EA182698 - Building - Single Fam - Issued Date 05/11/2023PERMIT
City of Eagan
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Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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®m®® ®®®°EAGAN
Permit Number:
111111111111
EA182698
(651) 675-5675
www.cityofeagan.com
* E A 1 8 2 6 9 8
Date Issued:
5/11/2023
Site Address: 4807
Richard Lane
Lot: 26 Block: I
Addition: Hillcrest
PID:10-32975-01-260
Use:
* 1
0— 3 2 9 7 S— 0
1— 2 6 0
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Bathroom
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: $138.78
Contractor: - Applicant - Owner:
Great Lakes Home Renovations Bruce II & Sinn -Brown
14690 Galaxie Ave, Suite 100 4807 Richard Ln
Apple Valley MN 55124 Eagan MN 55122
(952) 891-3400
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
ssued B : Signature
LM 5110
--------------------- I
For Office Use 11 �
�e o I Building Permit #: 2, I
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S&W Permit #:-70
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EAGANI
I Permit Fee: � I
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II
Date Received: 1
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 CEIVE
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(651) 675-56751 FAX: (651) 675-5694
buildinainspeons(Ocitvofeaaan.cam I Date Issued:
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RESIDENTIAL BU IN iPFRMT APPLICATION
Date: 05/04/23 Site Address: 4807 Richard Ln Unit #:
Applicant is: ❑ Owner 14 Contractor R— I f - I CiYt e� A-4).
eT
k` ° Emily & Bruce Anderson
7
,- Name:
�r
wk
�abwll�f',tr 4807 Richard Ln Eagan
s Address:
t1ttfl(-<4�ii city:
MN 55122
State: zip: Phone: 763-222-85 Ederek.glwsco@gmail.com
�} mail:
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Description of work: Bathroom Remodel
Construction Cost: 3000
-C ,' + ' ? ,', x'} Type of building: ��ryry
g: MtJ Single Family ❑ Townhome, of units ❑Twin Home
fx j° company: Great Lakes Window & Siding Cone: Derek
itfri��hrs Address: 14690 Galaxie Ave City: Apple Valley
ori#�ctr ( MN 55124 952-891-34�
State: Zip: Phone: Email: derek.glwsco@gmail.com
Cdr r }r r
BC060427 03/31/24
License #: Expiration Date:
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, Vi, �$ � Company: Contact:
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Address: City:
xtequired fof ° State: Zip: Phone: Email
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License #:
Ex iration Date:
I 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 (651) 464-0002 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 plans. _ —
x Derek Brouillet X
Applicant's Printed Nam Applicant's Signature
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 Wali Panel(s)
Firewalls
d+ 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:
pC. Final/No C.O. Required
AA�Final/C.O. Required
*405--
Reviewed By: , Building Inspector
FEES
Calculated Valuation
-�OOE7
FCS rr# i l .V O"
79 -so
Plan Review
Site Address: 4807 Richard Ln
Permit #:
SUB TYPES
Met Council SAC
City SAC
Single Family
_ Fireplace
_ Lower Level
Water Supply & Storage
01 of _ Plex
_ Foundation
_ Porch
Meter
_ Deck
_ Garage
_ Pool
Other:
WORK TYPES
_ New
_ Repair
_ Siding _
Retaining Wali
_ 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
Z
Calculated Valuation
Plan Review
f
[325% 100%
Occupancy/
Code Edition 1qR/` r Low
MCES System
SAC Units
Census Code
Zoning - t
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 Wali Panel(s)
Firewalls
d+ 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:
pC. Final/No C.O. Required
AA�Final/C.O. Required
*405--
Reviewed By: , Building Inspector
FEES
Calculated Valuation
-�OOE7
Base Fee
79 -so
Plan Review
!�q . Z
State Surcharge
1.60
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 13%.76