1260 Timbershore LaneRESIDENT / OWNER
Name: CVO VI c SC Phone: 5 1 q54 Ixg5
Address / City / Zip: tYp d' ( M e O re A)c
Applicant is: r Owner Contractor
TYPE OF WORK
Description of work: . -¢ * _ t ' -e, r t ' A
Construction Cost: Soo. clo - V ulti- Family Building: (Yes S / No )
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
information may be classified as non - public, if you provide specific reasons that would permit the Ci ty'to
conclude that they are trade secrets.
City otEaRau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
TAN VJc ScNoNer
Applicants Printed Name
RcC'EIVED
NOV 082010
x
Applicant's Signature
Permit #: �� kcA
Permit Fee: \ K--/O
Date Date Receiv
Staff:
Use BLUE or BLACK Ink
2010 RESIDENTIAL BUILDING PERMIT APPLICATION ,-N M
Date: Site Address:
Tenant: Suite #:
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.00pherstateonecall.orq
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.
r.,
Page 1 of 2
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
DESCRIPTION
Valuation
Plan Review
(25% 100%V )
Census Code
# of Units
# of Buildings
Type of Construction
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
Fireplace
rage
Deck
Lower Level
WORK TYPES
New _ Interior Improvement
Addition , Move Building
_ _ Fire Repair
Q Replace _ Repair
Retaining Wall
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _ Ice & Water _ Final
Framing
Fireplace: Rough In _ Air Test _ Final
Insulation
Meter Size:
TOTAL
/a-
DO NOT WRITE BELOW THIS LINE
Porch (3- Season) _
Porch (4- Season)
Porch (Screen /Gazebo /Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
//2c- t
HgOD 7
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
y" / No C.O. Required
HVAC
Other:
Pool: Footings ^ Air/Gas Tests _ Final
Siding: _ Stucco Lath _ Stone Lath Brick
Windows
Retaining Wall: _ Footings — Backfill ` Final
Radon Control
Erosion Control
, Building Inspector
s smc
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Page 2 of 2
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158355
Date Issued:10/10/2019
Permit Category:ePermit
Site Address: 1260 Timbershore Lane
Lot:1 Block: 07 Addition: Timbershore 3rd
PID:10-76502-07-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Brian Discher
1260 Timbershore Ln
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
1335 Mendota Heights Rd
Mendota Heights MN 55120
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature