EA186388 - Building - Reroof - Issued Date 08/29/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd *;A� %•; Permit Number: EA186388
Eagan, MN 55122 °-•~ ^°••• EAGAN
(651)675-5675 111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 6 3 8 8
Date Issued: 8/29/2023
Site Address: 4739 White Oak Ct
Lot: 12 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-120
Use: * 10 — S3SS3 - 02 - 120
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:
Kellington LLC John&Barbara Bennett
18491 Goodwin Ave 4739 White Oak Ct
Hastings MN 55033 Saint Paul MN 55122-332
(612)490-4626
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
08/15/2012 17:34 6514808802 KELLINGTON LLC PAGE 01/02
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I For Office Use
Building Permit#: �
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.. I S&W Permit P.
EAGAN I Permit Fee:Jb1
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I We Received, I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I
(651)675-5675 I FAX:(651)675-5694 1 I
I Date Issued: I
buildinalnspectionsCa�cityafeaaan com __
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 08/29/2023 Site Address: 4739 White Oak Ct. UnitS.,
Applicant is: ❑ Owner 0 Contractor
:;i: Barbara B
Name-
4739
Address:4739 White Oak Ct. ci Eagan
ty.
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rsgiDM..;�'� .': 2
MN 612-275-919
,.r '�{,� s''�x�,r• .:r,� State: Zi 5512 Phone: Email:
""" Re-Roof
Description of work:
Construction Cost 15,000
Type of building: 0 Single Family ❑Townhome, of units ❑ Twin Home
Company: KellingtonLLC Contact: Chuck
Address; 18491 Goodwin Ave. Hastings
ass:
:, �;:. �,r�,r:J City:
`'G"atcacoj MN 55033 612-490-462E
:K• i State: Phone:
chuckkellington@yahoo.com
Zip: e: Email:
License#: 630759 3-31-2024
Ex iration Date:
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Company:
� • ;� uwrr Contact:
Address: City:
Y
State: Zip: Phone: Email:
,ar w
r+.°,,.t',' ,;, License A Expiration Date:
❑ I understand-that plumbing, Mechanical,and Fire Suppression work require separate applicaffons.
CALL BEFORE YOU DIG. Contact Gopher State One C211 at(651)454-0002 or www.aoohen:tateonecall.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 apppvSd Van in the case of work which requires a review and approval of ns.
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Applicant's Printe ame Applicant's Signature