EA180396 - Building - Siding - Issued Date 11/23/2022 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd `.' % ': Permit Number: EA180396
EAGAN
Eagan,MN 55122 •--- ••-•
(651)675-5675 111111111111
www.cityofeagan.com s * E R 1 8 0 3 9 6
Date Issued: 11/23/2022
Site Address: 1009 Ticonderoga Tr
Lot: 5 Block: 4 Addition: Lexington Square 6th
PID: 10-45080-04-050
Use: * 1 0 — 4 S 0 8 0 — 0 4 — 0 S 0 *
Description:
Sub Type: Siding Construction Type:
Work Type: Replace
Description: siding front of house
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $118.00 0801.4085
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $120.50
Contractor: - Applicant - Owner:
USA Builders Michael J&Linda Coughlin
8019 Cleadis Ave 1009 Ticonderoga Trl
IGH MN 55076 Eagan MN 55123--253
(612)867-2220
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
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 sZed B . Signature
--------------------�
For Office Use I
I Building Permit#:
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EAGAN I
Permit Fee:
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 I
� ) � � ) Date Issued: I
buildin4inspectionst?o.citvofeaaan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: iC d,4161ele"12,4 zzKv unit#:
Applicant is: ❑ Owner Contractor
Name:
Homeowner o
Address: �® T.COGv�1�✓1 �¢ 7,4-W-1 ity:
Stat@ Phone:04Email:
Description
Description of work:
Type ofoa c c
Work Construction Cost: . /
Type of building: I?9 Single Family ❑ Townhome, of units ❑ Twin Home
Company: ��,1'D� '��i�P?�' �/I Contact: 1z____/20F"
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Building Address: 0 �l'��%'9�.-f City:
Contractor
State /y Zip-�fG��p Phone: ��� r� ail
t�f°%,! C-,
License#: Expiration Date:
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new:construction
License#: _-_Te-_? Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Pians 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 toconclude that they
are trade secrets.
CALL BEFORE YOU DIG, Contact Gopher State One Call at(651)454-0002 or www.Qopherstateonecall.oro for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
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.
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: Permit#:
SUB TYPES
Single Family _ Fireplace _ Lower Level
01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
_ Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows _ Demolish Building*
_ Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Occupancy MCES System
Plan Review 025% 0100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Siding:_Stucco Lath _Stone Lath _Brick
Foundation: Before Backfill Poured Wall Roof:_Ice&Water _Final
Framing: 1 Hour Residential Alteration Erosion Control
Braced Wall Framing/Blocking Pool:_Footings Air/Gas Tests _Final
Braced Wall Sheathing (prior to house wrap) Retaining Wall:_Footings_Backfill_Final
Interior Braced Wall Panel(s) Fire Suppression:_Rough In_Final
Firewalls Windows
Insulation Other:
Fireplace:_Rough In Air Test _Final
HVAC: Rough In Final Final/No C.O.Required
Radon Control Final/C.O. Required
Reviewed By: . Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00