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EA187638 - Building - Reroof - Issued Date 10/23/2023 City of Eagan PERMITPermit Type: Building 3830 Pilot Knob Rd " Eagan, MN 55122 Permit Number: EA187638 ®"�� �"�'" (65 1)675-5675 www.cityofeagan.com * E R 1 8 M76 3 8 * Date Issued: 10/23/2023 Site Address: 1717 Terra Glenn Ct Lot: 2 Block: 3 Addition: Terra Glenn 2nd PID:10-75401-03-020 Use: * 1121 - 75411 - 1713 - 1?1Z1� * Description: Sub Type: Reroof Work Type: Replace Construction Type: Description: Census Code: - Zoning: Occupancy: Square Feet: 0 Comments: 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: NorStar Construction 5421 Feltt Rd Clifford John Tste Steer Ste 170 1717 Terra Glenn Ct Minnetonka MN 55343 Eagan MN 55122 r600-6148all 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 wledge 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:By: Signature j For Office Use I C I I Building Permit#: I I I S&W Permit#:EAGAN I Permit Fee: I I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 1 FAX: (651)675-5694 I Date Issued: I I____________________ J buildinginsgections(a)cityofeagan.com RESIDENTIAL BUILDING PERMIT APPLICATION� [Date:Lo / �3 / �c 3 Site Address: 7 I7 f-c �r�/` G��'�r �,4'I Unitplicant is: ❑ Owner 0 Contractor t Name: � Homeowner / Cit ,5 _ G Address: Y I /�. �S Phone: State: Zip: . Z1�/�( Description of work: 0-2 s t � TWA kf 'I Construction Cost: 9iv0/n ' Type of building: ❑ Single Family ❑ Townhome, of units ❑ Twin Home E i Company:�o�� �� /Ul i` Contact: Building £ Address: h��� ��� �70 City: Ail 4' stn& Contractor 0C, A �c-� State:��Zip: 5 3 � Phone: 6S/'7-57'.V7 L44 Email: Cr" /NL C' Expiration Date: License#: a �^..IekA�?acmmmm�+u...............m.,,w..,,.wnro....ww..,..... a ..oxo��`� ma..mmnwrcmmvvmxvx. Sewer & Company: Contact: Water ) City: Contractor Address: Required for e State: Zip: Phone: Email: new construction £ Expiration Date: I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. I 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 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. _._. X t1 X S:�S`— � Applicant's tinted Name Applicant's Signature