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2003 Diffley RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2003 Diffley Rd Lot: 14 Block: 11 Addition: Cedar Grove 1st PID:10- 16700 - 140 -11 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124 -0000 (952) 891 -1919 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: William D Fleming 2003 Diffley Rd Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA083861 06/26/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State CITY OF EAGAN R N2 17245 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for FIRE REPAIR Est. Value $25,000 Data OCTOBER 27' 1989 Site Address 2003 DIFFLEY ROAD Lot 14 Block 11 Sec/Sub. GROVE 1ST OFFICE USE ONLY Parcel No. Occupancy FE ES Zoning W Name WM FLEMING (Actual) Const Bldg. Permit 252.00 3 Address SAME (Allowable) 12.50 p Surcharge City Phone 454-6294 s of Stories Plan Review Length Name SAMPSON LINDGREN INC Depth SAC City u<o Address 2228 E 35TH ST S.F. Total - . E City MPLS Phone 721-5546 S.F. Footprints SAC, MCWCC Water Conn On Site Sewage ww Name On Site Well W t M t w Address MWCC System _ er er a e aW City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump &W Surcharge information is correct and agree to comply with all applicable State of / Minnesota Statutes and Cil of Eagan Or i ances{ I / /? ! / Treatment PI ? , I ( ;L ! C , Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: SAMPSON 1 TNn('VEN INC Planner Park Ded. on the express condition that Fwork shall be done in accordance with all Council applicable State of Minnesotagtatutes and City of Eaban Ordinances. Bldg Off. Copies 4264 50 ? Variance TOTAL . Building Official EAGAN TOWNSHIP a BUI/LDI G PERMIT . Owner -',---t`.;?/yXy,??F-...:??SZ?!X?C!,.: _--l..-- gan Township Address (present)Town Hall Builder ............... :......................"--------....--°....--- { ?' Dale -<------...-?----..Y.:.........°-----.-...... Address ------------ ............................................. ------ Stoorries To Be Used For Front Depth Height Est. Cosa Permit Fee Remarks LOCATION or TtZhrinit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent th ght to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUSTa??PT N T AEE ILE THE WORK IS IN PROG .r/ This is to certify, !h - --G P . {d -has permission to erect a---.----- rte-.....!. ...........................upon the above described premises ject to the provisions of the Buildi 'Ordinance adopted April 11, 1955. r 1 Chairman of Town Board C ?8}?j&ng inspector t NG PERMIT a td for FIRE REPAIR CITY 9F EAGAN b toad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Value $259000 Date Site Address 2003 DIFPLBY ROAD Lot 14 Block 11 Sec/Sub. CEDAR GROVIR 187 Parcel No. Phone Name ?w Address a W City Phone I hereby acknowlege 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. Signature of Permitee A Building Permit is issued to: SA PSM 1-11'XI IRK INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota tatutes and City of Eagan Ordinances. Building Official r ' = r? ! 17245 1934 OFFICE USE ONLY Occupancy ,. FEES Zoning (Actual) Const Bldg. Permit $252.00 (Allowable) 12050 Surcharge M of Stories Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System Acct. Deposit City Water PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Council Park Ded. Bldg. Off. Copies =2?? Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I ?j?l(f ,Qiy Foundation Framing Roofing Rough Plbg. Rough Hlg. - Isul. 2- - Fireplace Final Hig. Final Plbg Const. Meter Plbg. Inspeclor - Notify Plumber Engr./Plan Bldg. Final ?Q C!J Deck Ftg. Deck Final Well Pr. Disp. For Olfke Use Only: PERMIT # 'f MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3090 PILOT KNOB ROAD, EAGAN, MN 55122 Isy,?+,, : ' r DATE: - - CONTRACT PRICE: PHONE: 454-0100 Site Addr es? BLDG. TYPE WORK DESCRIPTION ? Lot Block Sec/Sub Res. New I Mult Add-on ` Name Comm. Repair ? Address .,.. _ : Other city ? ng OMINCT N 55420 FEES Name RES. HVAC 0-100 M BTU - $24.00 C Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) M A IT) - 1.50 E . , GAS OUTLETS (MINIMUM -1 PER PER TYPE OF WORK COMMAND FEE -1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # - (ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: SIGNATURE OF PERMITTEE SIC: ? TOTAL: _ . FOR: CITY OF EAGAN Receipt F MECHANICAL PERMIT Porn CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date '!=! - 2. Installation Cost 3. Job Address of Blk.., 4. Owner %G Lem 5. Contractor ?. Phone ' 6. Address 7. City State _ 8. Building Type: Residential X1 Commercial ? Institi 9. Work Description: New ? Add T] Alter ? F 10. Describe Fuel Type I 11. Fee S/C Tot. S ;,;71 11 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12, 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Fin I Inspections: Date Insp. Dat44? Insp. This is your permit when numbered and approved. // Approved CITY OF EAGAN 464-8100 A , rJ- CONTRACT 3830 PRICE Site Name Addre c City c PLUMBING PERMIT CITY OF EAGAN ROAD, EAGAN, MN 55122 454.8100 FEES COMMAND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM,IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) For Off IF Use ly PERMIT # /G RECEIPT# DATE: Res. ` New Mult. Add-on Comm. Repair ?- Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES f JQT j Water Closet - $3.00 - $ T Bath Tubs - $3.00 - 71 Lavatory - $3.00 Shower - $3.00 1 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 1 Water Heater - $1.50 Whirlpool - $3.00 -T-?? ?- Gas Piping Outlets - $1.50 ` (MINIMUM -1 PER PERMIT) I 5 fto Softener - $5.00 Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: O GRAND TOTAL: a?? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 0 APPLICANT: I o I- 14 it f r F i t F Y RD +, tA" I I?Ah tisttVt_ 1 S fJ < 1 t:1?1! -!? 1 9 PERMIT SUBTYPE: .. . TYPE OF WORK: DESCR tp I ION fit) tlItINi. N 4?"'HH 00; 4/11+H Al IFFIAtION RVROOF INSPECTION DATE INSPTR. INSPECTION Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7a?? A ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Accruisitinn Addition CEDAR GROVE #1 Lot 14 Blk 11 Parcel 10 16700 140 11 Owner Street 2003 Co. Rd. #30 State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. C80 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 3 4 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ?+ u BUILDING PER. SAC PARK PERMIT CITY OF EAGAN 38° *Iot Knob Road `Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 2 2 8 8 Date Issued: 06/19/98 SITE ADDRESS: P.I.N.: 10-16700-140-11 2003 DIFFLEY RD LOT: 14 BLOCK: 11 CEDAR GROVE 1 DESCRIPTION: REROOF &u'ildtig„ Permit Type ;Building Work Type ;'Census CodeTz?.. f, STORM DAMAGE ALTERATION 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: CONTRACTOR: APEX ROOFING 944 ORIOLE OR APPLE VALLEY MN (612) 891-1919 - Applicant - ST. LIC 18911919 2004228 55124 OWNER: FLEMING JOAN 2003 DIFFLEY RD EAGAN MN (612)454-6294 I hereby acknowledge that I have read this application and st that the information is correct and agree to comply with all appl'bl tate of Mn. Statutes and City of Eagan Ordinances. L? J APPLICANT/PERMITEE SIGNATURE 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PU.OT KNOB RD - 55122 681-4675 New Construction Requirements ? 3 registered she surveys • 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: Cpl/ I Remodel/Repair Requirements ? 2 Copies of plan ? 2 she surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION. COST; 3, 7 y 0. 4)b DESCRIPTION OF WORK: STREET ADDRESS: 100 ?.faC Gc , LOT: BLOCK: SUBD./P.I.D. #: Name: r-j" / nB Phone #: Z f y PROPERTY Last First OWNER Street Address: C;2-00.3 City ge:g vt State: Zip: SS A Company: A5,k ?dQ?n/G it • Phone #: ?q) CONTRACTOR c?lJ ?J Street Address:1/, f i d? Q? • , ?f,, License # a U a 'L?//2. ? d 7 City ? ' State: Yh/\/ 0 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received - Yes - No - Not Required ? V SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITS THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: C RA' t J i 00 Valuaion: Site Address a 0 0 3 OFFII Lot -4 Block Occupancy Qom, Zoning _ Parcel/Sub Actual Const _ r Allowable Owner LJi V- I ^ + # of stories L th Addressa 0 0 5 0-,). R J- 3o. City/Zip,C/ode L,4 4 3 ^/, M %N''? S S /2 Z Phone 7 S a 9 y Contractor- ?'A I50,/ L wRew GNC Addresso%7-7L • 3S ?St. City/Zip Codemp/T Phone -2 CS-411P / Arch./Engr. Address City/Zip Code Phone # L 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN /.71 LE DWELLIN Y S GS Date: 10 -2 -7 - P9 eng Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner _ Council Bldg. Off. Variance ONLY FEES Bldg. Permit 2-5-2- Surcharge /71 SC Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL S 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan S 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reauirements 3 registered site surveys showing sq. f . of lot, sq. ft. of house; and all roofed areas 2 copies of plan . i (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ' , 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate don-site septic system __?. 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date r l ?y 1 ??L? Site Address L?()?t V Construction Cost Unit/Ste # Description of Work / E Ctit -Cr //'? f=-_ 4-041 Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 - 2 Property Owner l?? 1 ?i - 4?/'?t i 2 Telephone # (6 Tl) 1/.5 V Contractor ?/ E)C iC t l? Address V2/L? Stale !T f n Zips ? 6Y City 0 Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informatio e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA113318 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 2003 Diffley Rd Lot:14 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-140 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . William Krech Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: 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. Contractor:Owner:- Applicant - Chilton V Vorhis 2003 Diffley Rd Eagan MN 55122 (952) 432-4569 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------- I For Office Use / Permit#: City of Eakani I � yI Permit Fee: I 3830 Pilot Knob Road APR 2 Z 2016 I I Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 I Staff: I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ,lJ I�`1�L VV 1 Phone:(P 'Reslde:- Wrier, Address/City/Zip: Applicant is: Owner Cdntractor Description of work: V1 W Type of Work Construction Cost:=AA[ Multi-Family Building: (Yes !No�J Mrt Cpqm any: ����� �I V1 ucntact; rt Address: `'>� City: , r ed Contractor' f State: zip:�0 Phonel(o lb1 Aq IEmail: License#: Rau-r25G)CI 019 Lead Certificate#: If the project is exempt from lead certification, please explain why: 3' �+«n««vaw ««wa>+aumvvwreamwr+wx+%m�.auo-umr«vww..mn....poi.sm'a...ee�.uvxrzw.wow.w.»-.wwwev�ea+m.wr.:nwnr.reww.avwaeawamm«avreromvzM.wwcvw.�a«c«w«wn.asm.i.c.anaw*emn,.u..wpmew.wwaso-wawamwmmmvmnrm +�wmxwae.�.vmmrw.azvsw.w-._ru.rw...m'u'.nwvw—.«.„,.„ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE.-plans and supporting a(ocumenfs,thatyou sub►nitare 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 I ;conclude that the v are trade secrets,. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage: Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X Applicant's Printed Name Applicant' ure Page 1 of 3 ,2 4 �IC`-' IeC160 NOT WRITE BELOW THIS LINE 240 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family — Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch,(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancyr. " t MCES System Plan Review Code Edition p/ SAC Units (25%_ 100% ) Zoning City Water Census Code _f_ Stories "' Booster Pump #of Units / Square Feet PRV #of Buildings l Length Fire Suppression Required Type of Construction Width -- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: ^Ice &Water _Final Pool: _Footings Air/Gas Tests Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation — Windows Sheathing Retaining Wall:_ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 73 �- Ja s�'is y� 1tr s rox !�1ilu W/O Base Fee 73 �-- Surcharge _ Plan Review ? MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA177662 Date Issued:07/12/2022 Permit Category:ePermit Site Address: 2003 Diffley Rd Lot:14 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-140 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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. Contractor:Owner:- Applicant - Chilton V Tste Vorhis 13675 Harwell Path Apple Valley MN 55124 (952) 242-9585 New Life Contracting Inc. 9050 Highview Lane Woodbury MN 55118-5512 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature