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1173 Timbershore LanePERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109480 Date Issued:03/13/2013 Permit Category:ePermit Site Address: 1173 Timbershore Lane Lot:3 Block: 02 Addition: Timbershore 4th PID:10-76503-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Pamela S Madison 1173 Timbershore Lane Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 7/ Ixr For Office Use .- 0 ::::e fr.....:;(;)V0� � �ta .�„„, Int 1gi : �� ' Date Received: /,/ 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 Dt, ” . 2018 ` P (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: ,.:.01 buildincinspections( citvofeauan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: //"7 3 / /mabies 0 L/'7 ` Unit#: IName: Phone: Resident/ Owner Address/City/Zip: I j Applicant is: Owner Contractor i Type of Work Description of work: IP'6 ''1 1 C d M C v-elS�rfi1 Construction Cost:7 2 I !'0 0 — Multi-Family Building: (Yes N /No ) Company: G USS n w rn (d h C v Cf <Orcerj ct.� ge /1; Address: 03 y/a,-/ a. /4ity: /U 0 pi/ h� �//- Contractor / State:MN Zip:35 %3/ Phone: '95-o Z 3 E P02- 4, 'e 7Llj911" v/, . s I License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: i Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if ou rowde s ecific reasons that would ermit the Cit to conclude that the 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 website at www.citvofeagan.com/subscribe. 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. 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.qooherstateonecall.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 lans. x &V Pof A,i ,J x ...e-__Le. -__ Applicant'§-Printed Name App icant's nature DO NOT WRITE BELOW THIS LINE 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 lc 01 of 41Plex _ 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 Soli SIND , Occupancy �Q L ' 3 MCES System Plan Review Code Edition S4)V12.0/ c SAC Units (25%?< 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required X; Footings jdditiaon) s7-0,0f ? Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas 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: / O m . j , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3