EA187953 - Building - Single Fam - Issued Date 11/09/2023 PERMIT
City of EaganPermit Type: Building
3830 Pilot Knob Rd Permit Number: EA187953
Eagan, MN 55122
(651)675-5675 EAGAN
www.cityofeagan.com * E R 1 8 7 9 S 3
Date Issued: 11/9/2023
Site Address: 890 Park Knoll Dr
Lot: 3 Block: 2 Addition: Park Knoll
PID:10-56725-02-030
Use: * 10 S672S - 02 030
Description:
Sub Type: Single Fam Construction Type: V-B
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 Gordon T&Diane L Olson
5010 Hwy 169N 890 Park Knoll Dr
Brooklyn Park MN 55428 Saint Paul MN 55123-490
(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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For Office Use
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1 Building Permit#: 187953
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14 0 0I S&W Permit#:
EAG INIVE 1 Permit Fee:
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 01 2023 Date Received: 11/7/2023
(651)675-5675 1 FAX: (651)675-5694 1I
I Date Issued:
buildinginspectionsaC-)cityofeagan com BY: I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/7/23 site Address: 890 Park Knoll Dr Eagan, MN 55123 unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Thomas Olson
Homeowner ` Address: City: g 890 Park Knoll Dr Eagan
�
State: MN Zig: 55123 Phone: 651-357-411C Email: toISOn515@gmall.COm
Demo es sl ng.td,Wl new shower system.nd wall surround.M...sot.Rusco lo'n-W, vapor barr.r,tape and sea1. rslall smoke and C O.alarms to code.Plumbng permit to be Dulled separately.
Description of work:
Type of 7711 .00
Work Construction Cost: PD, Park Knoll
l
Type of building: 0 SingleFamily 171Townhome, of units El Twin Home
Company: MN Rusco � Contact:�mKelli Gugisberg
Building Address: 5010 Hwy 169 N City: New Hope
Contractor State: Zip: Phone:MN 55428 952-935-966 Email: kelli@minnesotarusco.com
License Date
i se#: CR805613 3/31/25
� .�.,� Expiration .:........... ����-,.�
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 d,6"
Applicant's Printed Name Applicant's S' na re 61