EA182503 - Building - Reroof - Issued Date 04/26/2023PERMIT
City of Eagan
Site Address: 4633 Summit Pass
Lot:6 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-060
Use:
Eagan,
Permit Type:Building
Permit Number:EA182503
EA182503*
Date Issued:4/26/2023
Permit Category:ePermit
10-57666-01-060*
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:Tear off/ reroof house
Applicant: Nick Bormann
7059 200th St W
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $133.15 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
135.65Total:
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 -
Arthur C & Lai Wah Wong
4633 Summit Pass
Eagan MN 55122
651) 233-9866
Bormann Brothers
17593 Foxboro Ct
Farmington MN 55024
952) 891-8586
Applicant/Permitee: Signature Issued By: Signature