1392 Lakeside Cir CITY EAG WATER SERVICE PERMIT
5?95"Pilot Knob Road PERMIT
�, NO.: i
' .
Fagan,.MN 55122 DATE: x
Zoning: � i No. of Units:
Owner: 14"-C } .
Address:
Site .'Address a w > ` t§ # . 11 ;
Plumber: ;-,
Meter No.: Connection Charge: -"=' }'
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan ' Surcharge: # i €
Ordinances.. Misc, Charges.
Total:
By • / . Date Paid:
Date of Insp.: `11211f.fir Insp.:
CITY Off. EAGAN SEWER SERVICE PERMIT
S7 Pilot Knob Road PERIMIT , NO.: {
Eagan, °4N 551 22 DATE: `s ii
Zoning No. of Units:
Owner - -
Address:
Plumber:
1 agree to comply rth the City of E ae on , N C on E r ►ection Ch arge;
Ordinances Account Deposit:
" Permit,„Fee: . ii
By ' �
M isc. C harges:
Dote of insp.: Total:
n Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177926
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 1392 Lakeside Cir
Lot:021 Block: 04 Addition: Ches Mar 1st
PID:10-17100-04-021
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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.
Contractor:Owner:- Applicant -
Mark Roller
1392 Lakeside Cir
Eagan MN 55123
(612) 741-3052
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature