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1180 Timbershore LaneRESIDENT / WNER Name: ` , -i ti, S h Phone: la' s c`/ -1 33 Address / City / Zip: I' % +v4D ‘rsc;. e—, i, i > ,23 1 Applicant is: X Owner Contractor TYPE OF WORK Description of work: - V'P--C -. . o.V%& Tom. i O NNoc9C" (,4C.J' a i.'lir Construction Cost: a Soo ,o0 Multi - Family Building: (Yes / / No _ ) CONTRACTOR Name: Q4.; c‘42-Y' License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: SeWer & Water Contractor: . Phone: NO TE Pla and su p p ort ing d ocuments that you s ubmit are considered to b publ informat on., i?ort ions of th information mayb classified a non-publ ►f y cu p rovide speci c sons that rtro rit f� a City o . , c onclude that th are:tradets Ce .a Tenant: City of EaaR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: Site Address: r Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: 5-026-- Staff: C� CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CCf /11 Sij% Suite #: 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 requ,r,e ew and approval of plans. x OCt ,In, q 62©'2''' 1 x Applicant's PFintedtName mg f 1 8 2010 Applicant's Sign Page 1 of 2 Hgo SUB TYPES Foundation Fireplace Single Family Multi 01 of Plex Accessory Building Garage j t Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 1 Census Code # of Units # of Buildings Type of Construction Reviewed By: REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing fArA, Fireplace: _ Rough In Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE / 3 ?4 Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant RD 1Go r MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers sia ‘49 PgC 9 107:9 061 Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Air Test Final Windows PNrio �- Retaining Wall: _ Footings Backfill Final Radon Control Erosion Control , Building Inspector 026 6 Page 2 of 2 7706' /5'50" b t 1 "1 0 z cn (1) 0 z ° „Zg e9e 6/4 84789 A y0o 4 4 /5'50" 1 .44' ti xi' 6`G' 6 C • 71 • I For Office.Use,'iiit e is P eer : _ ;l. , Permit II: C263, e i ! Permit Fee: (} -v –15 MAR V / 2019 3830 PILOT KNOB ROAD EAGAN,MN 55122.18.10 Date Received: 3' t' -(651)675,5675 I TDD:(6.51)454.5535 I FAX: (651)'675-5694 bulldlnpinsoecllons anoil yoleagan corn Staff: • • L V J • .2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ce.A.0 J aolct Ito Address: �f� 1 J ,��/ 1 w�rL__ �. . LSI ,V L.J L� Tenant: ra 141 r 41'� N ,, l,, 4.______:,.._...........____,„___.......--.Suite#_ el4; 'e;19 Name: 112-00t-- p�VVL► - P 1� p,} � ' 1home:_ Iteii,,diYr§l :$t` #7�7; Address/City/Zip: ��- ��^ ' • S(� 1kk',j; v Fs (r f a A.1A ..i I_ .i V v V 5" a 111 '; t�, +J.�Y .A Name: MILBERT COMPANY dba CULLIGAN WATER ;,ter{,.'ll�S��.r��..•sr �� License it: wC641376 1trA't ;,. �+sa'' Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS ',,,,�>4 rfYuk`t'1 '1;:'.�)c''< Stale: MN Zi 55077 • :)itU,, io''u)T, $)dn P phone: 651-451.2241 y ,.-i, rr 4.r, )itiA r , y, e: y,lir,{�)11',ti,}.4+,t(•`u , S E ,51 Contact: BILL MILBERT . .t; Email: •loria.abas@cu. ll ig an4 wate r,com . "`s' t' t } l( • rt,44. Atvi".0 ,g4. ___ New _Replacement __Repair Rebuild Modify Space Work InR.D.W. f q � "a.111;14� a ,:4N Description of wo � � L .__." ." "^ ,.ti--.r.._.. . _ . —� 5i �t. RESIDENTIAL ? �f4t l /0) , t. A- 01:r by Al Water Heater l _ ,1f�r ' lLawn Irrigation(— RpZ/ PV8) Water Softener ,,,v.,4% Ja6: _,1;JM t;Typ. YAdd Plumblgg Fixtures L _ Lower Level) , sjr ! Septic System f. , (11 . rtl•`I , 4 "ts,,• ;ti,;g.(;+ Water Turnaround)�P: lt11fti:Mc,:{ _New` imiNl:Fw1F)i( ./.:44414,1000 Abandonment --.. RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes S.la.le'Surcharge) $60.00 Lawn Irrigation(Includes Stale Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround"(Includes State.Surcharge) 'Water Turnaround (add $280,00 If a 3/4"meter Is requlred) $115,00 Septic System New(Includes County lee and State Surcharge) CALL BEFORE YOU g ply.Ball Gopher Srole One Call at(651)45-4:01 for protection against undergrounnd TOTAL ILtydamage..—C----allO'00 Intend to dig to receive locales of underground utilities, www65.1)4 rslaleonecall ole You lto atay subscribe to resolve an electronic notification from the Clty of proposed ordinances '4'8 how urs ba'(ore you You ma eubsc citlbo t er com/subscribe. by signing up for an email update on tho City's I hereby acknowledge'that this InformatIon is complete.and accurate; that the work will be in conformance with the ordinances and codes of the I Eagan; that I understand Ihls Is not a Eagan; I understand Blond thi plan I e er li, but only en' application fore permit, and work Is not•co start without a f.work whl h requires a review and approval oCly of A , ca \ / , plans. permit, that the work will be In Applicant's Printed Name 'VI x • liai;('fa:Xr;� tj;�,7rtrit`'Eijnj{ Applicant's Signature ;4'�tor4) FIG ti"3 t: ,�it. 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