EA187729 - Building - Single Fam - Issued Date 11/01/2023 PERMIT
City of Eagan , , , e Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA187729
Eagan,MN 55122 -- EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 7 7 2 9
Date Issued: 11/1/2023
Site Address: 4121 Durham Ct
Lot: 088 Block: 04 Addition: Diffley Commons
PID:10-20450-04-088
Use: * 10 - 204S0 04 - 088 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: - Occupancy: IRC-1
Zoning: PD
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 David Karlson
14690 Galaxie Ave,Suite 100 4121 Durham Ct
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
LM
I For Office Use
1 187729
1 Building Permit#:
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0 l S&W Permit#:
IVE EAGPermit Fee:l�U.1 �/
- I 10/26/2023
OCT 2 6 2023 i Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
I I
(651)675-5675 1 FAX: (651)675-5694 B I Date Issued:
buildinginsgectionsCa�citvofeagan.com I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/26/23 site Address: 4121 Durham Ct Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: David Karlson
Homeowner Address: City: g 4121 Durham Ct Eagan
State: MN Z; : 55122 Phone: 612-554-7251 Email: davidmkarlson@gmail.com
Description of work: Bathroom Remodel
Type of' 9,000 pp D� f Fle Cor mor)S
Work Construction Cost:
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding contact: Derek Brouillet
(Building Address: 14690 Galaxie Ave City: Apple Valley
Contractor q yZ- Sq i
State: MN Zip: 55124 Phone: �`�� Email: derek•glwsco@gmail.com
License#: BC060427 Expiration Date: 3/31/24
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
crew construction
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting docurtie„hts that:you Submit are considered to be public information: Portions of the
information11 may be classified as non-public If you provide specific reasons`,that would permit the City to conclude that they
are trade secrets:
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.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 ,a 92&UdAt—
Applicant's Printed Name Applicant's Signature