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
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For Office Use
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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
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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