EA181355 - Building - Reroof - Issued Date 02/14/2023 PERMIT
City of Eagan • , , ° Permit Type: Building
3830 Pilot Knob Rd •,.;; ;;.°, Permit Number: EA181355
Eagan,MN 55122 •- --®° EAGAN
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 1 3 5 5 *
Date Issued: 2/14/2023
Site Address: 1475 Lake Park Cir
Lot: 5 Block: 1 Addition: Thomas Lake
PID: 10-75900-01-050
Use: * 10 - 75900 - 0 1 - 0S0 *
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL-Base Fee $133.15 0801.4085
Valuation: 5,000.00 • Surcharge-Based on Valuation $2.50 9001.2195
Total: $135.65
Contractor: - Applicant - Owner:
Erie Construction John C&Paula G Lewis
9201 E Bloomington Freeway 1475 Lake Park Cir
Suite H Saint Paul MN 55122--251
Bloomington MN 55420
(952)425-8460
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 ssued B : Signature
--------------------i
I For Office Use I
I Building Permit#:
®® 1 SBWPermit#:
VAEAGAN I®®os I I
I
Permit Fee:
I I
Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued:
buildinginspectionsftci ofea an.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:1-8 - 23 Site Address: I LI 45 (4 ke Pan<K C i f G l e Unit M
Applicant is: ❑ Owner MContractor
Name: John L.ew i S
Homeowner Address: 14-f5 Lou i%(-c i f iP City: Foc4cLr)
State: Zi : 12, Phone:
Description of work: Re( oc)F
Type of
Work
Construction Cost: 115 q EM
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company:_ 1✓ri2, CCw)& uGtio,n Contact: KQft 8(-'+
Building Address: 9201 E bloomina6n Pw s ife f► City: 1 jnr�-,iy»t�D✓i
Contractor
State: Zip:S5L120 Phone:gs2-4GL-5`IbDEmail: kart . bri+o erame.CoeyL.
License#: G 1pZ4 o l 1 Exiration Date: 3 — 31 _ 2 3
w elder& Company: Contact:
Vater
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and suiportloo4oc4monts that you submit are consl&red tt>be public Information. Portlonwof the `
inforrxaation.msy be.classlf as non�ubilc if you provide sPscifi+r:reasons'that would permit the City tc� i iulde that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.goaherstateonecali.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 Kari 6Y M) x , ,:, I6, :,
Applicant's Printed Name Applicant's gnature