3019 Timberwood TrAddress 3019 Timberwood Trail Zip 5512_1
Lot 15 Bllc I Sub Timberwood Village
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3 Yes No Inspector: Z,
Final grade ( " from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass x
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of root test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681.4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2004 RESIDENTIAL BUILDING PERMIT APPLICATI
City Of Eagan
?jg S 1 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelfReoair Requirements
3 registered site surveys showing sq fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(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 additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
w?.va
?-12-
Office Use Only
Cert of Survey Recd _Y _N
Tree Pres Plan Recd _Y _N
Tree Pres Required _Y _11
On-site Septic System _Y _N
11
Date 4 6 04 Construction Cost $6.000.0
0
I
Site Address 3019 Timberwood Trail U
nit/Ste # 60
ll
Eagan MN 59121
Description of Work Rerin F Repair fnnting F wall section oar drawing
Repair
Multi-Family Bldg - Y - N Fireplace(s) _ 0 _ 1 _ 2
Property Owner James & Shirley Eilola Telephone#( 651 ) 405-8589
1
Contractor Cottage Construction Inc.
I
Address 7301 Ohms Lane #560 City Edi /
na G U?.
State MN Zip 55439 Telephone#( 952) 1830-0161
? l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
Minnesota Rules 7670 Category I _ minne,
Energy Code Category • Residential Ventilation Category 1 Worksheet New
(J submission type) Submitted Subr
• Energy Envel? culations Submitted
Have you previous7i te l g in n with a similar plan? _ Y _ t,
fee applies. Licensed Plumber RTelephone #(
Mechanical Contractor
Sewer/Water Contractor
BUILDING
Code Worksheet
If so, 25% plan review
Telephone #( 11)
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informati
that the work will be in conformance with the ordinances and codes of the City of
Statutes; I understand this is not a permit, but only an application for a permit, and
permit; that the work will be in accordance with the approved plan in the case of w
approval of plans.
Marshall Oakes, Vice President
Cottage Construction, Inc.
Applicant's Printed Name Applicant's ' to
is complete and accurate;
gan and the State of MN
k is not to start without a
*h requires a review and
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of_plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
? 31 New ?
? 32 Addition ?
p 33 Alteration ?
? 34 Replacement
Valuation /SOD , U
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy
Zoning P Z)
Stories
Sq. Ft.
Length
Width
- Footings (new bldg)
- Footings (deck)
.O Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
- Framing
- Fireplace _ R.I. - Air Test - Final
Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Final/C.O.
Y4 Final/NO C.O.
Plumbing
_ HVAC
Other
Pool _ Figs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone - Brick
_ Windows
Retaining Wall
Approved By: '-?6731 12 ???dLy CL,, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex ?
? 16 Fireplace ?
? 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Plbg_Y or _ N 171
19D0 ;„-7 i0 '-I i
20 Pool
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screen/gazebo)
24 Storm Damage
25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
952 995 2020
APR.26.2004 1:29PM BRAUN INTETEC CENTRAL FAX
A
BRAUN
INTERTEC
To:
Fax Number:
From:
Phone Number:
N0.4569 P. 1/2
Fax Transmittal
in; 141 yA
Mr. Tomes City of Eagan
651-675-5694
Marty Gray
952-995-2254
Date: April 26, 2004
Number of Pages: (including cover)
BL-04-03534 3019 Timberwood Trail in Eagan, Minnesota
if you have any question please feel free to give me a call a (952) 995-2254.
mdt?y
Marty G! PE
Project Engineer
Please advise # you have received this communication in error.
Braun Intertec Corporation
11001 Hampshire Avenue South
Minneapolis, MN 55438
Phone: (952) 995-2000 Fax: 995-2020
Providingcnyzwe gmidmvironmeM1rolsolutions a 1957
APR.26.2004 1:29PM BRAUN ]NTETEC CENTRAL FAX
N0.4569 P. 2/2
Page 1 of
DFNTS
BRAUN
1NTERTEC Daily Field Notes
Project No. o 35" -0
Locotion: 30 Q I. b, ?_„ l r
'
Report No.: Al
Date: -?- ?•UU
Personnel Classification Regular Hours Overtime Hours
?r
Pr t% 7b A-
Areas and work performed this day! ? st ?
1 r1Jr S r)Qh% 4 aA 1e J
ernes-. l-lte •??
r'tec r16 / ^ ?}F.?. Yn. / ?w1dQr Thom /*/ew Io0 T"aN? S
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Weather: C, C'~r Performed B
Y:
r^
Submitted To: /on. M `r? ?c.?•??+S
White copy to Braun lnterfec file. Blue copy to Project Site Representative.
Providing etgi armg and environmental solutions since 1957
Cities Digital
ity Control
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1999 BUILDING PERMIT APPLICATION
3 ,C/ -FICY CITY OF EAGAN
DD O (U? 3830 PILOT KNOB RD RD -
55122
651-681.4675
New Construction Reaulrements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan II
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy caicul
2 copies of plans (show beam 6 window sizes; poured fnd. design; etc.) 1 site survey for exterb
? 1 set of energy calculations
3 copies of tree preservation plan R lot platted after 7/1/93
DATE: CONSTRUCTION COST: ?
DESCRIPTION OF WORK: L?- C! A
STREET ADDRESS: .72 O ,Z 7 O ;?3 ? V _5 Ay,
LOT: BLOCK: r SUBD./P.I.D. (1`:
PROPERTY
OWNER
Name: 00 a y z ??v o 5?a ut?s OF ?? / Phone : 0L
Call First
Street
City
State:
Company: (,co /V 4 5 r- 0o57/-x, h?.0y r L i CPhone 1t: /y%
(area
CONTRACTOR
r Street Address: QA z r t Lm e- Ucense l
City State: A?-
ARCHITECT/
Zo S Name:
ENGINEER Company: P,41!11
v3? So
Telephone tk: area code ( 6 /?' l )
Street Addresses Ca l c Y < ,P, Ate- Registration ft:
City Zfzi l(e ,? State: 01
Sewer b water licensed plumber (reaulred for new construction only):
Penalty applies when address change and lot change Is requested once permit is issued.
1 hereby acknowledge that I have read this application, state that the Information is ct, nd ag
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes i?lo /1 NT
Tree Preservation Plan Received Yes No &C Not Required
Zip:
17
•IAL) 7
lion for heated additions
additions 3 decks
Z T)
>--
s
zip: s5y 1 9
55 /--? L-1
Z t1i 6 ?
I'-> ji'-:i oC7 (, )
to comply grRh all appllcabl
OFFICE USE ONLY
.
d
BUILDING PERMIT TYPE
? 01 Foundation 0106 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
W'31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sidi ng/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) - 91v Basement sq. ft . Census Code 10 `!
(Allowable) :Qj Main level sq. ft . 3 + I Z ?S L SAC Code y
UBC Occupancy ?3LI S-I/q •3 &L, kg sq. ft . 3 4'; 2r No. of Units H
Zoning cI „b Vmce sq. ft . k LIT No. of Bldgs _
# of Stories sq. ft . MC/ES System
Length i f 7 sq. ft . City Water
Width 29 _ Footprint sq. ft . GoO? O _ Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building &-7 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: s 3'-16, (/6N
3 V --` , A3 51, 7 0, C,"j 4-
'D a-'1=22
6x II =66
3 6 ? 36 - 125E
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% SAC
612 424 5822
Sent By: LOUCKS & ASSOCIATES, INC.; 612 424 5822; Nov-12-99 2:56PM; Page 1
Xpo" PLANNING, CIVIL PNGINEERINC, LAND SURVEYING, ENVIRONMENCAL, ARCHAEOLOGY
7200 HEMLOCK LANE, SUITE 300, MAPLE GROVE, MN 55369-5592
44sma",-3a. nLEPHONE: (612) 4245505 FAx: (612) 424-5822
FAX TRANSMISSION
•
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DATE: /a -'9) Q
ATIN: COMPANY J
J Faxs PHONRn
FROM:
NUMBER OF PAGES (IINNNCL/UDING THIS SHEET):)
SUBJECT.
LovcKs PROJECT # 9 /
TRANSMITTED:
? AS WE DIscussED EDR.RE.YIEW ANp-?,OMMENT ? FOR YOUR USE
? As REQUESTED C:7 COPY TO FOLLOW BY MAM--? ?
MESSAGE: {?' A) i C ? - !/iri% 'f r1L?i -rl ?r?l s 94-' G?LC?J1 ?ls?t
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MNcheck COMPLIANCE REPORT permit b
Minnesota Energy Code ;
MNclieck Sortware Version 2.0 '
Minnesota Department of Public Service i 4
1-61Z-Z36-3173 i-a00-057-3710 Cheekcd by/Date
COUNTY: Dakota
STATE: Minnesota
'LONG: 2
CONSTRUCTION TYPE: MULTI FAMILY
DATE: 3-31-1998
DATE OF PLANS:
TITLE: PLAN The "ESSEX"
COMPLIANCE: PASSES
Required UA = 316
Your Some . 270
Area or
[nsul
St:--ath Glazing/Door
Perimeter R-Value R-Value U-Value
-----------
- UA
-----------
clILINCS -------
1277 ------
44.0 -----
-
010 35
WALLS: Wood Frame, 16" O.C. 1356 19,0 2.0 70
GLAZING: Windows or DoorS 128 0.350 45
DOORS 40 0.350 14
SLAB FLOORS: Unheated, 42.0"
----------- i.nsul. 168 1010 115
COMPLIANCE STATEMENT: The p roposed building design represented in these
documents is cunslsLCnL with the building pla ns, specifications, and other
calculations submitted with the permit applic ation. The proposed building
has been designed to meet th e requirements of the M innesota Energy Code.
Builder/Designer Date
roJ
NEW HOME FIELD INSPECTION
FNF.ROY CHRC.KLIST
PAGE 2
MINIMUM REQUIREMENTS
( CATE:GOHY 2)
OPTIONAL.
(CATEGORY 1)
INSULATION:
( ) Vapor barrier installed
[ 'J Interior foundation wall::
( ) Vapor barrier inatallcd
{ ) Iubulatiun installed: R-
{ ) Mo[aturc barrier inatallcd
[ ) AtL1C insulation Installed:
R-
[ ] Attic card posted with proof of
bags installed
[ ] Floor insUlation installed:
R-
( j wall insulation installed:
( )n-19 ( )R-21 ( ) R-
WIND WASH BARRIERS:
[ J Wind wash barrier installed at
attic edge
[ ] Overhangs (cantilevered flours
and bay windows)have wind wash
barriers
MECHANICAL:
( J Ducts running outside conditioned
space sealed and insulated
with minimum of R-6
( J Returns in same space as furnace
sealed
( ( Ducts in unheated spaces
( j W4ter healcr has pipe insulation
or heat traps installed
( j Furnace AFUE::
( ) Ceutral Air SEER:
i
( J All exterior joints in
building envelope sealed
[ ) Residential mechanical
ventilation system
installed (Mandatory if vile
or more item in this column
is checked)
----NOTES TO FIELD (Building Department 5c Only) -------------------------
P04
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
MINIMUM REQUIREMENTS ; OPTIONAL
(CATEGORY 2) ; (CATEGORY 1)
FOUNDATION:
( j EXLc['lor foundatlun wall ;
insulaLion-'installed: i _
R i
( 1 Slab-on-grade insulation ;
installed: R- i
I 1 Ducts in slabs have R-5 ;.
Insulation bottom and sides ;
PENETRATIONS:
( J Window and door frames sealed ; ( J Foundation rim joist sealed
airtight
( J Framed wall openings Into attic ; ( ] Upper story band joists
sealed scaled airtight
( ] Other Joints ill wall sealed
( j Dropped ceiling air-blocked
i
f J Plumbing penetrations sealed i
;
( J Exterior walls behind tub ;
and shower sealed ;
( j Plumbing vent stack sealed ;
( J Chimney flues sealed at ceiling ;
( ] Perimeters of all grills and i
registers sealed to vapor ;
barrier i
( J Electrical service sealed ;
( J Recessed light fixtures sealed
( J Eire penetrations into attic
sealed ;
( J Telephone, cable '1'V i
penetrations sealed ;
( J Fans sealed where vapor barrier
penetrated ;
J Ceiling poly sealed to top
of Interior partition walls
] Electrical buxcs sealed to
vapnr harrler
] Fan housings air scaled
PILOT KNOB ROAD
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- - - - - - - - - - - - -
4
:4
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: LcaT /S
t7 DATE OF SURVEY: ?-
N
LATEST REVISION:
w
X
0 DOCUMENTSTANDARDS
C
0
O
? Registered Land Surveyor signature and company
? Building Permit Applicant
?? ? Legal description
? Address
i? ? o North arrow and scale
-/ ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
W ? ? Directional drainage arrows with slope/gradient %
ry/ ? ? Proposed/existing sewer and water services & invert elevation
q/ ? ? Street name
? ? Drtveway
0 El Lot Square Footage
? Lot Coverage
ELEVATIONS
/ Existing
s( ? ? Sewer service (or Proposed)
m/? ? Property comers
? ? Top of curb at the driveway
? Elevations of any wasting adjacent homes
? Adequate footing depth of structures due to adjacent utility trenches
/ Proposed
/CO ? ? Garage floor
a3mm 1 ? First floor
[5? ? ? Lowest exposed elevation (walkoutWndow)
m '0 ? Property corners
;/C3 ? ? Front and rear of home at the foundation
/ PONDING AREA fif applicable)
? ? Easement line
? ? NWL
? ? HWL
? r? ? Pond # designation
? ? Emergency Overflow Elevation
/ DIMENSIONS
0/0 ? Lot lines/Bearings 8 dimensions
tr?/ ? ? Right-of-way and street width (to back of curb)
4 ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? Show all easements of record and any City utilities within those easements
o 0 Setbacks of proposed structure and sideyarck of adjacent existing structures
? ?/ Retaining wall requirements, if any Reviewed:
March 1998
CRArMDGMKfr.FM
HOUSE STAKING / SITE PL
FOR: COTTAGE HOMESTEADS
LEGAL DESCRIPTION: LOT 15, TIMBERWOOD VILLAGE, DAKOTA COUNTY, MINNESOTA
HOME FOR
A "N89°56'19"W 119',02' 21.00 900 00 t10 tl I {, NORTH
T r gr 0 30
var i-•.` y
14
\ .1 FACIAN ENGUgI1EER11ZG DEPT. SCALE IN FEET
LOT 16
EXISTING BUILDING
\'?? • X00 EAST
x916 9
CQ
CID
M
0)
co
T
co
O
0
O
0
tl
o ?I 23.84
\ l,9 F9 9r(, .73
\ \ S'??Q No 9IT, 9> AN MII
\ q
\ 91 915.5
\ q HYC - - - - - 912.
i 909.6
/ 16 °e 1
??° sfVNLC 9/
0
LEGEND
- Denotes wood hub set
0 - Denotes iron pipe set
O - Denotes iron pipe found
---> - Denotes direction of flow
x 986.5 - Denotes existing elevation
9as.s - Denotes proposed elevation
sass - Denotes proposed elevation
varying from development plan
9665 - As built elevation t
A=64°00'09"
R= 77.01
L=86.02
LOT 1
VACANT
/ ? 909.4 wo?et 9?.5 \
?Jr 914.6 9 92 \
91 10
+ \_
\
os yo°' 10 6 90.0
911.0/ 9? A=30°19'53"
6 \
/914 R=195.46
v o9.1 g 8 os.
BE MARK L-103.47
9105 TO F IRO
8 09 0 0
$ o ? 60 AN Mli/I
/ o r a
_ LOT 2
(SLAB) 3d O? EXISTING BUILDING
910
/
11.9 ] SLAB)
zo
LOT 15 9? ao ( ;
BUILDING ,? o I ??Lye
/ I 6a
?D `" PROPOSED a ; r ?es /t?G?
1 '
/ e
I '? g pa°? (SLAB) lry ? s ? Z W
/ ? a aPo '?i? t\?a ,a I w
L / JZ' (SLAB) & I a \ O
/\ y o ej ?? 0 ZPo I 906 1 /'1 Q
406 0 2
11 MW 25/90 .l 909. eoo -O' ?aoa ti O
/ Wei, / 25 089 N85e18'40'lw O
a OU 9090 h F
2 0 / an e Z rh'ti
909.0 a) a O D ¢ W
905.7 m 909. II 3 - Wig (Yy
908, OJD
90).9 L
X905.6
901.0 x905. 906.0 05. Od F"
906.9
LOT 14 203'19 S 83°08'08" E 90 3 LOT 3
__. _ s?1 l? 9oC s? i sos.a EXISTING BUILDING
GARAGE SLAB ELEV UNIT 53 &
COMMUNITY ROOM = 909.6
GARAGE SLAB ELEV UNITS 54 & 55 = 909.0
EXISTING BUILDING
Lot area = 48,2377- Sq Ft
Building foundation area = 7,4287- Sq Fl
Revised 11/12/99 Unit Numbers & Addresses
DEVELOPMENT PLAN PROPOSED AS BUILT VARIANCE
House Type - SLAB SLAB
Bsmt. Floor Elev. - N/A
Garage Floor Elev. - 909.6 see above
Entry Floor Elev, - 910.0 910.0
Top of Foundation -
Walk-out Elev. -
Look-out Elev. -
I hereby certify that this survey, plan, or report was
prepared by me or under my direct supervision and that
I am a duly Registered Land Surveyor under the laws
of the State // Minnesota.? /ti-.? Lnn?-r
Reg. No. ZL Z Y Oale ?? G 4
SETBACKS REQUIRED PROVIDED VARIANCE
Front -
Side Garage -
House -
Rear -
As built information shot on
By
PROJECT NUMBER
Planners
Definers
Surveyor,
Oea.gnes
4nix s flas Archeologists
7200 Ilemlock lane, Suite 800, Maple Grose, Minnesota 55869-5592
Telephone: (612)424-5505 Fox: (612)424-5822
RECEIVED Mau i s
REVIEWED FOR CONFORMANCE WITH APPROVED PLANS
I further certify that the proposed building floor elevations
and the proposed site elevations shown on this survey are
In accordance with the grading plans approved by the
city engineer for this subdivision, unless noted as a
variance above.
By P.E., Reg. No
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN GJ0
3830 PILOT KNOB RD - 55122
651-681-4675
ue.., r.....6....x.... D..... a......e..r. v' ' 1 v? `? v Dn.nnMlmnr lr Dn flmr onk
n 3 registered site surveys showing sq. H. of lot, sq. n. of house e 2 copies of plan
and gl! roofed areas (20% maximum lot coverage allowed 1 set of energy calculations for heated additions
2 copies of plans (show beam (L window sizes; poured fnd. design; etc.) 1 site survey for exterior additions ?k decks
D I set of energy calculations
> 3 copies of tree preservation plan If lot platted offer 7/1/93
DATE: t'- I(.- ) u DD CONSTRUCTION COST. a° D
DESCRIPTION OF WORK:
STREET ADDRESS: 3 o a3
LOT: -16 BLOCK:
Name: SL--,? c o 6 G 2 C- D i n t- E Y Phone #: f'% 1- g o5 - (8'-3q
Last First
U,'l.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: 3 O a 3 'r g F c w o o. n T
city
A, -r -r I G (":?- A'RA'.-- E ) Pccf.SS PA0:1- 4' J-A-DV,.e.
-fl M 6 r /G w 0 a D 'T? it-' L.
SUBD./P.I.D. #:
>;&4r-pl-
State: t'' rte/ zip-.
r
Company: Phone C _
(area code)
Street Address: Ucense # Exp.
City
State:
Company: Name:
Telephone #: ( )
Street
City
State:
Zip:
Zip:
Sewertwater licensed plumber (if installing sewertwater): Phone #: ( I
1 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 Applicant:
Certificates of Survey Received - Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
No
No Not Required
Registration #:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N )K 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE G AeAirr-se A6LE'-?? 'PA-,Q151-- ?
? 31 New ? 36 Move Bldg. ? 43 Reroof
p . 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
tZ 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ° # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy U-1 sq. ft. City Water
Zoning P. D sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Build ing OAL? Engineering Variance
? 31 Ext. Aft - Mufti
? 33 Ext. Aft - SF
? 36 Mufti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
i
Valuation: $ 201)
SAC Units
% SAC
L B
SUBD.
APPROVED BY:,
CITY USE ONLY
t?00.q"?
INSPECTOR
i
RECEIPT #: Q 5
RECEIPT DATE a
PLUMB INGPERMIT # 3? V e
1999 PLUMBIN@ PERMIT (COMMERCIAL)
CITY OF £AGAN
5630 PILOT KNOB RD
KAGAN, MN 55122
(651) 661-4675
Please complete for all commercial/industrial buildings
multi-family buildings when separate building permits are not required for each dwelling unit
installation of backflow preventer in commercial areas or residential boulevards
Date: I Z ?^ t Fork Type: New Bldg _ Add-on _ Repair _ U. G. Sprinkler _ RPZ
Description of %Vork:
To inquire if Pressure Reducing Valve is required on new service, call 681`-4646.
FEES
OC I a?J
I% of contract price or $30 00 minimum Contract Price: $ 14t oov x 1%
_ $ 190
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
Backtlow Preventer Permit Fee - $ 30.00 $
NVater Meter. 2" Turbo - $ 889.00 unless plan approved for smaller size $
I
Service: _ existing (if coming off domestic line) OR _ new
if "new service" contact Jerm- li/ohschal! Finance C017sll)/a17t to conRrm addine fees for
Water Permit & Surcharge - $ 50 50
Water Supply & Storage $ 825.00
Water Treatment Plant Charge - $ 468.00
Permit Fee i$ /40 °-
State surcharee is calculated from Permit Fee at right - State Surcharge $ 4 , S'D
S.50 for each $1 000 with a minimum of $.50 due
Total Fee is 1 fq Sep
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS: 3016? /Z 1 / Z3 /Z 5 T i' mA h e-v r LIP Z2 ?-SL2 Al 2
TENANT NAME: r.17 1TA 6;~ r 1f ouvl Fj 1 e a.?CS TELEPHONE #: 6 / L 3 0 p 16
l
(AREA CODE)
INSTALLER NAME: S1 2fi&F-47 ?G ? (T (' 0,eP TELEPHONE #: (? / Z L S ?) Z 62z2 12
(AREA CODE)
STREET ADDRESS' 17 ) 16:1 14-1+11 7 /;-r-
CITY : y!5 7_1U- STATE: j JA_?"7_0 ZIP. Sy Z?? _
1??. ?( SIGNATURE OF PERMITTEE
J+ - -
CITY USE ONLY
DOMESTIC METER SIZE COMPOUND TURBO
PRV: Yes No
• Contact Utility Billing Division for price: 651- 681-4631.
IRRIGATION METER SIZE:
• 2" turbo unless approval for smaller meter granted by Public Works.
• Contact Utility Billing Division for price: 651-651-4631.
PRIOR TO SELLING A METER:
• Etter site address on Screen 301. Permit Inquiry, to obtain sewer and water permit number.
• On PIMS Screen 320, enter sewer and water permit = to check that hydrostatic, conductivity. and bacteria tests have been
approved If not. do not issue meter.
Miscellaneous Information
• Meter lamer than 518" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspection of the inside water line and backflow preventer, call 651-681-4675.
• To schedule «ater turn-on, call 651-681-4300.
CD/Permit forms/plbg permit (camm) 1999
nS OFFICE USE ONLY
N' RECEIPT #: _
SUSDt lau-? RECEIPT DA
1997 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
383D PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: . all commercialfindustnal buildings.
mufti-family buildings when separate permits are = required for each dwelling unit.
baWow preventer to be installed in commercial areas or residential boulevards
DATE: 7 /W`O/RK TYPE: _ // New Const _ Ad
DESCRIPTION OF WORK: 101exx 041 J/•P yC/7Yi'? -
DESCRIPTION /?r•h /e
IS WATER METER REQUIRED? C Yes _ No.
ARE FLUSHOMETERS TO BE INSTALLED? If + _ Yes _ No
UNDERGROUND SPRINKLER SYSTEM
INSTALLING METER? 4 Yes _ No. NEW SERVICE? Z, Yes _ No WATER IILOW: 60 GPM.
Pressure Reducing Valve may be required if installing new service - contact City's Engineering Department at 6814646.
FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE
It -
FEES
Minimum fee of $25.00 or 1% of contract price, whichever is greater. Minimum State Surcharge of $.50 due on all
CONTRACT PRICE: $ x 1%
_
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER
25.00
VENTE ew
? /3 / Z 70 $
L
P PERMIT
WATER service only) 3
5
0.00 =
8L
WAC (new service only - per connection) 3
1,0780.00
WATER TREATMENT (new service only - per connection) i0 420.00 =
2'
2
CITY INSTALLED TAP g?4" 9
300.00 =
METER' 1" = $185.00. 2" TURBO = $846.00 3 =
PERMIT FEE
FIGURE SURCHARGE AT 60 CENTS FOR EVERY $1,000 OF PERM R FEE DUE STATE SURCHARGE
TOTAL
I hereby acknowledge that I have mad this application, state that the information is correct, and agree to comply with all apl
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages a
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/es
SITE ADDRESS: 3o,?S -1 be,- -, I 'rJ .
TENANT NAME:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
P
lo?Qs S6
STATE:
g 3 s8'
Repair
Jar
OFFICE USE ONLY • REVERSE SIDE
STE.#:
TELEPHONE #. Jr
$_ a5-?
S D. ?
$
S
S
S ?- ,7o
$", -
!icable City of Eagan ordinances
ised by the City during is normal
ement.
, /y7.)
:IP:
l
/D'/ (T ICY
?CP.z .
OFFICE USE ONLY
PLUMBING PERMIT (COMMERCIAL)
JJ
METER SIZE PRV Yes No
Domestic
irrigation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ON YI
REVIEWED BY
Building Inspector
Date
To determine meter size
• See if it is indicated on back of Building Inspections card
• Enter address in PIMS Screen 301 to obtain S&W permit #
• Check PIMS Screens 110 (Remarks)
• If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing
Inspector if Licensed Plumber does not know GPMs.
Before sellina meter
Check PIMS Screen 320 for aaaroval of inspection results. No meter will be sold before afl sewer and water inspections are
complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write
meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk.
Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing
Clerk.
Miscellaneous Information
The installer is to contact Building Inspections at 681-4675 for inspection of the inside waterline and backflow preventer. The
Public Works Department may be reached at 681-4300 for water turn-on.
If meter is over 518, call Public Works and let them know so they can tell you if they have one in stock before plumber goes
over there.
CITY USE ONLY
LOT /S BLJ PERMIT #: 1-10'7 a -S MLA
SUED. / i 4-, Jeer iA) C RECEIPT #: n641 ?0
RECEIPT DATE: I -3'{7D
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NN 55122
'/ V? 651-681-4675
'I?1
Date: `i
Complete this section only if you are installing HVAC in a single family dwelling, tl wnhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair
Furnace 4-
- Air exchanger -
Other
single-family dwelling,
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: 9)on -T u&?kmv ?Y\
OWNER NAME: PHONE #: 1
nn 4 (AREA CODE)
JZ,
INSTALLERNAME: MCW yA\ lJ1tC?Yt? (hiSXV? PHONE #:
n (AREA CODE)
STREET ADDRESS: Y .I? . P?hX V'A
CITY:STATE:
SIGNATURE OF PE TTEE
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
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 S30.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= S (Base Fee)
State surcharge calculate at S.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (DAPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
21P:
SIGNATURE OF PERhIITTEE
CITY USE ONLY
LOT 5 BBL PERMIT #: qC
SUBD. Jl//yl/JerL0oo) U, /ICIGt 2_ RECEIPT #: 1 5
RECEIPT DATE: 4I I Cc
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN 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. I
• HVAC: 0-100 M B T IJ $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
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
i Furnace X Air conditioning
Air exchanger Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME: C,4-"o Co?d. o &a 2, on PHONE #:
14 (WA-C
INSTALLER NAME:- P G V4?/ I$? Dh1k1. V7 , PHONE #: - M1
(AREA
STREET AD`D'R,,E?S/S:
CITY: ,?1`t,II tG STATE: w
ZIP:_
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
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.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (RAPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERNHTTEE
CITY USE ONLY
LOT ?HL J PERMIT #:
SUBD. ,n4 I/?'- 1 l(/a RECEIPT #:
RECEIPT DATE: ?a -
2000 MECHANICAL PERMIT (RES
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
?? (L -7-V a 0 651-681-4675
Date:
Complete this section only if you are installing HVAC in a single family dwelling, t wahome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an exi
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair
Furnace MDD t-1 F11"t4-cam WO`klT62 Air c(
Air exchanger Other
Fee
State Surcharge
Total
Reminder: Call for inspections
SITE ADDRESS: 3023 ilM6C?WDbD iAL- ?ALRr?
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
SE r-F
single-family dwelling,
$ 30.00
.50
$ 30.50
PHONE #:
(AREA C( 11
PHONE #:
e - 183Y
STATE: ZIP:
J1J1_EY
SIGNATURE OF
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #.
RECEIPT*
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
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.
Underground tank removallinstallation = minimum fee
Contract price: S x 1%= $ (Base Fee)
State surcharge
TOTAL $
SITE ADDRESS:
calculate at $.50 for each $1,000 Base Fee
OWNER NAME: PHONE #:
(AREA cODEj
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _ N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP:
CITY USE ONLY
PHONE #: -
(AREA CODE)
O
dJ
G'
O
C
Ca
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT l? BL ( PERMIT #: yo DI 1 101(5
SUED. V/Jl?aood I/' I ?GIG? ¢ RECEIPT #: (a rJJ??Y??
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN Pod 55122
?TZ17
Date: 651-681-4675
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 B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
i
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
4 Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
Repair _ Oth Ir
Air conditioning
Other
Fee
State Surcharge
Total
OWNER NAME: PHONE#:
INSTALLER NAME: i r7 / N?Pf ?fQl+?1h1 l (1?W Li*! PHONE #:
STREET ADDRESS:
$ 30.00
.50
$ 30.50
All b'SlcD
CITY: A ?STATE: i ZIP: TZ?)-n_
SIGNATURE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT # _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for. all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
- Processed Piping
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.
Underground tank removal/installation = minimum fee
Contract price: 5 x 1%= $ (Base Fee)
State surcharge
TOTAL $
SITE ADDRESS:
calculate at $.50 for each $1,000 Base Fee
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (13"ROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
(AREA CODE)
STATE:
ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL PERMIT #; / O d?o l M6
SUBD. % /;Y? .I J r f J r
yl?t) `I ?I G1D10 RECEIPT #: I C7 S5? Y?
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN Doi 55122
111&0 651-681-4675
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 B T U
ADDITIONAL 50 M BTU
30.00
6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an existlg single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
O New Alteration
-10 Furnace
- Air exchanger
Fee
State Surcharge
Total
Repair - Other
6 Air conditioning
Other
Reminder: Call for inspections
SITE ADDRESS
$ 30.00
.50
$ 30.50
OWNER NAME: PHONE #: I
INSTALLER NAME: kfn'A)12Q (114 IU0. r clT?L?We, cooE>
PHONE #:
(AREA CODE)
STREET ADDRESS: 9n
CITY: STATE: ZIP: /.
GNATURE O PERMIT-ME
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
Processed Piping
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.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%=$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE M
(AREA CODE)
STATE:
21P:
CITY USE ONLY
SIGNATURE OF PERMIT-ME
*b 17
TO:
FROM:
DATE:
MEMO
city of eagan
FILE
DALE SCHOEPPNER, SENIOR INSPECTOR
AUGUST 6,1997
SUBJECT: WATER METER FOR CLUB HOUSE
TIMBERWOOD VILLAGE
3025 TIMBERWOOD TRAIL
LOT 15, BLOCK 1, TIMBERWOOD VILLAGE
A 2" turbo water meter has been issued for irrigation of the Timberwood Village site. Al Herrmann
requested that this meter be transferred into the clubhouse building when it is built. Al was
informed that the water bill will reflect sewer and water charges on all water flowing through the
meter.
The following charges will be credited to the building permit for the clubhouse when it is issued:
WAC - $780.00
Water Treatment Plant - $420.00
Water Permit - $50.50
Senior Inspec
DS/js
CC: Diane Downs, Utility Billing Clerk
OFFICE USE ONLY
' L ? `c ? B / RECEIPT#:
SUBD? `???` "v RECEIPT DATE: 7 / mil 7
1997 PLUMBING 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 _W required for each dwelling unit.
. backflow preventer to be installed in commercial areas or residential boulevards
DATE: 7-Y- 9 [1 //
DESCRIPTION OF WORK: .flog i?+orir r
WORK TYPE: _
6,//
Add-On _ Repair
rh l?.riyg}/bn
IS WATER METER REQUIRED? Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes _ No
UNDERGROUND SPRINKLER SYSTEM '
INSTALLING METER? 4 Yes _ No. NEW SERVICE? & Yes _ No WATER FLOW: 60 GPM.
Pressure Reducing Valve may be required If installing new service - contact City's Engineering Department at 6814646.
FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE
FEES
Minimum fee of $25.00 or 1% of contract price, whichever is greater. Minimum Slate Surcharge of $.50 due on all permits.
CONTRACT PRICE: S x 1% = $
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
BACKFLOW PREVENTER FEE -713- s z Z p S 25.00 = $ C?5. 0-10
WATER PERMIT (new service only) d 5 . 50.00 $
• J-'?
WAC (new service only - per connection) 3 8? zza 780.00 = S U.
WATER TREATMENT (new service only - per connection) 9 7,0420.00 = $ s 7`(t2n. e-u
CITY INSTALLED TAP SUy' 300.00 $
METER: 1$185.00, 2" TURBO = $846.00 3 S. ;T,11 Co. ow
PERMIT FEE $
FIGURE SURCHARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT FEE DUE STATE SURCHARGE $ TOTAL $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities ?to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 345- /-, fjP/i.-Doff/ ?l
TENANT NAME: STE. #
OWNER NAME:
INSTALLER NAME: It tv/'rN? TELEPHONE M SSl ?7
STREET ADDRESS: IOS'?s .564 ?/
CITY: 7llf STATE: ZIP:
OFFICE USE ONLY. REVERSE SIDE
S 2007 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
-7 651-675-5675
Date -_ O l t_T?. /, I I
Site Address Unit #
Tenant Name Former Tenant Name
Property Owner I Telephone # ( )
Contractor LA)t1 d (VXVl 54X'5 0110111,~ j
?t { (? { C; (NnQr t wQ,+/ t ' Address City
State Aj',J Zip __t ? Telephone # (76-? 7 r-n Z?
License # ++ rr `f 061-( PM Expires: ? Z-31-0 -7
The Applicant is Owner Contractor Other
Work Type w Bldg _ Modify Space -Irrigation System** Yes _ No Work in public r-o-w /easement?
Nz _ PVB: _ New - Repair/Rebuild _ Replace _ Remove
{ Rain sensors are required onnirrigation esystems
n
Description of Work ^t` R PZ /may tU ?f L' ? hl?^ C'l1 Y
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter 174.00
Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No
Flushometers - Yes - No PRV Required _ Yes -No
Permit Fee $50.50 mini mum (includes State Surcharge)
Contract Value $ "JI 0U • oO x 1% 5b,0(2 Permit Fee
j Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
$ State Surcharge
If permit fee is less than $1,000, surcharge is $.50
If oermn fee is more than $1,000, surcharge is $.50 for each $1,000 owed.
-------------------_---------------------"---------------`----------------------------------`--------------_----------------------------"-----------
Following fees apply when installing new lawn irrigation system $ Water Permit
Call the City's Engmeering Department, 651-675-5646, for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ 5b, 5D Total Fee
I hereby apply for a Commercial Plumbing Petmrt andiojj?dd h i i complete and accurate, that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the bihC t is 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 the approved plan m the c f woork w ch requires a revicwand approval of plans.
:501 d,-1 JUN 12 tuui
Ap licant's Printed Name Applicant's Signature
CITY USE ONLY
REQUIRED INSPECTIONS: U.G. Air Test Gas Test Rough In Final
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $136.00 4-120 1-1/2" irrigation cyst $ 855.00
displacement or turbine** Public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential 5219.00 1/4 to 160 2" compound bldgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irrigation systems
5-100 1-112" 25-64 unit bldgs 5532.00
maximum displacement &
continuous most comm bldgs
50
METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound -200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00
verylarge very large
comm bldgs comm bldgs
15-1000 4" turbine very large $2,533.00 6" turbo $4,090.00
irrigation systems
& production lines
Uomments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, call 651-675-5200.
cc: Utility Division Systems Analyst December 2006
Reliabuilders 952-226-5514 p.3
Use BLUE or BLACK Ink
For Office Use
411' Permit 0: I 13 061
City of Eaau Permit Fee: 3c,
3630 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
` J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-31-17site address: 3019, 3021, 3023 & 3025 Timberwood Trail units!:
s Name: Advanced Innovative Management Phone: 651-739-5544 i
E Resident/ a
Owner Address/City/zip:
1303 Geneva Ave. N. Oakdale, MN 55128 i
L--------- I Applicant is: Owner X Contractor
.. i Remove and replace roof
Type of Work j Description of work: 1
i Construction Cost: 35'000.00 Multi-Family Building:(Yes x 1 No )
i; Reliabuilders Construction, Inc. Jason Michels
E Company: Contact
I Address: 3351 Griggs St. S.W. City: Prior Lake
Contractor I
i State: MN Zip: 55372 Phone: 612-581-6255 Email: jason@relia-builders.com
E
BC650191 R-I-30358-13-00160
i License#: Lead Certificate#:
r If the project is exempt from lead certification, please explain why:
N/A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
i
i Yes No If yes,date and address of master plan:
i
i Licensed Plumber: Phone: 1
Mechanical Contractor: Phone:
• Sewer&Water Contractor: Phone:
i Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. -.I
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.aopherstateonecall.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 wit 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,
.Eason Michels
x x111'
Applicant's Printed Name Ap Ircant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177581
Date Issued:07/08/2022
Permit Category:ePermit
Site Address: 3019 Timberwood Tr
Lot:060 Block: 02 Addition: Timberwood Village
PID:10-76800-02-060
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
James L Sr & Shirley Eilola
3019 Timberwood Trl Unit 60
Eagan MN 55121--190
(952) 334-5193
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature