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1209 Timbershore Lane / 9 For Office use �',/�r)�/' * r # Permit#: t ',.t. ,�r �,s E AG A ".m. .. '�..,_ ,,1'4—'1 Permit Fee: 9:3 , 1e), 1 4:1;i - li i -, 1, Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 )i' I ; ,��j (651)675-5675(TDD: (651)454-8535 I FAX: (651)675-5694 .r 2010 Staff: buildinginspectionsacitvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 0 Date: Site Address: / (2C7 /(�(YiG -5-7O .e Zi?. Unit#: I Name: Phone: Resident/ j Owner I Address/City/Zip: s' j Applicant is: Owner Contractor Type of Work Description of work: Ivo r� �a nCve/�' � ��� .��. _ _, .�o „ Construction Cost:i 2 r 0 0 0 — _ _ Multi Family Building: (Yes )C' /No ) / /9r e 71 Company: G v 4,“io(v� Cp H G tr � �4 Yi CC ntact: 6 k* tt I i Address: 9 03 6 ° i x/a rpt d £ 4( ity: _ 154 0✓,,/ ,in 5 la v-\, Contractor 1 State:MN Zip:35/3/ Phone: 9,5-c) 2 3 �EtSi lPQZ 7ij 6 f e ' G 1/ -er-i-,-.. i License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: . 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: sMechanical Contractor: Phone: i t Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: i 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 o yroyide specific reasons that would ermit 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 website at www.citvofeaoan.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.gooherstateonecall.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{edplan in the case of work which requires a review and approval of lans. x VVe / i;e 1'9 x Applicant' rinted Name J App icant's 'nature oq "Ti'irvioc4-c-14012-6-- /41. )..5--( 0 -- DO NOT WRITE BELOW THIS LINE f ` 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 'I 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 Sol)000 . — Occupancy ✓R ( ` 3 MCES System Plan Review Code Edition N)✓t 201 c SAC Units (25%K 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \,/t5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) p Final/C.O. Required K" Footings (4dditaon.) 5?-00 f' ?q 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 !V1 , 1 4 yI , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3