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EA184474 - Building - Single Fam - Issued Date 06/13/2023 PERMIT City of Eagan ® ® ® ® Permit Type: Building 3830 Pilot Knob Rd ®®® ® ® °® Permit Number: EA184474 Eagan,MN 55122 ®m®® ®®®® E AGA N (651)675-5675 �® www.cityofeagan.com * E A 1 8 4 4 7 4 Date Issued: 6/13/2023 Site Address: 4765 Hauge Cir Lot: 8 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-080 Use: * 1 0 — 6 3 9 8 0 — 0 4 — 0 8 0 Description: Sub Type: Single Fam 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 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 Justin&Samantha Willey 14690 Galaxie Ave,Suite 100 4765 Hauge Cir 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 ql .1UN 0 8 2023 ECEIVE I For Office Use BY. I e ® ® ® I Building Permit#: 184474 e ® I t ® I 1 S&W Permit#: EAG12% N I I I Permit Fee: A a!7 Date Received: 6/8/23 j 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-56751 FAX: (651)675-5694 I Date Issued: j b-uitdinginspectionsiMcitvoWcjan.com RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06/08/23 Site Address: 4765 Hauge Cir Unit#: Applicant is: ❑ Owner 14 Contractor Name: Justin & Samantha Willey °# Address: 4765 Hauge Cir Eagan City: g State: MN : 55122 phone: 652-483-16 ` Email: Bathroom Remodel Description of work: 10000 r Construction Cost: Type of building: Single Family ❑ Townhome, of units ❑ Twin Home 41� company; Great Lakes Window & Siding Contact: Derek 3 k t ;w�g 14690 Galaxie Ave Apple ValleyCity,Address: MN 55124 952-891-34 derek Iwsco mail.com State: Zip: Phone: Email: 'g �g BC060427 03/31/24#: Date: iration Company: Contact: Address: City: Retttr � „ State: Zip: Phone: Email: License#: Expiration Date: 1 understand that Plumbing, Mechanical,and Fire Suppression work require separate applications. �' °'{ h�ari � � tsrting3tl mitt �yf�u suubttiil����.�s�idared, ib�ptibii� t�fiarrhrjat�+�n +P!>wtlons ri�the nt�rmatlon,may cla�lfl �� a ���itycit+�?roY���s ,retie , kt)'1�t`wcp}ytl pe ,=tris, r{9,,tQcota' lu 'st e�/ a+ , a 4• F '� ,i .,I�, +- t` ¢, _;7 + f Id'�y arJ� i�r d f�41 r`�St{nk S �� '3' a ¢ 1rp 'uF rY.:r ;: {. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or w-ww.000herstateonecall.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 X22� Applicant's Printed Name Applicant's Signature SUB TYPES Site Address: 4765 Hauge Cir Permit#: 184474 ,e�f 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 DESCRIPTION handout to applicant Calculated Valuation A00o Occupancy 1-eC.. ® MCES System Plan Review 025%8100% Code Edition L° gc-®2o4o SAC Units Census Code Zoning City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction %/171 Fire Suppression Required Separate Stormwater Management Permit Required REQUIRED INSPECTIONS Footings: New Addition Deck Meter Size: Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick Framing: 1 Hour ,/Residential Alteration Roof:_Ice&Water _Final Braced Wall Framing/Blocking Erosion Control Braced Wall Sheathing(prior to house wrap) Pool:_Footings —Air/Gas Tests _Final Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final Firewalls Fire Suppression:_Rough In_Final Insulation Windows Radon Control Other: Drain Tile Grading Final/No C.O.Required p // Final/C.O.Required Reviewed By: Ve-Is,, , 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