EA187180 - Building - Siding & Windows/Doors - Issued Date 09/29/2023 PERMIT
City of Eagan ® , Permit Type: Building
3830 Pilot Knob Rd ••>,ae p'pp'p Permit Number: EA187180
Eagan, MN 55122 `•-° EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 7 1 8 00
Date Issued: 9/29/2023
Site Address: 1925 Jade Lane
Lot: 5 Block: 1 Addition: Ken Applebaum
PID:10-11700-01-050
Use: * 1f0 - 1 1700 - 0 1 - 0S0
Description:
Sub Type: Siding&Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $215.90 0801.4085
Valuation: 10,000.00 Surcharge-Based on Valuation $5.00 9001.2195
Total: $220.90
Contractor: - Applicant - Owner:
Struckman Construction LLC Randy&Cindy Hanson
26625 Evergreen Trail 1925.lade Ln
Elko MN 55020 Saint Paul MN 55122-210
(612)578-5726
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 1 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
r For Office Use
I Building Permit#:
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�„s°�� j S&WPermit#:
EAGAN
Permit Fee:
I I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 � FAX: (651)675-5694 I I
Date Issued: I
buildinginspections(o)cityofeagan.com I—————————————————————J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/29/2023 Site Address: 1925 Jade Lane Unit#:
Applicant is: ❑ Owner W Contractor
Name:
Homeowner Address: City:
State: Zi Phone: Email:
Description of work: Replacing siding and doors
Type of
WorkConstruction Cost: 20000
Type of building: Vu Single Family ❑ Townhome, of units ❑ Twin Home
Company: Struckman Construction contact: Kyle Struckman
Building Address: 26625 Evergreen Trail City: Elko
Contractor mn 55020 612-578-572Akylestruckman@gmail.com
State: Zip: Phone: Email:
License#: BC667033 EXIDiration Date:
Sewer,& Company: Contact:
Water
Contractor Address: City:
Required.iar State: Zip: Phone: Email:
new construction'';
License#: Expiration Date:
❑ I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans anti 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
aka trade"secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00i)herstateonecall.ora 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.
xKevin Struckman x
Applicant's Printed Name Applicant's SignatLW