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958 Ticonderoga Tr . y GOLD CQPY PERPIfT RELEASE FORM PERMIT ~ !S'C~ ~ ~ . ADDRESS / ~ PICKED UP BY ~ ..~.~..-~-r- . _ , . . . . _ ~-.~.R-,. ° : • , CITY OF EAGAN ~ ~ ~ , 3830 Pllot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHON E: 454-8100 ~ BUILDING PERMIT Receipt ~ To be used.for~ ' ' Est. Value t R U • : i~ Date ~ ' ~ ` - " ,19 ~ ' " ~ ~ • " ~ OFFICE USE ONLY Site Addres$ ,ts~I?;~~T N OnSiteSewage Occupancy Lot BloCk Sec/Sub. ~ i_ MWCC Syatem _ 2oniny Parc~F No. On Site well Type ot Const ~ Ciry Water ~ (Actual) = ~ (Allowable) W~ Name • l• ~ of Stories 3 Address ~enqth ° Ciry ~ ' Phone ~ Depth ~ S.F. Total °C Name ~ ~r~ Footprint S.F. .o Address APPROVALS FEES ~ City PhOne Assessments _ Permit Water/Sewer _ Surcharge f 7 yVj W Neme Police _ Plan Review F W U~ Address Fire = SAC, City Engc SAC, MWCC ~ ~ ¢Z Ciry Phone Planoer WaterConn. ~ ~1 t W _ . Council _ Water Meter I hereby acknowledge that I have read this application and stete B~dg. Oif. _ Road Unit thattheinformatloniacorrectandagreetocomplywithallapplicable APC _ TreetmentPl State ot Minnesota Statutes and Cityt ot Eagan Ordinance& Variance _ Perks i ~ , ~ , ,.-.j 1, Copies Signature of Permittee t Tora~ 't;;~: R,J'i'I'i~U~~:_ I_vL A Buiiding Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea _ Building Official " P~rmit No. P~rmlt Holder Dat~ T~I~phon~ ~e Plumbing ~ , - ~ , ; - - - - ~j ' H.V.AC. r~~ ~~';i.r ~ =f . yi.'; EI@CtfIC '7C1~ i;./[c.i u,J Softener Inap~ction Dat~ Insp. Comm~nts Footings I s~ ~ , Footings II Foundation s~ ~ Framing Fioofing Rough Plbg. ~.1 a n_ Rough Htg. Isul. 1 Fireplace Final Htg. j7 Final Pibg. Bldg. Final Cert. Occ. ~o ~aN6GG C ~ $ / ~ar~i~? Temp. LP 'C' ~ c Div~ 4 Deck Ftg. ` _ J~_ _ ~ Deck Frmg. Well Pr. Disp. ar;;_; . '~,c : ( PERMIT # ~ 5'~ / ~ ~ ' MECHANICAL PERMIT ^r ; . y ~ CITY OF EAGAN RECEIPT # ' S ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~-~f -.'`^f CONTRACT PRICE: ~ I`. PHONE: 454-8100 Site Address ~ ~ BLDG. TYPE WORK DESCRIPTION LotY~ Block ~ Sec/Sub ~ , Res. New , Name " ` - ; ; . Mult Add-on ~ Comm. Repair ~e Address ~ ~ , ~ ~ ~ ~ ~a ~ ~ I i : ~ ; Other c City ' + ~ ` ~ " ~ Phone ' FEES ~ Name f RES. HVAC 0-100 M BTU -$24.00 c Address • ~ ADDITIONAL 50 M BTU - 6.00 p City Phone 'r (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1°r6 OF CONTRACT FEE Forced Air ~ M BTU APT. BLDGS. - COMM. RATE APPLIES . TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~ Unit He~ter M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 \ Vent. CFM ~ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outfets # ~ BEYOND $1,000) - Other ~ FEE ' ~ f"~ i .l..r rrr;. S/C: ' SIGNATURE OF PERMITTEE TOTAL: ~ ~U • ( FOR: CITY OF EAGAN ~ r+~±~'^v-~.r-*~-_.-.Q~~,;o„ r .:,x -is . ; . . . - • • . PERMIT # ~ ~ ~ ~ ~ ' ' PLUMBING PERMIT RECEIPT # ' ~ ~ CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ ~ • CONTRACT PRICE PHONE: a5a-8~0o Site Address j~ BLDG. TYPE WORK OESCRIPTION Lot Block ~ Sec~Sub Res. New /Y ' Lc r Mult. Add-Orl m Name F Comm. Repair ~ Address ~ Other c City S,~ . Phone ~ ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Name ^ - - ~ -~Water Closet - $3.00 t l, - ~Bath Tubs - $3.00 3 Address ~ Lavatory - $3.00 ~ p City ~ ~ ~ ~ r•- Phone s ~ ~,v4 1 Shower - $3.00 ~ ~Kitchen Sink - $3.00 3 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1%OF CONTRACT FEE -~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 ~ TOWNHOUSE & CONDO - RES_ RATE APPLIES ~_Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whlrlpool - 53.00 MINIMUM - COMM/IND FEE -$20.00 _~Gas Piping Outlets -$1.50 s STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) {ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~ ~'4y- + h r.~~ _~Rough Openings - $1.50 ~ ~ SIGNATURE OF~PERMITTEE FEE: 3`~ ~ ~ STATE S/C: • ~ ~ FOR: CITY OF EAGAN GRAND TOTAL: t f, t :~~~~~/d?y~~ 9g~~ « ~ ' ~l PERMIT # „ f~ ~j~;~,l-~c:'iCu C- ~ PLUMBING PERMIT ; r ~ , : " . ~ - RECEIPT # f , ~g CITY OF EAGAN , ~xi~ 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: g g CONTRACT PRICE: PHONE: 451-8100 ' Site Address ' ' ~ ~ BLDG. TYPE WORK DESCRlPTION Lot Y ~ck Sec/Sub Res. New ~ 'v Mult. Add-on m Name ! Comm. Repair ~ Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name~•. ' ~ ~ ~ ~ " / Water Closet - $3.00 S ~ Bath Tubs - $3.00 ~ c Address . ' ~ ~ ~ C~ ! r, r Lavatory - $3.00 , 3 p City ~ " ` Phone - ~5L Shower - $3.00 Kitchen Sink - $3.00 ~ FEES Urinall6idet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1 50 MINIMUM - RESIDENTIAI FEE - $12.00 Wh~r~pool - $3.00 ~ MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - ~10.00 Private Disp. - $10.00 ~ { ~ t'_fJ ~ f, ~ ~ Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN GRANO TOTAI: ~ INSPECTION RECURD I ~"t~°' v _ CITY OF EAGAN PERMIT TYPE: ? n~.M~ 3830 Pilot Knob Road Permit Number: ~ r`~ Eagan, Minnesota 55123 Date Issued: 17 2 ~ (612) 681-4675 SITE ADDRESS: ~ o~~ ~ ~ Q4 x,, APPLiCANT: ~ 96~ ~ICANOL'AOQA TR BUItK! CLIFFOAO LEX SQUARE 4TH (6~2) 93~!-IA~• PERMIT SUBTYPE: TYPE OF WORK: [i~: Ck MEW ~AUTtN6 FIMAI. Ft~NIiRK ~ s REC~ IPT ~ - _ ~ r PsnnR No. PermR Holdar Date TM~phons N S/W PLUMBlNG HVAC ELECTRIC ELECTRIC Inspectlon Datp Nisp. CommsMs Footlnps~ Foundadon Framing Roofing RcJUph Plbg. ~ ~9~ Isul. FlrepiaoB Final Htg. Orsat Test Flnal Pibp. Plbg. InspeCtor-NdNy Plumber Const. Meler Engr./Ptan Bldg. Ffnel pedc Ftg. o~ a~ g3 weu Pr. Dlep. - . _ _ . - , - _ ` _ i A w"T+~ OF FAGAN Permit No: Date: " .3~.5 70 D Size: 3830 PNot Knob Road Meter Na 0/ Date: `~'~-L~r~7 P.O. Box 21198 Reader No: !1 Esgan, MN 55121 ' Owner. L~.; ~ r... ~or~ . anv ~ 1 Site Address: ~'r~` Ticondero~=a rail L5 B4 Lexi~1 ~~~1 I'•' f Plumber. -•~-cti~lson Plumhiu.^ 525. c)Opd ~~~~.9i'6~~ o ~ , , l Conn. Chg: 15 . C'0 c? 1Qt~~~~ 1 i Acct Dep: 1~,~ . t~ _ ~~ti~ GA Permit Fee: 5 ~p~y ~th the Cft~? of Ea9a~ ~ Surcharge: ~ ~ ! , ~i . i ~ f ' ~rtllnancss. ~ Tr. Plant ~ _ ~ Meter. n ~ , By - , Misc.: j WATER SERVICE PERMIT : , _ . _ T--~ : . . R- _ . - . ~ _ ti . _ a,y -•.r..~.. . . - . j " I CITY OF ~AGI~N i Permit No: ^ Dat~ 4"~~~~ 3830 Pilot Knob Road Meter No: S1Ze~ P.O. Box 21198 Reader No: Dat~ Eagan, MN 55121 , Ltlund C~i t,*:~..~~, Owner. SiteAddress: ~'icondero~,~ _'raii I.5 i'< 'l~~~:a;~~ _ton S? I•.. Plumber. ..;icl~elsor `'i,.~.~-~;;,. r~25. 0~* Zoning: Conn. Chg: ~ ' No. of Units: Acct Dep: ' ' ~ L.~O, Permit Fee: 1 Surcharge: • 5~?p~, I ayree to compiy with the City ot Eagan i Tr. Plant 1' ~~~p~ Ordl~ancss. Meter. ~ ~ M isc.: BY ~ ~ WATER SERVICE PERMIT ~ ~ ~ ~ I t CITYOF EA(iAN~. SEVIi1~R SERVICE PERMIT : 3830 PYot Knob Road ~774 ` P.O. Box 21199 PERMIT NO.: ~ Eapan, MN 55121 DATE: 4~`'"~~ i Zoning: R~ No. of Unita: i Owner. P~ t t Ituid Connaa~ Address: ~ 95~ TiconderoCe Trai.l L5 B~+ Lex_in~ton 5v IG ~ ~ Site Addresa . ~ ~ Plumber. '~lck $on Plumbi.n~ ~ 3-1 -87 71F29 I agne to comply? with the CNy of Ea~an COnnectiOn Charge: 5~ 5.!'Op~'- } Ordinances. Account Deposit: - • ~~r~' ~ Permit Fee: 1 ^ • ~n~ Surcharge: • 5 ~ i By Misc. Charges: Dats oi Insp.: Total: i Insp.: pate paid: ~ _ _ . ; Thic requesc vaitl ~ 7~~~'~ 18~nwnths tramJ ~ Al"7' ~~7 ~ ~ L !.Xl~k / ~ ~7~ ~ ~u 4 Reques~ Utlte~ Fire No. , FouPh-in Ihsg 6ction 1 ~ qwretl? ?Aeady Nuw Will Notify Inspec- L'r'-~ ~ Ves ?NO ~or When ReatlY ? Licensed ElecVical Conlractor I hereby requast inspection of above Q Owner eleetricel work ins~allatl aL Sv Address, Box or Rouie,NO. Cirv ~ ~ a ecbon o. Towns~iD Name or No. Fa e No. Cou~ ^ / V , ~ ~ V~~~IPflINTI Phane No. P wer s~ooiie~ Atldress Ele 'cal Cnntractor ICompany i 1 . C rn m~'S Licnn~~ No. Mai m AdJress (COMractor or Owner akin stailationl O~V ~ 'V A ~orizQd Sig^a~ure ICoMractodOwner MakinB Installacion) Phone Number M ~ , -8c~c~0 MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Gripps-MidwaY BIEg. - Room N•191 BE ACCEPTED BY THE STATE BOAHD 1821 University Ave.. St. Pau~. MN 56100 UNLESS VpOPEN INSPECTION FEE IS Phanel6t2~642-0800 ENCLOSED. /~r 8~ REQUEST FOR ELECTRICAL INSPECTION . ~ See instruciions lor como~eti~q this lorm on ~eck o/ yellow copV~ ~F ~ r 49 3 ~~X~~ Below Work Cove~ed by 7his Hequest Hna xao. Tvoa oi e~~ia~~a AoP~~~~~ee w~ree ea~~u~~eoi w~.ed Home Range Temporary Service Duplex Water Heater Liyhtiny Fiztures Apt. Buildinc~ Dryer Electrie HeaLn Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Olher Peu Y ,~hpr (Snrcifyl t ,r SuecifY Other O~h~r ompute lnspection Fee Below p Fee Service EnlmnceSiza b Fee Fexders/Subfenders p Foe Gircuits 0 to zQ0 Am s 0 to 30 Am s 0 tn 30 !~m ~ Above 200 qmps 31 to 700 qmps 31 to 100 A s Swimming Pool Above 100-Am s Above 100_Am~s Transiormers I«igation Booms Partial-~Other Fe $igns Special lnspection , TOTAL F~ ~ flerra rks ~ .n ~ flough-in ~ ~ I.the EI ' TI ~ j. Insoecmr, neroh' certify that the . bova Final ~ .^'Q ins0ection hes Deen vfi~.6S./ ~e,. Rils requasl voie 1e moniM Irom This request vaid ~j~~ ,(~YY 18 rtpn[hs Irom O/ E 13984 ~ ~~o ~o Request I]ate Fire o. Rouph-in 1 ac[ion ' f~ flequiretl? ~Reatly Nnw qKJill Notify InsOeu- f ~Ves ?No r~~or Wh¢n Rc~dY ? L~censed Electrical Contractor 1 herabv request inspection oi e~ove ~U.yner ~ elec4ical wo~k inslallatl et: Sbeet Atldress, 9ox or Roure No. Ciry _S8' I' _ a~c~~ ~ c~ 1`a ~ I ~ c~ rv e~~ion o. Town9hip Name ur No. Range No. Counly k o I~a OccopnM IPqINT) P one No. i ( ~ t ~2 ' Lf ~ `7 Power Supplier Address Electrical CoMractor (COmDany Ndmel Contr.~r,m~'s LicC~sc Nn. Mailing AdJress IContractor or Owner Making InstailatioN ihorizatl iBnaW IContraciodOwn -ng Installationl Phone Number ~P ~l - ~ ~ MINNESOTA STATE BOAPO O CTqICITV TMIS INSPECTION PEQUEST WILL NOT Griggs-Midwav Bldg. - Noom N•t97 6E ACCEPTEO 6Y THE STATE BOARD 1821 Universitv Ave.. $t. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS vn.,oo 1a19i P.a9-rnoo ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ti ~ Sa ~instmf'Yons ~or comple~ing lhis ~orm on beck ol yellow wpy. ~~p ~~y E/1 3~ 8[~ "X"' Be/ow Work Covered by 7his Request HA~ NeO~ Type ot Builclin9 APO~iancea Wired EquiV~~enl WireA Nome Range Teinporary Service Duplex Water Heater Liyh[iny Fixtures Apt. Bufldin~ Dryer EleCtrie Heatin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm O~nur peci v _in,,, (snectfvl ther Suecily iher O~ho;r ompute lnspection Fee Below p Fee ServiceEntrenceSize M1 Fee Fexders/Subieatle~s b For. Circuits U to 200 Am ~s 0 to 30 qm ~s 0 to 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 Am s Swimming Pool Atwve 100-Am~s Above 100_Amps Transtormers Irngation Booms Partial.'Other Fee Signs Specialinspection 5 ~ TOTA E errarks Ro~Bh.i~ . ~:~te i. ~h ~a~, ~ Inspec or, he~aEy 7 certify Ihnt Ihe above Final ~ u^ r nsuection has ~een G..~~ matle. mb repuest voitl 18 monihs imm CITY OF EAGAN ~Na 13 3 4 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-St 00 BUILDING PERMIT Receipt# Tobeusedfor. SF DWG/GAR Est.Value $84,000 Date MARCH 16 ,19 $7 SiteAddress 958 TICONDEROGA TR OFFICEU5EONLY Lot 5 Block 4 Sec/Sub. LEXINGTON On Site Sewage Occupancy R3 SQUARE 4TH MwCC system _ Zon~ng Rl Parcel No. On Site Well _ Type of Const V Ciry Water ~ (ACtual) ~ a Name THE ROTTLUND CO INC (nuowabie) i P.O. BOX 383 ~ o~ stones Address Length ~ City OSSEO Phone 571-0304 Depth nn S.F. Total a Name Sp'MF+ Footprint S.F, .o ~Q Address APPROVALS FEES ~ City Pho~e qsaessments _ Permit 447 5 F ~ Water/Sewer _ Surcherge ~ • Q w W Name Police _ Plen Review i~ Address Fire _ SAC, City ~ nn , p Engr. _ SAC, MWCC c ~ aw City Phone Plenner _ WaterConn. ~ ~ ~ Council Water Meter _ ~ I hereby acknowledge that I have read this application and atete Bldg. OH. _ Road Unit 0 thattheintormetioniscorrec ndagreetocomplywithallaDP~~~ble APC _ 7reatmentPl ~~•O SteteofMinnesotaStetutes ndCit ot aga O Inanc Va~iance _ Parks Copies SignatUfe Of Pefmittee TOTAL ~.2.,~.15 . 2 A Building Permit is issued to: THE ROTTLUND CO INC on the express condltion that all work shall be done in accordance with all aDP~icable t e of Minnesot atutes d City of Eagan Ordinances. Building Official ~-r ~ ~tprtifir~t~.e vf (~rru~ttnr~ ' ~itp of l~agatt ~r}wrtment nf ~ui1d'mg .~nsprriimt This Certircate issued pursuant to the requrrements of Section 306 oJthe Uniform Building Code certifying that at tke h'me of issuance this stnectrere was in compk'ance with the various - ordinances of the City regulating buildrng constructian or use. For the following.• Ux C4esificarian ~ f' 1~ i~ G e~. P BIOg. Rmti~ No. J'1 ~S . oa,~~ rrce n3 zo~g u~mu 'tl 'hce co~. ~T OwoaolBuldio6 ti(1~..U:1.~.1~.~1 ri~C Ad~ .'~.G, 1~:.~n i.J~1~ O: i 11rli,_3.'r..`~!`. Ii~~~a T.°J. A~:•,~ f`'~:ri.~~Li~S ~~:~'t~i..~'~: ~ilu' . Bwlding Add~ ~~~~Y ~ r Dak: J~t1•.T IV~ 3i~.'~7 Buildiog ~riel . , ~ POST IN A CONSPICUOUS PWCE lv a~ 7S° : 70 00 2004 RESIDENTIAL BTJII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 --Telephone#651-675-5675----FAX-#651-675 5694----------. New Construction Reouiremenis RemodeVFteoair Reauirements 3 registered site surveys showing sq. ft of lot, sq, ft of house; and ali roofed areas 2 copies of plan ~ (20% ma~mum lotmverepe allowed) t set of Ene~gy Caiculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey fo~ addifions & decks i set of Ene~gy Calculations Adddron - indicate if on-site sepfic sysfem 3 copies of Tree Preservation Plan if lot platted after 7/1193 ~ ~ Rim Joist Dehail Optbns seleclion sheet (bidgs wifh 3 or less uni(s ~ Date__~_/ ConstructionCost~ 1 ~$SO~'93 Site Address ~~j~j T~p~dQn~p~p~ ~ r UniUSte # LS Descrip6on af Work I ~ ~ Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner `~Q,J1~0.11i~. ~l t~ ~+C o Telephone C.1~~~ l~. ~ KMA HUNl~; S~;1ZV1(:~5,-1NC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 C~ty. state Atlanta, GA 30339 763-542-8826 BC-20268257 'p Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Eneegy Code Catagory Minnesota Rules 7670 CateQorv 1 _ Minnesota Rules 7672 • Residentlal Venfilation Category 1 Worksheet . New Energy Code Worksheet (~lsubmissiontype) ~ ~ ~ Su6mitted Submitted • Energy Envelope Calculations Submitted ~ Have you previously constructed a building in Eagan with a similar plan2 _ Y N if so. 25% plan review fee applies. - Licensed Plumber Telephon ~ Mechanical Contractor Telephon D( SE~ Sewer/Water Contractor Telephon ~ ~ 1 3 I hereby apply. for a Residential Building Pernut and ac~owledge that the information is complete and accurate; that the work will be in confonnauce with the ordinances and codes of the City of Eagan and the State of MN Statutes; I undersfand this is not a pemiit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approve p an in the case of work which requires a review and app • val ofplans. O ~ pplicant's Pnnte ame Applicant's Signature % OFFICE U5E ONLI' Sub Types ? 01 Foundation- 0-07 05=plex--- - 0.- 13 16=plex - 0-20- Poo~---- 0- 30-Accessory Bldg - ? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) 31 Eut. Alt - Multi ? 03' D1 ~of _ plex 09 D7-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ~33 Eict. Alt SF 04: 02-plex 0 10 08-plex ? 18 .Deck ? 23 Rorch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ~ . . . ? 31. New ? 35 Int Improvement ? 38 Demolish InCerior - 44 Siding ~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ?'37 Demolish B'uilding' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire BIdgJ - Give PCA handoutto applicant ~ Valuation Occupancy MCES System Census Code , Zoning City Water , SAC Units ~ ' ' Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Fooungs(deck) _ FinaVNo C.O. Footings(addi6on) . , Plumbing, , - ~ . Foundation HVAC' ' ' Drain Tile Other Roof _ Ice & Watee Final _ Pool Ftgs Air/Gas Tesu Final _ Frarriing _ Siding _ Stucco _ Stone _ Srick ` _ Fire¢ace _ R.L _ Air Test _ Final _ Windows _ Insulation _ Retainirig Wall" Approved By: , Building Inspector Base Fee Surcharge " Plan Review MC/ES SAC City SAC Utility Connection Charge _ S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ^ ~ . 'Wd9E,~ •g •uo~ amil panie~ay Pella Windows 8c Doots - Twin Cities, Inc. f5300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763t745-1400 ~~/~jj WATS I-S00-462-5359 FAX763/745-1401 3une 8, 2001 City of Bagan 3836 Pilot Knob Road Eagan, MN 55122 Bear 7an: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors -Twsn Cities, Inc_ Please alIow theu representative to provide fhat seraice for us in Eagan. T6is authorization sha1l be valid until suoh rime as the d'tvision manager expressly revokes it, 'sn writing to the City. I requese tfiat this autliorization be accepted expeilitiously, so as to not delay she processing of our building permits any further. Please call me if diere aze any questions, I can be contacted at 763-74~-1432. Yovr uiunediate atteniion to #his matter ts appreciated. ' cerely, EANEFTE W. S Bryan . May. ~ Replaceuient Sal~ Manager ~pu~un~eeyo,st,~os cc: Kaza - Eldcr Sones ~-~l penna Krafly - Replacement Sales Process Coordinator . Windows, Doors, & Skylights ~nnf~ c~rrr~ urur ~u.r sisr esi ~ra w.r ir:cr rus rnionion (~(~D58 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~!?21 Site Street Address ~1~ - ( ~-ouc~4~oxs~._~aZ Unit # Property Owner lJ:~ Telephone 6Sj )`FS~"-~~ Contrector Telephone # ( ) Address City State Zip The Applicant is: ~Owner _ Contractor _Other Alterations to existing dweiling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional ~Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 i~ State Surcharge ~1~ `J ~ ~ ~ $ 50 i Total $ 3~ •sa I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wi~l be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplfcanYs Printed Name ~ Appli Ys Signature RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New CanstrucUon Reauirements RemadeURanair Reuuirements • 3 reg'ste/ed s8e surveys showifg sq. p. o11W, sq. ft. of Muse; and all roofed arezs • 2 copies of plan (20% manimum lot coverage allowed) . 1 set of Eneryy Calcula6ons fir heated additio~ . 2 copies of plan showirg beam 8 window s¢es; poured found design, etc.) . 1 site survey for exlerior additions 8 decks • 7 set of Enargy CalcWations . Indicate'rf home served by septic syslem for additiom • 3 copies of Tree Preservation Plan N lot platled efter 711193 . Rim Joist Detai7 Options selectian sheet (bltlgs wiN 3 or less uniis) DATE y VAtUATION ~ SQQ ~ ~ ~ SITE ADDRESS t e f r~ MULTI-FAMILY BLDG Y N TYPE Of WORK FIREPLACE(S) _ 0 ~ 2 APPLICANT p STREET ADDRESS ~ . CITY STATE ZIP_~J-~ TELEPHONE # ~c%?`~/`~'O/,''~ CELL PHONE # ~o/~ ~f/ ~7~i y FAX # PROPERTYOWNER ~B~13-~l~- ~~C~-K-~ TELEPHONE# ~S~I~~S~`~~~~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNtiSOTA RliLES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilatlon Category 1 Worksheet Submif[ed • New Energy Code WorkSheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # _ Plumbutg system includes: _ Wa[er Softener _ L,awn Sprinkler Fee: $90.00 Water Heater No. oF R.I. Baths No. oF Baths Mechanical CoMractor: W~~-~ V~' F-~~Y~+rt~tL~ Phone # ~-a76 ~ Vlechanical system includes: _ Air Conditioning Fee: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree fo comply with all applicable State of Minnesota Statutes and City of Eagan O in ce . Signature of Appiican} ~l~C ~~I / • Lil/!~!~~~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ui Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 1D OS-plex ? 18 ~eck ? 23 Porch (screened) ? 36 Muitl ? OS 03-plex ? t i 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 5iding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demalition (Entire Bldg anly) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ~ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation AVAC ` Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/rep]acement) _ Insula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL S S~ ~UILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 85'I-681-4875 "7~ New Construction ReauiremaMs RemodeUReoair Reuuirements r • 3 regislered sfte surreys showirig sq. ft. of IoL sq. ft. of house; and all mofed areas • 2 copies of plan (20°h manimum lot coverage allowed) • 1 set of Energy CalcWations for heated addNOns • 2 apies ot plan showing beam & window sizes; poured found design, elc.) . 7 sRe survey (or exterior addRions & decks • i sel of Energy Calculafions . Indicate if home served 6y septic system for addilions • 3 copies of Tree Preservation Plan if lot platted aNer 1/1/93 . Rim Jast Delail Oplions selection shflet (bldgs wilh 3 or less unitsJ DATE ~ zo ~ VALUATION SITEADDRESS ~C Cd~-~-~-`~~oc'v2.~~\ ' MULTI-FAMILYBLDG _Y ~L TYPE OF WORK tt~s ~ ca~s_ FIREPLACE(S) ~D--__ 1_ 2 APPLICANT ~tactrnnha Ractnratinn CPniirPe Inr STREET ADDRESS ~$G Rira Ct c~~rto ~n CITY~gy,j~e_STATE~ZIP~~ TELEPHONE # CELL PHONE # FAX # 4,8~ ~rtn~,T~n PROPERTYOWNER~~~~- TELEPHONE#~s5~'y`5~"U~~'So COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY MINNr:S01'A RUI.ES 7670 CAT'EGORY 1 MINNESO~'A-RUL-ES'T672 , ~ r i = (d submission type) • Residentlal VentilaUon Category 1 Worksheet SubmiHed • New~Energy Code VJoflisKeet Su6mitted • Energy Envelope Calculations SubmiKed ~ ~ . i~ i j ~ Plumbing Contractor. Phone # _ ~ _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler -Fee: -~90.00- _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Hcat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Cit Eagan Or ' ces.~ ~ Signature o OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? D7 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SYorm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion ~rpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ FTaixtiu8 _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . - - - ; , , , . ' 7987 BOILDING PERMIT PLIC6TION - CITY OF SAGAN ~ . ~ ~ SINGLE FAMILY DWELLINGS IIQCLIIDE 2 SETS OF PLANS, 3 CERTIFICATSS OF S080BY, 1 SET OF ENERGY CALCOLATIONS HOTE: ADDRESSES FOR COEHER LOTS - CONTRACTOR/HOME01iNER HIIST DESIGHARE i1HICH ADDEESS IS DFSIRED. NO CHANGfiS iiILL BE ALLOWED ONCS BOILDING PSAMIT IS ISSDED. MQLTIPLE D1iiELLINGS - RFSIDENTI9L RENTAL UAITS FOR SALE OPITS INCLUDE 2 SETS OF PLANS~ CERTIEICATE OF SQRVfiY - CH6CB IiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COPII~l6RCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND g~ ~o To Be Used For: Valuation:~ Date: ~~f Site Address ~~/~~p¢,q 7)"jR/G, OFFICS QSE ONLY Lot .S Block On Site Sewage_ Occupancy ~ 3 MWCC System ~ 2oning (Z I Pareel/Sub {.EXj.t)PN"~US4'kA9~£ y~ On Site Well Type of Const City Water ? (Actual) y. Owner f~p?7~vyQ L~p, /~Y'~-' ~ (Allowable) p 0 of Stories Address d ~pX 3~.3 Length (ct7 Depth ~j-¢ City/Zip Code ~SS~Q -35.3~y S.F. Total Footprint S.F. Phone 37~ 030~i/ APPROVALS FEFS Contractor ~ ~iyJ~ ~ ~Assessments Permit ~4~. - Water/Sewer Surcharge 4. _ Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC 5ZS• Planner Water Conn SZS, Phone Council Water Meter (n"7• Bldg Off Road Unit ?~S Arch./En~r. Sj}jy~~" APC Treatment Pl I Q~. Variance Parks Address Copies TOT9L ~ ~ S- City/Zip Code Phone 4F a ~ . ~ 2 2 ! ~ ~ ~ ~ ~ CJ ` ~ 'Y J~ C-- a , . ' ~ a ' t r . r ~C~ ,7~ Zro ~ co ~ S~ ? Zq-1 2~ x22r ''~3o x s~ f~ ~4 v 22~2~ ` ~~4 cz ~ ~g~ ~~2.a , ~ ~ N..M a~.. • sst«~I, r~... _ , _ ~ Mrl~ pM~ • M~NN fl~A ~MwtAf ~ 6r.~uw~wrwwl li~w~er~lt NfH MMyf ~ ' {/.f s....~wr • ~.w~ rr.nK . s~.l Rqw wnwr. r.n.r ~ c.~~:~e... ~ ...l.., Rottlund Com~~ . Wrlnys Sho~ ar~ Assu~d ~ ~ O 0lllOtf3 l1"011 IMMN~l11t o OMOtts m Fa+neatlqe CorMr Mi! MOrOSED EIEYATI016 Np~,~M • ~ O~eotes Exlstley Elwatfe~ oo•~ OMO~es Propos~d Elevatlon Top ot ~lock ~9 Da~otes Dtrettloe W Surfatt Or~leaq~ Larest Floor q D~not~a Orainaq~ and Iltilit,~? E~t~nt Gar~ Flaor g9~•o, ~1COltdero~aN . . ~ ~rdil ~ gqG,7 ~c~6. 5 ~ S~ 43" 3'~~'~7 .00 4~q~~ ° 89~ i~ 5 ° Q b ~k ~I 99.o I~41fl 2 `{t~i~~p s.`e zz.c7 ~ - - - - - . : o. o ~ I i, G d~'~ a~ m I . i, ~ N 16 ~ ~ ~ ~ r 7.33 r ~ ~ * ~ ' ~ R ~I L y 52.0 o ~q~.s ~ 97, i g°~'`J/~ i X , I ~ ~ ~ ~ n.~;,~ lu;rf ~ Ease,nenE ~ 5 S ~9~.LL ~ - ~ ; ~~1 s'' S89°43'03,E ?S:UD LoT~ B~oC~ ~ - L EXING TON SQUARE '~T.~I ~40DITIdN " $ubjee~ fo cdsem•nls ~''record Obeko% Cour?ly, A?irrn~~r ~ ~.w~ ..wr~ wa r~e w . .r .~r.... ~wwr~1~ w . .r..~ .1 w Y~.h. d N~ ~irw ~IrdM~ IMI~ snol M M~ Iw~~l~ ~,1 M1 Nw 1 wN NI .INM~ ~aN~.w~~ M~~ A~ ~r • FM~ r~/. M w~~~ Y~ ~ NM~-~ ~1~_~.~. N~ , NI~IMiAN ~MMIN~~IM~.IMt. ,~cvle: l = 30 ~~,N:. iy9ys MMQi~/~~.welly~un~wwa /C~~i(i `,~~t21 i ~GI~'~Ic_~ O~i - l~ ' . EXTERIOR :ENVELOPE AVERAGE "U" COrfY[1TATION - DWNER ``h D-j'"T f._.V N C~ c-'~ SITE ADDRESS 7.~ ]J~'~9~L1,(~~'G7C'~y9. ~7'~jeJ/L CONTRACTOR S~i , l E DATE' B?. PHONE '~J7 r-O 3O ~ Determine working square footage of each. 1. Total exposed wall area 2. I~~ sq. ft. x = 2'-F I, 5~ 2. Total roof/ceiling area ~y~~ sq, ft. x ~~z(~ = 3~~7~ Total exposed wall area above floor = ~ Ct 3~ a. Total wall window area . Z- b. Total door area 3`"e' c. Total sliding glass door area y(J d. Total fireplace wall area ? e. Total wall framing area (average 10~) 1 7 C) f. Total net wall area above floor / S.rG_, g. Total rim joist area 2 Total exposed foundation area = ~ 7`LY - r- h. Total foundation window area ? i. Total net foundation area above grade Determine "U" value of each wall segment. r, a. / 5`2 x,~U,~ ~ 5`~ 82aU b. S'13 g~iUii. e+~7 = z, C-~~o c. ~f' U g nU~~ o c? ~ = I~; YO d. 6/- g nU° _ . ~ . ~ , . e. / 7 U X~,U~~ ~ b$ 7= /'-f~ 7"/ f. i 536 X.,,U„ oo~~z = 6v,s g. /!~z x ~~U~~ oG''/~ _ ~,y~d h. 1/ X ~~U~~ v = ~ ^ i. 7 p g n[In. ~e ~ri'F~ ~ ~7 ~ ~ . ~ 3 ......................................Tota1 - lr''/ ~:f'6.S If item !k 3 is the same as, or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = Total gross roof/ceiling area = y j. Total skylight area ~ k. Total roof/ceiling framing area ~ j 1. Total net insulated roof/ceiling;area ~ 3 2~ Determine "U" value for each roof/ceiling segment. j. ~ g„U„ e y iF = Z, (o ~ k. g"S"~ X~,U„ ,~~`7 = 2, 3U ~ 32'~ x„U„ 2~ = 33, o~ 4 Total = 3 FS~ U Z. f If total of !~4 is the same as, or less Chan 112, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values estahlished by the sum of items I13 and f14 shall not be greater than the sum of items $1 and 1i2. Z~ i.S`-r + Z. 3~, 76 = z~~30 s. l°~~J~~SS + 4, 3~~G2 = 232~~7 i • 4~/V1..J~ ::4;1:'1'l.ui~~ ~ . ' ~ 1•ny~9 J OL ~l fu7'E: Use ,10~'of opaque wa11 area for •~Lxame construction • ' • . ~ Construction , : • ~..I~.~~ ' ' R-Value ~ 1. Interior air~film ' 0.68 ^~J .2 .'~IL"G Y P C3 R i~ 3 u4$_ 4,~ . 3~. zxC~ s7-uaS ~ (oo$~_ ~ - . 9. 2S/32 SHT~ 2~0(0 nszc l-]ALI, ' . , ~ . 5. S/G+~-LCs Uc?C!c FEC7~ ~ / a 2 (o : 6: Exterinr air film 0.17 • Total S' PYG. II1 TOPVIEW OF ~ _ . . . F.RAt1E S7ALL ~ . . ~ oOS~ ' ~ ~ . ~ . l. xnterior air film 0.68 , • ~ • . ~ 2 . ~1" C~.'T (3 uZ D a y . . ~ ~ 3 . ~(/L L 2i/Ll [ L ~ /NSr~ / b(U • ~'-----1~~ 4. 2 S 3L ' S~'/TV- i?IG. 3'r'l I ~ . , , - ~ 2 O(~ ' L._..._._:'_~ ~ 5. ~/U/~(i~ OV~,~' FEL7- J oL 6 ' `I I....._____,~ ~ 6. FSCterior air film 0.17 Total 2 3, 6 Z 5 v~~ I.,w______fl , ma~t z a.~~_.,,_ , ' ' '~~,VI I U Interior air £ilm' SGr, L:.~ 0. G 8' 5era1 ~ ~j-""'T'---(i~ ^ 2, ''%tiSVL , /~/aUO. , a I:---~._O v ~ 2 ~ ~ T fi~ '~I i 3. X- l~'~ r r( ~.y '1 ~I`~C*~~_~`~n~L~~.LI~ . d~1S~ 7,'~'~ ~ ~ ' ~ . 9 . 2 S~3.Z 5 t-I'r-C~ ~ . 2 m0~ I_.' ' P ~ , s . siai.~~ Fa v~rc ~ r- ~;z.~,- ~ l~ I I ~5 w /n2~, j ~c+-, , 6. Exterior air film 0.17 I ~>eJi ~1TICni..' ,~_~L,~ C ^ "'_"C'~ ~ TotaZ 2 S T. ~~i~ ' tl,' ~ pJ' I:'' 3 • • r U` ~ ~ .O S ~ ~ ~ ••~~?/1d U I.~:?< 'f•' p 'Cl-:-:`1 ,~-,.,,,`-J l. Interior air film • • '6 0. 68 ,~~,._._.i ~ . . " ~ , 2. /.t~SVC; _ . . : r ' 2,~1 F~R RI N c~ v~ 3. 9. /2 ~1Cb,wc ~ /3LGC ft_ ~r~`(t ~ 5. I ~ , 6. Exterio: air Eilm 0.17 I ' - ~~J~ . , Tota1 /30/3 , • • • _ so•7(a w V ' ` ~ I ~ ' 6 , ~ • . r ' ~ • ` ~ ~1 ~ ~ . ~~~tr-..~-ra~=T-,~ , ° , . ~ .'C'i ' ~ ,~1 1 ~~I 'r I • 1 • - = /r~ ~ ~rr~ . . . •~6 ~ , . , . i,~ ~ „ , ~ . ~ . ' y µ ~ , . , ~ 6 . ~ I!I 113 y r . (l~ k , . . , . . ~ (1' V ~ic. fln = • ~ - ` / ~y y ~ . . ' r~i ~ • N ° ~ L^---^-•-- ~ ? t' ! ~ ' ~RC~OP/C~ILTNG i . . , , , ~ ' ~ . , . . ~ ~ . ~ r : ~Lti` . Const•ruclion ; R`V~~lac ~ . 1. ~ Interior air film , 0.61. ' ~ 2. S/~~~ C~Y n f3 ~ o SS I{ : 3. (3LOw.V iN_°,u< 3£'„00 ~~~il i~; ~`i~ j~~ • ~ 4, Exterior air film ~5 otal O • Vu~T l l 11 3°ro sa. i\\', '-LJ `L1 ~ ' ~ ~ ' ' . . ' . V=.~zS ~ ~ . ; Venced Heat fLow.' ~ ' ' , • , up ~ ~ ~ ~ . . ~ i ~ ~ i , ~ , ~ ~ ; . i . , ~ ~ ~ . . , ~ i ~ • , . , FIG. IF5 i~ , . . . . ~ , ' i ' yz~'~'~- , , , . i. . . ' . . ' i ' , Interior. air film 0.G1 ,.,~~r... ,.,~.,tis~t~n._l'?_'L~L~`-'~yc~raa.e;a~ 2. S_ C~YT~ 1.?>RD S S - -~'-7"-'-'-j'J ~-""--i", ~ ~ 3. ~ //iSUL Ot/E/L Y%CU55 ~ 3'-I i~1-~- ' i 4., Extcrior air Eilm sti 1 • . I- n . ~ . • Total j Co Y n , /r'~I ill~~ : Il~~ . ~ (f ~,'t~, • ' U = .o~~ 1: ~ 3 ~ . : ; . I I 1 . Neac f1os7 up . ~ , .•ventced . ~ , ~ , . • . ' ~ . " • .r. . i ' ~ FIG. N6.~..~... ~ • . ~ ~ . . . " . . . , , . , . _ ' ~ , 3 ~ 1. Insi.de ai.r fil~rt 0.61 • ~ . .S'.t `S'~'c-^6~ 2 . e . ~~(h~at .a.~.°J.'-,Y..~~. . 3. ~ :li 9M1~.Q~!l1l-!~:. A • . . e [ 1. ~'yi i . . ~ ~ • ~ •l • .-i!..,~ r ~ ~ ' • ~ ' S. Outside air. film 0. ].7 ~i~/' I . • Tota1 ~ . I ~ • , . , : . . . . . . •J 1 . . . ''I . ~C' , , • ' J, i • . . . • HOi7-~TPSPfp.p' ' NoCC: Use additzonal siieets •if more ~pacQ i~ s;eeded for details and calculalians. • . ~ „I{ent ' . . . ~flow up . ' . ' . I ~ ' . ' ~ ~ . . . . _ . _ _ . . . . .,..,n,,..,d.._~__..._.~.r.. . . ..w•..:.t~.-~.~~r`~.~ r . . . . , ~ ' Section T-C Pagc S ~,4 . Replaces , March 18, 1983 . 1982 ' rlay 1, ~ N 2 G 1!1(i/ • ~ ~ IiNGINGERGD GARAGE IIEADER ~ . •'f" 1G'G X 22 in Siock i NOTG: MAXI~N~1 ALLOWAOLE 7'IE-IN SPAN 24'~" ROOr TRUSSES • (650 L65 TOTAL PBR LINEAL FOOT).-- I , ~i --c - _ _ -__Iy _/I~ I~`ryI ~ \ II~~ . . . _L. ~1~_ / - l ' . _ ~ . ' ~ . 1G'G x 22" • ~ _ „ _ . ; _ I . . r . ~ . ~ . . ~ ' , . l ~ j . :I ~ ~ . ~ ~ , :.i . „ , . . . . _ . _ . . . . . . . I. ~ , , ~ _ ; ,t. : r. . . . - ~.~:;r.:.. . . ~~~,:XA':~. . . ~ ~ ~ . . r^ F 2 ij+..i.. ~ ~ . . . ' . . . . . . ; :...a . . . . . . ' ti 1•i ' . . . . . .~.•r~.., ~ - . , . '~1'vi:' - ~ . . . AUTOMATED BUILDING COMPONENTS, INC. " ( - ~ Kttchen Divislon ComponentPlants . Excels'~r,MN ' . MillworkDivision ry~N Chciek,Wl '~"^1tl~F, ~ • lonq Lake. {(i~'.:~i•~,1 . 6121Q74•1111 ' . Chanhassei+, MN . ~121A77~7J7G 715/~2~~1067 , , I :dTy~ 6121977~90G0 k = ~ PERMIT ~ ~°n 0 612 CITY OF EAGAN ° 3830 Pilot Knob Road PERMIT TYPE: e u i ~ o i N ~ Eagan, Minnesota 55123 Perm it Number: 0 0 0 T 7 9 (612) 681-4675 Date Issued: 06 f 12 /92 SITE ADDRESS: 958 TICONDEROGA TR 10T: 5 BLOCK: 4 LEX SQUARE 4TH DESCRIPTION: ~~uiYdin,g PermiC Type DECK % 8uilding'Work Type NEW ' Build3ng.Le:Mgth 24 ~ Bu-ilding WidCti., 14 ; ,t _ - t~=S ~ ~`i~ . . r. y ~ L'. ~ l r ~ y t Y ~ ~ ~ 1 '~-i I ~ `.1 l ;'~f ail..7 Y~~v,~. ~~7~ l •`.`....7~~ ~,14~.).~t~ L'!. ' ' ~ REMARKS: RECEIPT q ~ C~ I~ ~ S~~ FEE SUMMARY: ease Fee ;2s.ee Surcharge $.50 Total Fee ;25.50 _ CONTRACTOR: OWNER: - Applicant - BURKE CLIFFORO 958 TICONOEROGA TR EAGAN f/N (612)934-4400 I hereby acknow.isdge that i have rea-d tnis aQpliaatton and stete that the intormation is correct a:nd agrea ta comply with aYl appYfcable StaCe of Pin. SCatuCes ~nd Gity of Eagen rdinances. ~ ~ A - ~~~~x P ICANTlPE ITEE SIGNATURE ISSUED B IGNATURE ~ INSPECTION RECORD Control No. O~~'Z i CITY OF EAGAN PERMIT TYPE: eui~DING . 3830 Pilot Knob Road Permit Number: 000779 Eagan, Minnesota 55123 Date Issued: 0 6/ 12 / 92 (612)681-4675 SITEADDRESS: ~oT: s BLOCK: 4 APPLICANT: 958 7ICONDEROGA TR BURKE CLIFFORD LEX SQUARE 4TH (612) 984-4400 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW . . FOQTING FINAL REMARK3: RECEIPT N - ~ . , . . . . . . . . ~ ~ - ~as ~ PERMIT M CITY OF ~AC~AN 1992 BUILDING PERMIT APPLICATION ° 681-4675 ,pM 0 8 RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day. of month in which re uest is made or lot chan e is re uested once ermit is issued. Date /9~_ Valuation of work 1~~~~0 ~ Site Address: 95S //GGNb~?aq/9 /r?p~~~ N. MN 5S/a3 , STREET STE ~Y Tenant Name: C~~~onr~ /5~2/t'~ LOT ~ BLOCK ~ SUBD.r.,( , ,a _ P.I.D. / - ,i ~~~q. Descri tion of work: 7~~ ~'E~ Ec,~C 1Pr~r " The appl i cant i s: ? Owner ? Contractor O Other (Deseribe) Name ~~2 kC C o4D Phoney-5`~`'yo~H Property uST F~RST wo~k S~~-yya~ Owner Address 95g JGOND~La ~ T, ~ STREET - ~ STE Y ~ City State M~ Zip 55/-~3 Company Phone C011tP8CtOY Address License ~ Exp. City State Zip Company Phone Architect/ E11gi~B8~ Name Registration ~ Address City State Zip 5ewer & water licensed plumber . Processing tlme for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read t is application and state that the information is correct and agree to comply with al ' ble St of Mi esota Statutes and City of Eagan Ordinances. Signature of Applicant: ~rri~~ uat un~r BUILDING PERMIT TYPE - ~ O O1 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? F3 Pub91c Fac. C7 02 SF Dwg. 06 Garage/Accessory 0 10 Swim Pool ? 14 Agricultural C] 03 Two family ? Ol Fireplace O 11 Res. Add./Porch ? 15 Miscellaneous ? 04 Multi-fam. T.H. ~OS Deck ? 12 Comn./Ind. WORK TYPE F~31 New ? 34 Repair ? 37 Demolish ? 32 Addition ? 35 Tenant Finish ? 99.Undefined ? 33 Alterations ? 36 Move GENERAL INFORMATION , tonst. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning ~ Sq. Ft. total Booster Pump t of Stories Fo~tprint Sq. ft. Fire Sprinkler Length O~II' On-site well Census Code ~1 ~ Depth ,v, On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site ~1 Footing ~ O Framing ~ ? Insulation ? Wallboard Final , ? Draintile ? Fireplace Permit Fee 2~.~~ vea.c;a,,: s Surcharge v Plan Review License MWCC SAC City SAC Water Conn. Mater Meter _ Acct. Dep~sit 5/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded, Copies Other - Total: SAC % SAC Units . ~ ~ n.n. oNw1~ • w~«M, LMu..r~~rr~1rr...r~M~ . r - r fMl. 1/rr~wl 1 lww~wwr~wl fi~w~y ~MN ~~r~I•MNW ~ I , ~ ' 1~/]rwrry' . 1~wd/'IrwY ~ S.wl~~u+~l iwwy.~Y~ C~stit~ewt~ od ~nr~~~ !oe OttLt1~7Q 1.p7?? 'flu M~r1~qs SM?o~ ar~ Ast~d ~ ~ e OMOtes Iron Mo~waent ' o O~wtes m Fow~datlo~ CorMr Mib MO/OSEO ELE~ATIONi NORTM • DNwtes EMtsting Elev~t/od oo•a O~notes Propos~d Elevatlon Top ot ~lock .9 D~not~s D1r~ctloe of Surfac~ OrHnp~ luwst Fioor OMwiH 0~'~1ep~ M4 i?ti l itr EatMrret CM"~ F1oM' 9 7.9v,. T~condero~a N ~ `frail S~c.~ ~~5.,5 -~-589°43~ 3'~E~7 .00-; - - - ~ 8g~ ir 5 ~ 0 ~ M ^ I V ~ ~ 99.0 ~ Yj"~~' D ~ , G{ ~i''? p s.-o zz.c 7 - - - - - - , I h A~ ~ ~ m ^ . i , G`~'J ~ ~ 0 8 ' , N 9~b ' ~ °-0 's3 ~r ~ . ~ w ~ M R sv y, sZ.o . • 897~ I " 3 . I t~ ~V ~JC ( ~ ~ a~; n„~ ur;r,f ~asem•n6 ~ ~ 5 5 ~ ~'LL - - g9 S89°43'43.E ?S. AD LOT~. ~~oCK 4- . L FXIN~ TON SQUARF '4~N ~4D01 TIDN ~ $ubJee~ ~o easem.nls q^record pako/a Counly, A?i~ne~~ 1~+r~M MrNI~r MN Mls b~ Nw W qrrwl r~Nrlr M r~w.~ sr M~ ~wwrly d~M +~rwi ~Ir.NM I~..wi d M. IN~~M. ~.N Nw~i.~ M~ .~W ~.s.w4~.~~. M w~ M~ w• MIA W. I~~ Mw~y~ y N~MM N~ N~36r » NI~WiAM ~NNI~M~~i1N.IMC. ,~cale: l ' ~ = 30 ;~f ' ' c~t~--"'"' ~ ~y,:v.. iy~ys MMNIM~M~~ AN11y~ufluFw~ ~(i(i(~ .~'71'2_') - * *stt**t+*x****t***f*x****~f*t*t**+~r ~ ' C I TY O F E A G A N PA~~ OF FEE AT TIME OF * _ . ~ arrisc~oN ~ rAm * ' * ~rxovar, oF r~T. : ~ APPLICATION FOR PERMIT ~ x~s~ncriorr oF' s~ nrm/~ ~.~t ~ *f n~5mar.ramrONS WIId, NCYf BE SC~~ * SEWER AND/OR WATER CONNECTION P~~T ~ • * APPRC7VID. ? * * * r . * ~ » . * ***+~**:+r * *,t++e*,r*,r~ P ease Print) ~ l) PROPERTY ADDRESS: ~S ff T I~C~Na~~,(LSIE. LEGAL DESCRIPTION: Lot Block Sub ivision or Tax Parcel ID ) IF E}~3TING STRCCiL'RE, DATE OF ORIGINAL BIIILDZNG PERMIT ISSC'ANCE: ' i ' (Mon Year} . PRESENP ZONING/PROPOSID L'SE: COP~Y'~RCIAL/RE.TAII,/OFFICE ~R-1 SINGLE FAMILY Q IrIDC'STf2SAi, Q R-2 DL~PLEX (4too Units) INSTI'IL'TIONAL/GOVEI2N~,T1T ~ R-3 7~W~OL~SE (Three + Units) ( Units) . q R-4 APARTN4S]'P/coAIDOMIDIICTI ( Units) 2) ~ A' . ~"~0~y I~C~eL coN Q~~ ' ~ 1~DDRESS:_ ~ S S' U~/ v. . cix~, sra~, z~r:_L~~No G~u SSo Pxor~: ~8 S~ S~v~ • 3) • i; For City Use - N~: Plumbers License: ADnxFSS: C,~~y ~@ . ~ Acti.ve EScpiSed i CITY, STATE, 2IPe ' . Not recorded PHONE: MASTII2 I,Z(~1SE# t~tial • i~• ~ T~~~2Z~! u prt~v,~- . - ADDRFSS: O LJO X .4$'3 + CITY. STATE. ZIP:_SJ S S-C_O R`.,/ SC . ~ PHONE: 5 7~ " 0.3 o C/ ~5) v ~ a• ~ : a ~ o~ - ~N[gCPION ~ CITY SEWII2 ~CONNECTION TU CITY WATIIt ~ OTf~R . ' 6) ~PLEASE HOLD APPROVF~ PIItI~IIT FY)R PICK-[JP BY ONE OF ABOVE ~ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, I~BOVE ~ (Circle one) ~ » r , ~ ~ - s 7 - • 7: • r r. ~ ~ • r a~ • ~ • a i~• . u r • ' • • a• • ~ ~ r n • ~a ~ e : r ~:r• ~.n>~ ~ ~ ~ ~ a• • ~ . . FOR CITY USE ONLY PERMIT # ISSCED z- ~3 ~ Pd w/Bldg. Permit FEES: ~ $ $ /t"-S Z' SEWER PERMIT (INCLUDE SURCHARGE) $ S S Z% WATER PERMIT (INCLC~DE SPRCHARGE) $ C 7'~-7` $ WATER METER/COPPERHORN/OC'TSIDE READER $ S WATER TAP (INCLC'DE CORPORATION STOP) $ S SEWER TAP $ $ /-S ' ACCOUNT DEPOSIT - SEWER $ S ~.3 C~ ACCOL'NT DEPOSIT - WATER $ ~j .a~ ~ o- u $ WAC S ~ ~ S ' L~-z, $ SAC $ $ TRL~NK WATER ASSESSMENT - $ S TRLNK SEWER ASSESSMENT $ S ` LATERAL BENEFIT/TRC~NK SEWER $ S LATERAL BENEFIT/TRLNK WATER ` $ / ~ ~ ~ ~ $ WATER TREATMENT PLANT SURCHARGE $ S OTHER: S 5 1' c~ $-J t~ TOTAL ~/~Z ~ G l RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[]BLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSOED BY TAE ENGINEERING NO DIVISION. LIST AS A CONDITIO[V. SUBJECT TO THE FOLLOWING CbNDITIONS: - I ~ I ~ APPROVED BY: ~,~tt;~,~;r ~l%;z~,-yt_., TITLE: DATE : y , CTTY ~]F' E:FlGAN CAfiH7:rF<: JS T"L-"FiMINAL iVU: 7.'.iB DFt'iE: Q'r'/14/93 TIMC: OB:c'.6.31 Iii : NAhiE, :!ONN HALFY ~&1 ROOFEI: LL.C 3210 ~OCIi ~58 TIC~NT.~EkOGA 1~5.25 2i.55 300:L 95E3 TICUNI:~E.fiUGA ~1~C10 / 7ots7. F'ecei.~~r, Amo~.~n+.a i?_8.25 CF .I. i •:i3JJ USER ZDr 1AN ~*~k**YF ~%X~* ~ ~ Xt~k#~k~~kkc ~~~X~X~k~XX~~k~kY~#~~X ~k~%~k~~k~k~C~ '1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY ~F EAGAN ~ / ~ ~ ~ 3$30 PILOT KNOB RD - 55'122 ~ ~ -a~ ~ 651-881-4675 New Constnidion Reo~Irements Remodel/Reoalr Reau~ er~h~ ? 3 regisiered sRe surveys showtng sq. tf. of bt, sq. (t. of house 2 copies ot plan and g~ tooted areas (20% maximum lot covercae allowed) 1 set of energy calculations for healed add%lons D 2 coptes o1 plans (show beam 3 window sizes; poured 1nd. design; etc.) 1 aBe survey for exlerior addMlons 3 decks ? 1 sef oi energy calculaftons ? 3 coples W kee preservaHOn plan ff lot plaffed aHer 7/1/93 ~ n DATE: ?~/3/~' ~ CONSTRUCTION COST: ' 'S DESCRIPTION OF WORK: ~ ~ j /C t>cd ~ Nc~? ~ G r/-~fi('~ g STREEf ADDRESS: ~~~3~ % I C C.'~c. i r~r• T/'~ ~~.1 ~/~F~ ~11 ~ A~l_OA~/~ LOT: ' BLOCK: 1 SUBD./P.I.D. T Name: ~~-'~'l< t /?7.~ Phone ~-_S ( - y j.. yC) ~ ~ PROPERTY ~an First OWNER ,,r . Street Address: c' ~ T t r< c, n,r. '~".:J~~ City ~ = State: ~"7?~ Zip: _ i . `s . - Company: -~c;1~~~ %y~/f~ ~~~~`~l~i Phone#:~ ~>J_S ~-1~~~ (area code) CONTRACTOR SheetAddress: ~E License#'?~~:~~~;~~ Exp,,~ 3' 2u-~ city ~ ~ ~c>._~, ~~9:~-~ state: ~'%I r'~- Zip: `F.'S C ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City Stote: Zip: Sewer 8 woter Ilcensed plumber (reaulred for new constructlon onlvl: Penalfy appl(es when address change and lot change h reqvested onee permM 1s lssued. ~ ' , 1 hereby acknowledge ihal I have read this applicafion, stafe fhat the informalfon is~~yonect, q~d agree fo comply wHh oll applicabl State of Minnesota Stafutes and Clty ot Eagan Ordinances. r ~ SFgnatwe o/ Applicartt: ~ ~ ~ ~ ~ r~ L~ ~c--~,: ; . , , • OFFICE USE ONLY I'i' I~'- "`-6 . 'l ~ JUt ~ ~ Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/So~ts/Fascia ~ 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish {Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinkiered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC CRy SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ~ Park Ded. G Trails Ded. Other ~ Copies , Total: SAC Units % SAC CITY liSE ONLY PERMIT I ~ C~ ~ RECEIPT DATE: ` ~ - I ~ - ~ ~ ~SIDENTI~L M~C~i~4NIClEI. ~~fiMIT ~ki'PLIC~tT10N crrY of ~aswr~ 3$SO PlLOT KNOB RD LA6AR MN 581 EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: a~~a Z ~ ~ ~ SITE ADDRESS: ~~~J ~ l C G~~~Q'~C) ~G~~~ • ~C,~ ~~t~~ ~ OWNERNAME:~~c,>> ~~C--y~. TELEPHONE ~-"~a~,~~ (AREA CODE) INSTALLER NAME: ~ ~ ~ TELEPHONE ~ ~ ` ~p (AREA CODE) STREETADDRESS: 2~Lp~ ) `-FS~~ S~ ~ ' i v ` `J~ `t'.~S CITY: \"1CS_~.2 YYY~Ci STATE: r~~J ZIP: ~~'~'1 ~S Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not ownerloccupied $ 70.00 ~ Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ~f,(~/7AC(° . ~t"~C~ State Surchar e $ 50 Tota I Reminder: Call for inspecrions. SIG\_ATURE OF PE IT E Updated Ii01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMM~ftCl~el1.11~I~C~kNICi41. ~P~fiM1T ~~P~LIC~TION CiTY OF ~&k&A~N S$SO PILOT KNOB ~D ~A6~kN,1HN 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buiidings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE ~AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (A2EA CODE) CITY: STATE: ZIP: R'ORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Taril: _ Processed Piping Specify Nature of Work: Wke» installing/ren~oviieg undergrouud tank, call 651-681-4675 for inspectiox by Fire Marshal med Plumbi~ig li~aspector. Fees: 1% of contract price OR $50.00 miuimum fee, whichever is greater. Underground tank removaUinstallation = rcnnimum fee Contract price: $ x 1%= 5 (Base Fee) State surcharge calculate at $.50 for each 51,000 Base Fee TOTAL $ SIGNATURB OF PERMITTEE Updatzd I!O1 PERMIT# I RECEIPTDATE: ~"~d' f~.SIDENTI~4L ~PLUM$INfi ~EgMTT ~Ef'i'LIC~TION crrY oF ~sa~v S$SO PILOT KPOB IiD SA6AN, MA 551 E8 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: ~C~ 0~3~~~CJ~ ~ ~ OWNER NAME: : ~Fl ~ ~A~ R ~ p. IG ~ TF~EPHONE #:~i~~ 7"'S ~ 0 ~I~ y~^A~ K, (AREACODE) n,i~r,~•.n ~y r INSTALLER NAME: t'~Y~F E5 C~~R,(~ /CdR TEL PHONE `~v~ STREET DRESS: ~~O J ~ O~ ~7- ~ (AREaCODE) CITY: 67/~ ~G /~C,~ ~G ~-°I STATE / ~l/C.~ ZIP: J~ Qh ~ Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • a6andonment of septic system • new installation/repair/rebuild of RPZ . lawn irrigation system . water turnaround Nature of work~F P ~C-~~ ~ ~i~j~i' ~ /~/Z Septic System, r~ew/re`urbished - $ 225.00 . includes County & Co~sulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc, I hereby acknowledge that I have read lhis applicalion, state that the information is cortect, and agree to complywith all applicable City of Eagan ortlinances. It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused hy the City during its normal operational and maintenance activities to the (acilities wnslructed under this per m City prope right-of-wayle ~ement. ~ C v SIGNATU G~MIT ` p a ed 1l01 /`~`~~f 1 200~ RESIDENTIAL PLUMBING PeRnniT APP~icaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residentiai dwellin s. Date ' 1 I oC ~ ! ~ Site Street Address ~ C ~ Unit # PropertyOwner ~{.'r~~ Telephone# (~j~ ~~=,y-4.-~ Ch2hlpion Tele hone # Contractor p ( 1 Address 3670 dOdd Rd. #100 City State Zip The Applicant is: _ Owner & Occupant ~ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.D0 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are , installing. _Septic System Ahandonment _Water Turnaround (add $136.00 if ~ 5/8" meter is required) Other: V Water Softener / _ Water Heater $ 15.00 _ new ~replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I~ ' I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accorda ce with the approved plan in the event a plan is require o be reviewed and approved. (~D,(t ) (r7 r a 7, ApplicanYs Printed Name A plicanYs Signature ~'t"fJ . ` ~ ' CASH RECEIPT ' ~ ~ f CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ a r DATE 19 RECEIYEO , FROM • . { ~ ~ / - _ AMOUNT $ - j'. l l ~ ) ~ oo~~wres ,oo ? CASH ,Q CHECK FOR . ~ ~ / 1. ` ~ti' ~~Nv 7 9~~' ~ ~ ~ .uE FUND CODE AMOUNT Thank You ev ' % ; White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. ;.PE~MI~. N0. ~ ~ j, ~ ~ 7 S -~~"~--~T - OI-3210 ~ Bld`g:S Permit > - ~ 01-3422 Plan Check ~ ~ J _ J 01-3445 Surch./Adm. '-7: 01-3446 SAC/Adm. } ~ 01-2155 Surcharge ~ ~ t:~ 17-3860 Road Unit - 20-2275 SAC 24-38b5 Water Conn. ~ < < 20-38b8 Water Trmt. ~ , : , 2Q-3716 Water Meter 2Q-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ~ ~ 11-3855 Park Ded. ~ TOTAL ; ~ ; ~ , ~ ; - ` Use BLUE or BLACK Ink r For Office Use I Permit #:~O City of Eap . Permit Fee. 3830 Pilot Knob Road RECEIVED I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 APR 2 4 2014 I I Fax: (651) 675-5694 I Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: A 116,4(I aC)r`_1 ~C Phone: 6"Y e/70 X71,' Resident] j Owner Address/ City /Zip: Applicant is: Owner Contractor :~b Description of work: F2m o J-~ 1 f L~ Gv~C L. j ~Ld~p i L (J } Q Type of Work e Of WOrk Construction Cost: I 003' Multi-Family Building: (Yes /No Company: C, i Cc:+v o< jvi LC C Contact: rhb 137_t ~f_ Address: Fk ~R61dv_-(4~4 S. City: /J~U ~rvi rod Contractor State: Sri zip: 6-'-Ll3J' Phone: 6 z` 7 J O "~J J License F C Z/ 7,~-/ % Lead Certificate ~J A~- l S / I 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: i 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 Call 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.gopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x Applicant's Printed Name Applicant' i n Page 1 of 3 r 9 5K `A/VLZe TV-DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of - Plex Lower Level _ Pool _ Accessory Building WORK TYPES yi New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof - Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Ad+cMi M) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge, Plan Review MCES SAC. City SAC Utility Connection Charger` S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink ` For Office Use I I I City of Eap I Permit I I ~/_wn^ I Permit Fee: lY~ 0 o I 3830 Pilot Knob Road Eagan MN 55122 i Date Receeii'veedp:, Phone: (651) 675-5675 I Staff: V y Fax: (651) 675-5694 L--------------- Q 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /9" Site Address: ~~O TC o iu f>~,Qa ie Tenant: 0 `^,,C.J,6 R .D Suite Resident/Owner Name: &YAW44W A6U1''-?/ee Phone: Address / City / Zip: 96'9 6,V Nan WENZEL-PLYMOUTH PLUMBING, LLC Contractor Add 1959 SHAWNEE ROAD, SUITE #130 Stat EAGAN, MN 55122 cmichels@wppmn.com Con 651-452-1565 Type of Work - New ^ Replacement _ Repair _ Keouna _ moairy apace - Work in R.O.W. Description of work: Ulh, vAu e- v.iC7 RESIDENTIAL Water Heater Lawn Irrigation C_ RPZ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.orq 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. e? "<)L 'Af . GAr e/s x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA145727 Date Issued:09/22/2017 Permit Category:ePermit Site Address: 958 Ticonderoga Tr Lot:5 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-050 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Barbara J Burke 958 Ticonderoga Tr Eagan MN 55123 (651) 454-4074 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150870 Date Issued:07/26/2018 Permit Category:ePermit Site Address: 958 Ticonderoga Tr Lot:5 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Barbara J Burke 958 Ticonderoga Tr Eagan MN 55123 (651) 470-6718 Kat Construction Llc 8833 79th St Annandale MN 55302 (320) 266-3455 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176951 Date Issued:06/08/2022 Permit Category:ePermit Site Address: 958 Ticonderoga Tr Lot:5 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-050 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 - Barbara J Tste Burke 958 Ticonderoga Trl Eagan MN 55123 (651) 470-6718 Paul Bunyon Plumbing Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179045 Date Issued:09/15/2022 Permit Category:ePermit Site Address: 958 Ticonderoga Tr Lot:5 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-050 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Barbara J Tste Burke 958 Ticonderoga Trl Eagan MN 55123 (651) 470-6718 Grant Heating & Air Llc 19700 Embers Ave Farmington MN 55024 (651) 226-0515 Applicant/Permitee: Signature Issued By: Signature