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EA190230 - Building - Siding - Issued Date 04/15/2024 PERMIT City of Eagan A ® , a Permit Type: Building 3830 Pilot Knob Rd ®'A ° ®�p®`� E A A N Permit Number: EA190230 Eagan, MN 55122 (651)675-5675 www.cityofeagan.com * E A 1 9 0 2 3 0 Date Issued: 4/15/2024 Site Address: 4060 Pennsylvania Ave Lot: 12 Block: 5 Addition: Stafford Place PID:10-72500-05-120 111111111111111111111111 119MINIM Use: * 10 - 72 $ (00 - 05 — 120 * Description: Sub Type: Siding Construction Type: Work Type: Replace Description: Census Code: 434- Residential Additions,Alterations 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: $135.65 Contractor: - Applicant _ Owner: USA Builders Damian Paul Moran 8019 Cleadis Ave 4060 Pennsylvania Ave IGH MN 55076 Eagan MN 55123 (612)867-2220 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature -------------------- i For Office Use I 9 � I ` e f I Building Permit#: I l I 0s,® j S&W Permit#: EAGAN I I Permit Fee: 122I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I 651 675-5675 1 FAX: 651 675-5694 Date Issued: buildinginspections cbcitvofeagan.com I--------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: `�« Site Address: _ &�o �y��`�-7--,'� � Unit M. Applicant is: ❑ Owner gContractor de Name: Homr x eowneo g� dam, Address: �O6 / P�' �/'�!i/ i'I� /TvG City: ze!2�!/�/V State Zi .._I Phone: Email: 70 Description of work: .01f� PW`oWo f O C p r Construction Cost: Type of building: nSingleFamily ❑ Townhome, of units ❑ Twin Home Company: 4 .f09 ,rl ot Contact: BUtitdi>c Address: �G/c �1c9 `/ /��C city: Csl`�. Stater Zip. Phone: mail: . Expiration3 �v� License#: Date: i .Sovt+ r& Company: Contact: Gbntrd"a r-, Address: City: fequire ,for "! State: Zip: Phone: Email: nein constrUeticr '' License#: Ex iration Date: ❑ i understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE^Pian$acid uppc,rtin{ dt�curttentsr that you submit ark considered to,be public Information Port#ons of the informatic `may i; c[�aeJ­jieds. ra�pubh i youiorde tspsc�fia�keaaans`th�t wauid permit thy;City tc donclude that they are trade sss re° �., 1,G 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. X Applicant's Printed Name Applicant's Signature