1229 Timbershore Lane
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Jul 28 2014 09:52AM HP FaxGates G.C. 7634987710 page 23
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Use 6WE or BLACK Ink
� ForOfficeUse---------�
� � Pertnit#: � � L��� �
Clt of E���� ; . �� � ;
� Pertmt Fee. �
3830 Pilot nob Road �a
Eagan MN 122 � Date Received: o�L� �
Phone:(65 67S-56T5 � �
Fax:(651) 5.5694 I Staff: I
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014 RESIDENTIAL BUILDING PERMIT APPLlCATION
Date: � �S �;i Site Address: �Z i, ' 7 z•j �7 7-7 /�+�D� -,✓;�,, `;�,�i�-6rr_ l--l��
� " `' � � �-•L U n it#:
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� ��Name: ._r vH�ij i%n.e:i� r-��� �v.!- ==l':i�- �l•y?..:
� Phone: `
Resident! �
� Owner I;Address/City!2ip: �-� � i�.��o�-�-.
� 'Applicant is: Owner � Contractor
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.✓ „r� i
Type cf Work '�escription of work: � p,�' �/�! ��' -��
� , _ � r. �
`Construction Cost: ��� y`°�• �� � Multi-Family Building: (Yes f��I No�
� � � � � .H GT"3y� �._._ . ,.....'rs( �R �
�CompanY'���-� '��' �"� � Contact: � - -
� !Address: jv''?n ��:���i�.'cr'�^ �/�� /� � ��yt�;:c�
Contractor �ry� -
1 � -� , � . �...= .�c :,,,�e:�-� c�;
;State:�Zip: �� 1� ` Phone: (�,!�':'ZS-rf Email� �r• ,c�'��- Gr�::%e����-�' r.�.-:
;License#: Lead Certificate#:
If the pr�ject is exe pt from lead cer6ification, please explain why: (see Page 3 for additional information) �
�COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �
In the last 12 month ,has the City of Eagan issued a permit for a similar plan based on a master plan?
` _Yes �No I yes,date and address o1 master plan:
Licensed Plumber: : Phone:
Mechanical Contra r: Phone•
Sewer&Water Con ctor: Phone:
; NOTE:P/ans an supporfing documents that yo�submit are considered to be public information. Porbions of
the informatior� ay be class�ed as non-p�b/ic K you provide spec�c reasons that would permif the Cf1y fo
' conclude that!he are trade secrets.
_......._ ._..........._.,_...._._.__,._.�_...�._..�_...._ . ....,...�.._.�..�
CALL BEFORE Y DIG. Call Gopher Sta/e One Call at(651)454-0002 for proteclion apainst underground uliliry damage. Call 48 hours
before you intend to dig receive locates of underground utilities. www.aopherslateonecall.oro
I hereby acknowledge th t this irrformation is complete and accurate;that the work will be in confomiance with the ordinances and codes of the City of
Eagan; thal I underslan this is not a permit, bul only an application for a permit, and woiic is not to staA withari a permit; lhat the work will be in
accardance tne ap 'ved plan in the case of work which requires a review and approval of plans.
Ex rior w rk authoriz ' by a buildln ermit issued in accordance with�e Minnesota S Bu' ng Coda must be c ple d withln 180
days of pe 't isauanc .
x / X
Appli rrt's Printed me Applicanrs Signatura
•• Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138040
Date Issued:08/04/2016
Permit Category:ePermit
Site Address: 1229 Timbershore Lane
Lot:4 Block: 09 Addition: Timbershore 4th
PID:10-76503-09-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Gretchen A Miller
1229 Timbershore Lane
Eagan MN 55123
(651) 696-1047
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
r For Office Use 1
i i Permit o: /�
EAGAN f� 7y'
D�-. Permit Fee: ' O
Date Received: I
3830 PLOT KNOB ROAD j EAGAN,MN 55122-1810
(651)675-5675 1 TOD:(651)454-85351 FAX:(651)675-5894 JUN 07 •,„'y Staff:
Duildinginsoections@atyofeaaan.cont —
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1J21Jdl Site Address: /2.2q T.'mbP'gAovP Lh Unit#:
Name: Cl v&kh en /11.7k r Phone: b.S/-G 4O`/PI/7
Resident/
Owner Address i City I Zip: /2 2q 7 i rn be Ys/1a—pe Li7
Applicant is: Owner Contractor
v
Type of Work Desaiption of work: eurain 7 vk
Construction Cost:�.;ycD`v Multi-Family Building:(Yes !No
Company:S IGndG vd Wake (nivel Contact 14.e 14°_fd4v:Cb'Y?
Contractor - Address:533-3 Lc ICP i Pf .y4i�t.h City: �}�t1s'-m /
State:PVPI Zip: SSlI2'? Phone: 743-537•lit yfiEmail: yin;lb) 4fivatinti1✓4lcr.aUovt
License#: (/)n I c,Z Lead Certificate#: riR/ 214 o' 2-
If the project Is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDJIG
In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer&Water Contractor. Phone:
Fire Suppression Contractor Phone:
NOTE:Piens and supporting documents that you submit are considered to be.publfc Mfbnnauuor+. Portions of the Wonnation maybe
elasdfedas non-public.ifyou provide*pacific reasons that would pe mit thetity to Conclude that(hey are trade secrete..
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecaU.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 itis 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
piens.
x
y4i4 �7 1711_ � x P'�h/Apant's P ted Name Applicant's SigtIatu
/ ,,, ,9s/ / / I /fl /. -- /5-0
�o
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex — Lower Level ,,,,r Pool _ Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding _ Demolish Building*
— Addition — Move Building _ Reroof — Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 1Z 0 0 Occupancy MCES System
Plan Review Code Edition , !".v5-SAC Units
(25%_100% ) Zoning ' '► City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final 1 C.O.Required
—
Footings(Addition) Final 1 No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
—
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests Final
—
Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
—
Insulation Windows
—
Sheathing Retaining Wall:_Footings_Backfill_Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
—
Shower Pan Other.
Reviewed By: 1 ,Building Inspector
RESIDENTIAL FEES
Base Fee A IV-i
Surcharge 1 j a 144)4#*?
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit&Surcharge
Treatment Plant '' C
Radio Meter Read —
Copies _ —
" TOTAL
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