1228 Timbershore LaneRESIDENT / OWNER
Name: HediA W. 8-. AngeJq R QIC Phone: C= - 29 - E -2(C
Address /City /Zip: I22Z Tirnher Ur1, CIGQfl t-mJ 55125
Applicant is: X Owner Contractor J
TYPE OF WORK
Description of work: NCW DICK
M, C uod Town home_
Construction Cost: 2,ODU, Qd Multi - Family Building: (Yes X / No )
CONTRACTOR
Name:Jf • 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non- public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
Tenant:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
A qeb Ria5coz
Applicant's Printed Name
2010 RESIDENTIAL BUILDING PERMIT APPLICATION 0`9_
Date: ()VW I a Site Address: 1 222 TI I'Yj 1i r5hore 1 n , -G J qo n Ml.( D 5 t 23
Suite #:
Pingl q 2 I -1 R[aXCO /c; ;.r3
CALL BE FORE 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.gopherstateonecall.orq
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.
JUL EnWE
6 2010
Use BLUE or BLACK Ink
Permit #: 7L(
Permit Fee: , / r
Date Received:
Staff:
Page 1 of 2
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Reviewed By:
DESCRIPTION
Valuation (f O
Plan Review
(25 %_ 100% �L)
Census Code
#of Units
# of Buildings
Type of Construction U 0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _ Rough In _Air Test
Insulation
Meter Size:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
TOTAL
DO NOT WRITE BELOW THIS LINE
_ Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
ININ 9
PD
pok
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
gi
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Pool: _Footings Air /Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control _
Erosion
11 , , Building Inspector Cont _____) 1 l!fvte
ICE 0 gi.90
p-fhwst
Page 2 of 2
1270
arcel ID
Owner Name
Joint Owner
Owner Address
1284
44
1222
107650301011
Riascos Hector W
12812
!F-- 6hared DUivCWa\
228 TT s hat LA
1224
Owner Address 2
City /State /Zip
Common Name
Property Address
Property City
Building Style
Foundation Sq Ft
Bedrooms
Riascos Angela
1228 Timbershore Ln
Eagan Mn 55123 -1019
1228 TIMBERSHORE LN
EAGAN
Residential- Townhouse
Total Estimated Value
Tax Capacity
Total Property Tax
Date of Sale
School District
DBL TUC GR
$21,200
$122,600
$143,800
$1,566
Use
Homestead
Effective Year Built
Building Type
Finished Sq Ft
Frame
Y
1973
1982
TOWNHOUSE
SPLIT LEVL
924
1292
WOOD
Sale Value
Acres
W. t- -• Di tict
Plat Name
Lot and Block
Tax Description
$1,520
Wednesday, September 01, 2004
$171,000
0.11
TIMBERSHORE 4TH ADDITION
Bathrooms
Garage Sq Ft
Other Garage
Misc. Building
Estimated Land Value
Estimated Building Value
1238
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not
guaranteed. This is not a legal document and should not be substituted for a title search,
appraisal, survey, or for zoning verification.
Map Scale
1 inch = 34 feet
http : / /gis.co.dakota.mn.us /website/ dakotanetgis /printPreview.aspx ?PrintOptData= Dakota County, MNI010It... 6/14/2010