EA183221 - Building - Single Fam - Issued Date 06/01/2023 PERMIT
City of Eagan ® ® , ® Permit Type: Building
3830 Pilot Knob Rd ® ®m ®,
Permit
Number: EA183221
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 3 2 2 1
Date Issued: 6/1/2023
Site Address: 1859 Carnelian Lane
Lot: 19 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-190
Use: * 10 — 16706 - 02 — 190 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: replace shower wet space,wall surround,and
plumbing fixtures Occupancy: IRC-1
Census Code: 434-Residential Additions,Alterations
Zoning: R-1
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 Mario E Calderon
5010 Hwy 169N 1859 Carnelian Ln
Brooklyn Park MN 55428 Saint Paul MN 55122--290
(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 slued B : Signature
ECEIVEla
M,�y 3 Q 20213rFor office use -------------
I Building Permit#: 183221
® ® ® ®
®®® j S&W Permi #:
EAG AA1 N
Permit Fee: jq2�
I
® i 5/30/23
Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
651 675-5675 FAX: 651 675-5694
� ) I � ) I Date Issued: I
buildinginsaectionsOcitvofeagan.com I----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/30/23 Site Address: 1859 Carnelian Ln Eagan, MN 55122 unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Kathy Paulsen Calderon
Homeowner Address: 1859 Carnelian Ln City: Eagan
MN 55122 651-387-545: kath Calderon outlook.com
State: Zip: Phone: Email. y @
Description of work: Direct replacement of existing shower wet space,wall surround, and plumbing fixtures.
Type of $10,154.00 R-1, Cedar Grove
Work Construction Cost:
Type of building: 14 Single Family ❑ Townhome, of units ❑ Twin Home
Company: MN Rusco Contact: Kelli Gugisberg
Building Address: 5010 Hwy 169 N City. New Hope
Contractor MN 55428 952-935-966c 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#: Ex iration Date:
1 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 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.aooherstateonecall.or4 for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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 Kea 04e��
Applicant's Printed Name Applicant's na re
FOR OFFICE USE`ONLY
Site Address: 1859 Carnelian Ln Eagan, MN 55122 permit#: 183221
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 �, oc,v Occupancy MCES System
Plan Review 025%-al 00% Code Edition MN,4C-, cO SAC Units
Census Code Zoning 1- City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Vr� 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
r/ Insulation Windows
Radon Control Other:
Drain Tile
Grading Final/No C.O. Required
Final/C.O. Required
Reviewed By: . A/c�sr, , Building Inspector
FEES 1 3,
Calculated Valuation ,�, ��c,
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