3074 Timberwood Ct Use BLUE or BLACK Ink
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�l6 �1 �a �� AUG 1 5 2014 � Pe�,�t#: /a� /7� `,, �
Y � � Permit Fee: (/. �
3830 Pilot Knob Road � �
Eagan MN 55122 ��� 1 Date Received: � ! �
Phone: (651)675-5675 � d � I
Fax: (657).675-5694 . � Staff:_ K�C.� �
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2014� RESIDENTIAL PLUMBING PERMIT APPLI�CATION
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Date• �' Site ddress� � ` '" � `,-�J /
Tenant: 3uite#:
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1<"xt'"t z a���:.Yr ��a��� "��i.�+; � � `'. �\� �
��,;�Resi'� en Owner � N�me: hone: ` � �
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��`���,�������,� ���'� Address�City/Zip: � 1 �/ ���
.�:� > �� ,x>� ��
e���� ,j ,� ����� �, Milbert _ompany Inc dba Cullign Water
,���� +�� k��;1� � Name: ���ense#: �NCG43176
,���f��� � Y°� � r�� AadreSS: 180150t, Street East c;ty: Inver Grove Hgts.
�,�;��C�ntractor ,
ra� f�r�3 � t �,,��#i'� d •
"'�i�'���`� � �#q� M N. zip: 55077 Phone: 651-451-2241
�� ��.� � � �� x State;, �
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'`��`�;'�.`���'�..:,k�'�N E�' �o�ca�: William::R_�Milbet-t. Emai�:
t`14 y r �3�i��, �. : ;"� .
V��"_�4�`������� d.. ' � . .. . . .
?��"' �'' New �Replacement _Repair _Rebuild _Modify Space Wo�ic in R.O.W.
1,��Type of Wor — —
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�,��,����,`,��� ��� ,��Descr�ption of work:
��'���'�fi �`?�� { �� ' RESIDENTIAL
�r f;�^ , t,
n<�';���,�.�y �m ��;
���s.�� �''N . Water Heater
�:���,R� ���'` �s��� ��
� ' �Water Softener
c _ �Eti x M uss '�� � . .
_= ��� ��'� s� Lawn Irrigation�RPZ/ PVB)
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'��;����rm i��Yp� —
�,:��M��� ` � Add P�umbing Fixtures�Main/ Lower Level)
��,�.����'�K� �� � - Septic System —
�**��� �>�` y � .�''°��" z
4*������ k #�:�� _�vew 1rVcter i umaround
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E ,�����,z� t
.,�� � � . ,�r ���a Abandonment
:RESIDENTIAL FEES: "
$60:00 Water Heafe..r;V1later Softener,or Water Heater and Softener(includes$5.00 State Surcharge) �
$60:00.Cawn�lrrigafion,(includes$5.00 minimum State Surcharge)
$60:00 Add.:Plumbjng`fixtures, Septic System Abandonment,Water Tumaround"(includes$5.00 State Surcharge)
, "Water Tumaround(add$200.00 if a 5/8"meter is required)
$115 00;Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Sutcharge) /�o�'f
TOTAL FEES S V �
CALL:BEFORE.YOU DIG, Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call.48 hours'before�you iritend to dig to receive'Iocates of undergrourtd utilities. www.aopherstateonecall.orq
I.hereby acknowledge ftiat this infonna:ion is complete and accurate;that the work will be in conformance with the ordinances and codes=of the Clty of
Eagars;'Chat I�understand 4his is not a permit but ony an applicatlon for a permit, and work is not to staR without a petmft;that the work wlll be In
accordance withthe approved plan in the c s of wotk which.requires a revfew and approva f plans.
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Applican,t;s',Printed:Name ApplicanYs Signature
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FOR;�O FI US • :: � � e, :� �Date� �'�y� .�"fkii` ''
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Use BLUE or BLACK Ink
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I For Office Use �
' � Permit#: ����� j
Clt� Of ����Il � Permit Fee: �'�a� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
e�'
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Name: �i i 2.fl . c� �� /1 C��(� Phone: �
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������ ��� Address/City/Zip: � f��y �i v1, 2 n--W"U Q �--�_
�� ' Applicant is: Owner �Contractor
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�,�, ^ �,,�� ; Description of work: (��-;���.� � � i'✓1 C�!c'�W S
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� � � �., ti��.; Construction Cost: � ��C`X�• C��� Multi-Family Building: (Yes /No�
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� Company:��S �x�'�2�.���2� Contact:� ���C�c�
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�1`��I'���t'� : Address: �t' 1 ,-�j I .�'�,�-i c��� �U�2. X.� City: l��Ckyti � it� I�^ 4
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� ����.��'' State�Zip: �� Phone: �����`J' Email: �1�S�����ro1ZS -� Uq�,�,��. C�
' y��` ' License#: d�, �In ��'-Y Lead Certificate#:
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If the project is exempt from lead certification, please explain why:
O .�1 ('1��..��� � C�e.w ���',` �GI� c�
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
���������qf���T �'��r����`�1��`�� �����aa�'�� ° ���?�� �'��s i#�`
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CALL BEFORE YOU DIG. Ca�l 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.popherstateonecall.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 Minnesota Stat uilding Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Applic 's S' re _
Page 1 of 3
Reliabuilders 952-226-5514 p.4
Use BLUE or BLACK Ink
For Office Use
'(
1 J Gc8City o Eaafl Permit •
Fee: •s 3 g L�-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
3068, 3070, 3072 & 3074 Timberwood Court Unit Date: 5-31-17 Site Address: t#:
iName: Advanced Innovative Management Phone: 651-739-5544
° Resident! i 1303 Geneva Ave. N. Oakdale, MN 55128
Owner Address i City/Zip:
Applicant is: Owner X Contractor
_,__,_____,__i
Type of Work
Description of work: Remove and replace roof
35 000.00 Multi-FamilyBuilding: (Yes X i No )
. Construction Cost:� � I Company: Contact Construction, Inc. Jason Michels
Address:
3351 Griggs St. S.W. o ,: Prior Lake
Contractor 1
State: MN Zip: 55372 Phone: 612-581-6255 Email: jasan@retia-builders.com
License#: BC650191 Lead Certificate#: R-I-30358-13-00160
H.
If the project is exempt from lead certification, please explain why:
N/A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
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:
I
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer&Water Contractor: Phone:
•Fire Suppression Contractor: Phone: s
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 3
the information may be classified as non-public if you provide specific reasons that would permit the City to 9
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work wit be in conformance with the ordinances and codes of the City of
Eagan;that 1 understand this is not a permit, but only an application for a permit, and work is riot 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 Minnesota State Building Code must be completed within 180
days of permit issuance.
xJason Michels x ,,- ":1.,.ti,
Applicant's Printed Name App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146258
Date Issued:10/17/2017
Permit Category:ePermit
Site Address: 3074 Timberwood Ct
Lot:030 Block: 02 Addition: Timberwood Village
PID:10-76800-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Richard J Johnson
3074 Timberwood Ct
Eagan MN 55121
(651) 688-9019
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature