3078 Timberwood Ct j�ir� .�� ��1� � c��.����
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C�U O��� �11 i Permit#: ���I I
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. , � Permit Fee: �i I
3830 Pilot Knob Road � I
Eagan MN 551�� I �
Phone:(651)675-5675 � Date Received: i
Fax:(651)675-5694 � �
� Staff: �
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...... ......... ... . ...... .. .. ._... .. .... ..... .. . . .. . . .. . ... . . . . . .. .. .... ... ._............ ..
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: m � Site Address: �o�() +�1` t��u Uv�����V�`(
Tenant: Suite#:
�Resident/Oviiner�_.,. Name:���(�� ���lf V�(�, Phone:
�.�����«.t.����,�
Address/City/Zip:_ __ __
'� ,: Name: � d- License#: � � � � ����
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� � � � � P: Address I r �� ���1��� i l l � {� S T City: 1�5 ��C G"�
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State: �� Zi Phone:
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a���, � Contact: EmaiL• /1 > L� f�LQ.I'GIPY �(�{'�}
�, � ���
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_New �Replacement Additional _Alteration Demolition
su�����; �
�.P 7ype of�IVorl� .�.� Description of work:
� ��; �������:��� ����� �...,��.���� �
� NOTE:Roo`f mountetl an�„groun�d moun�ecl inec amca(e�quiprr��en��s reqwrecl�o be screenetl�i City..��
� � �- �-�.��.,�.. � �. :� � °x� ��.� � ��� � �t
, �o e �P ease co c�the�hanical In��e��[for info�ma �ort on ermit'�ed screenm me ods =, ;
�� M
�.��. �<� � �� «�,�...� �..,_�. ,.t�.��.�<��;.�. ,.�,�.�.�A.,��� � . .�>�.�
,�
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;� a `�'��" � ��' �����" RESIDEN�IAL COMMERCIAL �
� � ;�� �� ���� ���� �Fumace New Construction Interior Improvement
�.����.���� ��- — —
g;° a Pe�r��t Type� —AirConditioner _Install Piping _Processed
�� ��� �"�' '�'``"°` Air Exchan er
— 9 Gas E�erior HVAC Unit
.�,< — —
_Heat Pump Under/Above ground Tank (_Install/_Remove)
�Other
RESlDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) Qv
$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$1 million, please call for Surcharge =� �" TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
�
X �( �� �..
Applicant's rinted Name ApplicanYs Signature
FOR OFFICE SE ���� s �,..� ;� �� ��-�r.� �.:� ,� '�"�;����� , _
I�equired Inspections ���'��`�' ���`� Re ewe B�� _,s�.�.<. :��.�� �t � ,�Dat@.' �` �_'
-2�'°����u. �w..�».`��".`�.' ,�« _ .:: , .�� r�. �^, .< . .,`.p�,;
_l�nclergrounc�. _Rou'g�`�n�= Vir� es�" �""Gas e ice es�:-���°xi ;- oor eat, =F�nal,„,M�Y.��G Sc�eening.�� ;
�
Use B�uE or BIACK Ittk C �
� FDr OIlie.�a t�a�--------M
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�ty OfF��� ; ��� �
� Pemi,it Fee: ��� �JO r
383o Pilot Knob Rosd � ��
�a�f��{6�122 � Date F�etved: I
Pl�onll:�(867}675-66t6
�3tx:r8�1)675�dfBd94 1 Staff; (
I I
� . . . .a��...���w.i.rr�.�.��..��. �J
L �_,�.�— �
28'I5 RE�lC3EI�11'IAL. BUILQING PEl�11A1T APPI.ICAT1{JN �,�
[3��e: 1�,��,f�.� &ft�llddrass: D p 7$' O tt �- �i M.d Cr.,wa,,,�"Cr�n��
c
f�'9�� Nama:�,v�►�.G�. ��.1 b v�,s'�► � 1���e S�,n. �t..�,r�'"`Pttone:f0 S� '" 7.�� ''S���
�;r
� 14dciress/Cily 1 Z'ip: c� � ...�r► �t{. k e�a�� /�'�/✓ �.��e�
I�F�icaM is: 4wner ,�Contr�t
Type+o�'WO�c ��°r'of vw�c:�2 �' r�d d �
. Ca�s[rucdon�o�� �40 Mul�-Famay Buiiding:(Yes 1 No_�
c�m�:��14�,,:f��� C.��s+����:s�,�, co�c�-.�a.s�.... ,M� c�.Z1�'
ContracEor Addtes8' 3�Sti S � C�+-'��,� s� f:�, c;�►: _�`r:o t �-a.��
State:/�_,�:.�_��`?a�_.__ P#�o�ne:b l.�-S A 1•�S'�"���or.P re I:a��:�Y��ct,t�r�z�k�..
_ t+>_
I.k�t�ae#: ��� t� (_._..,.,. ___,Lsad CeKtE'ica�e#:�:�'"3i���$"'t 3— a O � f��
If the projet��exempt f�am taad caettflcation,ple�se e�lain why:
Ct)MPLETE 1HIS AREA C1NLY fF Ct3NSTRUCTII�EG A N�YI�BUILtNl�Its
In tha mst 1�mor�ths�has the City of Eagare ts�ued�pernuit far a sim�ar pian�sed on a masd�r pMn?
Yes No if yeS,date and aticlress t�masHer pla�
Lit�e�ed Plutnber. Pitone:
M�eci��tcai t.onfraci�ar: Phorre•
Sawer 8�Watar Contracbar; Phone• .
Fi�►Suppre�ion Contra�ctar: p�,�:
N07�:P/ans and�rrppa�Nr�g.docr��.th�rt�u stabrn�t aro r.�»�sf�to bs pubil4�J»�a�6tor� 'P4�s o#
U�s tr�fiorr»�a�an rrrsy b��eti�t�onl.�ud�c h',+�w Pr+�v�de�I�t�a�r�s��'wautd�parnttt.�Cftjt#o
caycltndl��t a,�►tr:tde�aear�. ,
�se�R��or+r�You Dio. c,�i a�,wrsta�a on.cau ac�as�ti a�o�2 ea�o�,a�ur�a�una u��r a�. c,�4s r�a
k�fia�e Yau h�r,d ta d'�g ta rat:+ei►+e iocatas a�u�dergrotu�d ub�ties. wy�•IIQp.h�r�tateorsecee_ora
r here�r�e fl�ec this Infi�nn�tica is cdt�eRe$na ec�tu�ate;that the worlc wwiN tfe in conFarna�x�,�n ihe cttd�nanceg a�!aodes af uie c�y of
Eagen;tfwt i �th�is rmt A permQt,b�onty an appiication fo�'�permk�and wark is not�a s�rt r�ithout a Pe�rni�that�e wotk w�(!se U►
ac�onwdance wdh tlte apDrovsQ E'�in#he c�a8�wo�k viAYctt�qui�s readew arKi appnavml of prliar�,
F�c�orias wcrlc authoe�d by a buNdlnp p�prmit irrsurd in�as w#h ifw Il��rwse�ta St�s Building Code must bo compi�tad wi�in 180
dt�rs ot Per�Nt h�auenrsr.
x .�a:�`c,�. 1�'�: cJl�.�s ,� �.-�
Appltcani's P��ed Nam� caM`s Sigtiat�u+e
Page i of 3
(� j���( p Use BLUE or BLACK ink
J(�����U�`" � a �C. i-----------------,
� For Office Use �
� ; ���uq ;
�1�� (��F-j���11 � Permit#:
u 11 11 • � '
3830 Pilot Knob Road ��� � � � Permit Fee: �
Eagan MN 55122 � �
Phone:(651)675-5675 � Date Received: " " i
Fax:(651)675-5694 ��L 2 Z 2��5 �
� Staff: �
__��__��__�����_�..I
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Name: 1`i"�t� V Y���i�- Phone: �U 1' I:"lq' -�-d��
Address/City/Zip: � ` � ` "
Name: Q 1"�(� Y �f L "�' � License#:_ � � � � b � S �
Address:_����U�,�(/� �� � ` �'U1/1 ST City:�
State:�Zip:� �'' � _ Phone: I D��' `i"�7 - �� �
Contact: Emai�:�'/,�SSI('•rGx�it.1/t�+ �Yl e�t�1.CG'c�.jY',Ca12-t
_New �Replacement _Additional _Alteration Demolition
Description of work:
RESIDENTIAL COMMERCIAL
Fumace _New Construction Interior Improvement
�Air Conditioner _Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _UnderlAbove ground Tank (_Install i_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or aiteration to an existing unit(includes$5.00 State Surcharge) (��
$100.00 Residential New(includes$5.00 State Surcharge) _$ �J 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 valuatian is over$1 miliion,please call for Surcharge
_$ 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 applicafion 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.
X �G� l� � ���n X� �
Applic nt s Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139180
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 3078 Timberwood Ct
Lot:033 Block: 02 Addition: Timberwood Village
PID:10-76800-02-033
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Fredrick Neumann
3078 Timberwood Ct
Eagan MN 55121--192
(701) 799-9375
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Reliabuilders 952-226-5514 p.2
Use BLUE or BLACK Ink
For Office Use �'/I �( /��(
Permit#:41‘11r° City o Ea au Permit Fee: 1 61
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff.
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1-17Site Address: 3076, 3078, 3080 & 3082 Timberwood Court
Unit#:
Name: Advanced Innovative Management Phone: 651-739-5544 I
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128
I Owner Address f City I Zip: t
i Applicant is: Owner X Contractor
Description of work: remove and replace hail damaged metals from roof. I
Type of Work i
Construction Cost 10,000.00 Multi-Family Building:(Yes /No ) f
l company: Reliabuilders Construction, Inc. Contact Jason Michels
ii
IAddress: 3351 Griggs St. S.W. City: Lake
L Contractor "
MN Zip: 55372 612-581-6255 jason@relia-builders.com 1
x State: Phone: Email:
BC650191 R-1-30358-13-00160 `
I License#: Lead Certificate#:
If the project is exempt from lead certification,please explain why:
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'? I
i Yes No If yes,date and address of master plan: I
I
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone: I
t
1Sewer 8 Water Contractor: Phone: I
i
i Fire Suppression Contractor: Phone:
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 City to
_ 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. wnow.aooherstateonecall.oat
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 State Building Code must be completed within 180
days of permit issuance.
xJason Michels x q1L-.
Applicant's Printed Name Ap cant's Signature
Page 1 of 3