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1271 Timbershore LaneCITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: , ! Y > 2 lit }1C K : APPLICANT: ! r` iinRF LANE I! i 6i!i ! ! 11 I lit, i rr i 1 111{I Ic.1111RI 19.16 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE • TYPE DATE INSPTR. is If M f1 1i I I' l A N it ( \1 I V LA 11 We Nil I A D A I'll", i r- -i Fr.= - - - - - - - - - - - - - Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL f17 G} ///j CITY OF EAGAN Remarks Addnion Lot 4 Bilk 2 Parcel 10 76502 040 02 Owner DoT Street 1271 Timbershore Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 411 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid • SEWER LATERAL j77 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 Addition Lot 3 Blk 2 Parcel 10 76502 030 02 Owner He?P h /JF_/'& jf Qrstreat 1273 Timbershore Sane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ^'{ 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid +r SEWER LATERAL 1973 432.19 28.21 15 Paid WATERMAIN • WATER LATERAL 1973. 15 WATER AREA 1972 71.46 3.57 20 Paid x 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 Addition TZMBERSHORE 3rd Lot 2 Blk 2 Parcel 10 76502 020 02 owner Ef `o?hP. V;(,hok, Street 1275 Timbershore Lane State Eagan, Mn 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03- 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid • SEWER LATERAL ?7J 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 Addition TIMBERSHORE Lot 1 Blk 2 Parcel 10 76502 010 02 Owner Lw?? el, 'v 2 ?Z4,--' Street 1277 Timbershore lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -14/ 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid • SEWER LATERAL /77 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 260.00 522 3-3-73 EAGAN TOWNSHIP BUILDING PERMIT Owner L Address (present)3.1n.3.1a_?CC..PC3!`:?s??--------.. Builder ......_ ......................................---...--_..._.__---------`------...._... Address .. DESCRIPTION N° 2810 Eagan Township Town Hall Date -3...... a;;.-..7.. ................... Stories) To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks LOCATION 1'r'r i Ju Street. Road or other Description of Location Lot Block Addition or Tract (. ?, 1 a?7 ?'.n?.-4?4.r?]I.r•.e,'?-s- ^"' a, I l 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, 1haM,,,a LAAC Ar.*--.:!...rkAZ . AA.......has permission to erect a.l{..Iwm?'i.. w:.M0-%? _upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ............Ca . ?. ?...... c k. .................... Per ............... Z..c,. -L.... P? - Chairman of Tnwn Board8 Building Inspectoro -?-3?1 % , ?? b ??shorP VILLAGE Of EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PER1IIT NO.: 301 The Village of Eagan hereby grants to Goo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 5%16 a HEATING Permit for: (Owner) New Horizon Hones 12 93 2 ershore F 6 0-r D ark 365 at 34-'J6 Denmark c? 1279-51. T =ark {?,? $- 0-22!sue' Fee Paid: do dated this 11th day of January 19 73 5 *3. 60 Building Inspector iviechanical Permits: as iid Total VILLAGE OF EAGA14 3795 Pilot Knob Road Eagan, Minnesota 55122 PER14IT NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwi;k Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 5%16 a HEATING Permit for: (Owner) New Horizon Homes 1260--F2. c 3650-52 Timbslcefi. 365G-TJ>?ZTT at 3634-R 7onmark & 1279-aC1 limpe?c =e. 3 , 8-?0-72 D®ark_ _ _ Fee Paid: dated this 11thday of January - - 1973 ").65 fc Building Inspector Mechanical Permits: as iid Total: 7 , /n bel Vlore VILLAGE 01 EAGAN 3795 Pilot Knob Road Eagan, !Minnesota 55122 PERMIT NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 5-19416 a HEATING Permit for: (Owner) New Horizon Hanes 12 0 2 Typbershore 't 36 0-52 D ark 365M=TOM _ , at 3 34-3b Denwark & 12 9-a1 aae. a 0-72 Denmark-- --- ereha e Fee Paid: $4-4oo.oo .,'c dated this 11thday of January p 19 73 Building Inspector Mechanical Permits: iid Total: --- a-3 7,,n) b-lof -5-/70 Ile VILLAGE 01 EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 55416. a HEATING Permit for: (Owner) New Horizon Homes 12 0- 2 ershore Fr 6 0- D ark 365 - - bereho e at 3 31t-3b Denmark c 1279-?11 Teto3 i 1 .a Qo?i2k12/22-2Z 2 Fee Paid: $li fc dated this 11thday of January 1973 Building Inspector Mechanical Permits: raid Total: COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN l? al O 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 0) ! 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MClES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities -submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements DATE: -b I L I O Y WORK TYPE: - NEW X REMODEL CONSTRUCTION COST g, °I SITEADDRESS: IaT! , ?a-4- ;L ? TIM2 SN6 YL? Lw TENANT NAME: FORMER TENANT NAME, IF APPLICABLE SUITE #: DESCRIPTION OF WORK _her. UU W V 1 nwA ? Name: 1r'11??L'e'4 `fLE Phbfte#: (o( 5 ) 01? - ?I 3? PROPERTY Last First OWNER Street Address. ?.O . 6" a 1 O 1,p 1 City: ,(nM? State: !J zip: Company: Great Lakes Winslow & Siding Co. Phone #: (?S ) cS-1 CONTRACTOR 146.5U Garde ve Street Address: Apple Valley, MN 55124 City: ARCHITECT/ ENGINEER Company: State 1 hh a ?Gt 8 20? Name: Street Address: City: State: Licensed plumber installing new sewer/water service: Phone #: Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank 4 /Y ol Updated 7/02 h: OFFICE USE ONLY SUBTYPE ^1 01 Foundation ? 26 Public Facility C 30 Accessory Bldg. 14 Apartments C 27 Commercial/Ind ustri al ? 32 Ext Alt - Apts. 1 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) 7- 46 Windows/Doors 32 Addition ? 36 Move Bldg C 43 Reroof C 47 Repair 33 Alterations ? 37 Demolish (Bldg) C 44 Siding C 48 Authorization 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS Gas Service Test 7 Heating APPROVALS ?tanning Building Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered 4 Plumbing Stucco/Stone Variance 'ermit Fee Surcharge 'Ian Review MC/ES SAC :;ity SAC Nater Supply & Storage 3/W Permit 3/W Surcharge Treatment Plant 'ark Dedication Trails Dedication Nater Quality ')ther .'opies VALUATION $ % SAC SAC Units Meter Size Total TIMBERSHORE 3RD 76502 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 W o U 02 020 02 030 02 040 02 1277/ TIMBERSHORE LN 1275/ 1273/ 1271 8/72 4-PLEX 010 03 020 03 030 03 040 03 8/72 4-PLEX 010 04 020 04 030 04 040 04 8/72 4-PLEX 010 05 020 05 030 05 040 05 8/72 4-PLEX 010 06 020 06 030 06 040 06 8/72 4-PLEX 010 07 020 07 030 07 040 07 1269/ TIMBERSHORE LN 1267/ 1265/ 1263 1261/ TIMBERSHORE LN 1259/ 1257/ 1255 1253 TIMBERSHORE LN 1251 TIMBERSHORE LN 1249 TIMBERSHORE LN 1247 TIMBERSHORE LN 1243 TIMBERSHORE LN 1241 TIMBERSHORE LN 1239 TIMBERSHORE LN 1245 TIMBERSHORE LN 1260 TIMBERSHORE LN 1262 TIMBERSHORE LN 1238 TIMBERSHORE LN 1240 TIMBERSHORE LN PAGE 1 OF 2 5 1. 14 5 /? Z 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. It of lot, sq. ft of house: and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes: poured found design, etc j 1 set of Energy Calculations • 3 copies of Tree Preservation Plan Blot platted after 7/1/93 • Rim Joist Delad Options selection sheet (bldgs with 3 or less units) DATE S•Av, Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions d decks • Indicate if home served by septic system for adcihons VALUATION \ l .?)S Q SITE ADDRESS 19y5 i?'?c , T',mboxun« 110..E MULTI-FAMILY BLDG _ Y - N TYPE OF APPLICANT STREET ADDRESS TELEPHONE # ILSI ?lIl?l•?I}??- C iwN %,LA;StiI AFIREPLACE(S) - 0 _ 1 - 2 Renewal By Andersen, Inc. 1920 County Road "C" West Roseville, MN 55113 4X # ATE ZIP PROPERTY OWNER I?1nGlf TELEPHONE #?OS?'t1175iL•93(lo? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA-rEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: 590.00 Fee: 570.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that t e information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga rdinanc Signature of Appl t OFFICE USE ONLY Water Softener _ Water Heater _ -- No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Hcat Rccovcn' Systcm Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required - Updated 4102 1j . , 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 ? 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 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaCC.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final - Framing _ Siding _ Stucco _ Stone - - Fireplace - R.I. -Air Test - Final - Windows (new/replacement) - Insulation _ Retaining Wall Approved By 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 Building Inspector °• °•• rv•.< aaau «.ou rl 100 oil '%So0 ?. t(CrIL'R/iL tlY`a!'1UaK.7t51Y re al Tune "7, 2001 pity of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pun building permits for Renewal by Andersen. Please allow Elder Jones to Provide this service for us in Eagan. `Mts authorization is valid for any date beyond 616/01; until a Renewal by Andersen manager wgxwsly revokes it in writing to the City. I request this authorization be accepted expeditiously. as to not delay in the processing of our building peunita any further. Please can me If them arc any questions. I can be contacted at 763-502-4706- Your itnmgdiatc attention to this moor is appreciated Sinoetely, ymond R. Rau tistallation Manager Renewal by Andersen Corporation WVU2/UI ?r.:?K/arn-F.l??ie•,r Tn?}nP?C G - 7-?c7oj aH D p wc04M ^?rv n w+Wacuan .allz00.9 Received Time Jun. 1. 1:01PM RESIDENTIAL BUILDING PERMIT APPLICATION ?? I I 1 CITY OF EAGAN 3830 PILOT KNOB RD, EAGA AGAN MN 55122 _ 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq y. df 'ot, sq. d of house, and all roofed areas 120"u maximum lot coverage allowed) • 2 .owes in plan showing beam 3 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot .laded after M193 • Rim Joist Detad Options selection sheet (Slogs with 3 or less units) DATE RemodedReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions 3 decks • Indicate ?f home served by septic system for additions VALUATION a y*_- SITE ADDRESS I).7-1" ) //) 6erJ',4 or? e-* MULTI-FAMILY BLDG _Y _N TYPE OF WORK '? (I'e?ol9c?Me.+? c?yH0 ou/J FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT REh?ii?s9? cp ?Xjr6rJ STREET ADDRESS 7 y f 6 yw / /0 CITY Mcc++r?i- Vi P? -STATEbA/ ZIP TELEPHONE # ^/C?'7?D dcoo CELL PHONE # FAX # PROPERTY OWNER dlar?Z 5-,j1ohQK TELEPHONE# ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \IINNES(YF.\ R(:LES 7670 C.\TEGORY I _ NIINNESO"t'.\ 10 "LES 76712 submission type) • Residential VenWation Category I Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes Mechanical Contractor: \1ech:ulicsd system includes Sewer/Water Contractor: \Vater Softener _ \Vater Hcatcr -- No. ol'Baths -- Air Conditioning Heal Rccovcry System _ Phone 4 Lawn Sprinkler No. of R.I. Baths Phone # Fee: S90.00 Fcc: 570.00 2 tun I .1111 11 2002 'L' ----------- ---------------- - hereby acknowledge that have read this application, state that the informatic ??o correct, and agree to • omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. gy . ---I Signature of Applicant tO,r-+- 4 - deH f OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required - Updated 3102 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 ? 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) ? 4.4 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 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final, C.O. - Footings (deck) - Final-\'o C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ AieGas Tests -Final - Framing _ Siding _ Stucco - Stone - Fireplace _ R.I. -Air Test - Final _ Windows (new'replacement) Insulation Retaining Wall Approved By 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 Building Inspector Total A RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 1.? vl y ` ', 3830 PILOT KNOB RD - 55122 ??(Q V I I 651-681-4675 t! Qom, ,' New Construction Requirements RemodellRegair Requirements • 3 registered site surveys showing sq ft of lot, sq ft of house, and all roofed areas . 2 copies of plan 1?.. '3 . a- (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate g home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE 312-10-2- VALUATION JOB SITE ADDRESS 12 ?7 T I inhe r e 1-) IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 13<SC,D4_1Z1?0 TYPE OF WORKL>V_ GK Kx (O FIREPLACE(S) 0 _ 1 2 LA APPLICANT L\S0.?lG1Z? PHONE#& ? [ ?r l? +ss o10 ADDRESS ZIPCODE SSia3 PAGER # CELL PHONE # fol2? RSD?OI O2 FAX # ILL Ener Code Category RESIDENTIALMINNDESOCTAORULLES F670 COAITEGORY APR ? Q 2 ppp? ? u 9Y 9 rY (check one) - Residential Ventilation Category 1 Worksheet Su ed - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Phone # FCC: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Applicant Phone #: Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY W ? 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 x 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_Yor- 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 ? / pp 34 Replacement ?w r ?rwc) ` 'Demolition (Entire Bldg only) - Give PCA handout to applicant cc Valuation ?-O(j G - Occupancy V?'1 MC/ES System Census Code 3 L _ Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const I/- A) Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) X Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace _ 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 0?-cY PCPt#C?/L1 C. N ;.Aj Ui r NL S ?moo qU vac l? io,i/ Timbershore Homeowners Association • Eagan, MN 55123 City of Eagan Eagan, MN 55123 To whom it may concern: We understand that a signed letter must be submitted to the City from the Association in order to obtain a building pp,ermit. We reviewed the plans to build a new deck at: Since the deck conforms to ouf'standards, the Timbershore Homeowner's Association has approved the deck to be constructed. If there are any problems or additions questions, please call. Sincerely, • Ph# ?-C-)? 0 ----- u :?.,.?... u 2 8 an to I', on C ? -111 FE-3 F :I : 164 1 1.15 16 N ?___jCR0S SROAU k ?-U ---- t I-- U U? l u ---- ,?, ( 1 4 N I C-4 C\j 1 I ? I I• oI ? -- 2 1 3N i 2 1 3 tp I ? N N I N M I 1 -- _ 'TIMBERSHOR a May 30, 2001 Mr. Charles Demarais 1277 Timbershore Lane Eagan MN 55123 Re: Deck Failure Notice Dear Mr. Demarais: At the request of the Timbershore Homeowners Association, the City of Eagan's Protective Inspections Division inspected your deck for safety. Our findings are as follows: • Joists are rotted • Beams and supports are failing For safety reasons, the City is requesting that you block off and discontinue use of your deck immediately until it is repaired, replaced, or removed. For your convenience, we are enclosing an informational handout on deck construction, as well as a current building permit application. Please contact me at 681-4679 within 10 days of this letter so we can discuss your plans to ensure safety at your residence. Your cooperation is greatly appreciated. SincerelyYenka y Building Inspector TZ/hm Encl. cc: Dale Schoeppner, Chief Building Official MASTER CARD OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING Z 8 /D ?? 7 L PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING ?o SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING 11-71- 7 SEPTIC FOUNDATION CESSPOOL FRAMING .2 TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ]/-] WELL SANITARY SEWER 00 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 11 NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. O ACCEPTABLE SUBSTITUTIONS OR ? DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED 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 oLserved 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 R COMMENTS: DATE 1 23 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 PLUMBER Thompson Plumbing Co. NUMBER 1270 Address 1271x73-77-75 Timbershore Lane TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential I Multiple Dwelling No. of units Location of Connections: Connection Charge billed 1119 Permit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Total Inspected by: Date Remarks By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dakota County, Minnesota By. Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. r Meter --3 04U?Af-? PEP1IIT FOR WATER SERVICE CONNECTION January 3, 1973 Date: Number: 1103 Billing Name:New Horizon Hones Site Address: 271' 273-1277-1275 Timbershore Lane Owner: Plumber:Thompson Plumbing Co. 1271 - 22491878 1273 - 22491879 1275 - 22491880 1277 - 22491881 Assn - 22491882 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 - 5387455 - S387446 - S387457 - S387458 - 5387459 Billing Address Meter No. Meter Reading Meter Sealed: Yes_ 41- o Connection Chg...a? . billed 1/19 Permit Fee 10.00 d 12428/72 Meter Dep O pd 12/2d/72 . Add'l Chg. 300.00 pd 1/19/73 NO I Total Chg. Building is a: Residence Multiple x No. Unit Commercial Industrial Other Inspected by Date Remarks: townhouses ,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: O Thomnson PliimMna On. Please notify the above office when ready for inspection and connection. 3 EAGAN T014NSHIP --7 3795 Pilot Knob Road i St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1270 \I? ,j"?- i. 3 OWNER: New Horizon Homes Address 1271 73 77-75 Timbershore Lane PLUMBER Thompson Plumbing Co, TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Location of Connections: Multiple Dwelling No. of units Connection Charge billed 1/1! Permit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. ??1?lu PEP14IT FOR WATER SERVICE CONNECTION January 3, 1973 Date: Number: 1103 Billing Name:New Horizon Hoes Site Address:1271 O1277-1275 Timbershore Lan( Billing Address ?-3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 Owner: Plumber:Thmpson Plumbing Co. t 1271 - 22491878 - 5387455 1273 - 22491879 - 538746 1275 - 22491880 - 5387457 1277 - 22491881 - 5387458 Assn - 22491882 - 5387459 Building is a: Commercial Residence Multiple x No. units 4 Industrial Other Meter Size Meter No. 3 Connection Chg, a - billed 1/15 ° Permit Fee 10.00 d 12 28/72 O pd 12 2 /72 Meter Reading I meter Dep. Meter Sealed: Yes_ IAdd'l Chg. 300.00 pd 1/19/73 NO I Total Chg. Inspected by Date Remarks: ?? ?c.;;?7fC?IDN FEE PA ERLY IIiJ A L L E D N-1 Ei ER S. 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 no- Please notify the above office when ready for inspection and connection. 3 EAGAN T014NSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 19, ) T PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1270 OWNER: New Horizon Homes Address 1271-73-77 75 Timbershore Lane PLUMBER Thompson Plumbing Co, TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercials Residential Multiple Dwelling No. of units Location of Connections: Connection Charge billed 1/1! Permit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Tots1 Inspected by: Dat 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. v -3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 r Telephone 454=5242 1 PERMIT FOR WATER SERVICE CONNECTION January 3, 1973 Date: Number: 1103 Billing Name-New Horizon Homes Site Address:1271-1273-1277 1275 Timbershore Lane Owner: Plumber:Thompson Plumbing Co. Billing Address Location or connection Meter Size Connection Chg. a ^-? billed 1/19 1271 - 22491878 - 5387455 Meter No. Permit Fee 10.00 d 12428/72 1273 - 22491879 - 5387456 Meter Reading Meter Dep. 0 pd 12/2b/72 1275 - 22491880 - 5387457 1,277 - 22491881 - 5387458 Meter Sealed: Yea_ Add'l Ch 300.00 Pd 1/19/73 g' Assn - 22491882 - S387459 NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple x No. unite 4 townhoud? 5.C0 RE?I?;::FECTION FEE FOR Commercial IM RCPERLY INSTALLED 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: v Thomnson Pli,mhine Co. Please notify the above office when ready for inspection and connection. 3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 r. Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: January 3, 1973 NUMBER 1270 OWNER: New Horizon Homes Address 1271-73 7"75 Timbershore Lane v PLUMBER Thompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercials Residential Multiple Dwelling I No. of units Location of Connections: Inspected by Date Remarks: Connection Charge billed 1/1< Permit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Total 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. i EAGAN TOWNSHIP 3795 Pilot Knob Road ?i St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION January 3, 1973 Date: Number: 1103 Billing Name:New Horizon Hones Site Address:1271-1273 1277 1275 Timbershore Lane Owner: Billing Address Plumber:Thcmpson Plumbine Co. Location of Connection Meter Size Connection Chg. e.-•-"0 billed 1119 1271 - 22491878 - S387455 Meter No. Permit Fee 10.00 d 12 28//71 2$ 1273 - 22491879 - S387456 Meter Reading Meter Dep. 0 pd 12 /72 1275 - 22491880 - 5387457 1277 - 22491881 - 5387458 Meter Sealed: Yea Add'1 Chg. 300.00 pd 1/19/73 Assn - 22491882 - 5387459 NO Total Chg. Building is a: Residence Multiple x No. Units Commercial Industrial Other Inspected by Date Remarks: (1G -T MN FEE FOR ,Ct'ERLY !^;SIALEED METERS. By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plnmbine Co_ Please notify the above office when ready for inspection and connection. CITY OF EAGAN CASHIER: S TERMINAL NO: 778 DATE: 07/28/98 TIME: 15:14:30 IDs NAME: NOBLE BUILDING COMPANY 321.0 9001 1275 TMBRSHR LN 50.00 2155 9001 1275 TMBRSHR LN 0.50 3210 9001 1221 TMBRSHR LN 50.00 2155 9001. 1221 TMBRSHR LN 0.50 Total Receipt, Amount: 101.00 CR095428 USER .IDs NANCY Ty OF EAGAN 3830 Pilot Kno: Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: g13jkgING Permit Number: Date Issued: 07/28/98 SITE ADDRESS: P.I.N.: 10-76502-020-02 DESCRIPTION: 1275 TIMBERSHORE LANE LOT: 2 BLOCK: 2 TIMBERSHORE 3RD INCLUDES WALL Building Permit Type DECK Building Work Type NEW Census Code ?, 434 ALT. RESIDENTIAL REM AMR' REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - sT. LIC OWNER: NOBLE BUILDING CO 14327926 2001814 SALONEK MARY 660. 166TH ST W 1275 TIMBERSHORE LANE ROStMOUNT MN 55068 EAGAN MN 55122 (612) 432-7926 (651)686-7411 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 an C'ty of Eagan Ordinances. L_ k! APPLIC /PER ITEE SIGNATURE SUED BY: SIGNA R 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?, . CITY OF RAGAN ?J a,(a ? 3830 PILOT KNOB RD 55122 681-4675 QS New Construction Requirements Remodel/Regau Requirements -" -"? -?? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam b window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required. _Yes _ No DATE: CONSTRUCTION COST; DE RIPTION OF WORK: Oe? GC /,?r 1 Lag l f STREET ADDRESS: 1.2 7S T/wrSev/s t.ro,e l I,, 3rcJ LOT: BLOCK: o? SUBD./P.I.D.?t-?11?0 l? Name: 1 c ` /1 - Phone Y'6- 7 `/ ?f PROPERTY Last Firs OWNER // Street Address: 7 S T,1 I ( Vo r u 6, e City `- 9 a State: M 0. Zip: S 5 / ;? 2- Company: Phone -19 Z4 CONTRACTOR Street Address: no i ?2L/ G0 c/ ( License # c7y0 City A//?/t Ua /(4 State: A /U zip: SS _ (a y ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge have read this application and state that the information is co ect and agree to comply with all applicabl fulhl and City of Eagan Ordinances. ?ne offa'Stth qq pp I Signature of Applicant: l Jut ? ra t1 ll USE ONLY Yes No 116 Tree Preservation Plan Received - Yes No 11L Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE X 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building /zj? - ? T 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,91?,15 Deck Valuation: $ l? ,t % SAC SAC Units U ....,..:: ;: B in O ? 1~ • a C M . ?'R1 PAl?i-11I h ?FE- 3 r ? I4- -0 i 1•_ .i3 15 • i• 16 1= Q M - v I N W N \ rn ? ,? ? 1 4 N 1 NI • l i __ _ 1_ I I N I 1 ? 1 _ • 1 r 3 2 I 3 r, N 1 M 1 ?+ N I N 1 1 1 ? _ I I %" ° ? I 1 TIMBERSI-I0 Rr- 1 ?R ; I N rry . - co I I w •s CITY OF EAGAN L B ? , n MECHANICAL PERMIT RECEIPT # CO)-7390 SUBD. (612) 651-467S DATE ?:3- 23-c RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: Jib FEES SITE ADDRESS: 7 ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #: ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: CQ 14? ZIP: /a SURCHARGE $ .50 SIGNATURE TOTAL I s /S 50 1414 4?1?- gal &=z COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER: SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 TOTAL CITY SIGNATURE: FEES PERMIT # ^t t_` '6 - RECEIPT DATE' li " - _?)- U I RUIDENTIAL PLUMBING PF"ff APPIMATION crrY OF EmAN 3$30 PILOT KNOB RD EAGM, MN 55122 651-661-4675 Please complete for SITE ADDRESS: OWNER NAME:: L INSTALLER NAME: STREET AD RESE CITY: I lt6l ,v Di ek.el' m rL ..v* fn fk. nnrmi} ..A, }vnu STATE: /?' (ICJ ZIP: '?. New residential dwelling unit under construction and not owner/occupied $ 90.00 0 v Add-on, modification or alteration to existing dwelling unit, including: $ 50.0 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • watert ound Nature of work: _ Septic Svstem, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total Reminder., Be sure to schedule inspections of alterations, i.e. water heaters, water I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all a is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages operational and maintenance activities to the facilities constructed under this pepntwit?in City property/right- way/ez ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system a? or?irfp??. ': SIGNATURE OF RMI TEE U Updated 1/01 F 5 7`731 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 4 w-65 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. R of b4 sq. It. of house; and all mofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Recd l set of Energy Calculations Addition - indicate if on-site septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date- 1 / SiteAddress /0 / 03 (2.-77 Tkm6erS?ar-c- Construction Cost J0 SD,b- Lane Unit/Ste # Description of Work Fr, I Tkree pnf I,Jtn?owS o? ?con? o/ Renl(ccm p Property Owner isll f l$ ?-l;ederd' LSG D,,n Ze c, Telephone # ( ?j51) G 7 S - 03 66 Contractor `Cercu55ancc Ex?en^rs Address State IS% f- of IV M N City (Aouhk U)GW Zip 5, 1oz Telephone # (-76'3) -7 9'0- 2,OCJO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor 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 N4N Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ckc ,s Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 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) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered 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 _ Ftgs _ Air/Gas Tests Final Framing - Siding _ Stucco _ Stone - - Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Cityefaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: '7 Staff: 2010 MECHANICAL /PERM%IT APPLICATION / Date: ` ?7/40 Site Address: / Z 7 / % l `-ti.7J P✓S l is c / 1/7 Tenant: Suite #: RESIDENT /OWNER Name: g%`+ 'JIe.heved^ Phone: (o SI-3Lf?�--1 4h ,^ % � /- Address / City / Zip: IZ7/ //LCJev 4O✓f CONTRACTOR Name: 4 L/ /Souk Pl 4 144 IS iiv6 License #: O $ 7 / Address: 5.73.6; 0-54..E) v 4)6., City: UES 6.dflE//7" State: WIXJ Zip: 5077 Phone: 6 S/ - -5 zi - 90 00 Contact: r bmoi%/w -k f 'V Email: e%G1/5t ,, pv 1,K,,dI vlO�i/ TYPE OF WORK _)rv,.-, New Replacement Additional }Alteration Demolition Description of work: 14(/�t� CQr 4 G.4-ld�t,,�/*Oevr f e✓ 7c- �) A5 gh l / NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPEFurnace RESIDENTIAL COMMERCIAL _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump_ Under / Above ground Tank ( Install / _ Remove) `1 �� , ) Other 5 **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 burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that^the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work s is start without a permit; th- the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan a/1/14 Tie-kfet/ x Applicant's Printed Name FOR OFFICE USE Required lnspecti App nt's Signature Reviewed By: : Date;'. ugh In _Air Test Y 'Gas Service Test _In floor Heat _Final Exterior' HVAC Screening "Inspecton Jul 28 2014 09:50AM HP FaxGates G.C. 7634987710 page 17 Use BLUE or BLACK Ink � For Offlee Use � � j Pertnit#: �� ""�� I Cit of Ea�a� � Permil Fee: � • � � 3830 Pilot nob Road I I Eagan MN 5122 � aate Receiued: �� /� � Phone:(65 ►675-56T5 I I Fax:(651) 5-5694 I Staff: I I I `��_-��___.�-__J , 014 RESIDENTIAL BUILDING PERMIT APPLICATION f ', r �� J' J ; ' `� � I' � � r 4 �� c�s�e✓G � f�1 Date: � �°� ' SiteAddress: L ` � i ' • - � Unitl�: ....._�.�,.. . ._.,.�..�..__..�. _.�..�.�..,.:....__.�._....._ _.... .,., .�f�✓'�t %y� � � , f•'� F � �j� /� i � �n,-. - Name� � �"`' � Phone: ��. �'' Resident! � OWn@� Address/City/2ip� ,;� c• �r>o/c-• 3 � i Applicant is: Owner " Contractor .,...�.._..... Oescrip[ion of work:«-°-3-_ � --f,:��f�- ,.,..._.___��_.�....._. _�.. Type of Work � ` ;�. ?�"�. 4:= , : ; Construction Cost: . ' Multi-Famity Building:(Yes=/No� �..,.,_ Company._.�r.�%'vS :�Cti+..P,�/,.�! ...:.c,.�i� p�,;. _._._.._ Contact: �/� ;".c. .._.,..�_____�_.. ' � � Address' �� :/,•":=;.r?�="` �--/``� /-, City: �✓;-r.:�.%--• � Co�tractor �� ` l,��f ,�!1_!�-' , �� , , ��f � � � State: / � Zip:-'� Phone > _ ��v, Email: ,�y!�..�r :��?;_,rc�'Y�ar�r>�..�,z-� , µ r.�� . � ., ,,,�.� ; t ! License#: � '' • '-' Lead Certificate#: �:r`,!?��'" ` If the project is ex mpt from lead certification, please explain why: (see Page 3 for additional information) � ��W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Y�~^ In the last 12 mon ,has the Ciry of Ea�an issued a permit for a simila�plan basod on a mastar plao? _Yes _No I yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contra r: Phone• ; Sewer&Water Con ractor. Phone: _....� . ___ —_ .�_ .:_,.....__ _.___ .:..... �...._ ...�...�.�_....._..._., ......._. _� NOTE:P/ans an' supporting documents that you svbmf�are considered to be public inl�rmation. Portions of 1 the informatioti y be classNied as non public if yoa provide specific reasons that would permit the Cify to �� conclude that fhe�are t_rade secrets. _ �� ...._.__.._..w ___�..,..�..�._....�..___.. ._. CALL BEFORE Y I U DIG. Call Gopher Sfate One Call al(65f)454-0002 for protection against underground uGlity damage. Call 48 hours betore you iMend to dig p receive locates of undergrvund uUlities. www.00nherstateonecall.ora I hereby acknowledge t Mis information is complete and accurale; tliat the work will be in conformance with the ordinanCes and codes of the City of Eagan; that I undersfary this is not a permit, but only an application For a permit, and work is not to start wilhout a pertnit; thal the work will be in accordance with the app ved plan in the case of work which requires a review and approval of plans. Exte�ior wor riz by a building pe issu In accordance wilh the Minneeata Stada Building Code must be completed within 180 days o it' auane . x G`!/ x Applican rinted ame ApplicanYs Signature Page 1 of� �