EA180417 - Building - 01 of __-plex - Issued Date 12/05/2022City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4053
Lot: 053 Block: 04
PID: 10-64300-04-053
Use:
PERMIT
as Permit Type: Building
' EAPermit Number: EA180417
iiiiiiiiiiiiiiiiiiiiiillillillillillillilliffg
* E R 1 8 0 4 1 7*
Meadowlark Curve
Addition: River Bluff Town Homes
Date Issued: 12/5/2022
*10-64300-04-053*
Description:
Sub Type: 01 of _-plex Construction Type: V -B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -3
Zoning: R-3
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 $73.75 0801.4085
Valuation: 2,000.00 Plan Review $47.94 0720.4222
Surcharge - Based on Valuation $1.00 9001.2195
Total: $122.69
Contractor: - Applicant - Owner:
Minnesota Rusco Anita M Nuhring
5010 Hwy 169 N 4053 Meadowlark Cury
Brooklyn Park MN 55428 Eagan MN 55122
(952)935-9669
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 ssued B : Signature
®1ei
®® e
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810EC E 1 V E
(651) 675-56751 FAX: (651) 675-5694
buildinainspectionsOcitvofeaQan.com
NOV 18 2022
RESIDENTIAL B
--------------
r For Office use
I Building Permit #: I
I I
j S&W Permit #:
Permit Fee: 2-2. (o I 1
I
I ;
Date Received: I
I ;
I ;
I Date Issued: ;
I ---------------------J
APPLICATION
Date: 11/28/22 Site Address: 4053 Meadowlark Curve unit#:
Applicant is: ❑ Owner 14 Contractor 3 9-1 ^-f— ( W9
Homeowner
Name: Anita Nuhring
Address: 4053 Meadowlark Curve City. Eagan
State: MN Z;p. 55122 phone: 612-986-484' Email: nuhring@msn.com
Deme exbtbie. hal ne..no.ar eYetem elro wap Benountl. Mlnro9eie Reeto to h -40'h -w vm a heM., mu. eml seal. ftw emehe eeul C.c•. W.- m seas v ftm Pe m be P Ud seP—Wy.
Description of work:
Type'of $7711.00
WQr Construction Cost:
I Type of building: ❑
Company: MN Rusco
14 Townhome, of units ❑ Twin Home
Contact: Kelli Gugisberg
Building Address: 5010 Hwy 169 N City; New Hope
Contractor MN 55428 952-935-966f kelli@minnesotarusco.com
State: Zip. Phone: Email.
License* CR002173 Expiration Date: 3/31 /24
Sewer & Company: Contact:
Water
Contractor_ Address: City:
Required for State: Zip: Phone: Email:
new construction'r
I_ ir•.ance # Fxniration Date:
14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
nation shay be claesifled as non-public.if you provide specific Ira
ado secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.nopherstateonecall.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 Kelli Gugisberg x 1"�da
Appllcant's Printed Name Applicant's Ig tura
Site Address: 4053 Meadowlark Curve
SUB TYPES
Single Family
_ Fireplace
_ Lower Level
D� 01 of _ Plex
_ Foundation
_ Porch
Deck
_ Garage
_ Pool
WORK TYPES
New
_ Repair
_ Siding
_ Addition
_ Fire Repair
_ Reroof
_ Alteration
_ Water Damage
_ Windows
Replace
_ Egress Window
_ Solar
DESCRIPTION
Calculated Valuation
Plan Review 025% 100%
Census Code
# of Units
# of Buildings
Type of Construction \) V
Perm it#: ) b ` 41q
_ Retaining Wall
Move Building
Demolish Building*
'Demolition of entire building — give PCA
handout to applicant
Occupancy plQe_-1 MCES System
Code Edition /Yfj Q- --I&ZL0 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
Framing: 1 Hour L Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Fireplace: _Rough In _Air Test _Final
HVAC: Rough In Final
Radon Control
Siding: _Stucco Lath _Stone Lath _Brick
Roof: _Ice & Water _Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: 1 W f , Building Inspector
FEES
Calculated Valuation 4 7"0t90
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00 al'Z •*q