EA189195 - Building - 01 of __-plex - Issued Date 02/15/2024 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd ,,.; %";.', Permit Number: EA189195
Eagan, MN 55122 EAGAN
(651)675-5675 111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 9 1 9 S *
Date Issued: 2/15/2024
Site Address: 4485 Lakeshore Ter
Lot: 4 Block: 02 Addition: Cliff Lake Shores
PID:10-17785-02-040
Use: * 1 0 — 1 7 7 8 E — 0 z — 0 4 0
Description:
Sub Type: 01 of_-plex Construction Type: V-B
Work Type: Alteration
Description: Bathroom
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 lC
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:
Mad City Windows&Baths David G&Jamie L Tstes Wratkowski
5020 Voges Road 4485 Lakeshore Ter
Madison WI 53718 Eagan MN 55122
(651)500-0514
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
L 2-114-
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For
-/14 -------------For Office Use
% 1 Building Permit#: tr l ( S
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% 0 1 S&W Permit#:
EAGAN I
Permit Fee:
I
1 I
EC E i V E I Date Received I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 I I
(651)675-5675 1 FAX: (651)675-5694 1
buildinginspections cityofeagan com 12 2024 I Date Issued:
RESIDENTIAL 13@T �pn IT APPLICATION
2/12/24 4485 LAKESHORE TERRACE EAGAN MN 55122
Date: Site Address: Unit#:
Applicant is: ❑ Owner 9 Contractor CII Sh��
Name:
DAVE & JAMIE WRATKOWSKI
Homeowner SAME AS SITE ADDRESS
Address: City:
State: Zil): Phone: 952-460-0656
� Email:
I REPLACING TUB.EXPOSING PART OF SHARED WALL WILL REINSULATE TO CODE
PLUMBING IS MOVING TO RIGHT WALL.BUILDING 2 WALLS TO FIT NEW TUB.
Description of work: VIEW PLANS FOR ADD INFO.
Type of
Work Construction Cost: $5,049
Type of building ff Single Family ❑ Townhome of units ❑ Twin Home
Company: MAD CITY WINDOWS&BATHS Contact:
Building Address: 2621 FAIRVIEW AVE N City; ROSEVILLE
Contractor.
State: MN Zip:55113 Phone: 651-867-4388 Email: PERMITS@MADCITYWINDOWS.COM
� License#: BC775012 Expration Date: 03/31/2024
Sewer & Company:P Y: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
t
® I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. i
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.
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.l f fI1 �f �,/d,�t
X GUADALUPE VEGA �Y�^'�+�a4f/ & r &^9 A/
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Applicant's Printed Name Applicant's Signature