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3650 Denmark Ave Jul 12 10 08:14a Gates General Contractors (763) 498-7710 p.5 Use BLUE or SLACK Ink ~ For Office V - _ l I I [111'11 j Permit#t 741? 74 1 Ab~Cflyfla[d it Fee:_~• li I Perm 3830 Pilot Knob Road I I Date Received: I Eagan AAN 55122 1 I Phone: (651) 675-5675 1 Staff: f Fax: (651) 675-5694 1 201 0 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "r 0 Site Address: T - Tenant 5i I " I 76 ~ Suite # RESIDENT I OWNER Name: 'b4? j(( Phone: ` SQGi - Address I City I Zip: dh/ Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Construction Cost: / M amily Building: (Yes _ 1 No i CONTRACTOR Narne: License Address: 1,5 t'I-ees r City: r f / Ph rte: State: t~~ _ f'c. f zip: Qil~ Contact: Email: a 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public it 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 under round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances codes of the City of Eagan ndersfand this is not a permit, but only an application for a permit, and wo to start without a perm hat the work will be in acco an h the approved plan in th of work which requires a review and ap of ns. K Appli 's ranted Name Applicant's5ignature Page 1 of 2 _ _ CITY OF EAGAN =795 Pilaf Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address Arir, Lot Block Sec/Sub. Parcel * W Name Addre °C Name _ ,o vU Address I hereby acknowledge that I hove 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. Receipt # Date , I4 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zorn Enlarge ? Type of Const. Move ? * Stories Demolish ? Length Grade Q Depth Sq. Ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. APC Permit Surcharge Plan check _ SAC Water Conn. Water Meter Rood Unit - Total Signature of Permittee A Building Permit Is Issued to: on the express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final water Describe Location: well Sewer Pr. Disp. MECHANICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE-- 454-9100 DATE: Site Address Lot Blocs Name t'v m Address c City Name 3 ? 7- C Addres:t___2.4 p city `.' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # BLDG. TYPE WORK DESCRIPTION Res. New M ult Add-on Comm. Repair Other FEES "'? ?zl?y? ? RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) PER PERMIT 50 EA 1 ) - GAS OUTLETS (MINIMUM -1 . . 11 COMMAND FEE -1% OF CONTRACT FEE 7 M BTU APT. BLDGS. - COMM. RATE APPLIES M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS 12.00 M BTU MINIMUM COMMERCIAL FEE 20.00 CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) PERMIT FEE: S/C: -- 31c T RE OF P MITTEE ? C /d*9 ° /L TOTAL: z " `? , FOR: CITY OF EAGAN CITY OF EAGAN Additio,_ Lot 1 Blk 10 Parcel 10 761502 ALUbAlL Owner ?'?'? treet 3650 Denmark AV z 1 State Eaganr M 55123 r Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1974 3 21.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid * SEWER LATERAL 117 1973 432.19 28.21 15 Paid SW LATS ST SEW 4g 1974 452.93 90.58 5 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 3 130) 0 0 7953 5 9 73 BUILDING PER. - - - - - ; SAC 120.00 79!)l 5-9-7 PARK CITY OF EAGAN Remarks Addition , MMBERSHORE 3rd Lot 2 p Blk 10 Parcel 10 76502 020 90 Owner r " Street 3652 Denmark Ffq E StateEagan, MN 55123 f 1. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. I? 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid * SEWER LATERAL 11 1973 432.19 C 28.21 15 Paid SW LATS ST SEW ^2" 1974 452.93 90.58 5 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260-00 7951 5-9-73 PARK CITY OF EAGAN Remarks Additit,n TINIBERSHORE 3rd Lot 3 131k 10 Parcel 10 76502 Q30 10 Owner / P ` I?(X?YIGI(1 Street 1280 Timbershore Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid * SEWER LATERAL n 1973 432.19 28.21 15 Paid SW LATS ST SEW ^ 12.74 452.93 90.58 5 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 P * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260.00 7951 - - PARK CITY OF EAGAN Remarks Addittn TIIBERSHORE 3rd Lot 4 Blk 10 Parcel 10 76502 040 10 Owner A!' ri)?'' k t r bd: ;'.'S , Street 1282 Timbershore Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, h 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid SEWER LATERAL 1973 432.19 28.21 15 Paid SW LATS ST SEW 1974 452.93 90.58 5 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260.00 7951 5-9-71 PARK `CITY oF- FAGAN • . N BUILDING PERMTT APPLICATION To Be Used For r l. KnA //__i / Valuation ?C-)c' . o Site Address tzga %---+J'r S/i?n - Lot -.? _Block ?U.`S?./sub: f h ?ErshaY E Erect _ Parcel # : /4 7 (D 5v '? 0 30 /0 Alter Owner: ?1eo d 1?v ?e YL Address:/2yo %, n om, f l?? ti? a rvF City/Zip Code: -FA8, 4 , in vl Phone #: h5?-ir62 Contractor: Address: City/Zip Code: Phone #: Arch./Eng.. Address: City/Zip Code: Phone #: Repair Enlarge _ Move Demolish _ Grade OFFICE USE ONLY Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. APPROVAJS FEES Assessments Permit ? Water/Sewer surcharge Police Plan Check Fires SAC Eng• Planner Council Bldg. Off. APC Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date Water Conn. Water Meter Road Unit lUrAL 1.,2 o c) c) EAGAN TOWNSHIP BUILDING PERMIT Owner ................... Address (present) 3\QB i ..1,.. '.•.?<a" ............. .... Builder ............................................................... ............................. Address .... DESCRIPTION N° 2818 Eagan Township Town Hall Data ..-=-)e: 7a ................ Storiesl To Be Used For Front Depth Height Est. Cost l Permit Fee Remark 1& - Ia4?\3?q , 3 s ?1 PCJi C? ?` N G?(SL?xry w as n # C ? LL ? w 4 or 1 9+t. %, ,.,,,J3?osa ,. %, o , &_ This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thatVlayaa„ t -- 4?N'.2e9A...has permission to erect A%kIcu .. . ...... . .....upon the above described premise subject toe provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ...................... Per X51 l ? -. - ? ?t 1 s3 !?7...................................... Chairman of Town Boerdts Building Inspector VILLAGE Or EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 -id -2 7. irk sl?ora PERMIT NO.: 301 The Village of Eagan hereby grants to Geo. SsWck Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 551116 a HEATING Permit for: 2 0 2 Timbershors & ?650- Da= 3 alt;; Denmark & 2779-c1. Tltq A 5.60 Fee Paid: +_ dated this New Horizen Hanes 11 thday of January , 19 73 Building Inspector Mechanical Permits: -did Total: 0 T . '?bPi SlaJi VILLAGE Of EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERI4IT NO.: 301 The Village of Eagan hereby grants to Gao. Sedgwick Heating & A/C Co. riA of 1001 Xenia Ave. So., Mpls. 55416 a HEETsA,TING Permit for: 12 0 3 34-36 ers ar x 36r,0-52 Di?pp T1enu:ark c 279- 1 T1pq Fee Paid: dated this Horizon Hanes ram°to'1Mp11' atioh` cMTg P' °12/22-29/72 11 th day of Jmnuary 19 73 as Building Inspector Mechanical Permits: iid Total: AdS VILLAGE Or' EAGAN 3795 Pilot Knob Road Eagan, rilinnesota 55122 . PERI1IIT. NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mp1s. 55416 a HEATING Eerm1t for: (owner) New Horizon Homes 12 O- 2 ershore « , - _ at 3 31a-36 Denwark c 9-?31 D ark 36 et a q-a2 2/22-29/72 Fee Paid: $400.00 dated this 11thday of January 19 73. s hechanical Permits: Building Inspector e, ii'd Total: /D ?/vSC o ??6 '6 In bf rs/?or 4T- TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. The Board of Supervisors hereby grants to Thompson Plumbing Co. of 12201 Minnetonka Blvd., Minnetonka MN 553k861 a PI,i)MM Permit for: (Owner) New Horizon Homes at 3651-, 35521 -36% & 3657 Denmark pursuant to application dated 44/72 Fee Paid: $W-m Dated this 11th day of Awil , 1973. 2.00 s/o Building Inspector' J 7i. » i y?ov,c VILLAGE Oe EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 301 The Village of Eagan hereby grants to Oeo. Se99wick Heating & A/C Co. of 1001 Xenia Ave. So... Mpls. 55416 a HEATING Perini for: (Owner) New Horizon Hates 12 0- 2 rshore .t g6 0 D ark 36'5 - - - shay e, at 334-36 Denmark f 279- T?D a 4 02 dpakl 2/22-29/72 Fee Paid: $4 t 00-00 dated this 1lthday of Jsnuary 19 73 Building Inspector Mechanical Permits: jAa Total: /0 71,50 D/D /0 r J?taQ.. Hor3 smnw$ Iwo 3131 Formum* Marta Hnztb$ some 104 PlPMtb, Mas 55441 To rAmt it air acmoerne WS, Hendetta muant 3050 Donna* Ave, MV 2 5,t7;tu3 55123 8ltwe movt* into V Eombom, aertiEM* stauaWM problao bane aso nt. The P #M list of items bmm bola* LcreasinOy worse, n appears that the s9tt Ug oP 09 acrd stMetu dollocts bavo a a Ud the p• COA" sent to fo2loulm: (Mrs.) Rwwlertt% L. want Department of HouaUa aW Urban t At : mr. Frmk Ferny 64Ao Fxame Ave. amth BPIO•. KIM. 55435 SIpn &dulum mlopeotor Air. Dale Paterson 3795 Mot Rmb Pined 1man. Pte. 55122 Furst Natman Bank of 2to panl W. Gregory Bro®k floal rotate Yuan Dept. 332 eta at, Pit, Pala, Rtan. 3072 TfP?{??fl ?Y 3a 7978 2bberahors 1 e rs Assoc. PSO, Box No. 21061 SAM. HIMO 55122 BUILDING PERMIT To be ased far 111421 CITY Of EAGAN 9795 Pilot Knob Road Eagan, MH 55122 PHONEt 4214-8100 Site Address u V •i""'ci oaavi c i 'u Lot 3 Block 10 sec/Sub. Timbershore 3: Parcel # 10 76502 030 10 W Name vocysacu ""u zz Address 1280 Timbershore Iane o Nome Owner V- Address f r... ..Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. N° 6835 Receipt # -`-k?l ?- Erect Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Length- Grade ? Depth Sq. Ft.- Approvals Fees Assessment _ Water 8 Sew. Police Fire Eng. Planner Council _ Bldg. Off. ARC Permit L.L. 7V Surcharge .50 Pion check SAC Water Conn. Water Meter Road Unit Total $12-nfl_ Signature of Pennittee A Building Permit Is issued to: Stephen Porter i the express condition that all work shall be done in accordance?(??fvvff hall o cVcV a State of Minnesota Statutes and City of Eagan Ordinances. Building Official aS1G?L? # ?k1y G 45977,& P'" Reguest Dedate ,-' r Fire No RRequi Sdn InspeNO n 1/ g Ready Now 0 Will y Inspector t c 77 P W hen I licensed ontractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Facts Ncv ?? ? \?S'f,/?/-y VEIL City /? ^ (('JtA Section NoI 111 Township Name or N o Range No Coun Occupant(PRINT) _ Phone No (4_ ? ,99 5 Power Supplier Address Electrical Contractor (Company Name) C.urracom's License No S - _ i.C_. 4 -? ?( T Q l Mailing Address (Contractor or Owner Making Installation) AutM1Or n`ture fGO ac -r Ma'xettg Installa? / J / I Phone Nu?e= , l _JY !- '111 ?/ A `U 5 T MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St Paul. MN 5510E UNLESS PROPER INSPECTION FEE IS Phone (612) 6E2-0800 ENCLOSED dr7?? REQUEST FOR ELECTRICAL INSPECTION EB-ooool-07 /? /,mil tee msvualons for completing this form on back of yellow copy 4 5 9 7 7 "X" Below Work Covered by This Request ' 'ti> 0 ew Adtl Rep Type of Building AppliancesWlred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /industrial Furnace Farm Air Conditioner Other lspeoily) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 2 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only j TOTAL Irrigation Booms C^7? ?5 , V V Special Inspection Alarm/CommunlcanoD THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee 0 COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-m Data certify that the above inspection has been made Final oatq?r ??? OFFICE USE ONLY This request void 18 months ham 800(C) H 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing i esidential dwellings. X15. so 5? ?L?iVI GYt('?f? D t ? I L a e _ I Site Street Address. l Unit # n ? Property OwneKLI (?{1 T 'yam ??Q? Telephone #? ) [OWL) Contractor C? Telephone # Address %_o 51 City. State?L ZipaMILr- The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or wafer; heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $l? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required be re ' wed and approved. Applicant's Printed Name plicant's Signalure 71q c/ l City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?;1o?oz?) New Construction Requirements RemodeVReoalf Requirements =_? 3 registered site surveys showing sq. ft. of lot, sq. tt of house; and all roofed areas 2 copies of plan showing footings, beams, joists ert (20%mazimum lotowerageallowed) l set of Energy Calculations for heated additions rice 2copiesofplanshowingbeam&window sizes; poured found design, etc t site survey for additions&decks r1setofEnergyCalculabons Addition-Indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail optims selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date ? / Os a / _'_ Site Address 23 big a Oil) r o J Description of Work y 1.J I J1 do W r- ( f7tp Multi-Family Bldg Construction Cost 6 c b v b n P. la u Irk n (? Fireplace(s) - 0 - 1 - 2 Property Owner U Z o nn e L c o n 1) P cl THD At-Home Services, Inc. - Contractor Address State Dba The Home Depot At-Home Services Unit/Ste # Telephone # ( 44'!) 431-113S 3200 Cobb Galleria, Suite 200 Atlanta, GA 30339 eity Jodi & Pder Jonc S License #20268257-763-542-8826 Telephone #(RSa) 3V5 - &6 y7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date andd(?s!a'rrrT,$r7(dP 1 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. 2006 RESIDENTIAL BUILDING PERMIT APPLICATION -rim !sithti)k Applicant's Printed Name Applicant's Signature COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ;SI (' .--I <? Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1)'" 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. L (? DATE: Z Z WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: I I SITE ADDRESS: 3L , 3!o 5"D Le vr)mcyyk. + IA 8D) UbA TI Vy1 Slit ?r,-? Gf-J TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER Name: 114 -93H?L Street Address: P •O • (2p uy a 1 b (Q 1 ` City: State: M tJ Zip: 5 I Company: 1*7? T I/M?> W rt lf?l W d \DI hone #: ) CONTRACTOR 1 g LJ5 0 ! D? Street Address: `' J(?(? _ r? ?t City: A ,nU V-QA..? / State: Iv ?J Zip: S S? r? ARCHITECT/ ENGINEER Company: Phone M ( ) Name: Registration #: Street Address: City: Licensed plumber installing new sewer/water SUITE #: Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to Minnesota Statutes and City of Eagan Ordinances. g Signature of Applicant: State: ?1IU 1111 0 :? ZD?Z 1/02 TIMBERSHORE 3RD 76502 PERMIT DATE & TYPE LOT BL ADDRESS 8172 4-PLEX 010 08 1268 TIMBERSHORE LN 020 08 1270 TIMBERSHORE LN 030 08 1264 TIMBERSHORE LN 040 08 1266 TIMBERSHORE LN 8/72 4-PLEX 010 09 1276 TIMBERSHORE LN 020 09 1278 TIMBERSHORE LN 030 09 1272 TIMBERSHORE LN 8/72 4-PLEX 010 10 020 10 030 10 040 10 3650 DENMARK AVE 3652 DENMARK AVE 1280 TIMBERSHORE LN 1282 TIMBERSHORE LN 8/72 4-PLEX 010 11 020 11 030 11 040 11 8/72 4-PLEX 010 12 020 12 030 12 040 12 10/71 4-PLEX 010 13 020 13 030 13 040 13 3660 DENMARK AVE 3662 DENMARK AVE 3664 DENMARK AVE 3658 DENMARK AVE 3668 DENMARK AVE 3670 DENMARK AVE 3672 DENMARK AVE 3666 DENMARK AVE 3634 KOLSTAD RD 1306 CRESTRIDGE LN 1304 CRESTRIDGE LN 3636 KOLSTAD RD 6 PAGE 2 OF 2 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 1 I 0 °Z ?gC1.as RemodelfReoair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION SITE ADDRESS as 5D tww\ "aw I (y A-V,9_? MULTI-FAMILY BLDG _ Y /rN TYPE OF WORK I') QOLG `?R_ ?n? IYLcAn?W S FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT .4- S i _AV4,lr?i/aUQ TATS Mr'ZIP STREETADDRESS 14USO GLAFI?r DYL • CITY TELEPHONE # 9Ea"FI LIHM CELL PHONE # FAX # 1(- PROPERTY OWNER TELEPHON?(#?? b? --------------------- ---------------------- ----------------------------- -------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $2 .lU? 1 6 2002 V Fee: $0.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant /'I I rim- OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4102 CITY USE ONLY L ? nn? RECEIPT #: X SUBD. DATE: y?tJ 9(0 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = 3.00 x = Water Heater 3.00 x 3.00 x Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TnTAI_ ?O 50 URBRNSKI MIKE SITE ADDRESS: 1282 TIMERSHGRE LANE EAGRN , 55123 OWNER NAME: H 452-2943 W INSTALLER STREET CITY: STATE: ZIP: PHONE #: ( ) S7PMRE CITY USE ONLY t , " 99 W PERMIT M RECEIPT DATE: al;; -C I MIDENT AL MECH"CAL PEPJW !EPP11CATION crrYoF EAem 3630 PILOT KNOB RD EALGMMN 55isa 651-661-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: (,o _20 -0 SITE ADDRESS: I. -g2- '!3 OWNER NAME: Afol e, TELEPHONE #: _45Z-Z2 (AREA CODE) INSTALLER NAME: TELEPHONE #: G S ( 776 -0603 (AREA CODE) STREET ADD tR?ESS: 1 (_Q,>1 U t;IEW V(00 _4:2440 r CITY: Q,a ?4,r?f STATE: ZIP: "SJ5j7-0 ol.i..e ? nMe?L mnrlr nnvf fn f6c normit wnrk tvn0 yaw . + New residential dwelling unit under constructionand not owner/occupied $ 70.00 / ? Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other / Nature of work: -44A State Surcharge .50 0 $56,5, Total Reminder. Call for inspections. n- re - ), __--updiCC iron ' .... - nn?e EAGAN TOWNSHIP I0,3 ?(S 3795 Pilot Knob Road St. Paul, Minneaota 55111 rt??m Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (3/30/73) NUMBER 1298 OWNER: New Horizon Homes Address 1282-80 Timbershore Lane & 650 52 Denmark PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy cast iron DESCRIPTION OF BUILDING Industrial Commercials Residential I Multiple Dwelling No. of units Location of Connections: Connection Chargel0 0 00 bill /73 Permit Fee 10.00 pd 12/28/92 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Please notify when ready for inspection and connection and before any portion of the work is covered. i-/O -3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEPUIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1149 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. ion of Connection 1282 - 22379548 - 431836 1280 - 22379549 - 431837 3650 - 22379550 - 431838 3652 - 22379546 - 431839 Assn - 22379547 - 431840 Site Address:1282-1280 L'imbershore Larne X 50 3b52 Denmark .Ave. Billing Address Meter Size Connection Chg. .fled 3/30%/ .tai. rT-,--`, Meter No. Permit Fee 10.00 :d 12/98/ ? Meter Reading Meter Dep. .'0 nd 12/28/y2 Meter Sealed: Yes_ IAdd'l Chg. 300.00 billed !30/73 NO [Total Chg. Building is a: Residence Multiple x No. Commercial Industrial Other Inspected by Date Remarks: townhouses By: ° Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing= Co.. Please notify the above office when ready for inspection and connection. } EAGAN TO14NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: April 11, 1972 OWNER; New Horizon Homes PLUMBER Thompson Plumbing Co. T,3 NUMBER 971 J -! `I - H 3656, 3-N Address 3651,/3 2,, AAk 3657 Denmank 1 - TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units x 4 Location of Connections: Total Inspected by Date Remarks: Connection Charge 6?,a - Permit Fee 10.00 4/11/72 .50 pd 4/11/72 Street Repairs By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. 3 EAGAN TOWNSHIP 3795 Pilot Knob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1149 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. Connection 1282 - 22379548 - 431836 1280 - 22379549 - 431837 3650 - 22379550 - 431838 3652 - 22379546 - 431839 Assn - 22379547 - 431840 NO I Total Chg. Building is a: Residence Multiple x No, Commercial Industrial Other Site Address:1282-12 Timbershore Lane 3 0 3 2 ?enr ark A e. Billing Address Meter Size Connection Chg. Meter No. (Permit Fee 10.0o nd 17/28/72 Meter Reading Meter Dep. •50 pd 12/28/72 3/'0/7 i/ -? Meter Sealed: Yes_ IAdd'1 Chg. 300.00 billea 3/30%73 Inspected by Date Remarks: townhouses By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co, Please notify the above office when ready for inspection and connection. <v ?? 0? EAGAN TOWNSHIP 3- 3795 Pilot Knob Road I St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (3/30/73) NUMBER 1298 OWNER: New Horizon Homes Address 1282OJ Timbershore Lane & 3650-52 Denmark PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy cast iron DESCRIPTION OF BUILDING Industrial' Commercial' Residential Multiple Dwelling No. of units Location of Connections: Connection Charge1040.00 billed,,3/73 Permit Fee 10.00 pd 12/28/92' Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit _ T hereby agree to do the proposed work in accordance with the rules and'" regulations of Eagan Tocroship, Dakota County, Minnesota Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1149 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. tion 1282 - 22379548 - 431836 1280 - 22379549 - 431837 3650 - 22379550 - 431838 3652 - 22379546 - 431839 Assn - 22379547 - 431840 -3 Site Address:1282 280 Timbershore L&°le & ?O? 2 Denmark Ave. Billing Address Meter Size Connection Chg. : !i 1led 3/30/7 Meter No. Permit Fee 10.00 pd 50 pd 12/213/72 Meter Reading Meter Dep. Meter Sealed: Yes_ Add'l Chg. 300.00 billed 3/30/73 NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple x No. Units townhouses Commercial Industrial By: ^ Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co.. Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 '1 1 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (3/30/73) NUMBER 1298 ?'13?? 3 1'IC) o OWNER New Horizon Homes Address 282=80 Timbershore Lane & 3650-52 Denmark PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy cast iron DESCRIPTION OF BUILDING Industrials commerciall Residential I Multiple Dwelling No. of units Location of Connections: Total Inspected by: Date Remarks: Connection Charge10 0 00 bill/73 Permit Fee 10.00 pd 12/28/92 Street Repairs By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By. Please notify when ready for inspection and connection and before any portion of the work is covered. • -7 Y • • EAGAN TOWNSHIP U l 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1149 Billing Name: New Horizon Homes Site Address 1282 1280 Timbershore Lane & 3b50-3b52 Denmark Ave. Owner: same Billing Address Plumber: Thompson Plumbing Co. 1282 - 22379548 - 431836 1280 - 22379549 - 431837 3650 - 22379550 - 431838 3652 - 22379546 - 431839 Assn - 22379547 - 431840 3/30/73 Meter No. Permit Fee lo-on nd 19/?d/72 Meter Reading Meter Dep. •50 pd 12/28/72 Meter Sealed: Yes_ I Add'1 Chg. 300.00 billed 3/30/73 NO I Total Chg. Building is a: Residence Multiple x No. Commercial Industrial Other Inspected by Date Remarks: townhouse425.00 RE-INSPECTION FEE FOR IMPROPERLY INSTALLED METERS By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota.// By: Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110030 Date Issued:04/19/2013 Permit Category:ePermit Site Address: 3650 Denmark Ave Lot:1 Block: 10 Addition: Timbershore 3rd PID:10-76502-10-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Brockman 21210 Eaton Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Cynthia Lemay 3650 Denmark Ave Eagan MN 55123 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110031 Date Issued:04/19/2013 Permit Category:ePermit Site Address: 3650 Denmark Ave Lot:1 Block: 10 Addition: Timbershore 3rd PID:10-76502-10-010 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. Mike Schiltz P.o. Box 22172 Eagan, MN 55122 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 - Cynthia Lemay 3650 Denmark Ave Eagan MN 55123 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature // _ 1 For Office Use % `� � � a� � Permit#: : Permit Fee: I Date Received: 6-/ `/A 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: "?t': buildinginspectionsCo�citvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '. /6r)in/n(4 4( 6 . Unit#: Name: Phone: gResident/ PD Owner I Address/City/Zip: [_________I_Applicant is: Owner__ Contractor 71 ( 62 !.0126 c Type of Work Description of work: I Construction Cost:7Y 2 t 6Multi-Family Building: (Yes X- /No � ) Company: G v vSS. tv1 o m e Ir $ JViOct: va9i'ej 9 03 6 N / 4C C._ , LS/0 a -h� i� Contractor Address: �/ � qty: State:MN Zip:,��3/ Phone: �so� 3 •��E `�ilU� 6, f e 7I9 !AG / c' i 1 t { 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 fora 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: 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 ermit the Ci to conclude that tlry 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.citvofeauan.comisubscribe. 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.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 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 A>° -/f x -e— ,--7-- Applicant' rinted Name App icant's nature iz---c6„..53- 0-titrAlq-a- 141--ct- , 7, -,5d----'sq .. . .DO-NOT WRITE BELOW THIS LINE 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 1c 01 of '1 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 �y ( 2 Valuation Sal , Occupancy J 2 ' J MCES System Plan Review Code Edition VT✓t 2-0/ 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 V6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required XFootings (Militia ) Sroof) 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 ni fil; 16-61/1- , 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