EA188517 - Building - Single Fam - Issued Date 12/20/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA188517
Eagan, MN 55122 --- ----�••I..
(651)675-5675 EAGAN
www.cityofeagan.com * E A 1 8 8 5 1 7
Date Issued: 12/20/2023
Site Address: 4845 Four Seasons Dr
Lot: 013 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-130
Use: * 10 - 83954 - 01 - 130 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-I
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 Charles P Tste Moorse
14690 Galaxie Ave, Suite 100 4845 Four Seasons 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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3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 DEC 18 2023 1 Date Received:
(651)675-5675 i FAX: (651)675-5694 I I
bUlldlpe�lon5 r[7t cltVOf@agan cpm I Date Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12/15!23 site Address: 4845 Four Seasons Dr
Unit#:
Applicant is: ❑ Owner 0 Contractor _ i i Sr-e�r—(in'
� oo _J
Name: Penny & Chuck Moorse
Address: 4845 Four Seasons Dr City. Eagan
State; MN zip: 55122 Phone: 651-278-49
Email:
Description of work: Bathroom ReModel
x
Construction Cost: 11000
Type of building: Single Family ❑Townhome,
Of units ❑ Twin Home
Company: Great Lakes Window & Siding Derek
Contact:
Address: 14690 Galaxe Ave City: Apple Valley
State: MN Zip: 55124 Phone: 952-891-340L Email: derek•91WSCO@gmail.COm
License#: BC060427 03/31/24
Ex iration Date:
Company:
Contact:
Address:
City:
State: Zip: Phone:
Email:
License#: Ex iration Date:
1 understand that Plumbing,Mechanical, and Fire Suppression work require separate alicatio
Pp ns.
CALL BEFORE YOU Dili. Contact Gopher State One Call at(651)454-0002 or www 000herstateonecallori
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilitiestection against underground utility
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 pian in the case of work which requires a review and approval of plans.
X Derek Brouillet
Applicant's Printed Name x
Applicant's Sig tore