3063 Timberwood Tr
Use BLUE or BLACK Ink
For Office Use
fr ~Per
mit#: Jy
Cit 0 f o
I Permit Fee: 41) 011~
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 Date Received: I
Fax: (651) 675-5694
~ Staff: ~
- - - - -
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications).
Date: 3'`/ -7- Site Address: J'D (o I 1 I^'L ~7 "u) 0 d ,
Tenant: Suite M
Resident/Owner Name: Phone: S / - 99V D g ,✓o
Address / City / Zip:
Name: 1 A License
Contractor Address: P 0, f3o u 77 City: Zlq_ka, ~
State: k" 10 Zip: s~_ If q Phone: C? 5-L- yd s-- /19 3
Contact: &ti+X11~ Email:
New X Replacement Additional Alteration Demolition
Type of Work Description of work: I/C,
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Permit Type '<'Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank L- Install Remove)
her
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground - Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129015
Date Issued:12/29/2014
Permit Category:ePermit
Site Address: 3063 Timberwood Tr
Lot:041 Block: 02 Addition: Timberwood Village
PID:10-76800-02-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & 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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Debra A Johnson
3063 Timberwood Tr
Eagan MN 55121
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
Reliabuilders 952-226-5514 p.2
Use BLUE or BLACK Ink
For Office Use /
Permit#: jI3O( T
City of Eaaau c"-.33,'-ti
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-31-17Site Address: 3059, 3061, 3063 & 3065 Timberwood Trail Unit#
( Name: Advanced Innovative Management Phone: 651-739-5544
t Resident) l 1303 Geneva Ave. N. Oakdale, MN 55128
Owner I Address 1 City 1 Zip:
P c
Applicant is: Owner X Contractor
Remove and replace roof
Type of Work flesceiption of work: €
f. l 35,000.00 (YesX
i Construction Cost: Multi-Pawl) Buildin9' !No )
v 1 Company: Reliabuilders Construction, Inc. Contact: Jason Michels
l 3351 Griggs St. S.W. City: Prior Lake i
I Contractor i Address: I
State: MN Zip: 55372 Phone: 612-581-6255 Email: Jason@relia-builders.COm
t - - 8-13-00160
t BC650191 R ! 3035
s License#: Lead Certificate#:
1 If the project is exempt from lead certification,please explain why:
1 NIA 1
i: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
f In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
T _Yes No If yes, date and address of master plan: I
1
Licensed Plumber: Phone: I
Mechanical Contractor: Phone: i
s Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone: 1
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
e the information may be classified as non-public if you provide specific reasons that would permit the City to
i 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.aopherstaleonecall.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 Minn ota State Building Code must be completed within 180
days of permit issuance.
xJason Michels x /, ,
Applicant's Printed Name Ap licant's Signature
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