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1201 Timbershore LaneAug 18 11 01:46p Gates General Contractors 41,11/ City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 7634387710 p.1 Use BLUE or BLACK Ink For Office Use Permit ff: /006 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: $ / II Site Address: 124/ 2-193j / 2-C/ /l'' l I `°u3t 4' U :e--- Name:C t�11V=P5�7,rr / D• If-• Phone: RESIDENT f OWNER Address / City 1 Zip: Applicant is: Owner K.Contractor� , 71-ee, Description of work: "t`'�-7i" V r1,`7, r`1‘24t447� 7 TYPE OF WORK ` v y - Construction Cost i 2-57.). ©® -�y Multi -Family Building: (Yes `_ / No _ ) r Company. /if1f i 6 - elf- ee1f;1 / Tye' Contact: 'c A CONTRACTOR Address:339)0 fr tip. Li,/ f1i% Ycn ' l City: pf(ik-frtll 4 State: f Y' 1" Zip: >> 7 Phone: 41-2, 2 -7 2- 3 -6, :7 License #: 7 (J Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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 CaII 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.gooherstateonecall.orc 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 erstand this is not a permit, but only an application for a permit, and wo of to start without • permit; that the work will be in aoco wit he approved plan in the ca of work which requires a review and apt - - of ns. Applicant's Printed Name x Applicant's Signature Page 1 of 3 Date: City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694. `ED 2011 r glees /o 6o Permit #: Permit Fee: Date Received: 1 Staff: L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: Site Address: Kirsten Beard 1201 Timbershore Lane Suite #: RESIDENT / OWNER Eagan, MN 501« Name: 6519641550 Address / City / Zip: CONTRACTOR / Name: NORBLOM PLUMBING CO. License #: Ot1O (51 Prill Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: Phone: MINNEAPOLIS, MNa5act5408: „,/traj TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: replace,c&yheater PERMIT TYPE RESIDENTIAL 1 Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 'Je. • �`'Jorbt o Applicant's Printe Name A -' icant's Signature RESIDENT / OWNER Name: 1-/-71.1 r _ /iD 4- Phone: 6/z-171 2--- Address / City / Zip: v'/9-71/ / Applicant is: Owner 1, !' Contractor TYPE OF WORK Description of work: / 57L-- i • ` p r Constructi Cost / g / 7 rZ - O3 Multi- Family Building: (Yes ! No ) CONTRACTOR ��+o9'lr P„/PAti�rg' –r-de— i � , Name: � License #: 6 793 Address: 3 tr,Z .2f -Uoit7 L," Sr-. Y00-31/City: 0 u ,,,,, State: / /C . Zip: X57 Phone: rl /Z - 7 3-763 V Contact: ~' / ' a- e-- -` Email: COMPLETE In the last 12 months, has ^ _Yes No If yes, Licensed Plumber: THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit fora similar plan based on a master plan? date and address of master plan: 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. Nov 15 10 05:10p Gates General Contractors 4 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION i n fS /� Date: afrlio Site Address: 11 / r T ' a�' - �-- �Y! d� uO/ rt©3 / 24 " Tenant: Suite #: CALL BEFOR Y DIG. Call Gopher State One Call at (651) 454 -0002 for protection against unde round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Iwww.gopherstateonecali.orq� I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi • es 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 it; that the work will be in accordan ith the approved plan in the case of work which requires a review and o 8115. Applicant's Printed Name Applicant's Signature (763) 498 -7710 p.2 Use BLUE or BLACK Ink For Office Use Permit*: Permit Fee: 3 4' 0° Date Received: Staff: /W Page 1 of 2      ÷î÷    ý  ÿ ÿþþ  ýü ü      ûþþ   þîì åýî ï õï åôå   ÿþ÷  þýüûñþ  ø ö ÷ ýüûÞí  ñþ  ø ö àþ       û î òþ î  ïþ á  ÿ     û ÿèç  þ õõâõ á  îñèúû î äëâëõââ öû  þ ï ñéäëë æ þ åÿâë  õùùó ÷ ñð ûû    Ý  ø ö ã   ô üîþïêëÞýî ï   á û  áÞô èåçâõåå ï ü í ï  ï ê  ï  ûû    ï ïù î     îûüíï  ûû   ùá   þ  öüù ð   ë ûû ì  î  þ  þü  þ  • • 1 , :i r , For Office.Use r ,44 i P` Mfr �=_ 5jA/: ,� �• °� d d iI Permit#:. 4.1; .+ � Permit Fee: �`C./is 3830 PILOT KNOB ROAD 1 EAGAN,.MN Z5122-1810 Date Received: (651)675.5675 I TDD:(651)454-8535 l FAX; (651)675-5694 Staff: bulidinglnspeclionsPcilyofeagan.com L J 2018 RE. ' IDENTIAL PLUMBING PE - MIT APPLICATI.N iri DatetD51 e Address: . Ala if tl.4 d ' VVV / Tenant: �, �({ r t • Suite#: (lti`' fY�r YZ�lbar,w� S Name, �A - �_r / ,.- .... none:tokr A,t4, lia41 Addre.s/City/Zip: /V 4 s t tjX�i ?(�ky � p� - 43 l ''<Ir`f�� >''<<•tS"'`� NameMILBERT COMPANYbark. t p • . • dba CULLIGAN WATER �. ,`t' ?; 1?;3 ,,, „,.0): License#: W064137• ffi Nit ,�tt,y Addre.s: 1801 50TH STREET EAST v ' �y4tPf :rixt5 j ;}( City: INVER GROVE EIGHTS ;t '. 1 Yf 4 “ ` ",`Rpt State: MN Zi 55077 651-451-2241 !'4't•�'i 4 l s&'a)aw P Phone: s't• ,,, ��.,,`1 l {hire? s��,)Li.�g,' - Contac t; BILL MILBERT GS:'O7 • jtw Email: •loria.abas cull an4water.com S., r 1r .1.413.tt.,+ @ 9 • .ftig iiet, ",'g , . F New Replacement Re air .I ” tAffh ikQt rt ''&. p P Rebuild ModifySpace r= ,,i E. ? t• J ,,>ni,( P ork In.R.O.W. t', t..-1. t { ,n. Descr pilon of work: k ; 5;tuttt'lXl..t,�tgAA.`}JS_ RESIbENTIAL 1 ' 'f , .1r: �4�Qt-ryl'. i:i t z.sir !:4 ,I;,Z>f. arf 4+ r Heater �,„!7i��+�#:p`ISk;•<�'�'((F���+�:.,,;,,t1. ater Nr-W _ XWater Softenerell{ \ , i L.wn Irrigation( RPZ/ PVB)rtTp Add Plumbing Fixtures ixtures ir Main./ Lower Level) )44 .fie �i kr t, 4(; ., 'optic System x.1riki WIti_ Water Turnaround v4t lzNewaix .a.iglAtbagOiS Abandonment — _.....- ___ _ $60,00 Water Heater,Water "oftener, or Water Heater and Softener(Includes Sta.te•Surcharge) r —..........._—_ RESIDENTIAL FEES: $60.00 Lawn Irrigation (Include. State Surcharge) $60.00 Add Plumbing Fixture, Septic System Abandonment,Water Turnaround*(includes State Surcharge) 'Water Turnaround (add '.280,00 If a 3/4"meter Is required) G 1^� $115,00 Septic System New(I eludes County fee and State Surcharge) •TOTAL FEES $ 60.00 CALL BEFORE YOU DIG. Call Goph,r State One Call et(651)454-0002 for proleclloo against underground utility damage.Call 43 hours 6ejrn'e you Intend to dig to recelve locates of undo ground utilities, www,gouherstateonecall oro You may:subscribe to receive an el:ctronic notification from the City of proposed ordinances by signing up for an email .(plate on the City's webslto at wwwcit ofea.an,com su.scribe. I hereby acknowledge that this Inform:lion is complete and accurst:; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I undQrs nd this Is not nit, but ona• actor artcewith e a proved plan In t.ekas (. y applic. on fora permit, and work Is not to start without a permit; that the work will be in �• j �Kor w c requlra a review and appro -I o pia/s. Applicant's Printed Name x ' 5Y-R=V Applica,nt sSgnature0 -4" 31i4f1 44 ,SR) h it-t ' A tllf: ) R gBrg s khS i. :=3's4 .,,1 )K. g's, p s, ;f91RIStntdAAAAgy ( 44 = ri 1HeviWES. `%:f.'. s'.tra ,0§ ('v:: �§Asrr••nDat4e1 ,fvh4r. S tt.,ad ` � �7 ,1 � r,,N .�tti I (,ie,,ir.rpt7rk . ytr v •fi y•� f `?J `�l f`7CS • o �Z ,;� ,. A}. .'Ea�m'> l .,.� :,. :i.. f, a F"'. SM tato,6.r4015.4 .t,�tt srtr tr� tS ! ,vai . is.,yXifN;2fI;P.a!r ,R�gUpeecnspd o 0tA,. JY-R=dSCI;ITRRW 9i1ny1� S"K' A^Ni.r 'pS{ ), YNAkg4( S, . tM< OTrt- ' i1i,Wf�.4 /�� .0`1 .,-. C• �yr ,v ,,,A �44,5i , 1,10� Eji ,� Ilk0; rrr � f0 ki,V Tfi✓ � 1, 14-Ro �Lt .y 1pC- . � ,Ms 'SW—ON-',04,1ti'hfO �2adsltUann, e110441U1r.sSyafY�ft��' i'�ht��� '13� " PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175173 Date Issued:03/17/2022 Permit Category:ePermit Site Address: 1201 Timbershore Lane Lot:2 Block: 06 Addition: Timbershore 4th PID:10-76503-06-020 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kirsten Beard 1201 Timbershore Ln Saint Paul MN 55123--102 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature