EA186643 - Building - Reroof - Issued Date 09/07/2023 PERMIT
City of EaganType:
Building
3830 Pilot Knob Rd Permit Number: EA186643
Eagan, MN 55122
EAGAN
(651)675-5675 .....
www.cityofeagan.com E A 1 8 6 6 4 3
Date Issued: 9/7/2023
Site Address: 2183 Storland Rd
Lot: 2 Block: I Addition: Norvin Oaks
PID:10-52200-01-020
Use:
1 0 S 2 2 0 0 0 1 0 2 0
Description:
Sub Type: Reroof Construction Type:
Work Type: Repair
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: Owner: - Applicant -
Craig Stark
25755 Zachary Ave
Elko MN 55020
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
r.._____________________i
I For Office Use I
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C E3uddincl Permit# i
S&w Permit#:EA 'O"h" AN i
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383f)PILOT l Nf',)B ROAD I EAGAN, MN 55122-1810 1
S5it)675-5575 i FAX (651)675-5694 1i
C?ate Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8129/2023 Site Address: 2183 Storland Rd. unit#:
Applicant is: 0 Owner C3 Contractor
€ Name: Craig Stark
Homeowner 3 25755 Zachary Ave. Elko
Address: City:
MN 55020 612-965-084 craig.stark1 gmail-com
State' Zip: .. Phone Email.
Description of work: Reroofing 'ter storm damage
Type of
Work Construction Cost: 5000.00
Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home
Company: _ _. _..... .. .-Contact:_.... ___ ____ .._.
Building � Address Cit .......... _...........
__
Contractor
State: Zip. Phone:
License#: Ex irk ation Date:
6v'ewer& Company: =: _ Contact � _..
Water
Contractor Address _... ... _ � Cite
Required for State: Zip:_ f"fite fte�� _ Email,
new construction
License#: Ex iraiiorr{Jpte:
1 understand that Plumbing, Mechanical, and Fire Suppression 1uork require separate applications.
NOTE: flans and supporting documents that you submit are considered to be public information Portions of the
information may be classified as non-public it you provide specific reasons that would permit the City to conclude that they
are trade_secrets.
_
CALL BEFORE YOU OIG. Contact Gopher State One Call at(851)454-0002 or www.<tapf�erstateonecali,o 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 tie in
accordance with the approved plan in the case of work which requires a review and approval of glans.
xCraig Mark �
Applicant's Printed flame Applicant's Signature
AM
NT: PR(DPERTY OWNER
Cunderstand 'ha tht Shite of Minnesota requires
that all resid tial building Contractors, remodelers'and roofers obtain 2-state license
unless they qualify for a-specific exemption from the licensing requirements, This
license requirement applies to owners of residential real estate who build or improve
such property fo r purposes 5 Of Speculation or resale.
By signing this document, t attest to the fact that I am improving this house for my own
use and am not building,or improving this house for the purpose of resellfing, it. f hereby
claim to be exernpt from the state residential building contractor licensing
requirements because I am not in the business of building or remodeling on speculation
or for resale and th h
101 resale and tngt the use for which I am applying for this permit, located at
Eagan, is the ooly residential structure I have
built Or improved in the Past 24 months,
Furthermore, 1 acknowlecige that I maY be hiring independent contractors to
certain aspects of the Perform
construction or improvement of this house and I understand that,
some of these contractors may be required to be licensed by the State of Minnesota. 1
understand that unlicensed residential contracting, remodeling, and/or roofing activity
is a rnisdemeanor tinder Minn, Stat, § 32613,082, subd '16 and can also result in a fine of
up to $10,000. 1 further state that I understand that the filing Of a false statement with
the City of Eagar-I nay also result in criminal prosecution and/or ciw, penalties Pursuant
to applicable city ordinances and/or state statutes.
I have also been informed and acknowledge that by listing myself as the contractor for
this p,roject, I alone*11 be responsible to the City of Eagan for compliance with all
applicable building codes and city ordinances tri connection with the work being
performed on this property. I also understand that if I hire an unlicensed contractor,
pIVonJY recourse in the event I lave dispute with my contractor will be to pursue
Private civil-actio L e
actin (lawsuit)against the contractor,and that even if I am suc ,
lawsuit, I will not be able to make a claim for compensation from the C cessful in a
Contractor
Recovery fund,, the state's consumer Protection Program for licensed contractors,
Name
Date
For questions or information or) contra,
and enforcemei-It history of a contractor 1'censin& Or to Check the licensing status
particular contractor, call the Minnesota Department of
Labor and Industry, Construction 'Codes and Licensing Division, at (651) 284-5069 or 1-
800-557-3944, or visit their website at:www,dlLmnlgo�vCCL�DRLC