1206 Timbershore Lane � (�L�.nc.�
� v�-3�5��
Use BWE or BLACK Ink
�-----------------,
��^w�a"8 EJ'� '� i For Office Use �
a►,.d,� �a �+►a�
C�� U��� lill � � i Permit#: ��7�� � I
� � SEP 2 � 2014 �
� Permit Fee: �
3830 Pilot Knob Road � ��' � I
Eagan MN 55122 � 9 ,/ �/I
Phone:(651)675-5675 �Y:_�-- -----~ � Date Received: ��7`'—J�
Fax:(651)675-5694 �
� Staff: �
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2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: �2 U�U �L!� ��������C� ��'4
Tenant: U� Suite#:
Res�dentiOwner . m' Name:��"C1`C.`�,�C11n�.S Phone:��� " �U�° �y�$
�
Address/City/Zip: �
, Name: � d- License#: l/l � � � `����
COt1f1'aG�OP - Address:���� ��:�I{(f�''1� � �l l� � S� City: � \�'�'�
State: 4�� Zip: � �`���Phone: �P cj � ' y ��" �� �
�
Contact: Email: 1� fjLQYC�C��' �[�j j`�
_New �Replacement Additional _Aiteration Demolition
Type of 1Nork; Description of work:
�� NOTE Roo�mounted�nd grountl mauntetl mechar�rcal equipmen'f is reqw�ed to be screenetl by�Fty���
r,�
Coc�e Please co�itact the Mechanieal Ins�ecfor for iRforn'rat�on on permitfec��creenfn j ine4Fto'`c�s
RES/DENTIAL COMMERCIAL
� �Fumace New Construction Interior Improvement
ti �>..� — —
�Air Conditioner Install Pi in
` Per1111t T�%�e � — p� s _Processed
� � � e.; —Air Exchanger _Gas � _Exterior HVAC Unit
_Heat Pump UnderlAbove round Tank
_ g (_install/_Remove)
`Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) !� �v
$100.00 Residential New(includes$5.00 State Surcharge) _$ �V ° TOTAL FEE �
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
*"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
**"`If the project valuation is over$1 million, please call for Surcharge =$ �' TOTAL FEE
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 I.VIC d�� �('�YLV` X e I
Applicanfs Printed Name App icant's Signature
FOR OFFfCE USE9 ,� ��'���"�'�'° �; '�`��'���.�` � �� � �w, ,�
��. � , � � � ' � � ��� >
Required lnspectrons �� � � � Fiev�ewed B � � �� Date .�� �r
: Y
. ..��r .�s^ ,,". f` 5`-�",�� ".%"f^` } 4 � ^" ��.rr � � nw.
l�ndergrouni� Raug�[n ,�ir'�E`es� Gas�ervrce�est tr►#loarl�ea� F�naf r.�il�l�C,�ereei�ir�g
RESIDENT / OWNER
Name: titer t-6 i G�.- Phone:
,.,,...r
Address / City f Zip: .i '+ r_ ' C /��
_ . .'
Applicant is: Owner — Contractor
.—
TYPE OF WORK
Description of work: I Ci/t7v
Construction Cost: /C, s-P 3. Multi-Family Building: (Yes No )
CONTRACTOR
+ 1/1
Name: 6IIr�S r e. License #: & '77 3
f
Address: �i'S -1O 1 - (5'6 v/I /-./'1 City: 4/� 4�� '"►
S
State: /444/ Zip: -05 9/t/7 Phon tea --- 773' - '4 , 3 v1�
Contact: 1 `7/L + r 1- 6,11 s Email: '3. l4 s.- 047 GS eifa4/ / diei.,
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:
Plumber: Phone:
Licensed
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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.
Jul 12 10 08:13a Gates General Contractors
4 IP* City of Eaall
Date: 7" - 1 'Z - d
Tenant:
I hereby ackn
Eagan'
a
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
nt's Printed Name
Site Address:
edge that this informati
erstand this is not a
the approved pia
x f� c
Applicant's Signature
(763) 498 -7710 p.3
Use BLUE or BLACK ink
For Office Usg�
Permit #: (✓ J
Permit Fee:
Date Received:
Staff:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 .0002 for protection against under9rounid utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. lwww.gopherstateonecall.org I
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
gZ I f " f, 12-0q, /2 G
Suite 4:
n is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
unit, but only an application for a permit, and work is not to start without a permit; that the work will be in
case of work which requires a review and approval of plans.
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126998
Date Issued:09/18/2014
Permit Category:ePermit
Site Address: 1206 Timbershore Lane
Lot:4 Block: 13 Addition: Timbershore 4th
PID:10-76503-13-040
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 or installing Bay or Bow
windows, 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 -
Tracie Jones
1206 Timbershore Lane
Eagan MN 55123
(507) 304-3428
Homesure Inc
2924 Anthony Lane, Suite 115
St. Anthony MN 55418
(612) 353-5781
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129644
Date Issued:03/03/2015
Permit Category:ePermit
Site Address: 1206 Timbershore Lane
Lot:4 Block: 13 Addition: Timbershore 4th
PID:10-76503-13-040
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 or installing Bay or Bow
windows, 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 -
Tracie Jones
1206 Timbershore Lane
Eagan MN 55123
(507) 304-3428
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature