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1263 Timbershore LaneCITY OF EAGAN 877F 3795 Pilaf Knob Road Eagan, MN 55121 PHONE: 434-8100 , i BUILDING PERMIT L_ FI'_tE DAMAGE Receipt ?j $20,000. fete JANUA2Y 17 19 8 4 Site Address y" Erect ? Lot Block 3 Sec/Sub TIMBERSHORE 3RD Alter ? Repair ?C Parcel # Enlarge ? W Name J. *gORROW Move ? z Address Demolish ? t ems„-- 894-2881 Grade ? $? Name 'A""ftl i V c. %oUINO i . Address 5444 GRAND KVE. t- Cit iTLS . 55419 ph,, G°C Name W I= Address Council Ft. Permit tvu. u Surcharge 10.00 Plan check SAC Water Conn. Water Meter Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 150.50 State of Minnesota Statutes and City of Eagan Ordinances. APC Total - Signature of Pertnittee A Building Permit is issued to* CREATIVT: C(1\iS co- on the express condition that all work shall be done in ac dance with all !Plieable State of Minnesota Statutes and City of Eagan Ordinances. Building Official L \ r Occupancy Zoning Fire Zone - Type of Const. * Stories _ Length Assessment 818 Water & Sew. Police Fire Eng. Planner Permit No. Permit Holder Miae. Permit No. Holder Plumbing / f).?.SO H.V.A.C. Well Wstar DisP. Sewer ENctric j O Inspection Dots Insp. Other Footings Foundation Framing Rough Pibg. )? C Rough HV A Insulation Final Plbg. HVAC J Describe Location: Receipt PLUMBING PERMIT Permit No H? CITY OF EAGAN L" Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address 6 7 ! ''dot _Blk. Tract' ' / < < 4. Owner 5. Contractor t 6. Address' 7. City / G zip -7 2 8. Building Type: Residential b- Commercial ? Institutional ? ` 9. Work Description: New ? Add ? Alter ? Repair f 1-1 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wrthl:atI orM*and codes governing this type of work. Signed : 1,,- for Bough F inal Inspections: Date 1_<_ Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 A c Phone 7 CITY OF EAGAN 3795 P" Knob Rood Eagan, MH 55121 PHONE: 454-8100 .? BUILDING PERMIT Receipt FIRE DAMAGE $15,000 JA1,11-, `Y 17 84 Site Address Lot 3 Block 3 Sec/Sub. TINBERSHORE 3RD Parcel # 10-76502-030-03 Ji11\4/14[1 W1Y/Ll\1'iCll\ ac Name Address 1265 TUMERSHORE _ Far_eu _ $r Name u Address 2223 E. 35MI T u 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. Erect ? Alter Repair Enlarge ? Mow ? Demolish ? Grade ? Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge . Plan check _ SAC Water Conn. Water Meter Road Unit _ Total 0 Signature of Permittee A Building Permit is issued to: on the express condition thn+ all work shall be done in accordance with all ooolicoble State of Minnesota Statutes and City of Eooon Ordinances. Building Official Fire Zone Type of Const. * Stories Length Depth Sa. Ft. i) Permit No. Permit Holder Misc. Permit No. Holder Plumbing z, Z VJ $S ?- al -r H.V.A.C. Well Water Disp. Sewer Electric G A e ?' 2S Inspection Dab Insp. Other Footings Foundation Framing Roush Pft Roush HVA Insulation Final Plbs. Final HVAC Final Water Describe Location: Well Pr. Dltp. Receipt Z PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C C? Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address 1. 65 Gr?a?E LotBIk. Tract S F D 4. Owner SsiwtQ 5;, - L t +J8cl er i CU c? 5. Contractor y OSS P Im 19 Phone Q 3 ? ! 3w 6. Address 11 3 4 a' k--fie I- 0? 7. City "NT K, State MN N YJ Zip _ 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cod governing this type of work. Signed : `y""cti+4or Rough Final Inspections: Date Insp. Date Insp. This is your per it quhen num ere and approved. Approved - CITY OF EAGAN 454-6100 31? CITY OF EAGAN Remarks Addition TTMRFRAHORF. 3rd Lot 4 Bilk 3 Parcel In 76509 040 01 Owner S;6 wik,,,- L- ek14mA Street 1263 Timbershore Lane State Fagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. 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 7522 3-3-73 BUILDING PER. SAC 260.00 7522 3-3-71 PARK CITY OF EAGAN Remarks Addition TIMBERSHORE 3rd Lot 3 Bilk 3 Parcel 10 76502 030 03 Ovvner-"rjt1AVA ?jp?APh?tn I) Street 1265 Timbershore Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 333,07 66.61 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 7522 3-3-73 BUILDING PER. SAC 260.00 7522 3-3-73 PARK CITY OF EAGAN Remarks Addition TIMBERSHORE 3rd Lot 2 Blk 3 Parcel 10 76502 020 03 OwnerTh -A `-'?qnne,44fv. PJ ( uyNA) Street 1267 Timbershore Lane state Eagan, MN 55123 G12 {k,ne., hr. ii?ll??D s`?337 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64.20 5 P STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid ft SEWER LATERAL 1973 432.19 28.21 5 Paid SW TS ST SEW 1974 452.93 90.58 5 Paid WATERMAIN It WATER LATERAL 1973 5 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 7522 3-3-73 BUILDING PER. SAC 260- Qn 7t;22 _ _ PARK CITY OF EAGAN Remarks Addition TTMRRRRRnRR '3rA Lot 1 RIlk 3 Parcel 70 76502 DID Di Ownerbayna(brp b Pwlhh street 1269 Timbersbore Lane State Eagan, MN 55123 Dpflmn , W ` I)YABV) Improvement Date Amount Annual 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 ,e SEWER LATERAL 1973 432.19 28.21 15 Paid SW TS 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 7522 3-3-73 BUILDING PER. SAC 260.00 7522 3-3-73 PARK EAGAN TOWNSHIP BUILDING PERMIT Owner ?rR.h,!-xC1 .^-!r Y.. a--='- ---- ----- !--........ Address (presenf)??G 'LO... St . PO?.aQr , 55 ? a-? Builder ........ Address ...... DESCRIPTION N° 2811 Eagan Township Town Hall Dale ..0. .C ................. Stories To Be Used For Front Depth Heigh! Est. Cost permit Fee Remarks b100 +???Orc+e? _- ?a e-r LOCATION 1114%ZO Road or other Description of Location Lot Block J ,. ..?•? gabs ?? 3 ?. 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 ??BsE,KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thar..t--r.sY permission to erect a.. ... .. .... .._ Pon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. (? ...... ..............a......... Per ..... V_Q+?....... Buildin Ins actor.. Chairman of Tnwn Board J ... .............................. 5795 CITY OF EAGAN Np 8776 Pitt Knob Rood Eagan, MN 55122 A. PHOHEt 454-8100 BUILDING PERMIT Receipt # To be used for FIRE DAMAGE Volue $20,000. D Est JANUARY 17 84 . ote 19 Site Address 1267 TIMBERSHORE LANE E rect ? Occu Occupancy 2 3 Lot Block Sec/Sub. TIMBERSHORE 3RD Alter ? Zoning Parcel # Repair ?X Fire Zone Enlarge ? Type of Const. W Name J. MORROW M ove ? # Stories z Address Demolish ? Length_ city Phone 894-2881 Grode ? Depth Sq. Ft._ Name CREATIVE CONST. CO. Approvals Fees 0 Address 5444 GRAND AVE. S0. r ri... MPT.3_ SS41q g9f1-1R1R 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 sholl be done in acca Assessment Permit $ 140.50 Water 8 Sew. Surcharge 10.00 Police Plan check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC Total $ 150.50 ?"N-I ' " on the express condition thin State of Minnesota Statutes and City of Eagan Ordinances. Building Official oe.f - g-776 CITY OF EAGAN BUILDING PERMIT APPLICATION To Be Used For Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. /- /7 - ? Y Valuation ?Z'O/ a a O Date Site Address: / Z %in?J(-i1Sr?0Ae. ?AN? Lot Block -3 Sec./SubJim helS)-0"- 3v-rect Alter Parcel #: ?(?? SO L - 6 LO -03 Repair J- ?OrL2D w Enlarge Owner: Move Address: Demolish _ Grade OFFICE USE ONLY Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. City/Zip Code: Phone #: APPROVALS FEES Contractor: Address: ?k 4-? City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Permit 6-0 Surcharge / O U t) Plan Check SAC Water Conn. Water Meter Road Unit TOTAL / 5 O S a CITY OF 3795 Pil t K b R d EAGAN N? $775 o no oa Eagan, MN 55122 PHONE: 434-8100 BUILDING PERMIT Receipt # ! f? To be used for FIRE DAMAGE Est Value $15,000 D JANUARY 17 84 . ate 19 Site Address 1265 TIMBERSHORE LANE Erect ? Occupancy Lot 3 Block 3 Sec/Sub. TIMBERSHORE 3RD Alter ? Zoning Parcel # 10-76502-030-03 Repair IN Fire Zone rr Name SANDRA GOLDENMAN Enlarge ? Type of Const. Move ? # Stories z Address 1265 TIMBERSHORE LANE Demolish ? Len th z g _ Ci RAGAN Phone Grade ? Depth Sq Ft . ._ z Name SAMPSON LINDGREN Approvals Fees 0 OU Address 2228 E. 35TH ST. r r:... MPLS. 55407 721-5546 Name _ Address 1 hereby acknowledge that I hove read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: SAMPSON all work shall be done in accordance Ith all o Building Official Assessment _ Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge . Plan check _ SAC Water Conn. Water Meter Rood Unit- Total $ 124.50 on the express condition that e of Minnesota Statutes and City of Eagan Ordinances. 1 CITY OF EAGAN BUILDING PERMIT APPLICATION G £ Valuation Te .ne Used For. 124- p P-M to Site Address: _ Lot 3 Block 3 sec./Sub. a? s? A44, Parcel #: f a'-7 (o 59a.-639-93 Owner: Address- City/zip Code: Phone #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng. - Address: City/Zip Code: Phone #: e. P V T? Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date OFFICE USE ONLY Erect Occupancy Alter Zoning Repair Fire Zone Enlarge - Type of Const. Move # Stories _ _ Demolish Front Grade _ Depth APPROVALS FEES Assessments Permit Water/Seer Surcharge £- 0 Police Plan Check _ Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL ?S VILLAGE Ob' EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122' PERMIIT NO.,i4?475' Irt? .. T?l? . it" The'Village of Eagan hereby grants to Q?p, BbIYLOk'H0at10t 4 ?0` of 1001 Xenia Ave So, Mpls 55416 a HEATING Permit for: (Owner) New Horizon Homes 1255-57-59-61 & at 1263Z5-67-=69- `Nmhwrchore *le, pursuant to application dated 10/25/72 Fee Paid: 160.00 dated this 7th day of November 19 72 .00 a c Building Inspector Mechanical Permits: i3id Total: VILLAGE 01' EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 a HEATING Permit for: (Owner) New Horizon Homes 1255-57-59-61 & at 19E;_65_A7_69 'NmhArchnre ,iv, pursuant to application dated 10/25/72 Fee Paid: 160.00 dated this 7th day of November 19 72 008 c Building Inspector Mechanical Permits: PERMIT N0. Ij < The Village of Eagan hereby grants to 9?devlAlt"$fattw 4 VO of 1001 Xenia Ave So. Mpis 55416 Bid Total: 3s ?i VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122- PEW4IT NO. e2779 t ? The'Village of Eagan hereby grants to GAO: 8?dlldok $aatu O v1 of 1001 Xenia Ave 9o. Mple 16- a HEAPING Permit for: (Owner) New Horizon Homee 1255-57-59-61 & at 126T-6?`7i9 `f imhwrchere 1e, Pursuant to application dated 10/2K/72 Fee Paid: 160.00 dated this 7th day of November , 19 72 .00 a c Building Inspector Mechanical Permits: 13id Total: 7 6 J 'TILLAGE Or' EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 475 ` The Village of Eagan hereby grants to Qw# Bedgdaig H?aAlt12 A/0 of 1001 Xenia Ave So, Mpla 551116 a HEAPING Permit for: (Owner) New Horizon Homes 1255-57-59761 & at 1263-65-67=69 Timherchare pursuant to application dated 10/25/72 Fee Paid: ,160.00 dated this 7th day of November , 19 72 .00 s o Building Inspector iiechanical Permits: did Total: This request void /? 16 months from Z, ? 3,7 -? sP a o a-a Request Date Fire No. Nrq ph e('?Inspertion ?Rcady Now ? Will Notlty, Inspec- ?Yes ?No for When Ready ? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et' Street A?dd/ress. Box or Route No. f City ectlon NO. Township Name or No. Range No. County Occupant (PRINT) Phone No. Powe upplier Address Electrical Contractor (Company Name) Ot,)i Q'A (1 c,y?LT I C Contractor -s License No. l ! Mailing Address (Contractor o Owner Making Instailah 1 1?1C) l') L ' .5?- Auth ned S ature (Cunt ctpr/Owner akmy Installation) S?. Pho a Number ?-3S? 1 ? so MINNESOTA STATE BOARD OF ELECTRIC 1 THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone 16121 297-2111 ENCLOSED. 0001-04 REQUEST FOR ELECTRICAL INSPECTION EB-0/ /O I• See instructions for completing this form on back of yellow cope n ""X" Be/ow Work Covered by This Request r O A,dd A- Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Electric Heaton Commercial Bldg Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pacify Other (Spcnily) l her (Specify Other 01hpr Compute Inspection Fee Below b Fee Service Entrance Size b Fee Feeders/Subfaoders b Fee cocuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Awns Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms Partlal.'Olher Fee Signs Special Inspection TOT Remarks .? _ w a- AL FEE 4 the Electrical Inspector, hereby certify that the above inspection has been request road 18 moot om c=? e ms , tz- Tttis regnesl void 18 months Iron -3e-,?' y Z,O.O U L3, B 3. 1,AABf-eslfav 320 Y/0I Renaest Date V /_ r ire No. [F R. uflh-m Ins Ver:uon Rcgmred? ?NeadY Now /III Norty In YRed- ?" h Wh IO /l0 ?NO rt en Rood §PL, lensed Electrical Contract., I hereby request inspection I above 0 Owner electrical work installed at: Street Address, Box or Route No. City ecuon o. Township Name or No. Hoge No. Covmy _ Do U ant(PRINT) ,gnPso,c? ? C,.cJdG,C«J ?o.??R.9G?7D,e? Phoned Nn Power Supplier Address E I I c. I ot.,ICo aov Name) C.ntraotor's License No. l D3 3- Madinq Address (C tratlor or Owner Maku)p Ins' Ilonl Author, I'd Slgaature (Contract. er Mak ru Installation) Mono Number 11 ?? X67 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BOARD Grrppa-Midway Bldg. - Room N-191 RE UNACLESS PROCEPTEDPER BY INSTHEPECTISTAOTEN FEE IS 11121 University Ave., St. Paul, MN 55104 ..1___ 1.-m o.,. ENCLOSED. ?? 3a EKtI REQUEST FOR ELECTRICAL INSPECTION f? 1 ' See instructions for completing this form on back of yellow copy. „X., j9ef-6kfork Covered by This Request EB-00001 -03 S// 6 )4? Now Add Sep. Type of Building Amm m aces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner I Bulk Milk Tank Farm Other peaty Oth.ri (Soo ni fyl t ner (Sppcify Other Other Compute Inspection Fee Below n Fee Service Entrance Size 4 Fee FeedersrS.MePders a Feo circwts 0 to 100 Amps 0 to 30 Amps 0 to 30 Anl s 101 to 200 Amps 31 to 100 Amps' 31 to 100 Am Above 200 Amos Above 100Amps Above 100_A mps Transtorrners Remote Control Circ. Partial:Other Fee Signs Special Inspection Remar? / , ``'.iRIONN7 TOTAL FEE JCLGJ!.(i?st_ J A//l'lO ?f?i lf-' /v / r 9l1_ ,- U Rough-,,r I. the Electrical Inspect.,. hereby til th t h F anal 4-4)o % n S (?2 c . t 3 -ar y a t e nboy. inspection has been made. This request Maid 18 months from COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN / 651-681-4675 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 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) "• 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter MC/ES SAC determination letter all 651-602-1000 call 651-602-1000 call 651-602-1000 rooo a beverage or iooging raciintes - suDmlt plan to MN Uepartment of Health. Uall (iti1-115-U7UU for details. " Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: D rr--2 -WORK TYPE: _ NEW _K REMODEL CONSTRUCTION COST. C1 SITE ADDRESS: ir' fJ TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICA BL E: J ,, DESCRIPTION OF WORK ??iSLIAX ?/ p l ?l / D'n qL ( hIUIY)*N i)Qlc ,• ? ?i v,t Name: ? I ? ?l S PV p ' L - j 11? / L Ph( PROPERTY Last First OWNER Street Addre ss: City: State: rJ Zip: 5, 1 LA Company: GR-e-ftT Ji K4 F, W I tf yl p.W d S I O' Ph ne #: (?f Sul ) ?$ I ' 3 `f 0 CONTRACTOR Street Address: )41,o'30 6 it,'Ewej"loC V)Cl-• City State: )"1 Zip: ARCHITECT/ ENGINEER Company: Phone #:,( ) u11 1 at 1 1 Name: t Registration t#: ?'I 11' 1 `` I L 1 l Street Address: i l ?\ ` {1 City: State: V Zip: Licensed plumber installing new sewer/water servi 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. ^ ?f Signature of Applicant: / fV Updated 7102 OFFICE USE ONLY SUBTYPE 1 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. 1 14 Apartments ? 27 Commercial/Industri al ? 32 Ext Alt - Apts. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors 1 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair 7 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 7 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 4PPROVALS Planning Building E Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered T1 Plumbing C Stucco/Stone Variance 'ermit Fee Surcharge 'Ian Review MC/ES SAC amity SAC Nater Supply & Storage S/W Permit S/W Surcharge Treatment Plant 'ark Dedication Trails Dedication Nater Quality Dther copies VALUATION $ % SAC SAC Units Meter Size rota) TIMBERSHORE 3RD 76502 PERMIT DATE & TYPE LOT BL ADDRESS 8/72 4-PLEX 010 01 3634/ DENMARK AVE 020 01 3636 030 01 1281/ TIIvIBERSHORE 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-PL XE 0 10 03 1269/ TIMBERSHORE LN 020 03 1267/ 030 03 1265/ 040 03 1263 8n2 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 8n2 4-PLEX 010 06 1243 TIMBERSHORE LN 020 06 1241 TIMBERSHORE LN 030 06 1239 TIMBERSHORE LN 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 PAGE 1 OF 2 5 MASTER CARD LOCATION STRUCTURE AND Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK Z 4p WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING AV 7 2e- TILE FIELD FT. FINAL ELECTRICAL o - HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL -.2)f SANITARY SEWE R 7 1/ - - Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 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: DATE CITY USE ONLY LOT 111. RECEIPT #: SUBD. RECEIPT DATE: IO-I 15 t I1 MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY of E.AGm 3830 PILOT KNOB RD EA6AN MN 55122 (651) 681-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 .M 6 T TT ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other A Reminder: Call 681-4675 for inspections. ? Furnace Air conditioning Air exchanger U7/ Other S 30.00 State Surcharge 50 Minimum Total Due $ 30.50 SITE ADDRESS: N63 ?/nbjn/` OWNER NAME: PHONE #: `7`?1 - 46 ef 4S (AREA CODE) INSTALLER NAME: -EDGiIV?- ,L,.A, - ?.:,... PHONE #: W1 U W6ntWOfM AVal1Ua $Otj; (AREA CODE) STREET ADDRESS: Mhwxb 1Em CITY: STATE: ZIP: ?l?l<l SIGNATURE E O OF PERM I ?4)-d L SUBD. BL CITY USE ONLY . RECEIPT #: APPROVED BY: INSPECTOR 1999 MECHANICAL PERMIT (COMMERCIAL) CITY of EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family bu;ld;ns ?AjhPn geoarate Dermits are not required for each dwelling unit DATE: CONTRACT PIRJ(.E: RECEIPT DATE: MECHANICAL PERMIT M WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATE SURCHARGE (S.50 per $1,000 of Dermit fee due on all permits.) TOTAL ------------------------------------------------------------------------------------------------------------------------- SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) STATE: PHONE #: (AREA CODE) ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT BL q? Z RECEIPT #: ?O I g SUBD. 1 f/.lC LL J?? RECEIPT DATE: MECHANICAL PERMIT # o I 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF SAHAF 3830 PILOT KNOB RD EAGAN MN 55122 (651) 6814675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100MBTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge Total $ 30.00 6.00 .50 Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair Reminder: Call 681-4675 for inspections. Furnace Air exchanger SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: Other Air conditioning Other $ 30.00 - State Surcharge .50 Minimum Total Due $ 30.50 PHONE #: _L? (J? (AREA CODE) PHONE #: acl a -01QA ( STATE: cAdAAM ZIP: 56101 SIGNATURE OF PERMITTEE L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGM 3630 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) - Processed Piping (Minimum Fee) "NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price QR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (124PROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: ($.50 per $1,000 of permit fee due on all permits.) PHONE #: (AREA CODE) PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE ' EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1269 ?? 3 3 i. 3 OWNER: New Horizon Homes Address 26 65-69-$7 Timbershore Lane PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling I No, of units Location of Connections: Connection Permit Fee 10.00 pd 12/28/72 .!)U pd 12/20/(2 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 Co. Please notify when ready for.inspection and connection and before any portion of the work is covered. fled 1/1, EAGAN TOWNSHIP ? Ivey-, 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEMUT FOR WATER SERVICE CONNECTION January 3 1973 Date: -Deeemiber 'off Number: 4Q9& 1102 Billing Name:New Horizon Homes Site Address: a65-69-67 Timbershore Lane Owner: same Plumber: Thompson Plumbing Co. tion 1263 - 22491884 - 5325872 1265 - 22491885 - 5325873 1267 - 22491886 - S325874 1269 - 22491887 3 5325875 Assn - 22491889 - S325877 Building is a: Residence Multiple x No Commercial Industrial Other Billing Address Meter Size Meter No. (Permit Fee 10.00 pd 12/28/72 Meter Reading I{Meter Dep. •50 pd 12/28/72 Meter Sealed: Yes_ I Add'1 Chg. '100-no p(3 1/19/73 NO [Total Chg. Inspected by Date Remarks: townhouses By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: 41L? n/S??? ??i 7i '- Thompson Plumbing Co. 1119 Please notify the above office when ready for inspection and connection. EAGAN T014NSHIP .795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1269 S OWNER: New Horizon Homes Address 1263 69--§7 Timbershore Lane PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential I Multiple Dwelling ` No. of units Location of Connections: i' Connection Charge...d ,e, 1/1 Permit Fee 10.00 pd 12/28/72 Pd 12120112 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 Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. -. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEM41T FOR WATER SERVICE CONNECTION January 3 1973 Date: -Pk-, 1-3 Number 4890 1102 Billing Name:New Horizon Homes Site Address: 1263 65 69-67 Timbershore Lane Owner: same Billing Address Plumber: Thompson Plumbing Co. :ation of Connection Meter Size Connection Chg. ' b lle 1/19 a' Meter No. Permit Fee 10.00 1pd 12/28/72 1263 - 22491884 - 5325872 .50 pd 12/28/72 1265 - 22491885 - 5325873 Meter Reading Meter Dep. 1267 - 1269 - 22491886 - 22491887 } 5325874 5325875 Meter Sealed: Yes - Add'l Chg. ?Cp_? nA 1/19/73 Assn - 22491889 - 5325877 NO Total Chg. Inspected by Date Building is a: I Remarks: Residence 'pF-!PlSPECTION FEE FOR Multiple x No. Units townW Commercial IMPROPERLY W ALLEO METERS. 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. /a EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 OWNER: New Horizon Homes PLUMBERThompson Plumbing Co. n NUMBER 1269 b r U.7 Address 1263-65-69? Timbershore Lane TYPE OF PIPE heavy cast iron OF BUILDING Industrial) Commercial Location of Connections: Connection No. of units Permit Fee 10.00 pd 12/28/72 .5U pd 121201(2 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 Co. e Please notify when ready for inspection and connection and before any portion of the work is covered. Residential Multiple Dwelling 1 /1 `1 2'33 EAGPN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION January 3 1973 Date• -Deer 4. 192 Number: 4.99 1102 Billing Name:New Horizon Homes Site Address: 1263-65-69: Ti bershore Lane Owner: same Plumber: Thompson Plumbing Co. Billing Address 1263 - 22491884 - 5325872 1265 - 22491885 - S325873 1267 - 22491886 - 5325874 1269 - 22491887 1 5325875 Assn - 22491889 - S325877 Building is a: Residence Multiple x No. Commercial Industrial Other 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. Meter Size (Connection Meter No. Permit Fee 10.00 nd 12/28/72 Meter Reading Meter Dep. •50 pd 12/28/72 Meter Sealed: Yea_ I Add' 1 Chg. 300.00 nd 1 /1 9/73 NO Total Chg. Inspected by Date Remarks: units town" egtp.n R -WPECTION FEE FOR I IN,P[iOFER' Y iNSiALLEO METERS. 1/19 .a, 3 } EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 I' Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1269 -77 LA OWNER: New Horizon Homes Address 1263-65r6 ?7 Timbershore Lane PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industriall Commerciall Residential Multiple Dwelling No. of units Location of Connections: Connection Chareea Permit Fee 10.00 pd 12/28/72 .5U pd 12128112 Street Repairs Tot 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 when ready for inspection and connection and before any portion of the work is covered. ,e. billed 1/1 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 I _ Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION January 3 1973 Date- -A 'off Number 4890 1102 Billing Name:New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. 1263 - 22491884 1265 - 22491885 1267 - 22491886 1269 - 22491887 Assn - 22491889 er Meter No. Permit Fee 10.00 od 12/28/72 - 5325872 - 5325873 Meter Reading Meter Dep. .50 pd 12/28/72 - 5325874 Meter Sealed: Yes Add'1 Chg. 300.00 ;d 1/19/73 5325875 - - 5325877 NO Total Chg. Inspected by Building is a: Residence Multiple x No. Units Commercial Industrial Other Date Remarks: towns 500 RE-INSPECTION FEE FOR IMPROPERLY INSTALLED METERS. By: Chief Inspector ..y„z 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. Site Address: 1263-65}67 Timbershore Lane Billing Address 1/19 LEO MURPHY MAYOR THOMAS EGAN MARK PARRANTO JAMES A SMITH THEODORE WACHTER COUNCIL MEMBERS July 12, 1978 TO: Donna Kenny Burnet Realty 3996 Beau D' Rue Drive Eagan, MN 55122 tµ ;'? f CITY OF;"EAGAN 3785 PILOT` K_NOS-ROAD; EAGAN. _,M I N N ESOTA.' 55122F ..PHONE ABi.Di004'4y an 't FROM: Dale Peterson, Building Inspector RE: 1267 Timbershore Lane - foundations THOMAS HEDGED CITY ADMINISTRATOR ALYCE SOLKE CITY CLDRK On July 11, 19789 at your request, I inspected the above dwelling for foundation failures. I could find no indications of such failures, and upon checking city files, I could not find a record of any complaints from that entire four-unit building. Dale Peterson, Building Inspector DP/da THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. r?)13 ?, 73 ? 2007 RESIDENTIAL BUILDING PElevaAPPUcAnoN 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. ff. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is 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) Minnegasw mechanical ventilation form Remodel/Repair Requirements Office Use Onlv 2 copies of plan showing footings, beams, joists Cart of Survey Reod - _Y _ N 1 set of Energy Calculations for heated additions Soils Report - ' _Y _ N I site survey for additions & decks Tree Pres Plan Recd _ Y _ N Addition -indicate if on-afte septic system Tree Pres Required - _ Y _ N On-site Septic System _Y _ N Plans are considered nublic information unless you state they are trade secret and the reason. Date l O Construction Cost r T (?z Site Address u I z (o S 1 z 4? I "L (o rrr•g Unit/Ste # Lug lT1 - Description of Work Multi-Family Bldg +! Y _ N Firep ace(s) 0 _ 1 - 2 Property OwnerM'16'?c..tiJtu7t? th?r?GMI+Jtd?f ?1"sC Telephone # r Contractor ?'- Address l/ 7/?$ n 1 X State PllN -A A4 5T -1-? Yon -3S 1 City 1 -p Si nj f,--V Zip'&-5Y `67 Telephone # (l (Z) Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Cade Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work v/f ti h requires a review and approval of plans. Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154743 Date Issued:04/09/2019 Permit Category:ePermit Site Address: 1263 Timbershore Lane Lot:4 Block: 03 Addition: Timbershore 3rd PID:10-76502-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Sandra L Beltran 1263 Timbershore Ln Eagan MN 55123 (651) 454-6895 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179132 Date Issued:09/20/2022 Permit Category:ePermit Site Address: 1263 Timbershore Lane Lot:4 Block: 03 Addition: Timbershore 3rd PID:10-76502-03-040 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Sandra L Beltran 1263 Timbershore Ln Saint Paul MN 55123--102 (651) 454-6895 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature