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EA186123 - Building - Reroof - Issued Date 08/16/2023 PERMIT City of Eagan b , , g Permit Type: Building 3830 Pilot Knob Rd N %!�.', Permit Number: EA186123 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 6 1 2 3 Date Issued: 8/16/2023 Site Address: 4526 Birchcrest Cir Lot: 1 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-010 Use: * 1 Q — 17 1 S0 02 - 0 10 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: Haven Builders Barbara L Tste Korman 3515 48th Ave N 4526 Birchcrest Cir Brooklyn Center MN 55429 Eagan MN 55123 (651)300-9711 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 Issued By: Signature --------------------- For Office Use I � % i 0 0 1 Building Permit#: ® 0 I as �0 �"r 1 S&W Permit#: EAGAN Permit Fee: � I II I 3830 PILOT KNOB ROAD I EAGAN, MDate Received: N 55122-1810 I (651)675-5675( FAX: (651)675-5694 I I Date Issued: buildinginspections(a)citvofeagan com RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/16/2023 Site Address: 4526 Birchcrest Circle Eagan, MN 55 Unit it#: Applicant is: ❑ Owner 14 Contractor i Name: Terence Korman Homeowner Address: 4526 Birchcrest Circle City: Eagan State: MN Zip: 55123 Phone: 651-452-82 Email: I Description of work: Re-Roof Type of 17 735.13 Work Construction Cost: ' I Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home Company: Haven Builders, LLC contact: Derek Kuefler Building Address: 10140 W 76th Street City. Eden Prairie Contractor State: MN Zip: 55344 Phone: 612-468-77 Email: derek.kuefler@haven build License#: BC7587296 Expiration Date: 3/31/25 Sewer & Company: Contact: Water Contractor Address: City: N Required for State: Zip: Phone: Email: new construction License#: Ex iration Date: ❑ I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE; Plans and supportlrig docurnents that you s11 ub11 mit 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 tradesecrets CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org 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. Digitally signed by Derek Kuefler X Derek Kuefler Derek KueflerDate:2023.08.1611:45:14 X -05'00' Applicant's Printed Name Applicant's Signature