EA188433 - Building - Single Fam - Issued Date 01/03/2024PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd ,l�;� �,;�', Permit Number: EA188433
Eagan, MN 55122 EAGAN
(651) 675-5675 111111111111111111111111111111111111
www.citvofeagan.com * E R 1 8 8 4 3 3
Site Address: 4121 Oakbrooke Curve
Lot: 6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060
Use:
Description:
Date Issued: 1/3/2024
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Sub Type: Single Fam Construction Type: V -B
Work Type: Addition
Description: 10 x 17 addition
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 $331.75 0801.4085
BL - Plan Review 65% $215.64 0720.4222
Valuation: 16,274.00 Surcharge - Based on Valuation $8.50 9001.2195
Total: $555.89
Contractor: - Applicant - Owner:
M and J Services LLC Kevin D & Mindy A Stultz
204 1st St 4121 Oakbrooke Cury
Farmington MN 55024 Eagan MN 55122
(952) 457-4582
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
3830 PILOT KNOB RO
(1051) 675-5675 1 FAX:
buil i ns n I
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AD I EAGAN, IVIN 55122-181 D
(651) 675-5694
!yofeagan.com BY:—
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EC 11 2023
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I For Office Use
I
188433
I Building Permit #:
1 S&W Permit #:
I
I
I Permit Fee:
5 -
I
Date Received:
12/11/2023
Date Issued:
I---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12-11-23 Site Address: 4121 Oakebrookr Curve
Applicant is:
Kevin Stultz
Name:
Homeowner 4121 Oakbrooke Curve
I Address:
mn
State: ZiD: Phonp-
Unit tf:
Owner 1:1 Contractor
1 0x1 7 addition
Description of work:
Type of 56000
Work Construction Cost:
Email:
City: -eagan
V D, 00 K b ro R-�,
I' Type of building: 0 SinglA Family 13 Townhome, of
units 1:1 Twin Home
. ... ........
M and J Services LLC
Company: David
Contact:
204 1st Street
Farmington
Building Address: City:
Contractor
mn
55024 9524574582 davidmarshOl @charter.net
State: Zip: Phone: Email:
BC665315 -31-25
��License #: 3
Expiration Date,
Company: Contact:
Water
Contractor Address:
Required for State:
new constructlo6
License #:
ZIP: _ Phone:
Email:
Date:
City:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
puumv ilowimatium rorEions oTine
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 $all at (651) 454-0002 or www.0pL)ejj§jaLeon. al ".or for protection against underground utility
tq__
damage. Contact Gopher State One Call 48 hours before you Intend to dig to rece,7vilocates of undergrbund 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.
David Marsh
X X
Applicant's Printed Name Applicant's Signature