EA188109 - Building - 01 of __-plex - Issued Date 11/20/2023 PERMIT
City of Eagan Permit"': Building
3830 Pilot Knob Rd '�� % °�` Permit Number: EA188109
Eagan, MN 55122
(651)675-5675 ,,..
111111111111111111111111 IN
www.cityofeagan.com * E R 1 8 8 1 o 9
Date Issued: 11/20/2023
Site Address: 4644 Ridge Cliffe Dr
Lot: 4 Block: 11 Addition: Johnny Cake Ridge 2nd
PID:10-39801-11-040 1111111111
Use: * 1 Q — 3 9 B 0 1 — 1 1 — 0 4 0
Description:
Sub Type: 01 of_-plex Construction Type: V-13
Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-3
Zoning: R-3
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1(
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 Judith M Fusco
5010 Hwy 169 N 4644 Ridge Cliffe Dr
Brooklyn Park MN 55428 Saint Paul MN 55122--275
(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
Building Permit#: Igg10 `�
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EAGA
I Permit Fee: I
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I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 7 223
651 675-5675 FAX: 651 675-5694 1 I
( ) � ( ) I Date Issued: 1
buildinginspections@cityofeagan.com BY: t---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/17/23 site Address: 4644 Ridge Cliff Dr Eagan, MN 55122 Unit 4:
h>n�y
Applicant is: ❑ Owner Contractor
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Name: Judy Fusco
Homeowner Address: Y 4644 Ridge Cliff Dr cit Eagan
State: MN zip: 55122 Phone: 651-414-115 Email judy.fusco@ag.state.mn.us
.mp Demo,,,9 Install new sM1ow r syst m antl wall surround.M,.Rusco Imo sup a evo�n all vapor bare er.,ape antl seal.Ins all moke antl G.O.alarms o cotle.PI—b ng P1110 to be PAId separately
Description of work:
Typeof
Work Construction Cost: 7711 .00
Type of building: ❑ Single Family 0 Townhome, of units ❑ Twin Home
Company: MN Rusco Contact: Kelli Gugisberg
Building Address: Y
5010 Hwy 169 N Cit New Hope
-contractor State: Zip: Phone:MN 55428 952-935-966 Email. kelli@minnesotarusco.com
License#:
CR805613 3/31/24
Expiration Date:
Sewer & Company: p p � Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
i 14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supportingdocuments that you submit areconsideredto 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
Applicant's Printed Name Applicant' ig ture