EA188741 - Building - Single Fam - Issued Date 01/12/2024PERMIT
City of Eagan ,
Permit Type:
Building
,
3830 Pilot Knob Rd �,�;; % ;.',
•-•• -•®F
Eagan, MN 55122 EAGAN
Permit Number:
EA188741
(651) 675-5675
111111111111
www.cityofeagan.com
* E R 1 8 8 7 4
1
Date Issued:
1/12/2024
Site Address: 4586 Maple Leaf Cir
Lot: 25 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-250
1111 El� Ri IN
Use: * 1 Q— 17 150 02-250
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
BL - Plan Review 65% $54.28
Valuation: 2,000.00
0720.4222
Surcharge - Based on Valuation $1.00
9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Minnesota Rusco Ashley Tintes
5010 Hwy 169N 4586 Maple Leaf Cir
Brooklyn Park MN 55428 Eagan MN 55123
(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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188741 |
| Building Permit #: |
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| G&VVPermit #: |
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EAGAi
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| Date Received: 1/9/2024 |
383UPILOT KNOB ROAD | EAGAN. VIN 55122-1810 |&� � � �M�6
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�51)875-5G75|FAX: �51)0�-5094 �'°'" � �uu� N0 | Date Issued: |
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/9/24 Site Address: 4586 Maple Leaf Cir Eagan, MN 55123 Unit #:
Applicant is: El Owner 0 Contractor
Name: Ashley Tintes
Homeowner Address: 4586 Maple Leaf Cir Citv: Eagan
state: MN Zip: 55123 Phone: 320-522-285Z Email: ashley.ti ntes@g mail -com
Type of Construction Cost: 77 11 . 00 PD, Ches Mar East
Work
Type of building: 1:1 Single Family 0 Townhome, — of — units 0 Twin Home
Building Address: 5010 Hwy 169 N City: New Hope
Contractor State-, MN Zip: 55428 Phone: 952-935-966� Email: kelli@minnesotarusco.com
License #: CR805613 Exi ftation Date: 3/30/25
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: _ Zip: _ Phone: Email:
new construction
1-irpnqp Expiration Date:
14 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
'—W6fE—' Plans and supporting documents that you submit —areconsid—ered—to- be —public—in—fo—rmation. 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)454-0002or www,aonherstateonecall.org for protection agomstundorgmunduNhy
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 | understand this is not u pennit, but only on application for pe/mit, and work is not to start without a permit, that the work will be in
accordance with the approved plan inthe case ofwork which requires areview and approval ofplans.