3004 Timberwood TrINSPECT.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I I lIieF 1•.1.?,lif?I 1 1
t f f , 1 i 1 , V I I I f1,.
PERMIT SUBTYPE:
1 API-41t;AN 1:
f 11 NN nN' I l,l
TYPE OF WORK:
001
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i I )VII tit 1'1.1111- 1 N19
f ==ff?",t? t t1 I't ., 1.'101,,11 114 11 t it
I I N,,1 I I r.i, F! N111
1?liAftiK'? ? iIJ1 l 1lh?'!3 'tff0? ?IAtllfi :rte 1 Yl
IJ pt HV I Ai?'•UN` F'i. 1111
ON RECORD
PERMIT TYPE: 1.1111 1' 1 N1.
Permit Number:
Date Issued:
1 I"f;I RWOM) TR
L-
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBIN
ME y
7-?GaO
HVAC
L- 0r
OAAZr)
7 ?d (? ,
/n
f07-71;40
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 '3-Z-5--17 A415
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
OFFICE USE ONLY This request void 18 months from valibalron date printed in this box
.453.477 n3
a/i/9? ?esa?
gJ)13 ?97i // n
/G QI c Xryao
PLEASE PRINT OR TYPE?(.
Reques[ D to goughyn uuspection regwred4 •s ? NO Ins chon Diher Than Rough-In. 0-,Rei Il Call'
' (YOO must call the inspector a ready) Re y - -
I. bcensed ontractor ?1,
E] owner hereby request inspection of the above ale r tali
b Address (S eet, Box, or R.I. No) Cily p Code
SeChun No Township Nana, or No Range No Fire it. County)
Oct ni - 1"b"ZU 14373
Suppliyr Morass
ntrx or (Co ny ame) Co I As. Master Uc No (Rant Elect Only)
rg,
1 for o Owrrer Partorm sea j
J
o atur ) rest or Ox ner P rlormm Inslo on) Phone ? 3i?
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ES-OOOOIA-11 8/85 J STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Inl?l III I? II I I II IIII II REQUEST FOR ELECTRICAL INSPECTION
Minnetot_a State Board of Electricity jl
821 Unrve` ty Ave, Rm. 0-40
0 3 5 3 4 7 7 3 q St??ul, MN?•r 1\
* * Phone (612r 642-0800 / /"
Home Duplex Apt Bldg. Other: New Addn
mmercial Industrial Farm Remod Repair
Air Cond Htg. Equip. Water Htr. Load Mgmt Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this request Enter remarks in this space and on the tack or the white copy wry
A 3`1 ? (? - H -WS - LAO
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct tee.
Other Fee u Service Entrance Size Fee +>: Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps + ; 00 1 9, 0 to 100 Amps
Street Ltg./Traffic Sig. Above 20g?Amps Above 100 Amps
Transformer/ Generator INSPEC OR 5 USE ONLY
^ TOTAL
Sign me ? 5
Alarm/Remote e Control
ntrol
Swimming POOI rrw:re cI iM el n anatnn described heremm me datessra
Irrigation Boom Rough- Dale
Special Inspection
' /
Investigative Fee
FIrW
/
Date
THIS INSTALLATION MAY Rr nPnPRFrn nl£CnMMrrTrn ¢ i /`nneor rrrn rmiTwU 10 eAn UTUc
313 _ 325
j
OFFICE U E ONLY Thu regvesl vad 18 manths Imm vahdanon dare Pnnt d in this bas. -
0=19 1)
-11
?? a
0?
-
BI j
p
PLEASE PRINT OR TYPE ?G p VU
Revoast Dote Ravgh-in inspection regmred2 es No Inspedion CWher Than Rough In Ready ow dl Coll
(
OR
.
u mvsl wll the n:pedar w eady) Ready. 17
I, license contractor ? owner hereby request inspection of e a ove el rlcal do
Jo dress beet, Bar, or Raule Na)
A? Gry ?- ip C e
m c
f
Setlion No Township Nome or Na Ronga No. Fro No.
O am
10 ,/'
%, Phone No.
w rSup lien Addy
ontranor ( ampony Nome) Cowrawor license Mosley Uc. No. (Plant Elen Only)
8 c c?+a6ai
Moiling Manias (Cawmdor or O
VJ. wner Perfarming?llahonl
+t
M?
?
s?(6
Au er Pe nning smllahan) Phone No
3
99 q
L
EB-OOOOIA-10 6/95 ?TEBOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY
IIII I IiClll IIUII I I I III I I III I II REQUEST FOR ELECTRICAL INSPECTIONS
* 0I 3 1 3 3 2 5 3 * Minnesota State Board of Electric ty Q-
. 1821 University Ave., R17174, Paul, MN 55104
Pho?q (612) 642-0800
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Re mod Re air
Air Cond. Htg. Equip. Water Htr Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Enhance Sze Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps IQ-' j P11 0 to 100 Amps Q
Street Lig./Fraffic Sig. Above 200 Amps _Amps
Transformer/Generator INSPECTOR'SUSE ONLY TOTA
Sign/Outline
Alarm/Remote Control
Swimming Pool I hen cem that I in. the elecmwl in des the dates ted
Irrigation Boom Rough-In D
Special Inspection
Investigative Fee final
THIS INSTALLATION MAY BE ORDER DISCONNECTE IF NOT COMPLETED WITHI 18 S.
?5 '476 ?5 OFFICE USE ONLY This request vatl IS months her, Yahdation Cate prmte n his Cox
o;2.
c? ?a 7s-
/?i?9G
PLEASE PRINT OR TYPE /6
Request Dale Rough -in Inspector regwred? 'es ? No Iho i Othar Than Rough-In
? Ready Nov 11 0.11
/
O (YOU must call the Inspector an re, yl Dale Re dy.
I, II ensed ooh raptor ? owner hereby request inspection of the Ave electrical DO
4Adi (Street, Box O[ ""
, CIIy Ce
k
r E600 n
0'
Sec Ion No Township Name or No Range No Fire No County l
O
Oc nt Phone o
m
pplie Address
Ele On ractd ICompa me) ?, .^?? DpnVdci a Master LC No (Rant Elect Oolyl
nlractOr
N
o sta ^1 r
'.
r.,-,
Pf
r nL fm g to burl Phor
r
EB-00001A-I 18/BB TATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
,I *-03534765*
r . i- iT FOR ELECTRICAL INSPECTION Gl/?
Ir t State Board of Electricity
P rsity Ave, Rut S- St. Paul, MN 55104 3?y
P. 'r b42-0800 11?940
Home Duplex At Bldg
p Other: New Arkin
Commeraal Industrial F
arm Remod Repair
Air Cond. Htg. Equip Water Htr. Load Mgmt. Other.
Dryer Range Elec. Heat emp Service
"X" above the work covered by this ioquest. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct lee
Other Fee Service Entrance Size Fee z Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig Above 200 Amps Above 1 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfni _5
Alarm/Remote Control ntrol
Swimming Pool I hereby certify that I ins ai anon od harem on the dines stood
Irrigation Boom RoughIn
oyE
`
l I
ti
S G
nspec
on
pecia F
nal
Investigative Fee i
Ti INSTAI I ATIDN MAY RF DRDFR -D DIS ANNE ED IF NOT COMPLETED W1114114 1R MO T
3 1 v ° 3 4 ® OF}l E U E ONLY This mgmst wid 18 momhs from 4idanan dote pnnled in fls bos ?r
7
1
407 9.2
/',Z19'
PLEASE PRINT OR TYPE (p ?/ U
Requesrciale Rough-in inspedwn requue, 2 Yes ? No Inspection O er than Rough-In ? Ready ill Call
(You must .It the inspector y) l^^ Doh
I, licensed contractor ? owner hereby reques Inspection of the ove electrical w O
b dreg Sheet, Bin, or ute No.) Ciry C de
o
Section No Township Nama or No. Range No Fire No. Coun '
at Phone N .
- ff3?3
we ppl Address ?
Eleonoil Contractor (Company Name) Controdor Ucense Moster 0c. Na (Plant Elect. Only)
Moiling Address (Contractor or Owner Performing Immllgnan
,icy/• ?? 553^
7(f_e Jl
0 or ner Redo ing Ins lanon)
1. J
Ph
day -333
EB-OOOOIA-10 6/95 T OAP OPY•SEE TIONS ON BACK OF YELLOW COPY
III II III I IIIIniII I II ?? II REQUEST FOR ELECTRICAL INSPECTION Yes
I {III Im Minnesota State Board of Electricity (Wo
1821 Universes Ave., Rm. $-7 St. Paul, MN 55104
0 1 3 3 2 4 6 Pnone ?sl2t,sn2 osoo!!//? V Home Duplex Apt. ldg. Other: New Addn
i '
1 Commercial Ind, stnal Fa-m emod Re air
Air Cond. Htg Equip: Water Htr. Load Mgmt. Other;
1 D er Ran a Elec Heat Tem Service
"V above the work covered by this request. Enter remarks in this space and on the back of the white copy only
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee.
Other 'Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps '? 0 to 100 Amps
Street Ltg./!'raffic Sig. Above 200Amps 00 Amps
Transformer/Generator INSPECTOR'SUSE ONLY TOTAL CfAA?
Sign/Outline Ltg
Xfmr. Yj
Alarm/Remote Control ntrol
Swimming Pool I hereby cent :hat ded the eledn<al here. on the darez zmre
IRigation Boom Raogh-In D.I.
ecial Ins
eclon
S
J
p
p Final Dat
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DI ONNECTED IF OT COMPLETED WITHIN 1 MO S.
r., D ..s
i.`
?I
Certificate of Cccupanci
IK" of Wagan
zepartment tq suithing anapcction
This Certificate issued,pursuant to the requirements of the Uniform Building Code
certifying that at the tune of issuance this structure was to compliance with the vorious
ordinances of the City regulating building construction or use. For the following:
Use Ounfou.: 4-REX Bldg Pcomn No 2638
O¢upviny Type N /?? / U I Zoning Donsia PD Type Cum VN
Ow rof Building AL MRRMAI•PI != Hama: 535 SIM RD, MEN)OTA HTS
BnBA1ng?AEeia 3004 TAiBBI
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CID MINE
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Dare: ,/ ?'J /7 Z/
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ALSO INaDkSi 3006, 3008, 3010 TDZMMCM TRAIL
POST IN A CONSPICUOUS PLACE
SITE ADDRESS, / () ` LL _Yjm1 19•ohrj(in() .r11f Unit # Permit # M,,N
L I L B Sect./Sub. - I ? M1 P,v n ?, zrmrQ, l / Q? fl /fV
•gAS53Iq 717 f-? 4-"W, /R a, 1. !//?/s(l y10i u0o
INSPECTION INSPECTOR DATE COMMENTS
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lG6 y-v
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Gar -G G ' V? j .-/? • lG
9
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ALB
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fr ?J
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS 3 00 (o .r' 01 PL I, lMd, -12(, Unit #
Permit # I `/1
L I G B I Sect./Sub. -JI n In Ot )(71r1 1Wll" o o
ef"d 03133,95 -? 47S° ///i 141, V? .4'u °° I
INSPECTION INSPECTOR ~DATE COMMENTS
U'G d,6 9--13 -k
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Y-6 .. ?cc
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Lr?/3 li•zl- ?G
INSPECTION INSPECTOR DATE COMMENTS
r
SITE ADDRESS •J O V 7' -? 1 YY Y ?Fhl a7RM' _?H . Unit #
Permit # ',,-7
L B ?- Sect./Sub. -Tip, AR h LLt W,( I ? (ft r?
INSPECTION INSPECTOR DATE COMMENTS
u-c .: X3.91
5Id? J9G
JY lop
/'
022r
n-a3 1/?d/-l
a-z7 -,c
5.4
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS 3 0 I l/ 14 6 L 1 IrMd 1 H Unit #
Permit # .2 ? 1, 10
?p L I? B Sect./Sub. t I l mY.lyoruj I ?I XX/t /iQi
INSPECTION INSPECTOR DATE COMMENTS
qq
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J/ld rf
P p,I
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rrAM' MQ' !/' 2' G
r. P. ?uOF, ?-L7 ??
INSPECTION INSPECTOR DATE COMMENTS
Of -
O O O 0 C'C -aO-O:
1 • ? -G` Q O O ? -0=0"J ? ?''J"?-'J ?J J J'-? 'J -a`?= ? -J : ?-`zi O O 1
0 0 (s-G C,.O O C:`n1?-n-s?.?- .?_..-_-_r 0=®? J_J O •
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0OnC) ?rJ 77'7' -` 001
1 0 0 0 CV "J --) LID J- J. i 0 O
aOG00004)00J'JaJ:Jj?)J_.J_J-J J.?OO1
100 CU000 00 QJO?"?`?J17OO"7_J=J:J=J 00
0 O ('.. 0 0 0 0 C O-0: O :3
: J:J J=J J a C)--a J J. J: J J_'a O.1
1OOOC3CJOO 7D"JJOOnO7J,J.J.J DOO
0 0(+0G0 0 CO.'Z;? 7=7 7.J J,J_?7.0 7 J J ?.J._)OO1
CITY USE ONLY
L /_ BL / RECEIPT #:& -lazIl
SUED. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551::2
(612) 681-4675
Please complete for: single family dwellings
? town homes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
r
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet,,* minimum - 1
Rough Openings r
Water Softener
Private Disposal Dakota Cry. license
(new and refurbished systems)
U.G. Sprinkler ? home under const.
Alterations ' to existing
Water Turn Around
?OiC9oh.
STATE SURCHARGE
TOTAL
0
OF
SITE ADDRESS" ?O /O
OWNER NAME::
INSTALLER NAM
STREET ADDREI
CITY:
EACH
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00
1.50 :c
5.00 x
65.00
3.00
20.00
20.00
A `/
NQ.
1, y
m?Y
f
TOTAL
laps
?Y.oa
/ ?t
et 11
?s
?i
r2
.50
STATE: '-Z4?_ ZIP
SS?3GSi
PHONE #: ( ) Y? 7G?a Jk
SIG -
fat,
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: P all commercial/industrial buildings.
multi-family buildings when separate permits are ?4t required for each dwelling
unit.
DATE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Qgfmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
METER SIZE: DATE
CONTRACT PRICE:
DATE:
STE. #
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
INSPECTOR:
L C( (BL / CITY USE ONLY RECEIPT*
SUED. 2L' X ulDr?tIC - L'
P-, RECEIPT DATE: 14119 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
Shower
Water Closet
3 h Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum -1
Rough Openings
Water Softener ' for dwellings under construction
Water Softener ' for existing dwelling
U.G. Sprinkler ' for dwelling under const.
U.G. Sprinkler ' for existing dwelling
Alterations ' to existing residence
Water Turn Around
Private Disposal System ' oak Cty lic.
(new and refurbished systems)
Private Disposal Systems' Abandonment
EACH N4. TOTAL
3.00 x =
3.00 x =
3.00 x _
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 x =
3.00 =
20.00 =
20.00 =
20.00 =
75.00 =
20.00
STATE SURCHARGE .50
TOTAL zh -5,0
I hereby acknowledge that I have read this application, state that the information is cones, and agree to comply with all applicable City
of Eagan ordinances. It is the applicenrs 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 pert within
City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRES:
CITY: A A In 1 0,
a Z2? l7
STATE: ZIP: SS?/I -1A A) SIGNATURE OF PERMITTEE
L BL _L l CITY USE ONLY RECEIPT* SUBD.???.fr+!i??aV?ly DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
town homes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air 'conditioning Add-on air exchanger, i.e. Vanee system, etc.
11
Date: l - l? l
EEU
Minimum Fee: Add-on/Remodel (existing residence only) $20.00
HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
0 ? Gas OutletsI (minimum of 1 required @ $3.00 each)
State Surcharge .50
F6.oa
ID -0?
TOTAL ' Dy lG O ( 51
GE N?
SITE ADDRESS: .3010 Zr A"e W, OWNER NAME:1 C c A y s PHONE #:
INSTALLER NAME'
STREET ADDRESS
CITY: ifna/o??rt STATE: ZIP:
PHONE #: { ) ??•27- ?G??
S?
CITY USE ONLY
L 13L RECEIPT #:
SUED. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commercial/industrial buildings.
mufti-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE: NEW CONSTRUCTION
CONTRACT PRICE:
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: $26.00 minimum fee gl 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of RgMm fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT M AE: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY OF EAGAN
CASHIER: S TERMINAL. NO: 541
HATE:: 08/27/96, TIME: 14:44:28
ID:
NAME. COTTAGE HMSTDS OF EAGAN
2256 9001 3004 TIMBERWOOD 137257.38
Total Receipt Amount: iS,257.36
CR063309
USER ID: NANCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
,Building-.Permit Type
/Building Wo_rI Type
UBC OccupancYl
f Construction"Type
/ Zoning 1
Building Length
Building Width
Building stories
n v,
'"C'ensus Code;
PERMIT
3004 TIMBERW00D TR
LOT: 16 BLOCK: 1
TIMBERWOOD VILLAGE
G2d (o 33Dy ?
BUILDING
028638
08/26/96
DESCRIPTION:
REMARKS:
INCLUDES
S & W PLBR
FEE SUMMARY-
PERMIT TYPE:
Permit Number:
Date Issued:
4-PLEX
NEW
R-3 U-1
V-N
PO
120
80
1'
104 3 & 4 - FAMILY
3006 3008 3010 TIMBERWOOD TR
- LARSON PLBG
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$6,412.88
$279,000
CITY SAC
WAC
S & W PERMIT
S & W SURCHARGE
TREATMENT PLANT
ROAD UNIT
Total Fee
CONTRACTOR:
HERRMANN CONST, AL
535 STONE RD
MENDOTA HEIGHTS MN
(612) 891-1100
$1,782.25
$891.13
$139.50
$3,600.00
100
4
$400.00
$3,040.00
$100.00
$.50
$1,584.00
$1.720.00
$13,257.38
- Applicant - ST. LIC.OWNER:
18911100 0002616 AL HERRMANN CONST
535 STONE RD
55050 MENDOTA HEIGHTS MN 55120
(612)681-8373
I hereby acknowledge that I have read this
information is correct and agree to comply
Sta ute? nd I't ofi EaganlOrdinances.
APPLICA T/ ERMIT IGNATURE
application and state that the
with all applicable State of Mr.
J ±Nla
ISSUED SIGNATURE
CITY OF EAGAN
616455996 3830 PILOT KNOB RD - 55122 ??) 3
BUILDING PERMIT APPLICATION (RESIDENTIAL) 11 681-4675
11
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (include beam d window sizes; poured Ind. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan If lot planed after 7/1193
required: s No
DATE: rt q ?CC
Remodel/Repoli Requirements
? 2 copies of plan
? 2 site surveys (exterior additions d decks)
? t energy calculations for healed additions
DESCRIPTION OF WORK:
COST:
STREET ADDRESS: d OV, 312 0/ , YOe
J J J
LOT l b BLOCK SUBD./P.I.D. #:
PROPERTY Name: Phone
OWNER 1' " MIT
Street Address-
I'
City: ?/ nState: Zip-
CONTRACTOR. Company: A ke y y wi a ? L \ Ovo?_ Phone #: /?O-F,3 ?3
Street Address: S I.,1 License #: Z--(D Ito
City: 1y s State: rh K_ Zip-M 2--0
ARCHITECT/ ;Company I Phone M =12-
ENGINEER 9Q L
(Name: /J s e Registration #•
Street Ad `_
dress 'J? riQ ?? ?•
'City: "' Y 1 nI.S State: M r\1 Zip .,???
Sawer & water licensed plumber: LcjLp Gh OYJ e
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infoq
applicable State of Minnesota Statutes and City of Eagan Ordinances.
1 Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received' - Yes No
Tree Preservation Plan Received Yes No
I? -
Penalty applies when address change and lot
is
to comply with all
AUG 19 MG
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling (W 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
?( 31 New ? 33 Alterations ? 36 Move
/? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
V// Basement sq. ft.
V!l Main level sq. ft.
sq. ft.
9 sq. ft.
! sq. ft.
120 sq. ft.
20 Footprint sq. ft.
Planning
sc, vl
Building i , Engineering
?byygF 1 ?+I ?A
?Ju.. aJty n ?? `'??O ?.e ?0
Permit Fee Valuation: $ Z
Surcharge
Plan Review
License N X,
MCMIS SAC 900J-y
City SAC yGO /ao t f?
Water Conn. 330y0va 9!?oy ?j
Water Meter
Acct. Deposit
SAN Permit /o
SMI Surcharge s0
Treatment PI. ls'Ry 39? y
Road Unit / )z O I/3o-4-d/
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
so, /' / o
Variance
4090
Yb, S,
? dJ
113e.sx y= V6,f sv: 2Y5c/?Y 7
?3J-_
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCMIS System
City Water C?
Fire Sprinklered
PRV
Booster Pump
Census Code. /O Y
SAC Code
Census Bldg /
Census Unit
cc'? CD
?JJda
Gaye foadf ? , -
'J) r -X / -- s2Do
z?802`/
awl C. n+?- I SSG?c-?,.
serial # l t
p J
?1. Chip #
Permit # a a 3
j Address:
I AGREE TO COMPLY WITH CITY OF EAGAN J
ORDINANCES
s
Signature:- 1
• J;
HOUSE STAKING / SITE PLAN
FOR: AL HERRMANN CONSTRUCTION
LEGAL DESCRIPTION: LOT 16, BLOCK 1, TIMBERWOOD VILLAGE, DAKOTA COUNTY, MINNESOTA.
NOME FOR NOTE: PLAT HAS NOT BEEN RECORDED AS OF THIS DATE _
LEGEND
0 - Denotes woad hub set 9as5 - Denotes proposed elevation NORTH
• - Denotes iron pipe set 988.5 - Denotes proposed elevation 0 30
O - Denotes iron pipe found varying from development plan
- Denotes direction of flow 9865 - As built elevation I y
x9865 - Denotes existing elevation SCALE 14 FEET
O
9202 i i
20
Z
O
O
O
O
O
LTJ
f?
a
ED
O
O
O
?D_
x
9170
10 DD
821.0
In 10.00
y
C. S. A. H. NO 26 (LONE OAK ROAD)
S 89°56'19" E 295.25
37 DO 9205 x
°o x9207 37 00
o
m N
2
83
PROPOSED a
9205 . 2.63
STOOP (TYP) 9206 x
m 20.67
°_ 8.4
0.8
10.67
N
UIT 63
UNIT 64
TIMBERWOOD TRAIL 3008 TIMBERWOOD TRAIL
UNIT 62 UNIT 61
TIMBERWOOD TRAIL
P 3010 TIMBERWOOD TRAIL
0.67
849 C
- 20.67
s
2.83
2 63I
^
.6% - ~ 461 I%920.5 I #7.0
00
DRAINAGE AND UTILITY
EASEMENT PER PLAT
\ PO
00 CLRe
921.5 as
0
917 0
Or?4,0
TRAIL - --,;
.. ....... ? 8145 N
?? 117 00 ,;-,_ --- --
90 e 6 j L.1 -- - - -- 9
- - - --------------- -
0003 LOT 15 s?
VACANT
8-21-96 ADDED STREET NAME, ADDRESSES, SPOT ELEV. h STUB INVERT & -
2.5% _
9210/\ '
.?1
ts,
a?
OG
P?
V ?JJ
LOT 1
VACANT
O
STUB INV 911.0
PROPOSED
SERVICES
WYE II4V 905\-
DEVELOPMENT PLAN PROPOSED AS BUILT VARIANCE
House Type - SLAB SLAB
Bsrnt. Floor Elev. - N/A N/A
Garage Floor Elev. - 921.00 921.0
Entry Floor Elev. - 922.0 922.0
Top of Foundation -
Wolk-out Elev. - N/A N/A
Look-out Elev. -
I harehy codify that this survey, plan, or report was
prepared by me or under my direct supervision and that
I am-a-duty Reg[stored Land Su eycr under the laws
of the Slut inn .. In.
H.Q. No.- 6 U C_ Date 1/ l (l
tAGAN
REVIEWED
3Y - -^°^
,MIS
_ u L1
By -
"X Disc T.
SETBACKS REQUIRED PROVIDED VARIANCE
Front - 35 37.7
Side Garage - 37.3
House -
Reor -
As built information shot on:
By
PROJECT NUMBER 94162
Planners
Engineers
Suneyord
Designers
Orcheologists
7200 Hemlock Lane, Suite 300, Maple Grove, Minnesota 55369-5502
Telephone: (612)421-5505 Fax: (612821-5022
REVIEWED FOR CONFORMANCE WITII APPROVED PLANS
I further certify that the proposed building floor elevations
and the proposed site elevations shown an this survey are
In accordance with the grading plans approved by the
city engineer for this subdlvlslon, unless noted as a
variance above.
By
P.E., Rag. No.
y
928 0
928 o ?
r
n B21.o BENCHMARK
01 TOP OF IRON
1e \ 920.84 FEET
' \
1
921 5
se o0 T
y
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATIO
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
F m DOCUMENT STANDARDS
a z
ta---? ? • Registered Land Surveyor signature and company
2?'? ? • Building Permit Applicant
cy"? ? • Legal description
e>' ? ? • Address
cf-?-? ? • North arrow and scale
0? ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
et' ? ? Directional drainage arrows with slope/gradient %
2? ? ? • Proposed/existing sewer and water services & invert elevation
0--l'? ? • Street name
p--'? ? • Driveway
ELEVATIONS
Existing
2" ? ? Sewer service (or Proposed)
[Y? ? • Property comers
03 ? ? Top of curb at the driveway
.2r, ? ? • Elevations of any existing adjacent homes
Proposed
Q'?? ? • Garage floor
? ? • First floor
? ? • Lowest exposed elevation (walkouthvindow)
el' ? ? Property comers
4? ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? Qe? ? • Easement line
? er ? • NWL
? C1' ? • HWL
? E ? Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
)Y' ? ? • Lot lines/Bearings & dimensions
IY ? ? Right-of-way and street width (to back of curb)
12' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
11, ? ? Show all easements of record and any City utiliitie.,, within those easements
d ?/? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? Al ? Retaining wall requiremFS:Z Revie
wed: F -
Nam / Date
January1996
CRAIGI B?GbBLDGPRMr.FM
Ir --
?6Yo?s?+1iLE
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE MUM COMPUTATION
OwFIER (..-o'rT'AGE Ilrl'l?5Ti1?/QPS ot` ?AGA,J
SITE ADDRESS PILOT -K«?Dn ?O?6 aaK
CONTRACTOR AL - 4F-WAa _ DATE S q PHONE X81-' 63'7 3
Determine working square footage of each.
1. Total exposed wall area ..... 3048 sq. ft.. x JOS
2.. Total roof/ceiling area ....... `1100 sq. ft, x .0? (a
Total exposed wall area above floor °JO48
•a. Total wall window arch ........ ...............:...
b. Total door area ................................. o
c. Total sliding glass door area ................... O
d. Total fireplace wall area ........................ o
e. Total wall framing area (average 10x)............ 30`1
f. *Total net wall area above.floor ..............0... 2oslo
g.• Total rim foist area o
Total exposed foundation area 12 6
h. Total foundation window-area ...... 0
..-
i. Toal net foundation area above grade ..,.......
Determine MUM value of-each wall segment.
a. S7_f} X MC)M
b. 160 X MUM _ .31 y9.b
c. a X
d.
D
X
MU"
e• ?,?1r '
7
X
MUll
f. 205to X MUe, .0q8 `I8• ?
.
9• 0 X MUM ,0
h. 0 X MUM
t. /
I to X MUM .0/10(0 ` 8.3 .
3 . ...................................Total
If item 13 is the same as, or less than. item 11 , you. have met the intent
Total exposed roof/ceiling area ¦ `I?OD
,?. Total skylight area .............................
k. Total roof/ceiling framing area (average 409)..,_ r1?4
1. jotal,net••insulated,roof/ceiling arrea........... 4y o .. ...
.
Determine "U" value for each roof/ceiling segment.
f•l. _..,::. ??:: .!• .:,X .NUM :d! .. :.. ¦ -
J .
;I. X PUN-
4......c ...........................Total 0.1......
If total of 14 is the same as, or less than 12, you have met the intent of
the State Building Code,
Altgrnate Building Envelope Design
To utilize the -total envelope system method, the values, established by the
sum of items 13 and 14 shall not be greater than the sun of items 11 and 12.
1. Lift + 2. l 22.2 ..
3. `1T3 + 4. 120.1
SGy.
Date:
Lily of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651).675-5694
RECEIVED
FEB 2 c ZOi
Use BLUE or BLACK Ink
For. Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
t o o31
O
9/ sl)'
•201 RESIDENTIAL PLUMBING PERMIT APPLIC
tetSite Address:
Tenant:
TION
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60,00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) irk
TOTAL FEES $ 1i24'
Milbert Company Inc ba Cullign Water,
Name: License #: 0643176
Address:
1801 50th Street East City: Inver Grove Hgts.
State: MN zip: 55077 Phone: 651-451-2.241
Contact: William R Milbert
New Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description o work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
_ Abandonment
Water Softener
Add Plumbing Fixtures L._ Main / _ Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
CaII 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 is not to start without - permit that the work will be In
accordance with the approved plan in th case of work which requires a review and approval of plans.
'L I'o—
Appli an
Signature
Use BLtlE or BLACK Ink
��
..________...�______, �
� �'or tK[ica L�e ► �
� j Perm��: /�l J4 �i �
C�ty af�� � . .�.� , �� ��
�o�not,v�oa�a � �,�,��e. �/� � I.b
�:���a-as�rs ; a�ats�,r�d: i
Fsuc:(861)+�7i'a.E69a � sta� t
1 !
Va.���r�..w.���wr�rrrrr��d .
2�15 RES#DEl�171AL BUILQII''r! ,C`a PE#�MI'r APPLICATI{?N
Da�o.. �J ,�►,I��� Site Addregs:� O�{ 3 c�o� �Or3 3d t o �i r�.�4�rw,.a�,'Z't�a: Unit�•
�`vb' ` '�+" �..r�',WPhOne: �D�� � ��'� -'��t(�
M81ri�: �� 1.n n.a vtL'�-� t /�Qn:a�.n.
�wn� �a+ess�cny,z-�: t 3�3 �-�.�e,.��.�t .ru �,k�.tt /'�+� S�S td g
�v��u,t�: �►►� �.,.,.,C,co�tra�r
Type af Vliork �'�°"of w�aric �
Cor�st�ucGon Cc�t�� �1�t1 Mult�-�amily Suildin�:{Yes I No_,,,)
�'iOt11(�tly: �r�yli��'�J p'+� '�'/J'CT.Q �.+��, �`+Qf�dt�� t�rt / Lr r✓!++�ilS
C�ntratctor ,nad�:�3S t f� •-►�a s s'� ,t'�t�^. c�ty: �'t ��' �..�1�.t
,.---
state:,��ip:.�. S3 7.�_ Pr�one:�I��t I:�� o., - � ti1 �4 `
�t118�1:��f l°tt�,s .�: i�1[nrat n'.r�rrs.ti
Uc�e#: � l.eadc�#:�:�`,�c3S�$�l3— c►o 1 (,�, �,.
If the proje+ck is e�pempt frorn tead cettiffcatian, plea��cpiain why:
COAAPI�ETE THIS A1�EA ONLY 1F GON$TRUGTINCi A��IN UlLD1�1G
1n the iast 12 months,h�the City af E�gae�sue�d a�rrn[t fR►r��imllsr p�an ba�et+oc�a masbar pFari7
Yes No ff yes.da#e ar�d addr�ss af master�lan:
�
i�ensed i�9umber. Rhawwa:
Ma�chantqi Contracbo�: Phor�e:
Sew�a�r t�1iYataC G�ttraator. ph,p�. '
Fkro�Suppr�rt Cotttractor: Phone-
11�4T8;PPans aml�ar�p,p�o�ii8 dc�tt�that�tt�t�brr�lt ane vau�sJda'�rci�o-t�p�pi�-frtt�or�atl'or� f''�rtleris of
#he lnfarma�ort may+i�cl�ssifled as rn�ub�#Ya��e sp�ec�C��d�s#�tttd pe�rl►t'U�e.Ctiy�o
c�f that. �re fra�te�
CAi1 BEFOR�YOU DIS3. �caopt�ar stsm t��att at(es�)4s4-000z tar�xn�caor►a�t underqrou�d un�asmaqe. c�t as naus
before ypu ir�tend ta dig M rac�iv�e lat�tes ef unde�ound udpl�es. www.g.4Phers#ateonecatE.ara
�1�rebY acknowiodye that tt��twrnatlon is c�e and aoaret[�e:tt�ihs+�k w�be in co�far�uance w�h tlue ordi►s�and r�od�s of Cre C�y�
Ea�an:th�! urxlBrstand d►6a is no#a pennft.birt oniy an app{ft�tion ior a peret�t,and work ts not bo�rt v�itht�ut�pe'mti�tlaet tlte work w�!t�in
sccur08inCo wah die sppnrvad pia�t in tf�e t�of vKxk trAridt requi►^�8 a revle�w arld appr+av�Of p16n6.
E:e.Nor woek a�m,or�a��sy a b�awine pvr�f�suod in a�order►ce with a�e Nim�st�s�itdi�coae�st t�e c�emq.t.a,�hin�so
de�of Pennit i�t�q�
F8 �. C��� x ��
AppltcanY`s Pri�d�lame Ap cartYs Signabi.tne
P�1oP3
City of Eat
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675.5694
)
0 01101%
Use BLUE or BLACK Ink
For Office Use
Permit #: P1 C
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 7/25/2016 Site Address: 3004 Timberwood Trail Eagan MN 55121
Tenant: Gerald Munn
Suite #:
;:<' :> :•::
ReSirtetit!Oiiviier ?`
'' ;si1 0;-55121
:..;;. •..;;;;' -
Gerald Munn 651-348-6635
Name: Phone:
Address I city � zip: 3004 Timberwood Trail EaganMN
is°ii! `= ::;!,•::.;!:::!:,,:-::
Contractor
Name: License #. K & S HEATING AIRCONDITIONING & PLUMBING INC . 43689
4205 HY 14 W ROCHESTER
Address. .WCity:
MN 55901 507-361-2332.
State: Zi Phone:
Contact; HE1DI BROWN Email: hb rown k hea tin g .com
•,.::::..
New 1 Replacement Additional Alteration Demolition
Furnace and air conditioning
Description of work:replacement
g
-.•:,.:.:�,...::.,:.
ec ahical::e tiif �:Frieiif'[s_:.., .hired[>fo:tie!sc�eeti'eiJti ;Ci
of:mountetl;antl� roundirmaulntstl::m h .Y...
;; ;iCotle >�!P A..ahtherMechantcal;li ectoir for: iriforrimation;;on; ermitfed screen in ;methods ;i;`i
rm
,. ;���>>`?�i�=..:.
RESIDENTIAL
Furnace
'-j_New
Air Conditioner
COMMERCIAL
Construction Interior Improvement
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
v and Ta nk Install/ Remove)
Under Abo e ra
—Other
, ..
RESIDENTIAL
$60.00
$100.00
•. .-
FEES
Minimum Add or alteration
to an existing unit, includes State Surcharge
includes State Surcharge = $ 60.00 TOTAL FEE
Residential New,
COMMERCIAL
$60.00
$70.00
Surcharge
If the
FEES
Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
Underground tank installation/removal
= Contract Value x $0.0005
project valuation is over $1 million, please call for Surcharge
_ $ Surcharge
= $ TOTAL FEE
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 BRIAN KEEHN
Applicant's Printed Name
OFFIC'EUS
ns'pec
ergrou
Applicant's Signature
Reliabuilders 952-226-5514 p.7
Use BLUE or BLACK Ink
For Office Use �
4fil Permit#: 1 Lt 3 �
City O1 � �� Permit Fee: 161 6i -
3830 Pilot Knob Road Date Received:
Eagan MN 55122
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
J
r
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
6-1-17 Site Address: 3004, 3006, 3008 & 3010 Timberwood Trail Unit if:
Name: Advanced Innovative Management Phone: 651-739-5544
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128
I Owner I Address/City/Zip:
i Applicant is: Owner Contractor .
1 I remove and replace hail damaged metals from roof.
c . Description of work:
Type of Work i10 000.00
i ( Construction Cost Multi-Family Building:(Yes /No )
; company:
Reliabuilders Construction, Inc. Contact: Jason Michels l
s i Address: 3351 Griggs St. S.W. city: Prior Lake
Contractor iMN 55372 612-581-6255 jason@relia-builders.com
? State: Zip: Phone: Email:
BC650191 R-I-30358-13-00160#:
i License#. Lead Certificate
If the project is exempt from lead certification, please explain why:
E
N/A i
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING a
I
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I
1
1 Yes No If yes, date and address of master plan: 5
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
I Phone:
I Sewer&Water Contractor:
I Fire Suppression Contractor: Phone: 1
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of l
3 the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude atrade secrets. •_ J
tht theyare
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. wwww.uocherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
xJason Michelsxiti
Applicant's Printed Name Applic nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144689
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 3004 Timberwood Tr
Lot:063 Block: 02 Addition: Timberwood Village
PID:10-76800-02-063
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John W Bottomley Jr.
3004 Timberwood Tr
Eagan MN 55121
Carlson & Son, Iver
749 N Snelling Ave
St Paul MN 55104
(651) 646-7161
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158103
Date Issued:09/25/2019
Permit Category:ePermit
Site Address: 3004 Timberwood Tr
Lot:063 Block: 02 Addition: Timberwood Village
PID:10-76800-02-063
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John W Bottomley Jr.
3004 Timberwood Tr
Eagan MN 55121
(651) 455-0152
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature