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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