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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 --------------------- For Office Use ,,\\ Z� V I ® g ® ® I Building Permit#: I % A %,__ ®®®® I Si3WPermit#: i NI 00 1 i Permit Fee: I I I I Date Received: I 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. x W Bf ra x Ngm&= Applicant's rantedName- j Applicant's SignaWFe