EA186728 - Building - Reroof - Issued Date 09/11/2023 PERMIT
City of Eagan luillin,
3830 Pilot Knob Rd Permit Number: EA186728
Eagan, MN 55122 EAGAN Permit"':
(651)675-5675 ....... 11111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 9 G 7 2 8 *
Date Issued: 9/11/2023
Site Address: 1276 Vildmark Dr
Lot: 012 Block: 001 Addition: Wilderness Run 3rd
PID:10-84352-01-120 luau UHM]UHM
Use: 1 0 — 9 4 3 S 2 — 0 1 — 1 2 0
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:
Cedarstone Construction Inc Katherine Wittenberg
16916 Island Avenue 1276 VIldrnark Dr
Lakeville MN 55044 Eagan MN 55123
(651)497-0446
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
-------------i
For Office Use I
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+ I Building Permit#: !�
14%�� S&W Permit#:
EAGAN II
Permit Fee:
I I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
651 675-5675 1 FAX: 651 675-5694
Date Issued:
buildinginspections(Dcityofeagan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name: )'l o 't G-4, Z A Akt.�y�
Homeowner Address: /Z7& j,�;dwu,rG; 0,rr City: �dt
State: VAI Zip: (l� Phone: 3/,25 Email:
Description of work: e"c,,f
Type of
Work Construction Cost: ZS
Type of building: a Single Family ❑ Townhome, of units ❑ Twin Home
Company: � � 5/'f L Contact: J dPf SGti
Building Address: City:
Contractor (
State:/M/f-/Zip: SSGyq Phone:/ �'�/y Uy�IG Email:. G�.f�l Str�tGta+�t.Ca.�t
License#: L li 5� Expiration Date: 3?_
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.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.
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Applicant's Printed Name Appl' tu—re