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EA180872 - Building - Single Fam - Issued Date 01/10/2023 PERMIT City of Eagan ° ® Permit Type: Building 3830 Pilot Knob Rd ® ® °°° Permit Number: EA180872 ® Eagan,MN 55122 •••• ---• EAG (651)675-5675 111111111111 www.cityofeagan.com * E A 1 8 0 8 7 2 Date Issued: 1/10/2023 Site Address: 3691 Cardinal Way Lot: 4 Block: 1 Addition: Lexington Place South 2nd PID: 10-45061-01-040 Use: * 10 - 4506 1 - 0 1 - 040 * Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: demo and install new shower and wall surround 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: Minnesota Rusco Linda H Baulos 5010 Hwy 169 N 3691 Cardinal Way Brooklyn Park MN 55428 Eagan MN 55123 (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 ECEIVE JAN u ��� ------------- r For office use ® ® ® ® Building Permit#: 180872 I S&W Permit#: EAG A N I Permit Fee: n I Date Received: 1/5/23 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 651 675-5675 FAX: 651 675-5694 � ) i � ) I Date Issued: I buildinginspectionsCc�ci ofeagan.com I---------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/5/23 Site Address: 3691 Cardinal Way Eagan, MN 55123 Unit#: Applicant is: ❑ Owner 14 Contractor Name: Linda Baulos Homeowner Address: ty:3691 Cardinal Way Ci Eagan MN55123 651-341-897/ Ibaulos@hotmail.com State: Zi Phone: Email. Description of work: Type of $10,154.00 PD, Lexington Place South Wark, Construction Cost: 9 Type of building: 14 Single Family ❑ Townhome, of units ❑ Twin Home Company: MN Rusco Contact: Kelli Gugisberg 'B`ullding Address: 5010 Hwy 169 N City. New Hope Contractor MN 55428 952-935-966 kelli@minnesotarusco.com $tate: Zip: Phone: Email. License#: CR002173 Ex ration Date: 3/31/24 Sewer& Company: Contact: Water Contractor Address: City: �RegUired for State: Zip: Phone: Email: nb*construction License#: Ex iration Date: 14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. lJo s Plans and supporting doa777777771 utnents'thst u.subrnit are considered tc pe;publi'c infbi°t� dMI. Portions df the77 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.got)herstateonecall.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. X Kelli Gugisberg X tea' 04e!44"-q- Applicant's Printed Name Applicant's na re FOR OFFICE USE ONLl Site Address: 3691 Cardinal Way Eagan, MN 55123 permit#: 180872 SUB TYPES _✓Single Family _ Fireplace _ Lower Level _ 01 of_Plex _ Foundation _ Porch _ Deck _ Garage _ Pool WORK TYPES New _ Repair _ Siding _ Retaining Wall _ Addition _ Fire Repair _ Reroof _ Move Building ,/Alteration _ Water Damage _ Windows _ Demolish Building* Replace _ Egress Window _ Solar 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Calculated Valuation z opc0 Occupancy SRC-t MCES System Plan Review 025% 0900% Code Edition SAC Units Census Code Zoning City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction V3 Fire Suppression Required Separate Stormwater Management Permit Required REQUIRED INSPECTIONS Footings: New Addition Deck Meter Size: Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick Framing: 1 Hour Residential Alteration Roof:_Ice&Water _Final Braced Wall Framing/Blocking Erosion Control Braced Wall Sheathing (prior to house wrap) Pool:_Footings Air/Gas Tests _Final Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final Firewalls Fire Suppression:_Rough In_Final Insulation Windows Fireplace:_Rough In _Air Test _Final Other: HVAC: Rough In Final Radon Control ✓ Final/No C.O. Required Drain Tile Final/C.O. Required Reviewed By: -IS Wso,., -, Building Inspector FEES �•a Skw+4r 5ys�t.r. } Calculated Valuation 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