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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