1167 Timbershore Lane
INSPECTION RECORD 61&
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: I i•+
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' APPLICANT:
t i~ i ksl ~~f.t,
i ~ t~ l.~ ~ 1„ I 11 l~. i i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
F
L
J
Permit No. Parmit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inapsctlon Dm Insp. Commanb
FO071NCiS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
C3A5 SVC
TEST
I INSUL
i GYP BOARD
I
' FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG ~
OHSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG 8 S
DECK FINAL / •
CITY OF EAGAN Remarks
Addition 'i''imhPrRhnrP 4th Lot 2 eIk 2 Parcel ln 76503 020 QP
Owner A%'/%~^ Street 1167 Timbershore L~0""L State Eag3T1•MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1911 1 21.0 64,20 Paid
STREET RESTOR.
GRADING
3F 5AN SEW TRUNK Lat B 1973 2.1 21.61 1 Paid
r. SEWER LATERAL 2AA( 1 452.93 90.58 • d
* WATERMAIN Lat 1973 1
# WATER LATERAL 1
WATER AREA
STORM SEW TRK
STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COfVN. 120-
BUILQING PER.
sAC 260.00 961 1 12-18-73
PARK
CITY OF EAG4N Remarks O? I' J
additioh Timbershore 4th Lot 1 Rik 2 Parcel 10 *46W 010 02
Owner street ,1169 Timbershore LoLnL state Eagan,Mn 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, r ' 1~ ( 20 P3id
STREET RESTOR.
GRADING
*SAN SEW TRUNK 1973 2 1 21.61 1 Pa3.d
SEWER LATERAL n 8 Paid
# WATERMAIN Lat 1 1
*WATER LATERAL
WATER AREA 9
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 120.00 6 12-18-73
PER.
SAC 2 Q.QQ 9654 212-ld-73
PARK
CITY OF EAGAN Remarks
Addition Timbershore 4th Lot4 sik 2 Parcel 10 76503 OL.O 02
oWner Street 1171 Timbershore Lr`L. State Eagan~MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 21.0 64.20 5 Paid
STREET RESTOR.
GRADING
* SAN SEW TRUNK Lat B. 1973. 324.15 ?T . 1 15 P2id
SEWER LATERAL.
WATERMAIN 1
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 1 -1 -
BUILDING PER.
sAC 12-18-73
PARK
CITY OF EAGAN Remarks
Addition 'ILimharshnra 4th Lot 3 Blk 2 Parcel 10 76,'i03 034 02
OwnerJd'rt14'_ ' ) street 11Z3 Timbershore C.A+'-e . State Eagan,MN 5 123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 21 .0 20 P37.d
STREET RESTOR.
GRADING
*SAN SEW TRUNK Lat B 1973 2. 1 21.61 1 Paid
*SEWER LATERAL U ~ 452.93 90.58 • d
# WATERMAIN Lat 17-1 1973 15
*WATER LATERAL 1974
WATER AREA STORM SEW TRK
.yE. STORM 5EW LAT 1974
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN. 12 1 -18,,,
BUILDING PER.
sac 6 12-18-
PARK
i0 7&J-63 a~d o~
.
viLLaUE eF r:AcAN
3795 Pilot Knob Noad
Eagan, Minnesota 55122
PIItMIT N0. 37]
The Village o£ Eagan hereby grants to Thompgoa P1"inS Co. _
of 12201 Kim?etonka Blvd.
a pLUMBING Permit for: (Owner) Nea Hor son HOmee- Timbershore 87_89.
3694-96 Des~mark 6 1163-65 Timberahoza. 1171-73-69 6 1175-77-7 T1+ _
=e La~e
at1191-93-95-97 1199-1201-03-(~5 pA~~~~~ ~
I'ee Paid: 640.00 dated this 6th day o£ AuBuet , 19 73 •
16.00 e c
Building Inspector
Niechanical Permits:
riid Total: -
/o -)650-3
VILLAGE QF E(iGAN
3795 Pilot Knob ttoad
Eagan, Minnesota 55122
pEftiiIT N0. 373
The Village of Eagan hereby grants to Thomrson Pkv~kin& Co.
of 12201 Himatonka Slvd.
a pI,[JMBING Permit for: (Owner) Nea 8oxiaon ROmae- TimDereAora 87_89'
3694-96 Denmark 6 1163-65 Timbershora, 1171-79 67 1175-77-79-81, WPM ~1~9~D9~1~7~~~ Tim ra 1.ane
atllgl-93-95-97 1199-1201-03-(JS 8
Fee Paid: 640.00 dated this 6th day o£ AuBast , 19 73 .
16.00 e c
Building Inspector
Piechanical Permits:
iiid Total:
~v 7~5Z53 6 sO o~
VILLAGE OF' EHGA1J
3795 Pilot Knob ttoad
Eagan, piinnesota 55122
pffOIIT N0. 373
The Village o£ Eagan hereby grants to ThoM$on Yltl*inQ Co•
of 12201 Hianetonka Blvdo
a pI,UliBING Permit £or: (Owner New HoYison HOmae- Timbsrehorn 87_89'
3694-96 Des~mark 6 1163-65 Timberehora, 179 117~ T~~ 1 QTe ~ne
atl~l-93-95-97 1199-1201-03-95 p~M~73-6 ~]~-67~ Y---
Fee Paid: 640.00 dated this 6ih day of AuBuet 73 •
16.00 e c
Building Inspector
Niechanical Permits:
t3id Total:
i0 7(0563 D 30 G ~
TAII
VILLAGE QF ENGA1V
3795 Pilot Knob ttoad
Eagan, Nlinnesota 55122
PF3?MIIT N0. 373
The Village of Eagan hereby grants to Thomveon P14Aine Co
of 12201 Hinnatonke Slvd.
a pLUMBING Permit for: (Owner) Naat Borison HOmes- Timbsrehora 87_89,
3694-96 Denmark 6 1163-65 Timberehora, 1171 69-677
at1191-93-95-97 1199-1201-03-q5~W-kU-6W T1m re I.ane
Pee Paid: 640.00 dated this 6th day of AuBaet ,19 73 •
16.00 e c
Suilding Inspector
hiechanical Permits:
3~
Bid Total:
. ~ • l iM~jFiS/1!'/P
VILLAGE OF` etiGAN
3795 Pilot Knob x.oad
Eagan, Minnesota 55122
PERI4IT N0, 13KQ
The Village of Eagan hereby grants to r.rn. SoaoWi_ek xaa inE r.o.
of. 1001 Xenia Ava. So.. Mp1o, 55410
a gRATTNG Permit for: (Owner)_ New Horizon Homea - Timberahores
a69-7L-73 Timbershore Lai pursuant to application dated 7J9/73
Fee Paid: g80,00 dated this 30thda,y of ,Tuly ,19 73
2.00 s/c
Building Inspector
Niechanical Permits:
Bid Total•
3
7
UILLAGE OF r:AGA1V
3795 Pilot Knob ttoad
Eagan, Mi.nnesota 55122
PEftiM N0. ~HQ
The Village of Eagan hereby grants to rE,o_ .s,•,Q,,,trk aari„o co_
o£ 1001 Y,enia Ave. So._ Mpls. 55410
a xr.aTrN; Permit for: (Owner) ;vew Horizon Homes - Timherohores
atu~~~~_73 Tir.ibershore Lao Pursuant to application dated 7/9/73
Fee Paid: S30.2n dated this 30thday o£ ,Tuly ~ 79 73 .
2.00 s/c
Building Inspector
, Niechanical Permits:
~
ttid Tota].: ° ' ~-`~?~;y~T
- 4''• . . ~,--~•~~y ~
~ - e7l-
VILLAGE Ob' rAGN1V
3795 Pilot Knob xoad
Eagan, IvIinnesota 55122
PF.tZ14IT N0. '494
The Village o£ Eagan hereby grants to Gt,n_ t„d,.,~vk uo,r{no r.o_
O£ 1001 Xeaia Ave So n7c 55410
a Ha.arrvr. Permit £or: (Owner) ,1ew Horizon Somas - Timberuhores
atL1-67_69FZ73 TimUershore La~ pursuant to application dated 7/9/73
Fee Paid: &Q,pn dated this 30thday of ,Tuly ~ 19 73
2.00 s/c
Building Inspector
Niechanical Permits:
Bia Total:
. 7 ~rn t~ Pr_sh~,~ e
VILLAGE OF' EAGAN
379$ Pilot Knob ttoad
Eagan, Iviinnesota 55122
PERi4IT N0. •;~;q
The Village o£ Eagan hereby grants to c.eo_ gea~i • aaring,Co_
of 1001 Yenia"Lkve. So.. Mnls. 55410
a xFnmTYG Permit for: (Owner) .;ew Horizon Homes - Timberahores
atI167_0_71i5~~ 'PimUershore Lar Iursuant to application dated 7/9/73
~
Fee Paid: S30,p2. dated this 30thday o£ July , 79 73
2.!)0 s/c
Building Inspector
Niechanical Permits:
~
tiid 'Potal.
_
-7000(.G 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dweltings & townhomes/condos when pertnits aze required for each unit
Date -2 / ! 17 / _ os-
Site Address AA/VE Unit #
PropertyOwner 0 46N A /C//,41( Ak Telephone#(667 ) /pRO J Go23
Contractor /}C7cu ~ //T
StreetAddress City AQSomQcl/Ul
State / 11 N Zip 5_0 Telephone #(6-71 )8,Da
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-an or alterarion to existing dwelling unit $ 30.00
~ furnace _Additional X-Replacement
air exchanger
~ airconditioner _New /L Replacement
other.
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, 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. _
~ P~NE-F . l lc s ~.Q2«a
Applicant's Printed Name Ap 'cant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for, commerciaUindustrial buildings
multi-famity buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone H ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicaot is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ install _Remove "*see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When Insfalling/removing underground fank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: 570.50 Underground tank installation/removal
$50.50 Minrmum (inciudes Siate Surcharge)
or
ConhactValue $ x 1°/a = $ PermitFee
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If eQ rmit fee is over $1,000, add $.50 for
every $1,000 eo rmit Fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that [ 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.
Applicant's Printed Name ApplicanYs Signamre
Approved By: , lnspector Date;
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
r ' CITY OF EAGAN
~ ~ z L a 651-681-4675
J 1 ~j I (c, • '~Ti!~-
Foundation Onl New Construction Interior Im rovement
• SUUCturel Plans (2) sets • Architectural Plans (2) sels • Architedural Plans (2) sets
• Civil Plans (2) • SWCtural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) . CivilPlans (2) . PrqectSpecs (1)
• CodeMalysis (1) . LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeAnalysis (1)'• . Master Exit Plan (i)
• Spec. Insp. & Testlng Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always••
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & LighGng Form (1) not always•'
• Meter size must be established • Meler size must be eslablished • Meter size must be established - if applicable
• ProjectSpecs (7)
1 • EnergyCalculations (1)
1 • Electric Power & Lightlng Fortn (7) " j
1 • Master Exit Plan (1) 1
1 . Fire Protection Plan (1)" 1
1 . SoilsReport (i) 1
. MClES SAC determinatlon letter • MGES SAC determination letter • MC/ES SAC determination letter
call 651f02-1000 call 651-602-1000 call 651-602-1000
" Contact Building Inspections for sample
Food 8 beverage or lodging facilities - submit plan to MN DepaAment of Health. Call 651-215-0700 for details.
DATE: I D~I/ WORK TYPE: _ NEW -XEMODEL CONSTRUCTION COST: I
SITEADDRESS: 11 40f I1to q, i?3-3) 1I~-I 7"irnr~Cn~i-fnY~ Lr-)
TENANT NAME: SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK S (0~ W/ V) y~vlt D) Vp,JT1=~
Name: 1 I M bnagroE hone tGJ ) 1~~'~ J J Y
PROPERTY Last First
OWNER
StreetAddress: I Q l0 I
City: v Yc /'1 /v State: Zip:
(~~Jye7l7
Company~~wnl UVI,~'De~ Ph~#: ( /JOs
CONTRACTOR !
Street Address:, ~~Q l~ L.C~~"~!~'1~ ~l2- •
City: \[6 y~ Statd v ` ~ Zip: GJ f 3-, I
ARCHITECT/
ENGINEER Coxnpany: Phone ( )
Name: Regishation
Street Address:
~ . , ~ ~.i~
City: State:
Licensed plumber installing new sewer/water service: Phone
I hereby acknowledge that I have read this application, state Shat the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Cti-
. Updated 1/02
OFFICE USE ONLY
.
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
G 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) 0 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) 0 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. fr.
SAC Code # of Stories sq. it.
No. of Units Length sq. ft.
No. ofBldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. CiTy Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation ~j Plumbing ? Stucco/Stone
APPROVALS -I,
Planning Building Engineering Variance
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
,
TIMBERSHORE 4TH 76503 PAGE 1 OF 3
PERMIT
DATE &
TYPE LOT BL ADDRESS
12172 4-PLEX 010 Ol 3694 DENNARK AVE .
020 Ol 3696 DENMARK AVE
030 Ol 1165 TIMBERSHORE LN
040 Ol 1163 TIMBERSHORE LN
12/72 a-v[.ex 010 02 1169 TIlVIBERSHORE LN
~ 020 02 1167 TIMBERSHORE LN
030 02 1173 TIMBERSHORE LN
040 02 1171 TIMBERSHORE LN
l2/72 4-PLEX 010 03 1177 TIMBERSHORE LN
020 03 1175 TIMBERSHORE LN
030 03 1181 TIMBERSHORE LN
040 03 1179 TIMBER3HORE LN
12i72 4-PLEX 010 04 1185 TIMBERSHORE LN
020 04 1183 TIIvIBERSHORE LN
030 04 1189 TIMBERSHORE LN,
040 04 1187 TIMBERSHORE LN
12/72 4-PLEX 010 OS 1193 TIMBERSHORE LN
020 OS 1191 TIMBERSHORE LN
030 05 1197 TIMBERSHORE LN
040 OS 1195 TIIVIBERSHORE LN
iznz a-PLEx 010 06 1203 TIIvIBERSHORE LN
020 06 1201 TIMBERSHORE LN
030 06 1199 TIMBERSHORE LN
040 06 1205 TIM$ERSHORE LN
12i72 a-rLsx 010 07 1211 TIMBERSHORE LN
020 07 1209 TIMBERSHORE LN
030 07 1207 TIMBERSHORE LN
040 07 1213 TIMBERSHORE LN
7
,p MASTE,,pR CARD
-eC~`~Pkl -of ~ef~k9-
LOCATION T~A/ d~R3_/A 144e7 3 -
lpf
OWNER
STRUCTURE AND ~
LAND USED AS Issued To
Permit No. Issued Coniractor Owner
BUIIDING 19 4?OZ le 7 L
PLUMBING 3 7
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL HEATING J i 1 sA~/I'Jf~/~~
GAS INSTAILING
SANITARV SEWER
OTHER ~
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING -j ~ SEPTIC
- FOUNDATION yr jy- ~ CESSPOOL FRAMING TILE FIEID FT.
FINAL
EI_ECTRICAL DEPTH
HE,4TING 75 OF WELL
GAS INSTALLATION
SEPTIC TANK
CFSSPOOL
DRAINFIELD
PLUM BI NG 2
WELL
SANITARY SEWER
- Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS
PERMIT NO. ' DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON•COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
Wlll BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED CERTI FICATION -I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I heve reported herein all significant conditions oLserved to be at variance with ordinances of the Town of Ea9an, apprwed plans and specifications, and any specific require-
ments for off-site improvements relating to [he property inspected,
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
23
_
PERMIT G~Q,D~l~59 5
CITY OF EAGAN PERMIT TYP~ BUILDING
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 026179
(612) 681-4675 Date Issued: 0 S J 0 7/ 9 5
SITE ADDRESS:
1167 TIMBERSHORE LANE
LOT: 2 BLOCK: 2
TIMBERSHORE 4TH
P.S.N.s 10-76503-020-02
DESCRIPTION:
INCL PRIVACY DIVIDER
Building-PermiC Type DECK
Building Wock Type NEW
F
\1
7i
i
%
! . .r ~
. . ~
'.....I'f•.., .i
~
/
tj
t? ~ ~
( l: t v(~. ~ Jt' i ~
. . ;w. J t . - . . . - > . _
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
GINGRICH BLDRS 14327926 20018145 ROBINSON JOE
6605 166TH 5T W 1167 TIMBERSHORE LN
ROSEMOUNT MN 55068 EAGAN MN 55123
(612) 432-7926 (612)454-7635
T hereby acknawledge that I have read this applicaCion and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
L StaCute a d Cit ofi Eagan Ord'inances. J A-46V-1<"'C -
AP IGANT/ ERMITEE SIGNATURE IS D B SIGNA
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 026179
Eagan, Minnesota 55122-1897 Date Issued: e 8/ 0 7/ 9 5
(612) 681-4675
SITEADDRESS:P•x.N.: 1e-76503-e2e-e2 qppLICANT:
LOT: 2 BLpCK: 2
1167 TTMBERSHORE LANE GIN6RICH BLDRS
TTMBER5NORE 4TH (612) 432-7926
PERMIT SUBTYPE: TYPE OF WORK:
pECK NEW
DESCRIPTION INCL PRIVACY DIVILIER
INSPECTION D. . DATE INSPTR.
FOOTINGS FINAL
-
e
~ - <
_ _ • ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CQ
~ 681-4675
New Construction Reauirements RemodeUReoair Reauiremenffi
? 3 registered ake aurveys ? 2 coples of plen
? 2 copies of plans (indude beam 8 wimfow saes; poured fid. design; etc.) ? 2 site suneys (exterar additions 8 dedcs)
? 1 energy eelaletions ? 7 energy calwWtions for heated addkions
? 3 wpies W tros Dmsen'ation plan H IM Dletted after 7!1/93
required: _ Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: /CRn~a~= zx,sf,h~ 12, L aw.~ Lv««~,.
STREET ADDRESS: 116 7 .1a1 i
LOT J_ BLOCK ~ SUBD.IP.I.D. r~,tdY~!~~tdlln-YD. flL
PROPERTY Name:~Co 4rs so ~ i o ~ Phone '~~S ~i - 763.c
OWNER u°' F°°*
Street Address- i/ G 7 7- / ~,r -4 _e rs 4
City: u H State: /`-1 h Zip: SS/ z z
'3~3
~ / ~6
CONTRACTOR Company: c/'« uL iu P ne Y3 2-7 L2 6
Street Address: License -200 ~F / yS
City: PosP~.-~ vur-~ f State: %`l ~ _ Zip;~
ARCHITEC71 Company: Phone
ENGINEER
~ Name: Registration #Street Address•
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this appliption and state that the informa o n is rrect agree to comply wfth all
;
applicable State of Minnesota Statutes and City of Eagan Ordinancea ~
Signature of Applicant:
OFFICE USE ONLY RECENED
• Certifiptes of Survey Received _ Yes _ No .1 if 1 3, 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
r4
BUILDING PERMIT TYPE
n 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 MuRi Repair/Rem. 0 17 Swim Pool
o 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscelianeous
0 05 SF Misc. 0 10 _-plex A'-15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
a 32 Addition c~QZ34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Ailowable) Main level sq. ft. City Water
U8C Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Y3y
Depth Footprint sq. ft. SAC Code o/
Census Bidg /
Census Unit 0_
ppaRnVAl_3
Planning Building Engineering Variance
~
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permk
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
ql1l~ ~ l~-~..- r ~ ~ • i • t • ~ • ~ ~ 2 ~ 3 0
2 i 30 ~ r~o„ 2 1 3`°
. ~ . ~ ~ TUMBERSHORES 4TH_ _AD C~N
. ~ ~
. _
. . ~ a? ~ I ~ ~ r. ~ ~ ~ ~
U~ ~ . U~ M~ ~ ~r
i `3!~- 9 3 ~ I ~ I I
~
• , ' ~ , y ~ ` ~ _ ~
~A : - - - ~ ~ '
4 . • s : ; ~ • i • ~ ; R~ IA ~ ~ 3 ~ • ' • ~ Z l~
30Sd : a? 2 ~ 340 11 40 ti N 2 a~
K arFta~~
~ ~qpX bo' O
F E -3
. . . . . . . ~A ' • . . • U ~ . u. U omeftetm.:.~~
. • ? •
, .
p,L.D Fl S F-i
•
. + ~
•
~ • . N • ..f..-~~~.~~~~i'M~.y~
• ~ ~ ' ~--.,e~~..~;~"'i!!
• : • s~.~......~.:?...• • s4.
• •
: ~w. I •
Y . M ' ~ .
. ~ . . - ~ ~ .
~ •
~ •
~ • • .
•'v Gr . . . . •
15CD
~
. f
y1NN[SO4 .
o~M1'fR5 P55~
City of Eagan June 19, 1995
3501 Coachman Road
Eagan, Mn 55122
This is to inform you that the Timbershore Homeowners Association
Board of Directors approves the reconstruction of the balcony
and privacy dividers at 1167 Timbershore Lane.
Sincerely yours,
Clair N. Danielson
Member of Architectual Committee
Timbershores Homeowners Association
TIMBERSHORE HOMEOWNERS ASSOCIATION, BOX 21061, EAGAN, MINNESOTA 55121
CITY USE ONLY
L BL ~ RECEIPT#: Z,2lSn~o(O
SUBD. RECEIPT DATE: 7 /
1999 PLUMSINH PERMTT (RESIDENTIAW
crri' oF E?fl,qtv
3830 Pu.or Krroe Rn
EAfiAN, MN 551 EY (851) 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 EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet " minimum • 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' lor dwellings under constructlon 5.00 X =
Water Softener " for exisling dwelling 30.00 x =
U.G. Sprinkler ' far dwelling under const. 3.00 =
U.G. Sprinkler ' for existinp dwelling 30.00 =
Alterations • to exlaling residence 30.00 =
Water Turn Around 30,00 =
Private Disposal System ' MPC nc. 75.00 =
(new andrefurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new Installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 6813875 for inspections of water heaters,
water softeners, alterations, etc.
, TOTAL '111-0
I hereby acknowletlge Nat 1 have read this anolication. slale.thaUha.informaunn.Iy oorted, and agree to mmply with all applipble Ciry of Eagan ordinances.
It is the applipnYS respon n assumas no Iiabilily for any damages pused by the Ciry dunng ILs nortnal
operaUonal and maintenai ROBINSON, E.L. rtnit within Ciry property/right-of•way/easement.
1167 TIMBERSHORE LANE .
SITE ADDRESS: EAGAN, MN 55123
- (sst) asaasss
OWNER NAME:
INSTALLERNAME: N0RJJI dWl 0=00 Pjll1J(4 TELEPHONE#:_` ,7 2 3.3
STREETADDRESS: _ ~ IOGJ 67+`f9F/r-L~ ~
CITY: STATE: ~ ZIP: S 08
SIGNA R ERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) • 1999
r ~
. 2~
~{,(J
EAGf;N TO[JNu"HIP 01
:795 Pilot Knob P.oad St. Paul, Minneoota 55111 (g
Telephone 454-5242 ~
PERMIT FOR SE47ER SERVICE CONNECTION
DATE: 12/29/72 (8/7/73) NUMBER 1389
OFINER: New Hori,,on Homes F.ddress 11 71-73-69 67jimbershore Lane
PLUMBER Thompson Plumbing Co. TypE OF PIPr heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commercfal Residential Multiple Dwelling Na, of units j ~
xx 4 tovmhouse- S I yJ l'
Location oF Connections: Connection Charge 1040.00 billed 817/73
Permit Fee 10.00 d 12/28/72
.50 pd 2 2 72
SCreet Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue and delivery to me of the above peLmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Tormship, Dakota County, Minnesota
By.
Thompson PlumbinE Co.
Please notify when ready for inspection and connection and before any portion
of the work is rovered.
~
EAGI;N TOIdNSHIP
3795 Pilot Knob Road
St. Paul, t4inneoota 55I11
Telephone 454-5242
PERMIT I'OR SEWER SERVICE CONNECTiON
DATE: 12/29/72 (8/7/73) NUMBEg 1389
OWNEP.: New Horizon Homes P.ddress 1171-73 by 67 Timbershore Lane
PLUMBER Thompson Plumbing Co. Ty[pE OF PIPE heavy cast iron
DESCRIPTION OF BUILDING
Industrial Comercial Residential Muleiple Dwelling No. of ur,'ts,%
S~
xx 4 toromhouses
Location of Connections: Connection Charge 1040.00 billed 8/7/73
Permit Fee 10,00 d 12/28/72
0 pd 2 2 72
SCreet Repeirs
Tota l
Inspected by:
DaCe
Remarks•
Sy
Chief Inspector
In consideration of the issue and delivery to me of the above pezmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Towcsship, Dal:ota County, Minneaota
By
Thomnson Vlumbinfr Co
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGFN TOWNSHIP
3795 Pilot Knob Rosd
St, Yaul, Minnesota 55111
Telephone 454-5242 ~
PERtdIT POR WATER SERVIC$ CONNECTION
Date: 8/7/73 (12/29/72) Number; 1266
Billing Name: New Horizon Romes 3ite Address:1171-73 69~67 rimhPr.snorPLane
Owner• same Billing Address
Plumber: Thompson Plumbing Co.
i
Location af Connectioa Meter Size Connection Ch
8•+~'e'.4n ^+-ee^-`o'x'r%ed8/7/73
Meter No. Pexmit Fee 10.00 -pd 12/28/72
1167 _ 22757660-468910 .50 pd 12/28/72
1169 - 22757661-468911 Meter Reading Meter Dep.
1171 - 22757662-468912 Meter Sealed: Yes Add'1 Ch
1173 - 22757663-468913 - 8~
Assn - 22757664-468914 NO 1bta1 Chg.
Inspected by
Date
Building is a: Remarka:
Residence
t2ultiple xx No. Units 4 ownhouses
Commercial
Iadustrial gy; ^
Other Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, ASinnesota.
By:~~Q
jThompson Plumbing Co.
Please notify the above office when ready for inspection and connection.
~T
f y ~
EAGHN TUSdWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR S&lER SERVICE CONNECTION
DATE: 12/29/72 (8/7/73) pUMgEg 1389
OWNER: New Horizon Homes Address 1171= 3-69-67 Timbershore Lane
PLUMBER Tlzompson PlumbSng Co. TypE OF PIPE heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelliag No. of units ~xc 4 tawnhauses
Location of Connectione: Connection Charge 1040.00 billed 8/7/73
Permit Fee 10._00Pd 12/28472
.$0 pd 2 2 72
Street Repairs
Total
Iaspected by:
DaCe
Remarka•
By.
Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Hegaa Tormship, DakoCa County, Minneaota
By.
Thomnson Plumbine Co.
Pleaee notify when ready for iaspecCion and connection and before any portioa
of the work is covered.
`3
. ~ ~
EacArt zowrrsxir ~ J{ '
3795 Pilot Knob Road
St. Paul, Mipnesota 55111
Telephoue 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 8/7/73 (12/29/72) Number: 1266
Billing Name: New Horizon Romes Site Address• 171- 9-69-67 TimherGhoraLane
Owaer: same Silling Addreas
Plumber: Thompson Plumbing Co.
Location of Connectioa Meter Size Connection Chg8/7/73
Meter No, Pexmit Fee 10.00 nd 12/28/72
1167 _ 22757660-468910 .50 pd 12/28/72
1169 - 22757661-468911 Meter Readinp~ Meter Dep.
1171 - 22757662-468912 Meter Sealed: Yea Add'1 Chg.~
1173 - 22757663-368913
IQO Total Chg.
Assn - 22757664-468914
Inspected by
Date
Building is a: Remarks;
Residence
Multiple XX Ho, Units 4 ownhouses R. ~,NS~F1
• , l
Commercial
Industrial 8y:
Chief Inspector
Other
In coasideration of the isaue actd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulaCioas of Eagaa Towaship, Dakota County, Minneaota. ,
By:1 0 ~ _Z
jThompson Plumbing Co.
Please notify the above office when readq for inepection and connection.
~
r
a " J I
EAGl,N TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242 ~
PERMIT FOR SEWER 5ERVICE CONNECTiON
DATE: 12/29/72 (8/7/73) NUMggg 1389
OWNEP.: New Horizon Homes !?ddress 1171 .73 69-67 Timbershore I.,ane
PLUMBER Thompson Plumbing Co. 'pypE OF PIPE heavy cast iron
DESCRIPTION OF BUILDING
Iaduatrial Commercial Reaidentiai Multiple llwelling Na. oL uniss//!%f
xx 4 townhouses / / S
Location of Connectione: Connection Charge 1040.00 billed 8/7/73
Permit Fee 10.00 d 12/28/72
.50 Pd 2 2 72
Street Repairs
Total
Inspected 6y:
Date
Remarks•
By
Chief Inspecror
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the propased wortc in accordance with the rules and
regulations of Eagan Township, Dal:ota CounCy, Minnesota
By
Thomoson Plumbinrr Co.
Please notify when ready for inspection and connection and before any portion
of the work ia covered.
- - - _ - _ ~
dp Ol 3 ~ a73 296
2007RESIDENTIAL BUILDING Pm~n.arruc4nav
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucHon Reouirements RemodeUReuair ReauiremenLS OtficeUse OnN
3 regislered site surveys shawing sq. R of l04 sq. ft of house; and all rooted areas 2 copies of plan showing foolings, beams, p'sts Cert of Survey Real =YN
(20% mazimum lot ooveraqe allowed) 1 set of Energy Cakuladons forheated additions $oils Repod - _Y -__N
1 Soils RepoR if proposed building is to 6e placed on dislurbed soil 1 site survey for additions & decks Tree Pres Plan 3tecd _ Y_ N.
' 2 copies of plan showing beam & window sizes; poured found design, elc. Addition - indicate if on-sde septic sysfem Tree Rres Required _Y _ N
lseto(EneqyCalculalions Or~siteSepticSystemY-_N
3 copies of Tree Preservation Plan'rf lot plaUed aNer 7103
Rim Joist Defail Optlons selectlon shcet (buildings with3 ar less units)
Minnegasco mechanipl ventilation farm
Plans are considered ublic information unless ou state the are trade secret and the reason.
1 z~
Date I D I I l <9 Construction Cost Lf
Site Address ) t 4-7 617. 1 C7 1, If ' 7 7 Unit/Ste #
Description of Work ~
Multi-Family Bldg t! Y_ N Firep ace(s) ' U _ 1 _ 2
Property Owner l-n"P~~~Lry~- 4y*-,GM/NAb &vC- Telephone # ( )
Contractor
Address 3SDO tI r3'u 44 t- Von `3S ? Ciry 1
State kill /V Zip'S;TY`F-7 Telephooe#(~/~ Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calaiations Submitted .
In the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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 i h requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
_ _ _ _ _ _ _ _ ' -
I F~Dffee,~tJse ~
Clty of Eapn ; Pertnit#:
I
•I Permit Fee:
3830 Pilot Knob Road i
Eagan MN 55122 ~ Date Received: 7 I
Plione: (651) 675-5675
Fax: (651) 675-5694 i Staff:
L
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3-7-08 SiteAddress: IA4 Tirner~h~re Lh .
Tenant: Suite
RESIDENT / OWNER Name:
Address / City / Zip: ~
CONTRACTOR Name: License ~ ( P?Vl
Champion
Address: 661 oac 1340
-
City: 3670 Dodd Rd. #100 State: Zip:
Phone: Contact Person: V
TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: PERMITTYPE RESID~NTIAL
"Water Heater Water Softener -
_ Lawn Irriga6on _Add Plumbing Fixtures r~a~~ln~,Vn~ D
I RPZ PVB) Main _ Lower Level) p is ~
_SepticSystem _WaterTurnaround MAR 0 1 2008
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~n
TOTAL FEES $
I hereby acknowledge that this informaUOn is complete and accurete; that the work will be in conformance w'rih the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appliration for a permit, and work is not to start without a permit, that the work will be in
accordance with ihe approved plan in the rase of work which requires a review and approval of pla
xl 0~ . Oi~l(~,1~ x
ApplicanYs Printed Name Applican , Signature~
'OR OFFICE USE ~ ~ , Reviewed By ? ` ~ •'r ' Date ~4
,
lwretl InsA_ections : _Under Ground ~ ~ Rough In ~ iqir Test~~ Gas `iesf nal
~~8a ~
RESIDENT OWNER
Name: $APAr -e_ ZIjytM f'(YW\ Phone: C'S 1 fQ (if
Address City Zip: 6 t I 6 e j' c, (`f? L
CONTRACTOR
Name: 1 LA...
icense
Address:
1 1u c v)d
City: J'( 4 OLA t State:,[ Zip: S
Phone: -22$ -el 2.4) 0
Contact Person: tkalt:Cr
h a
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: re-? I i r't...4_4-C.—
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
Air Conditioner
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under Above ground
Tank Install Remove)
tank(s), call for inspection by Fire
Inspector
Other
When installing /removing
Marshal and Plumbing
RESIDENTIAL FEES:
$50.50 Minimum Add -on or
alteration to an existing unit (includes $.50 State Surcharge)
out appliances, ductwork, etc.) (includes $.50 State Surcharge)
5 b .S 0 TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank installation
$50.50 Minimum (includes
/removal OR Contract Value
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
x 1%
Permit Fee
If Permit Fee is less than $1,000,
State Surcharge
If Permit Fee is $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
TOTAL FEE
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
For Office Use
Permit
Permit Fee:
Date Received:
Staff:
2009 MECHANICAL PERMIT APPLICATION
Date: C i 11 tQ 09 Site Address: NO 5 b'Cr'Nh e_ L v
Tenant: Suite
I hereby acknowledge that this information is complete and accurat that the work will be in conformance with the ordinances and codes of the City of Eagan; that
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.
i4LA.1a-c..r
Applicant's Printed Name
Appli
Jew "Ner
FOR OFFICE USE
Reviewed By: Date:
Required lnspectlons: _Under Ground Rough In Air Test Gas Service Test In -floor Heat Final
Exterior HVAC Screening Inspection