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1199 Timbershore LaneAug 18 11 01:46p Gates General Contractors 41,11/ City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 7634387710 p.1 Use BLUE or BLACK Ink For Office Use Permit ff: /006 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: $ / II Site Address: 124/ 2-193j / 2-C/ /l'' l I `°u3t 4' U :e--- Name:C t�11V=P5�7,rr / D• If-• Phone: RESIDENT f OWNER Address / City 1 Zip: Applicant is: Owner K.Contractor� , 71-ee, Description of work: "t`'�-7i" V r1,`7, r`1‘24t447� 7 TYPE OF WORK ` v y - Construction Cost i 2-57.). ©® -�y Multi -Family Building: (Yes `_ / No _ ) r Company. /if1f i 6 - elf- ee1f;1 / Tye' Contact: 'c A CONTRACTOR Address:339)0 fr tip. Li,/ f1i% Ycn ' l City: pf(ik-frtll 4 State: f Y' 1" Zip: >> 7 Phone: 41-2, 2 -7 2- 3 -6, :7 License #: 7 (J Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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 CaII 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.gooherstateonecall.orc 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 erstand this is not a permit, but only an application for a permit, and wo of to start without • permit; that the work will be in aoco wit he approved plan in the ca of work which requires a review and apt - - of ns. Applicant's Printed Name x Applicant's Signature Page 1 of 3 Nov 15 10 05:10p Gates General Contractors 401/PP City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (763) 498-7710 p.2 Use BLUE or BLACK Ink For Office Use Permit#: - l 7(� I Permit Fee: 334, 00 Date Received: Staff: 2010 RESIDENTIAL�jBUILDING PERMIT APPLICATION 1 fS /�Date: U brif ° Site Address: l I `% r % 13i'l'j'E.f..r .t a -,'t -e-- 6-144,4c, 1 u/ /Z ©3 /Ztf Sr) Tenant: Suite #: RESIDENTIOWNER Name: 1-/-71.1 r�4.-0L3 _ /iD 4- Phone: 6/z-17 =I/ 92 --- Address / City! Zip: v'/9-71/ /414.^/ Applicant is: Owner �!' Contractor TYPE OF WORK Description of work: /'`71-x" / Construction Cost % g / 9(2-- O3 Multi -Family Building: (Yes ! No ) Name: 6 e-53 6j pra,rrsel C i nse #: 6 793 CONTRACTOR Address: 3�b e2 417701 5(ei .7 C.-ri Sri YoO -31/City: 4,0,14 State: /,/C/ .Zip: c'515(7 Phone: 672 - 7 63 • Contact:~' 'yu a''*"-` Email: COMPLETE In the last 12 months, has ^_Yes No If yes, Licensed Plumber: THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit fora similar plan based on a master plan? date and address of master plan: 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 unde round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Iwww.gopherstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordin Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a accordance_with the approved plan in, the case of work which requires a review and epprooi ioLans. es and codes of the City of it; that the work will be in • / , Applicant's Printed Name v Applicant's Signature Page 1 of 2 CITY OF EAGAN Remarks Addition Ti.mbershore hth Lot 3 Bik 6 Parcel 10 76503 030 06 Owneri-~ 1` 5treet 1199 Timbershore ~r%-L State FAgc'iil- MJ 5 123 Improvement Date Amount Annual Years Paymeni Receipt Date STREET SURF. 1974 21.0 6 STREET RESTOR. GRADING # SAN SEW TRUNK Lat B. 1973 324. 15 21.61 1 Paid SEWER LATERAL 197 2.93 o. 8 '3E WATERMAIN 1.p7 1 q73 1 WATER LATERAL 1974 WATER AREA STORM SEW TRK # STORM SEW LAT ~ -97-0 5 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 960, 19-18-7 13UILDING PER. SAC 260.00 PAR K CITY OF EAGAN Remarks Addition Tir?ibershore 4th Lot 2 Bik 6 Parcel 10 76503 020 06 Owner ~ Street ~ 201 ~imbershore LC7.~~. State Eagan+MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ 21,0 .20 P~.7.d STREET RESTOR. GRADING #SAN SEW TRUNK Lat B. 1973 32 .1 21.61 15 P11d # SEWER LATERAL 197 452.93 90-58 5 Paid # WATERMAIN Lat 1973 17 # WATER LATERAL 1974 WATER AREA STORM SEW TRK ~ STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 120.00 Ej 12-18-73 PER. SAC PARK CITY OF EAGAN Remarks Addition 79mhPrshnre4th Lot 1 Rlk 6 Parcel 10 76503 010 06 Owner p1iJ,,j 7~Ano ~Ylf I r -f., Street 1203 Timbershore Lct/l?- State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. 1274 1 20 &1d STREET RESTOR. GRADING *SAN SEW TRUNK Lat B 1973 2.1 21.61 1 P11d *SEWER LATERAL 1974 IL52.93 8 Paid WATERMAIN Lat 1973 1 WATER LATERAL 1974 WATER AREA STORM SEW TRK *STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120. 00 961-04 12-18-73 BUILDING PER. sAC 12-18-73 ' CITY OF EAGAN Remarks Addition _ 2`.I.n1bBZ'SZ'lOI'e 4trl Lot 4 Rlk 6 Parcel 10 76503 040 06 oWner J.~ Street 1205 Timbershore Lo.M- StaLe Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING ~.SANSEWTRUNKy~'~ "l 1 32LL, 1 21.61 1 •~+~b%S~ SEWER LATERAL *WATERMAIN L t, 1973. 1 *WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT ~ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 6 12-18-73 PER. sac 260.00 9654 12- - PARK ;tre4e .oid5a~~c~ 18 monNs (rom 1210,00 fledupst etcy, Fire No. Mugh-in IRSpe ion Requvetl? atly Now ? WilI Notity Insper ~ ~ ~5 ?~es No tor When fleaAY icensed Electrical Contractor 1 hereb y repues[ inspection o1 ebove Ownar eleciriaal work imWlled er. Street Address, Box or Noute No: Ciry ~ ,~El~ sf/o.ee L ,E~/Gr9 ecuon o. Township Name or No. Raoge No. C unty ~Jzr>Tre- Occu ' IPNINTI A, n Phone No. /G rL 91 Power SupDlier /rdtlress Elec 1 ContrAC[or ICo pany Name) Comracwr's License y6. Ossd~ 8a1~r~ Maili Address onVactor or pwner Makin I~tailatf 7 U as ,e rl~z- A thof Si re (Contractor/Owne MakinB Insiallatiun) P~one Number ~ - 70 So YINNES A STp OARD OF ElE ICIT' THIS INSPECTION REAUEST WILL NOT Grigys-Midwav eltlg. - Aoom N-181 gE ACCEPTED BY THE STATE BOAND 1821 UniversitY Ave.. St. Paul, MN SSIOG UNLESS PflOPEN INSPECTION FEE IS Prypm (872) 297-2111 ENCLOSED. ItEQUEST FOR ELECTRICAL INSPECTIUN ee-oaaoLi.oe 5X/ /l V , See inwtructions for comoletiM this fam on baek oi reilow eopY. 637128 -x'" Below Work Coii,l~ by This Request ~ i Ad Meo. Type ol8uilding ApplianceaMired Equioment Wired Jj~ Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Api. Building Dryer Electric Heatin Commercial Bldg. urnace Silo Unloader lndustrial Bidg. Air Conditioner Bulk Milk Tank Fafm Olhu;r aecuy theF ISOer.ityl fii7r ISVen y Ot er Other ompute lnspectron Fee Below p Fee ServiceEntrenrceSize d =Above100-Amp% eeders tt Fee Circuits tl to 200 Am 0 tn 30 Am Above 200 qmps ps 31 to 100 Arnps Swimming Pool Mips Above 100_Am - Transformers rrs Partial: Othe r Fee Sigis ction S ALO F x[l ~ Re~rks G n / ~ v L/ Rouph-in ~'~O I, tpe Elantrical ' I specior, hereby erlity lhal lhe above Final pure'~~} insoection has eeen 1e~. mede. llia reQueat void 18m011116from 76~ 50 3a3D o~ VILLAUE Qr' LHGAN ~ 3795 Pilot Knob ttoad Eagan, minnesota 55122 > PIIi:MIT N0. 373 The Uillage of Eagan hereby grants to Thomuaon Plumbing Co. o£ 12201 Mitmatonka Blvd. a p1,U{gING Permit for: (Owner) New Horiaon HOmae- TimDershosn 3694-96 Demoark 6 1163-65 Timberehore, 1171-73-69-67 1175-77-79-8 . - 87'S9~ at1191-93-95-97 1199 1201-03-95 p*0~8~H~7~~~ T~ jjb2 re i.ane ree Paid: 640.00 dated this 6th day of Auguet , 19 73 • 16.00 s c Su' g.Inspector Niechanical Permits: Bia Total: 30 /D 7&503 0,-~O 6~- ~ • T UILLAUE QF' EHGAN 3795 Pilot Knob N,oad Eagan, Minnesota 55122 PFWIT N0. 373 The Village of Eagan hereby grants to Thompson P1umLinS Co. of 12201 ximsios?ka Bivd. a pyUMBING Pexmit £or: (Ownex) Nex Horison AOmas- Timbershors 3694-96 Da~ark 6 1163-65 Timberehora. 1171-73-69-67 1175-77- 9-81. - 87-89, at1191-93-95-97 1199 20 03-()5 pff2WWA8-tttl-9WX;A1;!R*M T te 49°e I'ee Paid: 640.00 dated this 6th day of Auguet , 19 73 • 16.00 e c Builtii g Inspector 1,lechanical Permits: aia Total: 30 /CJ 7G~Q.~ D/D D6 VILLAUE QF' EAGA1V 3195 Pilot Knob Koad Eagan, Minnesota 55122 PFdtIvIIT N0. 373 The Village of Eagan hereby grants to ~pmpeon Pltimbins Co. of 12201 Minnatonka Slvd. a pi,UMgipG Permit £or: (Owner) Ner,1 Horiaon HOmee- Timbarehorn 3694-96 Demoark 6 1163-65 Timberehora, 1171-73-69-67. 1175-77-79-81. 1 -B 87-89, at1191-93-95-97, 1199-1201-k~Q5pt0,~8-~i1~76.c~T1z4 te I4ene Fee Paid: 640.00 dated this 6th day of Augnet e 19 73 • 16.00 e c Building Inspector Ptechanical Permits: Hid Total• ~G ia ~~503 a s~a o~ ' . , T. aS? ra~ .T~/" 4 - + VILLAUE QE' EAGAN 3795 Pilot Knob ttoad Eagan, iqinnesota $5722 PIItMIT N0. 373 The Village of Eagan hereby grants to rh~9on P1~binS Co. of 12201 Mimietonka Blvd. a PL[TPBING Permit for: (Owner) New Horizon HOmee- Timbnrshore 3694-96 Denmark & 1163-65 Timb rehora, 1171-73-69-67 1175-77-79-51, 1 - 87-89, at1191-93-95-97, 1199-1201-03~~~~~~noyea TIJ p1gre I,ane Fee Paid: 64 .00 dated.this 6th day oY Auguet ~ 19 73 • 16.00 e c Building Inspector Piechanical Permits: Bid Total: . . "•.*•OL . . 1 vur.acE or SAcnrr; 3795 Pilot ICnob itoad Eagan, Minnesota 55122 PEMUT N0. 381 The Village of Eagan hereby grants to Geo. Sedgwick 8eating 6 A/C o£ 1001 Renia Ave. So., Mpls. 55410 a HEATING Permit for; (Owner) gew Harxzon Homea - Timberehore at 1201-03-05 56199 TimherehoreP6"Rant to application dated 6125/73 Fee Paid: dated this yit-h day o£ Julv ~19 13 • 2.00 s/c Building Inspector Niechanical Pennits: tfid Total: j E'- , , r ~ . . VILLAGE ON 8A(3AN 3795 Pilot Knob Hoad Eagan, Minnesota 55122 PIIR'rIIT N0. 381 The Village of Eagan hereby grants to Geo. Sedgwick Reating 6 A/C of 1001 Renia Ave. So., Mpls. 55410 a HEP.TING Permit for: (Owner) gew Aorizon Hamea - Timberehore at 1201 005 6 1199 Timbezehorap~gNant to application dated 6125/73 Fee Paid: dated this lit-h day of July ~ 19 73 2.00 s/c Bui ding Inspector Hiechanical Permits: Bid Total;. j • - VILLAGE OF' r'AGAiV 3195 Pilot Knob.ttoad Eagan, Ixiinnesota 55122 PIICET N0. 381. The Village of Eagan hereby grants to Geo. Sedgwick Heating 6 A/C o£ IOOI Ren3a.Ave..9o „ Mp1s. 55410 a HEATIHG permit for: (Owner) gew Aorisoa Homes - Timberehora at 20 03-OS & 1199 TimbesahorePhMant to application dated 6125/73 Fee Paid: $$o~QO dated this y?th day of 1u1y ~19 73 • 2.00 a/c Building Inspector Niechanical Permits: ~ Bid Total: ~ + - . . . - , . - ~ ~ ~ _ . . . . v. ,.u.~~...«..u.,:.. .,.•t ~ f „ ~ s~,!~'-"~.+~_ 5~' T viLucE or HAanN, 3795 Pilot Knob ttoad Eagan, Ininnesota 55122 PII?MIT Y0. 381 ~ i The Village of Eagan hereby grants to Geo. Sedgwick Heating 6 A/C o£ 1001 Renia Ave. So., Mple. 55410 a HEATZNG Permit for: (Owner) Hew Aorizon Hrnnee - Timbershora at 1201-03 OS 6 1199 TimberehorepTdggaant to application dated 6/25/73 Fee Paid: $80 0p dated this lit-h day of ,7ulv ,19 73 • 2.00 a/c Building Inspector Niechanical Permits: iiid Total; S p _ ~ ` COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • SVuctural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Pians (2) . StruCtural Plans (2) • Code Malysis (1) • Certificate of Survey (1) . Civil Plans (2) • Project Specs (t) • CodeMalysis (t)" • LandsrapingPlans (2) • KeyPlan (1) • ProjectSpecs (t) . CodeMalysis - (1) " • Master Exit Plan (1) • Spec. Insp. & Testlng Schedule " • Certifitate of Survey (1) • Energy Calculations (1) not always" • Soils Raport (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always" • Meter size must be established • Meter size must be esfablished • Meter size must be es}a6lished - if applicable • Project Specs (1) 1 • EnergyCalculations (1) " d 1 . Electric Power 8 Ligh6ng Fortn (1) " 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plao (1) 1 1 . SoilsReport (1) 1 • MGES SAC determination letter • MClES SAC determination letter • MGES SAC determination letter cd11651$02-1000 C211651$02-1000 cai1651•602-1000 Food 8 beverage or lodging facilities - submit plan to MN Dapartment of Health. Call 651-215-0700 for details. " Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORK TYPE: NEW REMODEL CONSTRUCTION COST: 1 SITE ADDRESS: TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK eS ~ ' DI V i QQ~ 0('U f1~1 7J Name: ~ ~ ~ )b /k Ll'hl-~-Ie: lO? 7 / PROPERTY Last Fust OWNER Street Address: RU• 6TL)x a I w I City: ~k("~ State: Zip: 124 Company: L Q CONTRACTOR I'l ~ ~~.yy StreetAddress: City: Pcvp 1 p ~J 12 State: I V`10 Zip: 65 Z ARCHITECT/ ENGINEER Company: Phone ( ) ~ ~ Name: Registrari ~J U l , Street Address: 1\ AU~" `C U ~ City: State: ~ Zip: ~ 6y Licensed plumber installing new sewerlwater service: Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. /1 q r ~ Signature of Applicant: (N Updated 7102 OFFICE USE ONLY ' SUBTYPE , 01 Foundation ? 26 Public Faciliry ? 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 ? 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 7 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization J 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length' sq. f}. Vo. ofBldgs. Width sq. ft. Const. (Actual) Basement sq. R. MC/ES System (Allowable) First Floor sq. ft. City Water JBC Occupancy sq, ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS :7 Gas Service Test ? Heating 7 Insularion 0 Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ 'ermit Fee 3urcharge 'lan Review MC/ES SAC % SAC 1-iiy SAC SAC Units Nater Supply & Storage Meter Size 3/W Permit S/W Surcharge Treatment Plant 'ark Dedication Traiis Dedication Nater Quality Dther ,opies iotal . . ' TIMBERSHORE 4TH 76503 PAGE 1 OF 3 PERMIT DATE & TYPE LOT BL ADDRESS 12172 4-PLEX 010 Ol 3694 DENNARK AVE 020 01 3696 DENMARK AVE 030 01 1165 TIMBERSHORE LN 040 Ol 1163 TIMBERSHORE LN iznz 4-PLEX 010 02 1169 TIMBERSHORE LN 020 02 1167 TIMBERSHORE LN 030 02 1173 TIMBERSHORE LN , 040 02 1171 TIMBERSHORE LN 12n2 a-PCEx 010 03 1177 TIMBERSHORE LN 020 03 1175 TIMBERSHORE LN 030 03 1181 TIMBERSHORE LN 040 03 1179 TIMBERSHORE LN 12i72 4-PLEX 010 04 1185 TIMBERSHORE LN 020 04 1183 TIIvIBERSHORE LN 030 04 1189 TIMBERSHORE LN 040 04 1187 TIMBERSHORE LN 12i72 - a-PLEx 010 OS 1193 TIMBERSHORE LN 020 OS 1191 TIlVIBERSHORE LN 030 OS 1197 TIMBERSHORE LN 040 OS 1195 TIMBERSHORE LN 12i72 a-rtEx 010 06 1203 TIIvIBERSHORE LN 020 06 1201 TIMBERSHORE LN 030 06 1199 TIMBERSHORE LN 040 06 1205 TIIvIBERSHORE LN 12/72 4-PLEX 010 07 1211 TIMBERSHORE LN 020 07 1209 TIIvIBERSHORE LN 030 07 1207 TIMBERSHORE LN 040 07 1213 TIMBERSHORE LN • 7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~r 651•681-4675 New Construction Raouirements RemodeVReuair Reauirements . 3 registereU site surveys showing sq. ft. of Iet, sq. fl. of house: and all rooleU areas • 2 co0ies of plan (20°6 maximum lot coverage alloweE) • 1 set of Eneyy Calculatier.s for `eated aaditions * ?,:ooies of plan showirg beam 3 window srzes; poured fountl aesigr, ztc.) • I sde survey (cr ex!ener additions & decks • 1 set of Energy Caiculations •!ndicate d nome sarved by septic sysrem `or aaditions . 3 sapies of Tree PreservaUOn Plan if lot platted atter 711193 . Rim Joist Detail Options selectlon sheet (blags with 3 or less umts) DATE -,vW 0 s- VALUATION ~ aa -;Y5 SITE ADDRESS '!V1 PjEYLSMNL'E L-f" MULTI-FAMILY BLDG /"Y ` N TYPE OF WORK InJDP'in) S FIREPLACE(S) _ 0_ 1_ 2 APPLlCANT 1 t) iL\-Rl STREET ADDRESS Jq(OSO GGf-?J0_A QYL. CITY1~~VUAA?ATE WZIP 9SI;?' I TELEPHONE # ~sa•g~II'3~~p CELL PHONE # FAX # 4YS0'- -0 V2-~ /J6 PROPERTYOWNER -~EV_y7MI614 Yclil9l7if7C-W'T TELEPHONE11IGSI'I0W'0 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUIIDINGS ONLY Energy Code Cateqory _ y[[ANFSO'f.1 RCLGS 7670 C.1I'LGORF l MIVAL:SO"I':A R['Ll•S 7672 (J submission type) • Residen[ial Ventilafion Calegory 1 Worksheet Submitted • New Energy Code Worksheet Sutmittetl • Energy Envelope Calculalions SuCmitteG Plumbing Contraetor. Plione # Plumbing system includes: _ Water Sof'tener Iarvn Sprinkler Pee: $90.00 Water Hca[er No. oF R.I. Baths No. oF Baths Mechanical Controctor. Phone # Mcch.mic.d systcm includc,: Air Caidiu( )nin; Pcc S70.00 Heal Rccart, $`,st elu~ 1 7!?p7 Sewer/Water Contractor: ~Phone M ~ ° ° • I hereby acknowledge that I have read ihis 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 w OFFICE USE ONI,Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Ait - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex p 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Oamage ? 06 04-plex ? 12 12.plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Fuocines (new bldg) FinaL'C.O. _ Footings (deck) FinaLN'o C.O. _ Footings (addition) _ Plumbing _ Foundation HV.4C _ Drain Tile Other Roof _ Ice & W'ater _ Final _ Pool F[gs Air; Gas Trsts Final _ Framing _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (nzw/reptacemen[) _ [nsufation _ Retaining tGall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewCanstructionReauiremenh RemodeVRaoairRecuirements • 1 r?gisrerea site surveys showir.g ;q, ft. af lot. sq. R. of house; and all roofed areas • 2 coDles of plan (200o maximum lot :overage alicwed) . 1 set o1 Eneryy Calculaticns `or heated additions • ?:ocies af plan snowing beam 3 xindcw ;rzes; ooured found design, ztc.) . t sde survey for ex!enor additions & decks • 1;zt oF =_rer9y Caiculatlons . IiMicaie if home served cy septic system for atlditions . 3 capies of Tree Preservation Plan if lot platted after 711193 • RRim Joist Detail Oplicns selecuon sheet;6ldgs with 3 or less unifs) VALUATION DATE SITE ADDRESS IlI q T, Mb2r~J~~iotC- L N MULTI-FAMILY BLDG _Y _ N TYPE OF WORK y RPP/4Lf/..P~,T G?~~~-J' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT R en~tiSSonc ~el CY %dTf' STREET ADDRESS ~TSC /-&?-J 16 CITY Mo4~ k;P"STATE _RNZIP TELEPHONE # 011'75~ o CELL PNONE # FAX # _YL ?F0 PROPERTYOWNER Lih0it'" P)7i1/ii P s TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ %[[NN1_y(yl'A 12ULES 7670 G\fF.(;ORI" L MI\\CSO"f:1 K[ "I1:ti ifii_> (v submission type) • Residential VenGlation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Enveiope Calculations Submitted Plumbing Controctor: Phonc r# Plumbing sys[cm includes: ~ Wa[er Softener Iawn Spriril:ler Pee: :b90.00 Wa[er Heater No. oF R.I. Baths No. of Baths Mechanical Conhactor. Phone # .Mcch.mic.il scstcm includcs: .-'Ur Conditioning Heal Rccovei}• Systriu I .Illl 1 1 2002 D Sewer/Woter Contractor: Phone # RV I hereby acknowledge ihat i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Signature of Applicanf ~ OFFICE tiSE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 73 76-plex ? 20 Pool 0 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plez ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt • SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex O 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) Final/?~to C.O. _ Footings (addition) _ pILLmying _ Foundadon HVAC _ Drain Tile Other Roof _ Ice & W'ater _ Final _ Pool _ Ftgs Air.-Gas Tzsts Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Finat _ Windows (new!replacement) _ [nsulation _ Retaining Wall Approved By , Building Inspector Base Fee - Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total MASTER CARD (o - LOCATION~i~~tl~~r~V~l~ 41- / OX7 / ~ i OWNER , $TRUCTURE AND LAND USED AS Issued To Permii I No. Issued Con}ractor Owner BUILDING PLUMBING I CESSPOOL - SEPTIC TANK WELL ELECTRICAI HEATING GAS INSTALLING SANI7ARY SEWER OTHER 270 I OTHER I Approved ' Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION 91 47-2~ CESSPOOL FRAMING 7-31- ~ TIIE FIELD FT. FINAL ELECTRICAL DEPTH HEATING 7-3I- ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL I DRAINFIELD I PLUMBING WELL SANITARY SEWER ~ Yy Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTI6N 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 WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPUANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPE<TION REVEALED . CERTI FICATION -I certify tha[ I have carefully inspected the abwe in which 1 have no interest present or prospec[ive, and that I have repotted herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to tha property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: aa EAGlsA7 TOWNSHIP J~`y :795 Pilot Knob Road St. Paul, Minnesota 55111 ~ Telephone 454-5242 ~PERMIT FOR SEFIER SERVICE CONNECTION DATE: 12/29/72 (R/7/73) NUMBER 1393 OWNER:New H„rizon Homes Address _19 -1201-03-05 Timbershore Lane PLUMBER Thompson Plumbing Co. ZyPE OF PIPE heavy cast iron DFSCRIPTION OF BUITAING Industrial Commercial Residential Multiple Dwelling No. af uni xt 4 tawnho se ~ 0 7 Location of Connections: Coanectioa Charge1040.00 bille 8/7/73 Permit Pee 10.00 pd 12/28/72 .50 p Street Repairs Total Inspected bq: Date Remerks • Sy Chief Inspector In conaideration of the issue and delivery to me of the above petmit, I hereby agree Co do the proposed work in accordance with the rules and regulatioas of Eagan Township, Dakota County, Mianeaota By. ThomASOn Plumbing Co. Pleaee aotifq when ready for.inspection and connectioa and before any portion of the work is covered. ~ . • ~ EAGAN TOWNSHIP 3 3795 Pilot Knob Rosd ~ St. Paul, Minnesota 55111 Telephone 454-5242 PERt92T FOR WATER SERVICE CONNECTION Date: 8/7173 (12/39/72) Number: 1270 Billing Name: New Horizon Henes Site Addreas: 1199,~201-03-05 'Itimbershore Lane Owner: same Billing Address Plumber: Thotnpson Plumbine Co. G/~~~ 7 51 Location of Connection Meter Size Coanection Chg.480.00 billed 8/7/73 Meter No. Pexmit Fee 10,00 d 12 28/72 _ . 0 pd 72/28/72 1199 - 22826623 - 426487 ~ter Reading Meter Dep. 1201 - 22826624 - 426488 Meter Sealed: Yea Add'1 Chg.y,4 A--0 7/79 1203 - 22826625 - 426489 ~P 1205 - 22826626 - 426490 Id0 Total Chg. c? Assn.- 22826627 - 426491 Inspected bq J Date Building is a: Remarka: Residence fEE FOR Multiple kx xo, unite 4 itstownn p,E-lfdS?ECTI0~1 co~ercial N{p QPERLY IP1$THIIED FAETERS. Industrial Bq: Chief Inapector Other In coasideration of the isaue acid delivery to me of the above permit, I hereby agree to do ttv proposed work in accordance with the rules and regulatioas of 8agan Township, Dakota County, Minnesota. ay:4a Thrttnnann Plijmhing !'n Pleaae notify the above office whea ready for inspection and connection. J EAGAN TOtdNSHIP 3795 Pilot Knob Road 4 ~-y St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 191a/7? (917/73) NUtBER 1393 OWNEP,•New H,rizon Homes P.ddress 11994 201~3-05 'IYmbershore Lane ~ PLUMBER Thompson plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units ~ ; ~ - n xX 4 toti,mriorise Location of Connections: Connection Charge1040.00 bille 8/7/73 Permit Fee 10.00 pd 12/28/72 .50 P Street Repairs Total i Inspected by: DaCe Remarks• I BY , Chief Inspector Ia consideration of the iasue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatione of Eagan Totanship, Dalcota County, Minnesota , $Y Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. EAGl,N TOTdNSHIP 3795 Pilot Knob P.oad ~ St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: 19/99/79 (8/7/73) NO6SBER 1393 OSJNEP,:Ncw H.rizon Homes Address 1199-1201 03 5 Timbershore Lane ~ PLUMBER Thompson Plumbing Co. 1'y[pE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of unit2s ~ ~ ~ 4 Location of Connections: Connection Charge1040.00 bille 8/7/73 Permit Fee 10.00 pd 12/28/72 .50 P Street Repairs Total Inspected by: DaCe Rema rk s : " By. Chief Inspector In consideration of the issue attd delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dalcota County, Minnesota 8y ThamT)son Plumbine Co. Please notify when ready for inspection and connection and before any portion of the work is covered. ~ EAGF1d TOWNSHIP 3795 Pilot Knob Road , St. Paul, Minnesoea 55111 Telephane 454-5242 PERP1IT FOR WATER SERVICE CONNECTION Date: 8/7/73 (12/29/72) Number: 1270 Billing Name: New Horizon Hcmes Site Address: 1199-1201f03~nK T;m6Prqhore Lane Owner: same Billing F.ddreas Plumber: ThomASOn Plumbine Co. Location of Connection Meter Size Connection Chg.480.00 billed 8/7/73 Meter No. Yermit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 1199 - 22826623 - 426487 Meter Reading Meter Dep. 1201 - 22826624 - 426488 ' 1203 - yy826625 - 426489 Meter Sealed: Yes_ Add 1 Chg.y~a-*~ 7~j_ 1205 - 22826626 - 426490 NO Total Chg. ~ Assn.- 22826627 - 426491 ~ Inspected by ~ Date Building is a: Remaska; Residence I3ultiple 4x Ao, Units 4 nitstownhouses Commercial Industrial By: ' Other Chief Inspector In conaideration of the iasue acid delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Sagan Towaship, Dakota County, Minnesota. By: %O,~ , y.~ ThnmpqnnPynmhing !`n Please notify the above office when ready for in.pection and connection. ' EAGI,N TOt-INSHIP 3795 Pi1ot Knob Road St. Paul, Minne3ota 55111 Telephone 454-5242 PBRMIT FOR SEWER SERVICE CONNECTiON DATS: 19/99/79 (8/7/73) NUMBER 1393 OWNER:New H„rizon Homes Address 1199-1201-03 OL[`imbershore Lane PLUMBER Thompson Plwnbing Co. qypE OF PIPE heavy cast iron DESCRIPTION OF BUIIAING Industrial Commercial Residential Multiple Dwelling No. of unit~s f , . xx 4 townYioCtse Location of Connectiona: Connection Charge1040.00 bille 8/7/73 Permit Fee 10.00 pd 12/28/72 P .50 Street Repairs Total , Inspected by: DaYe Remarka• By Chief Inspector , In consideration of the issue and delivery to me of the above permit, I ' hereby agree to do the proposed work in accordance with the riales and ' regulations of Eagan Totanship, Dal:ota County, Minnesota By Thompson Plumbinp Co. Pleaee notifq when ready for inspection and coanection and before any portion of the work is covered. i i i " <y I -1'l~"bC~ I ~J D 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 e(1„1JLA.C)~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLS RemodeUReoalr Reauirements Olfice Use Onlv 3 registered site surveys showing sq.1L of lot, sq. k. of house; and all rooted areas ? 2 copies of plan CeA of Smvey Recd _ Y_ N (20%mazonum lotcoverege allowed) 1 set of Energy Calculations for heated addiGons Tree Pres Plan Recd _Y _N. 2 copies of plan showiig heam & window saes; poured found design, etc. J 1 site survey for addRions 8 decks T2e Pres Required _ Y_ N 7 sel of Energy CalculaGons Addmon - irMkafe if on-site septic system On-site Septlc System _ Y_ N 3 copdes of Tree PreservaUon Plan if lot platled atler 111193 Rim Joist Dehal OpUons seledion sheet (builtlings with 3 or less units) Date Ci l-~/ l0~- ConstructionCosA00U Site Address UnitlSte # r l1 c~, lDescription of Work Mu1ti-Family Bldg _ Y~ N Fireplace(s) _ 0 2 Property Owner ~ lyt 0k a) Telephone # ((PS'~'')= _ `IIO Contractor Address Sc-Lr/ .S Cib' ACA~WOi~* State 41q/ Zip J~ Telep6one COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 7 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted . In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residentia] Building Permit and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved lan in e case of work which requires a review and approval of plans. _S~GlI' l~'U~So?,J Applicant's Printed Name Ap licant's ignature OFFICE USE ONLY r i Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfi ? 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex X" 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding %;1IL 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire 81dg) - Give PCA handout to applicant Valuation o Lq'0 Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Y Footings (deck) Final/No C.O. T Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding Stucco Stone Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspectar Base Fee Surcharge 0 Plan Review MC/ES SAC City SAC l Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f ~ 7? 48 io B76'0 5740 ~ . ~ ~ ~ 4 I ° 1 2j . 7~~yv . So~ ~ ~ I ~ Na A 5 <<ti ; i 2 y~ y ~ ~ o Dakota County Real Estate Inquiry Page 1 of 1 ' Dakota County Real Estate Inquiry Data Updated 1076/2005. ~ ~ Select option and click map: Zoom In ~ Whole County Refresh Map Big Map Legend Real.Estate Parcels 0 Parcels r w -E Common,Ownership ~RW ater EIRNU.EasemeM ? Oeddca[ed RNV ~ r Standard ~ ~ Choose a search method, enter . criteria, and click Go or hit enter key. . ~ q,~- o ' - • _ - ` House Go i Address:l ! Go - ~ "`?i' ' - PIN: Go CopyrigM p 20D5, OakMa CouMy~ • ~ ~ • ~ Details- PIN: 10-76503-030-06 2005 Est. Value Lavable 20061: $153,900 Tax Stub 2004 Taxable Value (Pavable 2005): $126,300 Owner. LINDA M PHILLIPS ~ ` PayAddress: 1199 TIMBERSHORE LN able 2005 Tax: $1,017.32 gakement Total Acreaae: 0.13 - City_ EAGAN, MN 55123 P,~t ~ Year Built: 1973 Lj This application was developed by the Dakota Counry Office of GIS _ in coopera6on with Assessinp Services, Treasurer,- Autlitor and Property Records, Departments C 0 u n~ Click on the Dakota County Logo ahove to retum to Ne home page http://207.171.98.200/scripts/esrimap.dll?Name=webql &Left=496622.241 &Bottom=997... 10/11/2005