EA186399 - Building - Single Fam - Issued Date 09/05/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(65 1) 675-5675
www.cityofeagan.com
Site Address: 4721
Lot: 2 Block: 1
PID:10-39800-01-020
Use:
Description:
PERMIT
Permit Type: Building
Permit Number: EA186399
11MM111 1111111111
* E R 1 8 6 3 9 9*
Date Issued: 9/5/2023
Penkwe Cir
Addition: Johnny Cake Ridge
* 1 0— 3 9 8 0 0 0 1— 0 2 0
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 Jerome A Tste Kristoff
14690 Galaxie Ave, Suite 100 4721 Penkwe 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
Issued By: Signature
EAGAN
Permit Type: Building
Permit Number: EA186399
11MM111 1111111111
* E R 1 8 6 3 9 9*
Date Issued: 9/5/2023
Penkwe Cir
Addition: Johnny Cake Ridge
* 1 0— 3 9 8 0 0 0 1— 0 2 0
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 Jerome A Tste Kristoff
14690 Galaxie Ave, Suite 100 4721 Penkwe 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
Issued By: Signature