EA189463 - Building - Deck - Issued Date 03/06/2024 PERMIT
City of Eagan . a , ® Permit Type: Building
3 830 Pilot Knob Rd Permit Number: EA189463
N
Eagan, MN 55122 •..® A
(651)675-5675
www.cityofeagan.com * E A 1 8 9 4 6 3
Date Issued: 3/6/2024
Site Address: 3255 Black Oak Dr
Lot: 9 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-090
Use:
iTom— 11"NS10 MO —MOSIM- 0 9 0 *
Description:
Sub Type: Deck Construction Type: V-13
Work Type: Replace
Description:
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $166.25 0801.4085
Valuation: 6,400.00 BL-Plan Review 65% $108.06 0720.4222
Surcharge-Based on Valuation $3.50 9001 2195
Total: $277.81
Contractor: - Applicant - Owner:
Inspire Remodeling LLC Timothy C&Elyssa L Donarski
17544 Fiesta Ave 3255 Black Oak Dr
Farmington MN 55024 Eagan MN 55121--233
(952)432-2310
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
ECEIVE '�------
I For Office Use 2 I
P��R n 1 2024 Building Permit#: �� J
1
, I
I S&W Permit#:4— �3 I
EAG
Permit Fee: I
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX: (651)675-5694 Date Issued:
buildinginspections(cV2 ityofeagan.com
RESIDENTIAL BUILDING PERMIT APPLICATION
.2��Z y Site Address: 3,�SS �``*�� � � �i�e✓� Unit#:
Date:
Applicant is:
❑ Owner A.Contractor
x
Name: rySSCc/ do - .,., .-...... _,. ,..�...„_,.�...r..
at%J�i
Homeowner Address: .3,253- ,fJI-c/ lJG/ /'.i,e City: f ig -,/I
State: Zip: e: 61,2-,2d3 �Email: C� : env .�►l r.` cam
Description of work: �e•ick t eet iti r d -st
Type of 4f A` -
Work Construction Cost: DD,v0 )
Type of building: ingle Family ❑ Townhome,�4 of units ❑ Twin Home
Company: 4111-�@11enti ac Contact: /7l./ l r ��j•��s
Building Address: City:
Contractor ,/
State:,, f41 / Zip: Phone:61L.2-36-7,1; Email:
License#: gek77.LL37Ex iration Date: .3 "�3/-2
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 gooherstateonecall.ora 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 (r- o4 f
Applicant's Pr' ted Name App s Signature
' i
FOR OFFICE USE ONLY
Site Address: �T G block c)O L Dr Permit#:
SUB TYPES
X 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
X Alteration _ Water Damage _ Windows _ Demolish Building*
_ Replace Egress Window _ Solar 'Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation 6 y00 Occupancy rRC. MCES System
Plan Review 1125% P9100% Code Edition AfA/ RC 7ozo SAC Units
Census Code Zoning R.1 City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Va Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
X Footings: New Addition x Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
Framing: 1 Hour A Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing (prior to house wrap) Pool:_Footings —Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading Final/No C.O. Required
Final/C.O.Required
Reviewed By: z4v�- Building Inspector
FEES
Calculated Valuation yoo olcc� /6 xZo'
Base Fee
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
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