EA186102 - Building - Single Fam - Issued Date 08/28/2023 PERMIT
City of Eagan , , , p Permit Type: Building
3830 Pilot Knob Rd ®a>;�4 %®,��� Permit Number: EA186102
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 6 1 0 2
Date Issued: 8/28/2023
Site Address: 1445 Rocky Lane
Lot: 4 Block: 1 Addition: Cutters Ridge 2nd
P1D:10-19101-01-040
Use: * 10 19 1 (171 - 0 1 — d40
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: bathroom remodel
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).
BL-Base Fee
Fee Summary: $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 Lori Lynn Picha
14690 Galaxie Ave,Suite 100 1445 Rocky 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.
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Applicant/Permitee: Signature Issued By: Signature
L M 8114-
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For Office Use---------------------
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Building Permit#: 186102 i
S&W Permit#:
EAG -N `V- I
#.,� I I Permit Fee:
i 8/15/2023
r ., I Date Received: I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-181
(651)675-5675 FAX: (651)675-5694 I Date Issued:
buildinginspections@cjlyofggqan.com BY: I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 08/15/23 site Address: 1445 Rocky Ln Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: Lori Picha
Address: 1445 Rocky Ln City: Eagan
State: MN Zip: 55122 Phone: 651-274-06 Email:
Description of work:
Bathroom Remodel
Construction Cost: 8000 R-1, Cutters Ridge
Type of building: 14 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding Contact: Derek
Address: 14690 Galaxie Ave City: Apple Valley
State: MN Zip: 55124 Phone: 952-891-34% Email: derek.glwsco@gmail.com
License#: BC060427 Ex iration Date: 03/31/24
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License#: Expiration 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(851)454-0002 or yor aopherstateonecall.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.,-
r
X Derek Brouillet X
Applicants Printed Name Applicant's Signature