EA187997 - Building - Reroof - Issued Date 11/13/2023PERMIT
City of Eagan
Site Address: 3247 Black Oak Dr
Lot:5 Block: 11 Addition: Bur Oak Hills 2nd
PID:10-15501-11-050
Use:
Eagan,
Permit Type:Building
Permit Number:EA187997
EA187997*
Date Issued:11/13/2023
Permit Category:ePermit
10-15501-11-050*
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Please describe the work, including any skylights that will be repaired or replaced:reroofing
Applicant: Kritika Shah
4450 Erin Drive Suite 200b
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $133.15 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
135.65Total:
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.
Contractor:Owner:- Applicant -
Matthew B Wallace
3247 Black Oak Dr
Eagan MN 55121--233
651) 353-7031
Evergreen Construction Company Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
651) 209-3130
Applicant/Permitee: Signature Issued By: Signature