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1262 Timbershore Lane ûø ÿ ÿþþ ýüøýü úþþ üü þ÷è Þûóüööö ÞáÞ ÿþö þýüûúùø ÷öñöýûúù øöûúùø ÷öõ ÷ôùó öùòý ñýñíýùú ð þïýöî óùöìóóöïýöóöüöóë êö ù ÿêöêöó þ ùëñêöêùêöë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýÿë ôó öòñ ùù âýúæì ìõØáûóüöö ãõ àÞáßÞ öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö Use BLUE or BLACK Ink r'----------------i . I For Office Use � I /_��./.� � ' � Permit#: J�UJ�4�� I Clty of �a�� I Permit Fee: � 3830 Pilot Knob Road � ' � Eagan MN 55122 � Date Received: � I Phone: (651) 675-5675 � � I Staff: � � Fax: (651) 675-5694 �_______ ________ � � 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION � � Date: ��a 2� Site Address:��2 a 1 r'r►1 be,r�n��e �/1� . L -rf . /el AV. � �, ) a � Tenant: Suite#: F�esident�Uwner Name: _�J Ia d r. , 1✓.2t i h�P Phone: �5/_ �� '�. 6 60 'f ' Address!City/Zip: a� � T� S o o-� �. , a3 Name: License#: GO�'�1`�CtQC > �`r. ��: Address: City: ��'�. ��P. �� : State: Zip: Phone: . ; : �,. , ° : Contact: Email: Typ� Of 1N�rk; '�New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. ' Description of work: � ' - RESIDENTIAL Water Heater ' Lawn Irrigation(�RPZ/_PVB) Water Softener �° 1�8Ct1'1lt'��t'�?� r �a; Add Plumbing Fixtures�Main/_Lower Level) ��q ; Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigati0n (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Se tp ic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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.org 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 �U �u �j - �2�/'1 rl-2 _ x � — Applicant's rinted Name Ap canYs Sig ature F.UR UFFIC'E°ilSE' R�vieuued E3y: p�tes Required Inspections: CJnder.Grc�uncf R�u��-Ir� Air Test ' Gas T�st Final Nteter�telated It�ms: M�ter Size t�adic� �tead� ,Manameter '. 5taff: a � � Use BLUE or BLACK Ink �----------------- � For Office Use � ` j Permit#: �p�(%�tU�/ � Gl�� of �a�a� ; ��.�� ; 3830 Pilot Knob Road RECEIVED � Permit Fee: � Eagan MN 55122 j Date Received: � ,+�� Phone:(651)675-5675 AUG Z 2 Zp�4 i � i Fax:(651)675-5694 I Staff:' I I I . �__________��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �'"Z a`� Site Address: Unit#: Name: �� I'� , L..¢Q..�/9 � Phone: [��' �� Resident/ j / Owner Address/City/Zip: e��o� s` � 5 A'��d` h C�-/� '� � n I� .5 107,3 Applicant is: ✓Owner , Contractor ' � � Typ@ Of W01'k ' Description of work: � Construction Cost: Multi-Family Building:(Yes /No ) Company: Contact: Contractor ; Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Y�� r�r�. � -- =- . ��3 �� 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sew�r&Water Contractor: •� Phone: NOTE:Plans and supporting documents that you submit are consitlered to be public information. Portions of the information may be classified as non-public if you provide specifc Yeasons that would permit t�e Cify to ! conclude.that the 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.qopherstateonecall.ora 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. 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. � X � 2. f 1� x /) - /�'�-C� s Applicant's rinted Name� A icant's Si nature Page 1 of 3 .�� ' � �� 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(Screen/Gazebo/Pergola) Miscelianeous _ 01 of_Plex � 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 _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Q� � Occupancy �ftc- 3 MCES System �`' Plan Review Code Edition ,ZGW�' SAC Units �--- (25%_100% ✓) Zoning p J� City Water .-- Census Code y 3Sl Stories ""' Booster Pump "" #of Units / Square Feet — PRV '"' #of Buildings / Length "' Fire Sprinklers """ Type of Construction � Width -'' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick `� Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control � Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES � 5"� �, '7w0 � Base Fee 7 3 � Surcharge Plan Review L�7 �- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r________________� I For Office Use � I � �� I ��+ Of �n nn j Permit#: I bY 1 Q�Q�l I /�J�� I � Permit Fee: UO va �''' � 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received: � � � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ———— _——_— _—i 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /�� - �i '�'S� Site Address: �� /i �yr� 6�Y'S h� B`� /�-`1 �-- Tenant: Suite#: "" Name:_eJ u c�C u � �e-V i's�-2� Phone: C�.�l - '�`�55�-10 G o� Resident/Owner `� Address/City/Zip: �� // b�r �O c � �it/• � �, ��0`73 Name: i�O�h _�' License#: C011t1'aCtOt' Address: City: State: Zip: Phone: ' Contact: Email: Type Of WOt'k —New ✓Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: RESIDENTIAL ' ✓ Water Heater Water Softener Lawn Irrigation �RPZ/_PVB) � PeYmlf Type Add Plumbing Fi�ures(_Main/_Lower Level) ', Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes$5.00 State Surcharge) � *Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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 of plans. C X ��1 Y l �_ V+V� � �'�/ X ' ApplicanYs rinted Name A icanYs Si ature FOR OFFICE USE Reviewed By: Date: Required lnspections: Under Ground Rough-In Air Test Gas Test Finai Meter Related Items: Meter Size Radio Read Manometer Staff: - ' For Office Use 4/Li—3 % a 0 Permit#: cam` ` , '"-; Permit Fee: ( 9 _ Date Received: Alt ii-/k 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 OCT (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 20018 Staff: buildindinspectionsCo�cityofeaoan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date Site Address: / 6 - 1 141126t' j7I ' //7 Unit#: ..�a _ Name: _ _ x Phone: , B i Resident/ I Owner Address/City/Zip: i i Applicant is: Owner Contractor I C' ii G v-e e S7Z� ( Description of work: /CVO ''! a � 1 1 Type of Work i i Construction Cost: 'fir2 i &Q( Multi Family Building: (Yes ?(, /No ) Company: G Y u C-51-0(-1"vl (o i-,c vcG ` / ii CC�wniact: & Address: 9 03 6 ✓7/1G✓1 4 £ f- /20 6ity: /5/0 D, ,h5 d v, Contractor u1 �/ 7�j //, / 1 State:M Zip:55/J / Phone: 9,So) 3 G1f`E P.92- �i4 'e 7 cto ` ✓ G0"3r` ( License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: I 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I 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- ublic if ou rovide s ecific reasons that would ermit the City to conclude that the 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.citvofeaoan.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.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 of tans. Applicant' rinted Name J App'cant's/nature - 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(Screen/Gazebo/Pergola) — Miscellaneous 1c 01 of q Plex _ 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 _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION r� Valuation Sol jSOO . Occupancy �K c' 5 MCES System Plan Review Code Edition Plvl?.o) c SAC Units (25%X 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required ?O FootingsI-Additio ) $ ODr ?q Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour 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: • � m lc -6M-By: / o ; l /7 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169285 Date Issued:05/20/2021 Permit Category:ePermit Site Address: 1262 Timbershore Lane Lot:2 Block: 07 Addition: Timbershore 3rd PID:10-76502-07-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Judy K Devine 1262 Timbershore Ln Saint Paul MN 55123--101 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature