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EA187323 - Building - Reroof & Windows/Doors - Issued Date 10/06/2023 PERMIT City of Eagan Permit"': Building 3830 Pilot Knob Rd �p,,w, Permit Number: EA187323 Eagan,MN 55122 ''_" R"'� EAGAN (651)675-5675 111111111111 IN 111111111111111111111111111111 www.cityofeagan.com * E R 1 8 7 3 2 3 * Date Issued: 10/6/2023 Site Address: 1303 Wilderness Lane Lot: 002 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-020 Use: * 1 D - 84275 - 02 - 020 Description: Sub Type: Reroof& Windows/Doors Construction Type: Work Type: Replace Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Please print pictures of ice and water protection and leave on site. Improvements to the home require smoke detectors in all bedrooms. If the door or window opening is altered or you are installing a bay/bow window,please call for a framing inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(MSBC). 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: Owner: - Applicant - Gebi Yabato 1303 Wilderness Ln Eagan MN 55123 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 -------------� For Office Use 1 L°`I32� Building Permit#: C) , 0�0 1S&W Permit#: EAGAN In (� I Permit Fee:�,LG .9 b 1 I Date Received: to/ I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 , 1 651 675-5675 FAX: 651 675-5694 1 � � ) Date Issued: build inginspections(cDcitvofeagan.com I-------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date:J0- 0 d- 702-3 Site Address: � ,� a 3 \/i1 i�( C ✓V Ie SS LG►-v-A Unit#: Applicant is: Owner ❑ Contractor Name: t12C l Homeowner Address: 3© �C-,/SS LA-%-- City: _ `,1' �N✓1 vJ State: Zi : Phone: Email: Description of work: g0� 'v. cwvj Type of Work Construction Cost: Type of building: 1 Single Family ❑ Townhome, of units ❑ Twin Home Company: Contact: Building Address: City: Contractor State: Zip: Phone: Email: License#: Expiration Date: Sewer& Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction ,� License#: Expiration Date: IJ 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. 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. X t l -�r-� X 'fie Mv 1"U0 4-7-e Applicant's Printed Name Applicant's Signature