EA187635 - Building - Reroof - Issued Date 10/23/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd a $ ° Permit Number: EA187635
Eagan, MN 55122 � � � EAGAN
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(651)675-5675 ,
www.cityofeagan.com * E A 1 8 7 6 3 5
Date Issued: 10/23/2023
Site Address: 4274 Daniel Dr
Lot: 25 Block: 4 Addition: Lexington Pointe
PID:10-45070-04-250 lull 1111 1H 1111111111 111WEIMI 11111111111[1�1 111iff
Use: * 10 - 45070 - 04 - 250
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
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:
Northern Exteriors Minnesota Inc Sonia Chowdhury
6677 Timber Ridge Lane South 4274 Daniel Dr
Cottage Grove MN 55016 Eagan MN 55123
(651)230-5103
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
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For Office Use I
1 Building Permit
EAG
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A I S&W Permit#: I
Permit Fee: '
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1 Date Received: 1
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued:
build inginspections6c�cityofeagan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i 23/'IS Site Address: LlZ- a�v�i L I r �S IZ 3 Unit#:
Applicant is: ❑ Owner P Contractor
HomeownerAddress: r-��
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State: al Zip: � ,mm
Description of work: K¢— r 00 wlo,6 V1
I Type of
Work Construction Cost:
" Type of building: Uj Single Family ❑ Townhome, of units ❑ Twin Home
Company: yx �,X-")rrContact: AS Z. r✓c—L+
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Building Address: 0919-1-1 11 i (� z r aiA At �..11- 5 City: cHA4¢ ��ra1JQr
Contractor ,.��it�'�
State: Zi i L7 Phone: (9��-230-5(D 3 Email: �t Aso i,4"C�statrir e-W41
License#:
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Expiration Date: 3 �,
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Sewer & i Company: Contact:
I Water
Contractor Address: city:
Required for State: Zip: Phone: Email:
new construction
License# Expiration Date: � m •„��,,,,,,, ma�. ...,�...
122 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE. ortions othe
Plans and supporting documents that you submit are considered to,be public information. Pf i
information may be classified as non-public if you provide specific rea11 sons 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.qopherstateonecall.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.
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Applicant's Printed Name Applicant's Sign ure