EA188573 - Building - Single Fam - Issued Date 12/22/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
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L Permit Number: EA188573
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Date Issued: 12/22/2023
Site Address: 4494 Oak Pond Rd
Lot: 5 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-050 Imil
Use: * 10-2580 1-02-0S0
Description:
Sub Type: Single Fam Construction Type: V -B
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
BL - Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge - Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Great Lakes Home Renovations Timothy & Heather Ann Vonitter
14690 Galaxie Ave, Suite 100 4494 Oak Pond Rd
Apple Valley MN 55124 Eagan MN 55123
(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
;tarted.
[ hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
AMinnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
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Permit Fee:
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I Date Received: 1
3830 PILOT KNOB ROAD i EAGAN, MN 55122-181 DEC 21 2023 I
(651) 675-5675 i FAX: (651) 675-5694 i Date Issued:
buildinginspections@cityofeagan.com5 ---------------------
BY.
RESIDENTIAL BUILDING PERMIT APPLICATION
� 11/30/23 4494 Oak Pond Rd
Date: Site Address: Unit #:
Applicant is: ❑ Owner 0 Contractor
i Name: Great Lakes Window & Siding.
Homeowner ` 4494 Oak Pond Rd Eagan
Address: City:
$ MN 55123 6513388394 vonfam18@gmail.com
i State: Zip: Phone: Email:
Description of work: Bathroom Remodel
Type of Construction Cost: 8,000
Work
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company:
Great Lakes Window &Siding Contact:
�Derek�Broulllet
Building Address:
14690 Galaxie Ave City: Apple Valley
Contractor MN 55124 9528913400 derek.glwsco@gmail .corn
? State: Zip: Phone: Email:
BC060427 3/31/24
License #: Expiration Date:
Sewer & Company: Contact:
Water
' Contractor Address: City:
Required for State: Zip: Phone: Email:
I new construction
ti License #: Expiration Date:
0 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
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.
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.
a
X Derek Brouillet X (e-tm
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Applicant's Printed Name Applicant's Signature