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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 I------------------ 1 For Office use —' m 0 1 187364 i I 0 1 Building Permit#: 1 �► ®a m®� 0I I °��� •��'® I S&W Permit#: i ANi ---ago. EAG i ( 1 i Permit Fee:� 1 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 10/9/2023 i (651)675'5875 I FAX:(651)675-5694 1 Date Received: I bu_ iidinginspections citvnfgs„a yam I1 Date Issued: I L----------- ------ RESIDENTIAL BUILDING PERMIT APPLICATION 7Dato: /()— ? Site Address: /02 417 J /moi rr7 'f'lr $f7 U Y Unit#: Applicant is: ❑ Owner Contractor Name: Homeowner Address: 2 `/ 7 T, P ty State: z1o: Phone: Email: Description Of work: Fr 0/1 .1L Tyspe,:of 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 Address:� ��6 /llrl/�G►n j�J, 1 tCont'r`actor City: _d,3 fov -r ;&&Zip /.3 State , -_�__..1 Phone:l��` 3 'yGlrnaiL (� J� v t`g Cv�cs" �2c'rty7� License# $_ :r Ex iration Date: sswe'r$r Company: If1(8t@�'� Contact: CCftltraCtOR Address: Cit Y: 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. x /1 6—'-e // 'ei Applicant's Print6d Name x Applicant's ' nature