EA182904 - Building - Reroof - Issued Date 05/15/2023 PERMIT
City of Eagan , ® , ® Permit Type: Building
3830 Pilot Knob Rd ®+' e % Permit Number: EA182904
Eagan,MN 55122 ®®®® ®®®•
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 2 9 0 4
Date Issued: 5/15/2023
Site Address: 1947 Timber Wolf Tr S
Lot: 21 Block: 2 Addition: Meadowlands 1st
PID:10-48050-02-210
Use: * 1 0 — 4 8 0 5 0 — 0 2 — 2 1 0
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 Timothy M&Judith A Sikich
5325 W 74th Street,Suite 11 1947 Timber Wolf Tri S
Edina MN 55439 Eagan MN 55122
(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.
Applicant/Permitee: Signature ssued B . Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1I
(651)675-5675 1 FAX: (651)675-5694 1I
buildinoinsoectionsta")cit ofeaaan com I Date Issued:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: o Site Address: 1gg1ffMW V. WOJr A`` SOMI LMaAfl b9l A tUnit#:
Applicant is: ❑ Owner %Contractor
Name: TIm
:Homeowner ,
Address: ffi h�4�V I� f �'�'Q(I SQ�l i I I City: tm Q
State:W zip: ArPhone: Email: hM
Description of work:
Type of Construction Cost: ��
Work
Type of building: Single Family -❑ Town+home, of units ❑ Twin Home
Company: CSUVVIIVI�I l,�1 11111�) 1 I�1 1 Cil1 Ut�JJ Contact:
Building Address:, 6 �)�'� City: L f�
contriactor,
State: Zip:_FPhone: JU314agjEmail:
License#: Ex iration Date:
Sealer
Company/ Contact:
Water
Contractor A r s: City:
Required fpr S te: Zip: Phone: Email:
new construction
License#: Expiration Date:
�I understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are cansidbr6d to be public Information. Portions of the
Information may be classieed'as Hort-public if you prouido specific raa,a is that wrrauld permit the+pity to;cortclude that they
Are trade secrots.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gooherstateonecall.om 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 rantedName- j Applicant's SignaWFe