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EA183183 - Building - Single Fam - Issued Date 06/01/2023 PERMIT City of Eagan ® ® ® ® Permit Type: Building 3830 Pilot Knob Rd ®m®; ® 0®®®® A AgElb Permit Number: EA183183 Eagan,MN 55122 ®m®® ®®®® EAUAN (651)675-5675 IRFINIM www.cityofeagan.com * E R 1 8 3 1 8 3 * Date Issued: 6/1/2023 Site Address: 4676 Cambridge Dr Lot: 8 Block: 5 Addition: Beacon Hill PID:10-13500-05-080 Use: * 1 0 — 1 3 5 0 0 — 0 S — 0 8 0 Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: new shower system 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 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: Minnesota Rusco Mark&Karen Taverna 5010 Hwy 169N 4676 Cambridge Dr Brooklyn Park MN 55428 Saint Paul MN 55122--278 (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 sued B : Signature Ca r— For Office Use BY. I 183183 I ® ® ® I Building Permit#: I ®®e 0 j S&WPermit#: EAGANI Q G U I Permit Fee: I J a b Date Received: 5/26/23 3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 I I I (651)675-5675 1 FAX: (651)675-5694 1 Date Issued: buildinginspections@_citvofeaQan.com I----------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/26/23 Site Address: 4676 Cambridge Dr Eagan, MN 55122 unit#: Applicant is: ❑ Owner 14 Contractor Name: Karen Taverna Hotnediwner Address: City:4676 Cambridge Dr Eagan li state: MN Zi : 55122 Phone: 651-452-323( Email: tavbball@comcast.net Demo existing.Install new shaver system and wall surround.Minnesota Rusco to insulate,Install vapor barrier,tape and seal.Install smoke and C.O.alarms to code. Description of work: Type of $10,154.00 PD, Beacon Hill work Construction Cost: Type of building: 21 Single Family ❑ Townhome, of units ❑ Twin Home Company: MN RuSCo Contact: Kelli Gugisberg P Y� Bullding Address: 5010 Hwy 169 N City: New Hope contractor MN 55428 952-935-966( kelli@minnesotarusco.com State: Zip: Phone: Email. License#: CR805613 Expiration Date: 3/31/25 Sewer$, Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction. License#: Expiration Date: I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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 provlda 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.aopherstateonecall.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 Applicant's Printed Name Applicant's Srdnaf4re FOR OFFICE USE,ONLY Site Address: 4676 Cambridge Dr Eagan, MN 55122 permit#: 183183 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 Occupancy -T?-c-I MCES System Plan Review 025% 21100% Code Edition MNVC-dodo SAC Units Census Code Zoning Pt) City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction VS 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 Radon Control Other: Drain Tile Grading ✓ Final/No C.O. Required Final/C.O. Required Reviewed By: Building Inspector FEES ��gwcr �J�oct.we..s� 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