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1213 Timbershore Lane41011 City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 112011 Use BLUE or BLACK Ink 04e - Permit #: '1qo G CD Permit Fee: ✓' t D a Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION /2 /3 // Date: 5-4/10/ ( Site Address: Tenant: Suite #: RESIDENT I OWNER Name: ��' Je: 4 C —r Phone: (tel _ 3L1. " Lf,; -2C / 4 .-'Y'-( .119-A4)4,—.CONTRACTOR Address / City / Zip: �� Z> .6 1-1/ f/ \ , License #: Name: �'�.-CNV-or iiQh- �N Address: -t 1 L{ Sa 0 1-':: S \-A : Cit '\ Y Phone: S-1 — 1 — 9 State: i V V Zip: - e_.. -z..._ -0`'`'--Smail: VV\esco 60--( e_ 1i��‘A . Cd1--- Contact: k12tL--S TYPE OF WORK New /Replacement Additional Alteration Demolition Description of work: est -c<_ L:%_C- 0 v. !IOTE: Roof mounted and groundl o ntedNmecha i t equipment is required be>:screened p Code, Please contact thMechanical Inspector for inform on permitted screen. •o s. PERMIT TYPE RESIDENTIAL Famace COMMERCIAL New Construction Interior Improvement Air Conditioner _ Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) _ Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes ` $5.00 State Surcharge) 5-5—----- $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection again - underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o • herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be Eagan that I understand this is not a permit, but only an application for a permit, and work is with the ap roved plan in th case of work which yequires a review and approval of pi. ns. Applicant's Printed Name x h the ordinances and codes of the City of a permit; that the work will be in accordance App is • n 's Signature FOR OFFICE USE Required Inspections: Date: C!ty of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: � � � l i% 1 Lit RESIDENT / OWNER Address / City / Zip: /, ` 3 )Yyt KS`eid'C Applicant is: Owner Contractor Description of work: Construction Cost: Unit#: )D-)3 (',VVA Phone: x' 51 — L73` " 9 7?' 4 �lSl 3 Multi -Family Building: (Yes 1./ / No ) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /0 AG%G/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Sewer & Water Contractor: 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 qty" t ; conclude that the :.:are trade secrets. 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.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. Exterior work authorized by a building permit issued in accordance with the MinnesoStste wilding Code.,_be completed within 180 days of pftrmit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 121 �� rS1��r (moi -,�- DO NOT WRITE BELOW THIS LINE )0(P-777 SUB TYPES Foundation _ Fireplace _ Porch (3 -Season) _ Storm Damage _ Single Family _ Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family) _ Multi )' Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* 4 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 Plan Review (25%_ 100% l� Census Code # of Units # of Buildings Type of Construction Occupancy J?O —1. MCES System Code Edition 2 a? 7 SAC Units Zoning City Water Stories Booster Pump Square Feet /CSU PRV Length $ Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) 4- Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL • Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 09 6q* y Page 2 of 3 R r\) \46:1 •\o NS ti I Jri)11 '46I ef)EP BY: DATE: BUILDING INSPECTION DIVISION Fitorirrj LININ Blick I oAliq 50a nr 68550 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177450 Date Issued:07/01/2022 Permit Category:ePermit Site Address: 1213 Timbershore Lane Lot:4 Block: 07 Addition: Timbershore 4th PID:10-76503-07-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Stephanie Schaefer 1213 Timbershore Ln Eagan MN 55123 (612) 481-7287 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature