1215 Timbershore Lane CITY OF EAGAN Remarks
Addition, ?`imhPrGhnrP 1Gth Lot 3 eik 8 Parcei 10 76503 030 O8
~
Owner' - L1': f, r , Street 1215 TiYnbershore Ltx?'L P- 5tate_ _ E~~,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 321.03 20 pAid
STREET RESTOR.
GRADING
*SANSEWTRUNK Lat B. 197 3 •15 21.61 15 pa.'LC],
*SEWER LATERAL 1974 2.93 90.58 5 Pa1.d
# WATERMAIN Lat ~ 7 15
# WATER LATERAL 1974 5
WATER AREA
STORM SEW TRK
~ STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 120.00 9654 12-18-73
PER.
sac 260 00 96-cL 12-1 -73
PARK
CITY OF EAGAN Remarks
Addition Z`imbershore hth Lot 2 aik 8 Parcel 10 76503 020 08
owne~ SY i (I', l* i, )i,:, screet 1217 Timbershore LxkNQ-- 5tate Eagan.,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 21.0 .20 P27.d
STREET RESTOR.
GRADING
*SAN SEW TRUNK Lat B. 1973 2.1 21.61 1 Paid
# SEWER LATEFiAL 1 IL52, 93 O.S P31d
*WATERMAIN Lat 1973 15
# WATER LATERAL 1974 5
WATER AREA STORM SEW TRK
#STORM SEW LAT 197 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 120.00 9654 12-18-73
BUILDING PER.
sAC 26o.oa 9654 12-18-
PARK
CITY OF EAGAN Remarks
Addition Timbershore 4th Lot 1 sik 8 Parcel 10 76503 010 08
'15£ r'1
Owner i\.(
`2 5treec 1219 Timbershore ~-ti~
~~r i % I 1 ( State Ec3gaY1.,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 21.0 6.20 P2id
STREET RESTOR.
GRADING
#SAN SEW TRUNK Lat B. 1973 324.15 21 . 1 15 216.10 A004383 7-13-77
SEWER LATERAL 1974 Q. Paid
jE WATERMAIN Lat 1973 1
# WATER LATERAL 1974 5
WATER AREA
STORM SEW TRK
# STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 120.00 9654 12-18-73
BUILDING PER.
sac 260 00
PARK
CITY OF EAGAN Remarks
Additio~ T3mbershore L.th Lot 4 eik 8 Parcel 1 n 715C~3 C)la,Cl n$
owneF'; ~ .-1+ street 1221 Timbershore Lan2 State- Fiag2nMN 123
G^~ ' _ r j• 1 ir. I ' t
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 21.06 2a Pi3,1d
STREET RESTOR,
GRADING
'h- SAN SEW TRUNK Lat B. 1973 32 .1 21 . 1 15 paid
* SEWER LATERAL 7 97 2• 93 90-58 Paid
* WATERMAIN L2.~ 1973 15'
*WATER LATERAL ~
WATER AREA
STORM SEW TRK
# STORM SEW LAT 197 5
CURB & GUTTER
SIDEWALK
STREET LlGHT
WATER CONN. 120.00 654 12-18-73
PER.
sAC 260.00 12-18-73
CITY OF-EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ROOFINC Est. Value $279000 Date 19
Site Address 1211 TIF-IHLRSliORE Li3 Lot 2 Block 8 Sec/Sub. TIt3b8REF4R1Z 4't'fi OFFICE USE ONLY
PBrCBI N0. Occupancy - FEES
T2HB£RS~l0R8 l?.S:OCIATItnv Zoning - $266*00
W Name (Actual) Const - Bidg. Permit
0 Address SAME (Allowable) - Surcharge 13.50
City Phone # oi Stones -
_ Plan Review
Length
~ .di?eT?~l I~FISSEL I;~C
o Name Depln - s,aC, Ciry
Address 153 L A~' S.F. Total - SAC, MCWCC
~ City GF S'1[ PAIiL Phone 45I-683 S S.F. Footpirrts -
On Site Sewage _ Water Conn
~
W w Name On Site Weu - Water Meter
F W
z MWCC S stem
uZ Address y - Acct. Deposit
< W City Phone c~y water -
PRV Required _ SNY Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: 1CMN BEiSSEi. T`lOC Pianner - park Ded.
on the express condition that all work shall be done in aEcordance with all Council
applica6le State of Minnesota Statutes and City of Eagan Ordinances. gldg. pry_ _ Copies
$279Building Official _ F' Variance - TOTAL ~S~
Permit No. Permit Holder Date 7elephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTHIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Noti(y Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
~
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: y''r 5 `1''
Eagan, Minnesota 55122-1897 Date Issued: f"
(612) 681-4675
SITE ADDRESS: , o ll ; ^ E~ [ W } : . APPLICANT:
i.'i ilMNFRlIinRt tAMf
I 1 F1fcl k`.Iliif-1f
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • DA
~ J
Permit No. Permit Holder Date Telephone M
ELECTRIC
PIUMBING
HVAC
Inspection Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVP BOARD
FIREPLACE
FIREPLACE
AlR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT fINAL
OECK FT G 7
DF_CK FINAL b ^3'~ ~ 1 •
1NSYLC;`1'lUN RLt;UKll
CITY OF EAGAN PERMIT TYPE:
_~3830 PilOt Knob Road Permit Number: .
~ Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ; ~ ; ~ ~ ~ ~ ~ r• - APPLICANT:
a
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
~
~ J
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
~ ORSAT - - -
TEST
• BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
conioucnwTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FlNAL
- - -
- - -
DECK FfG
DECK FINAL
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Raad Permil Number: i
Eagan, Minnesota 55122-1897 pate issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
I rMHFR~41401141` ! AME ?,:j :i;I I iD raA r.~
1 1 MF9~ t<~,li~~i~ i i ! ~ ~ • , ~ !
PERMIT SUBTYPE: TYPE OF WORK:
l (lnt~ i_ i r1J II
INSPECTION DA • DA
, . . . ~ . . . . ~ ~
~ . ~ _ ~ . . ~ . . . ~ _ ~
Permtt No. Permit Holder Date Telephone #
ELEcrRIc
PLUMBING
HVAC
Inspection Date Inap. Comments
FODTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK
DECK FINAL
J G(O ~je~
cI'i'Y OF EiaGAN
3795 Pi.loc Kaob Road
Eagan, Mir,nascta 55122
PE.~NiIT NO.: BAS
The City of Eagan hereby grants to James Docken
of 1215 Timbershore Lane
a Air Cond. _ permit fort (Owner) $ame _
at aame , pursuant to application dated 6/15/76
Fee Paid: $5.00 dated this 16 day of _June ~ 19 76,
. s c
Building Inspector
Mechanical Permits:
Bid Total:
~o ~6/0 60-3 6So Q~
VILLAUE QF r'.FrGA1V
3795 Pilot Knob Hoad
Eagan, Niinnesota 55122
PFdiivIIT N0. 373
The Village of Eagan hereby grants to Thomoson P1um61nS Co.
o£ 12201 Himiatonke Blvd.
a pyUMBING Permit for: (Owner) New floriaon HOmas- Timbershora
3694-96 Danmark 6 1163-65 Timbershora. 1171-73-69-67 1175-77-79-81, - 87-89,
at1191-93-95797• 1199-1201-09-45~~~i&;iRgxK Ti°° ilUre Uanm
I'ee Paid: 640.00 dated this 6th day of Auguet , 19 73 .
16.00 e c
Building Inspector
Aiechanical Permits:
riid 'rotal: ,
~0 7(v5~`~ °
VILLAGE QF' EAGAYJ
3795 Pilot Knob ti.oad
Eagan, Itinnesota 55122
PIIiMT N0. 373
The Village of Eagan hereby grants to Thomuson Plumbins Co
of 12201 Mimetonka Blvd..
a pMipg Permit ford (Owner) New Horiaon EOmee- Timbarshorn
59 96 nenmark 6 1163-65 Timberehora, 1171-73-69-67 1175-7 -79-51, fITS--B-87-89,
a 91-93-95-97, 1199-1201-03-Q5~-t1~1~76~~7~+ , T~4° 48IIe
Fee Paid: 640.00 dated this 6th day o£ August , 19 73".
16.00 e c i
Bu' g Inspector
Niechanical Permits:
30
Bid Total:
CITY OF EAGAN N~ 16693
` 3830 Pilot Knob Raad, P.O. Box 27-199, Eagan, MN 55721
BbILDING PERMIT PHONE: 454-8100 Receipt #
To be used for ROOFING Est. vaWe $2 7, 000 Date ~ y a~ , 19
Site Address 1217 TIMBERSHORE LN
Lot Z Block $ Sec/Sub. TIMBERSHORE 4TH OFFICE USE ONLY
PBfC@l N0. Occupancy - FEES
x Name TIMBERSHORE ASSOCIATION zoning (Aqual) Consl _ Bldg. Permit ~ 266.00
; Address SAME (Allowable) - Surcharge 13.50
° City Phone # of stories -
Lenglh _ Plan Reviaw
o Name JOHN BEISSEL INC Depth - SAC,City
va Address 153 E THOMPSON AVE S.F.Total - SAC,MCWCC
~ City W ST PAUL Phone 451-6835 S.F. Footprints -
On Site Sewage - Water Conn
r
ww Name OnSileweil - WalerMeter
i~ AddfBSS MWCCSystem -
uO Acct Deposil
<W Clry PhOf18 Ciry Water -
PRV Required - S/VJ Permit
I hereGy acknowlege ihat I have read this application and state that the Booster Pump - SMI Surchaige
information is conect and aqree to comply witp all applicable State of
Minnesota Statutes and Ciry ~qagan O m Bs. Treatment PI
Signature of Permiiee ~~4- APPROVALS Roatl Unit
A Building Permit is issued to: Planner - park Ded.
on the express condition that all w rk shall be done in a cordance wilh all Council -
applicable S[ale of Minnespta~St ~ es and City of E n 0i. Bld9Off. = Copies
BuildingOtticial ~a Variance TOTAL $279•50
{
~ COMMERCIAL ~
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
CLI A, 551-681-4675 `7
~ L
Foundation Onl New Construction Interior Im rovement
• SWClural Plans (2) sels . Architectural Plans (2) sels • ArchitecWral Plans (2) sets
• Civil Plans (2) • Structural Plans (2) . Code Malysis (i) ^
• Certificate of Survey (1) . Civil Plans (2) . Project Specs (1)
• CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (t)
• Prqect Specs (1) • Code Analysis (1) " • Master Ezit Plan (1)
• Spec.Insp.BTestingSchedule . Certificate of Survey (7) • EnergyCalculations (1)notalways"
. Soils Report (7) . Spec. Insp. & TesNng Schedule (1) " • Elec. Power & Lighting Form (t) notalways"
. Meter size must 6e established • Meter size must be esWblished • Meter size must be esta6lished - if applicable
• Prqect Specs (1)
1 • EnergyCalculalions (7)
1 • Electric Power & Lighting Fortn (1)
! • Master Exit Plan (1) 1
! • EmergancyResponseSitePlan (1)'"" 1
1 • SoilsReport (1) 1
. MGES SAC determinatlon letter • MClES SAC detertnination letter • MGES SAC determination letter
caIlE51-602-1000 ca11557-602-1000 ca!1651-602-1000
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:'3 ZLB OZ--' WORKTYPE: _ NEW !<REMODEL CONSTRUCTIONCOST: 1D, 11~
SITEADDRESS: ~_Z ~S, 12~~ ~ IZ I°~ d~ I L2I Tirt/1 (2,CA SV1.aYC, ~~J •
TENANT NAME: SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK Q. W
Name: :rA IA (6iixC,0(lili mDk Pho e ((0";-,
PROPERTY Last First
OVVNER I
Sheet Address:
City: _S_~~-Q~/A/VA_/ State: Mr') Zip: S~~
U
Company: ~J 1,e-?~ 1 V t n109w J~Phon4: I~ rJ o~ ,&11 I-3 y D o
CONTRACTOR
Street Address: U/ 5 0 Do- '
City: " O\j v ~.J~CS1i~1/ Statet `A~ ~
ARCHITECT/
ENGINEER Company: Phone
UV
Name: Regisaa 'on
BY
Street Address:
City: State: Z.ip:
Licensed plumber installing new sewer/water 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 StaNtes and City of Eagan Ordinances.
Signature of Applicank
V Updated 7/02
OFFICE USE ONLY
.
;
SUBTYPE
i 01 Foundation ? 26 Public Faciliry u 30 Accessory Bldg.
~ 14 Aparunents u 27 CommerciaUIndustrial ? 32 Ext Alt - Apts.
15 Lodging . ? 28 Greenhouse G 34 Ext Alt - Comm.
_ 25 Miscellaneous ? 29 Antennae G 35 Ext Alt - PE
L! 37 Nail Salon
WORK TYPE _
_ 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) E 46 Windows/Doors
= 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
~ 33 Alterations ? 37 Demolish (Bidg) 0 44 Siding ? 48 Authorization
l 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code _ # 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
MISCELLANEOUS INSPECTIONS
Gas Service Test u Heating ? Insulation ? Plumbing E Stucco/Stone
APPROVALS
Planning Building Engineering Variance
VALUATION $
°ermit Fee
3urcharge
°lan Review
iV1C/E5 SAC % SAC
City SAC SAC Units
Nater Supply & Storage Meter Size
S/W Permit
3/W Surcharge
Treatment Plant
?ark Dedication
Trails Dedication
`Nater Quality
Other
.1
~opies
Total
. '
TIMBERSHORE 4TH 76503 PAGE 2 OF 3
PERMIT
DATE &
TYPE LOT BL ADDRESS
12i72 4-PLEX 010 08 1219 TIMBERSHORE LN
020 08 1217 TIMBERSHORE LN
030 08 1215 TIMBERSHORE LN
040 08 1221 TIMBERSHORE LN
1zi72 4-PLEX 010 09 1227 TIMBERSHORE LN
020 09 1225 TIMBERSHORE LN
030 09 1223 TIMBERSHORE LN
040 09 1229 TIMBERSHORE LN
i vnz 4-PLEX 010 10 1235 TIIvIBERSHORE LN
020 10 1233 TIMBERSHORE LN
030 10 1231 TIMBERSHORE LN
040 10 1237 TIMBERSHORE LN
11172 a-rLEx 010 11 1228 TIMBERSHORE LN
020 11 1222 TIMBERSHORE LN
030 11 1224 TIMBERSHORE LN
040 11 1226 TIMBERSHORE LN
11/72 4-PLEX 010 12 1220 TIMBERSHORE LN
020 12 1214 TIMBERSHORE LN
030 12 1216 TIMBERSHORE LN
040 12 1218 TIMBERSHORE LN
izin 4-PLEX 010 13 1182 TIIVIBERSHORE LN
020 13 1184 TIMBERSHORE LN
030 13 1204 TIMBERSHORE LN
040 13 1206 TIIvIBERSHORE LN
12n2 4-PLEX 010 14 1174 TIMBERSHORE LN
020 14 1176 TIIvIBERSHORE LN
030 14 1178 TIMBERSHORE LN
040 14 1180 TIMBERSHORE LN
8
-o ir ~oA.~r .9'
MASTER CARD
LOCATION 17,; / Y 2 y
OWNER
. ~ ~
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued I Contractor Owner
BURDING .2d1~
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER ~395 II OTHER
OTHER
Approved
Items (Initial) Date Remarks Disfance From Well
FOOTWG SEPTIC
POUNDATION ~ j~,, CESSPOOL
FRAMING -1_x 7 -7 TILE FIELD FT.
FINAL
ELECTfiICAL
DEPTH
HEATING OF WELL
- - I
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD PLUMBING ._.7 Z:7-'
WELL
SANITARY SEWER ~ 2--Y
Violations No}ed
on Batk
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY 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 COMPIY.
EJ ACCEPTABLE SU&STITUTIONS OR
DEVIATIONS. ~ COMPLETION OF -CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein
all si9nificant conditions observed to 6e at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any apecific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR pATE
COMMENTS: .
PERMIT ~057~59
'CIfY OF EAGAN
3830 Pilot Knob Road PERAAIT TYPE: 6 U r Lo iNs
Eagan, Min nesota 55122-1897 Permit Number: 0 2 7 5 9 2
(612) 681-4675 Date Issued: 0 5/ 17 / 9 6
SiTE ADDRESS:
1217 TIMBERSHORE LANE
LOT: 2 BLQCK: B TIMBERSHORE 4TH
P.I.N.: 10-76503-020-08
DESCRIPTION:
(DECK/PRIVACY WALL)
Permit Type SF (MISC.)
~Adr,k Type NEW
„ Gr3n°sm5 t-oife- 434 ALT. RESIDEN7IAL
` P
g ~tC t LP
~ ~k
3 r 3 '4
~ S? t 1
~'-5 a~~..a'zM-,i~ »~t~
REMARKS:
FEE SUAAMARY:
Base Fee $45.00
5urcharge $.50
Total Fee $46.50
CONTRACTOR: - Applicant - sT. Lxc.OWNER:
NOBL£ BUILDSNG CO 14327926 2001814 SCHOITEN JERRY
6605 166TH S7 W 1217 TIMBERSHORE LN
R05EMOUNT MN 55068 EAGAN MN 55123
(612) 432-7926 (612)452-4696
, i . . r L''r tes 0
reb~ '~r~~~~~~ N~4tr`e rsad° tftit a;p~slica~i4=n a<nd st~'t~: ~ha~. the '
, .-~ier'f g,t^'C~Q~E e~~.z~,~tl ~~rs~ak t-o dlGmpIY 1W~th applic,atSla Et4te tff Mrs. ..v
5,toOlu,C~
APPLI T/ RMITEE SIGNATURE IS~ D B: SI ~ ATUR I ~
' CITY OF EAGAN
14fl 1 3830 PILOT KNOB RD - 55122
7996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
New Construetion Reauirements RemodeVReoair Requirements
? 3 registered eite surveys ? 2 copies of plan
? 2 copies of plans (include beam & wlndow sizes; poured fnd. design; etc.) ? 2 site surveys (exterior add'Rions 8 decks)
? 1 energy wlculations ? 1 energy ealculalions for heatad additions
? 3 copies of lree preservation plen if lot plaNed aRer 711l93 ~
required: _ Yes _ No
DATE: ..5~ / S ' 9 6/ CONSTRUCTION COST:
DESCRIPTION OF WORK: -6~ Pycou s ~,,f ~ aL.J tcwG(
STREET ADDRESS: T/,~ ~ev'r Go~Q Lgi..P
LOT ~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: ~S'4 q(F~ f1R8T Phone yS z-'/6 96
OWNER
Street Address- 7 1 c~. St~S ~°~R k@4 t
City: rc~u State: ~`'l~ Zip: ~ S^~ 2~
CONTRACTOR Company: ~Vo~(Q <<,( ~;,3 C~ Phone 2_2
k~
Street Address: (6 O~ zl/~ License #:ov
City: 45Q~okK fi State: /'14-.
ARCHITECTI 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 permit is issued.
t agree to comply with all
re
I hereby acknowledge that I have read this application and state that the informOr,/
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
t
Certificates of Survey Received = Yes = No ~~la i~_
Tree Preservation Plan Received Yes No
OFFICE USE ONLY •
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o OS 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 = plex )0 15 Deck
WORK TYPE
p 31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq.ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit 1'L
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
r ~.a
ip ' i ~ ~ • _ ^ ~
- -
?
1235 1237
0 Z 1 N. 1 . i. , .a ~
M --L- N i a 2 1 3 M ~ : t; - - - - - ~Q - - - ~ .
20
, •3 ~
-U ~U U4 i .....:i_ 1233 11 1231
. . ' . . . . . . ~ . . . . ~ . . ~ . . . . . . . . . . . f ' - - - - ~ -
; 1229 ~ 1228 1 I 1227 i 1228 ~
I• V I 04 04 ~
j
; 20 1 e3 i r 20 , •3
1222 ~ i224 ixza I I223
A _ J -
1220 ~ 121e ? ~JJ„°;~i2~s
04
i ~ •4 ~ s~ _
• 20 i 03
1214 , 121e ~ W i izpr i2ia ~
. ....'.r. ~ I ~ i I
u)
(r ~ t211 12 3
*4
_ 1 i 4 ~ + ~ - , - - -
' • i ~ ~ ' ~ i 2~ i •3
1209 t 1207 ~
i ~ ~ ~ •
3N
i
h 2 1203
1205 ~
4TH_ _AD DN 0 4
^ 20
. 12pt *3 ~
li89 ~
?
~i
- ~ - - - - - - - - -
, : •
Timbershore Homeowners Assoc.
P.O. Box 21061
Eagan, Minnesota 55121
To whom it may concern:
OE 8 a° company has the authorization to
replace/rebuild the privacy walUdeck at ) a) l ;2)~ r
!,nA ER53+qQE I,v
by the Timbershare Homeowners Association Board
Signed
'ld,, L a A
Board Rep ceme Rep
PresidenWice Preside
Date: S - 8 - 9 `
rnow: 612-452-2409
>
1989 SOILDIPG PERMIT dPPLIClTION
' CTTY DF EAGAN
Z" 53
3INGLE F9MILY DWELLIAGS ISILTIPLE DNELLINGS COhHMACIAL
2 SETS OF PLAN3 2 3ST3 OF PLlN3 2 3ST5 OF AACHISECTURAL
3BEGISTEAED 3ITE SD@YEYS BEGISTfiRED 3ITE 3DAVEY3 - 8 3TaDCTUR9L PLAN3
1 3ET OF ENEAGY CALC3. (CHECS iTITH BLDG DIV.) 1 38T OF SPECIFICATIONS
1 gS! OF fi6SRGY CALL'3. 7 3ET OF EAERGI CALC3.
MULTIPLfi DWELLINGS AENTIL DNTTS FOR SALE D9ITS i OF DBITS
80TEe kDDRES3ES FOx CDRNER LOTS - COPTRlCTOA/HOMEOiiNEA !lQST DFSIGNlS& iiHICH IDDAESS
iS DESIRED. 60 CBANGES WII.L BE lLLOi1ED 02dCE BUILDING PfiRlIIT IS I33IIED..
3E41ER & RATER YERMTf FEFS AND ACCOONT D8P03TT F6F5 iiII.L Bfi IACLIIDED WITH THE BUILDIN(i
PERHTT FEE. PAOCESSING TIME FdA SENER AND WATEA Pfii@STlS IS TiiO DIYS ONCE A PERMIT H6S
SEEB COMPLEfED INDICATIAG A LICEHSED PLUIiBEA.
PENALTY IPPLIES fdHEN: PERMIT IS NOT PAID FOB ZN SAME MONTH IT IS REQ[TESTED.
LOT CAINGE I3 REQOESTED ONCE PERMIT IS I35IIED.
To Be Used For: Valuationj~a70~, °f Date:
Site Address 4217 OFFICE OSS Ol4LY
Got c?Z._ Slock ~ Occupaney /*Wlt/p1e- FFS
' ~ {yv 2oning ~
!el/Sub Actual Const Bldg. Permit
Allowable Sureharge f 3-~
# of stories Plan Review
Length SAC, Citp
Address /v9/ 7 Depth SAC, MWCC
S.F. Total Rater Conn
City/Zip Code -e Footprint S.F. Nater Meter
Aect. Deposit
Phone On site aewage_ S/Fi Permit
/ On aite well S/W Sureharge
Contractar f~bT Ajs5 G` L s~ MWCC System _ Treatment P1.
City vater Road Unit
Address 153 ~dro~ss~O5dL1 ve- PRV required _ Park Ded.
12,~ Booster Pump _ Copies
City/Zip Codeg~` r~/q sUgTOT9I'
EPPdQQALS Pena1Ly
Phone -/Sf-/ 9,3 5 Planner _ TOSAL g;77-371
Couneil
Arch./Engr. Bldg. Off.
nar3anee
9ddress
City/Zip Code
Pbone ~
I
: PERMIT ~eos~as ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x LD Z tu c,
Eagan, MinnesOta 55122-1897 Permit Number: 0 2 7 5 9 3
(612) 681-4675 Date Issued: 9 5/ 17 / 9 6
SITE ADDRESS:
1219 TIMBERSHORE LANE
LOT: 1 BLOCK: 8
TIMBERSHORE 4TH
P.I.N.: 10-76503-010-08 .
DESCRIPTION:
J.\_.~ (DECK/PRIVACY WALL)
~uild~n4.Permit Type SF (MISG.)
~uildiYtg 0~r k Type NEW
;;~"Census Code 434 ALT. RESIDENTIAL
I
t`. , -
~
; .
1~.._. . ~q~ .
1?~t'~"~~ •
i~ ~ ~~t~ r ^t-~•J ~ ~ ~ ~ t t
,
~ z"
REMARKS:
FEE SUMMARY: Base Fee $45.00
Surcharge .50
Total Fee $45.50
CONTRACTOR: - Appiicant - s7. Lrc.OWNER:
NOBLE BUILDING CO 14327926 2001814 BRIZIU3 RUSSELL
6605 166TH ST W 1219 TIMBERSHORE lN
ROSEMOUNT MN 55O68 EAGAN MN 55123
(612) 432-7926 (612)452-7566
2 hereby ,acknawled'ga .tiPsat T h"ave reatl' this a-pplicaEion antl state thaC the
inPormation is correct and agree to comply with all applicable State of Mn.
Statutes a d C'° y of Eegan Ordinances.
L
I l 11~P1,f~.1 ~
PPLIC T/PERMITEE SIGNATURE ISUED BV: IG TURE
1 4*95 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construdion Reauirements Remodel/Reoair Reauirements
? 3 registered slte surveys ? 2 copies of plan
? 2 copies o( plans (include beam & window sizes; poured ind. design; ete.) ? 2 site surveys (ezterior adddions & decks)
? 1 energy ealculations ? 1 energy ealculations for heated additions
? 3 eopies of tree preservation plan if lot plaHed afler 711193
required: _ Vea _ No
DATE: S- /S ^ CONSTRUCTION COST:
DESCRIPTION OF WORK: D,<~k
STREET ADDRESS: /.2- 4°` R
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: c s e~ I ~ h i z~ us Phone
OWNER . u~• nner
Street Address: ! Z 12 Tcl~ L* ~ La ~ -e
City: 4a State: HN Zip: S S^!a ~ _
coNTrtACTOR Company: NaSCt &; (2«, (26 Phone
Street Address: i66G.S llZ3!!~l .S744~)- License
City:~ State:~K ~ Zip: SS o6 ~
~s e v~n
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address*
City: State: Zip:
Sewer 8 water licensed plumber: Penalty appiies when address change and iot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information i co rect d gree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY 'V 4L1J
Certificates oi Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
^
OFFICE USE ONLY '
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~Q 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition JsG 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Z/;?~/
Depth Footprint sq. ft. SAC Code 611
Census Bldg
Census Unit U
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
f I ; _ - . . . . . .
_ ~ ~ ~ ~ r...._ .
• ~ • - - - ~Z~.3 1 1237
~ I~ ~ •4
N
0 2 i-3 ir , 0 M
L_
29 ~ •3 ~
~ ~u- 1233 { 1231
- - ..+-U•'i t- . ~ a
Y.__ : . . : . . . . . . . . ~ . . . . . . . . . . -f ~ - - - ~ - -
; 1228 ~ 1226 1 I 1227 i 1228 ~
. ~ I• li ' 04
: 20
20-~ •3
- 1222 12 24 1 ~ 122b 1223
. ~ i Q ~ • 1
q
'
1 220~ 1215 ? i21 ~ i
i • 4 4 _~4
A
: 2 0 2 0 • 3
~ I I7 ` 1216
1214 ~ 1216 W
I
. . .....i. ~ ~ 0
T-u-
~ I 121{ l213,
1 0 ~ N a ~ W I I
F I 14 ~ 4 CY]
~
rr , 41- ~ ~ ~ 2• i •3
i ~ I I 2 0 8 I 1207
h2 ~ 3~o I o2 ~ 3N 1203 i
I I
06 ~
4TN ~ ADQN •a
20
120r ~3 ~
~ .
1
- ~ - - - - - - i - - - - 1"~ ~ ~ \ /.~'p.~ ~ ! `
Timbershore Homeowners Assoc.
P.O. Box 21061
Eagan, Minneso[a 55121
To whom it may concern:
(,JE g c o company has the authorization to
replace/rebuild the privacy walUdeck at 1117 //12 ) 9 ~~a E~sNq2e ~a
by the Timbershore Homeowners Association Board
Signed
A'9 Zze"
Board Rep ceme Rep
PresidentNice Preside
Date: s- $'96
Phone: 612-452-2409
CT.7Y OF EAGAN
CASHICR: S TEkMINAL Ntl: 776
AATE: 07/28/98 TIME: 15:1.4:50
ID:
NAMEr NOBLE BUILDING COMF'ANY
3210 90()1 1275 7i'iNkSHF LP! 50v00
2155 900:1. 1275 'T11HRSHfi LN 0.50
321.0 9001 . ir''.Ei TMRkSHR LN 50.00
2i.:35 '3001. 1221 TMRRSHF LN 0.50
To+,a1 Receipt qmottnt: 101.00
CFi095428
USER IU: NANCY
~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: esz6°ssNG
Eagan, MinneSOta 55122-1897 Permit Number: 0 7z s 9$
(612) 681-4675 Date Issued: ~ ~
SITE ADDRESS:
1221 TIMBERSHORE LANE
LOT: 4 BLOCK: 8
7TMBERSHORE 4TH
P.I.N.: 10-76503-040-08 DESCRIPTION:
INCLUDING A WALL
B,u'ildiCtq Permit Type DECK
,ou3lding W:ork Type NEW
~-=Census Code"-, 434 ALT. RESIDENTIAL
i
.
~t r~ . . . .
E/--
4/`--=ti
REMARKR: REVrewEO BY BILL ADAMS.
FEE SUMMARY:
Base Fee $50.00
5urcherge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. L IC OWNE.~i:
NOBLE BUILDING CO 14327926 2001814 QUIN ANA THOMAS
6605 166TH ST W 1221 TIMBERSHORE LANE
ROSfiMOUNT MN 55068 EAGAN MN 55122
I (612) 432-7926 (651)452-6522
I I hereby aeknowledge that I have read this application and state that the
informatipn as correat and agree to comply With al1 applioahle SCate af Mn.
' Statut'es nd GiYy fEagan Ordinances.
~ J
Q6~ Q-" / ~e
PPLICA /PERMITEE SIGNATURE ISSUEO BV. SIGNA"f~
,
1998 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
CITY OF EAGAN
i~-~ ~ 3830 PII.OT KNOH RD - 55122
6814675
New Construction Reauiremenls RemodeVReoair Reauirertrents ~
? 3 registered s@e surveys • 2 copies of plan
? 2 copies of plans (inGude Eeam & window s¢es; poured fid. desgn; etc.) ? 2 siM surveys (exterior adCitions & decks)
? 1 energy calwlations ? 1 energy calculations for heated addilions
• 3 copies of tree preservetion plan if lot pWtted after 711193
required: _ Ves _ No
DATE: 7" CONSTRUCTION COST;
DES IPTION OF WORK:
~ RE y
ET ADDRESS: I!/tir, R~-_c ~r 01- P
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Name: u!'I q I ~ 01.1 a S Phone N: YSa 2.
PROPERTY ~ Lnt First
OWNER / /
~ l 4+. S4-s P fai- P
S7eet Address: l
City State: Zip: S S/~ Z
1-i3~2-7~a ~
Company: 1Vo b(r Phone
CONIRACTOR
StreetAddress: cDX 2Yoo,/( License# ;ZDO !F/ YS~ ?
Ciry A//iJ6 (Ja ~la State: NI Zip: S S(2 Y
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation i rtect a gree to comply with all applicatrl
State of Minnesota Statutes and ' of Eagan Ordinances.
v Signature of Applicant: Z/z
V~ OFF SE ONLY
Ce ' tesUNS~ylEi'e`eeivedo~ • Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi RepaidRem. ? 17 .Swim Pool
? 03 SF Addition 0 08 &plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-piex 15 Deck
WORK TYPE
X 31 New ? 33 ARerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Cade.
Depth Footprint sq. ft. SAC Code
Census Bldg
APPROVALS Census Unit ~
Planning Building Engineering Variance
Permit Fee Valuation: $ ~
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• '
°k SAC
SAC Units _ :
-
1228
~ i .
122 t ~ IZ28
4
4
r _ _
3 '
, ; ~ ~ 2~ ~ •3
224 i z 1 1x~b 1223
~ f
t d I ' ~
~ ~~i ~~~`II~AY~ rq M w
~ f
2I5 !2i$
4 i ~
• 4 wa u
_ _ M -
3 I ~
20 ~
~ is LLJ i 12I r , 1215
- ? ~
.
:
3~ ~
~ EAGAId TOSdNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• i2fi9fra'-EW, "a)-~ NUMBER 1395
OWNER:New Horizon Homes Address 121 17-19-21 Timbershore Lane
pLUMgEg Thompson Plumbing Co. Ty[pE OF PIPE heavy cast iron
AESCRIPTION OF BUIIDING
(
Industrial Coffiercial Reaidential Multiple Dwelling No. of uni ~
xc townho es
Location of Connections: Conaection Charge 1040.0 b led /7/73
Permit Fee 10.00 pd 12/28/72
. Opd12 2 72
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue avd delivery to me of the above pezmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulationa of Eagan Ta•mship, Dakota CounCy, Minnesota
$Y
Thompson Plumbine Co.
Pleaee aotifq when ready for inepection aad conaeetion and before any portion
of the work is covered.
~
3, ~
• EAGAN 1+DWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMII.T FQR WATER SERVICE CONNECTION
Date: 8/7/73 (12/29/72) Number: 1272
Billing Name:New Horizon H«nes Site Address; 121Z17-19-21 Timbershore Lane
Owner: same Billing Addreas
Plumber: Thompson Plumbing Co.
Locatioa of Connection Meter Size Connectlon Chg. 480..00 biiled 8/7/73
Meter No. Pexmit Fee10,00 d 12/28/72
. Opd122/72
1215 - 22826619 - 468880 Meter Readinpz_ Meter Dep.
1217 - 22826618 - 468881 Meter Sealed: Yea Add'1 Chg~~.0.
1219 . 7/73
- _
22826617 - 468882
1221 - 22626620 - 468883 NO Total Chg. j
Assn.- 22826621 - 468884 >4
Inspected by
Date
Building is a: Remarks:
Residence
tiultiple XX xo, units 4 townho~ g.00 RE-INSPECTIOO
commercial ~~pgpPERLY lidS;Att~ G~`
Industrial By:
Other Chief inspector
In consideration of the isaue axid delivery to me of the above permit, I
hereby agree to do tie proposed work in accordance with the rules aad
regulations of Eagan Towaship, Dakota County, Minnesota.
By: 41an w...rs~t <~X i. - ?
Thompson Plumhing Co.
Please aotify the above office when ready for inepection and connection.
/
~
EAGtiP] TOIJNSHIP
:795 Pilot Knob P.oad ~ ~vV
St. Paul, Minnesota 55111
' Telephone 454-5242
PERMIT POR SE41ER SERVICE CONNECTION
DATE: NUMAER 1395
OWNER•New Horizon Homes Address 1215 17 19-21 Timbershore Lane
PLUMBER Thompson Plumbing Co. TypE OF PIPr heavy cast iron
DESCRIPTION OF BUIIDING
1
Industrial Ccvmercial Residential Multiple Dwelling Nu, of uni' '
/
3oc 1~ townnouses n ,
1040.OQ b' led /7/73
Location of Connectfons: Connection Charge t/ 1
Permit Fee 10.00 pd 12/28/72
.50 pd 12, 2 72
Stree[ Repairs
Total
Inspected by:
Date
Remerks•
,
By.
Chief Inspector
In 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
regulations of Eagaa Tocanship, Dat:oea County, Minnesota
By
Thompson Plumbing Co.
Pleaee notify when ready for inapection and connection and before any portion
of the work is covered.
EAGAN 7YIWNSHIP
3795 Pilot Knob Road
St. Paul, Minnecota 55111 ?
Telephone 454-5242 i
PERMIT FOR 56FTER SERVICE CONNECTION
DATE: NUMBER 1395
i
OWNEF.:New Horizon Homes Address 1215-174a 1 `IYmbershore Lane ~
I
PWMBER Thompson Pltunbing Co. Ty[pE OF PIPE heavy cast iron
DESCRIPTION OF BUILDING
1
Industrial Coffiercial Residential Multiple Dwelling Nu, of unit 6
%
xoc 4 townliouses
`I
Location of Connections: Connection Charge1040.0~ b' led /7/73
Permit Fee 10.00 pd 12/28/72
. Opd12 2 72
Stree[ Repairs
Total
Inspected by:
Date
Remarks:
,
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 rules and
regulations of Eagan Toc•7nship, Dal:ota CounYy, Minneaota
By
Thompson Plumbine Co.
Please notify when ready for inspection and connection and 6efore any porl•ion
of the work is covered.
I.
~ EAGHN TOSdNSHIP
3795 Pilot Knob Road
. St. Paul, Minnesota 55111 ~
Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION
DATE: NilM$ER 1395
OWNER:New Horizon Homes Address 1215-17-19 21 Timbershore Lane
PLUMBER Thompson Plumbing Co. TypE OF PIPE heavy cast iron
DESCRIPTION OF BIIIIDING
1
Industrial Cammercial Residential Multiple Dwelling No. of unit /
xx 4 towxihouses
I
Locatian of Connections: Connection Charge 1040. 00 b led /7/73
Permit Fee 10.00 pd 12/28/72
. Opd12 2 72
Street Repairs
Tota 1
Inspected b3:
Date
Remarks•
Sy. Chief Inspector
In coneideration of the issue atnd delivery to me of the above permit, I
hereby agree to do the propoaed work ia accordance with the rules and
regulations of Eagan Tormship, Dakota County, Minaeaota
Sy
ThomASOn Plumbinr, Co.
Please notify when ready for inspec[ion and connection and before any portion
of the work is covered.
EAGF.N TOWNSHIP
3795 Pilot Knob Road ~
St. Paul, Mianesota 55111
Telephone 454-5242
PERt•IIT FOR WATER SP,RVICE CONNECTION
Date: 8/7/73 (12/29/72) Number: 1272
Billing Name:New Horizon Hornes Site Address: 1215-117-1 -21 T~ imbershore Lane
Owner: same Billing Addreas
Plumber: Thompson Plumbing Co. ~
Location of Connection Meter Size Connection Chg, 480.00 billed 8/7/7;
Meter No. Permit Fee10.00 d 12/28/72
. 0 pd 12/2 /72
1215 - 22826619 - 468880 Meter Reading Meter Dep.
1217 - 22826618 - 468881 Meter Sealed: Yea Add'1 Chg: a`t-e I-~VA.'<<,'"/j7~7
1219 - ZZ8Z6617 - 468882 - 3~
1221 - Z2826620 - 468883 IQp 1bta1 Chg. j
!
Assn.- 22826621 - 468884
Inspected by ~
Date
Building is a: Remarks:
Residence -
.;0`•,r(" rtt 1•,~`.
t4ultiple xc Ho. Uaits 4 townhoisjs45.(;o RL- , ~ y,~Ei~RS-
Commercial
Industrial Hy: '
Other Chief Inspector
In conaideration of the iseue and delivery to me of the ahove permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
SY: (L A~ ~
Thompson Plumla ng Co.
Please notify the above office when ready for inspection and connecCion.
; i~
. .
Noveteber 23 1973
First Natianal Beak af 3t.Pau1 ,
332 Minnesota Street _
St.Paul; MN 5$101
Attentlons' Jemea Gazmon
Dear Plr: (3anaoas
We are refhnding to yw a cheok in the amount oY $509,61 due to the fact
thet there wae a dnpliaate paymeat made at the Dakota County Auditore
OfYice of the eever, xatar and etorm aeFrer assesamenta. The aeaesament
paynents in the amcunt of $472:41 per lot were made on the follmaing legals:-Parcel 43801, o't Bloc , ehore 4th A
Parcel d3813, ot Hlock 11~ Ttmberahore th Addition
parcel d3816, Lot 3Block 12, Tlmberehore 4th.Addition
We have applied the overpaprment to the sanitary eewer tnuilc aeseaement
which amomata to $302.54 per lot on ths above mentioned lega].e. This
pqya up all the asaeaementa to date on the previqaisl'y ].ieted parce2s.,
If additional information ia needed pleaee oall me.
Very t:ulY Yaux'ss .
• SPECIAI. ASSFSSMENT DE'PAR24ENT
9im Goere, Aeaessmett Clerk
Eacla9urea (1) , , .
. ~
i
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
~ 14 6 Telephone # 651-675-5675
Pleasc complete for: single family dwellings & townhomcs/condos when permits are required for each unit
Date_~T /I ~ /flL
Site Address l~~1 ~bgs ,1- v1/i I~l, yt~~ Unit #
Property Owner Telephone k(uq)"I~~i
Cootractor '
Street Address CitY ~ - J
State Zip v'r~,~ Telephone 7 t) O" ~~-t
Bond d`Y l d-'" l~~ 1 Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ fumace _Additional /l Replacement
air exchanger
T airconditioner _New ~ Replacement
other
State Surcharge $ 50
Total $ :k)/' S-6
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 ro 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 pl
I O
~SJi u.lLS ,
Applicant's Printed Name Applicant's Signatu D
MAY 1 7 2004
ey
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc commercial/industrial buildings
multi-family buildings when separate permits are nol required for each dwelling unit
Date
Site Street Address Unit #
Tenan[ Name (if applica6le) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "see below
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground lank, call for inspection by Fire Marshal and Plumbing Inspector
P¢I'f11it F¢¢S: 570.50 Underground [ank installation/removal
$50.50 Minimum (includes Slete Surchargc)
or
Contract Value $ x 1% _ $ Permit Fee
• If oe rmi[ fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ermit 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 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.
Applicant's Printed Name ApplicanPs Signature
Approved By: , Inspector Date:
2006 RESIDENTIAL MECHANICAL rEuMiT arrLicaTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings &[ownhomes/condos when permitsare required for each unit
~
Date /c-cP
Site Address I'D Unit #
I Property Owoer f~~I 1~P~1 f> r ~ 7_j Telephone )
i
I Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St.; #106
Street Address Apple Valley, MN 55124 ' City
(952) 431-7099
State Telephone # ( )
Band#: ------Expires: C~~`~cJ~~(o
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additionai 2-Replacemen
_ air exchanger I
~ air conditioner JUN 1 g 2006
heat pump
other
$ 50
State Surcharge
Total
I hereby apply for a ResidentiatMechanica] 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 undetstand 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 inthe case of work which requires a review and approval of plans.
leY'.`>
Applicant's Printed Name ~F.pphcant's Signature.
Jul 28 2014 09:47AM HP FaxGates G.C. 7634987710 page 8
I
�
Use BLUE or BLACK Ink
�-----------------�
� For OffiCe Use �
' j Permitil: �� J� 1� �
Clt of Ea�an ; Pe�;�Fee: ����� �
3830 Pilot ob Road j ' I
Eagan MN 122 � Dale Received: � �
Phone:(651 675-5675 I , I
Fax:(651}6 b-6694 I S1aff: I
I I
,
014 RESIDENTIAL BUILDING PERMIT APPLICATION �
J7 i l (;J !7� j`i !-f :� � � 'r� �f�l/T � /L- '�'/��
Dabe: ::.J � Site Address: � �-�� �� � � ,� �.: � ; ��,� •n�s. ° �'=� Unit�:
�._._,......_... , __— ->-.-iK.�- cv .'�cov ...._...,.,._ r;.� ._w..,_„_._.._ <_..�,,._..,,.�.... ��,,f_ , .._..
Name: ' � �' �., `"� ,�� Phone� ���' �� ` �-:-
� ResidenU
Oyyng� Address I City/Zip: S=° Q��✓�'
�,..__�,. Applicant is:.,..�,..__,_.Owner _�L�...Contractor .,..,................,...,..._..._.,,_ --_-,....,_.
�
Type of WOfk Description ot work: ";��' d`�1 /�.'✓��
Construetion Cost: �0, ��• o%� Multi-Family Building: (Yes �� I No�
—
�,..,�,�.�. ,._...�._...__ _.._...,....,...._......_
_._.__ - --......_........_�._�.__........_..�.. .._.
' � /' /'� L
Company: �''�c.S ::�GKG�� '�-�-?�-:�a+!' Contact: �i'�t�:�-
� � , � .
Contracto� Address: =>S� /'r/.;:c=<.�h i1'� city: ;��`'O�T'
� .--, /
� state: /�'/'�' zip: S✓�;''r,'' Phone: ✓;�L,'�";...'�fS Email: •�`'"'` `�-'`���°s:��/�x.11�� ,w•�:
� _� , i-I 4 ��: -
License#: �%= ' �° :.3 Lead Certificate#; � '�'�,� � �%�^--:
If the projec!is exe pi from lead certification, please explain why: (see Page 3 for additional irrformation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
lo the last 12 month ,has the City of Eagan issued a permlt for a similar plan based on a master plan9
_Yes _No It yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contra or: Phone:
Sewer�Water Con actor. Phone:
..,.,,_...._...__ �_...............__ _�....,.,...........�._ ....�.a..,..........._..___ .
NOTE:Plans an supporting documents that you submit are considered to be public Information. Portions of
the informatior� ay be class�ed as non-public if you provide spec�c ieasons fhat would peim�t the City b
_ _..._..__4M conclude that the�are trade secrets. _�_,_�,_�_..___,
CALL BEFORE YQ DIG. Call Gophar StatA One Call at(651)451-0002 for proteclion against underground utility damape. Ca�48 hours
before you+ntend lo dig receive locates of underground uliliGes. www.000herstateonecall.or4
1 hereby acknowledge th t this infortnation is cort�lete and accurate;that the work will be in conformance with the ordinances end codes of the City of
Eagan; that I understan lhis is not a pertnit, Dut only an application for a permil, and worlc is nof to start without a permii; thal the work will be in
accorAance wilh Ihe ap ved plan i�the case ot wortc which requires a review and approval of plans.
Exterior k authoriz by a building pe H issued in accordance with the Minnes e w Code must be complet within 180
d pe It Issuan .
X � x
Appll anCa Printed me ApplicanYs natura
Page 1 of 3
1 �,,,
City of Eagan
Buiiding inspections
A new patio and deck was installed at 1215 Timbershore Lane and I believe a building permit is required
And I do not believe the proper footings were installed.
,� . ti
1215 timber shore In
Memo to file
4 27 15 complaint received regarding new patio and new
deck and question on footings.
Went to site they poured and concre1te patio that will
need a zoning permit. No violations tlhat I can see
regarding the slab.
The deck they installed infill joist at 12in oc , existing was
24 in oc . They added composite deck; boards. Railings,
beams, footings, are all existing.
� �� �
r� .�
. � �
�
r For Office Use
• ' V T CC
f seg, �/ s-�� Permit*: �S�j�G1
EAGANMAY 20 2019 Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)4544535 I FAX:(651)675-5684 Staff:
buildinoinsoectionsecitvofeaoan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/17/19 Site Address: 1215 Timbershore Ln Unit#:
Name: Diane Rahja Phone; 612-710-3932
Resident/ 1215 Timbershore Ln
Owner Address/City/Zip:
Applicant is: Owner ✓ Contractor
Description of work:
35' of Drain tile
Type of Work. 00
Construction Cost 3000. Multi-Family Building:(Yes /No / )
Company: Standard Water Control Contact: Kelly Henderson
Address: 5337 Lakeland Ave N Cry: Crystal
Contractor
State: MN ZIp: 55429Phone: 763-537-48" Email: mike@standardwater.com
License#: BC001 522 Lead Certificate#: NAT21436-2
If the project is exempt from lead certification, please explain why:
()9
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:
Ucensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer 8 Water Contractor. Phone:
Fire Suppression Contractor Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Mfarination. Portions of the Infon atlon maybe
classifedas nonpublic if you provide spec!lc reasons that would pennit the City to conclude that they are trade secrets..
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
websito at www.citvofeaaan.comlaubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Cap Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.000herstateonecaL.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
accordanceanwith approvedthe
// /
plan in the case of work which requires a review and approval of plans.,
x /lel/ 1 f9�fi:t'1i�7 x { /
Applican' Printed Name Applicants S g re
/„ / 7,77)-1 be/2 s oiE 67 . / - -- - 0
. DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family , Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreenlGazebolPergola) _ Miscellaneous
01 of Plex _ Lower Level — Pool — Accessory Building
WORK TYPES
_ New _ Interior Improvement ,_ Siding _ Demolish Building"
_ Addition _ Move Building _ Reroof _ Demolish interior
1Q Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Li 2/012.e.-- Occupancy l (R( `3 MCES System
Plan Review Code Edition Mil Zc 1C SAC Units
(25%_100%) Zoning FP City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O.Required
Footings(Addition) V' Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:,__Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Y Drain Tile
—
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other
Reviewed By: / 0" �'l< (y ,Building Inspector
RESIDENTIAL FEES
Base Fee Fe-
Plan
Surcharge Ir e
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies i( - .vs- Pe,
TOTAL
Page 2 of 3
6t1
For Office Use �''-
t % i : ; , :::: I
%:t.% ,,,,,, E AG A N
e:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 'VE
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 Staff: tit—
buildinoinspections a(�.cityofeagan.com MAY 2 1 2013
2019 RESIDENTIAL Bei e • - ' '? IT APPLICATION
Date: Site Address: Unit#:
Name: D/4,0 e Jet j k Phone: 6!,7— /0`33
Resident/ j
Owner Address/City/Zip: [g o?/5- 711K kr c orC , Z11 rOphyo !moi if 5-9- !-2.
Applicant is: Owner X Contractor f'D ( i,/�• I p�YLs/ k0 R6. Z-1/-1
Type of Work Description of work: Xrc,itold e ( &i,Set,/e,vt/— 1,C)Set dq 449,e r74,;/„,
Construction Cost:`_9,5,0 0 - 0 C) Multi-Family Building: (Yes /No ?( )
Company: 5 57IQv 17441ei I/)C;(7 S CT/1 C Contact: AilLi6y
Contractor Address: /3/0 Cf-4 17' A/ City: Cl'CG�`lPOR 4`/-r
State: hi K Zip: 5.."0 O t Phone'.g922v2 7? 5 +E ail IN 141 eS-PU 611 c-e no r 0("'
License#: E6- 705 32'0 Lead Certificate#: %�1 or I r G D
fro
If the project is exempt from ead ce ification, please explain why: / p&h t CO
1\0 4.0 ,,10kK-- 1V -ri_ 0(4-12/9-d-O(L- wft-c-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING An04-1,1ErL
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 001rOgri
Yes k No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.nopherstateonecall.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 n. to start without a pe it; that the work will be in
accoranc`/e with the approved plan in the case of work which requires a review and appro of pla' .
x Ob.Ep l t-2/1"tc4 x
App cant's Printed Name Ap ican s Signature
DO NOT WRITE BELOW THIS LINE , /'criboPc Ln . J5J‘.5.-‘,
SUB TYPES
— Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi `i Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
X 01 of `t Plex "10 Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window K Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation If /2, goo,— Occupancy T126. '3 MCES System
Plan Review Code Edition Olde a1S SAC Units
(25%_ 100%.) Zoning City Water
Census Code _ Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction _ V t Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill )0 HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
)C Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
'4 Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: --f-°,)") 7)9' K/Y,, , Building Inspector
RESIDENTIAL FEES
Base Fee (to 2 Y . / -Y---
Surcharge
tSurcharge 6 ` 2D cp S 7 /*C
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
RV. --
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 l FAX: (651) 675-5694
buildinginsaectionsCc�citvofeagan.com
---------------------
For Office Use
I I
Building Permit #: Ljonq 1 j
I I
I
S&W Permit #:
I I
I Permit Fee:' Jio
I I
I I
I Date Received: I
I I
I I
I Date Issued: I
L----------------------t
RESIDENTIAL BUILDING PERMIT APPLICATION
10/4/2022 1215 Timbershore Lane
Date: Site Address: —Unit #:
Applicant is: ❑ Owner 0 Contractor
Diane S. Rahja
Name:
1215 Timbershore Lane Eagan
Homeowner
Address: City:
State: MN Zip: Phone: 55123 Email:
Description of work: Repair siding,rafter tails, shingles, gutter, rafter. Engineer Contact info:Craig Milkert 612-889-7986
Construction Cost: 4900 PD,-r(r I ersYtore
Type of
Work
Type of building: ❑ Single Family 0 Townhome, of units ❑ Twin Home
Hoyt Construction John King
Company: Contact:
Building
Address: 15112 Galaxie Ave City: Apple Valley
Contractor
MN 55122 612-203-2217 service@hoytcompanies.com
State: Zip: Phone: Email:
BC229922 3/31 /2024
License #: Expiration Date:
Sewer &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License #: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.ciooherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate;
Eagan; that I understand this is not a permit, but only an applicatio
accordance with the approved plan in the case of work which requires
Bohn King
Applicant's Printed Name
that the work will be in conformance with the ordinances and codes of the City
n for a permit, and work is not to start without a permit; that the work will be
a review and approval of plans. _
X
Appl�ant's/Signature
_'fy
FOR OFFICE USE ONLY
Site Address: 1215 Timbershore Lane
SUB TYPES
_ Single Family Fireplace Lower Level
01 of _ Plex Foundation _ Porch
Deck Garage Pool
WORK TYPES
New
Repair
_ Siding
Addition
_ Fire Repair
Reroof
_
Alteration
_ Water Damage
_ Windows
_
Replace
Egress Window
Solar
DESCRIPTION
Calculated Valuation tqqov
Plan Review 025% 100%
Census Code
# of Units
# of Buildings
Type of Construction VB
Permit#: • 'l"i"110
Retaining Wall
Move Building
Demolish Building*
"Demolition of entire building - give PCA
handout to applicant
Occupancy t"- 3 MCES System
Code Edition AWeL-LOZjG SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
Framing: 1 Hour K Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Fireplace: _Rough In _Air Test _Final
HVAC: Rough In Final
R d C t l
Siding: _Stucco Lath _Stone Lath _Brick
jC Roof: Jt- Ice & Water '71, Final
_ Erosion Control
Pool: _Footings —Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
_ Fire Suppression: _Rough In _Final
Windows
Other:
J� Final/No C.O. Required
a on on ro Final/C.O. Required
Reviewed By: , Building Inspector
FEES �[q
Calculated Valuation 7 /�
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00