EA189138 - Building - Single Fam - Issued Date 03/05/2024 PERMIT
City of Eagan EAGAN Permit Type: Building
3830 Pilot Knob Rd ,,�;•® ®', Permit Number: EA189138
Eagan, MN 55122 ••-@
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 9 1 3 8 *
Date Issued: 3/5/2024
Site Address: 3905 Blackhawk Rd
Lot: 60 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-600 11111 11M El IIH In
Use: * 10 — 16705 - 06 - 600 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Int Impr
Description: Main Level Bathroom Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I
Zoning: R-1
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 $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Five Star Bath Solutions Marilyn D Stricklen
3572 Hoffman Rd E 3905 Blackhawk Rd
White Bear Lake MN 55110 Eagan MN 55122
(651)283-8313 Y
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.
1 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
E l if E
0 8 2024 ---------------------
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For Office Use 189138 j
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EAGAN Ii �Cf 0 I
Permit Fe
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued: j
buildinginspections(a-)cityofeagan.com I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2-7-24 site Address: 3905 Blackhawk Rd Unit#:
Applicant is: ❑ Owner 0 Contractor
` Name: Marilyn Stricklen & Carol Bruggers
Homeowner Address: 3905 Blackhawk Rd City: Eagan
MN 55122 95248400/9 mdstricki@aol.com
State. Zip Phone Email
t
Description of work: Main level bathroom remodel. Convert tub to shower
Type of 5,800
Work Construction Cost: R-1, Cedar Grove
Type of building Single Family ❑ Townhome of units ❑ Twin Home
Five Star Bath Solutions Shannon Marks
a
Company: Contact:
Building Address: 3572 Hoffman Rd E City: Vadnals Heights
Contractor MN 55110 6126952755 shannonm@fivestarbathsolutions.com
State: Zip:_ Phone: Email:
BC764147 3-31-25
License# Expiration Date
Sewer & Company: Contact:
Water
a Contractor £ Address: City:
K 1
Required for b State: Zip: Phone: Email:
new construction x -
q 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 secretsu
CALL BEFORE YOU DIG, Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org 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 Shannon Marks X SA4,kuwrz n"kk
Applicant's Printed Name Applicant's Signature