EA184515 - Building - Reroof - Issued Date 06/12/2023 PERMIT
City of Eagan ® ° Permit Type: Building
3830 Pilot Knob Rd m®'a ® % ®®°, Permit Number: EA184515
Eagan, MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 S 1 S
Date Issued: 6/12/2023
Site Address: 4640 Kingsbury Dr
Lot: 6 Block: 4 Addition: Beacon Hill
PID:10-13500-04-060
Use: * 10 — 13S00 - 04 - 060 *
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:
Paragon Roofing Young Wan&Jessica Kim
414 W Anna St 4640 Kingsbury Dr
Fairmont MN 56031 Eagan MN 55122
(507)676-3030
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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For Office Use
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Permit Fee:
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
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651 675-5675 FAX: 651 675-5694 1 I
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buildinainspections(a)cityofea an.com I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: 14-4
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Applicant is: ❑ Owner 10 Contractor
Name: A �-
Homeowner Address: V f-b D-IL- _City: -6•�
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State:F-k(J Zi I�� Phone: ® 1 )toil:o
Description of work: 21 6%9 F J`T'SAOII-L-rq—
Type of S
Work Construction Cost: 'T 3-0
Type of building: B Single Family ❑ Townhome, of units ❑ Twin Home
Company: 6 6 a 96C-7/fl� Contact,
Building Address: i5j-r\d-,,L City: � T�
Contractorstatel(W`ti zip: 5' 31 Phone: f1�— �°Ea����apa e-16
License#: 2-7 -7 3L, Expiration Date: 313
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: 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 considered to be public information. Portions.of the
Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.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
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Applicant's Printed Name Applican s ignature