EA187887 - Building - 01 of __-plex - Issued Date 11/08/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 3740
Lot: 2 Block: 06
PID:10-67125-06-020
Use:
PERMIT
" , Permit Type: Building
*` "_° Permit Number: EA187887
EAGAN
INEUMMM
* E R 1 8 7 8 8 7*
Burgundy Dr
Addition: Seneca Hills
Date Issued: 11/8/2023
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Description:
Sub Type: 01 of _-plex Construction Type: V -B
Work Type: Alteration
Description: Bathroom
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -2
Zoning: R-3
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1(
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: $138.78
Contractor: - Applicant - Owner:
Great Lakes Home Renovations Jeffrey Tste Saforek
14690 Galaxie Ave, Suite 100 5170 Blythe Ct N
Apple Valley MN 55124 Eloy AZ 85131
(952) 891-3400
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
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Issued By: Signature
jyV) 11 Jb
(651) 675-56751 FAX: (651) 675-5694 NOV 0 2 2023 Date Issued:
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build in insgections5cityofeacian.corn i—_—.—___---_.._—__---_--
RESIDENTIAL BUIL�Iy PPLICATION
Date: 11/3/23 Site Address: 3740 Burgundy Dr Unit #:
Applicant is: ❑ Owner Contractor IrC�
Name: Jeff & Laurie Saforek
Homeowner address: 3740 Burgundy Dr City Eagan
state: MN Zi 55122 816-830-98% Email:
Description of work: Bathroom Remodel
�._
Type of 10000
Work; a Construction Cost:
9
Type of building. Single Family ❑ Townhome, of units ❑ Twin Home
li
Great Lakes Window & Siding Derek
�s a Company: Contact.
Buil dinig Address:14690 Galaxie Ave Apple Valle
. City: ��P � y
ConLrator", MN 55124 952-891-34% derek. IwSco mail.com
State: Zip: Phone: Email. g �g
License #: BC060427 Ex iration Date: 03/31/24
Company: Contact:
iQ�t>!CflC Address: City:
RVrrd"firs;, State: Zip: Phone: Email:
ccRntruettorr
fleury
s'. License #: Ex iration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Nf�TE;, i'lan ands ppnrtiing'dbcuments "that you submit are cgnsidered to be public information.. Partioht;"ofthe
infor►aliorttna�+ iclastfied ae non public if you provide specific reasons that would permit the City to cotCiude that they
>;`�a. .� .�. ....ic�n��„s�'i`�1� *�`a';�YHk6,-�`'Cy z��P �$?a �.�.; ... _ .a< m..avwC �;Qv°e.o.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or & wvgooherstateonecall.ora 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
Applicant's Erin}Prl Narnp Apptican Signature
---------------------
For Office Use i
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Building Permit #:
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S&W Permit #: ,
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Permit Fee: r
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ECEIVE i
3830 PILOT KNOB ROAD i EAGAN, iViN 55122-1810 t
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Date Received: I
(651) 675-56751 FAX: (651) 675-5694 NOV 0 2 2023 Date Issued:
I I
i I
build in insgections5cityofeacian.corn i—_—.—___---_.._—__---_--
RESIDENTIAL BUIL�Iy PPLICATION
Date: 11/3/23 Site Address: 3740 Burgundy Dr Unit #:
Applicant is: ❑ Owner Contractor IrC�
Name: Jeff & Laurie Saforek
Homeowner address: 3740 Burgundy Dr City Eagan
state: MN Zi 55122 816-830-98% Email:
Description of work: Bathroom Remodel
�._
Type of 10000
Work; a Construction Cost:
9
Type of building. Single Family ❑ Townhome, of units ❑ Twin Home
li
Great Lakes Window & Siding Derek
�s a Company: Contact.
Buil dinig Address:14690 Galaxie Ave Apple Valle
. City: ��P � y
ConLrator", MN 55124 952-891-34% derek. IwSco mail.com
State: Zip: Phone: Email. g �g
License #: BC060427 Ex iration Date: 03/31/24
Company: Contact:
iQ�t>!CflC Address: City:
RVrrd"firs;, State: Zip: Phone: Email:
ccRntruettorr
fleury
s'. License #: Ex iration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Nf�TE;, i'lan ands ppnrtiing'dbcuments "that you submit are cgnsidered to be public information.. Partioht;"ofthe
infor►aliorttna�+ iclastfied ae non public if you provide specific reasons that would permit the City to cotCiude that they
>;`�a. .� .�. ....ic�n��„s�'i`�1� *�`a';�YHk6,-�`'Cy z��P �$?a �.�.; ... _ .a< m..avwC �;Qv°e.o.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or & wvgooherstateonecall.ora 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
Applicant's Erin}Prl Narnp Apptican Signature