EA187229 - Building - Single Fam - Issued Date 10/05/2023 PERMIT
City Of Eagan Permit Type: Building
x ® a
a a s @ Permit Number: EA187229
3830 Pilot Knob Rd
Eagan,MN 55122 '"""
EAGAN
(651)675-5675 NW""
www.cityofeagan.com Date Issued: 10/5/2023
Site Address: 4867 Richard Lane
Lot: 16 Block: 1 Addition: Hillcrest
PID:10-32975-01-160
Use: * 1d - 32975 — PJ 1 — 160 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom
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 Andrew Rogen
5010 Hwy 169N 4867 Richard Ln
Brooklyn Park MN 55428 Eagan MN 55122
(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
--------------
r For Office Use
Building Permit#: Y 7 5 �
S&WPermit#:
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EAGAN I Q" I
Permit Fee: 13?-
,
ECEIVE
I I
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 FAX. (651)675-5694 UL i 0 3 2023 I Date Issued:
building inspections(o�cityofeagan.com 9 0 1-----------------------
By:
RESIDENTIAL BUILDING PERM-1APPLICATION
Date:
mmm10/3/23 4867 Richard Ln Eagan MN 55122
Site Address: Unit#:
Applicant is: ❑ Owner 14 Contractor ( � Il c R"e-S 4�G�
I Name: Andrew Rogen
Homeowner Address. Cityg
4867 Richard Ln Eagan
:
e
i . ajrogen@gmaii.com
a State: MN Zi 55122 605-759-884 a
Phone: Email. _ �ro n g _@g
Demo erte M'ng.Install new h—,sys—antl wall--n0 M nneso a R sco No nsulate,nslall vapor ba p „seal,Ins a I smoke and C.O.alarms to tl P m0ing perm t�o be Ou letl 11p111111y
Description of work:
Type of
Work Construction Cost: 9740'00
Type of building: 0 Single Family ❑ Townhome, of units El Twin Home
Company: MN Rusco Contact: Kelli Gugisberg
Building Address: 5010 Hwy 169 N City. New Hope
Contractor , State: Zip: Phone:MN 55428 952-935-966 Email. kelli@minnesotarusco.com
CR805613 3/31/25
License#: Expiration Date:
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration 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 classifiedas 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.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 Ae&@ �u
Applicant's Printed Name Applicant's Si6tuYe 61
PERMIT
Permit Type: Plumbing
City of Eagan •;; ; ; , Permit Number: EA187230
3830 Pilot Knob Rd -°$ 17 G AN
Eagan,MN 55122 .7. A *
(651)675-5675 * E R 1 B 3
www.cityofeagan.com Date Issued: 10/5/2023
Site Address: 4867 Richard Lane
Lot: 16 Block: 1 Addition: Hillcrest
PID:10-32975-01-160
Use:
Description:
Sub Type: Fixtures
Work Type: Replace
Description: 2nd floor shower,2 sinks
Meter Size Meter Type Manufacturer Serial_ Number Remote Number Line Size
Comments:
$64.00 0801.4087
Fee Summary: PL-Plumbing Permit Fee $1 00 9001.2195
Surcharge-Fixed
$
Total: 65.00
- Applicant - Owner:
Contractor: Andrew Rogen
Minnesota Rusco 4867 Richard Ln
5010 Hwy 169N Eagan MN 55122
Brooklyn Park MN 55428
(952)935-9669
FTh�isrmit shall benull and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
.y 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.
Issued By: Signature
Applicant/Permitee: Signature
------------i
For Office Use
�ga3o
� � I Permit#: � 1
EAGAN 1 Permit Fee:
I I
1 Date Received:
I I
I I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Staff: I
(651)675-56751 FAX: (651)675-5694 I----------------- '
buildinclinspections cityofeagan.com
RESIDENTIAL PLUMBING PERMIT APPLICATION
4867 Richard Ln Eagan, MN 55122
10/3/23 unit#:
Date: Site Address:
Applicant is: ❑ Owner Contractor
Name: Andrew Rogen
Homeowner i Address: 4867 Richard Ln city: Eagan
?
State:
MZ� Phone:
MN Zi 605-759-884` Emalls ajrogen@gmail.com
New V Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Type of Work
Direct replacement of existing shower wet space,wall surround, and plumbing fixtures.
Description of work:
Tankless Water Heater
Lawn Irrigation (_RPZ/_PVB)
Standard Water Heater
i Add Plumbing Fixtures(_Main/_Lower Level)
Description Water Softener
Description: 2nd floor shower, 2 sinks
Septic System
Connection to City Water from Well
t € New Abandonment
Company:
MN Rusco contact. Kelli Gugisberg
Plumbing Address:
5010 Hwy 169 N city: New Hope
I ContractorMN 55428 952-935-966 Email: kelli@minnesotarusco.com
t State: Zip: Phone:
12/31/23
License#:
PC805612 Expiration Date: � �
' RESIDENTIAL FEES
$150.00 New Residential or Connection to City Water(includes State Surcharge)
$65.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$65.00 Lawn Irrigation (includes State Surcharge)
$65.00 New fixtures, adding, altering, or removing piping (includes State Surcharge)
$65.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES $
CA11 LL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or wvrw 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
Applicant's Printed Name Applicant's n re
FOR OFFICE USE Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test
Gas Test Manometer Final