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962 Ticonderoga Tr . . _ . _ SEWER & WATER PERMIT OFFICE USE ONLY CITY 0F EABAN ' METER # PERMIT DATE (J7/~Si 9C~ 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP ~ PERMIT # t 1 st~b METER SI2E B.P. RECEIPT # C 4G41 ISSUE DATE B.P. RECEIPT DATE C 1/23/9~ DATE-~ . -~-+i.Y 'l3. 1g9~ i ~ _ PRV - BOOSTER PUMP ,i ~ , SITEAD~RESS ~n2 7'I~G;~LEh~JuA 'i~ PERMITRE~UESTED LOT BLOCK SECISUB LE7LINGTON SOUAHE 4TH ~ SEWER ~ WATER - TAPS APPLICANT: T~n~~~+ ~,ti ..~:7lt S 3L-_~i~ ` ADDRESS: !'r / ~ ~ COMM/IND r RES~DENTIAL CI~1', STATE ; ' ZIP ; ~ >L NEW - EXISTING PHONE:~ 7-, • ` • Lawn Sprinkler Meters are to be Installed PLUMBER: ~ ' Ahead of Domestic Meters on Water Line. ADDRESS: ~ ~~~2r~f~ i~4,~ Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP ' ~ 3~2 PHONE: ' - .J J - • ~ ~ - ~ - 1 AGREE TO COMPLY WITH CITY OF OWNER: ~'!'IASTiER'fJORKS BJLLf~~f: S, iA::: EAGAN ORDINANCES ADDRESS: '?,~1 S 23RD AVE S CITY,STATE MIt~LFAYALiS~ ~r*' ZIP.~,~_~/+ PHONE: SIGNATURE WHEN METER ISSUED PLEASE AL~OW TWO WORKING QAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER P~RMIT OFFI E USE ONLY C1TY OF EAGAN ~~~R # ~I 3~ SG ~ ~ ~ pFRM1T DATE i ' ~ ; ~ ` 3830 Pilot Knob Rd, Eagan, MN 55122-1897 CHIP 3~~~ PERMIT # 11546 METER SIZE B.P. RECEIPT # C 9C~42 u IJLi 23 , 1990 ISSUE OATE Z~ ~ B.P. RECEIPT DATE ~7 ~23 f~~~ DATE - PRV - BDOSTER PUMP SITE ADDRESS 9;~2 _TI~;UC~i:,;xOGa TI. PERMIT REQUESTED LOT BLOCK ~ SEC/SU8 ~XTNGTON Sl~UAFE 47''.; ~ SEWER K WATER ~ TAPS APPLICANT: 7 %•~'~%=~.t %v ..,c !t S ,,~l~J~S . ADDRESS: ~G! ~ ,1 ~ J ~ COMMIIND y RESIDENTIAL ~ CIT~(, STRTE ~ ~ , C~?~? Z~P -`5> - X ~~w _ EXlSTING PHONE: ~`1 , % ~ _ ~ ~ Lawn Sprinkler Meters are to be Installed PLUMBER: 1~ ~ Ahead of Domestic Meters on Water Line. ADDRESS: i: i c~~'l~!= s~. ; ~4,,, r. Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP - ~ ; ; PHONE: ~"~~~~~,Lc~_I .r f.t,~`~-G--~ ~ - 'f:.-<:< I AGREE TO COMPLY WITH CITY O~ ' OWNER: J t•~i1~h.t?GrORKS BiJ I Li)E 1?; , t A~~C EAGAN OR INANCES ADDRESS: ~21 i 231?D P.VE S CITY, STATE ''1T~?~`'°i.f~p~?i~IS, ZIP ~,~.4~~ PHONE: '~~'-~9C SIGNATURE WHEN METER SUE4 PL~AS~ ALLOW TWO WO~tKfNG DAYSlF~R;PROCESSING: CALL 4545220 FOR INSPEGTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ' ,...,.~4CCIY,d,ZFD~ F~t . ; . . . . . . r. . ,,;,~;V ~ . . I~GtC 07/OS/91 i~~. `681-9633 CITY OF EAGAN e1 . 3830 Pilot Knob Road, P.O. Box 21-199,~Eagan, MN 55121 PHONE: 454-8100 ~ ~ BUILDING PERMIT Receipt # To be used tor sF ~~~R Est. va~ue s~s'~ Date JULY 23 iy QO Site A s~ 96 T2WNDC~OGJ1 ?it Lot ~'~lock Sec/Sub. OFFICE USE ONLY Parcel N~. ~ Ocwpancy ~3 ~1 FEES , , Zoning p~ ~1 TIMBE~t1iORKS EUILDEB.S I~7C ~-ti 527.00 W Name ~ (Acluaq Const eldg. Permit ; Address (Allowable) - ~~cna~9e 3~' ~ ° City Phone: ' ~ r o+ s~ones 343.00 Length ~i Plan Reuiew ~ , o Name ~cn - snc, c~ty ~ a AddrBSS S.F. Total _ (100.00 SAC, MCWCC ~ CI~ Phone S.F. Faotprints - 625 ~Q On Site Sewage _ Water Conn ' '-x ~ ~ w,?Vame on S+te well W W Water Meter ~ ~ ~ Address ~ r~wcc system . Acct. Deposit <W City PhOne CityWate~ - 30 00 PRV Required _ S1W Permit ~ I hereby acknowlegB that I have read this application and slate that the 8ooster Pump - 5/W Surcharge information is correct and agree to comply with all applicable State ot Z3Z~~ Minnesota Statutes and City,of Eagan Ordinances. Treatment PI i~a-C~..a~+ ~C:<.es,.. - %s~ APPROVALS 3SS.OO S+gnature of Permitee Road Unit YIlIDSitNQRICB a~{T~ ~y Planner - Park Ded. A Building Permil is issued to: on the express candition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. g~j, pry, _ Copies 2, ~ Building OffiCial - , ~ . V~"~ - TOTAL ~ Pe?mH No. Pem~it Holder Oate Te{sphona N WATER (0 7p~J~ J(' SEVYER PLU~BING ~ v ~ `~p • ~ 9~ ~ H.VA.C. I.~ ~ IO ~ L I ~ ELECTRIC ~p00 ~ ~ O ~ ^ Inspecdon oate Insp. comments Foolings 1 Foundatio~ ' Framing ~ ~O ~ Roofirg Rough PIb9- " ~ ~ Rough Hlg. Q~/O Fsid. fireplace Final Htg. Q Final PIb9. -U~'"T ~ Const. Meter PI6g. Inspettor - Notify Plumber Engr.lPlan Bldg. Final !-2 ~ ~d ~eck F,y. S ~ 9/ Deck Final /Q v • Well Pr. Disp. . . , ' ' • . PERMIT # / ~O • ~ MECHANICAL,PERMIT RECEIPT # v,! v CITY OF EAGAN ~ ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `f y I~-! J CONTRACT PRICE PHONE: 454-8100 For Oftice Use Only: Site Address ' g~pC,, n(pE WORK DESCFi1PT10N Lot ~ Bl9ck ySeclSub pe3 - New , •1 ~ .c~.- , ` Name • % r'' • ° - Mult Add-on m Comm. Repair Address c City ~ ~ , Phone ah~ - FEES ~ ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ~ -ADDITIONAL 50 M BTU - 6.00 p City ' Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1°r6 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ S7ATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND ~1.000) Other $ FEE - SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN . . ..t . ..i':~ .:...s... Lf~ GV~ ii'f'~~ifi..%U- 7 ~y.:~ ~ y.:w ' . PLUMBING PERMIT ~ For Office Use Oniy ~ CITY OF EAL3AN PERMIT # ~ CONTRACT P~~OT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PNONE 4548100 DATE: O Site Address a . u~? . . r~. 1 BLDG. TYPE WORK DESCRIPTION Lot Blodc Sec/Sub ~S~ New X ' ~ S y e~. Mult. Add-0n Name e 1k Comm. Repair ~ Address < <ti1C aher c City -3 v. J yy RES. PLBG. ONLY - COMPLETE THE FOLLOWING: _ Phone FIXTURES TOTAL ~ Waber Closet - $3.00 $ 3 - Name T~ M<<~..~~• r (3 ~ d~• ~ Ba~h Tubs - S3•00 3- c Address ~ Lavatory - $3.00 3 - ~ City _ - - - Shawer - $3.00. , ~1;A-5- - -.~PMOCtB = Kitchen Sink - $3.00 _ 3 UrinaVBidet - $3.00 FEES ~ Laundry Tray - $3.00 3 ! COMM./IND. FEE - 1% OF CONTRACT FEE T Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPUES / Water Heater -$1.50 ~ ; TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 f Gas Piping Outlets -$1.50 ~ ~ MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIn ~ STATE SURCHARGE PER PERMIT .50 Softener -$5.04 `(ADD $.54 S/C PER EAGH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - ~10.00 ~ p ~ ~Z~_ 3 Rough Openings - $1.50 M ~ ; ~ ~ ~ U. G. Sprinkler System -$12.00 ~ SIG ATURE OF RMITTEE PERBAIT FEE: 7 y' : STATES S/C: • ~ i FOR: CtTY ~F EAGAN GRAND TOTAL: ~ y'` , _ . ~ . . _ . _ _ ~ _ - . i ^ s. ~ ~ . ; ~Q~~i.~~~ r . • ; • - ~.~~~t#ir~f~ ~rf (~r~r~t~r~~tx~ a : ~itp of ~agat~ . ~r~~ u# ~uilding ~n,~prtian ~ T7~Is Carificate issue+d pursuant l01lre nerquirements of Sectior~ 306 of lhe Uniforrri~uilding Code ceriij~dng [has at the time ojiuuarroe this ~ur+e w~s i,i rnmFliance wilh the mrious or~ii~rmears of the City reg~ulaAing building aonsdudion or use For the following: we cl~wtioo r• elde. Ryma Pto. ~S I~8-'t- ~~'Typ~ n~ 2m+ntoiwia vr+/o~~'[yPe~mn y~ ow.~ ot s~a~ ~~~~~t8 14V$ S ~t~.S ~ ~ea~ ~a IJ~,-B[h-1~'.'il~$ q~~nrrR ~~ra ~ f ~ ~149~9 Posr u~t ~ c~oNS~cuous Puce _ . - ~wi-_ ' - ._~..a~u:_. . - . . . _ . ..':'~y5.+a'.~'•t"'~~{:. . . . . . ~ • _ JULY 2S, 1990 : ~ ~ ~ DATE: RE: 962 TICONDEROGA TR (TIHBERWORKS BUILDERS, INC) x Your Sewer & Water Permit for the above property has been completed. tt will be heid at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO - CALL.QUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Y`~u~Sewer & Water Permit for the above property cannot be completed for the fotlowing ' 4easons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PR~JECTS ONLY: Piease pay for meter at City Hall. Meter size must be confirmed by 8ill Adams or Dirk House (Pfumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RE~UIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Se~retary, Building Inspections Dept. /~s~i9v ~ ~~,,~sv 9~o~a 98'sos~ 1110 4 - s Reo`u~~,Date ~f Fire No. -in Inapection (J f I p{ t ~ ut s' O No ?~e0y Now ~tl4ArF}oLly InsOectw • ~ WhenPe y? p'~ I~ensed contractor O owner here6y request inspection of above e ricai work a D J •ess Stree~x o te o.) Ciry~ ~ Section No. Townshi e r ap5¢ No. County J Occ ant (PRINT) Phone No. Power Su~Splier Adtlress EI c I al Conv m ~C~omp ny Name) Con or5 ien Mailin tlre s( onVaCOryr Owner Making I lallatim) AWM1O ~zeE SignaW IConVac /Qwn aking Installaii ) Phone Nu b ~ ' MINNES A TATE BDAND OF ELECTRIC ~ THIS INSPECTION REQUEST WILL NOT r4' _ Gr199pMidway BItl9~ - p~m &i]3 ~ BE ACCEPTED BV THE STATE 9OAR0 1821 Uniwnity Ave., St. Poul, MN 5510C UNLESS PROPER INSPECTION FEE IS Vlane (612) 602-0800 ENCLOSED- a ~/~.f/~~ REQUEST.FOR ELECTRICAL INSPECTION E&00001-OB f( ? See~slmctions tor completing t~is form on back of yellow copy. ` 98so ~ ~ 1110 4 X° Below Work Covered by This Requesf ewAd Rep. TypeofBUilding Ap0liancesWired EquipmeniWie ,r~ Home Range Temporary Service ~uplex Water Heater Electric Heating ' Apt. Builtling Dr er Other (Specily) Comm./tndustrial umace ~ - Farm RirConditioner Olne~lspaCity) ConVactor5 Remarks: - Compute Inspection Fee Belaw: S Olher Fee # ServiceEntranceSize # Circuits/Feeders ee Swimming Pool 0 to 200 Amps 0 to 100 Amps 7fansfofinefs Above 200 _ Amps Above 100 _ Amps SignS InspecWr's Use Only: TO L l'~1 ~g ~ Irrigalion Booms / Special lnspection ~ - - Alarm/Communication ~ THIS WSTALLATION MAY BE ORDERED DISCONNEC ED IF NOT • Other Fee COMPLETEO WITHIN. 8 MONTM I, the ElecVical Inspector, hereby flou9n-in ~j oe w ~c~~ cer~ify that the above inspection has Final C', oa been made. ~ `f - ~O OFFICE USE ONW ~ This request void 18 months from v ~'W" h Q V ~ ~U ~ 600 5 ~ ~ ~ t~ . ~ ~~63 Re t ~a~e (((''''''999 ~ Flre No. qo gh-in Inspecli n Y ~ Requiretl? ? Featly Now ? WII Notify inspector G O ~ yB5 When Ready? I~,jicensed contractor ? owner hereby request inspection of above electriCal work at J~ F~ss (SVeeG / Ie No.) Ciry ~ ~ ~ ~ \ ~ ~V Section o. . T~hip ~ ame pLNo. ~ o. ~ Couny J Y/ a ~~n Oc RINT) ~ ~ ~ ~ Ph ne N ~ .~ry !J o Power S ~ler Adtlress Electrkal CoaVactor (Company Name) Conbeclor's Llcense No. • • Mailing Adtl ss ~ nVa wr oe Owner Making Installation~ AmM1O~izeO SI naNre (COntractonOwne Makin Inslallation) Phone Number ~ MINNESOTA STA pHU OF ELECTRIGTY THI$ INSPEGTION REOUEST WILL NOT Grlggn-MlCwey Bldg. - Room 5-1]3 BE ACCEPTED BV THE STATE BOARD 1841 Universlty qve., SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Vfwm (812) 842-OBDO ENCLOSEO. IG~ ~ REQUEST FOR ELECTRICAL INSPECTION eaooom-m C ? See insVUdions tor completing ~his fo~m on back oi yellow copy ~ p C~ 6 0 0 7 5 ~ "X" Below Work Covered by This Fequest ~~x+ ' (J ~V'~ ew Atltl Rep. Typeofeuiltling AppliancesWired EquipmentWired Home Range mporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specity) Comm./industrial FumaCe Farm Air Conditioner ~ Ot~er ~specity) Convac~or's Remarks: Compute Mspection Fee Below: # 01her Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool D to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A Amps Signs Inspector5 Use Only: ~ T ~ Irri tian Booms Special Inspec~ion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oa~e certifythattheaboveinspectionhas Final oa~7 been made. / ` OFFICE USE ONLY T~is reques~ voitl 10 months irom CITY OF EAGAN 8,~ 81 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-81 DO r BUILDING PERMIT Receipt # r_ ~ Tobeusedfor SF DWG/GAR Est.Value ~~5,000 Date SIiLY 23 , 1g3D- Site Address 962 TICONDEROGA TR 4 ' 4 LEXINGTON SQ 4TH OFFICE USE ONLV Lot Block Sec/Sub. Occupancy R-3 FEES Parcel No. Zoning PD R-1 w Name TIMBERWORKS BUILDERS. INC (ACWa1~Consl V-N eldg.Permit 527.00 3 Address 2215 23RD AVE S ' (anowab~e) V=N surcna~9e 37.50 ° MPLS 722-9048 xoisrodes City Phone ~an th ~ Plan Review 343. 00 9 , o Name S~ Deplh snc, cny 100.00 ~u Address S.F.Total - SAC,MCWCC Fn~-~0 F S.F. Foolprinis - City Phone On Sile Sewage _ ~Nater Conn ~5~n0 ~w Name On Sile Well - Watar Meter 90.0~ Address MWCCSystem ~ 30.00 ¢z Ciry Waler Accl. ~eposit <w City Phone PRV Raquire0 _ SM/ Parmit 30.00 I here6y acknowlege that I have read Ihis application and state thal Ihe Booster Pump - SnN Surcharge - 50 infortnation is correcl antl agree to comply with all applicable Stale ot Minnesota StaW[es and City o~l Ea/ga/n O~rdinances. Treatmem PI 252.00 SignaNre o~ Permitee _-~e~'~ - APPROVALS Road Unic ~~25~~10 A euilding Permit is issued to: TIMBERWORKS BUILD Pianner - park DeG. on the express condition ihat all work shall be done in accortla ce with all Council applicable Slate of Minnesota Statutes andY CV~ity~ yol Eaqan Ortlinances. 01dg. Ofl. _ Copies Building Olficial ~~~~p~ I 11 `1° Variance _ TOTAL Z, 990.00 ~ ~ ~ City of E~~~Il i Pe~~t# ~:~~~3 ; ~ ~ Pertnit Fee: 3830 Pilot Knob Road ~ ~ Eagan MN 55722 ~ Date Received: j Phone:(651)675-5675 i ~ ~ Fax: (651) 675-5694 i S~~' s~ j 2008 RESIDENTIAL BUILDING PERMIT APP~ICATION Date: O~S D Site Address: ~ 6~ r ^~i/kx-~-Y Tenant: Suite RESIDENTlOWNER Name: Phone:/vSl-.3Y0-S1~08.~ Address / City I Zip: (0 2 Cir_~9-yLy/~„~ liD f~.+ !i S/~ 3 Applicant is: _ Owner ~Contractor " , TYPE OF WORK Description of work.'~-...~n~'tf~n~0 ~odi ~ - Construc[ionCos~~,.~i~.~~ Multi-FamilyBuilding:(Yes_/No~ CONTRACTOR Name: c ~icense Q C'' ~ 9 ~p / 7 Address:. 7 SI oZ 4l a-+~ city: ~ZiV~4~J~CQX State: ~r zip: SS y°Z / Phone: ~ ~ri.3 -~3 / `77 ~~S Contact Person: ~o ~FQT `A~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Ene~gy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted Subm155ion type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit fora similar plan based on a master plan9 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water ConVactor: Phone: NOTE Plaps.a`nd supporting documents that'you; submit are considered fo be pubfic. information.; Portions of !he mformatioh mapbe,c)as~ified as non-public if you provrde speci~c r`easons thaY'would penrii~the CiCy fo' i4 , ~ - eonclude2bat#he~'ac~trade''secfets, ~ ~ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and wdes of the City of Eagan; that I understand this is not a pertnit, but only an appliwtion for a permit, an ork i not to start without ermd; that the work will be in accordance with the approved plan in the case of work which requires a review and ap oval of pl x /\b~jrl~~ C..~l r1,h X . ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 1 ~ ~ ~ RESIDENTIAL J BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Canetructbn Heaulrememe HemodeVHeoalr HeaulremaMe ~~d . 3 reg~taretl sile surveys showing sq. ri of lof, sq. fl. ot nouse; ane gll roofetl er~s • 2 copies of Dlan (20%maximumbtcoverapealbwetl) • lselolEnergyCakul2tionSbr~eate08tltldbns • 2 copies of plan shaxing Deem & winAOw sizes; poured found design, etc.) • 7 sile survey for ezlerbr add'NOns & decks . 1 set of Energy CflCUlatbns • Indicate H hame served 6y septic syslem for add'd'ans • 3 copies of Tree Preservatbn Plan N bt platled aNer 711193 • Rim Jo~i Deteil Optbns seleGbn shaet (bltlgs wNh 3 or less un0s) DATE S~` 3c' 'O `L VALUATION ~ G'( G~3 SITE ADDRESS ~I ~o o~ r- (S a~e d+-~S 'I'~ 1 MULTI-FAMILY BLDG _ Y _ N NPE OP WORK ~e - Ruu ~ ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT /`t`Cav~ R ~ S.°~•'' STREET ADDRESS I~'~ ~f ~~eN v~.\ e u d cmr ~Z • STATE~9 rJ ZIP TELEPHONE #~Sa 9~~f ~Z' 3S CELL PHONE # FAX # PROPERNOWNER u~eNe l'~lc~-, vecN TELEPHONE# COMPLETE THIS SECTION FOR ~•NEW~ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 submission type) • Residentiel Ventilalion Category 1 Worksheet SubmiNed . New Energy Code Worksheet Submilted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhacfor: Phone N Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhacfor: Phone # I hereby acknowledge that I have read ihis application, state that ihe information is correct, ~gree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan Ordin C Signalure of Applicant _._~_.___~......__..__~_...._...__~__rr OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex O 13 16plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutli ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex 0 10 0&plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_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 'Demolkion (EMire 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ 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/replacement) _ Insulation _ Retauting Wall Approved By , Building inspector --------------______~W W---- Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Total ~ . i ~ ' ~ ~ ~ ~ ~ r~ t 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DLTELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL , 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITA BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUSSTED, SUT NOS PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE EUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. J U L 1 9 RECD ~ n ~ To Be Used For: ..+J+~6LE Valuation: Date: ,fb ~U Site Address /~Z ~CO,cJn~~„~3 ic. OFFICE ?SE ONLY Lot ~ Block 5` FEES --y- occupancy (Z-3 M ^I / Zoning i~ R_l Parcel/Sub `EXInkvT~~ .~QJ.o?t~ Actual Const 1~-/l~ Bldg. Permit ,527,00 Allowable v-N Surcharge 3 .SO Owner 7ih9C~~2~.?o.^e.lGS /SLlJr2.S-~+.C. # of stories Plan Review .~3,~p ' ~ " Length ~ SAC, City /~0/~0/~,0~..0~ Address 27/,S ~/~r+~ Depth y~~f' SAC, MWCC /wUVI(/U ~F.~_. S.F. Total Water Conn ~$,p0 City/Zip Code _ J^~'~~/,/7rc/ S,$~e~ Footprint S.F. Water Meter O,pO Acct. Deposit ' 30,U~ Phone ~q~Z - 7 Z Z~~O ~/tJ On site sewage_ S/W Permit 30, Ch~ On site well S/W Surcharge D Contractor ~vyidf/'u,Ja'Z1~ ,Qco~ MWCC System Treatment Pl. ZSZ,OD City water ~ Road Unit ~ Address Zz/.f /~z.GS. PRV _ Park Ded. Booster Pump Copies City/Zip Code , cS hc~I.il S~S`~~y SUBTOTAL ~ APPROVALS Penalty Phone ~a/Z -'72Z - 9o Y8 Planner TOTAL ~ 4 9~ Council ~ Arch./Engr. Tj,4.,/ ~iL,oo~,6.s _'L-wc~ Bldg. Off. ~7A Variance Address ~/~j/ ~,~/g~,~aeaL~ _S,~°/ ~ / 2yo City/Zip Code P~,y~d,f~ ~ ~y/~J Phone # S-~ - ~70 . , .r- ~ e l..l,l A't' I~IJ w . . ~ , ~ i~ i~ 4 CaARAC~E + '.:~1° K~•b: ~ z Z x zz y x rs= '7 2~c~ 13S VviT, Z2xy~; c~Zy ~tSX lr~= ~ ~D~4 x ~y ~ ~ yoS~~ ~ $T ~~ooiL ~~l K~12 ~ /p0~ I~i~q ~ 1y J ~ i ~ : l ,/a3G. X ~i - 5283~ . ~ - ~y,sZ ~ . J ' 90-537 METRO /875 PLAZA DR. SURVEYORS SUITE 200 /NC EAGAN, MN. 55122 Certificate of Survey for~ ~~2~a52-~sso TIMBERWORKS BUILDERS LEGAL DESCRIPTION~ LOT~,BLOCK~,LEXINGTON SQUARE 4th ADDN.. ACCORDING TO TNE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA T- - - TICONDEROGA 7RAIL v, 9~ ~N 89° 43' 03" W 75.Ob ~ a b96 Q . ~ w.1f o~11 Qli 1_________ ° SCALE I"=30' S f--r~r~ / ; 5 4yq.~ ~ i O~ I 1 I Q ~ ~ -b'~ ~ ~~,L~". ~ ~.ei o R~ . N I Q ,,,~z ' I I 4 ~(a~ ~I~ M I'~ I~' ~o. ~ v~°°F4 B~q~.O o j ~.o ~a' ip ~8~8 I n.~ ~ ° ~~N~ o I w ~ ~ 1^"- ~ W I ~ - ~.~y,.J I` 3 A2o 1~ f~ 0.5'(5~ ~~T~'- In (898. S~ $9 I In LOT 3 ~ ~ ; ~ LOT 5 , , _ _ ~ 9 g 98's I O Z ~ j z I LOT 4 ; DRAINAGE B UTILITY EASEMENT 5 L_____ _ _1s N N , 94~ N 89° 43' 03" W 75.C~ ~J g,~ ~ Date Z~~" ~ ~G1~IV El~fGI1VEiHI*~TC D~.P~' LEGEND ~NVERT E~EVATiON AT SERVICE ExTENS10fW o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION 8~'1. ~ DENOTES WOOD HU8 SET PROPOSED FIRST FLOOR ELEVATION=13997 ~,~r!,' DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR • g9s•8 3 ELEVATION ELEVATIAM ~Ssg.8~0ENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR MEIC.HTS WITH FINAL HOUSE PLANS I hr~bp c~~fffy tlat thia surwy.Plan or ;',L~_ I~port roa pnpand py n~ o? unda my dinct suprvision and ihaf I om c duly Brodl~y Y~~nson. Mn. R~q. No. IS23S ^ R~Qist~r~d Land Surv~yor und~r fM /~,9~ Laws of tM S~ot~ of Minn~wta Dai~ ~~1~~~,j( John Bradley ~ architectural consuita?nts U~c. , 9008 b~ OT. S. E. 059E0~ YN. 60.i6Y YN_ (M2)-4N-i77t EXTER/OR ENVELOPE AVERAGE "U'~ COMPUTATION Plan Zoo -e T Date g`~ Owner ! c' '-tT'~, r~ ~-ic T ~c~N~ ~r~1 ~QC~a~t~ ~I~~,4Ds'~~IJ, Contractor•~ 5 2- ~'oe i~ 5 ° Site Address: PHONE 1)TOTAL EXPOSED WALL AREA Z~ s~ sq.ft a~u"• t r= 23~, 4~ 2) TOTAL EXPOSED ROOF/~EILING AREA ~ v~~ sq. ft. x~U =aZ ~ ~ WALL AREA CALCULATIONS~ 70TAL WINOOW AREA ~ G 4 Sq.fi.z~U~~• 3~= 5/, $ . GLAZED r 70TAL DOOR AREA 3~ sq.ft.z~U~~' Z' 7 70TAL GLASS DOOR AREA sq.ftx~U~~~~= ~ 3 GLAZED TOTAL FIREPLACE WALL AREA 3~ sq.ft.z~U~~ ' 3~°- ! 3.7 70TAL WALL FRAMING AREA 7 5q.ft.x~U~~ r P 3'~- NET INSUI.ATED WALL AREA I~0~ sq.ff.z~U~~ •44'~=~~ TOTA~ RIM JOIST AREA ~sq.~•X S' ~ TOTA~ FOUNDATlON AREA(EXPOSE~) ~I9 sq.ft.z~U~~1.L~ = 1 S.S TOTAL FOUNDATION WINDOW AREA q.ftx U ~ 3),TOTAL ~ • - . !f item 3 is ihe same as,or less fhan Jfem l, you have met !he intent of 2 MCAR l. l6008 A an d D. ~ , ROOF~CEILINt3 CALCULATIONS~ , ' ' _ , : TOTAL SKYLIGHT AREA eq,itx U - 70TAL ROOF~s.EILING FRAMING AREA ~v ~ sq.ft.i~U~~•6Z== Z~ NET INSULATED ROOF CEILING AREA sq.ft.z~U~~ J~ 2~ 1'4) TOTAL . ~ ~r If item 4 is ihe some os,or less fhon item 2, you have met fhe intent of 2 MCAR 1.16008 A ond O. /tLTERNATE BUILDING ENVELOPE DESIQN . To utilize fhe tofal anvelope system method, the sum af i~ems f and 2 shail be qreater ihan the sum of items 3 and 4. - - +2) _ " , 3) +4) _ " ! hereby cerilfy lhat the butlding here described moets or exceeds the State of Minnesota Enerpy Conservatfon Act. . (slgned) ~ ~ n ~ ~ . ~ ~ ~ i I 1 ~ 1l ~O ~T~'i~G~'~ v? sS~.. b~ I~}~ . . Z. CONSTRUCTION wu~ ~aainci sECrioM Int Rlor a!r fllm O.iB i ~ ; 4nM•s of sorr wooa (n9>"I ' 4 ~,,sz'' P~+.nr~fiE~ z •c+E~ S ~TO~.3t.. ,SI g s:teria air lilm 0.~~ TOTl1~ q ~ I U ¦ I/R 'G WALL SECTION (INSU~ATED) ~ intafor oir tilm 0.68 ~ 2 ~~Z-~'`~.R' •4S 3 S~_~.yS t9 0 4 ~~a.D~,.}~ 2•ot~ S 5+lJ~r1Cw ~jl g eat*rior air }i!m 0.17 TO~ ~ iy3 ~ 1 . U' s'',1fR'~O RIA1 JOtST SECTION " ~ 'M~ri r ir ltrm C.6A Z b IaJ'~~ ~`r . . . ~L` 3 ~ ~fL 4{~v ~ - ~ ~ ` Q~I~D?--~~F£_ ~.G7'o s 'S~p1?J4 g eatt?ior oir fifm O.i7 TOTAL R ~ . U = 1/R FOUNOATION SECTION ~ inh~lor oir fitm ~ 0.6$ ' ~ . 2 I' ~i~to 1.0 ~ . ' 3 12 c. 1 •1,8 , ' • . 4 ut~riw. oir film ~ . . . ~ . OJ7 . TOTAI R~-3 . t A ARAOE . ' U ~ .1/R • V a. ° . _ . :r;:a~ ' ~ , . , , , . ~ • CONSTRUCTION ~ CEILING SECTION (INSULATEO) ~in~erior air film 0 6I ( 2 5~a ~+~RacK , ~ 3 4 , ( 3~a..,,., 1...~,~ aa ( 4 exferioi air film (still) 0.61 . , TOTQL R 45.~ ~ U = _I/R ,OZZ ~ _ CEIIIN~ FRAMING SECTION . A~ ( ~ interiar a!r ftlm 0.61 FLOW 2 (2~'~'B S~,s~-,o_cc.~ ,S~ I VENTEO (3 ~a~a~-.s.i iw~~. 3~ (q infe?ior oir film 0.61 " ~ (5 ~rnches of soft wood 4,~5 . TOTAL R 3`a. ~ 3 U = I /R , DZIo CEILING SECTION IINSULATED) _ ( ~ interior ai~ film 0.61 _ (2 (3 (q exterior air film (sfill) 0.61 . TOTAL R U = I/R CEILING FRAMING SECTION _ I ( ~_inte?ior air film 0.61 2 3 4 5 ~2 (3 V.ENTED (4 inferior air film 0.6t . (g inches of soft wooC .TOTAL R . ~ U = I /R 5 4 - ~ 3 EXPOSED BEAM CEILING SECTION interior afr film 0.61 ~ (2 (3 (4 (g exterior air film 0.17 TOTAL R ~ 2 ~ L = I/R I . r~t$r R~~~ 1991 BUILDING PERMIT APPLICATION ~ CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCZAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ui. o ~ ?ra~,~ ~ ` q To Be Used For: ~~c. ' Valuation: of'°"`~~ /o v Date: Site Address 96~ T%oonc~rroc.~ T~ OFFICE USE ONLY Lot ~ Block FEES Occupancy Bldg. Permit ~ G Zoning Surcharge Parcel/Sub ~CX •?go ~ ~`{Dp' Actual Const Plan Review Allowable SAC, City Owner r ~ # of stories SAC, MWCC Length lrl.Ylj2, Water Conn. Address 9L,2 ~c.on.~c~ea~. Tl2~. ~ Depth ~ Water Meter S.F. Total Acct. Deposit City/Zip Code Ec~c 4,~ urS/~ ~ Footprint S.F. S/w Peimit S/W Surcharge Phone ~ ~ L, o'}_~ On site sewage_ Treatment Pl. On site well Road Unit Contractor MWCC System _ Park Ded. City water _ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SIIBTOTAL APPROVALS Penalty Phone Planner Lot Change ~ Council TOTAL Arch./Engr. Bldg. Off. Variance Address • City/Zip Code Phone # ~ ~ ~ ~ agrees that all work shall be done in accordance with (Signatur o Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 90-537 METRO /875 PLAZA pR. SURVEYORS su,re ~oo INC. EAGAN, MIY. 55I22 Certificate of Survey for~ ~~2~452-~sso TIMBERWORKS BUILDERS LEGAL, DESCRIPTION~ LOT~,BLOCK!~,LEXINGTON SQUARE 4ih ADDN.. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA - - -T - TICONDEROGA TRAIL a ~ ~ 89° 43' 03" W 75.0~ ~ N . sab Q W~ ~...K 4~~ SCALE I"_30' s~--r,,,- ~ s 9 ~ ~ I d~ ~ i ~O ~ ~ ~ ` i ~ ii. in ~ ~ Q~r. faK N ~a ~ ~ I i a ~fl~q~~ M ° le.~a ~S~ga ~ I n,> I~ ~ ~ ~ ~ ~ J , W jl ~ W _ ~ I . 5.,,t, ) j` ~ 44.0 1_1 P- o. 5~~ i ~ iY LOT 3 ~G~~~ (~a~ ~ $ ~ ' ~ LOT 5 cD ~ ' • ~ ~ tD - ~ rlY-i u.-i' - O 898~s i O z ~ i z ~ LOT 4 ; owuaaE s vnuTr ~~T 6L______~~____~__~S „ n 89~ N 89° 43' 03" W 75. LEGEND ~NVERT E~.EvATION AT SERVICE EXTENSION~ o pENOTES IRON MONUh1ENT PROPOSED GARAGE FLOOR EIEVATIOM a o D~NOTES WOOD NUB SET PROPOSEO FIRST FLOOR ELEVATION • 899 ~ DENOTES E%ISTING SPOT PpOPOSED BASEMENT FLOOR • 89s S y, ElE VATIOH ELE VATI ~7N ~ggS.B~DEtdOTES PROPOSED SPOT . ELEVATION DEN07ES DRAINAGE D~RECTION NOmTE~'• VERIFY AI,L FLOOR NEIGMTS •WITH FINAL HOUSE PLANS I 1 hatb~r c~rtify thotMi• sirr~p~plan a . ~ r~pat wa pnpond py ~ o? u~r my ~ Oi~~ef wprviaian and thaf I am a dWy &pol~y jir~nsan, Mn. R~4 No. t5235 R~qlst~r~d LanO Surr~yor und~r tM ;~Td~„~ } Lawa of tM Slab o/ Mlnn~~ofa CON ` 1~ ~ . -.n- _ _ .~'.~^v;,v.~.T.=.-..-~.~ CASH RECEIPT L ~ CITY OF EAGAN . 3830 PiLOT KNOB ROAD . ~ EAGAN, MINNESOTA 55122 o~~ ~ . ~ ~ ,s~ n[c~rv~o _ ~ . I^ cno~. ~ tl i~~.~~rl ~ Y \ AMOUNT $ ~ , ~ ~ & DOLLARS ~o~ p CASH ~CHECK w„ ~ ~ 1 ~ ~ r' 1~. ~ c._ ~ c:,-~`.ti ~~1_c , G~,~r~ I(' T ~--4- ~-j h~ L_`. ~ l FUND 08JECT AMOUNT Thank You ~ . BY~ ~ 4 ~ G 904~ Y.iw~.~--~o~ww ~r Pnk~ie copy ð ÿ þ ý ÿþýüý ûÿÿ þîùÿ ãþüÝû ÷ îë ù üûú ùø ÷ ÷ ø÷ ùö ø ÷ ÷ õ÷üôõ÷ ùõ ûó û÷÷ü÷ öûú÷òöûú÷üô ÿ÷÷ûû÷ ïââí á áû ÿ þ ýõöíï ëâ ÷éèøüçæ÷øåäêëêëî øû üû÷ ÷þéãäêâêíâ ÷ööõ ùôó ùù ÷ûû÷ûúþÚ ÷ ïââí âí ÷þ ÷ ÿ þ õöíïÿ þ õöíï èåëâ ÷ú þ á÷ ùù ó÷ ÷÷ þ÷ù ùù úü óõ ü û à óÿ þ ð÷ ê ùù æ÷üþ û÷ û üþ û÷ ð ÿ þ ý ÿþýüý ûÿÿ þîùÿ ãþüÝû ÷ îë ù üûú ùø ÷ ÷ ø÷ ùö ø ÷ ÷ õ÷üôõ÷ ùõ ûó û÷÷ü÷ öûú÷òöûú÷üô ÿ÷÷ûû÷ ïââí á áû ÿ þ ýõöíï ëâ ÷éèøüçæ÷øåäêëêëî øû üû÷ ÷þéãäêâêíâ ÷ööõ ùôó ùù ÷ûû÷ûúþÚ ÷ ïââí âí ÷þ ÷ ÿ þ õöíïÿ þ õöíï èåëâ ÷ú þ á÷ ùù ó÷ ÷÷ þ÷ù ùù úü óõ ü û à óÿ þ ð÷ ê ùù æ÷üþ û÷ û üþ û÷ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140932 Date Issued:02/01/2017 Permit Category:ePermit Site Address: 962 Ticonderoga Tr Lot:4 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Judith M Harkner 962 Ticonderoga Tr Eagan MN 55123 (952) 239-2286 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Y ET For Office Use .1(/(11. e e Permit#: 10E )1;„.(..- * - a� AG N JUN 25 2018 (� Permit Fee: 2c? "".. Date Received: `P' -a f: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: kr) buildinginspections@citvofeacian.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: a-�o� Phone:35.2 _0231_2,18 0239-e8 —�-r- Address/City/Zip: CA ] (.0 ?% 1 tC»o ri J.er° gam. 1 r'GZc Applicant is: Owner Contractor Description of work: Re.r koctei Construction Cost: fy • • Multi-Family Building: (Yes /No V ) � $ k Company: C.1.4.4400n1�ov>r)� ej .t;.;&-I Contact: M i k - 1 c4e n S'o r Address: t .002.60 t 213 k C0"1"" City: on e.P'1 Otw.erf' �l,ip:55o�� t, '1 -2( t State:• i Phone Email: License#: - 0 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: q Phone: supporting docu + aty it7-'-.#4******, yy °'!" p, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.oro I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinan -: _ '..es of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a work is not • start 'ho t a -rmit; t e work will be in accordance with the approved plan in the case of work which requires a review and app• :I of plans / -, xMc 414.1 )14 0C w[so Applicant's Printed Name •plicant's Signatu - DO NOT WRITE BELOW THIS LINE "l 6 - - Ti CO'ictC--4eOi Ti - / • 10 . 6-7ZS SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) _ Multi _O Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New — Interior Improvement — Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior pAlteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION _ / Valuation 2/50•^ Occupancy .J-//2 - MCES System Plan Review Code Edition k./? 20/,5 SAC Units (25% 100% ) Zoning ? ,D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings ^ ' Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) o Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: ^Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i o M rh: / 1l /. , Building Inspector RESIDENTIAL FEES 3 G# S 11- Base Fee Surcharge 0 /5-. e) ° </' - fl-' Plan Review `% MCES SAC /1 L pe c /{i l►, //• 1,`A 1 / .S%/9 R. City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158384 Date Issued:10/11/2019 Permit Category:ePermit Site Address: 962 Ticonderoga Tr Lot:4 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Scott Eaton 962 Ticonderoga Tr Eagan MN 55123 (952) 239-2286 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161459 Date Issued:05/27/2020 Permit Category:ePermit Site Address: 962 Ticonderoga Tr Lot:4 Block: 4 Addition: Lexington Square 4th PID:10-45078-04-040 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: 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 - Scott Eaton 962 Ticonderoga Tr Eagan MN 55123 (952) 412-9552 Lightning Restoration Llc 7600 147th St W, Suite 202 Apple Valley MN 55124 (763) 202-9473 Applicant/Permitee: Signature Issued By: Signature