EA189653 - Building - Siding - Issued Date 03/14/2024 PERMIT
City of Eagan , , , Permit Type: Building
3830 Pilot Knob Rd 's' '• Permit Number: EA189653
Eagan, MN 55122 `'•' "''
EAGAN
(651)675-5675 ..,,mss. * E A 1 8 9 6 5 3
www.cityofeagan.com
Date Issued: 3/14/2024
Site Address: 1775 Kyllo Lane
Lot: 9 Block: 4 Addition: Ridge View Acres
PID:10-64000-04-090
Use: * 10 64 000 CD4 - 09 D *
Description:
Sub Type: Siding Construction Type:
Work Type: Repair
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $133.15 0801.4085
Surcharge-Based on Valuation $2.50 9001.2195
Valuation: 5,000.00
Total: $135.65
Contractor: Owner: - Applicant -
Ralph A&Rita D Dickinson
1775 Kyllo Ln
Saint Paul MN 55122-114
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
--------------------�
For Office Use 1
I Building Permit#:
1�b°Ib�2
I
S&W Permit#:
EAGAN I
Permit Fee: I
� I
Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued:
buildinginspections65�cityofeagan.com I---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /4 ,?—OZ Site Address: 17s- Ky Unit#:
Applicant is: Owner ❑ Contractor
Name:
Homeowner Address: L-43 city:
mss( 7.-3333 /
State: Zip: S ZZ Phone: 7Email: r d l b� Y�►cr� ``
Description of work: r'e—5111, �4�� St 4� )141-1" �
Type of
Work ` Construction Cost:
Type of building: asingle Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License#: Expiration Da
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Email:
new construction`
License#:
:L:i%irati
ate:
tunderstand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons 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.gopherstateonecall.orq 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 /�� y1 S rJ x
Applicant'i Printed Name Applicant's Signature