EA184861 - Building - Single Fam - Issued Date 07/06/2023PERMIT
City of Eagan®®®®
Permit"':
Building
3830 Pilot Knob Rd ®m®a® ®®®®°®
Eagan, MN 55122 ®®®® ®®®®
Permit Number:
EA184861
(651) 675-5675
111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com
* E R 1 8 4 8 6
1*
Date Issued:
7/6/2023
Site Address: 1012 Ticonderoga Tr
Lot: 30 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-300
Use: * 1 0— 4 5 0 8 0— 0
z— 3 0 0
Description:
Sub Type: Single Fam Construction Type:
V -B
Work Type: Alteration
Description: Split one bedroom into 2 bedrooms
Census Code: 434 - Residential Additions, Alterations Occupancy:
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential
homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $83.50
0801.4085
Valuation: 2,000.00 BL - Plan Review 65% $54.28
0720.4222
Surcharge - Based on Valuation $1.00
9001.2195
Total: $138.78
Contractor:
Owner:
Brandon E & Christina S Newton
1012 Ticonderoga Trl
Eagan MN 55123
- Applicant -
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
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•..• •••i
EAGANi
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC E I V E
(651) 675-5675 1 FAX: (651) 675-5694
buildin4insaections(&citvofeaoan.com JUN 2 6 2023
RESIDENTIAL BUS T
--------------------i
For Office Use
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I Building Permit #: I
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j S&W Permit #: I
Permit Fee: I
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Date Received: I
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1 Date Issued: ----- j
I----------------
APPLICATION
Date: (i %z Site Address: IZ �I' Qi�(IC'ik�4llc I Unit #:
Applicant is: tit Owner ❑ Contractor PD1
aan Ch r'I r -f i Iia ri
Name: oh
Address:012 � (o i denq
I M i I city: 9�uQ ccn
Homeowner
State:Zi : Ll Phone: (A -LI Email: &Ln lI-LG
Description of work: 9014- bVie W"DVK ijofb I ltO bf!Jft0MJ
Type of
Work
Construction Cost:
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
Building
Address: City:
Contractor
State: Zip: Phone: Email:
License #: Ex iration Date:
Sewer $
Company:, Contact:
Water
Contractor
Address: ` ` City:
Required for
State: Zip: Phone: Email:
new construction
License #: Expiration Date:
to I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.aooherstateonecall.or4 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.
X gra.jo 1). E . N an x �
Applicant's Printed Name Applicant's Signature
v
SUB TYPES
_ Single Family
01 of _ Plex
Deck
WORK TYPES
_ New
_ Addition
Alteration
Replace
FOR OFFICE USE ONLY
Site Address: 2V5 & -o ofty-t ac, -T14-. Permit #: l g
Fireplace
_ Foundation
_ Garage
Repair
_ Fire Repair
_ Water Damage
Egress Window
Lower Level
Porch
Pool
Siding
Reroof
Windows
_ Solar
DESCRIPTION
Calculated Valuation Occupancy ISL 3 -
Plan Review 025% 100% Code Edition s�i2�-ZO'f►o
Census Code Zoning TP
Retaining Wall
Move Building
Demolish Building*
*Demolition of entire building - give PCA
handout to applicant
MCES System
SAC Units
City Water
# of Units Stories Booster Pump
# of Buildings Square Feet PRV
Type of Construction J$ Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
_ Footings: New Addition Deck
_ Foundation: Before Backfill Poured Wall
_ Framing: 1 Hour Residential Alteration
_ Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
_ Interior Braced Wall Panel(s)
_ Firewalls
Insulation
Radon Control
Drain Tile
Grading
) , /Iwo, /4— -
Meter Size:
Siding: _Stucco Lath _Stone Lath _Brick
Roof: _Ice & Water _Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Final/No C.O. Required
Final/C.O. Required
Reviewed By: f=- _ , Building Inspector
FEES
TOTAL $ OW&A 15T.IT
Calculated Valuation
Z 000
Base Fee
73.
Plan Review
_% , ze
State Surcharge
.4WD
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ OW&A 15T.IT