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3051 Timberwood Tr
City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Office Usd Permit #: Permit Feer 7: Date Received: Staff: 2010`RESIDENTIAL BUILDING PERMIT APPLICATION `0 Date: 8-7 — Site Address: 305 / woo ( ra i Tenant: Also cjd-es 3453 4 3° 3057 Suite #: RESIDENT / OWNER Name: .l ` 4lb ?r ril a V r ija ,. Phone: 6,3-7 - i- -1 7sti Address / City / Zip : 30 57 t .05-.3 ` 3 d 5S, So 5-7 T' .6*r-- _4 Applicant is: Owner ` Contractor Thr 1 6 TYPE OF WORK Description of work: R. e le Construction Cost: �v`�ffv Multi -Family Building: (Yes X / No ) CONTRACTOR Name: c 1 k►'lctot 14 8 ©S 44.t1&tc ``iense #: c9.017 CO( Li Address: /7`5[ 3 PO 6d/C) C % City: far -c,` tib, iai''l State: I X� Zip: 550EL Phone: 6./ `8Q 1 --- 65-8 Contact: $ Email: ,574- Ve E hf`rieftk &?'5, COlii COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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. 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.00pherstateonecall.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 i of 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 pns. x f, -"e (,4 Applicant's Printed Name x Ap licant's Signature age 1 of 2 Address '105 1 T i m b p r w n o rl Trail Zip 5512 1 Lot 12 Blk I Sub Timberwood Village THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: -6 Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 1999 BUILDING PERMIT APPLICATION (RE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Reoak Rey ? 3 registered site surveys showing sq. R. of lot, sq. H. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy cal ? 2 copies of plans (show beam t window sizes; poured Ind. design; etc.) t site survey for exte 1 set of energy calculations D 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: d C r06.?c z / . l P 9 9 CONSTRUCTION COST:? DESCRIPTION OF WORK: L? " r C o• GCp v i ct STREET ADDRESS: ?U / 30 S 30 SS 0I7 T m hah A ck LOT: BLOCK: SUBD./P.I.D. #: 3A /.) tic 4 a/0 , i J444 .xwco (/'//aa v Con ?OM PROPERTY OWNER Name: Co//aac f/?. r o s fa4itsf of 4 A -Y Phone #: Lost First Street Address: City 26?c #i L/, 431.13 Ions for heated additions additions a decks O e3o_ 0 / 6 Zip: 5-3-,V 3 9 State: /N" Company: 0o 224-,2, Phone#: G/ ( CONTRACTOR Sheet Address: 7) D l O 14 f Law e "6eIFC0 License t v/ ?j o79 City State: zip: ??/N f ECT/ EK EN.?IN INEER Company: Name: Telephone #: area code ( 6 r/ ) c/ 3-2- Street Address: l q7 `750 Ga / G uir /4 ye Registration #: City 4,01, !/%/6' State: 141^ .Sewer E water licensed plumber (required for new construction only : Penalty applies when address change and lot change is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No lot Required 42 /k d ye ( to c9mply with all applicobl OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation '91-1?06 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 H 31 N ? 35 T ' ew enant Impr ? 39 Gas Line On ly ? 43 Siding/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 hando ut to applicant for demol ition permit GENERAL INFOR MATION Const. (Actual) iv Basement sq. ft . ?3`s 0 Census Code 1 ?I (Allowable) Win/ N Main level sq. ft . 6760 SAC Code UBC Occupancy •-&A 1 Ll sq. ft. 1S-4o No. of Units v Zoning PA sq. ft. No. of Bldgs 1 # of Stories 1 sq. ft. MC/ES System Length i o:0' sq. ft. City Water Width -?6 ` Footprint sq. ft . < oz Booster Pump PRV Fire Sprinklered APPROVALS G - Planning Building 2) 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: $ ?yS /Sr0 , AVM\'Y? Sr, ,yL v.., .tS 5.. ?.L !y7 32•Sx13=yzZ rGJS x46 ?Kx? by zSx6 lSO S, 3) 'S _ If3 /SC,o"Sq 00X2 yg?.??Ses 2v x23=yGr; 140X l?,???6G Xy ?`?1y4p LOwe.? Iz -? I zo, -)S x F ^ IS 1 3;.5 13 = 4z z .7 S K4/U c670 1Nx7 c, 5' Zs r6 = 150 S,- 31,S 3 16yUy'/S = 25,3-solr S01700 M.h SG. ?L c,s A ??vL F?? Sfti?..? toc?c?l l6kU?.S`I_?12C6x?-I?rZiSZU SAC Units % SAC 99-226y r MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Soft}aare Version 2.0 Minnesota Demartment of Public Service 1-612-296-5175 1-800-657-3710 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Multi-Family DATE: 5-11-1999 DATE OF PLANS: TITLE: Plan: n99-226Y3 PROJECT INFORMATION: "The Fairmont" [basement urii COMPANY INFORMATION: Cottage Homesteads NOTES: Energy calc to follow per individual unit COMPLIANCE: PASSES Required UA = 450 Your Home = 346 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ----------------------------------------------------------------------------- CEILINGS 1708 44.0 0.0 47 WALLS: Wood Frame, 16" O.C. 1817 19.0 2.0 94 Page 1 r is GLAZING: Windows or Doors 303 ? 0.350 106 DOORS 40 0.350 14 BSMT: 3.5' ht/3.0' bg/3.5' insul. 168 10.0 12 BSMT: 8.0' ht/7.5' bg/8.0' insul. 1344 10.0 73 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer NEW HOME FIELD,INSPECTION ENERGY CHECKLIST Date MINIMUM REQUIREMENTS OPTIONAL (CATEGORY 2) (CATEGORY 1) I FOUNDATION: I [ ] Exterior foundation wall insulation installed: R- [ J Slab-on-grade insulation installed: R- [ ] Ducts in slabs have R-5 insulation bottom and sides I I PENETRATIONS: I [ ] Window and door frames sealed I [ ] Foundation rim joist sealed airtight [ ) Framed wall openings into attic I [ ) Upper story band joists sealed I sealed airtight Page 2 99-226y is 6 [ ] Other joints in wall sealed [ ] Dropped ceiling air-blocked [ ] Plumbing penetrations sealed [ J Exterior walls behind tub and shower sealed [ ] Plumbing vent stack sealed ( ] Chimney flues sealed at ceiling ( ] Perimeters of all grills and registers sealed to vapor barrier [ J Electrical service sealed [ ] Recessed light fixtures sealed ( ] Wire penetrations into attic sealed [ ] Telephone, cable TV penetrations sealed [ ] Fans sealed where vapor barrier penetrated [ ] Ceiling poly sealed to top of interior partition walls I I I I I I I I I I I I [ ] Electrical boxes sealed to vapor barrier I f [ ] Fan housings air sealed I I NEW HOME FIELD INSPECTION ENERGY CHECKLIST PAGE 2 MINIMUM REQUIREMENTS (CATEGORY 2) INSULATION: [ ] Vapor barrier installed [ J Interior foundation wall: OPTIONAL (CATEGORY 1) Page 3 99-226y ( ) Vapor barrier installed ( ) Insulation installed: R- ( ) Moisture barrier installed I Attic R- - Attic bags Floor R- Wall ( )R insulation installed: card posted with proof of installed insulation installed: insulation installed: -19 ( )R-21 ( ) R- WIND WASH BARRIERS: [ ] Wind wash barrier installed at attic edge [ ] Overhangs (cantilevered floors and bay windows)have wind wash barriers MECHANICAL: [ ] Ducts running outside conditioned space sealed and insulated with minimum of R-8 [ ] Returns in same space as furnace sealed [ ] Ducts in unheated spaces [ ] Water heater has pipe insulation or heat traps installed [ ] Furnace AFUE: [ ] Central Air SEER: [ ] All exterior joints in building envelope sealed [ ] Residential mechanical ventilation system installed (Mandatory if one or more item in this column is checked) ----NOTES TO FIELD (Building Department Use Only) ------------------- Page 4 MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 2.0 Minnesota Department of Public Service 1-612-296-51-15 1-800-657-3710 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE DATE: 5-11-1999 DATE OF PLANS: Multi-Family TITLE: Plan: 498-1120y-5 PROJECT INFORMATION: "The Fairmont" C-slab unit COMPANY INFORMATION: Cottage Homesteads NOTES: Energy calc to follow per individual unit Permit v Checked by/Date COMPLIANCE: PASSES Required UA = 480 Your Home = 385 Area or Insul Sheath Glazing/Door - Perimeter R-Value ------ R-Value U-Value UA --------- - ------------ CEILINGS ----- ------------- -------------- 1708 --- 44.0 --- - ----------- 0.0 47 WALLS: Wood Frame, 16" O.C. 1643 19.0 2.0 85 Page 1 I? GLAZING: Windows or Doors 261 0.350 DOORS 40 0.350 SLAB FLOORS: Heated, 92.0" insul. 216 10.0 --------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is?consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer 11 NEW HOME FIELD INSPECTION ENERGY CHECKLIST Date MINIMUM REQUIREMENTS I OPTIONAL (CATEGORY 2) (CATEGORY 1) I FOUNDATION: I [ ] Exterior foundation wall insulation installed: I R- [ ] Slab-on-grade insulation i installed: R- [ ] Ducts in slabs have R-5 insulation bottom and sides I I I PENETRATIONS: I [ ] Window and door frames sealed [ ] Foundation rim joist sealed I airtight [ ] Framed wall openings into attic I [ ] Upper story band joists sealed I sealed airtight [ ] Other joints in wall sealed I 91 14 148 Page 2 ?J-11=Vy [ ] Dropped ceiling air-blocked h [ ] Ceiling:'poly sealed to top of interior partition walls [ ) Plumbing penetrations sealed [ ] Exterior walls behind tub and shgwer sealed [ ] Plumbing vent stack sealed [ ] Chimney flues sealed at ceiling [ ] Perimeters of all grills and registers sealed to vapor barrier [ ] Electrical service sealed [ ] Recessed light fixtures sealed [ ] Wire penetrations into attic sealed [ ] Telephone, cable TV penetrations sealed [ ] Fans sealed where vapor barrier penetrated [ ] Electrical boxes sealed to vapor barrier [ ] Fan housings air sealed NEW HOME FIELD INSPECTION ENERGY CHECKLIST PAGE 2 MINIMUM REQUIREMENTS (CATEGORY 2) INSULATION: [ ] Vapor barrier installed ( ] Interior foundation wall: ( ) Vapor barrier installed OPTIONAL (CATEGORY 1) Page 3 J J- 1 1 L V} ( ) Insulation installed: R- ( ) Moisture barrier installed a [ ] Attic insulation installed: R- [ ] Attic card posted with proof of bags installed [ ] Floor insulation installed: R- ( ] Wall insulation installed: ( )R-19 ( )R-21 ( ) R- WIND WASH BARRIERS: [ ) Wind wash barrier installed at attic edge [ ] Overhangs (cantilevered floors and bay windows)have wind wash barriers [ ) All exterior joints in building envelope sealed MECHANICAL: [ J Ducts running outside conditioned space sealed and insulated with minimum of R-8 [ ] Returns in same space as furnace I sealed [ ) Ducts in unheated spaces I [ ] Water heater has pipe insulation I or heat traps installed [ J Furnace AFUE: [ J Central Air SEER: [ J Residential mechanical ventilation system installed (Mandatory if one or more item in this column is checked) ----NOTES TO FIELD (Building Department Use Only) ---- Page 4 PROPERTY LEGAL LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION h DATE OF SURVEY: H w LATEST REVISION: - tx p DOCUMENTSTANDARDS O t y - ( ' : Registered Land Surveyor signature and company c/ 0 ? Building Permit Applicant ? Legal description ? Address ? North arrow and scale g . ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) m/y ? Directorial drainage arrows with slope/gradient % ? Proposed/existing sewer and water services & invert elevation ? ? Street name MI/i ? Driveway pp ? Lot Square Footage m/? ? Lot Coverage ELEVATIONS Existing ? Sewer service (or Proposed) q? ? ? Property corners ? c Top of curb at the driveway Elevations of any existing adjacent homes ? m? ? Adequate footing depth of structures due to adjacent utility trenches Proposed / ? 1 r ? ? Garage floor d ? ? First floor a/ ? ? Lowest exposed elevation (walkoutWndow) V. '? 11 Property corners ? ? Front and rear of home at the foundation / PONDING AREA (if applicable) v? ? Easement line d ? ? NWL ? Lip HWL ? Pond # designation ? LrY ? Emergency Overflow Elevation / DIMENSIONS fY ? Lot lineslBearings & dimensions o ? ? Right-of-way and street width (to back of curb) Ir'? ? 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 IR/ 0 Setbacks of proposed structure and sideyard setback of adj nt existing structures ? e ? Retaining wall requirements, if any Reviewed. I? March 1999 CRAnMELDOMMUM HOUSE STAKING / SITE PLAN FOR: COTTAGE HOMESTEADS LEGAL DESCRIPTION: LOT 12, BLOCK 1, TIMBERWOOD VILLAGE, DAKOTA COUNTY, MINNESOTA. HOME F OR LEGEND ¦ - Denotes wood hub set • - Denotes iron pipe set O - Denotes iron pipe found - Denotes direction of flow X9565 - Denotes existing elevation , 411j,4 j??,q AG Bgr ? J 9Z P p m / ?I URAfNACf v / peR P?ATASffNT 0 `. 0 N 0 to i LO T 12 a??h3, / seas - Denotes proposed elevation sass - Denotes proposed elevation varying from development plan 906.5 - As built elevation l y ? O' 9.3 aW ? ? 9S ? 6,2`s eye] wp a °0g 93.2 a 9Be e . ,ram e?h .. 895.5 prn `` w 8?97 f e / ry 0a/ 6 i89 e ? /rye ro x B89 4 ' h \ g d9a 04'03 Lot area 38,042 */- Sq Ft Building foundation area 8,992% Sq Ft LOT 11 EXISTING BUILDING (SLAB) [w D\,Y ?? 'p 897.4 _. ( . l 8 a 895. 897.8 8 b? 8] Q h m. > 2 2 TO / / z a °o q se9r spr `? / O ??4?2 // e98 Orl , 6? azi, 0) 40 4 O m 897.7 v y 70 89 . / / / e / '30 s ) 30557 (SLAB) PoO kt< DEVELOPMENT PLAN PROPOSED AS BUILT VARIANCE House Type - SLAB/WO SLAB/WO Bsmt. Floor Elev. - 889.7 Garage Floor Elev. - 897.8 897.8 Entry Floor Elev. - 899.0 899.0 Top of Foundation - Wolk-out Elev. - 889.7 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 of Minnesota. Reg. No. ZG 7 Z Y' Dote /? °s ,tNjp, (WALKOUT) pWdat'l;y 7Raf MBfgw S(6, X PROPOSED (WALKOUT) r. 897.3 ry' o, s°rer ??? 896 6 °Poee °n r ° acr 6 897 0 ?s h e °9> I 898.3 89]. 1 etiutm9 dllumNpye 098.9 EE 897.8_ SETBACKS REQUIRED PROVIDED VARIANCE Front - Side Garage - House - Rear - As built information shot on: By PROJECT NUMBER 94162 Designers e4roc" Planners Surveyors Designers A_Aft&'Aff / Archeologists 720D Beulack lane, Suite 300, Maple Cron, Minnesota 55769-5592 Telephone: (612)424-5505 Fes: (612)424-5822 v NORTH 0 30 SCALE IN FEET DEPT; LOT 13 VACANT 311 31 t w 10 U BUILDING uos\?46 TgMf 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. 'Ir"t-IVtU NOV 1 0 99 elllll, CITY USE ONLY LOT I2 BL SUBD. /lnik-LA)Ood 1110,0 o f PERMIT #: RECEIPT #: I ?70 -73 RECEIPT DATE: '?f5_a cc' DV 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: Complete this section onl 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.) State Surcharge Total $ 30.00 6.00 + .OD .50 $VVP y) 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 Furnace Air exchanger CITY OF EAGAN 3830 PILOT KNOB RD EAGAN HN 55122 651-681-6675 Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call f7orr,inspections SITE ADDRESS: bffjin, "?N?WKMQ 1 WA L OWNER NAME: PHONE #: (AREAtCODE) ?!?.k???l?),??nllu. tA\ PHONE#: J5 *j_S= INSTALLER NAME: p?"hcn STREET ADDRESS: i .O y?- ` o. '' t A (APEA CODE) CITY: WU7a STATE: W? zip: "5?33`e\_ SIGNATURE OF ERMI Repair - Other Y/0` 1 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 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: $ 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: TNSTAT .T .FR ADDRESS: PHONE #: (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT 1 BL / PERMIT #: / IDS C) SUBD. Fl/1/l/l2i'M.bDO/ RECEIPT #: 1 3073 RECEIPT DATE: S J ) & 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: 51 u+ 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.) State Surcharge Total $ 30.00 6.00 ?ro .50 $ Complete this section only if you are remodeling, adding to or reoairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New - Alteration Furnace - Air exchanger _ Repair _ Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: ,A?>t??`?"?OQIJ?IC1 TY OWNERNAME: PHONE#: ( INSTALLER NAME:t 1A11lat 1/1Y1pC1 (?_ PHONE#:_- CtiJ??IW (AREA CODE) STREET ADDRESS: QO ft?3 CITY: STATE: W, ZIP: CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 OF PERMITTEE L BL SUED. 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 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: $ 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#: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT BL SUBD. /i'M rv?on / ! i/C?2 i PERMIT #: ql& -?' J RECEIPT #: 1 o-7 3 I I RECEIPT DATE: 5-')6 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: JI U" 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.) State Surcharge Total $ 30.00 6.00 !j2m .50 $ _VAL3? D 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 Furnace Air exchanger CITY OF EAGAN 3830 PILOT KNOB RD EAGAN tar 55122 651-681-6675 Air conditioning Other Fee State Surcharge Total • Reminder: Call for inspections $ 30.00 .50 $ 30.50 SITE ADDRESS: 1-be?-2 \t ]!ga/tAYf en `(M OWNERNAME: n PHONE#: CODE) t INSTALLER NAME: YD ?n ?ruK? lI? PHONE#:(AREA cjll ?'C5:54) (AREA CODE) STREET ADDRESS: D ?Qn& ?n CITY: e_ STATE: ?- ZIP: 1q TURE 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: l% 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: CITY USE ONLY PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT ?BL / PERMIT #: SUBD. r;iilhellA)00d 1/r?1640 RECEIPT #: 136731' RECEIPT DATE: 5 (Q' GO 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 W^ ,? 651-681-4675 Date: LILY 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.) State Surcharge Total $ 30.00 6.00 Paz .50 $vw- 33"50 Complete this section on! if you are remodeline, adding to or reoairin¢ an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair Furnace _ Air exchanger Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: W531? uwIni M OWNERNAME: INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: (AREA CODE) PHONE #: J2?'_- 4F2 -row (AREA CODE) STATE: VVUV \ ZIP:r'f3p ?\_ OF PERMITTEE CITY USE ONLY L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD RAGAN, MN 55122 651-681-4675 Please complete for. all commercial/industrial 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%=S (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 #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY / L ? ? ? B ? RECEIPT #: SUBD. / 2Y n?Gl& RECEIPT DATE APPROVED BY: INSPECTOR PLUMBING PERMIT # 2000 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 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: 3 ?Z ?cEi Work Type: X- New Bldg. _ Add-on _ Repair _ U.G. Sprinkler Ie_ RPZ Description of Work: ,t_2.e o0?4tJ/--I 6JA_)e'i4OA- l/[?1L2/T ro.artLvme YJ?z& To inquire if Pressure Reducing Valve is required on new service, call 681-4646. FEES 1% of contract price or $30.00 minimum Contract Price: $ 26, ooy r x 1 % = $ Z o12 IF Base Fee Water Meter: 2" Turbo - $897.00 unless plan approved for smaller size 1-1/2" Turbo - $ 726.00 Service: _ existing (if coming off domestic line) OR _ new If "new service contact Jerry Wobschall. Finance Consultant, to confirm addin¢ lees for Water Permit & Surcharge $ 50.50 Water Supply & Storage $ 840.00 Water Treatment Plant Charge $ 492.00 cc: Diane Downs, Utility Billing -underground sprinkler permits $ 30.00 Base Fee S Z w °= State Surcharge State Surcharge $ r> $.50 minimum; calculate at $.50 for each $1,000 Base Fee Total Fee S P e- v . Sy 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: 305-1 1 5- 3 5 S S!?? Tj'4a b .e v c0 ov? 7'/Z f-/ 4 TENANT NAME: Cv &?_4 P o.tt -eS TELEPHONE #: (AREA CODE) INSTALLER NAME: 1, r r gl6&t l ? 10 TELEPHONE #: & 7 oo4:2 (AREA CODE) STREET ADDRESS: J I /<--t / ?} tJ 5 O1J G 7 CITY: 12y5TL STATE: ZIP: SS y? SIGNATURE OF PERMITTEE CITY USE ONLY DOMESTIC METER SIZE: COMPOUND TURBO • Contact Utility Billing Division for price: 651- 681-4631. HMGATION METER SIZE: • 2" turbo unless approval for smaller meter granted by Public Works. • Contact Utility Billing Division for price: 651-681-4631. PRV: Yes No PRIOR TO SELLING A METER: • On Permit Entry screen, enter site address to look up sewer and water permit #. Select S&W Permit and check that hydrostatic and conductivity tests have been approved. If not, do not issue meter. Miscellaneous • Meter larger than 5/8" - 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 651-6814675. • To schedule water tum-on, call 651-681-4300. CD/Permil forms/plbg permit (comm) 2000 CITY USE ONLY PERMIT #: i-4 RECEIPT DATE: I `" _?" l -6 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EACAN 8$80 PILOT KNOB RD EAGM, MN 551 EE 651-661-4675 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: //- 20-<Z) / WORK TYPE ? New Bldg _ Add-on _ Repair _ RPZ _ PVB Irrigation system Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK /S To inquire if Pressure Reducing Valve is re METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Fire Size & Price on new service, call 651-6814646 Avg GPM 3/4" displacement $149.00 Domestic Size & Type _ Does this include high demand devices? _ Yes _ No Avg GPM FLUSHOMETERS _ Yes \4- No PRV REQUIRED Yes No 30 3 ? - _5 Site Address: e i W ?o3 Tenant Name: G a L o ?s ? ? ve / l ? n Telephone #: C? I Z -? ?/ . ?) 2 (Area Code) Was there a previous tenant in this space? Y?, N. If Y es, Name: _ Installer Name: 4??4 C / es Telephone #: (Area Code) Installer Address: City: FEES Contract price $ x 1% ($50.00 min) Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Supplementary fees if installing irrigation system: State: //H. Zip Code lis_? C Plbg Permit Meter(s) Radio Meter Read State Surcharge Total $ S S Water Permit Contact Jerry Wobschall at (651) 681-4624 regarding fee S 50.00 Treatment Plant $ 516.00 Water Supply & Storage $ State Surcharge $ (?/??J.50 Total $ ' J 1 hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed a is permit within City prope a right-of-way/easement. SIGNATURE OF PERMITTEE IRRIGATION SYSTEM (CONT) 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- $153.00 (Acct Code # 9220-4509) • Water meters include copperhom/straincr, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine" **must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines IS 3-50 1" displacement very Ig res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $428.00 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 Ig irrigation syst $1,184.00 6.500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water turn-on, call 651-6814300. cc: Kris Forster, Maintenance Division Clerical Technician Update[ 9/01 PERMIT City of Eagan Permit Type:Building Permit Number:EA108473 Date Issued:12/10/2012 Permit Category:ePermit Site Address: 3051 Timberwood Tr Lot:048 Block: 02 Addition: Timberwood Village PID:10-76800-02-048 Use: Description: Sub Type:e-Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Billy G Cunningham 3051 Timberwood Tr Eagan MN 55121 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature Reliabuilders 952-226-5514 p.3 Use BLUE or BLACK Ink For Office Use 1-1 Permit 4011'City of �"�"'a Permit Fee: 7v <�'`••'> 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Stat ` J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6-1-17Site Address: 3051, 3053, 3055 & 3057 Timberwood Trail unit#: I Name: Advanced Innovative Management Phone: 651-739-5544 I 1Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128 Owner Address/City/Zip: 1 1 : Applicant is: Owner X Contractor Type of Work ` Description of work: remove and replace hail damaged metals from roof. t r 5 000.00 3 t 1 Construction Cost: Multi-Family Building:(Yes 1 No___) Reliabuilders Construction, Inc. Jason Michels Company: Contact lI i Contractor , Address: 3351 Griggs St. S.W. � ,; Prior Lake I, state: MN gip: 55372 Phone: 612-581-6255 Email: jason@relia-builders.com 1 BC650191 R-l-30358-13-00160 ' License#: Lead Certificate#: i If the project is exempt from lead certification, please explain why: N/A t I 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? Yes No If yes, date and address of master plan: , r ll Licensed Plumber: Phone: I t , Mechanical Contractor: Phone: i I 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 I the information may be classified as non-public if you provide specific reasons that would permit the City to I conclude that the 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. w w,gocherstateonecall.ora 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 Stale Building Code must be completed within 180 days of permit issuance. xJason Michels x uA q),- Applicant's Printed Name App cant's Signature Page 1of3