EA188300 - Building - Reroof - Issued Date 12/01/2023PERMIT
City of Eagan
, , gi , Permit Type: Building
3830 Pilot Knob Rd,-�,-
Eagan, MN 55122
Permit Number: EA188300
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(651) 675-5675
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www.cityofeagan.com — * E A 1 8 8 3 0 0*
Date Issued: 12/1/2023
Site Address: 1375 Lakeside Dr
Lot: 4 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-040
Use: * 10— 17 100-0 1-040*
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Residential Additions, Alterations Occupancy:
Zoning:
Square Feet: 0
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 t
water damage.
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:
Custom Woodcraft Etc Inc Michelle A Guion
6250 County Rd 10 1375 Lakeside Dr
Chaska MN 55318 Saint Paul MN 55123-281
(612) 414-4703
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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3890 PILOT KNOB ROAD i EAGAN, IVIN 55122-1810 I i
(651) 675-5675 i FAX: (651) 675-5694 I
buiidinnins ections cit ofea an om i-- Date issued'
RESIDENTIAL. BUILDING PERMIT APPLICATION
Date: 12/01/2023 site Address: 1375 Lakeside Dr. Unit #:
Applicant is: ❑ Owner ® Contractor
Name:
Michelle Guion
{
Hc�tai+r.1375 Lakeside Dr.
Egan
Address: City:
MN 55123 651-687-0620
State: Zip. Phone: Email:
re-roof
Description of work:
Construction Cost: 21,000.00
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;Type of building: Single Family ❑ Townhome, of units t...t Twin dome
- a' , a
" company: Custom Wood Craft Etc. Inc. contact: Bob
Butd m Address: 6250 County Road 10 Chaska
y City:
MN 55318 612-414-470. bobstevermer@gmail.com
State: Zip: Phone: Email.0
BC528655 March 2024
License #: Expiration Date:
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�1lff Company: Contact:
Address: City:
Ee€tired State: Zip: Phone: Email
new ftit'f+h`�
License #:
Ex iration Date:
® i understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NQTE. Pianl6Inc uppatti � db > tib tha yia subrrilt dire i t Ice d to' 6 u lle lri formatfort.+ rt I of tl tri
irtfast»atic 4 isa+ctas ,I % iu'A told ,s t eca t t waud era th er Gl td. cc�rtclta ilat tete
ares:
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.00pherstateonecall,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 Bob Stevermer
Applicant's Printed Name A plica `s signature���