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EA188906 - Building - Single Fam - Issued Date 01/24/2024 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd I•�,f EAGAN Permit Number: EA188906 Eagan, MN 55122 •••- ••-• (651)675-5675 www.cityofeagan.com * E A 1 8 8 9 o 6 Date Issued: 1/24/2024 Site Address: 3725 South Hills Way Lot: 14 Block: 1 Addition: South Hills 1st PID:10-70790-01-140 Use: * 10 - 70790 - 0 1 — 140 * Description: Sub Type: Single Fam Construction Type: V-13 Work Type: Int Impr Description: Bathroom Remodel Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I 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: $138.78 Contractor: - Applicant - Owner: Great Lakes Home Renovations Thomas G&Beverley Miller 14690 Galaxie Ave,Suite 100 3725 South Hills Way Apple Valley MN 55124 Saint Paul MN 55123--121 (952)891-3400 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Applicant/Permitee: Signature Issued By: Signature i 1 l For Office-- ------------------- - ___--____.____—I I I + I Building Permit#: 188906 i # i I l i S&W PermitEA A #: i I a,.+ •.,,,r c EI V E I Permit Fee:--,,._—' Date Received1/23/2024: i 3830 PILOT KNOB ROAD I EAGAN, MN 5512-1810 JAN 2 3 2024 (651)675-56751 FAX: (651)675-5694 I Date Issued: build inginspectionsa-cityofeagan.cam I BY, t_____________________ I RESIDENTI 'L BUILDING PERMIT APPLICATION i .� . Date: 1/23/24 Site Address: 3725 S HMIs Way unit#: Applicant is: ❑ Owner 14 Contractor } 1 k b Name Tom & Bevetily Miller ° Address 3725 S Hill$ Way city Eagan MN 55123 612-309-581 State: ZI Phone: Email: r Description of work: Bthroom Remodel 9000 PD, South Hills �€�*e Construction Cost: JI ": '�' Type of building: Ingle Family ❑ Townhome, of units ❑ Twin Home Great Lakes Window & Siding Derek a qa f7� Company: Contact:_ � t 14690 Gal xie Ave Apple Valley Address: City: MN 5512 952-891-34derek.glwsco@gmail.com State: Zi Phone: Email. License#: BC060427t Expiration Date: 3/31/24 e w► Sii"� Company: Contact: i Address: Gity: t State: Zip: Phone: Email: ti8�!GEttl�3tft License#: Ex iration Date: �) 1 understand that Plumbing, Meq'hanical, and Fire Suppression work require separate applications. NQ,1 i,E�luri�l ilnd suppbrtlrig doesult�snts5 at you sukinri t are'cc nsidersd to be.pubft tnfarmattdn;` Portions lf� iia ¢ u-0n ` " cllf tau l depelftd rcas+�h>a iEhat vsfould enrttlt the City to coolude twat they 4akAMle4s 4tiT4�ti3¢,�'nz, CALL BEFORE YOU DIG. Contact Gopher Statene Cali at(651)454-0002 or vA .000herstateonecaii.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 compete 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 Applicant's Printed Name Applicant' igfiature I I I l