EA180240 - Building - Reroof - Issued Date 11/14/2022PERMIT
City of Eagan
Site Address: 4259 Jasper Dr
Lot:7 Block: 5 Addition: Cedar Grove 2nd
PID:10-16701-05-070
Use:
Permit Type:Building
Permit Number:EA180240
*EA180240*
Date Issued:11/14/2022
Permit Category:ePermit
*10-16701-05-070*
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.
Please describe the work, including any skylights that will be repaired or replaced:Roof tear off and replace
Applicant: Steven Bormann
17593 Foxboro Ct
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:
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.
Contractor:Owner:- Applicant -
Joshua Steven & Micki Larae Welcher
4259 Jasper Dr
Eagan MN 55122
(715) 651-4822
Bormann Brothers
17593 Foxboro Ct
Farmington MN 55024
(952) 891-8586
Applicant/Permitee: Signature Issued By: Signature