EA187139 - Building - Reroof - Issued Date 09/27/2023 PERMIT
City of Eagan , , P Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA187139
Eagan, MN 55122 ep N JUMUMIM
(651)675-5675 E AC" � A
www.cityofeagan.com * E A 1 0 7 1 3 9
Date Issued: 9/27/2023
Site Address: 1517 Woodview Ave W
Lot: 3 Block: 22 Addition: Surrey Heights 2nd
PID:10-73001-22-030 1111 111111111111111111111 11111M
Use: * 10 7300 1 — ZZ - 030
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: - Applicant - Owner:
New Life Contracting Inc. Mohamed A Mohamud
9050 Highview Lane 1517 Woodview Ave W
Woodbury MN 55118-5512 Eagan MN 55122
(651)336-9966
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
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For Office Use
I 2
p / 1 Building Permit#:
4/ 1 S&W Permit#:
E A A1 Permit Fee: I
I I
In 1
1 Date Received:
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810
(651)675-5675 i FAX: (651)675-5694
I Date Issued:
buildin inspections cityofeagan com I_____________________�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/27/2023 site Address: 1517 Woodview Ave W
Unit#:
Applicant is: ❑ Owner 14 Contractor `
v Name: Surrey Heights HOA
Homeowners Address:
City:
State: ZiID: Phone Email
Remove and replace asphalt shingles
a , Description of work: p p g
Type of
Work Construction Cost: 11000
i
t Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
e � � company: New Life Contracting � � Dani Nicolm
Contact:
0
Building Address: 1898 Livingston Ave city: West Saint Paul
Contractor MN 55118 6512243442 newlifepermits@gmail.com
a
State: Zip: Phone: Email:
a
License#:
BC249486 3/31/24
.. �Exoiration Dated
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
1 License#: Expiration Date:
I 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..
xDanielle Nicol
x
Applicant's Printed Name Applicant's Signature