3066 Timberwood Ct Use BLUE or BLACK ink
---------
j For Otfice Use j
� � Permit#:������ �
C�t� of �����. � Permit Fee: . I
� ,
3830 Pilot Knob Road i ( �
Eagan MN 55122 � Date Received: ! "
Phone: {651)675-5675 � Staff: �.! �
Fax: (651)675•sssa JUL 2 7 1015 '----------------'
2015 RESIDENTIAL PLUMBING PERMIT APPLICATlO
Date:_�_��Site Address:- �lfJ j�_��� -e������� ��l'�t_�
�.
Tenant: Suite#:
F'teSid�nt/Owner' Name: !/� �, �G� �J �iL�'����C'��/\. Phone: ��r� �D���!� ��
Address/City/Zip:. � Ul � � ✓� �C a� �f G+�l't- .5�1� (
Name: 1 ' � � , License#:,�`����.5 �lJ �
Contractor adaress: . , .c✓Iti " - c�ty: �Y� n ���� _ !
�� �/ 1 , �� ,
State: l i'�1" Zip: �l�� Phone: i '� � ��� I
`
Contact: f Email: ! YCS - jti-e-
Ty�T@ Of WOI'k —New ,_Replacement _Repair _Rebuild ^Modify Space _Work in R.O.W.
Description of work:
RES}OENTIAL
�/Water Heater
r....1 �, �� �
Lawn Irrigation W�er Softener
(�RPZ/_PVB)
P�t'tl'tlt Type Add Plumbing Fi3ctures(_Main t_Lower Level)
Septic System
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 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 System Abandonment, Water Tumaround"(includes State Surcharge)
*Water Tumaround(add$210.00 if a 5/8"meter is required)
$115A0 5eqtic Svstem New{includes Cowty fee and State Surcharge) � f�,.�
TOTAL FEES$ �"�'r "
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0082 for protection against underground utiliiy damage.
Cal!48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecalf.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 perm�, and work is not to start wit a pe it; tt}�t the work will be in
accordance writh the approv plan in the case of worlc which requir�a review and approval of plans. � ���'
l /' �\
X � ��� �+-i � X / �
Ap licant's Printed Name p icant's ignature
FUR OFFICE USE Reviewed E3y: Date:
Required Inspections: Under Grouncf Rough-In Air Test > Gas Test Final
Meter Reiated ltems: Meter Size Radi�a Read Manometer S#a#f;
Reliabuilders 952-226-5514 p.5
Use BLUE or BLACK Ink
For Office Use ( /���Permit#:Cityof Etailn r Permit Fee: 53 ,vi
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: 5-31-17Site Address: 3060, 3062, 3064 & 3066 Timberwood Court Unit#:
Name: Advanced Innovative Management Phone: 651-739-5544
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128 i
Owner Address/City!zip:
l Applicant is: Owner X Contractor
I Remove and replace roof7
Type of Work / Description of work:
__—_. I Construction Cost: 3rJ.000.00 Multi-Family Building:(Yes x 1 No )
F Company: Reliabuilders Construction, Inc. Contact: Jason Michels 1
L Contractor
1 Address: 3351 Griggs St. S.W. City: Prior Lake 1
T. State: MN Zip: 55372 Phone: 612-581-6255 Email: Jason@relic-builders.com
BC650191 R-I-30358-13-00160
,' License#: Lead Certificate It:
t
s
If the project is exempt from lead certification, please explain why:
NIA
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?
1 Yes No If yes, date and address of master plan:
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I Sewer&Water Contractor: Phone:
i
i Fire Suppression Contractor. Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
1 the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. I
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. w:vww.00pherstateonecall.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 1 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 Michelsx ,,`
Applicant's Printed Name Ap lcant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153880
Date Issued:01/30/2019
Permit Category:ePermit
Site Address: 3066 Timberwood Ct
Lot:028 Block: 02 Addition: Timberwood Village
PID:10-76800-02-028
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Laura L Gustafson
3066 Timberwood Ct Unit 28
Eagan MN 55121
Sandau Construction
9025 Hwy 101 W
Savage MN 55378
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature