EA185809 - Building - Single Fam - Issued Date 08/10/2023 City Of Eagan PERMITPermit Type: Building
3830 Pilot Knob Rd ° °°
Eagan, MN 55122 "`°'W '°°�° Permit Number: EA185809
(651)675-5675 EAGAN
www.cityofeagan.com * E R 1 8 5 8 0 9
Date Issued: 8/10/2023
Site Address: 1264 Timbershore Lane
Lot: 3 Block: 08 Addition: Timbershore 3rd
PID:10-76502-08-030
Use:
3 0
Description:
Sub Type: Single Fam
Work Type: Alteration Construction Type: V-B
Description: Replacing shower
Census Code: 434-Residential Additions,Alterations
Zoning: PD Occupancy: IRC-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001 2195
Total: $138.78
Contractor: - Applicant - Owner:
Mad City Windows&Baths Blanca N Raniolo De Olivares
5020 Voges Road 1264 Timbershore Ln
Madison Wl 53718
(651)500-0514 Eagan MN 55123
[1hereby
is permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
rted.
acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
C IVE
I For Office Use
• r B`(: I 185809
� ® I Building Permit#: I
S&W Permit#:
I I
I Permit Fee:EAGAN
I
I I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Date Received: 84/2023
I
(651)675-56751 FAX Date Issued: I(651)675-5694 I I
_buildinginspections Ca�citvofeaoan com I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/4/23 Site Address: 1264 TIMBERSHORE LANE EAGAN MN 55123
Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: BLANCA & EUDORO OLIVARES
Homeowner Address: SAME AS SITE ADDRESS
City:
State: Zi : Phone: 651-246-66 Email:
Description of work: REPLACING SHOWER.EXPOSING PART OF SHARED WALL WILL REINSULATE TO CODE.
Type Of
Work Construction cost: $4890 PD, TIMbershore
Type of building: V3 Single Family ❑ Townhome, of units ❑ Twin Home
Company: MAD CITY WINDOWS & BATHS Contact: LUPE VEGA
7B,uilding Address: 2621 FAIRVIEW AVE N ROSEVILLE
city:
State:
MN Zip: 55113 Phone: 651-867-43 Email: PERMITS@MADCITYWINDOWS.COM
License#: BC775012 3/31/24
Expiration Date:
Sewer Company:
Walter Contact:
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Ex iration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NQtE;Plans and supporting documents that you-submit are considered to be public'information. F ortions of the
information inlay lie"c[asa field as non-toUblic if you provide specific reasons tfia#would parmlt the City to conclude;that they
arra trade secreta:'.. .
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.qopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One 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 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.
XGUADALUPE VEGA �_--^
Applicant's Printed Name X_
Appllcant's Signature