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EA187389 - Building - Siding & Windows/Doors - Issued Date 10/10/2023 PERMIT City of Eagan , , , Permit Type: Building 3830 Pilot Knob Rd ,��;; °� Permit Number: EA187389 Eagan,MN 55122 --•• -•-m EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 7 3 8 9 Date Issued: 10/10/2023 Site Address: 668 Brockton Cur Lot: 10 Block: 6 Addition: Hills of Stonebridge PID:10-32990-06-100 Use: * 10 32990 06 - 100 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: Owner: - Applicant - Barbara Mary Mcmahon 668 Brockton Cury 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 — -------------i ------ For Office Use q I BuildingPermit#: �• �� �� 0S&W Permit#:EAGAN I I �7 p, \ I Permit Fee: � 1 t) I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 651 675-5675 FAX: 651 675-5694 I ( ) � ( ) Date Issued: J build inginspectionsCcDcitvofeagan.com (---------------- ————— RESIDENTIAL BUILDING PERMIT APPLICATION Date: � o2l��ite Address: 1�- ) '``" �� Unit#: Applicant is: Al:Zwner ❑ Contractor Name: 77l ,/`�( kC--LL Homeowner Address: (_Q�1 �C, 1 City: `—mac-,/-��- v z State: Zip: Phone: Email: F (ilJcC?�C� Description of work: � cL C <�c Type of Work Construction Cost: �a�L Type of building: 8,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: ❑ 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.orq 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. t1 x'Zy, a� U"�� O- Or� x Applicant's Printed Name Applicant's . nature