
Address: VV t S I' F-1 Z [ e G 9 4-t- t ( City: _S+ p . fi 0t
�
Contractor
R-Kt'G fj
State: ["`ri� Zip: 5,51 b9 Phone: ISZ'OIZZ1 — Email: 6ker(,L,.MntVt-CDa+(p 9MA,
Z S o"7
License #: Expiration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License M Expiration Date:
�.-
2YJ 1 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.aooherstateonecall.oro 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 PlInS.
X � Ali, r ec i- xtil-11 G{.
Applicant's Printed Name Applicants Signature
. uM
SUB TYPES
Single Family
_ 01 of _ Plex
Deck
WORK TYPES
_ New
_ Addition
_✓ Alteration
Replace
DESCRIPTION
FOR OFFICE USE ONLY
Site Address: 4396 Nybro Cir Permit #: 189947
Fireplace
_ Foundation
_ Garage
Repair
Fire Repair
_ Water Damage
_ Egress Window
Calculated Valuation Z cop
Plan Review 025% 2H00%
Census Code
# of Units
# of Buildings
Type of Construction V6
_ Lower Level
_ Porch
_ Pool
_ Siding
_ Reroof
_ Windows
Solar
_ Retaining Wall
_ Move Building
_ Demolish Building*
*Demolition of entire building — give PCA
handout to applicant
Occupancy TZc.MCES System
Code Edition D0 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
_ 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
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
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 $ 0.00