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EA187909 - Building - Single Fam - Issued Date 11/07/2023 PERMIT City of Eagan EAGAN Permit Type: Building 3830 Pilot Knob Rd ,•q,• �•,� � Permit Number: EA187909 Eagan,MN 55122 •• (651)675-5675 www.cityofeagan.com * E A 1 8 7 9 0 9 Date Issued: 11/7/2023 Site Address: 941 Jefferson Lane Lot: 7 Block: 2 Addition: Lexington Pointe 3rd ® ❑ PID:10-45072-02-070 ll Use: * 1 J - 45072 - 02 - 070 Description: Sub Type: Single Fam Construction Type: V-13 Work Type: Alteration Description: Bathroom Remodel Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: PD 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 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 Scott J&Kathryn A Kluegel 5010 Hwy 169N 941 Jefferson Ln Brooklyn Park MN 55428 Saint Paul MN 55123--260 (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 I Building Permit#: 187909 I I I S&W Permit#: '�� I Permit Fee: ` 11 I a rctn Date Received: 11/6/2023 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 0 6 2023 (651)675-56751 FAX: (651)675-5694 I Date Issued: j buildinginspections@cityofeagan.com BY, I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/6/23 site Address: 941 Jefferson Ln Eagan, MN 55123 —Unit#: Applicant is: ❑ Owner 14 Contractor Scott KI u eg el Name: Homeowner- Address: 941 Jefferson Ln city: Eagan MN 55123 651-783-621 kluegel6@gmail.com State: Zip.. Phone: Email: Demo x t ig.rsl.l naw sho ,d seal Install smoke and C O.alarms to code.Plumbing permit to be pulled separately. Description of work: Type of Work Construction Cost: $7711 .00 o Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home Company: MN RuscoContact: Kalli Gugisberg� 5010 Hwy 169 N cit New Hope Budding � Address: y: i Contractor I State: MN Zip: 55428 Phone: 952-935-966 Email. kelli@minnesotarusco.com CR805613 3/31/25 License#: Expiration ,Date I Sewer & ; Company: Contact: Water Contractor_ Address: City: ( Required for State. Zip. Phone: Email: new construction) _` License#: Expiration Date: 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 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 /"U,6-. � Applicant's Printed Name Applicant's Si6fiatWre