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1207 Timbershore LaneC!tyofEaaall of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Call Use BLUE or BLACK Ink Permit Fee: /4-/-7, 7, 5-3 Date Received: a /0/2.orp Staff: i® -16 Date: +7-=9s - z i (l Site Address: 1 2f 1 (4,t'i'`AiTet, Vo.A6 LATI-\\ (l 5 17 L' Tenant: ��jj Suite #: RESIDENT / OWNER Name: 1(`k.t d .. C ref\ Phone: 6S1 301C - 2C rig Address / City / Zip: \ 9 .7I “\\,(pf-\(\OI`P, '(\P, Pc af\ in N, SSt9-`Z Applicant is: Owner Contractor TYPE OF WORK Description of work: S I X '2,01 (lt;Ck Construction Cost: Multi -Family Building: (Yes K / No ) CONTRACTOR Name:�e,W License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has No 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 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 o 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro a of Ib!ans. x Wil. t�tPP1�1 Applicant's Printed Name 4p0-7 fit&-43ka_6. Z-4 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES XNew Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 0 0 (25% 100%X ) Census Code # of Units # of Buildings Type of Construction U15 REQUIRED INSPECTIONS Footings (New Building) X Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Siding: Stucco Lath _Stone Lath _ Windows Retaining Wall: Footings Backfill Radon Control Erosion Control Building Inspector Final Brick Final WiC /1.90 "("L/c913 Page 2 of 2 Print Preview 0-7 /1 b7,zs hotzc 1 Page 1 of 1 Dakota County, MN Map Scale 1 inch = 46 feet A/+% r ?). Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document and should not be substituted fora title search, appraisal survey for z• ing ver ' cation. fp- use rtg5 a YNrxresk 1:,(311-4 "\o e New deck �c,�dtv�c�ct wail ctat(t 6e SI Jar 1 z_-6 CJJ4— 1.1 • 9 bl-, -- J .l ti472 31 I L S.2�oCL-Q[ C 1 S, http://gis.co.dakota.mn.us/website/dakotanetgis/printPreview.a$px?PrintOptbata=Dakota C... 8/6/2010 Dakota County Real Estate Inquiry / a 6 `7 Ln . Dakota County Real Estate Inquiry Data Updated 7/22/2010. Need Help? What's New? Map navigation Select option and click on map: 0 Zoom In *Zoom Out 0 Pan i'._, Identify Show Full County Map J Small Map PLEASE READ DISCLAIMER This application was developed by the Dakota County Office of GIS in cooperation with Assessind Services and the Property Taxation & Records Departments Click on the Dakota County Logo above to return to the home page Page 1 of 1 Legend Real. Estate Parcels ❑ Parcels ® Common. D w n ersh ip tERWater Ria/ , Easement 0 Dedicated R+W ® Tax Parcels 0 Market Value Recent Sales 0 Year Built t,_,% Air Photo 0 Torrens Refresh Ma Choose ONE search method, enter criteria, and click Go or hit enter key. House #: [Go j PIN: [ Gow OR http://gisx.co.dakota.mn.us/scripts/esrimap.dll?Name=webq 1 &Left=541320.779902068&... 7/23/2010 CITY OF EAC,9AN Remarks Addition Timbershore th Lot 3 aik 7 Parcel 10 76503 030 07 Owner (TA I bV(''!1 Street - 1207 `1'iIC1b8T'SYlOT'@ L-L1I`?- State Eagail,MN 55123 '.1i1 ~ t~ L ' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 21.0 .2o P31d STREET RESTOR. GRADING *SAN SEW TRUNK & LSti B. 1973 32 .15 21 . 1 15 Paid *SEWER LATERAL 1974 2 • 93 90. Pa3d # WATERMAIN Lat 1973 1 # WATER LATERAI 197 WATER AREA STORM SEW TRK ~STORM SEW LAT 1974 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120•00 9654 12-1$-73 BUILDING PER. sAC 2.00 96-54 12-1 -73 PARK CITY OF EAGAN Remarks Additioyn Timbershore 4th Lot 2 Rik 7 Parcel 10 76503 020 07 Owner Street 1209 Timbershore LaYLF- State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1974 321.03 .ZO P3j. STREET RESTOR. GRADING *SAN SEW TRUNK La,t,B• 1973 2.1 r2l.61 1Jr PB,j_C~ *SEWER LATERAL 1 452.93 5 1 . Paid # WATERMAIN Lat 1973 15 # WATER LATERAL 1 Paid WATER AREA STORM SEW TRK # STORM SEW LAT 1974 5 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 9654 12-16-73 BUILDING PER. sac 260.00 6 12-18-73 CITY OF EAGAN Remarks Addition 74m'E]PrGY10r e 4th Lot 1 Ik 7 Parcel 1 076503 01 o 07 owne~=; street 1211 T3mbershore L-CLA-E- scate Eagan,rN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 333-07 1 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1973 3211 - 1 21.61 1 aid SEWER LATEFiAL *WATERMAIN 1973 1 *WATER LATERAL 1974 WATER AREA STORM SEW TRK *STORM SEW LAT 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. -18- BUILDING PER. sc,c 12-18-73 c:ITY OF EAGAN Remarks Addition Timbershore 4th Loc 4 Blk 7 Parcel 10 765o3 040 07 Owner (~~~•1`is~.~ l~\i~ w.aStreec 1213 T`imhershnre LAState- Ea,~2ri,MN 5~i123 1'\~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNKI &751- 1973 324.15 21.61 1 12 .66 A010259 --81 SEWER LATEFiAL #WATERMAIN 19731 1 WATER LATERAL 1974 WATER AREA STORM SEW TRK ~STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ~28745 I 7 / pl s ~y7 Raquest Date Fire No. Rough-in Inspec[ion ~ Requiretl? tly Nmv ? Will Notiy Inspector G Ves .TJr I ~Reap When Reatly? I'eSlicensed contractor ? owner hereby requesf inspection of above electrical work at: Jo0 Atltlress (SVeet Box or Roule Na.) Cly I 1 Y ' ~ E,n_ SeRion No. Township Name or No. Range No. Coun~y O~ Occupam (PRINT) Phom No. M r.,P_ Povrer SuOPlier Address ElecVical Contractor (Company Name) Contractor's License Na. I `j te CI o, r1 Mailing Adtlress IConVatlor or Owner Making inslalla[ii , (1 . Kd - . 35"iaS tXlhjj, aWre IGomractor/ wn Installetion) one Number MINNESOTA STATE BOAHD OF ELECTRIQTY THI$ WSPECTION REQUEST WILL NOT Grlgga-Mitlway 610g. - flaom S-173 BE ACCEPTEO BY THE STATE 80A90 1821 Unlversfly Ave., 51. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Plqng(61S)6C2-0B00 ENGLOSED. ad A(0REQUEST FOR ELECTRICAL INSPECTION ee.ooooi-oa s /OL' ~C r~ M ? See instmctions lor complatino this fo mi back ol yellow copy, w 28745 "X" Below Work Covered by This Request T ew Adq• Rep: TypeotBUilding AppliancesWired EquipmentWired Home ' Range Temporary Service Duplex Wa[er Heater Electric Heating Apt. Building Dryer Other (Specity) • Comm.llnduslrial Furnace Farm Air Conditioner Other (specity) ConVactor5 Re arks: 6*011bT ck-i Compute fnspection Fee Below: # Olher Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspedor's Use Only: ^ TOTAL` Irrigation Booms /J • ~y 5~ Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rauqh-in oate certify that the above inspection has been matle. OFFICE USE ONLY This repuest voitl 18 monlhs Irom _ i~ 7 4;,5v& d~'o 6 2 VILLl1UE QE' EkGAN 3795 Pilot Knob ttoad Eagan, Minnesota 55122 PERNIIT N0. 373 The Village o£ Eagan hereby grants to Thompson PlumbinS Co. o£ 12201 ltimetonka Slvd. a pi,pM{gIpG Permit £or: (Owner) Nea Horison AOmse- Timbershore 3694-96 Denmark 6 1163-65 Timbarehore~ 71-73-69-67 1175-77-79-81, 1 - 87'89, at1191-93-95-97, 1199-1201-03-95~n:~t~1,~7~~~itK Tim iqbtre Lane I'ee Paid: 640.00 dated this 6th day of Auguat , I 9 73 • 16.00 e c gu'~i di ~g Inspector Piechanical Permits: 1 30 bia Total: a7 /D 710563 0'10 VILLAUE QN' P:AGAN 3795 Pilot Knob ttoad Eagan, Minnesota 55722 PERI+IIT N0. 373 The Village of Eagan hereby grants to Thompeon Pl~mbing Co. o£ 12201 Mismetonka Slvd. a pLiTMBiNG Permi.t £or: (Owner) New Boriaon HOmen- Timberehora 3694-96 Danmark 6 1163-65 Timbasehore, 1171-73-69-67 1175-77-79-81. TIU- 87-89, at1191-93-95-97. 1199-1201-03-()5 Pt'*U~~~ T~ _e ~IIB I'ee Paid: 640.00 dated this 6Ch day of August , 1,9 73 • 16.00 B c Builtiing Inspector hiechanical Permits: Bia Total: 3D iD 7&5e3 aio 07 I/Aii VILLAGE QF' EHGA1V 3795 Pilot Kno'a koad Eagan, Niinnesota 55122 PEfMffT N0. 373 The Village of Eagan hereby grants to 'rt+Mwonn P1utnDing Co. o£ 12201 Miuaetos?ka Blvd. a pT,UMBING Permit for: (Owner) Nax 8orisoa AOmes- Timbershore 3694-96 Danmark 6 1163-65 Timberehore. 1171-73-68-67 1175-17-79-81. 1 - 87-89. at1191-93-95-97 . 1199-1201-03-95 Tim ra I,aae Fee Paid: 640.00 dated this 6th da,Y of Au8uet ~ 1.9 73 ' 16.00 e c Building Inspector Mechanical Permits: 13id Total: 30 ip ?~~a3 630 07 VILLAUE OF' r;AGAN 379$ Pilot Knob ttoad . Eagan, Nfinnesota 55122 pERNIIT N0. 373 The Village of Eagan hereby grants to Thomveon Plumbins Co. of 12201 Mianetot?ka Blvd. a pl,LOGING Permit for: (Owner) Nev Horiaon HOmae- Timbershose 3694-96 Denmark 6 1163-65 Timbersho 1171-73-69-67 1175-7 7 -79-81, 1 87-89. at1191-93-95-97. 1199-1201-03-Q5~ TIm rg Lene P'ee Paid: 640.00 dated this 6th day of Auguet ~ 19 73 • 16.00 e c Bui1 i g Inspector Piechanical Permitss 3~ 13id Total: 3- 7 -4/ ' 7 = shov~ oILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Piinnesota 55122 PERIvaT NO.: 375 The Village o£ Eagan hereby grants to Gao. Sedewick 8eatina & A/C Co. of _inol Xenia Ave so Mvis 55416 a ggpmTWr Permit for: (Owner)_ Naw Horizon Homea - Timberehorea at/11MA709_11_tz Timhnsrahere i.a Pursuant to application dated 6/27/73 Fee Paid: $Aa 0n dated this 9th day of _ July ~ 79 73 , 2.00 s/c Building Inspector Nechanical Permi.ts: Bid Total: ~ ~ ~ . ' . . - VILLA(3E OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 • N , § . ; ~ PERPSIT NO.: 375 The Village of Eagan hereby grants to Gap, Sedewick Heatiug S A/C Co. of inni xen+_a Ave So Mvle 55416 a Permit for: (Owner) New Horizoa Homee - Timberahoree at .iZO7-OSL-l~+~'Tlmhprohnre i.~ pursuant to application dated 6/27/73 Fee Paid: $an nn dated this 9th day of _ JuIY ~ 79 73 , 2.00 s/c Building Inspector Mechanical Permits: t3id Total; ~ 4z - , Ti Sh a,v -e • 4,~ t' VILLAGE OF EAGAN ~ r 3795 Pilot Knob Road Eagen, Minnesota 55122 -rf•: ~ PEkMIT NO.:_ a75 The Village of Eagan hereby grants to Geo. SQdkwick Heatina 6 A/C Co. o£ inoi x n+a Ava o Mnla 55416 a iiTu1TID1!' Permit for; (Owner)_ Naw Aorison Iiomes - Timberahoree at y~~~_~9~~ 11 mi h r hore 7j pursuant to application dated 6/27/73 Fee Paid: $aann dated this 9th day o£ Julq 19 73 , 2.00 s/c Bu:lding Inspector hiechanical Permits: . t3id Total: • ~ t VILLAQE OF EAGAN 3795 P11ot Knob Road Eagan, Minneaota 55122 PEkIvIIT NO.: 375 The Village o£ Eagan hereby grants to Geo. Sed¢wick Heatiue 6 A/C Co. of ipp„ig Ave So Mvls 55416 a--UWATIdTC Permit for: (Owner) New Horizon IIomes - Tiwberehorea at ~~~~Jlll_~.~ Timhar t,ore ts pursuant to application dated 6/27/73 Fee Pai.d: $an nn dated this 9th day of _ July , 19 73 , 2.00 s/c IIuilding Inspector Ntechanical Pezmits: Eid Total: i SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. 6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS CITY OCCUPANT ~~Q OWNEFI SOLD BY ~3'~~ c- INSTALLED 8V MAKE ~s.~.~n J)(' [7 G'G GfIT .Z [14 7c, MODEL SERIAL NO. INPUT~% ~"d'-' JAN 14 2004 ~ ~ P~ THERMOSTAT T~ VENT SIZE v I VALVE T^!PE OF LINER i~ LIMIT / r /1~~5/ LINER SIZE ~ LIMI75ETTINGFIITERS: SIZE r^ NUMBER FANSETTING~~ ~ WIHING PILOT TVPE TEST TkN GS IGNITION MODEL Ls ZZ4!~ LIGHTING INST. PILOTTIMING DATETESTED ii PRESSURE 7-~ PERCENTCOz GOMPANY TESTING "4Z~4L"INPUT CFH PEHCENT Op 7~ , STACK TEMP. •r ' PEFiCENT CO NAME OF TESTER~I~Cf!~~ FOFM235(FEV.11R9) FORMDI5TRIBUI'ION: WHITECOPV-J08PILE VELLOWCOPV-CIN ' RESIDENTIl.L MECHANICAL 30'o Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomcs and Condos when peimits aze required for each unit Date/j /4_/ d -4 Site Address J / 1 Unit # Property Owner C44!!7- IzZm/zo~,416 Telephone N ( ) COnt[8Ct01' ~r.~r~ n n YrD\i~wiVi • . .?~n ~ •n ~vrY Street Address 8910 Wentworih Ave. So. ~ity Miiirieapolls, seate (952) 881-MOLiP Telephone # ( ) Bond Expires: The Applisant es _ Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? fumacereplacement~.~/~ a5( ~7~~N°2~~D7D _ air exchanger / airconditioner _ New _ Replacemente~ other State Surcharge $ '50 Total ~ ~LL 1 1 ~00m D I hereby apply for a Residential Mechanical Permit and aclmowledge that the in tion is complete and ac urate; that the work will be in wnformauce with the ordinances and codes of the City of Eagan and with chamcal-C°crdes,-that-I understand tlris is not a permit, but only an application for a permit, and work is not to start without a pemut; that thiwork will b in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ApplicanYs Pnnted Name ApplicanYs Signat COMMERCIAL 1VIE' CHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete £or: commercial/industnal buildings mul[i-family buildings when separate pemuts are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Espires: Thx Apglicar.t is _ Ovner _ Contractor _ Otlier Work Type _ New construction _Install _Remove Underground Tank _ Interior Improvement Schedule inspection during installatlon or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes Sta[e Surcharge) Contract Value x I°/a Permit ree • If pernnt fee is $1,000 or less, add $.50 $ State Sarcharge Ifperxnit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will be in conforntance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand Uris is not a pemut, but only an applicarion for a permit, and work is not to start without a pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plansr Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: , COMMERCLAL ~ ~ 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN QL 651-681-4675 Foundation Onl New Construction Interior Im rovement . SWCtural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SWctural Plans (2) • Code Analysis (1) " • Certificaleo(Survey (1) • CivilPlans (2) • ProjectSpea (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • ProjeUSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. lnsp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) notalways" • SoilsReport (1) . Spec.Insp.BTestingSchedule (1)" • EIec.POwer&LightlngForm (1)notalways" • Meter size must be established • Meter size must be esfablished • Meter size must be established - if applicable • ProjeclSpecs (1) 1 • EnergyCalculations (1) 1 • Electnc Power 8 Lightlng Form (1) 1 • Mas[er Exit Plan (1) 1 d • Emergency Response Slte Plan (7) 1 • SoilsReport (1) ! • MClES SAC determination letter • MC/ES SAC determination letter • MGES SAC datertninatlon letter call 651-602-1000 call 651-602-1000 call 651-602•1000 Food & beverage or lodging facilities - submit plan to MN Department 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: P~ WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COSTI SITE ADDRESS: I r~i 0~} I a i I a~ I ~I a~3 T l r'Y1 rC-C/I ~I.EY'P L/1J TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRiPTION OF WORK W 1 N I)J ICItn V-JO-U Name: 1 I Y1~) 1~/1 ~Olr rC Pho ~D( S ~ I~~!~~ PROPERTY Last First OWiNER Street Address: ~L) r2 - @1 10 City: State: ~ v'J\J Zip: Company: LJ<4~r~, V\Y t tJ9Jv~~ e} ~ )"'Phdne ( `1 3 3 L( O o CONTRACTOR ~ ~ ~ ~ D ! ~ ~2 • Street Address: City: State: ~I N Zip: ~V ARCHITECT/ ENGINEER Company: Phone ( ) Name: Registration Street Address: Ciry: State: n~ Zip: `,J, , C ~ 1p3 U Licensed plumber installing new sewedwater service: PCion~ l I hereby acknowledge that I have read this application, state that the information is correct, and`agree to comply with-alba plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:~_ ElV Updated 7l02 OFFICE USE ONLY SUBTYPE - 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. i 14 Apartrnents D 27 CommerciaUIndushial ? 32 Ext Alt - Apts. 15 Lodging ? 28 Crreenhouse 0 34 Ext Alt - Comm. 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ; 31 New ? 35 Tenant Impr u 42 Demolish (Foundation) ? 46 Windows/Doors ' 1 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair ~ 33 Alterations G 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 34 Replacement ? 38 Demolish (Int) 045 Fire Repair GENERAL INFORMATION Census Code Zoning s ft. SAC Code • q # of Stories sq. ft. Vo. of Units - Length sq. ft. " Vo. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered RAISCELLANEOUS INSPECTIONS 7 Gas Service Test ? Heating ? Insulation i7 Plumbing ? Stucco/Stone APPROVALS Mannin8 Building Engineering Variance VALUATION $ 'ermit Fee 3urcharge 'lan Review VIC/ES SAC % SAC -~ity SAC SAC Units Nater Supply & Storage Meter Size 3/W Permit 3/W Surcharge rreatment Plant • 'ark Dedication 1'rails Dedication Nater Quality Dther lopies iotal ' TIMBERSHORE 4TH 76503 PAGE 1 OF 3 PERMIT DATE & TYPE LOT BL ADDRESS 12/72 a-rtex 010 Ol 3694 DENNARK AVE 020 Ol 3696 DENMARK AVE 030 Ol 1165 TIlvfBERSHORE LN 040 Ol 1163 TIMBERSHORE LN 12/72 4-PLEX 010 02 1169 TIMBERSHORE LN 020 02 1167 TIMBERSHORE LN 030 02 1173 TIMBERSHORE LN 040 02 1171 TIMBERSHORE LN 12i72 4-PLEX 010 03 1177 TIIVIBERSHORE LN 020 03 1175 TIMBEASHORE LN 030 03 1181 TIMBERSHORE LN 040 03 1179 TIMBERSHORE LN 12n2 a-rLex 010 04 1185 TIMBERSHORE LN 020 04 1183 TIMBERSHORE LN 030 04 1189 TIMBERSHORE LN 040 04 1187 TIMBERSHORE LN 12/72 4-PLEX 010 OS 1193 TIMBER3HORE LN 020 OS 1191 TIMBERSHORE LN 030 OS 1197 TIMBERSHORE LN 040 OS 1195 TIMBERSHORE LN 12i72 4-PLEX 010 06 1203 TIMBERSHORE LN 020 06 1201 TIMBERSHORE LN 030 06 1199 TIMBERSHORE LN 040 06 1205 TIMBERSHORE LN 12/72 a-Pt,Ex 010 07 1211 TIMBERSHORE qLN 020 07 1209 TIMBERSHORE 030 07 1207 TIMBERSHORE 040 07 1213 TIMBERSHORE ~ RESIDENTIAL j -~j BUILDING PERMIT APPLICATION CITY OF EAGAN `1'~• 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 651-681-4675 Yew Construction Recuiremanb RemodeUReoair Renuiremenis . J registeretl si[e surveys showirng sq. fl. of !oC sq, R. of house~ and all roofed areas • 2 copies if ,Ian (,20°6 ma~cimum lot coverage allewed) • 1 set ci Er,zrgy Calculafions'or heafed aatlitions • 2 copies of plan showug beam S vnnacw sizes; poured found desgn, ztc.) . 1 vte scrvey!cr exteror additions & cecks • 7sel of enertJy Calculations • Intlicate f home served by septic system for adtlitions • 3 copies of Tree Preservation Plan i( lot platted aRer 711193 . Rim Jois[ Delail Opfions selectian shee! (CIGgs with 3 or less unils) ~ O DATE p / -I d ' C 1 VALUATION ' "__1 SITE ADDRESS wi bQr.rhore LN MULTI-FAMILY BLDG _Y _ N TYPE OF WORK RCP~01('e ~I ~"'ho~w d- i2°(7;d aebI" FIREPLACE(5) _ 0_ 1_ 2 APPLICANT r2Pvr4,'J11r01,V,[P Z_ )C Z~e i- STREET ADDRE55 l~G?L10 CITY Mot/h0!7- PSTATEMN ZIP J-J-111 TELEPHONE # 76^1-PPc `;~u"QCELL PHONE # FAX # PROPERTYOWNER M'/rIf Nacker TELEPHONE# 7r~~f COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ 4[IV\ESO"f:A RCLtiS 7670 C:1'CHGORY I NIIVNL•S<)1':A Rt'LLti 7672 (v submission rype) . Residential Ventilalion Category 1 Wbrksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calwlations Submitted Plumbing Contractor: Phonc ~ PlumUing system includes: _ Water SoCtencr I.a«n Spnnl:ler Pee: 590.00 _ Water Heatcr No. of R.I. Baths i~.i - , ~ vo. of Baths I7' fJl I ri~ ~ j Mechanical Contractor. Phone #'~J S`p 1o~00 II cch.mic.~l ,}•stcItii includr,: .~ir Conditionili; Fee: 5i1~. ( ~ 4Y_ F[cat Rccoect}' St'slcin Sewer/Water Contractor: Phone # I hereby acknowtedge ihat 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. SlgnatureofApplicanf w"""`" 4~~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex p 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 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 Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City 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) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tilz Other Roof _ Ice & Watzr _ Final _ Pool Ftgs AiriGas Tzsts Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A'u Test _ Final Windows (nzw/replacemenq _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total •p 7AAwy MASTER CARD 3 7 c,~7 1-7 7 r. 60 ? 0~l LOCATION OWNER ---T. STRUCTURE AND LAND USED AS Issued To Permit No. Issued Coniractor Owner BUILDING PLUMBING 3 73 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ! 39~ OTHER ~ OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION „ CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINfIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS 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. ? ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY GONDITIONS BEYOND NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ~ REINSPECTION REQUIRED DATE OF REINSPEC710N REINSPECTION REVEALED CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interes[ present or prospective, and that I have reportad herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any syecific require- ments for off-site improvements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILDING INSPECTOR DATE GOMMENTS: ~ 23 - a 3 ~ EAGAN TOWNSHIP 3745 Pilot Knob Road ~ St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICB CONNECTION DATE: 12/29/72 (8/7/73) NUMBER 1394 OWNER:New Horizon Hames Address 207 09-11-13 Timbershore Lane PLUMBER Thompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Resideatiel Multiple Dwelliag No. of unit g~ 1 xc 4 tomhouse Location of Conaections: Connectioa Charge 1040.00 bil e 8/7/73 Permit Pee 10.00 pd 12/28/72 .50 pa 12/28/72 Street Repairs Total Inspected bq; Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do Che proposed work in accordance with the rules and regulatioas of Eagan Totmship, Dakota County, Mianesota By Thomnson PlumbingCo. Please notifq whert ready for inspection and connection and before any portioa oE the work is covered. ~ EAGPN TOWNSHIP 3 ^ 3795 Pilot Knob Road St. Paul, Minneaota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 8/7/73 (12/29/72) Number• 1271 Billing Name: New Horizon Homes Site Address: 1Q09-11-13 Timbershore Lane Owner: same Billing Address Plnmber: Thompson Plumbing Co. ~ Location of Connection Meter Size Coanection Chg.480.00 billed 8/7/73 Meter No. Permlt Fee 10.00 Ad 12/28/72 Meter Reading Meter DeQ. •50 pd 72/28/72 1207 - 22802878_ 426445 - 1209 - 22802879- 426446 Meter Sealed: Yes Add'1 Chq3!-~,~-° 1211 - 22802880- 426447 1213 - 228028815 426448 NO lbtai Chg. ¢ ~ Assn/- 22802902- 426449 Inspected by ~ Date Suilding is a: Remarka: xesidence $25.00 RE-iNSPECTION FEE FOR Multiple ro, untts t°wnhoIMppERLY IMSTALLED M ETERS. Commercial IadusCrial gy; Other Chief Inspeceor In conaideration of the issue and deliverq to me of the above permit, I hereby agree to do the pxoposed work ia accordaace with the rules and regulaCioas of Eagan Townahip, Dakota County, ASiaaesota. By' ~4/ Thompson Plumkd ng Co. Please notify the above office when ready for inspection and connectian. ~ ~ - EAGAN TOtdNSHIP 4L 3795 Pilot Knob P.oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (8/7/73) NUMf3ER 1394 OWNEft: New Horizon Hames ?ddress 12fl']-Oy~1~13 Timbershore I:ane _o PLUMBER Thompson Plumbing Co. q'ypE OF PIPE heavy cast iron DESCRIPTION OF SUIIDING Industrial Commercial Residential Multiple Dwelling No, of unil-~i J 1~ r~ ~ I xx 4 tot~house ~ 1 _ Location of Connectfons: Connection Charge 1040.00 bil ed 8/7/73 Permit Fee 10,00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Total Inspected by: DaCe Remarks: By Chief Inspector In consideration of the issue and delivery to me af the above permit, I hereby agree to do tfie proposed work in accordance with the rules and regulaCions of Eagan Towmship, Dal;ota County, Minneaota By. Thomnson PlumbingCo. Please notify when ready for inspection and connection and before any portion of the work is covered. - - - ' ~ EAGAN TO[JNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (8/7/73) NUMBER 1394 OWNEP.; New Horizon Homes P.ddress 1207-09-11 L Timbershore Lane PLUMBER Thompson Plumbing Co. 'pypE OF PIPE _heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of unil- ax 4 totuahous e 7" Location of Connections: Connection Charge 1040.00 bil e 8/7/73 Permit Fee 10.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs Total Inspected by: Date Remarks• Sy Chief Inspector In consideration of the issue attd delivery to me of the above pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dal:oCa County, Minnesota Sy Thompson PlumbineCo. Please notify wnen ready for inspection and connection and 6efore any portion of the work is covered. _ - - - - ~ ~ ~ ~ , . /1r. ~~ca~~ ~ ./r6 ~1.. G~ ~;~K2 ,G{/f~_ - ,1" V L6~~Jp 2~ZC.- ,!/JL~ !~v-' ~P ~C^LT~.~'~Q+~ ~ ~r v V ~~1 .~C~ ~~~~~~~A~~ ~ ~z z . ~ ~~~~-~.~t~~~ ~s.~~~~~`a`°~ ~ ~~e2~ ~ ~.s.~ ~ - ~ ~ + L V ~ February 15, 1978 Nex Horizon Hames., Tnc. 3131 U. Fernbrook Lene /r104 Plymouth, Minnseota 55W I)88T Sik'S I am ,Porced to rrrite a letter at thia time to alert you to a eeriove problem I am now experiencing. f am obeeroing daily inLernal atructural dawage to my tamhome dvring this recent winter seaeon frae preeaure emserted bq seEtling, cavsing my riallboard to break in aeveral placea concentrated mainlq in the toyrer area. The most Berioue problem io oacuring abave my frant door. The craok is naw aide at the base and extending approximatelq eia feet at a h$0 angle tarard the ceiling. Aa I have mentionod, other areas are devoloping ae the cold weather aontinues. The presBure aavsing the nbove hes also made it practically impos3lbYe to open our front door. Unleae meaaures are taken to halt thie progreaeive aettlings I fear additional serious damuge, both internal snd externalj, wl11 xcur. I wi21 be vraiting to hear fram your repreaenLative to dfscusa my problem as soon es posaibles and 4ri,jet no further actian need tm taken on ¢y port. Very truly youra, idichael 47. llcCauley 1213 Timbershore Lane .(Purnhased & built in 1973) 8agan, 1G.rsnssota 55123 xome ptwne t 454-7965 lhmiuoss ghcmos 726-2440 726-2ltls2 ees Timbershore Nomea+nora' Aasociatian Dalo Peterscn-T':agan Duilding Inspector ff 197"r 8 h d~u $ 'V 4 _ RECEIVED vnx 544 ZONIN6 - NOTIPICATION OF INTENT Foster Family Homes Day.Care xomes Tb: &Lllal~ ~ . (lhinicipality o Political 3ub-Division) 3795 ~062a-l- .0~_ (street Adareas) ~-7I. (Cit (State) (Zip) FRM: Dakota County Social Services 357 9th Avenue North So. St. Paul, M 55075 APPLIG4NT: (Name) , . (StreeY) (City) (State) (Zip) Number of Natuxal Children uader 18 in home: 0jo 2;3 4 Sr'...' • ' (circle.mumber) Number of Foater Children istcluded in license:01 2 3 4 5 6 7 ' (circle mmber) Number o£ Naturai Preschool Children in.Home: 0~2 3 4 5 " (circle number) Number of Daq Care Cifildren included in liceme: 0 1 2 3~5 6 ~ 8 9 10 (circle number) DATS OF NOTIFICATION: if I X 7 ~vm~P.ra,L~w 6/ f"' 6 7 8 y 'crr~ii~Fl `9. May b, 1978 MAY 5 1978 0 ~ Department of Housing and Urban Development ~ 6400 France Avenue South c~ Minneapolis, Edi.nnesata 55435 9ttention: ;3r. Thomas Feenay Z Dear 6fr. Feeneya I am wrlting you at thia time on the advice oP TIIBERSHORE fD1E01aNERS ASSOCIATION, hoping that you can help me witdi a problem I am having with NE69 HORIZON HOWS, IAtC. Atteched is correspoadence bobween Qyaelf and NE7 HURIZOtij, explaining my aituation. They painted out 3n t}teir letter to me I had not had anq problems prior to 1977; haarever, I had experiencod minor settling problem wMch aeemed insignificant aL the time unti.l the problen esoalated laet year. I ' wrote 1dEA HJRIZON, euepeoting a atnictural problans but as you can sees, theq refused to conaider mg sitvation in anq xay. I now imderstand that many of the hames in our area have experienced eimilar crack3ng and settllng-problemss but the majorlty have not. What re¢lly concerne me about thia is the lack ot intereat by 1VFW HDRIZON in the qvality of their conetruction. 1y hane is cmc3dng apart and Dlr. Madieon is telling me the lEtnneaota xinter is to blame. That is the moaL difficult etatement to accept„ if not imponeible. Any home bui:t in this area ehould be aonatructed to erithstand the winter no matter hrnr tevere. To expect anyone to eacept structural demage to hie home becavse he lives in Yirmeaota is beyond camprehenaion. I would appreciste anythln6 qou etu? do to investigate thia problem artd direct NFd NJRIZOPI to aorrect it. Very txvly youra, ,nonaei w. Macaw.e~ 1213 Timberenore Lane Eagan., lflnnesota 55123 Attactmente oca Timberehore Haneo?mers Ssaooiation Mr. Dalo Petereon, Eagan Bnilding Inopector February 15, 1978 Nex Horizon Ramest Inc. 3131 N. Fernbrook Lane #lOlt Y].ymoutn, Mlnnesota 55Ut1 i)ear : irs T am Porced to rmite a lstter at thie time to alerE you to a serlove ::)roblem I am na+r experiencing. I am obeerving daily internal etrucLural damaF;e to my twmhome during this recent winter seaeon from prassure r-xsertsd by settling, caueing mq xallboard to break in eeveral pYaees c:oncentrated mainlq in the 4oyer area. Che moot serlous problem ie occuring above my front door. The crack ic rrnx 1" vride at the baee and extending approxd.sately aix feet at a !i51• :in;;lo t.oxard the ceiling. As I have mentioned, other areae are srevr:la:in~ as tho.cold xeather continuea. The presavre cavcing the r~',o>>e tor: al:,o made it praetically img>oesible to open our frnnt door. +i>+ivr r. nearui•es are taken to halt t.his progreseive eettlingj, I fesr :rtdi~.ional NFrious damage, both internal and externalj, wfll oceur. vri1i be waitint? Lo heer fram qour repreeentative to diacuss aiy pmblem as soon ae possible, and truet no llirther aation need De i;aken c)n my part., Very truly yourep idichael W. lloCaulsq 1213 Timbershore Lane (PurcTteeed & bu11t in 1973) Eagsn,, llinnesota 55123 Hrnne phone: h54-7965 Aueinese phmei 726-24h0 726-2442 cc: '"'nlers!ir.rr; t[r",R:cwmeral ,•.e~:o.~i.e;ior; , tia;le <«:r,e~n;.n-:....,_,. "naii~i~.•i.'.~pF~'':or ~ i, ;r PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts are required for each unit Da[e,~/0 - 3> Site Address ./;ZL f~• Unit # Property Owner Gc r i` -e /y A'L14e? Telephone #(Gzi /)VS Cantractor IZT P Plk-w4 bl' v~~ Address ~ ? ~ O + kev,tLb P7 v4-V,&- tt) ~ `7 City 2-4-e l3 i -e State Yh ,N zip 'So Telep6one #(g5~z 6 r~ -64 7 R The Applicant is _ Owner Y Conhactor _ Other Septic System New _ Refurbished Submit 2 secs of plans and MPC license $ 100.00 InGutles County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Uoit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater $ 15.00 ~ replacement _ additional StateSurcharge ~~V 0 3 Zff .50 Total BY ,5",5C> I hereby apply for a Residenrial Plumbing Pemut and aclmowledge that the infoanation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemvt, hut only an applicarion for a permit, and work is not to start cvithout a pernvt; that the work will be in accordance with the approved plan in the c~ase of~ rk which requires a review and approval of plans. / at ~ ~ ~t5~ Ap licant's Printed Nam~ ApplicanYs Signature 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date /,9 / °Z- / 06, SiteAddress Uuit# Property Owner r/ 4Q[;Ter Telephonetl((p5/ ) / Contractor .S he. Aoa.L Street Address / 96 414 YYYI / Il i CrtS ~sk n State % / /V Zip Q ~ Telephone # 651) 77 Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ fumace _Additional X-Replacement _ New ~ air exchanger ( 0 air conditioner heat pump L_ other State Surcharge $ .50 ~ Total $ &I ~ 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 applica[ion for a permit, and work is not to s[art without . ermit; t6at [he work will be in accordance with the Sov edplan in the case of work which requires a review and approval of ~r~~a. ~t?tdeVsDYJ Applicant's Printed Name Signature 2006 RESIDENTIAL BUILDING rExauT arrLicaTioN 41a, ,a -r~- City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion ReQUirements RemcdeVReoair Reauirements Office l7se~AdN 3 registered sfle surveys showing sq. ft of lot, sq. ft of house; and all roofed ar=as 2 copies of plan showing foofugs, beams, joisls Cer( oFSi~~yl2eoi' Y~ N (200h mazimum lot coverage allowed) 1 set of Energy Calculations for heated addNons Tiee~res ~~ecd `1",.r•.v ~J 2 mpies of plan showing beam S window saes; poured found design, etc. 1 sife survey for additions & decks iree AresnReqpi~e;1"'~~'~ Y',m~ f~ 1 set of Energy Calculations Add'dion - indiwte if ar-site sep6c system Oo-site.$ep4c SystEm y_,~N 3 coples of Tree Preservation Plan d IW platted afler 711193 Rim Joist Detail Options selecfion sheet (buildings wilh 3 or less uniLS) Winnegasco mechanical ventilation fortn - Date Construction Cost Site Address ~ ZO z i l•~ 2/ ~j UnidSte # Description of Work Multi-Family Bldg Fireplace(s) 1 _ 2 Property Owner 7t'I Gw-rt-T~ Gd7?/1/a~pcfj Telephone<Epap- Contractor Yt el Address Z fl V 4,0+ CdY CD -7t~s-~ VQ Telephone#(qG3) S'Sa State A14 n/ ZipS'~-2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 W«ksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatlons Svbmitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, dafe and address of master plan: Licensed Plumber Telephone # ( ) . Mechanical Controctor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building.Permit and acknowledge that the informarion 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 permit, but only an applicarion for it, and work is not to start without a !jlal~,, ork will be in ac dance with the` plan i e case of work whic requires a review and permit; app val of pl . </C~~s'' Appl' ant's Printed Name Applicant's Signature DO NOT WRITE SELOW THIS LINE Sub Tvqes ? 01 Foundation 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext Att- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext Alt - SF ? 04 02-plex ? 10 OB-plex O 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex ? i t 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Twes ? 31 New ? 35 Int Improvement ? 36 DemoGSh Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demdifion (Entire Bidg) - Give PCA handout to applicant DBSCfiption: WaterDamage_Yes Valuation 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) Sheetrock _ Footings(deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. _ Foundation HVqC _ Dmin Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Fiamin8 _ Siding _ Stucco I.ath _ Stone Lath _Brick _ F'ueplace _ RI. _ Air Test Final Windows _ Insulation _ Retaining Wall Approved By: , Buiiding Inspector Base Fee - Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Piant License Search Copies Other Total z . ~30•S~ 2006 RESIDENTIAL MECHANICAL rERNUT nrrLrcaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single family dweilings & townhomes/condos when permits are required for each unit Date 7 Site Address }~C5 1`Y>{~t~~~C`~C `-1'~ • Unit # Property Owoer (LK{ Telephone # ((o5I ) 3f. '~J- 2-5qO Wohlers Southside Htg& Air, Inc. ~ Contractor 6950 W. 146'' St., #106 Street Address Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) Bond#: KL5-C)54'798'7 Expires: 03- -?S-LXo The Applicant is _ Owner X Conuactor _ Other Add-on or alteratian to existing dwelling unit $ 30.00 fumace _Additional /--Replacement _ New„ air exchanger ~ air conditioner Q heat pump 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 apptication 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 aod approval of plans. i~-~ 1~ Applicant's Printed Name v Applicant's Signature.