EA186001 - Building - Reroof - Issued Date 08/10/2023PERMIT
City of Eagan
Site Address: 3850 Country Creek Way
Lot:16 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-160
Use:
Eagan,
Permit Type:Building
Permit Number:EA186001
EA186001*
Date Issued:8/10/2023
Permit Category:ePermit
10-16711-01-160*
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.
Please describe the work, including any skylights that will be repaired or replaced:22 squares, re-roof
Applicant: Andrea Olson
8720 207th St W
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 -
Wade W Anderson
3850 Country Creek Way
Eagan MN 55122
262) 501-0941
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
952) 955-9011
Applicant/Permitee: Signature Issued By: Signature