EA181411 - Building - Single Fam - Issued Date 02/24/2023PERMIT
City of Eagan , ,
Permit Type:
Building
• ,
3830 Pilot Knob Rd •',,� ;; �,
Permit Number:
EA181411
Eagan, MN 55122 EAGAN
(651) 675-5675 ^�
111111111111
www.cityofeagan.com
* E R 1 8 1 4 1
1
Date Issued:
2/24/2023
Site Address: 4627 Tamie Ave
Lot: 1 Block: 1 Addition: Manor Lake 2nd
PID:1047276-01-010
Use: * 10-47276-0
1-0 10*
Description:
Sub Type: Single Fain Construction Type:
V -B
Work Type: Alteration
Description: Bathroom Remodel
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:
Great Lakes Home Renovations Thomas M Kucera
14690 Galaxie Ave, Suite 100 4627 Tamie Ave
Apple Valley MN 55124 Eagan MN 55123
(952) 891-3400
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
ssued B . Signature
>as 4 •Alk
Rffl"%"GAN
3830 PILOT KNOB ROAD J EAGAN, MN 55122-11310 RECEIVE
(651) 675-5676 i FAX: (651) 675-5694
buiidinginsoectionsacityofeaoan rom
F
REBID
------------------
jFor Office Use --— 4�
i Building Permit #: i
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S&W Permit #: Q �j
Permit Fee: � ZJ A I7 9j_ I
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Date Received:
I 1
I Gate Issued: I
I----------------------
-
-- -- -- — ------
f1.11-11J
Date: 02/20/23 Site Address: 4627 Tamie Ave unit#:
Applicant is: ❑ Owner 1 Contractor
-• 1 , Nia>nft-
Name: Tom & Denise Kucera
Address:4627 Tamie Ave Cit,: Eagan
..
MN 7j, 55123 r hen.. 651-587-1
Description of work: Bathroom Remodel
Construction Cost: 6000
of
❑ Townhome,
11 Twin Home
.Company: Great Lakes window & Siding Contact: Derek
Addtess:
14690 Gaiaxie Ave Clty: Apple Valley
State: MN zip: 55124 Phone: 952-891-34 Email: derek.glwSCo@gmail.Com
BC060427
03/31/24
Company: Contact
Address: City:
State: Zip: Phone: I Email;
14 i understand that Plumbing, Mechanical, and Fire Suppression work require separate applications..
CALL S'EFORE YOU DIG, Contact Gopher State One Call at (661) 464-t3DD2 or www.000herstateona for protection against underground utility
damage. Conted'Gopher State One Call +48 hours before you intend to dig to receive locates of underom utilities,
I hereby acknowiedge 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 thin 18 not a permit, but only an application for a permit, and work is not to start with a permit, that the work Will be in
accordance with the approved plan in the was; of work which .requires a review and approval of plans.
x Derek Brouillet X
Applicant's Printed Name Applicant's Sign
+IO
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Site Address: 4627 Tamie Ave
UB TYPES
Single Family
_ Fireplace
Lower Level
_
01 of — Plex
_ Foundation
_ Porch
_
Deck
_ Garage
_ Pool
WORK TYPES
New
Repair
_, Siding
_
Addition
Fire Repair
_ Reroof
_
Alteration
Water Damage
_ Windows
_
Replace
_
_ Egress Window
_ Solar
DESCRIPTION 0&0
Calculated Valuation Z _
Plan Review 025% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Permit #:
Retaining Wall
_ Move Building
_ Demolish Building'
'Demolition of entire building — give PCA
handout to applicant
Occupancy 1 "- Z MCES System
Code Edition I -W191 • %0 X0 SAC Units
Zoning IL -1m 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
10 Framing: 1 Hour A 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:
OC 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:
912-000
%3 AP0
/.PC
TOTAL $ 0.00 13 8 13