EA183264 - Building - Reroof - Issued Date 05/31/2023PERMIT
City of Eagan
Site Address: 858 Govern Cir
Lot:2 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10-28801-04-020
Use:
Eagan,
Permit Type:Building
Permit Number:EA183264
EA183264*
Date Issued:5/31/2023
Permit Category:ePermit
10-28801-04-020*
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.
Applicant: Jack Conway
5325 W 74th St
Suite #11
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 -
John L & Roxanne L Madison
858 Govern Cir
Eagan MN 55123--246
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
218) 343-8884
Applicant/Permitee: Signature Issued By: Signature