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.
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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 ;:
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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