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1216 Timbershore Lane ñ þ ý ÿþýþü ûÿÿ üú ðï ìûðü÷ÿ ÷ ìì ÿ ø ø ÷ö ÷éø ÷ñ÷ ø÷ûúùõô ÿ÷ùø ÷ö ÷éø ÷ñ÷ ó÷òó÷ûúùó ñ ÷ õ ïðõ ò î÷ÿí ìï þ ýðì ìì ÷ðëêøéè÷øöçæåäåä ÷û æåãåã öõõô øóò ùù á ðù ó ß ìïåýàûðü÷ÿ ÷ þ óõìþ óõì êçìì ÷üú ô â÷ ÿ ùù ÿ ñ÷ð ÿ÷÷ ÷ðùúô ùù ü ñóÿ ÿ áúñþ í÷ ÿå ùù è ÷ð ÿÿ ú ÷ r For Office Use ,, , I r IVIED a rr Permit#: 404,f 52019 AG AN OCT Permit Fee: 13* 11 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst&cityofeaaan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: //i , hey-5f+0AOS Phone: 55,,2-23 Resident/ / ! Owner Address I City/Zip: 12 / v T, t4 rr S f i Ire 4/i1 Applicant is: Owner Contractor T e of Work Description of work: Fp- ci �i s Construction Cost: Multi-Family Building: (Yes_/No ) t Company: r cit S S 7Lclw,I7 (co ti C. -e/4e Contact: lJ r C3 ® e /r 5 Contractor Address: _ t / G?n l a. 1" City: 44,0/77,'ri/.5 7U�t State: /fl Zip: S-913 hone: J5:,17-073 9 ytaart:pi A-6 r.c�sftz„� Cl o r�:yef •J r c• -k- License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: i I 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's wobslte at www.cityofeagan.comisubscribe. 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. CALL BEFORE YOU DIG. Cali 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. ww w.gopherstateonecall.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 p ns. Applicant's Printerd Name / Applicant's ?tore DO NOT WRITE BELOW THIS LINE '? tP i r•-• ( haeme-- L-a"-A_ 1' 'C '43 K 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 )InOccupancy ieb,t MCES System Plan ReviewCode Edition **/ SAC Units (25%_ 100% X) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings --- Length Fire Suppression Required Type of Construction -_� 16 Width REQUIRED INSPECTIONS ✓ Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Y Final/No C.O. Required Foundation Foundation Before Backfill ' HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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 /�, t r , 7t (noir Base Fee Surcharge clekieS Plan Review VOW MCES SAC City SACia Utility Connection Charge S&W Permit&Surcharge Treatment Plant 0 61 0 Radio Meter Read Copies TOTAL Page 2 of 3