EA190415 - Building - Reroof - Issued Date 04/24/2024 PERMIT
City of Eagan , a Permit Type: Building
3830 Pilot Knob Rd ►�*+ + a'� Permit Number: EA190415
Eagan, MN 55122 '"� "�" EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 9 0 4 1 5
Date Issued: 4/24/2024
Site Address: 612 Autumn Oaks Ct
Lot: 9 Block: 3 Addition: Country Hollow
PID:10-18275-03-090
Use: * 1 0 — 1 8 2 7 5 — 0 3 — 0 9 0
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:
Entire Exteriors LLC Michael&Brandy Johnson
7401 42nd Ave N,Suite 102 612 Autumn Oaks Ct
Golden Valley MN 55427 Eagan MN 55123
(763)283-5985
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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I For Office Use �{ I
I Building Permit#: ` 1
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I Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 I Date Issued:
buildinninspections(&citvofeanan.com I----------------------I
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: yZ Site Address: ��� . Yy11�1 Oz(GS l�c�r� Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name:
HomeownerAddress: /art �'! �/ l e�city: ��GLvc
State: Zi Phone: , 17121. mail:
Description of work: orn4ve
Type,of
Construction Cost:
Work
Type of building: Single Family ❑Townhome, of units ❑ Twin Home
Company:, _ti�i/�L � �r-iai^5 Contact:
Buiiding Address: Nal IQ Of TA&- City: r L
Contractor
State:DaI4zip:tMQ2 Phone: I49t23 Email:
License#: — Expiration Date: 5
$ewer& Company: Contact:
Water
Contractor Address: city:
Required for State: Zip: Phone: Email:
now construction
License#: Expiration Date:
I understand 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
informatian.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 DIO. Contact Gopher State One Call at(651)454-0002 or www.g_ooherstateonecall.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
accordant with the approved plan in the case of work which requires a review and approval of plans
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Ap ant' nted Name App an' Si ure