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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- r--------------------- For Office Use Building Permit S&WPermit EAGAN #: I Permit Fee: I I I I � 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: HOI11eOW � F :;' Address: City: P� State: Zip: Phone: Email: Description of work: SGC ype,o'f ' Construction Cost: , s Type of building: Single Family ❑ Townhome, of units ❑ Twin Home Company: 1 !�✓I J�/��. 1- 14,,'Idrs Contact: 'Building 14, Address: S-e Y12 City: COntr �tor / St /"1�zip: �SI A? Q Phone: 7/5.55�vY95� Email: t��a vw1���u�r�eZC !a•'Y. (moi ., License#: Expiration Date: G �c7 Company: Contact: OM ;111�'ater�� Address: Oil roe 0, City: quire�i'fo'17z r� State: Zip: Phone: Email: new const�Ucfi��► ' 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