EA182038 - Building - 01 of __-plex - - Issued Date 04/05/2023City of Eagan Permit Type: Building
3830 Pilot Knob Rd ,s�®,°°, Permit Number: EA182038
Eagan, MN 55122 °>�� ---° EAGAN
(651) 675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 Z 0 3 8
Date Issued: 4/5/2023
Site Address: 3584 Blue Jay Way 100
Lot: 017 Block: 04 Addition: Lexington Place Ist
PID:10-45050-04-017
Use: * 10-45050-04-0 17*
Description:
Sub Type: 01 of _-plex Construction Type: V -B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -3
Zoning: R-4
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within R
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 Steven R Quimby
14690 Galaxie Ave, Suite 100 3584 Blue Jay Way Unit 100
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.
1 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
sued B : Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 FAX: (651) 675-5694
buildinoinsoectionsO)citvofeaaan com
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For Office Use
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Permit Fee:
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Steve Quimby
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Date Received:
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1000MCKITIAll gai iii nihil PERMIT APPLICATION
CALL BEFORE YOU DIG. Contact Gopher State One Call at (051) 454-0002 or www aooherstateonecall ora for protection against unaergrouna uuirry
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
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Derek Brouillet x
Applicant's Printed Name Applicant' gnature
04/04/23 Site Address'. 3584 Blue Jay Way Unit#: 100
Date:
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Applicant is: ❑ Owner 14 Contractor Ila
Steve Quimby
Name:
3584 Blue Jay Way Unit 100 City. Eagan
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55123 651-399-50
�N Email:
State: zip. Phone:
Bathroom Remodel
Description of work:
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12000
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Nl�Construction
Cost:
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building: ❑ Single Family Townhome, of units Twin Home
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Type of
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Great Lakes Window &Siding Contact: Derek
Company:
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14690 Galaxie Ave APPIe Valley
Address: city:
MN 55124 952-891-34 derek.glwsco@gmail.com
Email:
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BC060427
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Address: City:
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State: Zip: Phone: Email:
License M Ex iration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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CALL BEFORE YOU DIG. Contact Gopher State One Call at (051) 454-0002 or www aooherstateonecall ora for protection against unaergrouna uuirry
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
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Derek Brouillet x
Applicant's Printed Name Applicant' gnature
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)
V/ 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
FEE
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:
q3.s°
'/
1, ego
TOTAL 13$ .-70
3584 Blue Jay Way
Permit #:
Site Address:
SUB TYPES
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
it
occupancy Occupancy IRG'3
MCES System
Plan Review
025% 1000/0
Code Edition 4-uzo
SAC Units
Census Code
Zoning 7--4
City Water
# of Units
Stories
Booster Pump
# of Buildings
Square Feet
PRV
Type of Construction
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)
V/ 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
FEE
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:
q3.s°
'/
1, ego
TOTAL 13$ .-70