EA186976 - Building - Reroof - Issued Date 09/21/2023PERMIT
City of Eagan
Site Address: 4985 Pine Lane
Lot:11 Block: 1 Addition: Pinetree Forest
PID:10-57650-01-110
Use:
Eagan,
Permit Type:Building
Permit Number:EA186976
EA186976*
Date Issued:9/21/2023
Permit Category:ePermit
10-57650-01-110*
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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 the
water damage.
Please describe the work, including any skylights that will be repaired or replaced:Re roof. No skylights.
Applicant: Joe Withuski
P.o. Box 1022
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $133.15 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
135.65Total:
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.
Contractor:Owner:- Applicant -
Kyle Tste Hindbjorgen
4985 Pine Ln
Eagan MN 55123
763) 464-4464
Peak Concepts Construction Llc
PO Box 1022
Hudson WI 54016
651) 307-7487
Applicant/Permitee: Signature Issued By: Signature