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1057 Ticonderoga TrRESIDENT OWNER Phone: 7 1 1- 4 3 L �o Name: W'e V7 9 (20 P7 9 --'n hone: 5 Address City Zip: ®J l O I L—a r t t 1C J� Applicant is: Owner k Contractor TYPE OF WORK Description of work: k' r,4 1/7--t-P'41 Construction Cost: -7 e d 0 Mufti-Family Building: (Yes No k CONTRACTOR NamE License R61 The Gopher Company AddrE 2701 36th Ave S Mpls MN 55406 Ci ty State: Zip: Ph612- 331 -1555 fax612- 331 -7725 Phone: wraact rerson: COMPLETE Energy Code Category (1 submission type) In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit aret con red to be public ht Porrlto of the information may be classified as nonpublic if you provkie c s #mt the C fo conclude that they are trade 4011 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: Gc.vi 4' lee) /1 r e re-1'Y? to, Wei y Applicant's Printed Name Applicant's Printed Name 3o15 6 i0#c x Applicant's Signature Ole Permit*: q ld Perm it Fee: Q0- 0 Date Received: Staff: J 2008 RESIDENTIAL BUILDING BUILDING PERMIT APPLICATION Date: l 1 /i..1) Site Address: /c 5 "Con 7 Suite 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 sta without a permit" the work will be in accordance with the approved plan in the case of work which requires a review and oval of pl W Page 1 of 3 CITY OF EAr4N WATER SERVICE PERMIT 3830 Pilo..-.nob Road P.O. Box 21199 PERMIT NO.: 121 Eagan, MN 55121 DATE: Zoning: n1 1 c til imek Homes No. of Units: , Owner. Address: Site Adders: con erQga ra B exington Sq : Plumber. agan tim g Meter No.: S oC Tho 0. pd -326 RZ Size: 5 o nd f I agree to,pompiy/ theplty of I Date of Insp.: f P 1"- 7, -d7 otal: 63.5c)pd meter Date Paid: cmr of -AGM 3630 PNot Knob Road WATER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: Eagan, MN 5521 Zoning: DATE: •Iome,, No. of Units: Owner Address: Site Addess: X QT: _ C Plumber. Meter No Size: Connection Charge - p` Reader No.: Rea Account Deposit: I agree to cam pir with the Cit f Permit Fee: ? P y o Eagan Ordinances. Surcharge: P? Misc. Charges: ay Total: ?' • - Ond meter ? Date of Insp : Date Paid: . Insp.: CITY OF EAGAN 3830 Pi!ot Knob Road SWO SERVICE PERMIT P. O. Box 21199 PERMIT NO : _ 9272 Eagan, MN 55121 , DATE: 10-30-86 Zoning' -R Owner. chial Rcwshae No. of Units: - I Address: I00.00pe aew/y?w* wbb Ire Cky of 58"¦ Connection Charge: A S Account Deposit: --1 oO.d__ Penult Fee: 1 n nn a Surcharge: Misc. Chorgss: Of Insp : Total: Date Paid: w^-? a r.. ._ .. . .-.-.-.. - ..- .-.. . 3830 Pilot Knob Road! P.O. Box 2G-1199, Eagan, MN 55121 N2 12762 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used,fof SF DWG/GAR Est value $92,000 Date OCTOBER 15 90 6 Site Address 1057 TICONDEROGA TR Erect Occupancy R3 Lot I Block 8 Sec/Sub. LEXINGTON SQ Remodel ? Zoning R1 .Parcel No. Repair i i ? ? Type of Const V i Add t on No. Stor es SCHII!1EK HOMES Move C1 Length 45 W = Name 13008 GLENHURSi AVE Demolish ? Depth ?n o Address Int Impr, C1 Sq. Ft City SAVAGE Phone 094-2907 Install ? a 0 of Ucc cc ?¢ W W W V z ?_ t W Name `FAME Phone Assessment Water & Sew. Police Name Fire Address Eng. Phone I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee " Planner Council Bldg. Of Var. Permit s 409.00. Surcharge 46.00 Plan Review 204.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies $2,244.00 Total A Building Permit is issued to: SCHI14EK HOMES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' dqp •id IWM 's- :j 14-0 '51d X1000 47- 10u1j 'BP19 -B41d 10U1j tp L 'BIH Pull 0aeld0?l j ? •lnwl t 'BIN 46notl / SqW 48-t3 Bu110o1! BulwOij uop0punoj 11asupooj ? O/ I >duq? t3ueWwoo 'dwI hf11 uonoodoul N1M?0$ 7k *IipDI3 bujq?nld N 0u04d0Nl 0300 AWH WAU*d ON 11uj"d ' - PERMIT # / PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address -_ - , J • BLDG. TYPE WORK DESCRIPTION Lot Block _ Sec/Sub Res. New Name 1 Mult Add-on ?o Address Comm. Repair Z5 City Phone Other NQ. FIXTURES TOTAL Name Water Closet - $3 00 $ 3 Address . Bath Tubs - $3,00 p City /" Phone ` ' •?• Lavatory - $3.00 ' Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 % BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: GRAND TOTAL ' -- ' FOR: CITY OF EAGAN PERMIT # 7 I ! / MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? c7 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? CONTRACT PRICE PHONE 454-6100 Site Address r / BLDG. TYPE WORK DESCRIPTION Lot Block Sec/,Sub New R es. Name tt Add M -on u Y Address ir R C omm. epa E c City P hone - Oth er Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone' ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK L GAS OUTLETS - 1.50 EA Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Air Cond. M BTU (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE SIGNATURE OF PERMITTEE SIC: TOTAL: FOR: CITY OF EAGAN BLDG. PERMIT NO. f? 7?Zt? 3210 01 P Bld i - erm t g. 01-3422 Plan Check 01-3445 Surch./ndm. 1:1J 01-3446 SAC/Adm. -, 7 (1 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r? DATE 19 RECEIVED FROM AMOUNT CASH & DOLLARS +oo CHECK FQR j ? White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY •1 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE J f 1' 19 < RECEIVED FROM AMOUNT ac DOLLARi loo ? GASH Q CHECK FOR FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT # MECHANICAL PERMIT '> ?' .• ?? - CITY OF EAGAN RECEIPT # + - 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-6100 Site Address 7 _10 Y X;: 4, ?- BLDG. TYPE WORK DESCRIPTION Lot -.Block ,' Sec/Sub Res. X New u:, - Name Mult Add-on - °-' cc Address SSi a a Comm. Repair c City ff•'-'Af r 444 Phone Other J FEES Name 'v RES HVAC 0-100 M BTU $24 00 W Address . ADDITIONAL 50 M BTU . - - 6.00 p City L -7r Phone -l'd (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 50 EA - ( ) - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BT APT. BLDGS. - COMM. RATE APPLIES Boiler - ` M BTU _--TOWNHOUSE & CONDOS-- RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU J :=2 REMODELS MINIMUM COMMERCIAL FEE - 12.00 - 20 00 Air Cond. M BTU STATE SURCHARGE PER PERMIT . - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other R FEE -- S/C: ' ` SI U R EE TOTAL FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: tti1VM?t. Ftl?laf? I F' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I VVIFIANR'3- : 1'1 RN N1 V1PWt1) Fly NJ VL IiARf,K - ..IUf V(JfI % IIKAYEt) F'1 AN W1 IFF11111 'itINW,Y 5FTHACk5'- 5110 JN 4M PLANS. J Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG _Z 0419 DECK FINAL 7l D QO This request void 18 months from . _'*C '35895 L?, 46IE3 Request Date 1 / 1 Fire No. Rough-in Inspection Re?quji ?d, / ( , r-r Ready Now Jill Notify leapec- n R d 11, for Wh L?jYes E] No ? e ea y Cj<o6nsed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City JI Section e. Township Name or No. Range No. County Occupant (PRINT) Phone No. 4/,35- A V 9 1 Power Supplier Address n tr acto r (Company Name) Ele tt al Co C tractor's License No. ; ' ra ` y or /^/?y?n Address (Contractor or Owner Ma ing (nstailat i n ) Mailing Q p ` , n \ (7 Authorize ' nat "Irac akmg In tallationl Phone Number MINNESOTA STATE 9,1ARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT MINNESOTA T Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Pr...- e 1812129]_2111 ENCLOSED. mUUEST FOR ELECTRICAL INSPECTION ES-00M-04 See instructions for completing this form on beck of vallow copy. "X"" Below Work Covered by This Request '35895 New Fdd Rep. 1 Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Cher pec, y the, fSner.llyl t r (Specify- Cher Other Compute Inspection Fee Below M Fee Service Entrance Size h Fee Feeders/Subfeeders a fee Circuits U to 200 Amps 0 to 30 Amps 2 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above I00_Amts Transformers Irrigation Booms rtial,'Other Fee Signs Special Inspection $ fD (/ TOTAL FEE Remarks Rough-in r Date I, the ElectPicely F=:3 a Inspactoq hereby certify that the above Final D 'nspaction has been ,redo. This request void 18 months Irom CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12762 PHONE: 454-8100 ` BUILDING PERMIT Receipt R 'W( _ f9 (f Tobeusedfer SF DWG/GAR Est.Value $92.000 Date OCTOBER 15 19 6 Site Address 1057 TICONDEROGA TR Erect FJ Occupancy R3 Lot 1: Block 8 Sec/Sub. LEXINGTON SQ Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Addition ? No. Stories x Name SCHIMEK HOMES Move El Length 45 3 Address 13008 GLENHURST AVE Demolish I t I E3 ? Depth so - Ft S o city SAVAGE Phone 894-2907 n . mp.. Install ? q. o c Name SAME Approvi a Address Assessment _ a r- CiN Phone Water 8 Sew. F W Name o Address <m City Phone 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 Ci Eag Ordi antes. Signature of Permittes Police Fire Eng. Planner Council Bldg. Off. 10/15/8 APC Var. Date Permit , 4 V 7. V V Surcharge 46.00 Plan Review 204.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2.244.00 A Building Permit is issued to: SCHIMEK HOMES on the express condition that all work shall be done in accordance with all applicable Stal?yoff Minnesota S lutes nd City of Eagan Ordinances. Building Official ?tr??- <- ?"? C-=y -) CITY OF EAGAN Remarks L)i'i J' o tip Addition LEXINGTON SQUARE Lot 1 Blk 8 Parcel 10 415075 010 e8 Owner Street A2*2:tdft 2j t: T =- meprState Eagan, MN 551-2-1 1057 TircnAarnon T,?41 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 294 9.1 16 97 3 5 254:53 0009797 10-12-84 SEWER LATERAL ben trk 1986 173.65 11.58 15 173.65 C010142 1-28-85 WATERMAIN qYY' 1986 68.33 4.56 15 68.33 C010142 1-28-85 WATER LATERAL WATER AREA 1986 286.43 19.10 15 286.43 C010142 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010142 1-28-85 STORM SEW LAT 1986 513.81 34.25 15 513.81 C010142 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 19$6 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELL=INGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 1 Valuation: Site Address GDnj vrb y 4a Lot J_ Block ?r4 Parcel/Sub Owner < }?//npvJ?S i T Address /b hLje (h?,?>%A cJtllo_ City/Zip Code 4A0? Phone 9 57el - D y /T ?7 qZ 000 Date: OFFICE USE ONLY Erect ? Occupancy 2 3 Remodel Zoning fZ 1 _ Repair Type of Const S? Addition U of Stories Move Length 45 Demolish _ Depth SO Int.Impr. Sq Ft Install APPROVALS FEES Contractor Address 7 ¢?yAo 9l?/q7y City/Zip Code So s Phone < ? //- ///fly Arch./Engr. -:a p. Address City/Zip Code Phone # Assessments Permit 4v9 Water/Sewer Surcharge Police Plan Review 04 Fire SAC 5S Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 15Cv. APC Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL RE ALLOWED ONCE BUILDING PERMIT IS ISSUED. sq-4 2?xz2' I?IC? ? 4?F? 21?09- I? x2?j 3? x 22-75 &X t2 17, x- Sa ' 4-r- ? gig Q& PETERS, PRICE & SAMSON LAND SURVEYORS, LTD. 12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378.612-890-9201 Certificate Of Survey For SCHIMEK HOMES INC. 25 1 a3 g Di 1 1 ?a^ 77.30 60.00 q. Drainage a U)!//1y Easement 5 t b A 1 ?1 -i-- 46.1 kc v ,i cam, 889.3 0 S 4 891.3 871,8 I .5?ouse / ? 1 23,5 / GQ? / /N 1 . o 56.63 O / " = 30 ^O. ,v '4ql.k ?0k ego h ?` - or/co' ?Q?-- TRA_ /L ry i DESCRIPTION Lot 1, B1ock.8 o Denotes iron monument LEXINGTON SQUARE 811,3 Denotes existing elev. Dakota County, Minnesota ?891.5? Denotes proposed elev. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land. As surveyed by us this 19 '? day of ?Q1em ;-er 19 s6 L.S. i 1117.,8/ Minnesota License No. 148 90 Y2 / j 0 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: CONTRACTOR: ScµIA A E. V- Ho ME Determine working square footage of each: 1. Total exposed wall area „ 2168 sq. ft, x .11 = z4.o.s,is 2. Total roof/ceiling area ,. 1 +14 sq. ft, x .026 = a es,3Z Total exposed wall area above floor = 2 o 44 s.F a. Total wall window area ............................ 1 5 8-- b. Total door area 40 ......................... c. Total sliding glass area 4 0 d. Total fireplace wall area ................. 0 e. Total wall framing area (average 10%) I? 1 f. Total net wall area above floor .............. 1 (v2 4 g. Total rim joist area ............ Total exposed foundation area = o h. Total foundation window area ....................... c i. Total net foundation area above grade .............. C3 2t 8 9 Determine 'U' value of each wall segment: a. 158 x 'U' .58 31.44- b. 40 x 'U' . 15 - Ts,zo Q. 40 x 'U' (?5 00 d, o x 'U' - e. 18 ( x 'U' .lo = IB to f. t?2 x 'U' h. o x ' U' - 1. o x 'U' - 3 . ................................................... Total = 2 ( ,'1 O If item 03 is the same as or less than item @1, you have met the intent of SBC 6006(c) 2. Total exposed roof/ceiling area = 147 4- J. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) .. 1417 1. Total.net insulated roof/ceiling area .............. 13 2.1 (OVER) Determine 'U1 value for each roof/ceiling segment: 3• x 'U' k. 1 4-1 x r U. 1. 1'5 %I x rut 0 Z7ra .0193 25•G1 4. ...... ................................................. Total 7-.•4 If total of #4 is the same as or less than 112, you have met the intent of SBC 6006(c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 1. - --- + 2. - 3. + 4. 1 \\ 1 1> >,(7Y%t$t$ti; :;i Yd?:*4 i';7."' itf CITY OF EAGAN CASHIER .]S IErr"MINAi.., roe 684 DATE: 05/21/98 TIMEn A300% IDe MO 900i TICONDEROGA 1R 50.00 2155 9001 TICONrEROGA T`i 0,50 Tuta1. Feceiot Pdlt!:H,A..t 57.50 CRO M, US{ Tai SAN i?i?.: 'JYFiR. ?P 9Uo}YYC,:'p 1, ...?^..vrif ...,:,?$iU .F. ? '?}?n?]):):iO^.... if PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 032051 Date Issued: 05/20/98 SITE ADDRESS: 1057 TICONDEROG.A TR LOT: 1 BLOCK: 8 LEXINGTON SQUARE P.I.N.: 10-45075-010-08 DESCRIPTION: BI Bi It i ' `..c Ju Permit Type DECK Work Type NEW de1-1 434 A.LT. RESIDENTIAL ildi nsus REMAlft 'REVIEWED BY MIKE BARCK - JOE VOELS OKAYED PLAN WITHOUT SURVEY - SETBACKS SHOWN ON PLANS. FEE SUMMARY. Base Fee Surcharge Total Fee $50.00 $50.50 CONTRACTOR: q Hpp11Cdf1L WWI" - " RONALD 1057 TICONDEROGA TR EAGAN MN (612)338-6911 I hereby acknowledge that I have -read this appl'ication and stste that the information is correct and agree to,cpmply_w th ail applicable State of Mn., Statutes and City of Eagan Ordinances. LI ANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE J? (? r 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 50 ,3? U J / CITY OF EAGAN ?2'ffi VrlcS 3830 Pn OT KNOB RD - 68122 Cjl 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 energy calculations ? 3 copies of tree preservation plan tt lot platted after 712/93 required: _Yes _ No DATE: DESCRIPTION OF WORK: L)E c K Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST; 1,71062 STREET ADDRESS: /6265 CvAJD6YLOGA LOT: I BLOCK: P_ SUBD./P.I.D. #: T? Name: 7 -00 6-3 Phone #: ?16- PROPERTY OWNER Last /OS 7 Street Address: First Oit,J/' &-nOGA- ? C ,ash - 3 = G 9 /? -7-/L City State: MN Zip: S'S'/ 23 Company: Phone #: CONTRACTOR Street Address: License If City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ----------- 7 ?F Signature of Appli t: f ]tr [? OFFICE USE ONLY D W 150 Certificates of Survey Received Yes No ?-- Tree Preservation Plan Received Yes No Not Requir d D OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 - plex WORK TYPE %% 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,?Er 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance <l3 I( -L O Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. TIC(;.' t % SAC SAC Units "! MR Engineering _ Valuation: $ Joe 5? q ??"rj:?/?LL S slh, w, 0, u CS CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMfM OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. ?C= S' ------------------------------- (Please Print 1) PROPERTY ADDRESS.-. ?' L , n r c??7 rct ! v r ?? S LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: ? COD1ME2CIAL/RETAIL/OFFICE BR-1 SINGLE FAMILY ? INDUSTRIAL ? R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GOVERNMENT ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDCMINIUM ( Units) 2) NAME: ?e) hn Scr crrc ADDRESS: CITY, STATE, ZIP: PHONE: 4e?5-/ , s 4d U • For Cit U 3) ;: y se .. NAME:- w ?l? - Juan(?, ^9 c/ ??`n 4 P1 rs License: ADDRESS: 2 Gros s GY Active _ Expired CITY, STATE, ZIP:_ ¢ PHONE: 45-00 929 ?, ! g 3 MASTER LICENSE# -2 Not recorded dal 4) •a • ia• NAME: a ue b e h. .' k' vn 5 ADDRESS:/ u CITY, STATE, ZIP: PHONE: L/ CONNECTION TO CITY SEWER dCONNECTION TO CITY WATER ? OTHER 6) " 01• r ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE "' - PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4, ABOVE (Circle one) m INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. FOR CITY USE ONLY PERMIT # ISSUED X12 Pd W/Bldg. Permit FEES: $ $ $ $ $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: q0H 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CR IMb9 b 5 i2too New construction ulferne CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Remodel/Repair Reauiremerds > 3 registered site surveys stowing sq. ft. of lot, sq. ft. of house and &@ roofed areas (20% mardmum lot coverage alloweN > 2 copies of plans (stow beam & window sizes: poured fnd. design; etc.) > I set of energy calculations > 3 copies of hoe preservation plan It lot platted after 7/1/93 DATE: S ?I /0 0 DESCRIPTION OF WORK: a(-- V / 12 I qq,?5 2 copies of pion 1 set of energy calculations for heated additions 1 site survey for exterior additions & docks CONSTRUCTION COST: 26c? lg? :?> (DOCD STREET ADDRESS: O S- I 1 c or l,c >P4z-o G P ( 2 LOT: BLOCK: /P I D #: SUBD l eXI l LL lOh i(q t PJ . . . . Name: ?-? s?rsr=nn R a'Jt Phone #: 16S ))L4 S LA '004;-3 PROPERTY Lost First OWNER Street Address: -k O S c TIC--R-cJG=? ?Tiz . City G0:>,? State: M Zip: Company. ?? ST GE^C??a mss' Phone #: 12 3n 6 s a 6 (area code) CONTRACTOR Sheet Address: 7'2 G C a c-a- ? L 11itr4 E License # 2 0035 750 EXP. 3 6 t City i? r 70 ?1 rs State: NI (J Zip: S S I Z O ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registration #: City State: Sewerlwater licensed plumber (if Installing sewer/waterl: Phone #: Zip: I hereby acknowledge that 1 have read this application, date that the information is correct, and agree to comply with all applicable Stale of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Certificates of Survey Received Tree Preservation Plan Received _ OFFICE USE ONLY Yes No Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext Aft - Mufti ? 33 Ext. Aft - SF ? 36 Multi Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC Sl a-l D 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reounemerds 3 registered site surveys stowing sq. ft. of lot, sq. ft. of house; and all roofed areas (20%mulmum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed sail 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Cakuulations 3 copies of Tree Preservation Plan if lot placed after 711193 Ran Joist Detail Options selection sheet (buildings with 3 or less units) ktnnegasco mechanical ventilation fpm RemodelfReoair Rearuirewts Office Use On 2 copies of plan slowing footings, beams, joists Cart of Survey Recd -Y _ N 1 set of Energy calculations for heated additions Soils Report _ Y _ N I site survey for additora d decks Tree Ryes Plan Recd _Y _N, Addition-indicate it on-site septic system Tree Pass Rephed _Y _N On-sae Septic System _Y -N Plans are considered nubile information unless you state thev are trade secret and the reason. Date (t / / 0 7 Site Address Jt75 Z T co,14Q-roe)&- I Construction Cost r,?c j Unit/Ste # Description of Work t? QA1QCC. ?xTCf 10Y, S?, Multi-Family Bldg - Y )<N Fireplace(s) X 0 - t _ 2 Property Owner 'W ri HQro m Telephone # (651) 7 l ?' alas Contractor POV:5e . r 5erv jcr.5 ?c- `J Address State C 5 7 i MW 3: rA w`'' Ave Zip City T rio r zql( C. J~s>7L Telephone#(95Z,)lW// IZ77 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I herehv anniv Building Permit and acknowledl?e Telephone # ( Telephone # ( Telephone # ( is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. 0.n L.,47-17'Zj 40"5 Applicant's Printe Name Applicant's Signat re íÿ þý ýü þýý üîü úýýùûö ë à òý ììë ÿ þýö ûúù ø÷ö ô úù ø úù ø÷ö ä ÷öõ ùý ï ù ô ô ðùý ó òý ñ ïù ç ï ï ò ï ýû ïéæý ÷÷ù üýæ æ ýï ý ù éôýæ æýù ýæ ýýé ôý ûïà ý ò ûý÷ æýïï é ý ñ è ßèëëéìëéëì õú ý ý êýýè ßèéìíéîíì êýýü îé ôîó öòñ ùùý ýø÷Ú ú ý õýø ïú ì îìç äÛìú ýú ïåäììþý ýåäììîîìî â áì ûý÷ ýýç ýýùùýýý ý æ ïý ýý ïù÷ýýùùýû ý æå ýý ýôæþý ýð ý é ùùýö ï ý ý PERMIT City of Eagan Permit Type:Building Permit Number:EA157309 Date Issued:08/13/2019 Permit Category:ePermit Site Address: 1057 Ticonderoga Tr Lot:1 Block: 8 Addition: Lexington Square PID:10-45075-08-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Kwadwo Safo 1057 Ticonderoga Tr Eagan MN 55123 (651) 444-8090 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (641) 670-7051 Applicant/Permitee: Signature Issued By: Signature