EA182903 - Building - Reroof - Issued Date 05/15/2023 PERMIT
City of Eagan ® ® ® , Permit Type: Building
Eagan,
Pilot Knob Rd °®° ® ® ®®® E A GAN
Permit Number: EA182903
®. .®®®
Eagan,MN 55122 °-®® ®®®®
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 2 9 0 3 *
Date Issued: 5/15/2023
Site Address: 3861 North Ridge Dr
Lot: 7 Block: 3 Addition: Gardenwood Ponds
PID:10-28800-03-070 11111111111 iffin
Use: * 10 - 28800 - 03 - 070 *
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: - 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 t
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:
Summit Construction Group Inc Bridget Smith
5325 W 74th Street,Suite 11 3861 North Ridge Dr
Edina MN 55439 Eagan MN 55123
(218)343-8884
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.
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Applicant/Permitee: Signature sued B : Signature
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Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 1 Date Issued: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: A �Y Y1 P ��I�Q ��(l({VI,�N� Unit#:
Applicant is: ❑Owner Contractor JJJ '�
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Description of work: ��rOiH'
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Type of building: Ok Single Family ❑ Townhome, of units ❑ Twin Home
Company: (Mtmm i ti t- CJ1J1�S1(UCCor1V _Contact:AOfAb ) .9
Building Address: 7�1I�I k l ld S(hlf #A City: f d l hA
Contractor
State: Zip: ,Phone: O Email: ��h�A t1; n
License#: V --Expiration Date:
Sewer& Company: Contact:
Water
ContractorAdKd __ city:
Requiradiat St : Phone: Email:
new.constrU�tlen'
License#: Expiration Date:
understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
NOTE:plans and supporting documents thatyou submit are comAderiad to be public Infont atinn. Portions of the:
Information may be classified as non-pulblic if you provide speciftcreaso#ts that wautderrisit the'City to conclude that they
ar trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www aooherstateonecail 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.
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Applicant's Printed Worn
Applicant's Signa