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1239 Timbershore Lane1 CITY OF r: 3830 Pilot Knob Road, P.O. E PHONE: BUILM910i PERMIT ???t T- ? - --A rn- FM W" 110* x- FGt_ VAll1B $2 9 a Site Address Lot 1 Block Parcel No. W Name 3 Address - o -.-- Name Lll71U3jr9XM {.VE1101A n.r.avn Address 544-3761 City PLYNDUTH Phone Name Address CitV Phone I hereby acknowlege that I have read this application and state that the information is correct a ee to comply oh all applicable State of Minnesota Statutes a f EMIM di s. Signature of Permit JA TWH CONST A Building Permit is' u on the express condition that al4wbrk shall be done in accordance with all Building Official Sec/Sub. 21-199, Eagan, MN f.-8100 Receipt _ WC&P a• Occupancy FEES Zoning it Bld P 43.00 (Actual) Const g. erm (Allowable) 1.00 - Surcharge I of Stories - Length Plan Review Depth SAC. City a S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System - Acct. Deposit City Water - PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner il Park Ded. Counc Bldg. Off. Copies ".00 Variance TOTAL Date Dec* Final wen Pr. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT To be usad far 1 Site Address ,_,ore r Lot Block Sec/Sub. Parcel # a Name J .. ' Z same Address -- EaPan. IN Q) £31-:;1??C' $? Name "1 mace of Address 7311 I^nak G ?W Name Address 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. Receipt # N2 5912 Erect ? Occupancy Alter ? Zoning Fn Repair ? Fire Zone III Enlarge ? Type of Const. Move ? # Stories n/u Demolish ? Front ft. Grade ? Depth ft. Approval* Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off.- APC Permit Surcharge ' Plan check SAC Water Conn. Water Meter Road Unit Total - Signature of Permittee 1 On the express condition that A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official PON=* ? OaM loved PWMN"o Plumbing Mechanical INSPECTIONS DATE INSP. Rou h-In Final Footings g Dah Insp. Date Insp. Foundation Plumbing Frame/Ira. Mechanical Final Remarks: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I I i 1 : .1 I •t I It1,? •1411101' 1 ANt PERMIT SUBTYPE: I,1 I I 1voll t II No'; CORD PERMIT TYPE: Permit Number: Date Issued: t+Il 1 1 II t N 1i 0!. 4 t 111 k APPLICANT: TYPE OF WORK: r.1 I I I 1 1 N o I Permit No. Permtt Holder Date Telephone fl S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Inep. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. S .Z ?/ Fi v r Deck Final I cTLYrT ' Well 77V Pr. Disp. ?U -La- ry C-#*-J - Z/ s - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, t, PHONE: 454-8100 BUILDING,PERMIT To be used for F.= nova tt1 WR Est. Value $1 s 000 Site Address 1243 TINBZRSHDRE LN Lot 4 Block 5 Sec/Sub. TIMBEMBORE 3RD Parcel No. Name NARY DOUGHERTY TIMBE S RE Address 1245 City GAN Phone 434-3744 s Name LINDSTROM CONSTRUCTION to 9621 TENTS AVE N OU? Address City PI.Y!lOUTB Phone 3761 U Name ,= Address <10 City Phone I hereby acknowlege that I havg.r,ad this applic 'on and state that the information is rrect and ee t ..comply wit all applicable State of Minnesota Statcoutes and C' an Or an , Signature of Permitee r STROM CONSTRUCTION A Building Permit is isWee .Je! Building Official i'jjr ?VYf.V 5121 DEC 14 t g 90 w., OFFICE USE ONLY Occupancy FEES Zoning 25.00 (Actual) Const Bldg. Permit ? (Allowable) Surcharge J .50 { rt of Stones 9 Length Plan Review Depth SAC. City S.F. Total SAC. MCWCC i S.F. Footprints On Site Sewage Water Conn :j On Site Well Water Meter MWCC System city water ' Deposit PRV Required S/W Permit !! Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner il C Park Ded. t ounc Bldg. Off. Copies g Variance TOTAL 2 ? Perm" No. Perm" Holder Dets Telephone N WATER SEWER PLUMBING H.VJIC. ELECTRIC k""cum Date Insp. Comments Fookngsl 1r Foundation Framing Roofing RouV+ Pbg- Rough Hlg- - ,J teal. Fireplace Final Htg. Final Ptbg. Conti. Meter Plbg. Inspector - Notify Plumber EngrA4an Bldg. Final Deck Ftg- Deck Final Well R. Disp. _^- T- ^^ - - INSPECTION RECORD CITY OF EAGiAN PERMIT TYPE: 3830 Pilot Knob Road Permit Dumber: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t n t 4 sa I ,?4 tr APPLICANT- 1., 4 V, (1NBFR'5H0k( LANE DAtlfiHf R IY TTNTII R MORE 3AU tr.a 'k 4'64• ;t/44 PERAYT,,?UBTYPE: TYPE OF WORK: Control No. pwmh *4 pal Bolder onto Telephone f Sl1M PLUMBING HVAC ELECTRIC ELECTRIC boww loe Door llu" comww is Footirw i Foundetlait FrenMV Rodiig Rough Plbg, Aough Ko leul. Final fitp. 013M Test Final Pbg Pbg, htepKftr - No* Plumber Conoi. mew WOW Bldg. Fite) Deck Ftg. Deco Final 14193 AW1 wee Pr. Disp. CITY OF EAGAN Remarks Addition_TIMBERSHORE 3rd -Lot 3 Bilk 6 Parcel 10 76502 030 06 Owner m?bI hrl dVM'1 Str„r 1239 Tymbershore 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 • SEWER LATERAL 77 432-19 2A_ 21 19 PA i A SW LATS ST SEW 1974 WATERMAIN • WATER LATERAL 1973 WATER AREA 1972 11 • STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120. BUILDING PER. SAC 260 Of) 6966 3 2 !1 72 PARK : CITY OF EAGAN Remarks Addition .T MEERSHORE 3rd Lot 2 elk 6 Parcel 10 76502 020 06 Owner t - ?- veer 1241 Timbershore Lane State Eagan, MN 55123 J Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid x SEWER LATERAL 1973 432.19 28.21 15 Paid SW LATS ST SEW 1974 452.93 90.58 5 Paid WATERMAIN x 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 6966 12-11-72 BUILDING PER. SAC 21520. QQ 12-11-77 PARK CITY OF EAGAN Addition TIMBERSHORE 3rd Lot 1 Blk OwnerLA(I}(A Street 1243 TimbershOre Lane R ?. G- kQr S+a 6 -Parcel 10 76502 010 06 State Eagan, MN 55122 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 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 6966 12-11-72 BUILDING PER. SAC 2CO_ (710 12 11 72 PARK CITY OF EAGAN Addition TIMBERSHORE 3rd Lot 4 Blk 6 Parcel 10 76502 040 06 Own 18PIA, 1).S Nrif, K kolav Street 1245 Timbershore Lane State Eagan, MN 55123 oy. Otin 1J. U) 446A 5r, /ff Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 44j 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid • SEWER LATERAL )'J7 1973 432.19 28.21 15 Paid SE 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 6966 12-11-72 BUILDING PER. SAC 260.00 6966 1 12-11-72 PARK i It EAGAN TOWNSHIP BUILDING PERMIT Owner .................. Address (present) ZI. ,0...7-@ SD.I.z.- .. .... `3-- r':5'Z' ?, 5S1 Zr? Builder .... Address .. DESCRIPTION N° 2814 Eagan Township Town Hall Date .................... Stories To Be Used For - Front Depth Height Est. Coat Nermi.tC? Fee o Remarks J " V ZV .%0 p ( to ? 6d o ?- !`7 Y, SO Street, Road or other Description or Location Lot I Block Addition or Tract H-i %a ,A5 Zvi 1-h »13 NQ-'3c} l3`! 1 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it 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, thak.Vv,A.L1ctkON? .....Xkck-.,& -4 has permission to erect ............. .. • ._upon the above described premise subject to 'Me provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ...................l?................. Per . D ........................ Chairman of Town Board Building Impactor CITY OF EAGAN N? 18622 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 ? q -1 BUILDING PERMIT Receipt # l.i cJ OG To be used for FIRE DAM IX FAIR Est Value $2,000 Date DEC 14 199Q__ Site Address 1243 TIMBERSHORE LN OFFICE USE ONLY Lot 1 Block 6 Sec/SUb.TIMBERS HORE 3RD Parcel No Occupancy FEES . Z oning - M Name STEVE CASE (Actual) Const Bldg. Permit 45.00 w a Address 1243 TIMBERSHORE LN (Allowable) e 1.00 Surchar City EAGAN Phone 683-9226 # of Stones - g Plan Review Length o Name LINDSTROM CONSTRUCTION Depth SAC. City 00 Address 9621 TENTH AVE N S.F. Totai - SAC MCWCC ?a 'a- City PLYMOUTH Phone 544-8761 S.F. Footprints - , S Water Conn ewage On Site W w Name On Site Well Water Meter ?i s Address MWCC System V u Acct. Deposit aw City Phone City Water - SPW Permit PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump StW Surcharge information is correct an ree to comply th all applicable State of Minnesota Statutes an of - ga rdin ces. Treatment PI Signature of Permit a APPROVALS Road Unit A Building Permit i issue IXI'NDSTROM CONST Planner Park Dad on the express con t n that rk shall be done in accordance with all Council -' applicable State of Minnesota Statutes and City of Eagan Ordinances. Btdg. Off. - Copies 1 RQ!!L1Tlttl Building Official Variance TOTAL 46.00 io 7/oSv? ?s v? Tmb?iShoi-e 3?i/ VILLAGE OF' EAGAN 3795 Pilot Knob. Road Eagan, Minnesota 55122 PEIDUT NO. 280 The Village of Eagan hereby grants to Thompson Plumbing Go. of 12201 Minnetonka Blvd., Minnetonka 55343 a PLUMBING Permit for: (Owner) New Horizon Homes C2311 ,1247=49=5*-53, at 12-55 Timbershore L?pgoursuant to application dated 10/25/72 Fee Paid: $240.00 dated this 30th day of October , 1972 .00 -S TO Building Inspector Mechanical Permits: Bid Total: 11 -- i0 7(o5od Sao D? _ ' T'mbQ?ShorB <3?// VILLAGE OF EAGAii 3795 Pilot Knob xoad Eagan, Minnesota 55122 PERMIT WO. 280 The Village of Eagan hereby grants to Thompson Plumbing Co. of 12201 Minnetonka Blvd., !Minnetonka 55343 a PLUMBING Permit for: (0imer) New Horizon Homes 1239 4.1=43 }5, 1247-49-51-53, at 1455-57-59-01 Ambershore L4ngoursuant to application dated 10/25/12 Fee Paid: $240.00 dated this 30th day of October 19 72 .-00-570- --- - Building Inspector hechanical Permits: bid Total: /o 76, 5oa o/D D.?o T."1"bet-5'hore 31// VILLAGE OIL' EAGAN 3795 Pilot Knob Itoad Eagan, Minnesota 55122 PE1ZHIT NO. 260 The Village of Eagan hereby grants to Thompson Plumbing co. of 12201 Minnetonka Blvd., Minnetonka 55343 a PLUMBING Permit far: (Comer) Now Horizon Homes 1-239=4°1-4435, 1-247-49=5-539 at 1-255=57=59- 1_ 'Pimbershore Langoursuant to application dated Pee Paid: $240.00 dated this 30th day of October .OOsc 10/25/12 19 72 Building Inspector hechanical Permits: bid Total: II i? 7G-5oa 0"/0 0& 7;.->7 bel-shore 31 x'41 9:TLLAGE OF &AGAN 3795 Pilot Knob tcoad Eagan, Minnesota 55122 PEI? IIT P0, 280 The Village of Eagan hereby grants to Thompson Plumbing Co. of 12201 Minnetonka Blvd., Minnetonka 55343 a PLUMBING Permit for: (Owner) New Horizon Homes 1`239=1i1 t3 t5" , =1.247-=4944--53, at x255=57-59 1.'Pimbershore L44goursuant to application dated 10/25/?2 Fee Paid: $240.00 dated this 30th day of October 19 72 .00 s c '. - Building Inspector viechanical Permits: did Total: -?i TOWN OF EAGAN 3795 Pilot Knob Zoad Eagan, Minnesota 55121 PE101IT NO. 267 The Board of Supervisors hereby grants to Goo. u amok Heating & A/r rrvnZlmp of 1001 Xenia Ave, So.. 1•i eaRo is 5Q16 a gh=a Permit for: (Owner) New Horivon Homey - Timberchnraa 123 -5? an e7nve -53 at , pursuant to application dated 10/4/72 Fee Paid: $160.00 Dated this 12th day of Ootobmr 1972 . 4.00 s/o Building Inspector 7 TOWN OF EAGAN 3795 Pilot Knob Load Eagan, Minnesota 55121 7-?J l PERMIT NO. 267 The Board of Supervisors hereby grants to 000, u Pwiok lleating & A/r. rnmg = of 1001 Xenia Ave. So., Idnn? eamLs 55116 a jir_? =9 Permit for: (Owner) New Horizon Hnmes - T1mhershnrea 12'11940)-1 -i5 & 1217-42-51-53 at ershore Drive pursuant to application dated 1014172 Pee Paid: $160.00 Dated this 12th day of Ootcbmr , 1972 . 11.00 s/c Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 PERMIT NO. 267 The Board of Supervisors hereby grants to Geo. 3edawiok Heating & AIr. rrmnra,' of 1001 Xenia Avg. So., j• r,ne F=a 5Q16 a nn Permit for: (Owner) New Horizon H®ea - Tivhe_rahnrwa 1239-41 ?5 & 1247-42-51-53 at ershore Drive , pursuant to application dated 10/4/72 Pee Paid: $160.00 Dated this 4.00 sle 12th day of Ootobsr 1972 Building Inspector ?- -r ' TOWN OF EAGAN 3795 Pilot Knob road Eagan, Minnesota 55121 PEMIT NO. 267 The Board of Supervisors hereby grants to Ciao. Sedgwick Heating & p/r. (:m a = of 1001 Xenia Ave_ So-, kU.UMana3le 55h16 a HRATnir, Permit for: (Owner) New florigon Homen - imberahnrAn 1239-41-1?& 1247-42-51-53 at ershore Drive , pursuant to application dated 10/1,./72 Pee Paid: $160.00 Dated this 4.00 Vic 12th day of October 1972 Building Inspector CITY OF EAGAN ? .. 3795 Pilot Knob Road Eagan, MN 55122 N2 5912 ' PHONE: 454-8700 ;' BUILDING PERMIT APPLICATION Receipt # ;&2 To be used for Fire Place Est. Value 3, 000-00 Date Jill Y I , 1980- Site Address 1239 Timbershore Lane Erect Occupancy R3 3 Timber Short 3rd Block Sec/Sub. Lot Alter ? Zoning Pp Parcel # Repair ? Fire Zone TTT Enlarge ? Type of Const. W Name Mary Ann Adrian Move ? # Stories n/a z 0 Address same Demolish ? Front Via/ ft. city Eagan, MN Phone (0) 831-8700 Grade ? Depth ft. W N Fire Place Co-+ -ilction Approvals Fees - o ante oG Address 7311 Izaak Walton Rd. Bloomington 1208 944-2922 r:«. Name - Address 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. Signature of Permittee A Building Permit is issued to: _ all work shall be done in accordance Assessment Water & Sew. Police Fire Eng. Planner Council art- 0 Bldg. Off. ? y 1? "" APC Permit Surchargrg Plan check SAC Water Conn. Water Meter Road Unit Total 13.50 ;onstruction Company on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. Building Official To Be Used For- Site Address 1 Lot .3 Block Parcel #: h??? CITY OF EAGAN ?? BUILDING PERMIT APPLICATION valuation J U?? Sec. /Sub. Owner---?7Z 1I / t n .(? M Address: Q?v,ix City/Zip Code: Phone #: LJ3 /- Address: -7311 City/Zip Code/:} 42/- `5 1 '5 er Phone #: -?-'ItL Arch./Eng.: Address : City/Zip Code: Phone #: Include 2 sets of plans, 1 site plan Welevations & l_ set of energy calculations. Date &Zgo d 6 'A . OFFICE USE ONLY Erect Occupancy Alter Zoning. Repair Fire Zone Enlarge _ Type of Const. Nbve # Stories Demolish Front ft. Grade _ Depth ft. Tfater/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council _ Road Unit Bldg. Off. APC ?a TOTAL ? ? ? CITY OF EAGAN NO 1 8623 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C I Al 2 '1 BUILDING PERMIT Receipt p l / r? Ot- To be used for E=RE DAtMM REPAIR Est. Value $1,000 Date DEC 14 tg 90 Site Address 1245 TIMBERSHORE LN Lot 4 Block 6 _ Sec/Sub. TIMBERSHORE 3RD OFFICE USE ONLY Parcel No Occupancy FEES . Zoning Name MARY DOUGHERTY (Actual) Const Bldg. Permit 29-00 w il: Address 1245 TIMBERSHORE LN (Allowable) 50 S ch o City EAGAN Phone 454-3744 k of Stories - arge . ur Plan Review Length o Name LINDSTROM CONSTRUCTION Depth SAC City . $U Address 9621 TENTH AVE N S.F.Total , uQ SAC, MCWCC '- City PLYMOUTH Phone 544-5761 S.F. Footprints Water Conn On Site Sewage Name On Site Well On Water Meter iz Address MWCC System N <W City Phone City Water Acct Deposit SAV Permit PRV Required _ I hereby acknowlege that I hav -lead this applic ion and state that the Booster Pump SPIN Surcharge information is correct and gee i omply wit all applicable State of a d n i r manc s. Minnesota Statutes and Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is i ued DSTROM CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off Copies Building Official -?Oll1I 11411A,1 ??'?+? Variance TOTAL 25.50 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq. R of lot, sq. it. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found design, etc ) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detad Options selection sheet (bldgs with 3 or less units) DATE ) d U --$ --10 , vb RemodeUReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions at _ 0 • 1 site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION SITE ADDRESS IA 1 + ?tMR£2SI10QC L`AWE MULTI-FAMILY BLDG ti`t' _N TYPE OF WORK P6:- L r (? b () I T' a" FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT F-UGF WF lA/F ?Cr? STREET ADDRESS T (M$ER S lA0I? E 1, If? nf? CITY. TELEPHONE # Sl - V S? -6Z'1CELL PHONE # PROPERTYOWNER lE0(rErv6 WrC Et- ATEZIP FAX # TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'T'EGORY I _ NIINNESO'FA R.ULLS-7117 vn fc (V submission type) Residential Ventilation Category 1 Worksheet Submitted e? )S rgv tide o?kshel • Energy Envelope Calculations Submitted AUG 3 0 20Q2 Plumbing Contractor: Phonc # Plumbing system includes: _ Water Softener _ Lawn Sprinkler By _Eee.z:?StJI Water Heater _ No. of R.I. BaQis No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: -- Air Conditioning -- Heat Recovery System Phone # Phone # Fee: 570.00 -------------------------------------------------------------------------------------------------------------------------- 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 rdinances. Signature of Applicant IF F OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 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 - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex JD 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 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?-/ Coo Occupancy MC/ES System Census Code q3 Ll _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 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 _ Figs _ Air/Gas Tests _ Final _ Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. - Air Test - Final - Windows (new/replacement) _ Insulation - Retaining Wall 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 ,. .: mow:..:. . ,p??{? .r ?". 9F V'???s `+r.+ 'Y9-,??r`•'c. `, 1'. ,- rL'.'_l^?!i.i-. ,' .. :{ `? :i'c'Ca aYb. ? ?,??j'?:.': "..'_s ;`' S. ?rY • :S ¢R#???'.Tv-? f. .i .?Fr:._ `AYI.1i?:" ' `"+:....'+. .: ?':s't ?•,+.'i s`.< I`?'' ?. 5:?;:: r. 41- tl ''•^'C'?'•__ "2Z ='"?mil v''.,,F m.'.,L? q :3'? ?•r.;?- '? :?? «!+q.:r: ?•.;i..:?. ?1•'•s?:?,? ??;tj ?'?:. ? .L? "` G'f'4! '-,??.: ,'?•. :.7::?.?"> : Vii' q?f` _>.'.?' hg t ` :::"7?f:r S(.'N.. ?_ •? ? i-] :r': ;J, n.9.• ',i- f",'`'??`•~Y_r. :..: a:?%?'_: ?_:?'. ?tiu^. -.,i_ :{wl"? •,,,f.'v?",'F?? ..5:;?•; :s?% .:'} ? ?.1 ?1'li??:i'': ,.t??:.T??' . ??:Yjs; 6' ??/ )` ;',?.s lz..:y': - ?w' :9'???F6P.,i,,;;':'?" i?e1 _ •tl fy, t'?.:.. •',,s ? ?• ?r? ..pp?Jy• C\j 4005 ot. 66 -p, t I', '• Vl iii' g s:}'° h. ?`?` >?1r ?::, ?_ •.T.?y.y, ,,,? ??' . . ., t.... _ _.oN w s M J3/ i. ..•\. .. ....a1 .- l>?L'.% ... ... i .n. _.<<.I .w' ..-_... l: ..a - _.. -i9F..?n- COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 3 l . -? s 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 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. DATE: (P I a S 1 -0 -Z- WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: I SITE ADDRESS: Iaa3 - 1 aa5 1 lD A la2,,'? TI nn 6 /L.S I?? (?iti ' i TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER 1 'd- a I SUITE M Name: I I r\,, ya- 5ty-,z 1 Phone Last First Street Address: P. 0 a fJ1v10E:V- Dl 1 Zy City: E r vz? State: N t 0 Zip: 1?3- 15- ( D'-- I 1 d- SIoJ? 00 Company: L ?? w I !`-t D o-? Phone #: ( I S c}) I ?? CONTRACTOR ?!? Street Address: ) 41,91:5'c) rte) DY2- City: k 12 J7 State: d`?1 iit' Zip: `J 7? 1 ?- ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water Phone #: Registration #: 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. ^ , r _ ?-- Signature of Applicant: / ?,/? (/' , x Updated 1/02 State: OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Ind ustri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories No. of Units Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq, ft. sq. ft. sq. It. MC/ES System City Water Fire Sprinklered Cl Plumbing ? Stucco/Stone Variance r Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total TIMBERSHORE 3RD 76502 PAGE 1 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS 8./72 4-PLEX 010 01 3634/ DENMARK AVE 020 01 3636 030 01 1281/ TIMBERSHORE LN 040 01 1279 8/72 4-PLEX 010 02 1277/ TIMBERSHORE LN 020 02 1275/ 030 02 1273/ 040 02 1271 8/72 4-PLEX 010 03 1269/ TIMBERSHORE LN 020 03 1267/ 030 03 1265/ 040 03 1263 8/72 4-PLEX 010 04 1261/ TIMBERSHORE LN 020 04 1259/ 030 04 1257/ 040 04 1255 8/72 4-PLEX 010 05 1253 TIMBERSHORE LN 020 05 1251 TIMBERSHORE LN 030 05 1249 TIMBERSHORE LN 040 05 1247 TIMBERSHORE LN 8/72 4-PLEX 010 06 1243 TIMBERSHORE LN 020 06 1241 TIMBERSHORE LN 030 06 1239 TIMBERSHORE LN 1 040 06 1245 TIMBERSHORE LN 8/72 4-PLEX 010 07 1260 TIMBERSHORE LN 020 07 1262 TIMBERSHORE LN 030 07 1238 TIMBERSHORE LN 040 07 1240 TIMBERSHORE LN s MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS ry !ice , Permit No. Issued Issued To Contractor Owner BUILDING 7Y PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL _ HEATING 26 7 AD --7 y f{ Cj GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING p? SEPTIC FOUNDATION IO"S 7 'Y CESSPOOL FRAMING a- ? - Y TILE FIELD FT FINAL ELECTRICAL HEATING - ?/ DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER p Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. 1:1 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: .. EAGAN T014NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 30, 1972 OWNER: New Fdmi7r Horizon Homes PLUMBERThompson Plumbing Co. NUMBER 3dCYA 1189 _ 1-b y-el Addres ?39 41-43-45 Timbershore Lane TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units roc 4 townhouses Location of Connections: Connection Charge240.00 eac. 960.00 paid 12/11/72 Permit Feel 0 7.7-- vetid -00 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 Plumbing ro. 12201 Minnetonka Blvd., Minnetonka 55343 Please notify when ready for inspection and connection and before any portion of the work is covered. EAGA.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEffi4IIT FOR WATER SERVICE CONNECTION Date: October 30, 1972 Number: 1027 Billing Name: New Horizon Homes Site Address : 1239 Q 41-43-45 Timbershore Lane - Owner: Billing Address Plumber: Thompson Plumbing Co. Location of Connection Meter Size Connection Chg. 0.00 pd 12/11/72 1239 - Meter No. Permit Fee 10.00 pd 10/30/72 1241 - s le pd 0/30/72 .50 1243 - Meter Reading Meter Dep. 1245 - Ass'n - Meter Sealed: Yes Add'l Chg300.00 meters 5 - 5/81' American Meters NO Total Chg. No serial numbers 12/1/72 Inspected by Date Building is a: I Remarks: Residence xx Multiple acc No. Units Townhouses $25.00 RE-INSPECTION FEE FOR IMPROPERLY INSTALLED METERS. 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. J EAGAN TOWNSHIP 3 3795 Pilot Knob Road dtlb St. Paul, Minnesota 55111 O Telephone 454-5242 ` PERMIT FOR SEWER SERVICE CONNECTION DATE: October 30, 1972 NUMBER 43a2& 1189 OWNER: New Emir Horizon Homes PLUMBERIhompaon Plumbing Co. P.ddress72391-43-45 Timbershore Lane TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industriall Commercial' ResidentiAl I Multiple Dwelling I No. of units I I I xx I 4 townhouses Location of Connections: Connection Charge240.00 eac. 960.00 paid 12/11/7 Permit Fee 10,00 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector .7 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 Thmmr)con Plumbing Go 11201 Minnetonka Blvd., Minnetonka 55343 Please notify when ready for inspection and connection and before any portion of the work is covered. - J EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 , Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: October 30, 1972 Number: 1027 Billing Name: New Horizon Homes Site Address: 1239 41 43-45 Timbershore Lane v Owner: Plumber: Thompson Plumbing Co. Location 1239 - 1241 - 1243 - 1245 - Ass In - 5 - 5/8" American Meters No serial numbers 12/1/72 Billing Address NO I Total Chg. Building is a: Residence xx Multiple xc No. Units Commercial Industrial Other Meter 2/11/72 Meter No. Permit Fee 10.00 pd 10/30/72 Meter Reading Meter Dep. s le pd 10/30/72 Meter Sealed: Yea_ 1Add'l Chg300.00 meters Inspected by Da Remarks: Townhouses $25.00 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: •? - i :5?, i.?i?? Thompson Plumbing Co. Plea3e notify the above office when ready for inspection and connection. h ,1 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 30, 1972 OWNER: New )ice Horizon Homes PLUMBERThompson Plumbing Co. tiL fi NUMBER 33aYA 1189 Address1239-111 4:45 Timbershore Lane TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units I I I sac I 4 townhouses Location of Connections: Connection Charge 2110.00 eac. 960.00 paid 12/11/7 Permit Fee10,00 Street Repairs Tota1 Inspected by: 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 Thomas noy?imnv co 11201 Minnetonka Blvd., Minnetonka 55343 Please notify when ready for inspection and connection and before any portion of the work is covered. J l EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 t, PERMIT FOR WATER SERVICE CONNECTION Date: October 30, 1972 Number: 1027 Billing Name: New Horizon Homes Site,Address• 1239-41 a45 Timbershore Lane Owner: Billing Address Plumber. Thompson Plumbing Co. cation of Connection Meter Size Connection Chg. 0.00 pd 12/11/72 1239 - Meter No. Permit Fee 10.00 pd 10/30/72 1241 - s /c pd 10/30/72 1243 - Meter Reading Meter Dep. 1245 - Ass'n - Meter Sealed: Yes Add'l Chg300.00 meters 5 - 518" American Meters NO Total Chg. No serial numbers 12/1/72 Inspected by Building is a: Residence xx Multiple xx No. Uni Commercial Industrial Other 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. Bye Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. /t CITY USE ONLY L ? BL?Cf? RECEIPT 0: 302 SUED. P t6 ?'? ° 3 RECEIPT DATE: '516'h ?7 1997 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 backflow preventer for underground sprinkler system FIXTURES EACH ?4. 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 = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Z? ov Floor Drain 3.00 x = Gas Piping Outlet • minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener • for dwellings under construction 5.00 x = Water Softener • for existing dwelling 20.00 x = U.G. Sprinkler • for dwelling under cont. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations • to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cry tic. 75.00 = (new and refurbished systems) * PO O© Private Disposal Systems Abandonment 20.00 . = STATE SURCHARGE .50 TOTAL zO I hereby acknowledge that 1 have read this application, state that the information Is correct, and agree to comply with all applicable City of Eagan ordinances. It Is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/sesame TR I TTEW I TZ TERRY 1239 TIMBERSHORE LRNE SITE ADDRESS: EflGflI1 55123 OWNER NAME: l H 683-9696 W 851-0011 INSTALLER NAME: KMN DN1 PWM61N (7 TELEPHONE #. SZJ-` 033 STREET ADDRESS: ZgOS r Pnay AE M r Mon CITY: MPL51 STATE: i 1 , ZIP: SL540P3 RE OFF PERMITTEE C?t>,v CCc vl ??J/l'ZLe?'?G???/ kiGrZ?2'-Ci S '/? PW, iJSE ONLY :....:...:..... ' ' ? ? ? , , ? ? .a? :.,..? 4I f c ?Ra.` .. ...a..< ..:.. ...........s,,L<ii:a`iil;ela s.,.. ,..:. ......,. ,.,...., ., 1:?.,. •,. ,....... aF%:.,.......... 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION _ ADD-ON A/C x ADD-ON FURNACE DATE March 16, 1993 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 Ca $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL 1S 5.50 SITE ADDRESS: 1245 Timbershore Lane OWNER NAME: Mary Dougherty TELEPHONE #: 454-3744 INSTALLER: FREDRICKSON Heating and Air Cond _ ADDRESS: 3650 Kennebec Drive Suite 101 CITY. Eagan STATE: MN ZIP CODE: 55122 TELEPHONE #: 612-452-2775 ?.4_ // lrAZ Djr/ SIGNATURE OF PERMITTEE :. BL 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCLkLANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES CONTRACT PRICE: $ 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $50 FOR EACH $1,000 OF PERI31T FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STA ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1990 BUILDING PERMIT APPLICATION CITY OF FAG" !$46? Z3 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address l24 S T; n 54"'r L, Lot Block Parcel/Sub jj1M&A A ` d' Owner 140 "!q <4e rYl? Address 12411 / 4p?t Z:-, City/Zip Code Phone ST 4i /37°( ?f Contractor ?f d tom, ?, Address -7Z 2f+ /Ur4 ?( N City/Zip Code 191 rf Phone Arch./Engr. Address City/Zip Code Phone # Valuation: pU 49i t0 Date: fZ` l p'`/4 OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit 25-. C' Allowable Surcharge :y z # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage- S/W Permit On site well S/W Surcharge MWCC System _ Treatment Pl. City water Road Unit PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL S?? Council Bldg. Off. Variance 05TCt AE)IA1ti17?1 /70"5 /s 671Tr11--l-/E71 6E"'t AP'Pti(.4Waw -7? 1 @6ZZ ,+=T /ZUZ '7m6-r,34cne Jn,.,e IY1, EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 30, 1972 NUMBER 3dgtk 1189 OWNER: New lip Horizon Hones Address1239-41-43 Timbershore Lane PLUMBERThompson Plumbing Co. TYPE OF PIPE Heavy Cast Iron DESCRIPTION (OF BUILDING Industrial Commercials Residential Multiple Dwelling No. of units I I I xx I 4 townhouses Location of Connections: Connection Charge240.00 eac. 960.00 paid 12/11/7 Permit Fee 10-00 5T- paid qqYqq?4dFP 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 12201 Minnetonka Blvd., Minnetonka 55343 Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP /) ?? 3795 Pilot Knob Road "I St. Paul, Minnesota 55111 Telephone 454-5242 PER1II T FOR WATER SERVICE CONNECTION Date: October 30, 1972 Number: 1027 Billing Name: New Horizon Homes Site Address: 7239-41-43 Limbershore Lane Owner: Billing Address Plumber: Thompson Plumbing Co. Location of Connection Meter Size Connection Chg. 0.00 pd 12/11/72 1239 1241 - Meter No. Permit Fee 10.00 pd 10/30/72 124 s 1c pd 10/30/72 .50 3 - Meter Reading Meter Dep. 1245 - Ass'n - Meter Sealed: Yes Add'l Chg300.00 meters 5 - 5/8" American Meters NO Total Chg. No serial numbers 12/1/72 Inspected by Date Building is a: Remarks: Residence xx r n- !e'er '7 . i - Multiple xx No. Units Townhouses ?27.?? F 'F,r l n INVROPERL IW?:- Commercial Industrial By: Chief Inspector Other 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: Z ?4 i/L,-- Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. ??l CIGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 1245 TIMBERSHORE LANE LOT: 4 BLOCK: 6 TIMBERSHORE 3RD BUILDING 000921 06/26/92 DESCRIPTION: J i -Building Permit Type Building Work Type .5' PERMIT TYPE Permit Number: Date Issued: DECK REPAIR 1 J REMARKS: C C) 1`l ('- DF FEE SUMMARY- Base Fee $25.00 Surcharge S.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - DAUGHERTY MARY 1245 TIMBERSHORE LN EAGAN MN 55123 (612)454-3744 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 Mn. Statutes and City of Eagan Ordinances. APP ANT/PERMITEE SIGN URE ISSU D BY: SI ATURE INSPECTION RECORD 'control No. 0715 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 4 1245 TIMBERSHORE LANE TIMBERSHORE 3RD PERMIT SUBTYPE: DECK FOOTING PERMIT TYPE: BUILDING Permit Number: 000921 Date Issued: 06/26/92 BLOCK: 6 APPLICANT: DAUGHERTY MARY (612) 454-3744 TYPE OF WORK: FRAMING Control NO. 0 715 REPAIR FINAL IT WEAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT I Control No. 0 715 PERMIT TYPE: Permit Number: Date Issued: BUILDING 000921 06/26/92 SITE ADDRESS: 1245 TIMBERSHORE LANE LOT: 4 BLOCK: 6 TIMBERSHORE 3RD DESCRIPTION: Building Permit Type Building Work Type DECK REPAIR REMARKS: C 01c, &, --,12 FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - DAUGHERTY MARY 1245 TIMBERSHORE LN EAGAN MN 55123 (612)454-3744 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 Mn. Statutes and City of Eagan Ordinances. APP ANT/PERMITEE SIGN URE ISSU D BY. SI ATURE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD I'ontrolNo. 0715 PERMIT TYPE: BUILDING Permit Number: 000921 Date Issued: 06/26/92 SITE ADDRESS: 1245 TIMBERSHORE PERMIT SUBTYPE: DECK LOT: 4 BLOCK: 6 APPLICANT: TINBERSHORE LANE DAUGHERTY MARY 3RD (612) 454-3744 TYPE OF WORK: REPAIR L- REACTIVAIiz _ I T4111 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION „ 681-4675 y REcD SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, I set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is re uested once permit is issued. Date &4) 21,- Valuation of work Site Address: /3-S?S ice,/ r 11z,91°e_ Za-n STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ?? SUBD. ?b1r?e?l?l4 e ?nc( P.I.D. M Description of work: 6? ? The applicant is: ? Owner ? Contractor ? Other (Describe) Name A u. ?Pf ?- /emu-tom Phone SSI Property LAST FIRST Owner Address t S?SrT^m hP? SLioyP GQ `7e STREET STE R City ef-0c7g. // State /rN Zips/ -f -/GJ(' Company Phone _ Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration N Address City State Zip Sewer b water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl -State of Minnesota Statutes and City of Eagan Ordinances. 9 Signature of Applicant: ? '? Qr OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l ? 33 Alterations 9 34 Repair 14. w ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck •,g p,.• ? 35 Tenant Finish ? 36 Move ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS' ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ® Footing ? Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments Framing ? Insulation Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded: Copies Other Total: vshstim: $ SAC % SAC Units PERMIT CK ??0 3 / CITY OF EAGAN 3830 PilofKnob goad Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1243 TIMBERSHORE LANE LOT: 1 BLOCK: 6 TIMBERSHORE 3RD P.I.N.: 10-76502-010-06 DESCRIPTION: Building Permit Type Building Work Type PERMIT TYPE: Permit Number: Date Issued: DECK NEW BUILDING 023736 05/27/94 REMARKS: FEE SUMMARY- Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - ROSS GLEN 1243 TIMBERSHORE LN EAGAN MN 55123-1020 (612)686-9367 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMI EE SIGNATURE ISSUED ErY SIGNATURE INSPECTIO CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 1243 TIMBERSHORE LANE TIMBERSHORE 3RD PERMIT SUBTYPE: DECK N RECORD PERMIT TYPE: BUILDING Permit Number: 0 2 3 7 3 6 Date Issued: 05/27/94 APPLICANT: 6 ROSS GLEN (612) 686-9367 TYPE OF WORK: NEW PERMIT Gz ??0 3 / ?- CITY OF EAGAN 3830 Pilof Knob goad PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 7 3 6 (612) 681-4675 Date Issued: 05/27/94 SITE ADDRESS: 1243 TIMBERSHORE LANE LOT: 1 BLOCK: 6 TIMBERSHORE 3RD P.I.N.: 10-76502-010-06 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - ROSS GLEN 1243 TIMBERSHORE LN EAGAN MN 55123-1020 (612)686-9367 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 Min. Statutes and City of Eagan Ordinances. J Cr/ a` APPLICANT/PERMI EE SIGNATURE ISSUED W. SIGNATURE •l INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 6 APPLICANT: 1243 TIMBERSHORE LANE ROSS GLEN TIMBERSHORE 3RD (612) 686-9367 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW BUILDING 023736 05/27/94 INSPECTION TYPE DATE INSPTR. INSPECTION TYPE D FOOTINGS FINAL F L J o CITY OF EAGAN -CEPVE® 1994 BUILDING 681-46715 APPLICATiONt 2 4 1gg4 - -------- ---- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date `T / Valuation of work (o00 Site Address: k3 T`?I,1k-Sl STREET SUITE p Tenant Name: (commercial only) LOT BLOCK SUBD.^/, P.I.D. M Description of work: ??// The applicant is: &,Owner ? Contractor ? Other (Describe) Name 2135 Phone Ca?Co-`t3ro Property LAST FIRST Owner L ?t z Address 3 Y 3 Tm 6c- 6",-c STREET STE # City F";k' State /'v Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant:_.1? ai- - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE P 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace P 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? .Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 17 Footing ® Final ? Framing ? Draintile o/ 0 ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vaLwtton: ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN L IS4zz- SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ! i?L IJR?+'IA ? /Jl• / ?O? ?? fY T/ . , /-^ '1 To Be Used For: _ Uation: n_ Date Val : /Z Site Address 1ZY3 T; J .n?i<r-l+irG Ln OFFICE USE ONLY Lot Block_ FEES Occupancy Zoning Q II I Parcel/Sub J?OIASP`?.7b ¢ JR/? Actual Const Bldg. Permit Allowable Surcharge c L Owner S*Cy _ # of stories Plan Review Length SAC, City Address 1240 Ti...,6-. .•-s4m-e- `w Depth SAC, MWCC S.F. Total Water Conn City/Zip Code 5-5- 12 Footprint S.F. Water Meter C ,35 Phone ':i2 2 ( On site sewage_ Acct. Deposit S/W Permit / ? ^ On site well _ S/W Surcharge Contractor ; n :"f?G. •?1 7:-? S? MWCC System Treatment Pl. City water Road Unit Address y? 21 /D-rH A,. n1 PRV Park Ded. r Booster Pump Copies City/Zip Code S S tY SUBTOTAL APPROVALS Penalty Phone 5 Y rj - u 74 / Planner TOTAL < o Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # W CrS7 cF /Ce7??l/tED/7EyVS /rM.Ae-HE!:-j -), ? A-1W L j c ,1-I-roj i LINDSTROM CLEANING 6 CONSTRUCTION, INC. WORK ORDER Date Received: a1113' Job No. Insurance Co. T0N7-) 0 -,e/z, Job Scheduled: By C-7 Adjuster kf`?-T7/ Customer: Tl/>7e1Zg 1F,,s-o1J Work Phone Address 7.z7 L7,2 /?'Sffoi2 r/f Date of Loss City/State/Zip N 5`S/ 73 Claim No. Phone: Res: -//6} s° Office: ' DESCRIPTION vAusT 7v ys y-37 Z/ tf- id's - 9.7 ? ? OPERATION EST. HOURS EST.CREW SIZE SUBCONTRACTORS P.O. NUMBER DEMOLITION CARPENTRY PAINTING OTHER - Specify 7-7.-'?zr/-S1SI-F r7 N SS/ T 3 TS ' /.1 yS F- /.1 +?3 Ta. BE?s ?v e c G,? I" i J f Gf?G? ?Ai?>c Doo/Z i9?+rf Lis RFpc /?-Gg wG!?//rF? S rRrys.._.c'? ? D oae (;.l ` .fir'=/,' ?-? L?:.c?r•' GC: 6'?_yi7'} S T?-TitJ (,- SrWi? ? To T++,4rCy ?PEP??? sNSc?L?YrsoN I'. v &ur- T ?z /-? y 3 /? l ^ p PIp"' ?j ... CAL N C /1?/??T vz"? .e -:Z . ?n/S UL /ITLJ >? .. SSG w? G S a°-c G PZj7- z?s r?cGC ... CL N wTT?D ? o? S i AO/Z /V 'lZr2-lOGs? Oq2 I C? ?-2 ?s C?ir?2 D a/c ..I> Outer?ST/f...?.; l9x'S' f 3? ? C'L/v w,9ZLS v?L"G? -- 5.?l4fZ wA'a's « CG `? (.i?? s ?G Gl f i' f i.. ,L?i? was ??GG C G ? Q ?x?/zes ?? CG ,?..?zti w??s f-C ??/? CG N jivvlc' I' I I' t> i oPf I j.. i" Gti may.=?rsk-c-f r- z/11?? 'IL- ?rcGascr 7 X1 C'?iv L?%ZGS v`-C GC L°G? ?i,A?LS `A`CC C'7 _ :.. `'.sue'-?s? i? i GAG tiJ ?/?zG s o?C G l _ i S/2 %s CG ?G ? ?,.fyGs ??G July 20, 1977 'I Ms. Kathy DcDonald Dakota County Welfare 820 Southview Bldd. So. St. Paul, Minnesota ,55075,,, , Dear Ms. McDonald : y ?¢fi?f z? 1,4 . Enclosed is a copy of a jetter,frgm.,Janet.L..Nelson regarding the sewer and water utility-account..of_$ose Krogstad, 1243 Timbershore Lane. _,. We were not notified of Izs..,,Krogstad'smmoving until the new owner called us after she,had.moved,tequesting us_to,change the billing name on the 4ccou4t. We, therefore, made up the final bill and sent it to_tbe,.attention.of Janet L. Nelson. Hdwever, when we did not_receive_a.remittance, we contacted Ms. Nelson and was advised,that.iirs.,Krogstad was-not eligible Ifor benefits for this figal,bjll.- She also referred us.to j you to see if payment coyld,be,made through your office as you are now Mrs. Krogstad,s.,social.worker. We would appreciate your_gxpjditjng,payment of this bill as we would like to take thJ4.off.our records. r Sincerely, ? b Thomas L. Hedges City Administrator TH:skk cc: 'Lorna C 1 Olson, Biljjng.Clerk. , \ PERMIT #: S -I CITY USE ONLY RECEIPT DATE: I r`? I 1 "" r 8008 =SID£NTIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN S5122 651-681-4675 Please complete for: ? single family dwellings 1 townhomes and condos when permits are required for each unit Date: d ` \ c) U -I ( U? SITE ADDRESS: V-1'' i OWNER NAME: ((??C v?` \ r ??? l TELEPHONE #: (_05 INSTALLER NAME: t art, TELEPHONE #: rJ?Z ?R Z S° STREET ADDRESS' 1?s??cC 7 1 rJ?? S'''- 'AD - y ut/7t ?( CITY: STATE: rf.SlN3_ ZIP: Place a check mark next to the permit work type _ Add-on, modification or alteration to existing dwelling unit $ 30.00 ii replacement • air exchanger • air conditioner • other Nature of work: (????? c State Surcharge $ .50 Total $ 30.50 SIGNATURE OF PERMITTEE 1/02 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2008 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF £AGAN 3830 PILOT KNOB RD EAGAN, MN 551 EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY). WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: - New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Alarsbal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= S (Base Fee) State surcharge calculate at S.50 for each S 1,000 Base Fee TOTAL S SIGNATURE OF PERMITTEE Updated 1/02 41 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - ---------, ? Foy O'ffice lJsep 1 I j Permit #: Od-??O I ??1 Permit Fee: I I Date Received: Staff: ----------------- C? 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: Id7J tl;Y,64e5 06C E 1-9 Tenant: Suite #: Name: c/P(G A fi4N50t-1 Phone: l517S)3-y992 RESIDENT/OWNER City /Zip: 1,2113 Trffe?eS,?eer LN E,4GA•N /1?(n/ SS/23 Address / ` CONTRACTOR Name: _ Vit/E AU/Z ff?ATinJ` r? 471R Lice Address: /907 UIG,U/LLIdV 5'r" Cit : i k) pS St :lyA zi 45T t : ?50?3 y _ t p , r a e Phone: // L?.71' L13 ?- y/ 77 Contact Person: TYPE OF WORK -New -K-Replacement -Additional -Alteration -Demolition Description of work: e I..AC.?_:.? N C N :?L/L r 174o1 NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for Information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace _ Air Conditioner -Install Piping -Processed Air Exchanger _ Gas - Exterior HVAC Unit ' - HVAC units must be screened Heat Pump _ Under / Above ground Tank I_ Install / _ Remove) Other .. When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) r? $ '7O.50 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Fermi Fee is less than $1,000, surcharge is $.50 It Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x(/NC rrOC.C,C D..?tsNDY6- - Al'a x -3 A4, nrXiC- Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final Jul 28 2014 09:49AM HP FaxGates G.C. 7634987710 page 14 Use BLUE or BLACK Ink � ForOHieeUse---------� �it of Eao� ; Pertnitit ! ��� / I b � Pertnil Fae: � (_� � 3630 Pilot ob Road �-7 Eaga�MN 122 � Date Received: l * � Phone:(65 �675�5675 I I Fax:(B51) 55694 � Staff: I I I �����������������J ; o�a RESiDENTIAL BUiLDING PERnnir aP��icarioN '' �Y' 'u� /?3 �I ; 7 4'. �i� y' �j ' 7 L% �` ``rM/`i!.v�:�"^°' �./'� Oate: • � SiteAddress: -' � ' � ` � •� � Unit#: �._.,.,.,,...._,...., ._......._lj..�..,..�...� ,' `T,..,....�.W......w... ��....__ � Name: �'I'LlSfi�'..�izC��� r';�ll�, Phone: ��;�,�,;✓� �J!?:', � Resident/ Owner Address I City/Zip: ;�Ct� �b�! ' Applicant is: Owner '� Contractor ,,.,,..�..._. .._........_.._. � - �.._w,.�,,,�.._..._:.e.. _._........ .._._.__M�.�.�.._.,._.,,,...._- ---�--------- r ,. � � � _--_. Type of Work �scription ofwork: ' `-�'" �,� ��"l�"� � rr ✓�j J:. Construction Cost: � �� � Mulli-Family Building:(Yes '� /No� Company: 7�G°" � ,,�iu� �� �,r<!%1%Y Contact: /%/�.� •'-z-� � COf1t�21Ct0� Address: 3, 7'_' :/:,i�j�"'u'N �:/�'f 1`'"� Cily: �i%lilsn:,vi__ '. -'r c. � � �7 � /�', i r . / � state� I�f 1 zip: SS';:�:! Phone: {�=- �s-'� ..; Ema iL• ��s�:�2.;• � ���:iP,•�+�'•a!=�''� _'.:;e-..�. � �'r- ��,�p y q� ' �{l�' 'f L";: y_� ., ' � Licenae#: Lead CertificaLe#: / If�the project is ex pt frorn lead certification, please explain why: (see Page 3 for additional information) ' � ----- ______...._...... _..._...._._.. ....,,...,._. � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ~ Y � � In the last 12 mont ,has the City of Eagan Issued a permit for a similar plan based on a mastor plan7 �� _Yes _No I yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contra or: Phone: Sewer&Water Con actor: Phone: NOTE:Plans an supportlnq documents that you submit are considered to be public infarmafion. Portions of the informatior� ay 6e c/assified as non public if you provide speclifc reasons thaf would permif the City te °` _.,,_,,,,,__,__, � � ��conclude that fhey are trade secreis. �_�..�,.V � _,.... .__..._..__ CALL BEFORE Y DIG. Can Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours Detore you intend to dig receive locates of underground utilities. www.000herstateonecall.ora I hereby adcnowledge t this information is oomplete and accurate;thal the work will be in confortnance with the ordinances and cades of the Cily of Eagan;that I undersla this is not a permil, but only an application for a pertnit, and woric is nol to slart wilhout a permit Ihat the wartc will be in accordance wilh the app ved plan in the case of work which requires a review and approval of plans. Exteriorwork a by a building permlt Issued in accordance wilh fhe Minne Sta Building Code must complotad wlthln�80 days of i nc . x �''ti"�� x Appllcant's mte�i ame Ap i s Signature Page 1 of 3 .#- ' Use BLUE or BLACK Ink . . �---------------- I /'l��� [ For Office Use /� C' � Permit#: /���� ! / .�r.%� ��� 0� ����� t Permit Fee: % �� ��� 3834 Pitot Knob Road � � Eagan MN 55122 j��.;•� ��:,�� � Date Received: ` �"�� Phone:(651)675-5675 ��s ' ' � I Fax:(651)675-5694 �,�r,-, ,� � Staff: 1 t,�'`,� y , �.�;M° i i 2015 RESIDENTIAL BUILDING PERI��IT APP�tCATi�?N _._._.. <-- G R�� Date: ✓� —1:3 '�f�J�Site Address: /o� �-3 � �>��3.�:2 �� v R nit#: � Name: ,�, � ��$ �� .� /�Z/� Phone: �a /� ` � 3�,�' f�L7`.3 � �� f � Address!City 1 Zip: .�c� � q // /'7,�3.C'R ��c�.�z[: � H V Applicant is: Owner Contractor �� �, Description of work: ��= /'�,�, f�C� ,� �.J,c; �/f Gonstruction Cost: ��� � O; CJ C� Muliti-Family Building_(Yes I I�o�) Company: �, (,�': C.,- O/��''"2 A G' �/lilT ls L�u�ontact: � /�. L.�J i4 s h��NG;T�•L1 Address: � 7� t� ��� ia�'�"�W �rc Sc Gity: /��lrs�s � `��`�� � State/��n• Zip: 6� /9 Phone:9's�-��s- 5 T'�'��nai1: License#. ��' C7 C� �y� 9 � Lead Certificate#!`: If the project is exempt from iead certifica#ian, please explain why: {see Page 3 for addifianal informatian) COMPLETE TH1S AREA�NLY IF CONSTRUCTING A NEW BUiLDtNG In the last 12 montF�s,has the City of Eagan issued a permi##or a similar plan based on a master pian? _Yes _No If yes,date and address of master pian: Lice�sed Pfumber: Phone: Mechanicat Contractor: Phone: Sewer�Water Contr�actor: Phone: �, � ,. , ,,� . , ���.. . : ., E . �; � � . � � � v � . �l� ., . , Y _ �... CALL BEFORE YOU DIG. Call Gopher State One Cali at{fi5'!)454-0002 for prokection against underground utility damage. Calt 48 hours before you intend#o dig to receive locates ot underground utilities. www.qapherstateonecali.orp I hereby acknowledge that this information is complete and accurate;that the work will be in conformance vvith the orcfinances and codes of the City of Eagan; that I understand this is noi a permit, but only an application for a permit, and wro�lc is not to start uvithout a permit;that the wark will be in accordance with the approved ptan in the case of work which requires a review and approval�f pt,ans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be compteted within 180 days of permit issuance. � x � j� / � � // !-�v At5}�//U' G;Td 'v x y/ . ApplicanYs Printed Name AppiicanYs Signature /� �� /���E�-���i�� ��`� , . DO NOT WRITE BELOW THIS LINE ����� � SUB TYPES ` Foundatior� Fireptace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch{4-Season) _ E�er'ror Alteration{Multi) _ Muiti �Deck Porch(Screen/Gazebo/Pergola) _ Misceilaneous 01 of Plex Lower Leve! Paoi Accessory Buitding WORK TYPES New Interior Improvement Siding _ DemoHsh Building* �,�` Addition _ Move Building _ Reroof _ Demolish Interior ��Alteration Fire Repair Windaws _ Demoiish F`oundation — —.__ — _ Replace _ Repair _ Egress Windaw _ Water Damage Retaining Wa(1 "DemoliEion af entire building—give PCA handou#to applicant DESCRIPTION Vaivation � �� � Qccupancy fi ,��`" MCES System Plan Review Code Edition � ;� � '�` SAC Units (25%_100°/a�j Zoning City Water Census Code �� Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ��� Width REQUIRED lNSPECTIONS Footings(New Building) Meter Size: � Footings(Deck} Final/C.O. Required Footings (Addition) � Fina!/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stane Lath _Srick Insula#ion Windows Sheathing Retaining Wa11:_Footings_Back#ill_Final Sheetrock Radon Controt Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �,,,,,d� Other: � Reviewed By: � , Building Inspector RESIDENTIAL FEES � Base Fee �� � Surcharge ��' Plan Review ���� MCES SAC � � � � City SAC � ..e� 5 �"'�� ''� ..e / Utility Connection Charge � S�W Permit�Surcharge Treatment Plant Copies TOTAL - � , -.. :. : ; � 1 � ����i'^,'�� •*r�� � �" � • � xf j:' �ri. =w�� . �. r..."r- �� •. � ��,�4' i��,-:�� ' i',"•T'f,'�: S '�S�.J�,i ,� � �`�': � � :�, , . .�OT�,h ti�.:ft� t, ? :! 1 , ?•r= iY���9 . .�f" . . y' . �•. ��` �_ �.._ �:� \//�' ��e''' 'f� -'' ` f.l 3 r • �� 3. ::.�r � Y / �n' �t ��• •�r�O�S� 1:�,,� w,H�,-,'!.�•���:Y.��•����w�rr����j •S��y.,7 �i>... � s �.+i� � ,�`�k'•': '';_l���}�.•;.`s5��`�,!::=' �1�1'r"�f1,. 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