EA188199 - Building - Single Fam - Issued Date 11/29/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd %,;,%, Permit Number: EA188199
Eagan, MN 55122
(651)675-5675 EAGAN
www.cityofeagan.com * E AW8Bpi "9 *
Date Issued: 11/29/2023
Site Address: 782 Sunset Dr
Lot: 9 Block: 1 Addition: Sunset 4th
Use::10-72988-01-090
Use * 10 - 72988 - 0 1 - 09o *
Description:
Sub Type: Single Fam Construction Type: V-13
Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions,Alterations 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 Jack G&Roberta J Conrad
14690 Galaxie Ave,Suite 100 782 Sunset Dr
Apple Valley MN 55124 Eagan MN 55123--208
(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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For Office Use
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EAGAN I Permit Fee:
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1 Date Received:
3830 PILOT KNOB ROAD i EAGAN, MN 55122-181 �QV 2 7 �o��
(651)675-56751 FAX: (651)675-5694 I Date Issued:
build inginspections@cityofeaaan.com R 0 1---------------------;
BY:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/22/23 Site Address: 782 Sunset Dr Unit#:
Applicant is: ❑ Owner 14 Contractor 1 S L4,0 Q+
Name: Bobbi & Jack Conrad
Homeowner Address: City: g 782 Sunset Dr Eagan
State: MN Zi-- 55123 Phone 651-353-93% Email: bobbiconrad99@gmail.com
c Bathroom Remodel
Description of work:
Type of 11 000
Work Construction Cost:
a
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
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Company: Contact:Great Lakes Window & Siding Derek Brouillet
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Building Address; 14690 Galaxie Ave city: Apple Valley
Contractor
State: MN Zip: 55124 Phone: 952-891-341% Email: Derek.glwsco@gmail.com
License#: BC060427 03/31/24 I
�. _ ... Ex iration Date:
Sealer Company: Contact:
Water
Contractor Address: City:
Required for @ State: Zip: Phone: Email:
new construction
License#: Ex iration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they u
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aol)herstateonecall.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 Z�) �UdA�&
Applicant's Printed Name Applicant's Signature