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1162 Timbershore Lane3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 CIE; (651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675- buqdmainsoectIons(d)cityofeacian.com Date: / r V For Office se , Permit t I , 5105 ' I-7 3. Permit Fee: /0. Date Received: Staff: 2020 RESIDENTIAL BOLD-UsIT APPLICATION tr- ‘,2,8 Site Address: / / 6 .2 Ti ‘07 t. s A v Unit #: Resident! Owner Name: Phone: Address l City /Zip: i /I 4 02, 74 11 SA0k.e. 4 eirte .r-- &k Applicant is: Owner Contractor eD --pobz_40enP Description of work: Type of Work Contractor (k-c / /lc,/ Construction Cost: 79 3 9 0 0 - • Multi -Family Building: (Yes ..!No ) Company: to S IOWA 61) er' Contact: r Address: ,03 1-/7 d 6.1t. State:RN Zip: 59/ 7 Phone: 73;7 ( ci 7e License # Lead Certificate #: /19.0.e. If the project is exempt from lead certification, please explain why: City: /3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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 documents that you submit are considered to be public Inforrnedon. Portions of the Information may be classified as nonpublic 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 citys webslte at mvv.,..cit ,...c).•fea.:s.tan„com/suk)...5cribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of porn* issuance. CALL BEFORE YOU [XG. 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. 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 1 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. x e Applicant's firInted Name x Applican Ignature • DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi WORK TYPES New Addition Alteration _ Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code #of Units # of Buildings Type of Construction _ Fireplace Garage Deck Lower Level 11102. 7511,�e-sLOI. l'vi jio5 Porch (3-Season) Exterior Alteration (Single Family) _ Porch (4-Season) J•W Exterior Alteration (Multi) _ Porch (Screen/GazebolPergola) _ Miscellaneous _ Pool _ Accessory Building _ Interior Improvement _ Move Building _ Fire Repair * Repair — Siding Reroof Windows Demolish Building* Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant flad0 Occupancy Tin(' 1 k, -/ MCES System ki3k Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan XD 9.0 SAC Units %'1J City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: Footings Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL /03 =s 67%- Page 2 of 3