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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#: � ! I �„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