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1277 Timbershore Lane Use BLUE or BLACK Ink r For Office Use 1 -LD c/ v I Permit jCity of Ea a~ I 3830 Pilot Knob Road 833 Permit Fee: I Eagan'MN 55122 I Date Received: j Phon6:4651) 675-5675 j Fax.(651) 675-5694 1 Staff: L-----------------1 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: 22 ! 7 Tenant: Suite RESIDENT / OWNER Name: Phone: 3e7-XV,? Address / City / Zip: CONTRACTOR Name: License Address: 7402 Washington Avenue City: Eden Ptairio.MN 558,04 State: Zi~►: - 952-941 -104Co,4,L Phone: ntact Person: TYPE OF WORK New eplacemennt- Additional Alteration Demolition/ _41k Description of work' G~ NOTE: Roof mounted and ground mounted mechanical equi ment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE rnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank C__ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire -Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) $ Permit Fee If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.ora 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 of t t with Trial rk will be in accordance with the approved plan` in the cease of work which requires a review and approval of plan p Applicant's Printed Name A Sign re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In __Air Test -Gas Service Test _ln-floor Heat -Final Exterior HVAC Screening Inspection Jul 28 2014 09:50AM HP FaxGates G.C. 7634987710 page 17 Use BLUE or BLACK Ink � For Offlee Use � � j Pertnit#: �� ""�� I Cit of Ea�a� � Permil Fee: � • � � 3830 Pilot nob Road I I Eagan MN 5122 � aate Receiued: �� /� � Phone:(65 ►675-56T5 I I Fax:(651) 5-5694 I Staff: I I I `��_-��___.�-__J , 014 RESIDENTIAL BUILDING PERMIT APPLICATION f ', r �� J' J ; ' `� � I' � � r 4 �� c�s�e✓G � f�1 Date: � �°� ' SiteAddress: L ` � i ' • - � Unitl�: ....._�.�,.. . ._.,.�..�..__..�. _.�..�.�..,.:....__.�._....._ _.... .,., .�f�✓'�t %y� � � , f•'� F � �j� /� i � �n,-. - Name� � �"`' � Phone: ��. �'' Resident! � OWn@� Address/City/2ip� ,;� c• �r>o/c-• 3 � i Applicant is: Owner " Contractor .,...�.._..... Oescrip[ion of work:«-°-3-_ � --f,:��f�- ,.,..._.___��_.�....._. _�.. Type of Work � ` ;�. ?�"�. 4:= , : ; Construction Cost: . ' Multi-Famity Building:(Yes=/No� �..,.,_ Company._.�r.�%'vS :�Cti+..P,�/,.�! ...:.c,.�i� p�,;. _._._.._ Contact: �/� ;".c. .._.,..�_____�_.. ' � � Address' �� :/,•":=;.r?�="` �--/``� /-, City: �✓;-r.:�.%--• � Co�tractor �� ` l,��f ,�!1_!�-' , �� , , ��f � � � State: / � Zip:-'� Phone > _ ��v, Email: ,�y!�..�r :��?;_,rc�'Y�ar�r>�..�,z-� , µ r.�� . � ., ,,,�.� ; t ! License#: � '' • '-' Lead Certificate#: �:r`,!?��'" ` If the project is ex mpt from lead certification, please explain why: (see Page 3 for additional information) � ��W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Y�~^ In the last 12 mon ,has the Ciry of Ea�an issued a permit for a simila�plan basod on a mastar plao? _Yes _No I yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contra r: Phone• ; Sewer&Water Con ractor. Phone: _....� . ___ —_ .�_ .:_,.....__ _.___ .:..... �...._ ...�...�.�_....._..._., ......._. _� NOTE:P/ans an' supporting documents that you svbmf�are considered to be public inl�rmation. Portions of 1 the informatioti y be classNied as non public if yoa provide specific reasons that would permit the Cify to �� conclude that fhe�are t_rade secrets. _ �� ...._.__.._..w ___�..,..�..�._....�..___.. ._. CALL BEFORE Y I U DIG. Call Gopher Sfate One Call al(65f)454-0002 for protection against underground uGlity damage. Call 48 hours betore you iMend to dig p receive locates of undergrvund uUlities. www.00nherstateonecall.ora I hereby acknowledge t Mis information is complete and accurale; tliat the work will be in conformance with the ordinanCes and codes of the City of Eagan; that I undersfary this is not a permit, but only an application For a permit, and work is not to start wilhout a pertnit; thal the work will be in accordance with the app ved plan in the case of work which requires a review and approval of plans. Exte�ior wor riz by a building pe issu In accordance wilh the Minneeata Stada Building Code must be completed within 180 days o it' auane . x G`!/ x Applican rinted ame ApplicanYs Signature Page 1 of� � Use BLUE or BLACK ink �-----------------� � For Office Use � . RECE{VED � ' Cl� of �a aIl � Permit#: 't � � � NOV 16 2015 j Permit Fee: �DD • � i 3830 Pllot Knob Road i � Eagan MN 55122 � Date Received:�'- �� ` i5 � Phone: {651)675-5675 � � staff:`��O j Fax: (651)675-5694 `��.�� . ��J. 2015 RESIDENTIAL PLUMB NG PERMIT APPLICATION Date: Site Address: �/ / �� Tenant: Suite#: ReSldetlt1OW11�t' Name: U�rtG2N1, (�A '� Phone: (P��"'a��"��3� ` �-�- ' Rddress/City 1 Zip: � /M � �� 1.�C � ` ,/�� ` Name; I� � � License#: C011tTaCtOY Address: W�w City: � State: Zip: �« Phone: (OJ `4`��u� ��G � Contaet: � Email: ` Type Of WOt'k —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. Description of work: RESIDENTIAL �Water Heater Lawn Irrigation�RPZ/_PVB) ��er Saftener Permit Type Add Plumbing Fixtures(_Main/_Lower�eveq Septic System New Water Tumaround Abandonment RESIDENTIA�FEES: $8Q.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation{includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes State Surcharge) "Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Sei?tic 5vstem New{inGudes County fee and State Surchargej � TOTAL FEES$ CALL BEFC)RE 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. wvvw.aopherstateonecall.orp 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 permft, buY only an application for a permit, and v,nark is not to start without a perrnit; that e work will be in accord n e with the approv plan in the case of work which requires a review arui approva!af plans. x � W� o`�( ` Applicant's Printed Name p licant's Signature FOR O�FICE USE Reviewed By: Date: Required Inspec#ions: Under Ground Rough-Rn Air Test Gas fissf ' Finat Meter Related ltems: Meter Size Radio Read Manometer ' Staff. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155299 Date Issued:05/08/2019 Permit Category:ePermit Site Address: 1277 Timbershore Lane Lot:1 Block: 02 Addition: Timbershore 3rd PID:10-76502-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Austin W Thomas 1277 Timbershore Lane Eagan MN 55123 (763) 442-4054 Perfection Plumbing 9633 211th St W Lakeville MN 55044 (612) 867-1192 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157432 Date Issued:08/20/2019 Permit Category:ePermit Site Address: 1277 Timbershore Lane Lot:1 Block: 02 Addition: Timbershore 3rd PID:10-76502-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Austin W Thomas 1277 Timbershore Lane Eagan MN 55123 (763) 442-4054 Mn Plumbing & Home Services Inc 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169478 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 1277 Timbershore Lane Lot:1 Block: 02 Addition: Timbershore 3rd PID:10-76502-02-010 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jennifer Tello 1277 Timbershore Lane Eagan MN 55123 (651) 270-0192 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171987 Date Issued:09/10/2021 Permit Category:ePermit Site Address: 1277 Timbershore Lane Lot:1 Block: 02 Addition: Timbershore 3rd PID:10-76502-02-010 Use: Description: Sub Type:Residential 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 - Jennifer Tello 1277 Timbershore Lane Eagan MN 55123 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature