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3694 Denmark Ave
CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations 6 BUILDING PERMIT APPLICATION 1 set of energy calculations. i: To be used for L Valuationi??L% Date % f Site Addr as OFFICE USE ONLY i Lot Block Sec./Sub. /Erect // Occupancy Parcel # Alter Zoning Repair Fire Zone 3 Owner, Enlarge Type of Const. r/ Move $ Stories Address: //( 3 7P Demolish _ Front ?ft. Grade Depth 12 ft. Phone U: Contracts Address: Phone U: Arch/Eng.: Address: Phone @: Approvals Fees Permit. Surcharge / Plan Check SAC Water Conn. Water Meter Road Unit Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. TOTAL /B `? EAGAN TOWNSHIP BUILDING PERMIT Owner... 7.....-. -ate J& Address (present) ...ij.b.:j.... " Builder Address x° e Eagan Township Town Hall V 2926 Date '2 2................. Stories To r Be Used FFo Front Depth Height Est. Cos! Permit Fee Remarks `A?? c ?/ ? ? ? _ rJ?4?6d1- ??go LOCATION <--3 3 Street, Road or other Description of Location Addition or Tract /V, r s 16 , ,L•...?.tr??.-CC...c-vaJ : ? 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, that... .'."........has permission to erect a..... .'/?d... ----* . ...................upon the above described premise subject to the provisions of the Building Ordinance for Eagan wnship adopted April 11, 1955. / '. P..' '--'- . Per ....................... C,Q".......-. Chaivietan-of-T4wo-Mard' IS _ Building Iaspector_,?, ?o???'??•"_?S o a od-o G? 7 ?- VILLAGE OF EAGAN 3795 Pilot Knob Aoad Eagan, IvIinnesota 55122 P&MIT N0. 373 The Village of Eagan hereby grants to Tho®son Plmmbin Coe of 12201 N1=Wt0nk8 Blvd-. a ING Permit for: (Owner) New Horizon HOmes- Timbershore 87-89, 3694- Denmark S 1163-65 Timbershore, 117711--73- 69-67 1175-7?7g79-81- at1191-93-95-97 1199-1201-03-q5 p.d?AfBA c??rd n re Lane Fee Paid: 640.00 dated this 6th day of Aegust , 19 73 ' 16.00 s /c Building Inspector Mechanical Permits: Bid Total: 30 , VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota.55122 PERMIT NO.: 196 The Village of Eagan hereby grants to Goo, c dav+ k xea +na r.- A/C-of 1002 a Ave. So.. Mnls. 55416 a Permit fors (owner) aeon Hare 81 - shores at 33 home s 76l4rfQ\?Afflapplication dated ?1 Fee Paid: $80.00 dated this 17th day. oY A* 19 73 - 2.0 a/c Building Inspector Mechanical Permits: aid Total.: Z,o 76563 aio o / y?n-,.bee?Iu9s,ei 4mi/ VILLAGE 05' EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. 373 The Village of Eagan hereby grants to Thompson Plumbing co. of 12201 Minnetonka Blvd. a PLUMBING Permit for: (Owner) New Horizon Homes- Timbershore 69 96 Denmark 6 1163-65 Timbershore, 1171-73-69-67 1175-77-79-81;.11 3-8 87- a 91-93-95-97, 1199-1201-03-0ipit2@ZFW4U-aWX Tim4Q re T,ane Fee Paid: 640.00 dated this 6th day of August' , 19 73 16.00 a/c Building Inspector Mechanical Permits: Bid Total; 30 /- /-- v- VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55722 PER14IT NO.: 396 The Village of Eagan hereby grants to Goo. Sedwick Heating d Apt of 1b01 Snla Ave So Mills 55416 a ?a?1in permit, for: (Owner)__NM Mpk1m$ Hater • Tioi?rshoree at 644Lf6 A"-application dated,' e, as Fee Paid; $90.00 dated this 17th daly.of Awrolk s c ?7 .... , t 2-05--97c- Building Inspector Mechanical Permits: tid ToLa.: J VILLAGE OF' E,AGAN 3795 Pilot Knob tioad Eagan, Minnesota 55122 lD ???03 6,46 61 PERMIT N0. 373 The Village of Eagan hereby grants to -T62mvaon Yl?Co. of 12201 Hin"tonka Blvd. a PLUMBING Permit for: (Owner) NOW Horizon Rome e- Timbershore 87-89, 7-79 81. 3694-96 Denmark s 163 65 Timbershore, 1171-73-6]99-67? 1175 77:7T at1191-93-95-97 1199-1201-03-(?58d clDr T? sn Lane ree Paid: 640.00 dated this 6th day of Aug let , 19 73 16.00 a/c Building Inspector hechanical Permits: Bid Total: 3b 241- 1-4 T?`m b-??Shor?'- VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: aaa The Village of Eagan hereby grants to geo, 8edawick Heating & ABC of 1001 Xenia Ave so Mals 55416 a HEATING Permit for: (Owner) New Horizon Home B - Timbershores atCla-65 Timbershore & 3694-96MFFMk application dated 8/1/73 Fee Paid: $80.00 dated this 17th day. of August , 19 73 2.00 s a Building Inspector Mechanical Permits: Bid Total; 3 ?a y-- 6 /O 7ln 5 O 3 'l???y6, VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PER14IT N0. 373 The Village of Eagan hereby grants to Thomason Plulebins co. of 12201 Minnetonka Blvd. a PLUMBING Permit for: (Owner) New Horizon Homes- Timberehore 87-8i 3694-96 Denmark b 1163 Timbershoza, 11773-?c>< 674 117577-79'81 atllgl-93-95-97,1199-1201-03-O Pd; 9 rITim re I.sae Pee Paid: 640.00 dated this 6th day of Auguet_ , 19 73 . 16.00 a/c Building Inspector Mechanical Permits: Bid Total: 3O ,r VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 1496 The Village of Eagan hereby grants to Goo, dwi-k Hea ina s A/c at • ••--! =?-- X69{-,d 8pplicatioq dated.:=xWO Fee Paid: ?mfwg .k?* $80.00 dated this 17th daq. of 2.0 e c of 1001 Lul0 ave So Mn ls 55416 a ''Permit for: (Owner) Bw eezimn ea?? il : ?ilb?raharan Building Inspector Mechanical Permits: did Total: CITY OF 3795 Pilot Knob Rood Eagan, MH 55122 NO PHONES 454-8100 BUILDING PERMIT Receipt # Site Addi Lot Block Parcel # W Name 3 Addre 0 Sec/Sub. Name r 5236 Erect p Occupancy Alter ? Zoning zX Repair p Fire Zone Enlarge C) Type of Const. Move p # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees 0 Address Assessment ? Water & Sew. E' city Phone ?? Police F W Name Fire u? Address Eng. <W City Phone Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct a nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee A Building Permit is issued to: on all work shall be done in acc ordance with all applicable State of Minnesota Statutes and City of Permit Surcharge Plan check SAC Water Conn. Water Meter Total he express condition that Eagan Ordinances. Building Official ?erndt # Date hued ?enmittae Plumbing Mechanical INSPECTIONS DATE INSP. Rough-in Find Footings Date Insp. Dote Insp. Foundation Plumbing Frame/ins. Mechanical Final .?- Remarks: CITY OF EAGAN Remarks Addition T'mb rg r ' ora hth Lot 1 Blk 1 Parcel 10 76503 010 01 J ? of ? i `- Owner -fgyt I Street 3694 Denmark p +ty E ` State Eagan.MN 5r123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, n.? 1 321-03 61.20 5 Paid STREET RESTOR. GRADING # SAN SEW TRUNK Lat B. 1973 324.1 21 . 1 1 Paid *SEWER L TERAL 197 2.93 90-58 Paid # WATERMAIN Lat 7 j 1973 1 # WATER LATERAL 197 WATER AREA STORM SEW TRK # STORM SEW LAT 197 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.0c BUILDING PER. SAC 2 0.0 9 12-18-73 PARK CITY OF EAGAN Remarks Addition Timbershore 11th Lot 2 RIk 1 Parcel lo 765o3 o2o o1 Owner- Street-- 3696 Denmark QyJ E State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. r? 1974 32?; Q3 4.20 5 Paid STREET RESTOR. _ GRADING * SAN SEW TRUNK Lat B. 1973 32 .1 21 . 1 15 Paid 3E SEWER LATERAL ? 1974 2.9 go.58 5 1 Paid * WATERMAIN Lat 1-77 1973 15 *WATER LATERAL 1974 WATER AREA f STORM SEW TRK # STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.0 9654 12-18-73 BUILDING PER. SAC 2 0.0 9654 12-18-73 PARK CITY OF EA3AN Remarks Addition Timbershore 4th Lott Blk 1 Parcel 10 76503 040 01 Owner ?i % ` ?'L(F L iK 'i ( Street 1163 Qi,?60S)wre `ar t_ State Eaga .MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 197 321-03 - .20 Paid STREET RESTOR. GRADING # SAN SEW TRUNK Lat B 1 324-15 21.61 1 Paid .#. SEWER LATERAL 1 452.93 90.58 Paid • WATERMAIN Lat ^^, 197 1 • WATER LATERAL 1974 5 1 WATER AREA STORM SEW TRK # STORM SEW LAT 1974 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 1 20.0 96-14 12-18-73 PER. SAC 260. -?4 96 12-18-73 PARK CITY OF EA.GAN Street 1165 Timbershore Latin. State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, n 1 .03 61,..20 Paid STREET RESTOR. GRADING *SAN SEW TRUNK Lat B 1973. 324.15 21.61 1 Paid *SEWER LATERAL Z? 1271L 452.93 0 $ a• * WATERMAIN Lat 1973 1 * WATER LATERAL 1974 WATER AREA STORM SEW TRK # STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.OC 9654 12-18-73 PER. SAC 260.0 965LL 12-18-73 RESIDENTIAL \ BUILDING PERMIT APPLICATION %`7 0 C) U CITY OF EAGAN 3830 PILOT KNOB RD - 55122 G 1 651.681-4675 e?s2J I New Construction Reauiremenb Remodel/Repair Requirements • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan 120% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations indicate "d home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE S_- S - © ( VALUATION JOB SITE ADDRESS 3 6 5G Oew rvr a r, ? e r IF MULTI-FAMILY BUILDING, HOW MANY UNITS? Y PROPERTYOWNER [7?4u?a i'_' lie - 6S1- 6F6 717 TYPE OF WORK Der, k Wo U FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ADDRESS PAGER # PHONE# ZW -,y'(7'3.Z1? ZIP CODE FAX# Gl?-?f3?-7?7a NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. MINNESOTA RULES 7670 CATEGORY 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ?V Phone #: Water Softener _ Lawn Sprinkler Fee: Water Heater _ No. of R.I. Baths No. of Baths Phone # 77r 0 - Air Conditioning Heat Recovery System $90.00 h a a-d? I Phone # ?b 1 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infor ? n' c ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex U 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors y yry 34 Replacement ( 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ? ?D0D o Occupancy MC/ES System Census Code . Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered 3 ` l Type of Const A Width -0 _ Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco _ Stone Windows (new/replacement) Approved By & , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing- - Fireplace _ R.I. -Air Test -Final Insulation ?j I_ HVAC - r CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 Fees BUILDING PERMIT APPLICATION Receipt .# - -_ To be used for Deck & Patio Est. Value 1,600. Date 5-29 7 199 site Address 1163 Timbershore Lane Erect ?U?n? Rl 1 Lot Block Sec/Sub. TiJr ,shore 14 Alter ? Zoning R3 Parcel # Repair ? Fire Zone V 3 2 V Erik Erikstrip Enlarge ? Type of Const. W Name Move ? .# Stories Z Address 1163 Tlmbershore Lane Demolish ? Front 7 ft. city Eagarl Phone 452-2525 Grade ? Depth 20 ft. o Name ? -Pederson TnC. Address BOX 235 t Cit. Farmington Phone 463-4555 v? Ww Name ?z u'5 Address sz Qw ON P4.n..o I hereby acknowledge that I h the information is correct State of Minnesota Statut s Signature of Permittee A Building Permit is issued to: oil work shall be done in occo Building Official read this application and state that Tree to comply with all applicable City of EagjniQCdhVnces. State Assessment - Water & Sew. Police Fire Eng. Planner _ Council Bldg. Off. - APC N2 5236 / V41 .5-/ - Permit •"" Surcharge 1.00 Plan check SAC Water Conn. Water Meter Total 10.00 on the express condition that Statutes and City of Eagan Ordinances. ,L EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEP141T FOR WATER SERVICE CONNECTION Date: 8/7/73 (12/29172) Number: 122665 Billing Name: New Horizon Homes Site Address: 116_ "3a6?51,Tjm__bershore 369)1-3696 Den- mark Owner: same Billing Address Plumber: Thompson Plumbing Co. 1163 - 22988952-482701 1165 - 22988953-482702 3694 - 22988954-482703 3696 - 22988955-482704 Assn - 22988956-482705 Building is a: Residence Multiple xx No. Units 4 Commercial Industrial Other Meter tion Chg48n.nn Mlle-d 8 Meter No. Permit Fee 10.00 pd 12/28/72 Meter Reading Meter Dep. .50 pd 12/28/72 Meter Sealed: Yes_ Add'1 Chg?f -` -? NO Total Chg. 3 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: Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. Timbershore Homeowners Association Eagan, MN 55123 City of Eagan Eagan, MN 55123 To whom it may concern: We understand that a signed letter must be submitted to the City from the Association in order to obtain a building permit. We are giving a blanket approval to Noble Building CO. for replacement of privacy walls and other work that may be necessary. If there are any problems or additions questions, please call. Sincerely, Ph # CA e- 1. tA- 3 ? 2007 RESIDENTIAL BUILDING PmaTAPPucAwN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . 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) 1 Soils Report if proposed building 6 to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc, 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate Hon-site septic system a nD 7J, Office we only Cent of Survey Recd _ Y _N Soils Report _Y _N Tree Pres'Plan Reed - _Y -N. Tree Pres Required _Y -N On-site Septic System 1 -Y _N Plans are considered public information unless you state they are trade secret and the reason. Date / 0 / ( / 0,-7 Z Construction Cost 1 y , Site Address 3 G 9 If , 3& Cf& A&',k /n 'v ?1H1 ?C- Unit/Ste # . 1( 3 1(L f i -j)vj rs-e?S L4-,.-, L-rJ Description of Work -1- Multi-Famil Bl d N Fi l 2 "- 0 1 y g 1G x - ep ace(s) _ _ _ Property Owner - 1 •? 1 ??'?5 ? I I6Me,0-WA1eA--5 45SOC• Telephone # 6.5-/ ?t 5 7? Z ? ? 2 ?'e Contractor y & -C-S t5 t7 Address 3 S VO ?Tr-" rd y AJ ST L y a - 3 S I City State M n/ Zip Jrn 4f 7 Telephone # (? J1-) 77-3-1,3Y-S,- COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Category 1 Energy Code Category , Residential Ventilation Category 1 Worksheet (J submission type) Submitted . • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Cade Worksheet 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 and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby annly for a Residential Ruildino Telephone # ( Telephone # ( Telephone # ( and acknowledge that the information is comolete and accurat that the work will be in conformance with the ordinances and codes of the City of Statutes; I understand this is not a permit, but only an application for a permit, and permit; that the work will be in accordance with the approved the case of work a al of plans. A plicant's Printed Name App tcant's Signature and the State of MN not to start without a requires a review and MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?S 30 .' v l Telephone # 651-675-5675 FAX 4 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address U it # n Property Owner ?? a yr -r-S Telephone S )bQ b? C i Contractor Sr Street Address410 WEST LAKE STREET City MINNEAPOLIS, MN 55408 State 612-$24-9656 Zip ( Telephone # ) The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 X furnace replacement 4 4 air exchanger = air conditioner _ other ` State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permi but only an application fonch and work of t o start witho ermit; that thew 7be in accordance with the appr v d plan in the case f ork ires a revind approval o lans. is, A plicant's Printed Name Applicant' ature COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN V 651-681-4675 SUITE #: 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 Fonn (1) 1 . Master Exit Plan (1) l 1 • Fire Protection Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MCfES 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. 1 DATE: Z 0 7f' WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: 1 ?I 1/- SITEADDRESS:?P I?D ?? I `1 Y?GVLI(i I I " II V? -f I Y)'112CAS YL?M Lnl TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER VJ T vr?- v q ,f Name: J I tv) &DLS - Phone #: LO_ I 1 3 Last First Street D. 2 10('0 City: State: V y Zip: S G7 1 a U O Company: b I r J )\N 1 I? mr Phone #: ( ?1s GA ) i5 I I - 31 CONTRACTOR Street Address: 14U > b ,, 7?)(y? QwL' City: State: Zip: ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water '-N (e l] 5 Q 23 Phone #: () 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. State: Phone #: Signature of Applicant: Updated 1/02 TIMBERSHORE 4TH 76503 PERMIT DATE & TYPE LOT BL ADDRESS 12/72 4-PLEX 010 01 3694 DENNARK AVE 020 01 3696 DENMARK AVE 030 01 1165 TIMBERSHORE LN ? 040 01 1163 TIMBERSHORE LN - 12/72 4-PLEX 010 02 1169 TIMBERSHORE LN 020 02 1167 TEV BERSHORE LN 030 02 1173 TIMBERSHORE LN 040 02 1171 TIMBERSHORE LN 12/72 4-PLEX 010 03 1177 TIMBERSHORE LN 020 03 1175 TIMBERSHORE LN 030 03 1181 TIMBERSHORE LN 040 03 1179 TIMBERSHORE LN 12/72 4-PLEX 010 04 1185 TIMBERSHORE LN 020 04 1183 TIMBERSHORE LN 030 04 1189 TIMBERSHORE LN 040 04 1187 TIMBERSHORE LN 12/72 4-PLEX 010 05 1193 TIMBERSHORE LN 020 05 1191 TIMBERSHORE LN 030 05 1197 TIMBERSHORE LN 040 05 1195 TIMBERSHORE LN 12/72 4-PLEX 010 06 1203 TIMBERSHORE LN 020 06 1201 TIMBERSHORE LN 030 06 1199 TIMBERSHORE LN 040 06 1205 TIMBERSHORE LN 12/72 4-PLEX 010 07 1211 TIMBERSHORE LN 020 07 1209 TIMBERSHORE LN 030 07 1207 TIMBERSHORE LN 040 07 1213 TIMBERSHORE LN PAGE 1 OF 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 p c? 3830 PILOT KNOB RD, EAGAN MN 55122 U ?f l 651-681.4675 New Construction Reaulremente • 3 registered she surveys showing sq. fL of lot, sq. ft. of house; and pit 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 g lot platted after 711/933 • Rim Joist DOB Options selection sheet (bldgs with3 or less units) Water Softener _ Water Heater _ No. of Baths DATE VALUATION SITE ADDRESS (o MULTI FAMILY BLDG Y _'N TYPE OF WORK C?y? E rvt l?a ?k ?s?-? y^ FIREPLACE(S) _f'0_ 1 _ 2 APPLICANT G 2u? N'? u ??G cC ?/? STREET ADDRESS l7 3 z Q s?¢? Ly CITY ° n- STATE ZIP-5>7f Z;- TELEPHONE # yS7 60*8 $ >2 5 CELL PHONE # FAX # PROPERTYOWNER /? w s I?fi JO7 TELEPHONE# Gs 6 ?6 ?7> 7 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ 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 Fee: $90.00 I hereby acknowledge that I have read this application, state that the information I mply with all applicable State of Minnesota Statutes and City of Eagan Or ances. Signature of Applicant' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required eoair Reauiremente -Q--kj • 2 copies of plan • 1 set of Energy Calculations for heated additions Y • 1site survey forexterior additions &decks • Indicate d home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths Phone # Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ;41 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding p 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 34 Replacement 39- 'Demolition (Entire B ldg only) - Give PCA handout to applicant ,,?? ?A Valuation a,///???, tr-v Occupancy MC/ES System Census Code y 3y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const yr Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) ?( Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone - Fireplace _ U. -Air Test -Final - Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge (1 d r (_ Plan Review J lLeiK? MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other 7 0 Building Inspector i Total ?'i 5 :3G - _ '? r. - . -._._.. ,c.. :::: -•,? ? .swv.:. Kaer+--n. •...w. ,?.:.z. _,-?, ? .a., -: _a.?.c^:.a:.w_,:s.-.-- ..?-ter,. z..M _. ? _ • --- -1` n 3 L ?'? 9 6 MASTER CARD LOCATION OWNER aO p/I 2, STRUCTURE AND Ll 11r ,t LAND USED AS 5' Permit I No. - Issued ssued To Contractor Owner ' BUILDING g 1,x PLUMBING CESSPOOL - SEPTIC TANK 37.? -T WELL ELECTRICAL HEATING , CMG ?ew+ti. GAS INSTALLING. SANITARY SEWER ?Q _ „z t1fll' 1 OTHER -'F-`?f / L' I I OTHER i I - Items Approved (Initial) Date - - Remarks - -- Distance From Well FOOTING FOUNDATION i f 2, ?1 -17, e2j i SEPTIC CESSPOOL FRAMING FINAL ELECTRICAL =?4-i/ *? -L. TILE FIELD FT. HEATING I DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD I?_ r9- 77 PLUMBING WELL SANITARY SEWER i Violations Noted on Back COMMENTS: ?r A?- 31928 Eagan building inspector Eagan City Hall Eaga; Miss. Dear Sir: Carol Purvis 3694 Denmark Ave Eagan, Minn. 55123 March 29, 1978 This letter is in regards to damage on my townhouse due to severe settling of the structure. The whole corner between my entry door and my garage fell causing the cement both in my garage and my driveway to severely fall and crack. The molding between the brick and the siding on the house sticks straight out. Inside the house there is approximately a six foot long crack above the entry door and numerous cracks on the stairway wall. The front door was impossible to get in and the house to garage door was very difficult to oven this winter. Outside my cement slab for my patio is a straight incline which will drain directly into my family room. The whole cement slab and patio area ox the house fell leaving big gaps from my house to the ground. If we -ave raim this Spring it will all drain directly into my family room, causing exten- sive damage. I would appreciate your earliest attention to this com- plaint. Thaxk you. Sincerely yours, Carol J. Purvi CC: New Horizon Homes Inc. Four Others 41?MV of eagan PAFRICIA E. AWADA Ylaeor PAUL BAKKEN PFGGY CARLSON CYNDEE FIELDS MEG TILLEY Council Members 'THOMAS HEDGES City Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 w .ciryrofeagan.mm THELONEOAKTREE 1'Ite symbol ofstrenbnh and growth in our community May 18, 2001 MS. BRENDA EKE 1165 TIMBERSHORE LANE EAGAN MN 55123 RE: DECK FAILURE NOTICE Dear Ms. Eke: At the request of the Timbershore Homeowners Association, the City of Eagan's Protective Inspections Division inspected your deck for safety. Our findings are as follows: • Joists are rotted • Beams and supports are failing For safety reasons, the City is requesting that you block off and discontinue use of your deck immediately until it is repaired, replaced, or removed. For your convenience, we are enclosing an informational handout on deck construction, as well as a current building permit application. Please contact me at 681-4679 within 10 days of this letter so we can discuss your plans to ensure safety at your residence. Your cooperation is greatly appreciated. Sincerely, VTZelenZ\- Building Inspector TZ/jb Encl. cc: Dale Schoeppner, Chief Building Official l VI? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Reauire rtrenh Remodel/Repair Requirements > 3 registered site surveys stowing sq. t. of lot, sq. fl. of house and 411 roofed areas (20% maximum lot coveroae allowed) > 2 copies of plans (show beam & window sizes; poured Intl. design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan if lot plated after 7/1/93 DATE: -?EN /?- ?v 600,50 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks CONSTRUCTION COST. DESCRIPTION OF WORK: [Le??4?R (lc??. ?c ( If multi-family bldg., how many units?_ STREET ADDRESS: -:) & % 7 1,-Ac ti, Ai a, LOT: I BLOCK: SUBD./P.I.D. #: lti..?? S 4a.4 vw cow N «S ksK . Name: ?e fa J He kc ®'!3 fete' ft 1 Phone C iW l - Y,} y - 703 Z PROPERTY Last first OWNER Sheet Address: / 02G CI T&-berms / c sro? r ?-? h G City Ca a? State: Zip: S lz? Company: !V oy l ?J? l ?f c (fy. Phone #: G U, - Y6 T - 3 2S^7 (area code) CONTRACTOR y O/F?' S Exp Street Address: 4; License #,2 City /c Ila State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: Registration #: City State: Zip: Sewertwater licensed plumber (ff installing sewer/water): Phone #: I hereby acknowledge that I have read this application, state that the information iTeoff ed r o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: vff Certificates of Survey Received Tree Preservation Plan Received OFFICE USE ONLY Yes No Yes No Not Required JUL 18 o OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex * 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Rog _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE W 31 'New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to appl icant for demolition permit GENERAL INFORMATION SAC Code o l No. of Units 0 No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Alt - Multi ? 33 Ext. Aft - SF ? 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $_I ado SAC Units % SAC June 14, 2000 Timbershere Homeowners Assn. Eagan, 14N 55123 City of Ragan Building 6 Inspections Dept. Began, 30 $3123 Dear Birs= This letter is to verify that plans for decks and privaoY walls submitted to You Noble Building Co, for 7 - , A?'+u"--k' are approved by Timbershore Homeowners Assn.'s Building Project Committee. Si6Qer lY michaei R• O'Brien Hui?ding Proj. Comm. Chair ^???xxxxxxxxxxxxxxxxxxx xxx xx xx. L.VLV 111V VL CITY OF EAGAN CASHIER: JS TERMINAL NO: 060 DATE: 08/10/00 TIME: 14: 00:59 ID: NAME: NOBLE BUILDING COMPANY 3210 9001 3637 DENMARK AV 60.00 2155 9001 3637 DENMARK AV 0.50 3210 9001 1266 TIMBERSHOR 60.00 2155 9001 1266 TIMBERSHOR 0.50 Total Receipt Amount: 423.50 CR135640 USER ID: JAN *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 060 DATE: 08/10 /00 TIME: 14:00:57 ID: NAME: NOBLE BUILDING COMPANY 3210 9001 3667 DENMARK AV 60.00 2155 9001 3667 DENMARK AV 0.50 3210 9001 3678 DENMARK AV 60.00 2155 9001 3678 DENMARK AV 0.50 3210 9001 1249 TIMBERSHOR 60.00 2155 9001 1249 TIMBERSHOR 0.50 3210 9001 3694 DENMARK AV 60.00 2155 9001 3694 DENMARK AV 0.50 3210 9001 1183 TIMBERSHOR 60.00 2155 9001 1183 TIMBERSHOR 0.50 CR135640 ** CONTINUED USER ID: JAN ** CONTINUED A ? u 5883 ; • A ' 3??e ' FE-5 t 4 • A2 I;,CD i o• • N I • I• I • I• I i=2 3? L ?2 3.0 31, ' T TI_MBER5HORES 4TH; AD QN I 0 2 13 0 N / I f ? ? I 1 _ 4- M• ? ' I • I 4- I '- I I 4- I ? ? ? • i I 2 1340 i 40 2 4D 3oo U ? ..;.,...,..emu..,... •u'•WIMM U aMmr U ? • •:S1• ......................\•....... • .• .-•.•.......i .•'• Fl S H I • R .• A 4p s Do ? c• 1 2 I 3 a TIM v ? i i 3li83 u : u' •A 4 •a ? 3??s3 FE-3 .............:.. . .. R K) O.L.B jA2 (;. C D I I I I E I '- R SHORE S- I I ? ?2 W 4TH AD DN I ? I ? I i ? ?n ? a i -. I ?• I R? I •'• I ^•I• I • I ' I i = ? I w2 1340 i o2 . 3j,'" - 2 3b i . ....... .... .j .......... J ' O,L.D N c, WL2 ?o T I I t EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:jqj,)cwv 4a/7/7'h NUMBER 1388 OWNER: New Horizon Homes Address 1163-65 Timbershore 3694 A Derunaik PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units ?j xx townhouse / Location of Connections: Connection Chargel04O.OO billed 8/7/73 Permit Fee10.00 d 12/28/72 .50 pc 72 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector tl? 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 Plumbin C o. Please notify when ready for inspection and connection and before any portion of the work is covered. h EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEP14IIT FOR WATER SERVICE CONNECTION Date: 8/7/73 (12/29/72) Billing Name: New Horizon Homes Owner: same Plumber: Thomason Plumbing Co. tion 1163 - 22988952-482701 1165 - 22988953-482702 3694 - 22988954-482703 3696 - 22988955-482704 Assn - 22988956-482705 Building is a: Residence Multiple xx No. Units 4 Commercial Industrial Other Chg4Rn_nn hiI1ed Meter No. Permit Fee 10.00 pd 12/28/72 Meter Reading Meter Dep. •50 pd 12/28/72 Meter Sealed: Yea_ Add'1 Chg>Y -`r- 1 -+ NO Total Chg. ??? 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. Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. Number: 1265 Site Address: 1163-65 T;mb rshore 169 - 696 Den- mark Billing Address n EAGAN TO1?NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 T .? PERMIT FOR SEWER SERVICE CONNECTION DATE: (R/7/71 NUMBER 1388 OWNER:New Horizon Homes Address 1163-65 Timbershore 69 -96 Denmaik PLUMBER Thompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units ) Xc 4 townhouse Location of Connections: Connection Chargel040.00 billed 8/7/73 Permit Fee10.00 pd 12/28/72 .50 pd 72 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. Thompson Plumbin C o. Please notify when ready for inspection and connection and before any portion of the work is covered. y EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 8/7173 (12/29/72) Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. 1163 - 22988952-482701 1165 - 22988953-482702 3694 - 22988954-482703 3696 - 22988955-482704 Assn - 22988956-482705 Building is a: Residence Multiple xx No. Units 4 Commercial Industrial Other Number: 1265 Site Address: 1163-65 Timbershorc 69,-3696 Den- mark Billing Address Meter Size Meter No. Meter Reading Meter Sealed: Yea_ NO Inspected by Date Remarks: ownhouses By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tin 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. 8 ,z Permit Fee 10,00 pd 12/28/'(2 Meter Dep. •50 pd 12/28/72 Add Total Chg. -/' ?/? . • '4 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: i,)4,)q47g (g/7/71) NUMBER 1388 OWNER: New Horizon Homes Addres 116365 Timbershore 3694-96 Dernnaak PLUMBERThompson Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units 3 xx 4 townhouse Location of Connections: Connection Chargel04O.00 billed 8/7/73 Permit Feel 0-00 pd 12/28/72 .50 pd 2 72 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 Thompson Plumbin C o. Please notify when ready for.inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP ty'J 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 8/7/73 (12/29/72) Number: 1265 Billing Name: New Horizon Homes Site Address: 61?63165 4691-3696 Den- J mark Owner: same Billing Address Plumber: Thompson Plumbing Co. 1163 - 22988952-482701 1165 - 22988953-482702 3694 - 22988954-482703 3696 - 22988955-482704 Assn - 22988956-482705 Building is a: Residence Multiple Xx No. Commercial Industrial Other Meter Meter No. Permit Fee 10.00 pd 12/28/72 Meter Reading Meter Dep. .50 pd 12/28/72 Meter Sealed: Yes_ Add'1 Chgl-"' NO Total Chg. Inspected by Date Remarks: ? ¢?E FOR 4 townhouses <<,??r;t10 ?0??RS• ?ZeR?Q?i;Ly 1t1?TP?-1. BYA 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, Minnesot?a.? By: c5r 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 PERMIT FOR SEWER SERVICE CONNECTION DATE: 194,)aj79 (8L7L7'j) OWNER: New Horizon Homes PLUMBERThompson Plumbing Co. NUMBER 1388 Address 1163 65 Timbershore 3691-96 Derma* TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial) Residential I Multiple Dwelling No. of units i I I xx 1 4 townhouses-J,, Location of Connections: I, 7) Connection Chargel040.00 billed 8/7/73 Permit Fee10,00 pd 12/28/72 .50 pd 12/2d/72 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 Thompson Plumbin C o. Please notify when ready for inspection and connection and before any portion of the work is covered. LOCATION ?y { a' MASTER CARD q OWNER Ile Z.,ll STRUCTURE AND H U tr LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING 2 6 _ PLUMBING 1 ?7 7 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING -??? - GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION tr, CESSPOOL FRAMING ,r -1 TILE FIELD FT. FINAL ELECTRICAL HEATING _ 1J "el f DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER _I_ 000010, Violations Noted on Back COMMENTS: 10 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147101 Date Issued:12/11/2017 Permit Category:ePermit Site Address: 3694 Denmark Ave Lot:1 Block: 01 Addition: Timbershore 4th PID:10-76503-01-010 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 - Jason M Michaelson 3694 Denmark Ave Eagan MN 55123--104 (651) 357-7906 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature