EA186486 - Building - 01 of __-plex - Issued Date 09/13/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4132
Lot: 027 Block: 03
PID:10-32950-03-027
Use:
Description:
PERMIT
Permit Type: Building
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Permit Number: EA186486
EAGA
* E R 1 8 6 4 8 6
Date Issued: 9/13/2023
Meadowlark Lane
Addition: Hillandale Ist
Sub Type:
01 of _-plex
Work Type:
Alteration
Description:
Bathroom
Census Code:
434 - Residential Additions, Alterations
Zoning:
R-3
Square Feet:
0
* 1 0— 3 2 9 5 0— 0 3— 0 2 7*
Construction Type: V -B
Occupancy: IRC -3
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within R
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 Steven M Wentzel
5010 Hwy 169N 4132 Meadowlark Ln
Brooklyn Park MN 55428 Saint Paul MN 55122-172
(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
Issued By: Signature
--------------
For Office Use
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Building Permit #: 1 S&W Permit #:
EAGA N I I
`, Permit Fee:
I V E
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 �q 3
(651) 675-5675 1 FAX: (651) 675-5694 SEP U `J 2023 1 Date Issued: j
buildinginspections(c_bcityofeagan.com I ---------------------J
RESIDENTIAL BUILD PERMIT APPLICATION
Date: 9/1/23 site Address: 4132 Meadowlark Ln Unit #:
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Applicant is: 11Owner 14 Contractor VZ- 3
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Name: Steven W entze l � �•� ,�
Homeowner' Address: 4132 Meadowlark Ln city: Eagan
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State: MN Zip: Phone: 55122 612-889-023 Email brutus834@yahoo.com
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Description of work:
Demo existing. Install new shower system and wall surround. Firewall to remain intact.
TWorkype f Construction Cost: 7711'00
I Type of building: ❑ Single Family 0 Townhome, of units ❑ Twin Home
�Company: MN Ru sco Contact: Ke I I i G u g i sbe rg�
Building Address: 5010 Hwy 169 N City: New Hope
Contractor State: Zip: Phone: MN 55428 952-935-966 Email. kelli@minnesotarusco.com i
CR805613 3/31/25
License #: Expiration Date:
a
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License # Ex !ration Date -
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
LN
�.��-� OTE: Plans and supporting documents that you submitare considered to be publicinformation. Portions of the
formation may be classified as non-public if you' provide specific reasons that would permit the City to conclude that theetrade secrets.>
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.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 Xaa Glu4,Q
Applicant's Printed Name Applicant's na re 61