EA188120 - Building - 01 of __-plex - Issued Date 11/20/2023 PERMIT
City of Eagan h Permit Type: Building
3830 Pilot Knob Rd A AN
Permit Number: EA188120
Eagan,MN 55122 `-�- �'
(651)675-5675 111111111111 IN 111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 1 z o
Date Issued: 11/20/2023
Site Address: 4704 Lenore Lane
Lot: 4 Block: 14 Addition: Ridgecliffe 4th
PID:10-63983-14-040
Use: * 1 0 — 6 3 9 8 3 — 1 4 — 0 4 0 *
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: Alteration
Description: Bathroom
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 R
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:
Mad City Windows&Baths Steven&Joan Mccombs
5020 Voges Road 4704 Lenore Lane
Madison WI 53718 Eagan MN 55122
(651)500-0514
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
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For Office Use
2 1
Building Permit#: LI
AP S&W Permit#:
+ �► o pEAGAN I
Permit Fee:
ECEIVE
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 I
651 675-5675 FAX: 651 675-5694
( ) � � ) NOV 17 223 I Date Issued: I
buildinginspections(a)cityofeagan.com I—————————————————————
RESIDENTIA_L 13I9YL& _ IT APPLICATION
11/17/23 � 4704 LENORE LANE
Date: Site Address: Unit#:
Applicant is: ❑ Owner 14 Contractor R - 3
I
Name: STEVEN & JOAN MCCOMBS
I Homeowner g SAME AS SITE ADDRESS
3 Address: City:
State: 612-275-027E Zig: Phone: Email:
t t
a
Description of work: REPLACING TUB WITH SHOWER.EXPOSING PART OF SHARED WALL WILL REINSULATE.MOVING PLUMB TO LEFT WALL
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Type of 7 423
Work Construction Cost: '
A I
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
MAD CITY WINDOWS & BATHS
Company: Contact:
Building Address:
2621 FAIRVIEW AVE N City. ROSEVILLE
:
Contractor State: Zip: Phone: Email:MN 55113 651-867-438E PERMITS@MADCITYWINDOWS.COM
3/31/24
License#: BC775012 Ex Iration Date:
Sewer& Company: Contact:
Water I
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction'
License#: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
I
NOTE: Plans and supporting documents that you submit are considered to be public information. 'Portions of the
z
information 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.
xGUADALUPE VEGA x
Applicant's Printed Name Applicant's Signature