EA187781 - Building - Single Fam - Issued Date 11/02/2023 PERMIT
City of Eagan • Permit Type: Building
3830 Pilot Knob Rd •,�;s %,;:, Permit Number: EA187781
Eagan, MN 55122 -- EAGAN
(651)675-5675 1111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 7 8 1
Date Issued: 11/2/2023
Site Address: 641 Witham Lane
Lot: 9 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-090
Use: * 10 — 1840 1 - 0Z - 090 *
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).
BL-Base Fee
Fee Summary: 5
L-Plan Review 65%
$ 4.28 0720.4222
B
3.50 0801.4085
Valuation: 2,000.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Minnesota Rusco Greg&Karen Svendsen
5010 Hwy 169N 641 Witham Lane
Brooklyn Park MN 55428 Saint Paul MN 55123-393
(952)935-9669
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
--------------
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Building Permit#: I
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EAGAN II
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Permit Fee: 24Q QA
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I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122- C 'IVE
651 675-5675 FAX: 651 675-5694 1
� ) � � ) I Date Issued: I
buildinginspections(a)cityofeagan.com OCT 3 1 2023 1-------_ —J
RESIDENTIAL ILDING PE MIT APPLICATION
Date: 10/31/23 site Address: 641 Witham Ln Eagan, MN 55123 Unit#:
Applicant is: ❑ Owner14 GoV +tn-t�j
Contractor �—
�� Karen Svendsen
ok�i�ilr6l��� �vaalk��
Name:
Harnour��r � Address: 641 Witham Ln C;ry: Eagan
State: MN Zi : 55123 Phone: 612-251-152E Email: gkdksvendsen@comcast.net
Demo-sling,Install new$h-, and wall surround.Mnnasota Ru to'nsulate'natal)vapor Earner tape and seal.Install smoke and C.O.alarms to code.Plumbing permit to b.pulled separately.
Description of work:
T e of
Wolrk . Construction Cost: 9698.00
Tbuildin of e ��ryry
yp g: �[J Single Family ❑ Townhome, of units ❑ Twin Home
Company: MN Rusco Contact: Kelli Gugisberg
Buildin Address: 5010 Hwy 169 N city: New Hope
: .
� ontra�ctor � MN 55428 952-935-966E kelli@minnesotarusco.com
State: Zip: Phone: Email.
CR805613 3/31/25
License#: Expiration Date:
SeWr _ Company: Contact:
rlNatgrkl
Ci�11CCtCTf Address: City:
�¢ r
State: Zip: Phone: Email:
License#: Ex iration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTIE:.Pl tt avd supttintuttthtyou itareortideedoblic tng c m mforlmattoh' t'Qrtior s of the;r a y',,
informatjor� rtsylbe class�fled as Hort-public If you proVtde spectfio reasoxts thAt wouid permit the,City to conclutte that They
are tradersecrets�.^ 1
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00pherstateonecall.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 A'�
Applicant's Printed Name Applicant's §Ygn&ure