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