EA185520 - Building - Deck - Issued Date 08/08/2023 PERMIT
City of Eagan *mo
Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA185520
ACEagan, MN 55122
(651)675-5675
www.cityofeagan.com * E R 1 8 5 5 2 0 *
Date Issued: 8/8/2023
Site Address: 3773 Bayberry Lane
Lot: 1 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-010
Use: * 10 - 75878 - 0 1 - 0 10
Description:
Sub Type: Deck Construction Type: V-B
Work Type: Alteration
Description:
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-I
Square Feet: 0
Comments:
Fee Summary: (BL)Plan Review $54.28 0720.4222
BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Green Oasis Deb Schultz
1403 122nd St 3773 Bayberry Ln
Chippewa Falls WI 54729 Saint Paul MN 55123-242
(651)206-6849
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 sued B : Signature
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For Office Use I
® ® 1 Building Permit#: aEAGAN I
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1 Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 J U L Z 12023
buiidinainsaectionsCa7citvofeaaan corn I Date Issued:
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BY:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 26 tZoZ,3 Site Address: 3773 134 b ee-,ry LQ 14e— Unit#:
Applicant is: ❑ Owner %Contractor TVV<l 1
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Name: /41 -e,
Homeowner Address:_ 3 773 Fcvte 6ov-y 1-4n ecity: EQp,?Al
State:Mi✓Zi : S512 3 Phone: 02-6/09-6038 Email: ds f z.- 9atAt1(-c
Type:Of Description of work: 2eti oVa F 10-1 Of Gx i �i
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Work Construction Cost: 700
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Type of building: ®-Single Family ❑ Townhome, of units ❑ Twin Home
Company: Gil, 04S !S Contact: ..Jerti�y G'•^a y��^�l
Building Address: 1` os 17,2."Ve City: U",! gWV
Con#ractor
State:WZip: 572 9 Phone: 651,206,609Y31 Email__j�►'��f G/re ( __9
License#: iration Date: 3 zoLS
Sewer 8c� Company: Contact:
Water .
Cotltrac or 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.
NbTE.,Plans ad,'supportirrg documents that you submit are oonsidered to be public;information. Portions of the
information may�►e ciasalfied as.nen-pubiio If you provide specific reasons that would permit the City,to conclude that they
are trade secrats. .
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.om 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.
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Applicant's Printe Name Applicant's Signature