EA188133 - Building - Single Fam - Issued Date 11/22/2023 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd %;,:, Permit Number: EA188133
Eagan, MN 55122 *--- --® EAGAN
(651)675-5675 .
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www.cityofeagan.com * E R 1 8 8 1 3 3 *
Date Issued: 11/22/2023
Site Address: 3859 Heather Dr
Lot: 30 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-300
Use: * 10 14993 - 0 1 - 3 >? 0
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: 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 Barry Duran Sr Alexander
14690 Galaxie Ave,Suite 100 3859 Heather Dr
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
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rFor Office Use
I 188133 1
1 Building Permit#: I
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Permit Fee:
NOV 2 0 2023 I Date Received: 11/20/2023 j
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
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(651)675-56751 FAX: (651)675-5694 1 Date Issued: 1
buildinainsi)ectionsecityofeagan.com I—————————————————————
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/20/23 site Address: 3859 Heather Dr Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Barry & Annette Alexander
Homeowner Address: 3859 Heather Dr City: Eagan
State: MN Zi ; 55122 Phone: 612-258-67 Email: veep4health@gmail.com
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Description of work: Bathroom Remodel
Typo bf13 000 PD, Briar Hill
Word Construction Cost:
Type of building: 1u Single Family ElTownhome, of units ❑ Twin Home
Company: Great Lakes Window & Siding Contact: Derek Brouillet
14690 Galaxie Ave Apple Valley
, Address: City:
oontator = MN 55124 952-891-34� derek.glwsco@gmail.com
_ State: Zip: Phone: Email.
BCO260427 03/31/24
License#: Expiration Date:
Sewer' Company: Contact:
Water
Contractor Address: City:
Required',for State: Zip: Phone: Email:
new constr coon.
License#: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE"Ptans and> u
op_brting"documents that you submit arecbnsidered to,be public informat�anr Portions of the
infotttitaEion inay;be cla5s,ifled as yrtori-public'it fou provide specific reasons that wauld:permtt the Cify do conclude thet they
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CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gor)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 a�
Applicant's Printed Name Applicant's Signature