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1238 Timbershore Lane C1TY OF EQGAN Remarks a.dditio, TIMBERSHORE 3rd Lot 3 Bik 7 Parcel lb 76502 030 07 Owner 5treet 1238 Timbershore Ldt1e State Eaqazi , MN 55123 lmprovemeni Date Amount Annual Years Payment Receipt Date STREET SURF, 1974 321.03 64.20 5 Paid STREET RES70R. GRADING SAN 5EW TRUNK 1971 72.25 3.61 20 Paid * SEWEALATERAL 1973 432.19 28.21 15 Paid SW LATS ST SEW 1974 452.93 90.58 5 Paid WATEftMAI N * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120. 00 7951 5-9-73 BUILDING PER. sac 260.00 7951 5-9-73 PARK CITY OF EAGAN Remarks Addition 3r Lot 4 Blk 7 Parcei-l_W176502:-10'.47_I, Ow~er ` street 1240 Tin?bershore Lane State ~g~, P'II'i 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321. 03 64.20 5 Paid STREET RESTOR. GRADI NG SAN SEW TRUNK 1971 72.25 3.61 20 Paid !t SEWER LATERAL 1973 432.19 28.21 15 Paid SW LATS, ST SEW 1974 452.93 90.58 5 Paid WATERMAIN * WATER IATERAL 1973 15 WATER AREA 1972 71.46 . 3.57 20 Paid * STORM SEW TRK 1973 1$ STOFM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 120.00 7951 5-9-73 BUILDING PER. sAC 260.00 7951 5-9-73 PARK CITY OF EAGAN Remarks Addition TIA'1BERSHORE 3rd Lot 2 Blk 7 Parcel 10 75502 020 07 Owner~' r~1LL'' Street 1262 Tit4bershoz'e Letne State Edgan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~ 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid • SEWER LATERAL 1973 432.19 28.21 15 Paid SW LATS ST SEW 1974 452.93 90.58 5 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71. 46 ' 3.57 20 Paid * STORM SEW TFiK 1973 15 STORM 5EW LAT CURB & GUTTER ~ SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. sAC 260.00 7951 5-9-73 PARK CITY OF EAGAN Remarks Addition_TIMAERSHORE 31d Lot 1 Blk 7 Parcel 10 76502 010 07 Ownerul,'ii,'. 5treet 1260 TimbexShoz'e- Lane State EBgas, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1974 321.03 64.20 5 Paad STREET RESTOR. GRAOING SAN SEW TRUMK 1971 72.25 3.61 20 Paid * SEWER LATERAL JZ7 1973 432.19 28.21 15 Paid SW LATS, ST SEW 1974 452.93 90.58 5 Paid WATERMAIN ~ WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 ZO PSiCZ * STORM SEW TRK 1973 15 ST4RM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILOING PER. s,ac 260.00 7951 5-9-73 PARK _ . . ~-P • : . ,,•,-„P s•.~,v . ~ _ ~ n 'v GAS WORK ORDER ll *APR 17 2001 ~ 1082 Payne Ave. STANDARDi 410 W. ake St. St. Paul, MN 55101 ! ~ N 55408 651 /772-2449 b H EAT I N G~ ~ 612/824-2656 & AIR CONDITIONING A Blue Doti: Service Co. EQUIPMENT INFORMATION LAST /)eUj n n FIRST J TYPE ADDRESS MAKE CITY ZIP r MODEL3fS Kt100 y0`70 HM PH kS I- 95-J - 6 ao7 WK PH SERIAL (ao r p 56 7 INPUT TECH J~,N+ K DATE '25101 ~ ORSAT TEST RECORD C02 ~j % METERED INPUT Cfh CHIMNEY TYPE - (Jar, T 02 - O % LIMIT SETTING ;)o FLUE SIZE in. CO % PILOT OUTAGE 7n 54a,..9 sec CONNECTOR SIZE 71 in. NET STACK TEMP 3 0 TOTAL CHIMNEY INPUT btUh INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ` 3830 Pilot Knob Road Permit Number: A*4n Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1r.' R' r1 APPLICANT: 1 1 MHt Cr'1I40Fi'F 1 AN! ~ t!i + i! .!+N Itl Ili, , 1l1~N PERMIT SUBTYPE: TYPE OF WORK: 11; I. INSPECTfON . im1} f N(i', i I IVAi F ~ L J Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspaetion Date insp. Commenta FOOT7NGS FOUND FRAMIN(3 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST Ih1SUL GYP BOARO FIFt'"PLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I_ BSMT FINAL DECKFTC t K...r.. DECK FI"~~-! I VILLAGE OF EAGAId , 3795 Pilot Knob Road Eagan, Nlinnesota 55122 PER34IT NO.: a~~ The Village of Eagan hereby grants to q gwick HeatitlA & A/C of _ +M? YoaLin eve_ c~ .,,M1yII03poLo 55L16 a ~ Permit for: (Owner) uew garizon Homes at 23 -~+0-7269-62 ~ e"R§c+re BVLve , pursuant to application dated 11/15/72 Fee Paid: dated this 30th day of November ~ 19 72 @.00 s/c Building Inspector - Mechanical Permits: ' t3id Total: ~ j. 1;13 '1'Ot31; j ' ~ ¢ lSSk'.i.A~~~,M,m .~,~a ifVnri,,,*nY~~R~` . •Iy . ` . . . . . ' ' . ' P r 7ioniJ?v'S~ ~'E' VILLAGE OF EAGAIV 3795 Pilot Knob Road Eagan, Nlismesota 55122 ~ PERt4IT NO.: ihe Village of Eagan hereby grants to Cleo. 3ed¢wiCk HeBtiag & A/C Of 1001 YP••i„ e4a cn-f-minnnapoli¦ 5115 a }f$k'F~~i9 Permit for: (Owner) New Horizon Homes at 1238-L -1 b2 ~ 911fabershc?ra priva , pursuant to application dated 11/15/72 Fee Paid: $BD_QQ dated this 30th day o£ November ~ 19 72 $.0G s,c Bu:J-di.ng Inspecior Nieohanical Permits: ii3 Total: ~ % ~ m'""~~'?~i;..~, . <<X • J j % i %J~ l?Fr Sh c'~" 3s~_ VILI.AGE OF EAGAIQ 3795 Pilot Knob Road Eagan, Minnesota 5.5122 FER14IT NO.: The Village of Eagan hereby grants to _000. Sed¢wiCk HeatiaB & A/C of - 'OOLYen1oSO4- c,•-s~Doli¦ 5116 a Permit £or: (Owner) NeV H zon Hamea _ at 1238-40-1269 b2~ 914"bed,by,~-a ~Ava , pursuant to application dated 11/15/72 Fee Paid: $gp_iM dated this _30th day of Noverabar- J 19 72 @. o',' :;_"c Building lnspector!-- Mechanical Permits: t:i3 Total; ~"'s.~ ,"~'~+?t~::R_ . . , , . . . . . J Minnesota SW[e BoaM of Elec[ricity Griggs Midway Bldg. - Room N791 EB-00001-02 University Ave., St. Paul. Minn. 55704 - Phone 297•2111 a~ '7409 EQUEST FOR ELECTRICAL INSPECTION CFIEC'±E BPL,OW WORK COVEKED BY THIS REQUEST T 43287 Type of Building New Add. Rep. Check Appliances Wued For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? WaterHeater ? LightingFintures ? Apt. Bldg. ? ? ? Dxyei ? Elec[ric Heating ? Commercial Bldg. ? ? ? Furnace , . ? Silp UNoader ? Industrial Bldg. ? ? ? Av 0ond'jtioner.. ? Bulk Milk Tank ? Fa[m ? ? ? LisY -z) List plhers} O[hers Other ? ? ? Hete ) Here ~ COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feedersk5ubfeeders: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Am eros 0 to 30 Am e[es uci 101 to 200 Am s. 31 to 100 Amperes I 31 ro 100 Am eres Abov A s. • Above I00 Amps. Above 100 Amps. Tcans s ~ RemoteCon[rolCirc. 4 Pa S' ns , - S ecial [ns ution inimum fe Remaz ' ~ I, the Electrical Inspector, hereby certify thpt the above inspection has been ma e. (Rough-in) Date (Final) Jo4e14) Date 7/e - j This requesi void 18 months from 7 ' 5 req st void E , l f b-71 (c nnbE+"".~4l01`^~ 3rd !u c)c) ue zS--~ ~ r~ 1 S mont~is from _ Date o Shis Request Fire No. 43287 I, asLicensed Electr cal C ntractor OOwner, do hereby request inspection of the above electri- cal *iring installed at Street Address or Route No. /.~o O~~yKP~?' ~ L~i Cit Section Township Range Count D~k- Which is occupied by (Name ot ccupant) Is a roughin inspection required on this job? NoX Yeat Ready N Will ~T Power Supplier Address Electrical Contractor c- 26 ontractor's License No. _ (C a ame) Mailing Address ~ s 11 t Contractov er aking T is lnstallatlon) Authorized Signatu Phone No. 5~ 2___> lcdl Contractor ner Making Thiz Installation) ~ p 0 n~D Orp}M This inspection reduest will not 6e accepted by the Lil L~ lT Il State Board unless proper inspec[ian fee is enclased. ~ EAGAN TOWNSHIP BUILDING PERMIT N° 2815 vn., , ,a1 Owaer Eagan Townohip Address (preseni)a.la,~"~g~~Cx~~~:.U-~' Town Hall Builder p . Daie ..SA.'.~..~.' ~.c~. Address DESCHIPTION Sioriesl To Be Vsed For Fron! Depih Heigh! Esi. Cos! Permii Fee Remaska KM im~h~G ] I ` ~ nap~1 LOCATION i94,60 Sireel, Road or olher Deccripiion af Localion J Lo! Bloclc I Addition oz Tract This permii does aot euihorise the use of sfreels, roads, slleys or sidewalks nor does it give the ownes ox hia agent the righ! !o creaie anp siluafion whieh is a nuisance or which presenis a haaard !o the heallh, sa[efy, convenianee and general welfare !o anyone in the cammunilp. THIS PERMIT MUST BE BEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is !o eertifp, lhat%l\~-. . ~-.haspermission !o erecf a4.uJYft.'~¢:,_upoo the abave deseribed premise subjealYo ~Ifie provisions of the SuildSng Ordinance for Eagaa Township adopled April 11, 19b5. f~ ,..,~p p °J-----................ Per Chaisman of Tnwn Boerd~ Huildi~ng I p clor16 ~ (Qo MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please wmplete for: Single Family Dwellings Townhomes and Condos when permits are requimd for each unit Dateo/ ~2_?j / C3 Site Address l 23 CJ L__tj Unit # ~ 1^-, N1 "rJ 5~'Z3 - O ( ~r Property Owner ^_"S_ c) ..~P 'D~r til SJCA r~CsTelephone # ( (05 L ) CaIA L _4 5$ S. Contractor i-Vr, (.-L Street Address 2-,p(oS 14 5+6- S~- L~J City M,~Qtjn r State , rVV Zip ~5~J' d GS ~ Telephone # ( (0 5 ( ) .3 22 Z- ' C) `F55 The Applicant is _ Owner _VContractor _ Other Add-on, moditication or alteration to existing dwelling unit 5 30.00 furnace replacement ~ air exchanger air conditioner other State Surcharge $ .50 Total G $ 3G.5 G 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 ttus is not a permit, but only an application for a pernnt, and work is not to start without a pemvt; that the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of plans. N7 l i L~. • ~-e ~ l~ . ~ Applicant's Printed Name ApplicanYs Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complcte for: commercial/industrial buildings multi-family buildings when sepazate permits aze not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) T6e Applicant is Owner Contractor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: P¢I'mit F¢¢ $50.50 Miaimum Fee (includes State Surchargc) ContractValue $ x 1% _ $ PermitFee • If permit fee is $1,000 or Iess, add $.50 $ State Surcharge Ifpermit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Totat Fee I hereby apply for a Commercial Mechanical Perrnit and acknowledge that the information is complete and accurate; Ihat the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand ffiis is not a pernut, but only an applicafion for a permi[, 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 Applicant's Signature Approved By: , Inspector Date: RESIDENTIAL ~ BUILDINC PERMIT APPLICATION GTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~ ~ ~ i ( 651-681-4675 d~- ~O New ConatrucGan Reauirementa RemodeVReoair Reauirementa • 3 registered site surveys showing sq, ft. of lot, sq. ft. of twuse; and all roofed areas • 2 wpies of plan I C) ` I U- (20% maximum IW wverage allowed) . 1 set of Energy Calculations for heateA additions • 2 cropies of plan showing beam 8 window sizes; poured found design, etc.) . 1 sde survey for e#erior additions & decks • 1 sel of Energy Calculations • Indicale If home served by septic system for addi0ons • 3 copies of Tree Preservation Plan if lat platled after 711193 • Rim Joist Detail Optiore selection sheet (bldgs with 3 ar less untts) DATE VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT n. I STREET ADDRESS L? l- ;W ~m h~" F1e ; 2_ ,~.t;tc4• CITY-ZL, -STATE I lI{'I'ZIP -L> j TELEPHONE # /.5 CELL PHONE # " FAX # PROPERTY OWNER TELEPHONE# rf J COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA R[7LES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations SubmiHed Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: _ Air Conditioning 0 Heat Recovery System $cP 2 0 2~02 ~~1 Sewer/Water Contractor: Phone ~ I hereby acknowledge that I have read this application, state that the information is6rrec nd agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf ? ~ OFFICE USE ONLY Certificatas of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ` ~ . ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Odg ? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex P18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Damage 13 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addfion ? 38 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteradon ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors ip 34 Replacement •Demalition (Entire Bldg only) - Glve PCA handout to applicant Valuation Z~ QOp Occupancy MC/ES System Census Code q3~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v n Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ AuTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge 70. OO . Plan Review CA- MClES SAC City SAC W ater Supply 8 Storage ~ S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ; PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u I Lp I N G Eagan, M i nnesota 55122-1897 Permit Number: 0 2 8 0 4 4 (612) 681-4675 Date Issued: 0 6 J 2 6/ 9 6 SITE ADDRESS: 1240 TIMBERSHORE LANE LOT: 4 BLOCK: 7 TIMBERSHORE 3RD P.I.N.: 10-76502-040-07 ` DESCRIPTION: 1Build.ing;,,Permit Type DECK I;Building Work Type NEW " Census Gode 434 ALT. RESIDENTIAL l' I ~t \ . . ~.E ~ t\\ t...\ Y-~.»^r .yy y ?fl•-~ 1( 1; ~ rs -7 r { ..1 3 l, i l t k 'J~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharqe $.50 Total Fee $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: CHRIS7ENSON BLDG C0, DON 14521061 0007612 GEHRMAIV CAROL 3676 PILOT KNOB RD 1240 TIMBERSHORE LANE EAGAN MN 55122 EAGAN MN (612) 452-1061 I hereby acknowledge that I have read this applicatidn and state that t'he irtformation is carrect and agree to cqmpl.y with all applicable State of Mn. Statutes and City of Eagan Ordinanoes. A~~ p~TE NATU~ D B~ IG~U~~ k - CITY OF EAGAN Sb 3830 PILOT KNOB RD - 55122 / ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conshuelion Requirements RemodeVRepair Reauirements ? 3 regis[ered ake surveys ? 2 cropies of plan ? 2 copies o/ plans (inGuda beam 3 window sizes; poured Tnd. design; etc.) ? 2 site surveys (ezterior atlditions & decks) ? 1 energy cabulatlons ? 1 energy calculafions Tor heatad additions ? 3 copies o/ tree preservation plan if Iot platled aRer 7f1193 requlred: _ Yes _ No _ DATE: JVl1~ `71Cv CONSTRUCTION COST: DESCRIPTION OF WORK: ~ rx [Or STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D. 3 ~ PROPERTY Name: 6%EHi~Lri1AN Phone#: OWNER 5treet Address I'LAO LA-1 City: 9 1A16 A4J State: ~ Zip: S~l 2Z CoNrw?c7oR Company: 22P GH215T~1.T~df-) 8196 (~D Phon 2 o f 5treet Address: '~/a76 PILo"T 4)R izD Licens(e City: ~'.14v,-f-A) State: fMA) Zipr251Z3 ARCHITECT! 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. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~ Z~0 (0~ OFFICE USE ONLY Certificates of Survey Received _ Yes No 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 Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ~erL15 Deck WORK TYPE ,Er-31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main levef 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. v3 y Depth Footprint sq. ft. SAC Code d/ Census Bldg ~ Census Unit d APPROVALS Planning Buiiding _-z-Engineering Variance 4~ Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Suroharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units , . ~ PER ~r(34 ti, 174A,1, r 7~~s 7-3 o L) 7~//1'I/J~£2~~`o2E ~~e/Ul g ~ Gu N~2S S~d e%B-~/7o.v , DoA) ~2- S,/NG E/b; a ~ . k 2S ~4/56-9S2-P ~ r - ~ , . ENTRECORD ESTROY ` -I 1 ~ , i j -a„ 44 ~ ~ s b` ? Z 4~ ~ 6N_ I ,a I NEuJ ~i~~X ! h~d =h-~ ^ ~KI 5T{N C~x 14~7 ~ d NOXTFt ` \ h t'T-E Pt.AN ' S76GfG ~tri'~ o PERMANENTRECORD ` IZ~ ~T~Ik~S~~SNUYLE-I.h~J' DO N07 DESTROY COMMERCIAL , 2002 BUILDING PERMIT APPLICATION ' CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • StrucWral Plans (2) sets . Architectural Plans (2) sets • ArchitecNral Plans (2) sets • Civil Plans (2) . Struclurei Plans (2) . Code Malysis (7) • Certificateof5urvey (1) . CivilPlans (2) . ProjectSpecs (i) • CodeAnalysis (1) • LandscapingPlans (2) • KeyPlan (1) • Project5pecs (1) . CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. R Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always•' • Soils Report (1) . Spec. Insp. & Tes6ng Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must 6e eshablished • Meter size must be establishetl - if applica6le • ProjectSpecs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 5 • Master Exit Plan (7) 1 d . Fire Protection Plan (7)'" L 1 • SoilsReport (1) 1 • MC/ES SAC determination letter . MClES SAC determination letter • MClES SAC delermina[ion letter qll 651-602-1000 rall 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: ~ IS Q WORKTYPE: _ NEW /;(REMODEL CONSTRUCTION COST: WI15"463Z~ 't4-1 SITE ADDRESS: ~ r'~-• (Pa~ I a. (P O~ q 4~I- l3- 3$ ! 1 1~-~' TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK /1 tS 161LP /nI I? l YI. tn I U! V ) 0 P'L WAZL a9hr4 S J Name: IM6ve"~*y2'F ~ i° r1 PhonC~ e~: (~DS - lq PROPERTY Last First OWNER Street Address: PO• City: Sta[e: Y~4 1-'' Zip: ~ s}fJl") G `t Company: i f`} Phone CONTRACTOR StreetAddress:__,~_~~Q~ City: kp(1 ~-L JState: Zip: 7 J 1 O~- ~ ARCHITECT/ ` ENGINEER Company: Phone ( 1 Name: Registration S4eet Address: v `I CiTy: State: Licensed plumber installing new sewerlwater service: Phone t;V~ -a I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:~~ Updated 1102 OFFfCE USE ONLY . . SUBTYPE ? 01 Foundation ? 26 Puhlic Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustnal ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors ? 32 AddiUon ? 36 Move Bldg d 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Aemolish (Bldg) ? 44 Siding ? 48 Authorizarion ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. 8. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. Nc. ofBldgs. Wirith sq. 8. Const. (Actual) Basement sq, ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ~ Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC Ciiy SAC SAC Units Water Supply & Storage Meter Size S!W Permit S/W Surcharge Treatment Plant Park dedication Trails Dedication Water Quality Other Copies Total r TIMBERSHORE 3RD 76502 PAGE 1 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS snz 4-PLEX 010 Ol 3634/ DENMARK AVE 020 01 3636 030 Ol 1281/ TIMBERSHORE LN 040 01 1279 8/72 4-PLEX 010 02 1277/ TIlVIBERSHORE LN 0 20 02 1275/ 030 02 1273/ 040 02 1271 8n2 a-rLEx 010 03 1269/ TIMBERSHORE LN 020 03 1267/ 030 03 1265/ 040 03 1263 8i72 4-PLEX 010 04 1261/ TIMBERSHORE LN 020 04 1259/ 030 04 1257/ 040 04 1255 8i72 a-rr.sx 010 OS 1253 TIMBERSHORE LN 020 OS 1251 TIIvIBERSHORE LN 030 OS 1249 TIMBERSHORE LN 040 OS 1247 TIMBERSHORE LN 8n2 4-PLEX 010 06 1243 TIMBERSHORE LN 020 06 1241 TIIvIBERSHORE LN 030 06 1239 TIMBERSHORE LN 040 06 1245 TIMBERSHORE LN 8i72 i040 07 1260 TIlvfBERSHORE LN 07 1262 TIMBERSHORE LN 07 1238 TIMBERSHORE LN 07 1240 TIIviBERSHORE LN s RESIDENTIAL ~ BUILDING PERMIT APPLICATION I l CITY OF EAGAN ~ t 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewConstruMion Reauirementa RemodeUReoair ReouiremeMs • 3 registered sNe surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°k mazimum Wt coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing heam & window sizes; poured found desgn, etc.) • 1 sile survey for extenor addNOns & decks • 1 set of Energy Calculations . Indicate if home servetl by septic system for additions • 3 capies of Tree Preservation Plan if lol platted after 711193 . Rim Joist Detail Optians selection sheet (61dgs wilh 3 or less unils) DATE 6 1 ?,.1 1 0 VALUATION ~ I 2(3v SITE ADDRESS I aqo r11M~iEYI~H~`/Zl: Lf-j • MULTI-FAMILY BLDG _Y _ N TYPE OF WORK P)P4I.a22. 3 W i r4.SWS FIREPLACE(S) _ 0_ 1_ 2 APPUCANT C~~JYLEYIT I/AY~ Wi nlOD7J 4- S 1 O>>yr SiREEi ADDRESS i 4(0 r'Jb bl/E'Tj0p( DYI- • CITY Aprrt VatiI~STATE r^''"ZIP ss 2' TELEPHONE #~I Sb'~11-'~920 CEII PHONE # FAX # g~il'b91 ~ yz~ PROPERTY OWNER l/~YTlibli ~o ~ r1 /v?' i ft`~j TELEPHONE #(OS I'L{.SLI '5a-`~ COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNP:SOTA RLTLES 7670 CA1'EGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softencr _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioiung Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant - OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4l02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bfdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , , . EAGAN TOidNuHIP '1795 Pilot Knob Road St. Paul, Minnesota 55111 x ~ Telephone 454-5242 I ` PERMIT POR SE47ER SERVICE CONNECTION DATE:_12/29/72 (3/30/73) NUt.ffiER 1299 1:1,a"1 OWNEF.:New Horizon Homes Address 1240 38 0=62 Timbershore Lane PLUMBERThompson plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUIIDING Industriai Commercial Residential Multiple Dwelling No, of units xx 4 townhouses Location of Connections: Connection Charge 1040.00 billed 3/30/73 Permit Fee 10. .50 00 Pa 12/28/72 Street Repairs Total Inspected by: Date Remerka• By Chief Inspector••• Iu considezation of the issue and delivery to me of the above pezmit, I~hereby agree Co do the proposed work in accordance with the rules and regulations of Eagsa Township, Dal:ota County, Minnesota Sy Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. , EAGFN TOWNSHIP 3795 Pilot Knob Rozd St. Paul, Minnesota 55111 Telephone 454-5242 PERYIIT FOR WATER SCRVICE CONNECTION Date:3/30/73 (12/2 /79 2) Number: 1150 Billing Name: New Hor' zon Hcun c Site Address: 124 1 238) 26G-`i 252 TinLers';lorz I,=ui Owner: Same Billing Address Plumber: Thompson Plumbine Co. Location of Connection Meter Size Connection Chg. 0.00 bi'=~ed 3/3~~%/ 1238 - 22529962 - 43182l1 : ? 1240 - 22529963 - 431825 Meter No. Permit Fee 10•00 f>d 12126172 126o - 22529964 - 431826 " 2171 ~z Meter Reading Meter Dep. 1262 - 22529959 - 1+31827 Assn - 22529960 - 431828 Meter Sealed: Yea Add'1 Chg.300.00 billed 3/30/73 ND 1bta1 Chg. Inspected by Date IIuilding is a: Remarks: P.esidence IIultiple x Iio. Units 4 townhouses Commercial Industrial By: ^ Other Chief Inspector In consideration of the isaue and delivery to me of the above permit, I herehy agree to do the proposed work in accordance with the rules and regulations of fiagan Township, Dakota County, Minnesota, By: , , Thompson Plumbing Co. Pleaje notify the above office when ready for inspection and connection. ~ EAGlaN TOWidSHIP :795 P31ot Knob Road St. Paul, Minnesota 55111 ~ Telephone 454-5242 PERMIT FOR 5EWER SERVICB CONNECTION DATE:12/29/72 (3/30/73) NUMSER 1299 _ OWNER:New Horizon Homes Address 1240 38-60=62 Timbershore Lane PLUMBERThompson Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUIIIIING Industrial ComerCial Residential Multiple Dweliing No, of uaits xc townhouses Location of Connections: Conaection Charge 1040.00 billed 3/30/73 ~ Permit Fee 10.0 50 0 pa 12/28/72 SCreet Repairs • Total Inspected 6y: Date Remarka• By Chief Inspector In consideratioa of the issue aad delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatione of Eagan Toc•inship, Dakota CounCy, Minneaota By. Thanpson Plumbing Co. Pleaee notify when ready for.inspectioa and connection aad before any portioa oE the work is covered. ~ . • EAGAN 7+OWNSHIP 3795 Pilot Knob Road St. Paul, Mianeaota 55111 ~ - Telephone 454-5242 PERMIT FOR WATER SERVICE COPINECTION Date:3/30J73 (12j22/72 ) Numober: 1150 ~ Biliing Name: wew Horiz,on Homes Site Addreas•2441238-7260-7262 Timbershore Lane Owner: si~me Sflliag Addreas Plumber; Thanpson Plumbing Co. Location of Connection Meter Size Cannection Chg. 0. O billed 3/30/73 1238 - 22529962 - 431824 10.00 12/2872 1240 - 22529963 - 431825 Meter No. Pexmit Fee ~ 1260 - 22529961~ - l~31826 ~ter Reading Meeer Dep ~~/72 1262 - 22529959 - 431827 Assn - 22529960 - 431828 Meter Sealed: Yes Add'1 Chg.300.00 billed 3/30/73 PO Total Chg. Inspected by Date Building is a: Remarks: Residence Muitiple x No, units 4 townnou.640 F.E•INS?ECTI0N FEE FOR Comercial '.:,rR`JPENLY ItdSTALIED @AETERS. Iadustrial Hy; Other Chief Iaspector In consideration of the isaue aad delivery to me of the a6ove pexmit, I hereby agree to do the proposed work in accordauce with the rules and regulations of Sagan Townahip, Dakota County, MlanesoCa. BY: s-- Thompson Plumbing Co. Please aotify the above office when ready for icwpection and connectian. ~ EAGE,N TOTJNSHIP ~ 3795 Pilot Knob Road ahk St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT I'012 SEWER SERVICE CONNECTION DATE: 12/29/72 (3/30/73) N[JhfBER 1299 OWNEP.:New Horizon Homes Address 1240-38 60 62 Timbershore Lane PLUMBERThompson Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Coffiercial Residential Multiple Dwelling No, of units xx 4 townhouses Location of Connections: Connection Charge 1040.00 billed 3/30/73 ~~v, Permic Fee 10.00 Pa 12/28/72 .;3 pa 12/2d/72 Street Repairs • Total Inspected by; Date Remarks• , By. Chief Inspector In consideration of the issue actd 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•mship, Dal;ota County, Minneaota • By Thompson Plwnbing Co, Please notify when ready for inspection aad connection and before any portion of the work is covered. ~ IL EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERP7IT FOR WATER SERVICE CONNECTION nace:3/30/73 (12/29/72) rrumber: 1150 Billing Name: New FIor; .on H m.s Site Address:12h0-1238 260 1202 'i'imbei°ehore Lan Owner: 5ame Billing Address Plumber: Thompson plumbing Co. Location of Connection Meter Size Connection Chg.4 0,00 bil.l.ed 3/'0/7 1238 - 22529962 - 431824 10.00 /7 1240 - 22529963 - 431825 M~ter No. Permit Fee P 1260 - 22529964 - 431826 . A < <~-i?2 Meter Reading Meter Dep. 1262 - 22529959 - 431827 Assn - 22529960 - 431828 Meter Sealed: Yes Add'1 Chg.300.00 biil2d 3/30/73 NO Total Chg. Inspected by Date Building is a: Remarks; P.e s id enc e IIultiple x Iia. Units 4 townhouses Commercial Industrial By: ° Other Chief Inspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Tocinship, Dakota County, Minnesota, B}I: ~ Thompson Plumbing Co. Please notify the above office when ready for inepection and connection. EAGljN TOWNSHIP ~ 3795 Pilot Knob Road St. Paul, Minnesota 55111 0 Telephone 454-5242 PERP4IT I'OR SEWER SERVICE CONNECTION DATE:12/29 72 (3/30/73) NUMBER 1299 OWNEF.: New Horizon Homes Address 1240-38-60~2~Timbershore Lane PLUMBERThompson Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Reaidential Multiple Dweiling No. of units xx townhouses Location of Connectiona: Connection Charge 1040.00 billed 3/30/73 Permit Fee 10.00 pd 12/28/72 ~ pd 2 '72 Street 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 regulationa of Eagan Toetnship, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connecYion and before any portion of the work is covered. - - ¦ arr use oNLv .fl~prJ L ~ BL RECEIPT SUBD. DATE: ~ 1995 MECHANICAL PERMIT (RESIDENTIAL) 7// CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 687-4675 Ptease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction _t. Add-on fumace ~ Add-on air conditioning _ Add-on airexchanger, i.e. Vanee system, etc. Date: FEES • Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: Gf~O~ ~~Cff,~/9T~ PHONE INSTALLER NAME: STREET ADDRESS:_ GITY: STATE: ZIP: PHONE 1-1t0~ ~5~~ CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) ClTY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for. ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRIGE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee QC 1°h of contract price, whichever is greater. ~ Processed piping - $25.00 State surcharge of $.50 per $1,000 of pffn2d fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITF ADLIRFGS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STA7E: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMIlTEE CITY INSPECTOR L April 6, 1978 Mr. Dale Peterson 3795 Pilot Knob Road Eagan, MN. 55122 Gentlemen, I'am writing in regard to problems I experienced this winter in my townhouse. First I could not use my front door from January thru April 2nd. On the 2nd it finely settled back enough so I could get it open. I have cracking of 2 x 4 around the door - and cracking in the wall by the steps. The basement door into the garage moved about one inch apart so I could not lock it. All I got was a draft thru it. Also the wall from the outside wall to basement door had a opening ' underneath of about k inch with nothing but cold air coming in. I also had about a one inch opening between wall and ceiling in the bathroom, hallway, both bedrooms and closet. My front steps have a big crack in it, also the slab that the air conditioner is on has a crack that split and pushed the unit into the steps until it warmed up. There are about four cracks in cement slab in front of garage door. I feel that the cement work was very very poor and something should be done. A contractor should not be allowed to get away with such poor work . Heshould have to stand behind his work. The boards in this house cannot take this accordion type movement every year without something giving. Yours truly, Judy K. Dev,ine 1262 Timbershore Lane Eagan, MN. 55123 Phone: Home 454=6007 Work 378-0111 ~ ~ AFn 10 1978 ~'1 . CITY USE OYLY PERMIT RECEIPT DATE: y~~/~DI ftESIDEN11lkL MECHANICAI. PFiiMIT Af'PLICATION - crrYoeE,e?eRx S$SO PILOT KNOB RD , . . " i:A&AfI 1NA b51 YE 651-691-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: n SITE ADDRESS: ~ r 0 OWNER NAME: At~ ~ ~~:eAl (Y\.p TELEPHONE y45/~75 J b~ / (AREA CODE) INSTALLER NA nr . uI'TI(~N+J~' CO TELEPHONE ~~{INDm+B#~.u. ' ~ (AREA CODE) 410 WEST LNKE STREET STREET ADDREAINNEAPOLIS, MN 55408-2998 0 12-624 2656 CITY: STATE: ZIP: Place a check mark next to the ermit work t e ' - New residential dwelling unit under constructionand not owner/occupied $ 70.00 X, Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other / Nature of work: State Surchar e $ .50 Total J $-~v ~ :t- Reminder: Ca11 for inspections. ~SiGNATLJRE hAlw OF PE MITTEE UpdateJ V01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMERCIAL MECfI"CAL PEitM1T APf'LICATION CTfY OF F.A6i4N 3$30 PILOT KNOB RD EAGA1v, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings muiti-family buildings when separate permits are not required for each dwelling unit DRTE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONI,Y): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: _ New conshvction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Speci£y a:ature c`Work: When insta!liwg/removing underground tank, ca!! 65I-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1°/a (Base Fee) State surcharge - calculate at $.50 for each $1,000 Base Fee TOTAL SIGNATURE OF PERMITTEE Updated 1/01 Oct 10 06 12:39p G 763-498-7710 p.3 75 ~l r ~ 6} rs 2006 RESIDENTIAL BUILDING PERM[T APPLICATION City Of Eagan 3830 Pilot Kaob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 Nau CqnSGUd'qn Reouiremertls F2 modeuR¢pair Iteau'remenL^ OfSre Use OnN 3 registered site avueysslmdrig sq. A. W IoL s9. R d ha5e; and al roofed area T copl6 Uplan sfimwnA focifin44. bewR Ioisb CMOf Survay Read _ N (20°k manirtpvn lo[ cwerage aibwed) 1 set ol EfkYpy Calqdatlore for heat9tl etldiims 7ree Pres P12n Reod Y N 2GDpvsofplanshoOng6eam&rirqowsizes;ppured faind7esiqn,ek. tsrowrveyforedditlau&deci¢ 7rceProsRaquired Y N lsetdEnergyCalculatlons AdLticn-irttlicate:fim-sResepficsystem ' On-ytgSryycSystem _Y _ry 3 copfes of iree Preserretion Fian If lot pla@ed afier 7F1/93 R'unJOist Dctal Optlora sMecUm sAeet (Wa6n95 w11h 3 or less utl5) Miimegasm mechanical ventilarion form Date /(7 I[e?46 COASt[UCLOOC09t_ sueaeeress unttlSte # Description of Work - Mu1d-Family8ldg -!V - N Fireplace(s) 0 _ t _ 2 Property Owner Telephone # (?r-" - -1-1- ContraeW r o Address v ;~c.~3 (.}ty Sta[e ZipTelephone#(ljry} CdNtPLETE THIS AREA ONLY IF CONSTRUCTIMG A NEW BUILDIIVG - Minnesota Rules 7670 Cateeorv i Minnesota Rules 7672 Energy Coc1e Category . Reaidentlal VentilaUOn Category 1 WorksReet • New Energy CoOe 44brksheet (Jsubmissrontype) SuCmitted Submitted • Energy Envelope Calwla[ions Submitted In the last ) 2 months, has the City of Eagon issued a permif for o 5imiiar plon bpsed on a mcaTer plan? _ Y _ N ff yes, date and oddress of mpsfer plan: Licensed Plumber Telephone ) Mechanical Coniractor Teiephone ) Sewer/WaterControcFor Te[ephone#j ) 1 hereby app(y for a Residential Building Permit and acknowledge thaY the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of !1N Statutes; 1 understand this is not a permit, but only an application for a permit, and wo k is not to start without a permit that tlie work will be in accordance with the approved plan in the case of work ich requires a review and approval of plans. Z,,JG e C~~tr C/S A icant's Printed Name pplicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116839 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 1238 Timbershore Lane Lot:3 Block: 07 Addition: Timbershore 3rd PID:10-76502-07-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kayla Nygren 1238 Timbershore Lane Eagan MN 55123 New Windows For America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature