EA187706 - Building - Single Fam - - Issued Date 11/01/2023 PERMIT
City of Eagan • , , ' Permit Type: Building
3830 Pilot Knob RdPermit Number: EA187706
Eagan, MN 55122 EAGAN
(651)675-5675 -..®
www.cityofeagan.com * E R 1 8 7 7 0 6
Date Issued: 11/1/2023
Site Address: 3148 Farnum Dr A
Lot: 1 Block: 05 Addition: Coachman Land Co 2nd
PID:10-18151-OS-010
Use: * 10 - 18 1S 1 - 05 - 0 10 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-3
Zoning: R-3
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
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Great Lakes Home Renovations Bruce E Anderson
14690 Galaxie Ave,Suite 100 3148 Farnum Dr Unit A
Apple Valley MN 55124 Saint Paul MN 55121--192
(952)891-3400
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
6ma) led 10131
--------------
rFor Office Use
187706
Building Permit#:
a
S&WPermit#: �
EAG
NVE Permit Fee:
I 10/26/2023
O2 I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MCT C 2023N 55122-18 1.I U
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued:
buildinginspections ancitvofeagan.com BY. I—————————————————————--
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/25/23 Site Address: 3148 Farnum Drive unit#: A
Applicant is: ❑ Owner ❑ Contractor
Name: Bruce Anderson
Homeawnet 3148 Farnum Dr Unit AEagan
Address: City:
State: MN Zi : 55121 Phone: 651-686-64% Email: ba16@msn.com
Description of work: Bathroom Remodel
Type of 12,000 R-3, Coachman
Work Construction Cost:
Type of building: ❑ Single Family Townhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding contact: Derek Brouillet
Buildtng : Address: 14690 Galaxie Ave city. Apple Valley
Contractor MN 55124 952-891-34% Email.. g @g derek. Iwscomail.com
State: Zip: Phone: @
License#: BC060427 Expiration Date: 3/31/24
Sewer$ Company: Contact:
Water
Co
Address: City:
Required for State: Zip: Phone: Email:
new con$truction
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NST :Plans arts supporting ddcumertits that you submit are
"considered to be public information. Poiortis of the'
information may be classifled�as3.r9dri-`public if,you prAvide specific reasons that would permit the city to.concludo that tthey
are trade secrets. :: .
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00j)herstateonecall.org 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 D 84�&4&&O
Applicant's Printed Name Applicant's Signature