EA185510 - Building - Single Fam - Issued Date 07/28/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd ;; Permit Number: EA185510
Eagan,MN 55122 "
(651)675-5675 �� E AGA N
www.cityofeagan.com * E R 1 8 5 5 1 0
Date Issued: 7/28/2023
Site Address: 1481 Thomas Lane
Lot: 009 Block: 002 Addition: Walden Heights
PID:10-83300-02-090
Use: * 10 - 83300 - 0Z - 090 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: 2 Bathrooms
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 $100.05 0801.4085
Valuation: 3,000.00 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 Austin&Judith Kaufmann
14690 Galaxie Ave,Suite 100 1481 Thomas Ln
Apple Valley MN 55124 Saint Paul MN 55122-276
(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.
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Applicant/Permitee: Signature ssued B : Signature
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-56751 FAX: (651)675-5694 JUL L b 2023
I Date Issued:
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-- -
BY;
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 07/26/23 site address: 1481 Thomas Ln WUU
Applicant is ❑ Owner 14 Contractor
Name: Austin & Judy Kaufmann
ltmaivt,�r,� 1481 Thomas LN Eagan
art
City: g _
State: MN Zi 55122 Phone: 651-263-087'El Email:
` 2 Bathroom Remodels
s d Description of work:
W7 "IV 20000
' Construction Cost:
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Type of building: AL! Single Family ❑ Townhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding Contact: Derek
E U1110160��l. Address: 14690 Galaxie Ave city Apple Valley
or �'
State: Zip: Phone: Email. g MN 55124 952-891-34% derek,glwsco@gmail.com
mail.com
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License#: BC060427 Expiration Date: 03/31/24
Seer �i Company: Contact:
Water �
Contractor r Address City.
Required for .r, State: Zip: Phone: Email:
novyr coi,skrt c#ton .
License#: Ex iration Date:
I understand that Plumbing, Mechanical, and Fire suppression work require separate applications.
Ni TEt Pl nsft anis s pportin dcreumsrttar tFtat you submit ons dered to b ub(Ic lnforrnatton Por�i�h 01 the
°. g� }pst a if frau p nv#de eR fore rns: tt wc�u1 p rthtt the Ci r to on cru i4hat they
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.c.Lciprerstateonecall arms for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
' 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 Applicant's Signature