EA182203 - Building - Single Fam - Issued Date 04/18/2023PERMIT
City of Eagan
Permit Type:
Building
3830 Pilot Knob Rd
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Permit Number:
EA182203
Eagan, MN 55122
EAGAN
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(651) 675-5675
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www.cityofeagan.com
Date Issued:
4/18/2023
Site Address: 4210
Braddock Tr
Lot: 1 Block: 2
Addition: Northview Meadows
PID:10-52100-02-010
* 10—S2
100-02-0
10*
Use:
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: bathroom remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -I
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 $83.50 0801.4085
BL - Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge - Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: _ Applicant - Owner:
Great Lakes Home Renovations Deborah Ann Jensen
14690 Galaxie Ave, Suite 100 4210 Braddock Tri
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
hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
f Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
sued B : Signature
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EAG/A 41
Ak N
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
bu ild ina i nsoectionsAcitvofeaaan. com
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For office use
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Building Permit #:182203
I i
j S&W Permit #:
I Permit Fee: �
4/13/2023
Date Received: I
I
I I
I Date Issued: I
I ---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/13/23 Site Address: 4210 Braddock TO unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Deb Jensen
Homeowner Address: City: 4210 Braddock Trl Eagan
'
State: MN Zip: 55123 Phone: 651-206-778 Email: deb421O@gmail.com
Description of work: Bathroom Remodel
Type of
Work Construction Cost: 7'000 PD Noy / jlr)vjQvv
Type of building: V] Single Family ❑ Townhome,
Company: Great Lakes Window & Siding
Bulldng
Address: 14690 Galaxie Ave
Contractor
MN 55124
State: Zip: Phone:
BC060427
License #:
Sewer &
Company:
Water
contractor
Address:
Required for
State: Zip: Phone:
new construction
License #:
of units ❑ Twin Home
Contact: Derek Brouillet
Mea doNs
City: Apple Valley
Email: derek.glwsco@gmail.com
,_._. 3/31/24
Contact:
Email:
Date:
City:
V3 I 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.gor)herstateonecall.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.
XDerek Brouillet X P gt*4&�
Applicant's Printed Name Applicant's Signature
Site Address: 4210 Braddock Trl
SUB TYPES
r_ 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
Calculated Valuation
Plan Review 025%-EH00%
Census Code
# of Units
# of Buildings
Type of Construction
Permit #:
182203
_ Retaining Wall
_ Move Building
_ Demolish Building*
*Demolition of entire building — give PCA
handout to applicant
Occupancy Tic.-% MCES System
Code Edition /-{NP-,?CiQ 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
r Framing: 1 Hour o- 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