EA189590 - Building - Single Fam - Issued Date 03/19/2024 PERMIT
City of Eagan a , Permit Type: Building
3830 Pilot Knob Rd a��%�^ d ds°� Permit Number: EA189590
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 9 9 5 9 0
Date Issued: 3/19/2024
Site Address: 1092 Ticonderoga Tr
Lot: 14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140 111111111111 IN 11111111111111111111111111111111111111111111111111111111
Use: * 1 0 — 4 S 0 7 S — 0 4 — 1 4 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Egress Window
Description:
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-1
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- Egress Window $94.00 0801.4085
BL- Plan Review- Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Doston Holdings LLC Adam L& Megan L Oldenburg
904 Thoreau Drive 1092 Ticonderoga Trl
Burnsville MN 55337 Eagan MN 55123
(612)290-0732
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 Issued By: Signature
ECEIVE called .,/!g
MAR 1 1 2024I ForOffieeUse -------------j
I ,
• o ; 0 1 Building Permit#: 189590
BY:
I S&W Permit#:EAGAN j
Maws •wse I t
oe"""""a► Permit Fee: _
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
Date Received: 3/11/2024
(651)67-5-56751 FAX:(651)675-5694 I l
building insgectionsficitvofe n com i Date Issued: i
L---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date• ['l l .q .1.4 Site Address:] � � �i c i7-vi e r o q Lk- ru.j l unit#:
Applicant is: ❑ Owner MContractor
Name: I t�
Homeowner',,, Address: 0(_Z ti .� (�
�'.�_ 1r b til City:
State: Zip: Phone: �f76 dym2il:
Description of work: &ir �✓�� (�1,�/
Type of Y'
Work' Construction Cost: b PD, Lexington Square
Type of building: Single Family ❑Townhome, of units ❑Twin Home
Company:_'//DS -n VI �� t�Li,��S G L Contact:
Btiilding ,- Address: 2
-t�rPtst /�filri City: /�L/i
Goin#ra�ctor; /'' �I
State: (Z1p: Phone:-L
License Ex iration Date:
$eW+3C&' Company: Contact:
plater
COtltraC#Cit.', Address:
City:
Required for State: Zip: Phone: Email:
new Pon$ruction'
License#: Ex iration Date:
I underatand that Flumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Rlans,and euppof#Its ,: 6tuments j t) submit are coetsidered to be public informatlon. Portions of the
infoimatton may be alassllffed as non ptlbli °ifyou,proV do spec)flc reasons that Woutd permit the City to,conclude that they
are trade secrets
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or necall 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,
Applicant'.Printed N me AppliCa 's Signature