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1172 Timbershore Lane11101/` City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: gc /7 G 90.06 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: V l a V le S 6 a Y- Phone: (0/ 2-7.2 3 41'3 / �- - Address / City / Zip: 1/ 7 2 1)14&L -e. v 5 /,.0 - E R cg-&-- ill 1"/ ,x`5/23 Applicant is: Owner Contractor TYPE OF WORK S4'd Description of wor 1--.901 ,S(,ti 1 v, W s / c J �r cji L� /�J c `' --------Construction Cost: `A, c(/ V Multi -Family Building: (Yes / No K) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: Does this project require Lead Remediation? 0 Yes 0 No (see Page 3 for additional information) If no, please explain: In the last 12 months, _Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documentsthat you submit are co rr "sidered toy be publr information. Portions of the information maybe classified as non-public if you provideA pci idea ons that would permit the City to .. ..,. nclude:that.theyaretradeecrets,.,;,,. 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o plans. Applicant's Printed Name A ' • icant's Signat Page 1 of 3 C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 WP 0 3 Lui r Use BLUE or BLACK Ink (.>, Permit#: 5 R`3 fp Permit Fee: 5C /..ioZ . e' Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: CFC4 '7i, Site Address: 1 / 7) T I.,0 b ei Sq o!! t L—,'t Litt Ci GA- 13 -eq rha fr✓ Tenant: Suite #: RESIDENT / OWNER Name: C ---116t C1� 1 Q Il Phone: 60-- 7.3--q,/ Address / City / Zip: ii 72- T evl /,1-er 'Lope �� i._-cv a/" Applicant is: Owner Contractor TYPE OF WORK Description of work: Deck-P'ot) I f 1"/f Construction Cost: 1 3Ov Multi -Family Building: (Yes / No ) CONTRACTOR 1 'U L r' k-ct (-Aid Name: off- '%d'�i c License #: do/ %L4 7 Fye Address: 04!) %3' s/R City: ZIO el/;//e' 1, f ,J / State: 14 Zip: " g 7 Phone: 6/2_-55(-- ?) Y Contact: l/ I'2 Ulf 1Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City, to conclude that they are trade secrets. ' . . CALL BEFORE YOU DIG. Call Gopher State One 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Pf4 r -F/ AJ 04 Le_ °kir Applicant's Printed Name x Applicant's Signature Page 1 of 2 LA.? NU I Wra I t t3tLUW THIS LINE SUB TYPES '. Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace _ Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final 1') _ Siding Reroof Windows — Egress Window _ Storm Damage — Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required / HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath __Stone Lath Brick Windows Retaining Wall: — Footings _ Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7(900 Page 2 of 2 Date: 11/5/2009 Revision Date: 11/5/2009 New Construction Site Information Address 1: 4905 Twins Court , Project #: Address 2: Lot: 10 Block: 1 City: Eagan County: Dakota Subdivision: Twins Court Application Information Business Name: Burnsville Heating A/C Contact Person: Alan Dobson Office Ph: 952-894-0005 Fax: 952-894-0925 Cell Ph: 612-328-8506 Address 1: 3451W Burnsville Pkwy Suite 120 City: Burnsville State: MN Zip Code: 55337 MN Contractor License #:1034 House Details Square Feet: 2702 sq. ft. Avg. Ceiling Ht: 8.5 ft. Number of Bedrooms: Ventilation : Exhaust Total Ventilation Capacity : 100 cfm. Minimum Continuous Ventilation :45cfm. Continuous Ventilation Provided: Exhaust: 80 cfm Intermittent ventilation satisfied by OTHER exhuast appliance. Combustion Appliance Water Heater: Power Vent Input BTUs: 50,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 80,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Natural Draft Fireplace(s): No Exhaust Equipment Exhaust Ventilation Capacity (cfm): 80 Exhaust Fan Rating (cfm): 80 Make -Up Air No Make -Up Air Required by Code 2 Gas Fired Power Vent Fireplace(s): No Solid Fuel Appliance(s): No Clothes Dryer (cfm): 135 Combustion Air Round Rigid Required: 4 inches or Insulated Flex: 5 inches Applicant Name (print): Code Official (print): D6,Signature/Date: ""' �,��� /l` S 9 // Signature/Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page I City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1172 Timbershore Lane Lot: 4 Block: 15 Addition: Timbershore 4th PID:10- 76503- 040 -15 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Linda Beaman 1172 Timbershore Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA089245 05/19/2009 ePermit PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105798 Date Issued: 07/30/2012 Permit Category: ePermit Site Address: 1172 Timbershore Lane Lot: 4 Block: 15 Addition: Timbershore 4th PID: 10-76503-15-040 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Kris Oien Comments: 3670 Dodd Rd Eagan, mn 55123 651-365-1340 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Champion Plumbing Linda Beaman 3670 Dodd Rd., #100 1172 Timbershore Lane Eagan MN 55123 Eagan MN 55123 (651) 365-1340 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. Applicant/Permitee: Signature Issued By: Signature E For Office Use (/, , h i I S / h,rhhw „r,�, �...- . . ` Permit#: / ` f' r/ E AG A NI . DEC 1 1 2019 Permit Fee: t V Date Received: (c)' -// —I 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections(ilcityofeagan.com 7 _, 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: las-Aq Site Address: 111 71.4(1 4(1 Def S f'W✓e L4 Tenant: Suite#: .3/ ReildOnt/Owner, Name: ea/de// Hea..4 Lt./V Phone: 6/�—72,3 = 'l ate>( Address/City/Zip: r — Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 Contractor- ,. Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 Contact:_BILL MILBERT __ Email: gloriaabas@culligan4watercom ` New —Replacement Repair Rebuild Modify Space Work in ROAN. Type Work — — _ Description of work: -- Water Heater Lawn Irrigation( RPZ/ PVB) • x Water Softener Description Septic Plumbing Fixtures ( Main I Lower_ Level) Septic System Description: New _ Abandonment _ _Connection to City Water from Well RESIDENTIALFEES ._.... ...._.__........._..._...___..,..._ .1 -_ .�_W......__...._.......�__�_ ..... ..,..__,_....._.� $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 60'0 CALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)454.0002 for protection against undergroundutility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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.cltyofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In accordance wi h(r1? 'r\ he approved plan In th ase of wor which requires a review and approval of plans. X W. A/k7 ---' xt`e Applicant's Printed Name App//f ,t4 a Signature Page 1 of_.2