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EA186706 - Building - Deck - Issued Date 09/15/2023 PERMIT City of Eagan , ® , , Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA186706 R 0 Eagan, MN 55122 EAUAN (651)675-5675 0 1111111111111111111 IN www.cityofeagan.com * E R 1 8 6 7 0 6 * Date Issued: 9/15/2023 Site Address: 3243 Black Oak Dr Lot: 4 Block: 11 Addition: Bur Oak Hills 2nd PID:10-15501-11-040 Use: * 10 - 1SS0 1 — 1 1 - 040 * Description: Sub Type: Deck Construction Type: V-B Work Type: Repair Description: deck flooring,railing, and stairs Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: R-1 Square Feet: 0 Comments: Fee Summary: (BL)Plan Review $86.55 0720.4222 BL-Base Fee $133.15 0801.4085 Valuation: 4,960.00 Surcharge-Based on Valuation $2.50 9001.2195 Total: $222.20 Contractor: - Applicant - Owner: Custom Home Specialties David.I&Jill ATstes Raymond 2026 128th St 3243 Black Oak Dr Rosemount MN 55068 Eagan MN 55121 (651)269-6812 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/Permit6e: Signature Issued By: Signature g1l3 I # ----------------------I For Office Use i Building Permit#: i ® t I i ♦*� fit l�: S&W Permit#. I EAG222, 0 ' +®® I Permit Fee: i I i I I 1 Date Received: _ 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I j (651)675-5675 1 FAX: (651)675-5694 ` I 1 GSC K I Data issued: I buildinainsaections(a"�cityofeaaan.cam ---------------------- RESIDENTIAL -----—-----—-----—---� RESIDENTIAL BUILDI G PERMIT APPLICATION Date: 3 Site Add ss: � 6✓ 0 U-k �L/ r Unit#: Applicant is: ❑ Owner Contractor Name: C'(�u (�l') ci H10MO W �j �'f Zj Q -Ts ,1 1 1� City: �r3 9 CC Address: State: Zi PHSrie: mail: Description of work: Construction Cost: Type of building: Single Family ❑Townhome, of units ❑Twin Home Companyi'/Y S M �V_eC r M _S Contact: 0000 Address: '26!-2zo ]2tg City: contrictful -,z l09—!o �� 'c►ry1 e�.n - State: Zip: hone: Email:4 T'/ t (/ 'f-'r.0 Date—License#: , Ex iration Company: Contact Cio111t1*f: ojr Address: City: mired for State: Zip: Phone: Email: r►8�nt corlouctIon License#: Expiration Date: ❑ 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTIE_;'Phm and swig documetfr that your submit are com0domdtabopub4c Ifthwas0m. P - irf>tarxnatiert f ba ttWsriile+d go nate-Public It youa►VWe'511000111%regs mid f bltt :# Y trai<Is socraft. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00t)herstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utines. 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 11thout a permit; th the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name piicant's Signatu SUB TYPES Site Address: qI r`� a�K �� Permit#: /Single Family _ Fireplace _ Lower Level _ 01 of_Plex _ Foundation _ Porch _ Deck _ Garage Pool WORK TYPES _ New _ Repair _ Siding _ Retaining Wall Addition _ Fire Repair _ Reroof _ Move Building Alteration _ Water Damage _ Windows _ Demolish Building* _ Replace _ Egress Window _ Solar 'Demolition of entire building—give PCA DESCRIPTION handout to applicant Calculated Valuation 41, 9CaU Occupancy 7 2C. I MCES System Plan Review O25%.0100% Code Edition t jNj?c.aaao SAC Units Census Code Zoning T2- l City Water #of Units Stories Booster Pump #of Buildings Square Feet PRV Type of Construction Via Fire Suppression Required Separate Stormwater Management Permit Required REQUIRED INSPECTIONS Footings: New Addition Deck Meter Size: Foundation; Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick Framing: 1 Hour Residential Alteration Roof:_ice&Water _Final Braced Wall Framing/Blocking Erosion Control Braced Wall Sheathing(prior to house wrap) Pool:_Footings ­Air/Gas TestsFinal Interior Braced Well Panel(s) Retaining Wall:_Footings_Backfill_Final Firewalls Fire Suppression:_Rough in_Final Windows Radon Control Other: Drain Tile Grading "r Final/No C.O.Required Final/C.O.Required Reviewed By:.-.. Building Inspector FEES Calculated Valuation L{� 4(0 Base Fee 2��lecc S�a t Plan Review State Surcharge Met Council SAC City SAC Treatment Plant Water Supply&Storage S&W Permit&Surcharge Meter Radio Read Other: TOTAL $ 0.00