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EA186991 - Building - Reroof - Issued Date 09/22/2023City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA186991 Eagan, MN 55122 a^ (651) 675-5675 EA%. -;p www.cityofeagan.com * E R 1 8 6 9 9 1 Date Issued: 9/22/2023 Site Address: 3704 Denmark Ave Lot: 19 Block: 2 Addition: Pilot Knob Heights 4th PID:10-57503-02-190 Use: * 1r0-57503-02 19T0* Description: Sub Type: Reroof Construction Type: Work Type: Replace Description: Census Code: 434 - Residential Additions, Alterations 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: Legacy Restoration LLC [an Saari 15350 25th Ave N, Suite 114 3704 Denmark Ave Plymouth MN 55447 Saint Paul MN 55123--104 (763) 354-7660 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 build! nginspections@citvofeagan.com RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 / Site Address: -7 O LJ U � '` IM G(✓ Ave Unit #: Applicant is: ❑ Owner 9 Contractor i Name c.i.t G Homeowner Address 7'!J� if�� �C ? iVLf City: G c CA n — _s State:W/ Zip_ � � � Phone: 651 �.�' �� Emaii Description of work: Type of t_ 4 WorkConstruction Cost: l Type of building: aSingle Family ❑ Townhome, of units ❑ Twin Home Company: 77f�(-l( €f� C �r�G� s U:<� ;. . i _ Contact: Building Address: 0�) C�,1r2_ P� _ -... —_.._ City: PI V-,oy� � Contractor State: N1 Zip: ) i� Phone: ) t v i_ a Err�aiL ct UMCt v1 � ' +� i�eLC i' r :..,) U License # } Expiration Date: Sewer $ Company: Contact: Water Contractor Address; City: Required for State: Zip: Phone: _ Email: new construction License #: Expiration Date: 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.gor)herstateonecall.orq 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 conforrnance 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 pfans Applicant's Printed Name Applicant's Signature r ---------------------- I For Office Use EAGAN I Building Permit #: I I I S&W Permit #: Permit Fee: I s C� I o ` I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 I Date Issued: build! nginspections@citvofeagan.com RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 / Site Address: -7 O LJ U � '` IM G(✓ Ave Unit #: Applicant is: ❑ Owner 9 Contractor i Name c.i.t G Homeowner Address 7'!J� if�� �C ? iVLf City: G c CA n — _s State:W/ Zip_ � � � Phone: 651 �.�' �� Emaii Description of work: Type of t_ 4 WorkConstruction Cost: l Type of building: aSingle Family ❑ Townhome, of units ❑ Twin Home Company: 77f�(-l( €f� C �r�G� s U:<� ;. . i _ Contact: Building Address: 0�) C�,1r2_ P� _ -... —_.._ City: PI V-,oy� � Contractor State: N1 Zip: ) i� Phone: ) t v i_ a Err�aiL ct UMCt v1 � ' +� i�eLC i' r :..,) U License # } Expiration Date: Sewer $ Company: Contact: Water Contractor Address; City: Required for State: Zip: Phone: _ Email: new construction License #: Expiration Date: 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.gor)herstateonecall.orq 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 conforrnance 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 pfans Applicant's Printed Name Applicant's Signature