EA189212 - Building - Siding - Issued Date 02/13/2024 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob RdPermit Number: EA189212
EAGAN
Eagan, MN 55122 •••- ••-•
(651)675-5675
www.cityofeagan.com * E A 1 8 9 2 1 2
Date Issued: 2/13/2024
Site Address: 3573 Ashbury Rd
Lot: 29 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-290
Use: * 10 - 1435 1 - 03 - 290 *
Description:
Sub Type: Siding Construction Type:
Work Type: Replace
Description:
Census Code: - Occupancy:
Zoning:
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: Owner:
- Applicant -
Timberland Exteriors Brian&Cynthia Sullivan
807 Eagle Ridge Trail 3573 Ashbury Rd
Stillwater MN 55082 Saint Paul MN 55122--122
(651)439-1760
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
Building Permit
S&WPermit
EAGAN #:
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Permit Fee: I
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 1 I
� � � � � I Date Issued: I
buildinginsoectionsCcD-citvofeagan.com I---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ '-9, Site Address: 35 7✓ Av1 h Lj)n Q Unit#•
Applicant is: ❑ Owner Contractor
Name:
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Description of work: SGC
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' Construction Cost:
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Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: 1 !�✓I J�/��. 1- 14,,'Idrs Contact:
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License#: Expiration Date:
❑ I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE RiAfl andupp,�i f dt5iuf�ndntsth�t yvu submit ar ,°considered ta`be public Infcsl�matian: Particns°'of the
Inortion,rr� yl cia �idson��uktiic ii you ! avidpea�fro�reasarts ti�at v�ould p°ertnit the City ta: an+ luieahat.they
ar .trad�s� cr.�. . ..a
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.
Applicant's Printed Name Applicant's Sig ture