EA187365 - Building - Multi - Issued Date 10/27/2023 PERMIT
City of Eagan EAGAN Permit Type: Building
3830 Pilot Knob Rd ,��;s Permit Number: EA187365
Eagan, MN 55122 °- •••d
(651)675-5675 .�. 1111111111111 IN 111111111111111111111111111111
* E R 1 8 7 3 6 S
www.cityofeagan.com
Date Issued: 10/27/2023
Site Address: 1215 Timbershore Lane
Lot: 3 Block: 08 Addition: Timbershore 4th
PID:10-76503-08-030
Use: * 10 - 76S03 — D8 - 030
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 1(
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: $138.78
Contractor: - Applicant - Owner:
Crosstown Concrete Diane S Rahja
9036 Hyland Creek Rd 1215 Timbershore Ln
Bloomington MN 55437 Saint Paul MN 55123-102
(952)239-4002
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
i----------------- ---�
1 For Office Use
® ® � i 187365
1 Building Permit#: i
EAGAN 1 S&W Permit I
1
I Permit Fee: L3.-.1_
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3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 Date Received:
bui
(651)675-5875(FAX: (651)675-5694 I
I I ldinainsgectionsncitvofeaaAn QQM I Date Issued: I
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RESIDENTIAL, BUILDINGPERMITAPPLICATION
Date: �" a/ _ Site Address: I a f 5 r� !� Pv S
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Applicant is: ❑ Owner EZContractor
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Description of work: >=r• OP7 7 4- s )�e
Type of
WgCk Construction Cost:- f, y U( PD, Timbershore
Type of building: ❑ Single Family �I TOwnhome, of units
❑Twin Home
Company: u e' 5 S /4011-,y � v e/le Contact: P/ e_f,' .
811i1tl,!,t?9i, Address: 203 /7r t/`Gr» C1c a�
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License#: r C o"P—
Expiration Date:
Sewer$e Company;
�N1fe�° Contact:
COi(i ractor. Address:
City:
Req Ire4jbr State: Zip; Phone:
new,construction Email:
License#:_ Expiration Date:
❑ 1 understand that<Plumbing, Mechanical, and Fire Suppression work require separate applications.
p pp ations.
InT aPlans�a td;supportift�g documents that you.sub 1 M considered to be public information, P,a,
infonna ott niay classjf{ed°a noni p4bIIc If you provide spQcitic reasons=that wduid perrtlit�tiie t~ify e
arH-tracieaecrets..:`
CALL BEFORE YOU Dit'a. Contact Gopher State One Call at(851)454-0002 or www.a0Aherstateonecali oro 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 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.
Applicant's Pri d Name Applicant's ' nature