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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 A = N 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 �g64 *%T_11_ 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 #: ' r kii llavt-dal Q - Applicant is: 11Owner 14 Contractor VZ- 3 —­'­-'­"`­--T.�........,..,,, Name: Steven W entze l � �•� ,� Homeowner' Address: 4132 Meadowlark Ln city: Eagan I State: MN Zip: Phone: 55122 612-889-023 Email brutus834@yahoo.com I 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