EA187364 - Building - Multi - Issued Date 10/27/2023 PERMIT
City of Eagan m , ® ® Permit Type: Building
3830 Pilot Knob Rd ,,a,a �r,•', E AGAN Permit Number: EA187364
Eagan, MN 55122
(651)675-5675 111111111111 IN 11111111111111111111111111111 IN
www.cityofeagan.com * E R 1 8 7 3 6 4 *
Date Issued: 10/27/2023
Site Address: 1247 Timbershore Lane
Lot: 4 Block: 05 Addition: Timbershore 3rd
PID:10-76502-05-040 11111111111111111111111111111111111111111111111111111111111111111 11M
Use: * 10 - 76S02 - 0S - 040 *
Description:
Sub Type: Multi Construction Type: V-B
Work Type: Repair
Description: Front steps and railings
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within R
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: $138.78
Contractor: - Applicant - Owner:
Crosstown Concrete Erik J Swanson
9036 Hyland Creek Rd 1247 Timbershore Ln
Bloomington MN 55437 Eagan MN 55123
(952)239-4002
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 10/9/2023
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(651)675'5875 I FAX:(651)675-5694 1 Date Received: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
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Applicant is: ❑ Owner Contractor
Name:
Homeowner
Address: 2 `/ 7 T, P
ty
State: z1o: Phone:
Email:
Description Of work: Fr 0/1 .1L
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Construction L1r
Work , U(l PD, Timbershore
Type of building: ❑ Single Family Townhome, of units
❑Twin Home
Company: G a.S S v-e 7Le
Contact:
Bultding
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sswe'r$r Company:
If1(8t@�'� Contact:
CCftltraCtOR Address:
Cit
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Require, for State: Zip: Phone:
new construction Email:
" License#:
Ex iration Date:
❑ I understand that Plumbing, Mechanical,and Fire Suppression work require separate
q pa ate applications.
Plants a tl supporting I0cuments that.you submit are considererd to tie public info a#ion
infot%eatf�n a pa�clas` t §daas non-publtc.if ou royidq,speciflc reasons that would pe��{�th�,�O
arotra e:seorets: Y p e
CALL BEFORE YOUDI(3. Contact Gopher State damage. Gontad tneii Oe Gli �
48 hours before you intend to dig#o receive►Deet s of underground utlift sstecfion against underground utility
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.
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Applicant's Print6d Name x
Applicant's ' nature