EA185079 - Building - Single Fam - Issued Date 07/11/2023 PERMIT
City of Eagan ° ® ® ® Permit Type: Building
3830 Pilot Knob Rd °®° ® % �®® EAGPermit Number: EA185079
®®°® ®®®®
Eagan, MN 55122 e®®® ®®
(651)675-5675 1111111111111
www.cityofeagan.com * E A 1 8 S 0 7 9
Date Issued: 7/11/2023
Site Address: 4702 Penkwe Way
Lot: 14 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-140 111111111111 IN 11111101111111111111111 IN 11111111111111111111111111 11M
Use: * 1 0 — 3 9 8 0 0 — 0 2 — 1 4 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: 2x bathroom remodels
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I
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 $100.05 0801.4085
Valuation: 2,292.00 BL-Plan Review 65% $65.03 0720.4222
Surcharge-Based on Valuation $1.50 9001.2195
Total: $166.58
Contractor: - Applicant - Owner:
Great Lakes Home Renovations William P Hoium
14690 Galaxie Ave,Suite 100 4702 Penkwe Way
Apple Valley MN 55124 Eagan MN 55122--279
(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
CIV
JI L 0 6 202 -------------
For Office use
s ; . Pil I BY. i Building Permit#:
185079
--------------
S&W PermitA N #:
♦®®+ m;vwv I i
Permit Fee:
Date Received: 7/6/2023 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 FAX:(651)675-5694 1 Date Issued: 1
buildinainsoectionsi&-citvofeanan.com I-----————----—--—---—.
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 07/06/23 Site Address: 4702 Pen kwe Way Unit#:
Applicant is: ❑ Owner 14 Contractor
Bill & Casey Hoium
r4, Iz Name:
temvriei ' Address: 4702 Penkwe Way City:
Eagn
ty:
�'} ' state: MN zi : 55122 phone: 651-265-02 Email:
i,�
' Descri tion of work:
2 Bathroom Remodels
s f
Construction Cost: 20000 R-1, Johnny Cake Ridge
Type of building: flu Single Family ❑ Townhome, of units ❑ Twin Home
i
Great Lakes Window& Siding Derek
Company: Contact:
Gd!«` W
�� } Address: 14690 Galaxie Ave city: Apple Valley
MN 55124 952-891-34% derek.glwsco@gmaii.com
{Y
State: Zip: Phone: Email:
v i sU ti}JtM £ #9
�� : License#: BC060427 Expiration Date: 03/31/24
, a Yr
oiii t"1 rk'43 Company: Contact:
elft+ is
Address: City:
, 4
1171
State: Zip: Phone: Email:
e
Lice rise#: Ex iration Date;
1 understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
7n", ,ytJ, bfr �Cd"! erd ##'1ia�ldri. ftlt of"thy} a
9
may c :miffed a:3 n# ` „c tt fix; prctxi a t�r. otst rml tc ► ludo tt tit#y,.
i
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.000herstateonecali.ora 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 Name 4wicanK Signature
0-1001 43M,
Site Address: 4702 Penkwe Way Permit#: 185079
SUB TYPES
✓Single Family — Fireplace _ Lower Level
01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
_ New _ Repair _ Siding _ Retaining Wail
_ 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 I Occupancy TIZr. I VICES System
Plan Review 1329% 100% Code Edition 1"lYRC-oloo7® SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Ve3 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
r Framing: 1 Hour of 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
Final/C.O.Required
Reviewed By: ��®� , Building Inspector
FEES I
-�e (a)
Calculated Valuation F0a
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