EA184486 - Building - Single Fam - Issued Date 06/13/2023 PERMIT
City of Eagan ® , ® ® Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA184486
Eagan,MN 55122 ®®® ®®®® A N
111111111111
(651)675-5675 * E A 1 8 4 4 8 6
www.cityofeagan.com
Date Issued: 6/13/2023
Site Address: 1370 Lakeside Dr
Lot: 4 Block: 3 Addition: Ches Mar 1st
PID:10-17100-03-040
Use: * 10 — 17 100 - 03 - 040 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
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
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 Glen&Kathleen Lachapelle
5010 Hwy 169N 1370 Lakeside Dr
Brooklyn Park MN 55428 Saint Paul MN 55123-481
(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
ECEIVI- ,
1011 I)D
--------------------
For Office Use
By: I Building Permit#: 184486 I
I
111% ®®®®®® j S&WPermit#:
E A N I Permit Fee: I 1 0 1
I 1
I I
I Date Received: 6/9/2023 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 IFAX: (651)675-5694 I I
I Date Issued: I
buildinginst)ections(a)cityofea ag n.com I--------------------- ,
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/9/23 site Address: 1370 Lakeside Dr Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: Glen LaChapelle
Homeowner Address: 1370 Lakeside Dr City: Eagan
MN
55123 651-331-6811 hmmllach@comcast.net
State: Zi Phone: Email.
Demo existing.Install new shower system and wall surround.Minnesota Rusoo to insulate.Install vapor barrier,tape and seal.Install smoke and C.O.alarms to code.
Description of work:
Type,of 8665.00 R-1, Ches Mar
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
State: MN Zip: 55428 Phone: Email..952-935-966 kelli@minnesotarusco.com
License#: CR805613 Expiration Dat.. 3/31/25
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Ex iration Date:
14 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 be classified as non-public zif 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.00pherstateonecall.oro 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 � ' 04e46g:!�
Applicant's Printed Name Applicant's Sjonat6re
FOR OFFICE USE ONLY
Site Address: 1370 Lakeside Dr Permit#: 184486
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 ZOOO Occupancy T2C- MCES System
Plan Review 025%,Z3100% Code Edition ,XfA1?.r,2Wn SAC Units
Census Code Zoning P-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
,j 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: 7S,/4
/j�m , Building Inspector
FEES
Calculated Valuation Icc)b -- )v -k
Base
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