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1269 Timbershore Lane For Office Use 4 i a a 0 0 0 a 000 ` LigS1 3 a :::e: 1r`��� �v ..,.., /tie 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Q�� 2®1� Date Received: ii '"� (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 buildinglnspectionsC icitvofeagan.com Staff: L V ., 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: J Site Address' ►, Lesg4A II i Tenant: \ ` �;U� 2'�L i1{ A lj uite#: g13:.•'de Ile Name: ��4 , �1�t. 1�� f.t/e I; Go i'714nti , eif: Address/City/Zip: A� '1' -f 40 h' a Rr t ,, ; ' Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 a4Co �t a Address: 1801 50TH STREET EAST City INVER GROVE HEIGHTS ` :? State: MN Zip: 55077 Phone: 651-451-2241 N. -rri' .4r-' Contact: BILL MILBERT Email: gloria.abas©culligan4water.com ,s PT .. .''a _New _Replacement _Repair Rebuild Modify Space _Work in R.O.W. e � a Description of work: r rtt ,-. RESIDENTIAL r, 4c,..1,44-.,-,,,;5, Water Heater rm�lie : Lawn Irrigation( RPZ/ PVB) X Water Softener eit Types �t 4 � £„ _Septic System _Add Plumbing Fixtures( Main/ Lower Level) ` °L�-'1, , New Water Turnaround :1 'I`k �s z; Abandonment RESIDENTIAL FEES: — $60,09 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 Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 If a 3/4"meter is required) i $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you into-ad to dig to receive locates of underground utilities. www.gopherstateonecall.orq . You m'aysubscrlbe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 accor with the appr ed p n In the se of work which requires a review and approval of plans. t Applicant's Printed Name X .►4 t �} Ap. cant's Signature Fff' 2fie- tr ✓�,[s ^k'4y'' 1 -46 mK-f.>,1;(':..O N 1 5..P+Iq,-C& zS+d. s FaOl2 OFFICE, 4E'1--A1"4-4 r° �`,r 4 � c x � �j{� s `#7 a e ! i t g y"�.� �. Ems; : { 1+ �,. VI } ��; V' ". jM 4 4 S*r' �' { , >r 4` e.�4Q,CB4>> 1 tt s r `a., t Date s� '{' rt ,r 1 RegU edilns.; a� �"� sc� s"; 6i, � `" N� $, A�, + 33. yi de cUne ''at't'cRell o - '4 T t .a i! '.aha# ---40-1',,,t .4 '3 r'�i 'h#*.. '-* Jfs i, r-;s:::.„.4, { ts-^L?,�Y { s•-;',„'. $• ,4�4. Al s.�.''1, 2 t al'v+ et . I SA ti 'M eter.S`i24. , ., ' ' ?'T+ i .S # q y ;te t I A er elate, tams.r NI ,.i kOtd o ROO-. iMan m'`e}er� � n �� � Ste ��_` a!' .rri`��tr` -t_`X��a max,. For Office Use � 4 & � 0 ::::: ```` "` 12 -Z e: ` EAGAN . y`�fi , ".' . Date Received: iA _r I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ) .� `" `' (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ` .' 2fliL Staff: `"—' buildinginspectionsCo�citvofeacian.com 2018 RESIDENTIAL BUILDING PERM IT APPLICATION Date: / J Site Address: / . L Edi / ' Unit#: Name: Phone: I Resident! Owner I Address/City/Zip: f s ) Applicant is: Owner Contractor -,1 � Description of work: Fv� i� d N C Y Pe S/rfi 5 Type of Work Construction Cost:7 2 i 6 Q 0 --__ __Multi-Family Building: (Yes X` /No ) ° Com G vvSS1orN Coii CvtJkicvLgf i Address: 903 6 fix/a.✓t W CSL /2e/-Qity: /5 4 0 •h 7�v-� Contractor �/ 7 t//j J State:MN Zip:��/3/ Phone: �l so) - 3 9—"Efti`fiilP° - Geo i e f� 5'oto` i 6-CS3�-. License# Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: 3 .,w«.... 9.-.N-.+y.-:..w.vmn«..ww,. —+...'ro+a... .v..wvnv..u:___ ..u.r......_.....wv,a+n+«wi..w a.....wwv _ -^+^..+_m.......-.....nuswv_+.rm.rww_.n._>...+.. .w.. NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non- ublic if ou rovide s ecific reasons that would permit the Oity to conclude that Mei are trade secrets. , You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeanan.com/subscribe. 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. 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.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 lans. x V V Pef ille71-1 ? 7✓ x ?®� Applicant'§-Printed Name J App icant's nature ei; DO NOT WRITE BELOW THIS LINE c SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous ?t 01 of 'q Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior ,)( Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation $(71,,SOO . — Occupancy ✓P ( ' 3 MCES System Plan Review Code Edition )47420/ c SAC Units (25%X 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \f(3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required X Footings tdition4 S?.--00 f 7q Final!No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice&Water _Final Pool: _Footings Air/Gas Tests _,Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / O n'i fil 1 /41 14-- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153549 Date Issued:12/31/2018 Permit Category:ePermit Site Address: 1269 Timbershore Lane Lot:1 Block: 03 Addition: Timbershore 3rd PID:10-76502-03-010 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 - Michele Passolt 1269 Timbershore Lane Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature