1185 Timbershore LaneI RESIDENT / OWNER I
Name: �-0 6 WM Phone: 65/-99x- v/r I
• Address / City / Zip: 1/ 6 C% »he o726 2,174, 1 1 -- "-I 1 /-t/ 65 •
CONTRACTOR
Name: 56 FP--/ P /GC lei 6')7 License #:
Address: "32/013 ° /M7 -r� 5D // City: r �i���` e
State: Zip: 55 Phone: VJ 4‘03 — 7
Contact: 4f i` S Email: et..--r ' � , 7 =Ce'rk l
TYPE OF WORK
New /Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ — _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater I/ Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main _ Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) r JD
TOTAL FEES $
4 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
SAY, r7 III
Use BLUE or BLACK Ink
Permit #: l / 7 1
Permit Fee: l ' �T
Ddie r eueived.
Staff:
J
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
5 7 2 4 / /i° Site Address: l / 8 - T/ 7 7 45.7b GA , L= i'&N, /Ll &) 557
Tenant: "Tec 6
x G " `l /t�i� — 9j�L ✓�J! �Cll /5i�J
Applicant`s Printed Name
Suite #:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in confo ance 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 r to start without a permi ; that t e work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
Apptic is Signature 7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146220
Date Issued:10/16/2017
Permit Category:ePermit
Site Address: 1185 Timbershore Lane
Lot:1 Block: 04 Addition: Timbershore 4th
PID:10-76503-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
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.
Contractor:Owner:- Applicant -
Theodore R Garding
1185 Timbershore Lane
Eagan MN 55123--233
(651) 303-6959
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature