EA187006 - Building - Deck - Issued Date 10/03/2023 PERMIT
City of Eagan , , , Permit Type: Building
3830 Pilot Knob Rd ,`•;,+ %a,o®, Permit Number: EA187006
Eagan,MN 55122 '• EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 7 0 0 6
Date Issued: 10/3/2023
Site Address: 700 Oxford Rd
Lot: 6 Block: 5 Addition: Hills of Stonebridge 3rd
PID:10-32992-05-060
Use: * 10 - 32992 - 0S — D60
Description:
Sub Type: Deck Construction Type: V-B
Work Type: Repair
Description: re-surface existing deck
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
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 Troi Lynn Ferguson
1403 122nd St 700 Oxford Rd
Chippewa Falls WI 54729 Eagan MN 55123
(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 Issued By: Signature
--------------I
rFor Office Use
m 1 Building Permit#:
187006 I
S&W Permit EAG i
X13
M I Permit Fee:
J*IVE I I
1 9/25/2023
Y LI Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 "Ci 1123 I
(651)675-5675 I FAX:(651)675-5694 I Date Issued: 1
buildinainsi)ections(&-cityofeanan.com BY: t---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 25 Z✓ Site Address: 700 CSA,Fo ^ ��� ! C�-gQK Unit#:
Applicant is: ❑ Owner ® Contractor
Name: IA*% ltjU_ swewt its
Homeowner Address: '70o (9x fV `ot! izoad City: CS Aj of ki
Stater N Zip: S51 Z 3 Phone: Z61-667. "?-'Email: 5e-nK,fir ls 62 ftot,'/•co M,
Description of work: iQ e-C ur A GQ- er-, f{�K-,y d-f, �C-
Type of Construction Cost: g
Work
Type
d R-1, Hills of Stonebridge
Type of building: ®.Single Family ❑ Townhome, of units ❑ Twin Home
Company: G/"GGn Sr S Contact:
Building Address: I((O -City: il
Contractor
State: wt Zip: SY7Z9 Phone: bS1•40b-66y7Email: Jeri=&Y. CrQ +�FP We,9A1,611-Co
License#: BG 6 �ZllS Ex iration Date: ;f 2oLS
Sewer& Company: Contact:
water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
® I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are considered to 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.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.
X_ JLr'&mX S�±�
x
Applicant's Printed Name Applicant's Signat e