969 Ticonderoga Tr
12~ACT?Vt~ ~12 I~QC-PL,AN RRSTI~r1E[) 6/3f}/88
A. o~u~ 454-o3r+4 CITY OF EAGAN
' + 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used ~or Est. Value " ~ ° ~ ~ ` Date ~ ,1g
Site Address ' ~ OFFICE USE ONLY
Lot • BIOCk ~ Sec/Sub. J'~ ~i A. On Site Sewage Occupancy J
~,~C'+ A:'ri MWCC System _ Zoning
PBfcel NO. On Site Weil , Type of Const
City Water _ (Actuaq
c Name (Allowable) '
W ~ of Stories
; Address ~ ' length
° City Phone Depth
S.F. Total
, g Name FootpNnt S.F.
~ ~ Addreas APPROVALS FEES
~ City PhOne Assessments Permit
F Water/Sewer _ 5urcharge
¢
~ W Name Police _ Plen Review
z Fire _ SAC, City
_ - Address
~ ~ Engr. _ SAC, MWCC
i W City PhOnB Planner _ WaterConn. ~
Council _ Water Meter ° ~
I hereby aCknowledge that I have read this application and state Bldg. Oft _ Road Unit
thattheinformationiscorrectanda9reetoc~mplywithallapplicable APC _ TreatmentPt
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Coples
Signature of Permittee TOTAL '
A Building Permit is issued to: on the express condltion that
all work shal~ be done in accordance with all appllcable State oi Minnesota Statutes and City of Eegan Ordinances.
Building Official
• Permit No. Psrmit Hold~r Date T~lephon~ ~t
Plumbing ~ ~ ~ L ~ ~
H.v.ac. ~
- , 'a ~
E~ect~~~ ~ Z,,,:~~~ ~_~-:~~7. %'/~~%~7
Softener
Inspsctlon Dste Insp. Comm~nts
Footings I % ~ ,8
Footings II
Foundation
Framing
Roofing
Rough Plbg. , . 7
Rough Htg. ~ i +
Isul. - 3 ~ r~B
Fireplace ~ ~ v ,
Final Htg. ~ ~a f~ C/~-
Final Plbg. - -
Bldg. Final ~Y G
Cert Occ. ~ j !f
Temp. LP
Deck Ftg. ~
Deck Frmg. /~Jy g' ~((j ,
Well
Pr. Disp.
, PERMiT# s-
' . , r ~ M~CHANICAL PERMIT RECEIPT # 7~' ~ !
' ~ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Augtlst 10, 1987
CONTRACT PRICE PHONE 454-8100
u~ite Address Gaa eTO 8 s BLDG. TYPE WORK DESCRIPTION
Lot Bloc~c Sec/Su ~ p~ XX New ~
, wZ: c,~ 1~f,~ l.- t ~
' endabl H~ati and A/C Mult Add-on
m Name ~m. Repafr
~ Address 2619 Coon Ra ide Blvd
c City Coon Rspids Phone 757-5040 ~
Name za H FEES
RES. HVAC 0-100 M BTU -~24.00
3 Address S t 4 ADDITIONAL 50 M BTU - 8.00
~ ~;~y F.dina Phone ~r,Rp~
RUCTIONj DES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PEFiiVI1T) - 1.50 EA
TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~S M BTU 24.00 APT. BLDGS. - COMM. HATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit He~ter M BTU REMODELS - 12.00
Alr Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent 1 bath CFM STATE SURCHARGE PER PERMIT - .50
Gas Plping Outlets ter ta furnacE (ADD ~.50 SIC IF PERMIT PRICE GOES
5`,1 BEYOND $1,000)
Other
FEE 25 SO ~~1~~''~~~"~,.~ ~~.~~~i~~ i i~
• '
s~C, . SO SIGNATURE OF PERMITTEE
TOTAL• 26 • n~J
_ FOR: CITY OF EAGAN
. ' PERMIT # - -
' ~ ' ~ P CITY OF EAGAN~ RECEIPT # ' v
3630 PILOT KNOB ROAD, EAGAN,IIAN SS121 DATE: ` k~
CONTRACT PRICE ~ Z ~Ol~' PHONE: 454-8100
Site Address ' . ~ T ' _ ~ ° `j ' ~ , I BLDG. TYPE WORK DESCRIPTION
Lot Biock Sec/Sub
' Res. ~ New
m Name ' Mult Add-on
~ Address Comm. Repair
c Gty t' ' Phone Other
NO. FIXTURES TOTAL
~ Name ~ Water Closet - $3.00 ~
c Address ~ Bath Tubs - $3.00 -
p City ' ` Phone ~ Lavatory - $3.00 =
Shower - $3.OU
~ Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE 1 ~undry Tray -$3.00 -
MINIMUM - RESIDENTIAL FEE -$10.00 1 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 t yvater Heater -$1.50 '
STATE SURCHARGE PER PERMIT - .50 Whirlpool - a3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND a1,000.00) SoRener - $5.00
Well - $10.00
, ~_Private Disp. - $10.OQ
Rough Openings - $1.50 ` ~
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOf~ CITY OF EAGAN GRAND TOTAL:
_
= EAGAN Permlt NG:_ Date: Q~~ %
~ot Knob Road Meter No=38-~ -3 y~ Size: 5 oc
x 2~ ~ 99 Reader No: (LP
Q~L~~ Date: Z J~~f~
~ tagt,~,,. MN 55121
Owner. Z~Chr.:a_~ "•ros.
SiteAddress: g69 Ticotidero ,a '~'rail L1?_ L;~~z;inf;ton °e 4t~~
Plumber. K ~ P1u-r!.bin~
Conn. Chg: S 2 5. v0 d Z~?~ f~'jv-G"a`r'vsri1~{~S n1
Acct Dep: 1~• ~~nd e ote fg 1
PermitFee: L~.'~~nd t LEPNOfV~-~~~~~- .
Surcharge: • ~t~n~~hs Citr of Eagan
Tr. Plant 1~~ • ~~~a~ rdinances.
, Meter. r~7 y~ Q.L.~ 1 l a~ivti
Misc.: B
WATER SERViCE PERMIT
. . _ _ ~
a
CITY OF EAGAN Peimit No: ~ ~ Data 9-1 Q-8 ~ i
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 ~
Owner. ~C~~ ~r08.
SiteAddress: ~'iconderofia _^rail ',.1.~: L:_ziurton cn ',t~:
Plumber. ~ ~ D~~~bin~;
Conn. Chg: 5~ `•~~p4 Zoning: TZ
Acct Dep: ? s~`?~n~= No. of Units: i
Permit Fee: I~ • E~Und
Surcharga . 5~]nd I agree to comply with the Ctfy of Es~an
Tr. Plant Z~` a~1p~ Ordinances.
Meter. bJ QQ..a
Misc.: gY
' WATER SERVICE PERMIT
~ - _
CITY OF EAGAN ` • ~ , . ' - ~
3830 Pllot Knob Road SEWER SERVICE PERMIT ~
P.O. Box 21199 PERMIT NO.: 1~ ~ I
~ Esgan, MN 55121 + DATE 9-IO-87 ~~i
Zoning: ~ ~n ~ros . of Units: 1
Owner.
~ Addre~s: M i
~ Site Address: ~°ri era8a '~a 1,1? '~3 Lexin~tcn S ~ith
~ Plumber. _ . .P uc; ing i
i~o.+JOpd
~ I agrae to comply wRh ths Clty ol Ea~an Connection Cherge: 525 . 00~_ i
~ ~ro~~~~• Account Deposit: 15 . 00 c~_
k Permit Fee: 10 . On~_ ~
~ Surcharge: _ 50~+_,~_
BY Misc. Charges:
: Date o1 InsP•= Total:
' ~^sP•~ ~ Date Peid:
~ _
This request voitl ~/~.U/C /y~'~J/ O~
78 months from O/ / ~ 4
D 112 2 3~; r~ ~.a.~
Request Uale ' ire No.' RouPn~in Insper,~ion
Re u retl? ~ReaAy Now~ Wili Notity Inspec-
~~7 ~V~s ~No lar When Ready
~ Licensetl ElecVical Conlractor I ha~eby repuest inspaction of ebove
Owner electncel work installed et:
Sveet AtlAress, Box or floute No. Ciry
~0 9 /WN E.eOCsA T /L ~E/F~xr~I~-~
ecbon o. Township Name or No. Rane~+ No. County
LOT / ~GIC ~ Lpf~~bTt> A,ef- ~Kv~
OccupunllPRINTI P~one No.
ttm.v-.~ ~La.'N~re9 ~f3-o ~
Power Sapplier AddreSs
~KO c7.'~~G ~A1~isri^~6"Tb^J
Electrical Conhactor ICOmpany Namel Convar.tor's License No.
/l7~sr~ f~.E~rx.~ d,~o~~F-3
Mailinq Atldress IContrac~or or Owner Making Instailationl
S 67 ",~so..~E AvE Sn S~i
Auffiorized Sig alure IContta<mJOwner Mak~ny Ins Ilationl Phone Number
~yd -3 ~s 5
MINN pTA STATE eOAPD OF CTRICITV THIS INSPECTION HEUUEST WILL NOT
Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED 9V THE STqTE BOAflD
UNLESS PHOPEH INSPECTION FEE IS
1821 Univarsi~v Ave.. St. Peul. MN 55109
Phone (612) 642-0800 ENCLOSE~.
REQUEST_FOR ELECTRICAL INSPECTION ea-ooooi-os.
' Sbe instruc~ions for completirq this form an back of yellow cooV.
" ~5J/d`
~ 3 "'1(" Be/ow Work Covered by 7his Request
Add Nap. TVpe oi 8uiltling Apo~~~~~~s WiraE Equiyment WireA
Home Fange Tem~rary Service
Duplex Water Heater Lic~htinq Fixtures
Ap[. Buildinc~ ~ryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
InAustrial BIAy. Air Conditioner 8ulk Milk Tenk
Farm otner per.~ v Otnor ISnec~~vl
t ni Succify Other n~hi~
ompute lnspection Fee Be/ow
p Fea ServiceEntreneeSixe n Fee Faeders~5u~texders N Fee Circui~s
/2. ~ U l0 200 qm s 0 to 30 Am s t/ 0 tn 30 Am s
Above 200 qinps~ 31 to 100 Ainps /O 31 to 100 Am
Swimming Pool Above 100_Amps Above 100_Ampa
Transiormers Irrigation Booms PartiaL~Other Fee
SignS Special Inspection
S ~ TOTAL FEE
Aertw.ks
Rough-in Dnte .
7 , tha Electn
c.i, 6 ~n:aecw., ne.eey
~ certily Ihet the above
Final 'ns0eetion has been
$ ae.
~MS repuea~ voiE 18 monihe Irom
CITY OF EAGAN ~J~ 13 8 71
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE:454~8100 --~5 a
BUILDING PERMIT Receipt#
To be used tor SF DWG/GAR Est. Value $67,000 Date JliLY 7 ~y 87
SiteAddress , 969 TICONDEROGA TR ~-f OFFICE USE ONLY
12 3 LEXINGTON S UARE onSiteSewage Occupancy R3
Lot BIOCk Sec/Su6. 4 MWCCSystem Zoning R7
Palcel No. 4TH ADD On Site Well Type of Const
City Water 7{ (ACtuaQ ~
a Name ZACHMAN BROTHERS (Allowable) ~
w # of Stories
z Address 4620 W 77TH ST. ,#104 ~engtn 47
o C~ty EDINA phone $93-0755 Depth ~
SF. Total
a Name S~E Footprint S.F.
.o
~a Address APPROVALS FEES
~ City phOne qssessments _ Permit 388•00
WateUSewer _ Surcharge 33.50
w W Name Police _ Plan Reviaw 1 Q!. _ f1Q
ti Fire _ SAC,City inn_no
x - Address
~c~ Engc _ SAC,MWCC 525.00
aw City PhOnB Planner _ WaterConn. 525.D0
~ Councll _ WaterMefer b7-00
I hereby acknowledge th I have hi pp ' n and s e Bldg. Otf. _ Road Unit 4(15 (1~
thattheinformationisco ctand § pc lywith ~a cable APC _ TreatmentPl 1Rn np
State of Minnesota Statu es an 'ty n es. Varience _ Perks
~.,s, Copies
Signature of Permittee ~ TOTaL 2 317. 0
A Building Permit is issued to: OTHERS on the ezpress condition that
all work shall be done in accordance with all p' able State~ Minnpesota Statutes and City of Eagan Ordlnancea
Building Official i~ ,r~ ~
~
~ ~ ~ ~ ~
~ ;
. ~ ~
1987 BQILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PL9NS, 3 CERTIFIC9TBS OF SORVEY, 7 SST OF RNERGY CALCOLATIOHS
NOTE: ADDRESSES FOR CORNfiH LOTS - CONTRACTOR/HOMEORNER MOST DESIGAATE AHICH ADDRESS
IS DESIHED. NO CH9NGES WILL BE 9LLOWED ONCE BQILDING PERMIT IS ISSOED.
MQLTIPLfi DWELLINGS - RBSIDENTIAL REdTAL iR~ITS FOR SALE D~ITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9RE OF SIIRVEY - CFIECI{ iRTH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COPff~IERCZAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2,000 LANDSCAPE BOND -7
~O ( ~ C~t~'~
To Be Used For: ~ Il.j Valuation: ~ l~~() _ Date: ~
~ ~-r-
Site Address r / ~(~~y~'pcQ OFFICE USE ONLY
Lot ~ Block ~ On Site Sewage_ Occupancy
C ~ MWCC System ? Zoning {Z•I
Parcel/Sub ~jc `~flt(~~f'~ On Site Well _ Type of Const ~
~~L-~
Q~ City Water ? CActual)
Owner ~ h f C S (Allowable) Zr
r/ Ik of Stories
Address ~~~Q ~7~ ~~~Y Length 4Z
~ ~~2~ Depth 48
City/Zip Code ~ S.F. Total
Footprint S.F.
Phone ~9,3 - CS 7~~ APPROVALS FEES
Contractor Assessments Permit 3gtg.
Water/Sewer Surcharge ~
Address Police Plan Review ~y 4..
Fire SAC, City I~.
City/Zip Code Engr SAC, MWCC ~
Planner Water Conn ~j
Phone Council Water Meter
Eldg Off Road Unit 305•
Arch. /Engr. /Y~ d!~ PC Treatment Pl
Varianee Parks
Address Copies
TOTAL 3 ~
City/Zip Code
Phone Ik
~
2~P ~ ~ ro~(0 ~ ~ - ~d ~ 20
,
Z2~ 2.0 ~ d~ I 2,
lc~ ~ i~ = fCx~ x v - ~3~v
~ ~ ~a
9~
~ +f j+c ~1'~ 2472 Entc~p~,ir D:~ve
~ P:ONEER Idendnta He~gl~tr_A~N 551?0
~ IYD ~vR~r[ r0~+5. f.IV~~. E'.P•~Cf~+!.
_ _ _ _ _s~
~ Q~QII I1 .G3.. L~~~G VIAYNER'i~~ItiC15CPPE PN[11:'FlTS ~612) 68t-19t4
i
Z A CyMA N BaoT/~EI~S C'oNS r.
Certificate of Survey for:
75.00 ~
~y h s~• +3' O~_'C1~ - -
; ~,Oe' ~ _ _ _ - r NoRrN
~ i
51 ~ /l ,
I
i j ~s
' i
I aq~~ ' 1 , , 99ti.6o
ui r~d - ' ~~'0~
l7.0 40.0 l8.0~ ~ ~
~O i o o ~ ~~n
t O i ~ROpoSED N i O~
i i 4~oUSE i ,~o I
~ N
2.0 22.o I
I ~ I
I ~°(aAR.o ' I I
. ~
Gi'
~ !5_0_ 20.0 2.0-... lB.o ~,;ab'
I I N N I I .g~~tl .
~ q°'~ , ~ 901.2 i
~ t'~.
bti' 1 ~ o
. o~ a ~ \ i
~
Q . ~ - t $9~,6
.
~q~~h o 75.00 ~
.s.c.~99• S.s9°43,o3..E, _n.9a~
9~9 TICO~DEQO~A raAl~
~ 900.0 Denoles exisfin~¢ EIPVation pR+Opo5E0 f%u5F ELfVaTIONS
. soo•o Oenotes proposed flevafron Lowesf Floor Elevaf;on =
-------DrnnfesOraino~efUfiJi yE'asemen{ ~
_--;-DenofesD+'pinaUe Flow A~row Top ot Block flevafion =
Gara~e Slab Elevafion = 901. 2
o Denofes monument ;
Bear~n s shown pfe assumec~ +
~01"17, L4C~C 3 ,LEXIAIGTON SQ(lAl7E.4TNADDIT~aN
DAKOrA COUN7y~ MINNESOTA SuBJECT 70 fASFMENTS OF RfCORD
i herepr cen~~y ~net cnk n a r.ue +ne ronect revese.~ea~~on at a suMV o~ r*e ecu~da•~n o~ enr abo+e bea a~e, ~d W t!x ~acscion o1 ~n
ue q~
pu{ftl.nps. therron. ~nd all vifib~e enraxhments. il any, Iro.~ m on vd taM. As survye0 bY ~ in~tl/d~LWr oI~ A.D. 19ByZ.
J ~ ~
O ~ ;
S^~y/n 1/ICh; ~ ee a..~wT H. S~K~Cw ~ aEG. rv0. 1~s9!
~v r
~70~1 _
_ ~ ~
~3
. ! .
• . _ , ' 4' K /3 39TT
.
f i:l'CR10R E:7V):LOPL iIVIiRr+GE ' U~ CC:91'UiTt1'10:7 S
~ ZACHIr:AN E30S. CONSTRUCTION CO. 4620 1•'est ~7 th St._ Edina, 13n. '
)'.-:I:ER - ~
;17'E )~DDP.ESS . ~
, ZACHI,AN ~tOS CONSTRUCTION DATE G~3~~g~ PllOt.E 893 - 0855 •
~
;~p.7?FV~CTOR
' Dctcrmine tiorking squ~re footagc of each.
Total er.posed r'all arca 7$ sq. ft. X.11 - s Sg
~ 9/2 sq. ft. x.026 - I Z 3. 7/~
2. Total roof/ceiling area _
• A. Total ~+all wind~+ arca.._._---•...-•---•--•-..• ~6,. /S .
8. Tota3 noor azca . . . . . . . . . . . . . . . '3 7• •7^ _
¢o,o•
C. 7ota1 slidiaq glass door area......_.._.-•-•••- _ _
D. Total firepl~ce ~~11 ar.ea ~
E. Total wall fra.-.~iny area [~~eraye 10+t) . _ . . . . . _ s ~ •
/ 60 _o
F. Total Rim ~oist arca.......'... - ' ~Z ~s~ 77
. -
~ G: Total t:et ~~all arca above fioor. • - • ' ' ' ' ' " -
. Total ex~seo_{ov~dation area - $ D, o -
H. Total £cundation wi.do•a arc3 . ~ '
I. Total r~t _°o~n~ation area above grade_..-•-•-•-- S O, s_ •
Detenninc "U° value o: each wall ~~ent:
. a. / o q. /s' x.~~~ .u7 ~ S/. 3 ~
b. 37 7 x,.v~ .137 = S/ G ~
4-Q• a x"u" -55 = 22, o 0
c. - •
. -
. 8- ~ X „U„ ~ 3 .
l 3s• ~ r. .08 ' _ ~ 0. $O
e.
~ f. l~o. o X.~~.. ,0~6 = 7• /3! .
g. ! 2/s. ~Z x:,~., .04~~ ~ sj. Y y
. ' h ~ .55 ° • ~
.
3. ~ o, o a~u~ -"."o/2S a o d
~ ~ ~ . /~~7.7/.; F'.~,',.:..~;:__-' - . . . . . . . .
~ .Total`. a ~ ISS-9o~
3 .'r... , . .
~ ~ .
• ':,t ~`,~:.~s ~`:.'i~ r.;`:;• ; : ~ ~ ~ .
If itrra ~3 i.~tLc~~:+mc as, ur. lcc:s ~ U~an £tc~a A1, y~u L~v~: m. L• ~Cl~c intent oS
: uc unnu (c) ' - . .
i ~ ~
y ~ ~ ~.;n
, ~ ~
~ '
,
. .
~-osed roof/cciling ~rca = / ~ Z
Total c..y -
j. 7'oCal ~k;liolit .rca ~~.0 ~ .
Y.. Tot~l rwf/ccilir.g irar.~i.ng a=ca (aver:yc 10~). Z
f~Z~. ,
1, Total r~ct insi~latcd roof/cciling arca_...._._.
petcr~ni»e "U" vilue for c~ch ro~f/ceilincj se~m^_nt.
j. X ~
. .50 -
q[. z x"u° '03z =-z, f Z
- r.. .
' . $ 26 $ ..~n .025 Z O . S 2
1. X -
O
- - ~ 2 3 , ~ cf-"
._,......._Tot-al
Q..... . -
If tatal of i4 is the sasae as, or less than ~2, you have ;.ut the intent of
SBC EOOb(~)1- .
~Alternate 3~ilding Envelope D~sign
To u:.iiize ti~e'total er.velopc systesa raet7iod, t?~c ~~aluPs ^ctablishe3 =t._ .
cun of i~er.is ''3 2-^-d ='y 5•`"=li r'oc be ieater tba~ i7ie sum of ~t.,as F1 and a2.
9~
. -t 2.
' 1' -
. . ' + 4. -
3. . .
. ; ~ .
- ' _ - .
y
~
•
s-' , . .
Y~.: ~ . r . . ~ . . . • . . • ~ ' ' ~ ~
• ~ ~ .
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, ~ ~a ~~~~~~g
. ~ . . . . . _ .
r:Al,t. 51
rT:~ :~S . . - - ~
.:~11 ~r~a for r-v~tue
G:~ 15t ul c•{•~,1u= Con~.truct ion , . .
Ir.:,c cun::~ruction ir film O.GO
~ 7j1L~~_G? ]
nr `L-_---
~ z .Yp• Soard. .3g
7 Z' 3zn y ::ofr. ~.~~c+A
3~ incl:e - .00~
- Thermax Sheathin
3 9• Hardboard Siding • ~
' S • . ~ : 0.17
~7 6, Exlcrior. .~ir film 12.35
• 1'otal .
IV ~ ~ V •OS
LL . . -I ~ . . • - • .
• ~ . O.G8
FIG. $1 ..TOPVIE;i OF Intc`r1O1 air
f:i._____ .45
"gF;p;fE S;TLL . 2. i" . B°ard 13'.00
3~ R- 13 Fiber lass Ratts r- 6
' ' 4. 3 " Thermax 3heathing_ •62 '
~ 5. 7~
16 Hard~a.~ S•.~i„v
. - , . ` 0.77
I " 6_ y;.teYior air filn ~'~tal 20.97
. ~ u = .0497 _
FIG. ~2 ~ ~I , .
. ---jv
. O.GB
. ~ ~'y_~_~~ . . Interior air £iln 1~_00
g _ 13 Fiberglass ~t~
~ ~;'-'i 1~--r-~~ Z~ p3m Jst. Sofftwood 1•~
• - ~ . , • 3• „ 2hermax Sheathing .00
/
`:V11{ t~.. O. ~ 4• ~ 1 n Aardboard Siding~-~
! S.=at:~C ~i~1~~'~---~• o. Er.terior a 22,40 '7
r's~_sl ~,~1`_~ ~ Total
!a 17.__ -r~~-%- Il.~~~s' U = .0446
. • ' -
~ t`aC~l
O . ~ ' ` v -
~-0 O.G9
t;~ ~ i ~.1, l. Int-crior air f=1m ~`~00
~~i ' • ----~-v ~ - y Thermax Sheathing
•~l-t~i ~ 2• 7 4~ 1~11
. b ° ~ ~ v • 3. * o Conc. ' _ -
.
~:_?SIGT] .
J 1,7. ~ ' ~ • _ 4 .
1 n~0 , ~;._~r~~ 5. ^ 0.17
g. Eatcrior ~ `ilso
j ~ 'r' ~ r ~ ~ . • _ .1 r TcCal M1, 7. 9
G -
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t
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- - -
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~ • /\V~T/l~'lT~~:~V . • ~.\a• .
1~' • ~l~-V~~~l~~ •
~ Con~Cr.uctio» (Ucc fot Ttem L) `
~j/;
G . - . ~
~ 1. Intcrior ~ir Cilm
~~''i% 3 2. s7gn Gvp Board ~9
~ ~1}~1 3. i " ~1~Iose ~o~.-- -----~DO'
1 ~'C%1
~ I~ ~I I11`~„!-.I~I,j 4. F.>:Lcrior :~ir film (e:t:ill)
~,,~I ~ l ~ 9 ~ .
C!~ ~!~~fi~~1iilif1~ll•~_~ Total 3 .0
. ,
v-~: r ; ' , _ ~ ~ . ' u = ozs _ ~
~-0 ~ ~ ~ ~ . .
CLG. FRi+~•tiT:G([Tse for Ztem K) '
_nted 1;~~~ f~~w 1. Intcrior Air film. O.G1
up . -
2. 5~$" Gyp• &~ard .69
- . ~ 4.38
• 3. incl~~s soft ~:ood 3 z°
FIG. 'v5 ~ . 4. Snches insul ~bove framing 6 i~ 24•98
. 5. Air Film O.G1
• • ' - 3~Jt~l 31.29
~ - - - _~<3~ - - II = ,03~ " -
;•~_r. -
~,.e7•^e.i_~ sr:~.:ti.^.._%--___ . . r '
---1 .
~ ~ i/~ l. Snterior air film O.G1
I~ ~}r ~1~~n'+'~~1( ~ 2. ~ -
f~~'11~)'1`t"'i''t~ ~~~~'?~(~~i~~~J,1i'1 - 3~ -
~ (`t~~ ) _ . q. Er.terior air fiZm (still) [1.61
- , ' . Total
. 1 2 ' . . - - ' - '
~ .
. ven[ed `
1?e~t ;lo+~ up • . _ .
. - .
• FIG. ~6 . . _ - •
~ . 3 ~ a 1.- 7n,idc air film- - O.Gl_ .
2.
:i=t-~-~:5--,::•: 's.
• ~ - - ~
;~,,:~s~~'-'•'~--=--~=~'~~ a. -
'....t: S. OuL:idc air fil:n - 0.17,
~~1-°;%-::_: j
~ j - . .tei-al
: 7i - • ' . . .
l~~/ ~ ~
~~--:i~~, i ~ ~ .
, ,
~ • ~ ,i:o_Lcq l~_c a:1:li~3oni] ::h~v:CS if ~rain: ~j+e:c is
• • M }:0::-\~'r.::iEO -_t-' ' ' . ~:eerla1 fnr drtiiL•: and c.~lcnl:,l•iun.^..
. • , . .
~ ' ticnt ,e_. _ _ . . . .
_ ~ ; i• • . . .
~ . ~ ~ fluy up' .
• . ~ _
. . ~i~g~~
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
! i ,
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEAGY ~ALCULATIONS
NOTE: ADDRESSES FOR CORNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PENMIT IS ISSUED.
MULTIPLE DWELLZNGS RENTAL UNITS FOR SALE UNITS $ OF UNIT3
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COI~IERCIAL ~
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~,~N ~/4fp~s
-~r~~q`
To Be Used For: a C~ Valuation: Date:
Site Address /~o '~l ~GO ~ d e~a7.¢ f!. OFFICE USE ONLY
i
Lot ~ Z Bloek ~ On site sewage_ Oceupancy
I~EdCC system Zoning
Pareel/Su On site well Aetual Const
/ City water Allowahle
Owner ~ hOn • V ~ PRV required _ # of stories
e~/ / Booster Pump _ Length
Address lC~y ~~~o-~~~e~ /q; l Depth
S.F. Total
CitylZip Code c~~g s R'G.-. ~n S.~/23 Footprint S.F.
Phone Y D 3 y~, APPROVALS FEES
~ m t,
Contractor ~ w.~-.. Engr/Assesa Permit ~ G
Planner Surcharge
Address Council Plan Rev3ew
Bldg. OPf. '~7~6/ZgSAC, City
City/2ip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
~ TOTAL
City/Zip Code
Phone U
~ ' y '9 ( ~i
t F ~
~ n. . 'l ~ , . . . . . , ' - . 111{ 1. i,~''. .
il:,t~l(.~."~t;Cj ~ c'~
i ' II ~b~ J fl:.i .
~ , : ~r `'c I, -
. ~ c~ ~;~,a N B~oTI~F~s CoNS r.
Cr~r;t care o( Survey fon...__-----_
_ l 5. ~'1~ ,
~
~ ; . .
- NORi'N
4 ~ /
~
i4
p~ye ~ ~
/ /
/iv ~ ~~%~h .
I
~ 11 n~ '
l~'
-i'O ' i].; i~'..I~ iO ^ ~
i ~
`aO ' ~ PROpOSED O ~
`:M ~IOUSE ,
r~ ~,r
~ •
c C,AR.
N e ~C .
~ ~ 'c^.^ j2.? _
~4 - ` _
a~' ~ u:
~ ~ ~ ' _ /
G~•' ~ ' R I~---~ ,
',~C ' ~ W ~ ~ , c.
i ~ ~ ,
~ C b
~ °I_ _ . ~^n
t
i ol ~ i ' t J~~~rG
~ _ .
i A.~°;~h pI~ _ 7p5.00 '
i /`:Ol,'` j.J'7~M~ J) E. ~ IC~IS..
[ l. ~
! TCONOEQo~A 7~RA1 L ~
;
;
i• 900.o DPnoles exisfin~, ElPVat;on PR~CX~OSED NDUSF ELEVATIONS ~
! ~ soo.o Denofes P~oPosed ElevaNoR ~
~ Lowesf Floor flevafion = '
~ '------D~ofesDrvma~eiUfili yE~osemenf
Denofes Droinav¢e Flow A~row Top of 81oc(~ Elevolion
' Gara Slob Elevafion = _ 9~~.2
I o Denofes ~nonument .~'P -
i Bear~n s shown O~e asscimec~
" LOT' 12, LOC~ 3, LFXING7"oN ~UQaE 4 ryAo~ITIaN
~ DAKOrq COUNTy~ MINNESOlA $UBJFCj TO EASFMENTS OF RFCORp
~ 1 Fe•.bvi cert~,y rnnt tn'~s is a;rur a~d cmrec• ,ep•....,, ~e- o~. c' a:ai..-~ e~t Dvv~.:e~.e~ e! tnr st.o~~~e (W~jtc~~5en :a~~0/~ j~,..~tl~ o~ tne t~Kr..n'~p o~! s;1
i L~~u,n~ .h~~eo^. ann Y~~ .~~~b:e ~nron~ hmr.ts •.e~^ o~ o- u-s .:^.7 Ai s..+n•.; e•~.4~31_tla~ o'_~SLY~~_ AD. tye,~;__.
. i~
~ ' ~ ;./l, ,
~ . 2 : / / ~
~ .Scale :1 ~nch : .J Q ~ et ~L~-:~ ~ - ` ~'~2r~i
I :
-~.,L
M' CEAT e. 5~..~C.• i_ 5 c,.: nc ~sra~
~ . / .
~ - - - - - - I~
- - - - - - - -
~ - - - - -
- - - - - - ,
- - ` ~
- N ' Z
- - ~ - - ~ -
~
- - - - - ~
- - - - - - - - - ~ - q - - ~ - - -
~
- - - -
~ o
- - - - - - - - - - - - -
~ '
- - - - - - - - - - - - -
~
~
- - - - - - :
- - - - - - - - -
ti
- - - i -
_ - - - - - - - - - - - - . .
, Z~
_
~
, - ; - -
; -
- - . . _ _ ,
- ~
~
- - - , - -
_
- - - ,
_ ~ -
- - - - . ; .
,
~ y- , . ~ * , ri
~.c~v,~ , ~ i ~ i ~
~h,g~' ~ ~ C~I ~!'Y O F' E A G A iV I, * a~ic~i~
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s~~
' ~ I~ ~ oF p~rsr ~ ~
- APPLIC ~TION FOR~ PERMIT ~ ' ~ ~ ~
~ i~ ~,,n~~rioN oF sF.:s~x nrn/t~t~~, s.
~ ~ ~ ~rnr.rami0~1S wII.L r70ir
~ SEWER AND%OR WATER CONNECTION ~ ~ U~ ~T, ~ ~~`a `
~ x~ ~ ``,~i~~a .
. I. • . APPItOVID.
. I ° _ ~ r`~4
. , ~ I. ~ , ~ µ ' . r ~
. r_~ip+"~~'~ ~ ~i ~ ~ ~ ***irie****ir*** **iriF***###~*#t***~..~ '
f~
~
4*~;~~,+~ • ~ P ease Print
«N, ; ~ ~ ~ : r
1)~',~PROPERTY ADDRESS: ~~~~l.~~np~yp, `~Q , p
~ : . , ~
~ _~~.'~LEGAL'DESCRIPTION ?'c7 .3 q'~/ S9 T'
d~3 Lot B ock Subdivisio or °a~ Parce ID
~~r.,~ ' , , " • I t :
a ~ r~~~
_ ~~y;,~ IF.~E7CISTING 51RLY.`i(7RE, .DATE OF ORZGINAL BL~II,DIIV~ PERMIT ISSL'ANCE:
r ~'-3`~'fi^'~~`'" : ~ . , : ~ . , ~ ~ Nbn Year
>~t ~PRE$EN!'. 7ANING/PROPOSID LSE;: ~ n = f-~`~ ~ i' ~
, ~~;1: ~ ; l i~ ~ ~ I ~ee~ft ' ~ 'i?
" ~~CIr1L/RETAIL/OFFICE ' ' R-1 SINCLE. FAMILY ' i ~ ~ i~~ .
- a~~~, ,Y' ''srxIAi, I~ ; ~
-2 no 'PT.Ex c~ao ,Oni.ts) -
I~ 't I 1~` ~~p~~-
n~ZNSTZZL~TIONAL/GOVFI2I~,'[S~ ~ R-3 ROWAIIIOL~SE (Three + Units) ( []mtsr'
e~t . j{ ~ ' . i~I~~ ~ ~ i~'
r ,'~,1 1~_ ' , ~ , ' ~ R-4 APARIS~]'P/COI~IDOMiIQIL1M Lhii
~ q .
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~~SM'F: NAMEE: J Y .
~ ~S d~ ~ ' ' I ~~i Y
~DRE'.cist ~ . . . ' i~J y F.
` ,{a...
,
CITYy STATE. ZIP: ; , ,~~n,~`
' ~ i
~~Z9~"~ ` . 5~ .
PH~: r : i a~ ,~b:~
' c
I. 7~ ~ ~ . i . ~ . ~ ~ FOL ~L'.1~ .52
NAh~; ~/Y~~ ~.C) ~ ~~iU~ Pltunbers.I.fcense•
F I< <
~ACt1VE
i''ADDRESS: ~ ~ ,
; k4 ~ . i . . .
~CITY; 5TP.TE. ZIP,: . • Nptf, :
~ F
PHONE• ~ MASTER LICENSE#. /VI Z~~ ~ ~ •
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, ; ~ADDRESS: C~ ,
~~t . ~ .
> CIY,Y~ STATE. ZIP: ~ Ci<' ~ ~ u ~ ~ , , ' . , ' • I ' 3~ a.
~ ,
y,~~,: Pxor~: ~3 - 07 S ' E
,
, , 5,-' ~ 'i ~ ~ ~ ' ~ ~ ~~~i~
~J~ I~~ ~I M7 •91' ~ •y~ 7~i i1.~4. '~I ' ~ i~ , ,;~~~1 ~a..
~ ~ I~ ~I ~ I ~ . . .
N[~ff]CPION 7D. GITY SEWFR~
NNDC.RION TO CITY WATER OTfIER '
~ ~ ' ~I ~ ' t~-
r',~~,i I i I ' ~ . ,,,.Y~
6)r ~ i• Q PLEASE H07,D APPROVEEV PERMIT FY)R PICK-UP~ BY ONE OF ABOVE .`:t ~ i~~•
~ , ~ V ;
PIEASE MAIL'APPROVID PERMIT 7~0 1. 2. 3: ~4: AH~1E , l~~~`~
~ ? , ~ . ~
,.I~ r~
~y ~ ~.I (~le one)
i o~ ~ I II
„rs...~:.., i c~j v/Y'~_', Qa' 17 ~4•
I'Y ~IC,lAM/~ ' ~ ~ .4~ ~ ~ !`7` / {1~„
~ ~
'ti' • ' r ~ , r a ia~ • n • •o~
• h M • i. ~ MO • •.tlD~ 1 1 1 ~P ~ N y1' • ? ~ - ~ • ~~,•;~y'~
~ ~ ~ i- ~ . i' , 1 ~ ~ ~ ' ~ ~ ~ ~ ~
~ m:
, .
j,';.,; , ~.:,r
_ ~ rOR CITY USE ONLY
i;},..yPERMIT # ISSL'E~ ' , '
~ ~ r ~ ,
t:~,_ /Dy7 -
Tk'~4-.,~i . ~ .
~.'~6 Pd w/B1'dg. Permit FEES: - '
4 ~ '
S~'- $ 1C ' SZ SEWER PERMST (INCL~,DE SURCHARGE)
~ z`$ S ~(J - S~ WATER PERMIT ( INCLLDE SORCHARGE )
.tn~..~ ~:.t,.
' ~ 7'UZ7 $ WATER METER/COPPERHORN/OL'TSIDE READER4 F:~:
„ ~
~ S WATER TAP (INCLC'DE CORPORATION STOP) 4~,;~
3 ;
E ' ~ S $ SEWER TAP ~A~~~>~~`
' V i . . ' Y~i+,.."~[H
' i S ~S• C~`~ ACCOUNT DEPOSIT - SEWER ~
I . . - . . , , , , ~.e
,^.t . , , , . ~.':°,,~'r~~,~.
$ $ /~j •C''~ ACCOL~NT DEPOSIT - WATER .
~
, .S O 'd $ WAC ' ~
s G2_.~ s SA~ . ~
' $ TRLNK WATER ASSESSMENT
;
::i..;
S ~ TRCNK SEWER ASSESSMENT
~ A. i$ S • LATERAL BENEFIT/TRC'NK SEWER ,.:~`.i;`.
. ~
$ LATERAL SENEFIT/TRL~NK WATER i'°a>
r ' I
: - ; . :r-<
c:~~: ' • a ~U ,
~~t~''`~ ~~I~ $ WATER TREATMENT PLANT SLRCHARGE
r~;.~~ ~
+:;,Tj;,,S r ~
, gs,,, $ OTAER : `
+ ~ ' ~'3 / 7 ' U-d $ dZ7 TOTAL ~
~ ~ k
a..- .'7~7_~~ 7~7/~''
•kSCEIP'P kECEiPT ~ ~ ~
~'~'~4-DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
n
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
~ ROADWAY" MUST BE ISSLED BY THE ENGINEERING '
~Q; , ~ NO DIVISION. LIST AS A CONDITION. ,..t p}~;5
SUBJECT TO THE FOLLOWING CONDITIONS:
; :
~~41 . . i ~W
t~(~~ . .
~ ~ APPROVED BY: ~~t__~,Z_FJ ~~-~L~o
?
t;:N::' . TITLE:: i . . .
i~ i..
{ ~;~^r,-;' : i DATE: C/ ~ .
,
f. I
`~7L i ~~c ~;.t{iu~.~. ~jn,
~ ~.'~i 1 l l :/`~~'v~.-~: ~ ;'•i.rtic.4
. . ~ ~J, ~ ' --7 HEAT LOSS CALCULATION ° rtEMP. DIFF. ~
~'~O^~ ~^M --L~~"-}- TVM Co~M?uction '
CitY - Windows Stdm Snh .
O«Mr N~me . W~IIt . Im.
Shw1 Gilirq ~ ~Im.
Ciq 2b19 C00'N FZA- I a . F~
5 3
fl.l Roomllen th Width H~i t ~ FI.I ~ Room~l h WidM
Win~fowf and Doors-Gackaps snd Arr Window~ ~nd'Doors-G~dcp~ ~nd Arr ~ ~
wmm w.qn~ Ne. e~ ; llwl r~. ~n~ w.n~ wyM we. w L1w1 It ~1.r ~
qo nr wh e~ m~w L~ nb a1 a~e~ . h. Ne• W n~ el ~n~ ~ b N r~e~ M. N. '
( J... ~ _ L .
Cwf. Btu CoN. Btu
IntJtrslion Q ~ 3 I~filtrstion . ~
Gl~u ~j 1 Glm gcl. c3 a ' .
Eap. wall~ ~ Exp. wall . . ~ .
Nat eMp. wall ~ . Nst ~~p. wall (p. ~ .
Int. wall ' 1 Q lot. wall -
Ceiling Cailinq . a, ~
Fbor ' ~ Floa ~
Toul Btu. Totsl 8tu. ~
~ FI.1 ~~V RoomlLaqth ~I Width (a. H~i t g il.l floom~L A Wid1~ ~j /Ni t
Windows snd DuwrGsckage and !uM ~ Windows and Doort-G~ekap~ ad Mr .
w~n.n H.qn~ No. m Liew1 M. wrN w~mn wyn~ Ne. a 4Anr1 N. ~n~
Ne e~ n~ ol ~ry L ~p OI i~KY A. II. Ne. 01 ~n~ al 1w L b N NIt~ ?
a ~g ~
Cwf. etu CoN. Btu
In/ipratbn '1 d aS Iniihntion
Glan a~pd, Glau
EMp. wall Exp. wall ~ .
N~h erp. wsll an (p ~a Net exp~vwll Q~ .
Int. ws11 ' Int. wall
ce~i~~y a ~ d c~~u~y _~..x
? i«n F row " ~
Tnta~ Btu. ~'1 Total Btu. ' ~ 3
<;
~ Lfl.l ("~1n RoomlLe~gth Width FMi t FI.I ~ Room~L~n ~h WidM ~ Md t~_,
Wm~M~ws ~nA Daors-Gackage ~nd Ar~ Wirdnwt aM Doon-G~du~ wd Arw
wq~~ ~i~ Ne. M LF~YI /t. ~w
M.• M~~wrn wry.l Noa~ L~~I11. A~M . IS~~ ,
.r~ ~uw. nl p~ns L M 01 CrY~ . N. cJ~c N N l N . N.
"~c? a
l~`~5~
co.r. ew ew
Inldtntan ~ Inlihntqn ~ a,~ 3 -
G4u G~ ~ ~ ~
Eap. wNl Eap. wdl - .
Nw t~p. wall ~ ~ S N~1 exP. wall 7 i
Int. vw11 ~ Int. w~ll ~ ~ .
~I~~ Gilitq
Flon F~°°r ~
Toql Btu. Totrl 8tu.
t
" :i
.'1
, , J HEAT LOSS CALCULATION ° YEMP. DIFF.
• c.~om« wm. Tw. co~a~ 'c
`i'"' Winabw~ S~amS~ ~
o.d. N.m.. .ATinIC~ R, wN~. . ~m.
~ ~ II I' ~diNCi 11U^ °~~s
StrM _ Gilf~p Iro.
~ ~7*~~7I~37~CU~-N PAPt~S E~EVB. Fb"' ~
FI.I Roomlyvv
L b Wideh M~ t FI.I Raomll A Widlh
Win~bws and Doon-Gsckag~ and ArN Window~ ~nd Doon-G~duy~ md ArN
w.mn «.qm No. e~ ~ L~nrl h. M~ wbM MNM~ Ne. M LIn~N 1.. ~w ' ~ t•
Me n1 1Y e1 pw L U ei CI~e~ . h. Ne. 01 W M L H~HS~ Y4 H. ' . . _„'Y;
1 . ~
~ ' , . ~ *•.1
. r.0~~. 8TY r.0~~• 0111
Infiltrition a, 3 Infiltration ~ .
G4s ~ Gl~a
Erp. walf Exp. rrsll ~
,
, Net e~p. wan lp ~ Net ~xp. wall
Inl. wall • Int. wtll ~ s,,;
Ceiling ~ ~p Ceilirq .
floor ~ flow ~
- ToulBtu. Totd Btu.
FIJ ~ i NoomlLmptb Width H~i t FI.~ Rooml~~h WW~h N~i t
Windows Duors-Gadug~ and ArN ~ Windows and Doors-Gxkap~ ~nd ArM
NM~n M~.~n~ Mo 01 liwrllt. ArM ~ NIM~ M~1~1~1 Ne.01 Lln~lh. .
MO e~ M ol q l b e~ eHi~ i. N, 1 NO• PI IM N M L ~1 11. . .
a;? -
~-1 `731
co.r. e~~ oo.c s~~
Infiftrstion loliltntion ~ ,
GWt G4n
E¦p.wsu - Exa.nnll ' .
Net erp. wsll NM exp~vwll $ ~
Inl. wall ~ ' Int. wall ~
Ceihrg ~ ' ~ Ceiling r] ~ i..,
F IoM f loot .
Tnt~l BIu. Total Btu. ' ' "
R.I Room I Lni h Width ?Mi t FI.~ Roan ~ Lwqlh WidM H~ t'
WmMws am1 Doors-Gackps snd ArM Window~ ~nd Doas-G~dcp~ ~nd Arr
W~~1~n H.~M~ No e~ 1~~11~. A~M N~. WMM~ M~NM MO.O~ LMNIti. ~ N.
N~• ni MM L M O/ CI~L~ . I\. OI M ti L p N
COf1, BSY COM' OlY
Inhltntwn InliMntMn ~
G4~s Glws
Ea wNl "
Exa.
wdl P. , s;
N~t fMD. Will N~1 ~sP. walt ' .
Int. wall~ IM. Wdl
Ceiing, Gilirq '
Y
Flwr . FIOOr ~ " ~s.
Toul BIU. ~ Toul Btu. • ~
'
, -z
BLDG: PERMIT N0. '~7~ ~
_ _ _ _ -
' i , ~ - '
. _
01-3210 Bld'g. Petmit J,`., ~
01-3422 Plan Check " ~ ~
01-344~ Surch. /Adm. ~ 7
01-3446 SAC/Adm. - ~ r
01-2155 Surcharge ~
17-3860 Road Unit J'- ti~<~
20-2275 SAC ~ ~ 7 `
20-3865 Water Conn. ~ ~
2Q-38b8 Water Trmt. '~S ~J
20-3716 Water Meter ~ "
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL = - •
° ' CASH RECEIPT
CITY 4F EAGAN
• 383Q PILOT KNOB ROAD
~ EAGAN, MINNESOTA 55122
. i . __l ;
DATE ' 19
. ~
~eesrvso ,
FROM -
AMOUNT $ I
. ~ ~
6 DOLLARS
tao
? CASN CHECK
ro w ~ ~I
I
- - ,
RUNO CODE ANOUNT
Thank You
BY
White-Payen Copy
Yellow-Pottiny CopY
Pink-File Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 969 Ticonderoga Tr
Lot: 12 Block: 3 Addition: Lexington Square 4th
PID:10- 45078- 120 -03
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Valuation: 2,570.00
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Brian Welke
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Debra E Rosenthal
969 Ticonderoga Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA079302
08/14/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 969 Ticonderoga Tr
Lot: 12 Block: 3 Addition: Lexington Square 4th
PID:10- 45078- 120 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
ctures are not acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Debra E Rosenthal
969 Ticonderoga Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA079505
08/29/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651}675-5675 � �
Fax: (651) 675-5694 , I Staff: �
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2015 RESIDENTIAL BUILDING PEA,MIT APPLICATION
Date: ���' �� Site Address: L 6� %� G oN be.�Z p L�,pi `�Qp��. Unit#:
Name: �=- � ��S L���{� � Phone:��l�,�d� 3'-�.�
Address/City/Zip: ��� T/ C vNp E�2.eLsII��-- ` �Q,RIlL �I j�rlQ� S�S�/2
Appiicant is: Owner , l' Contractor
Description of work: �t-'P��� �%'��'��E ���
Construction Cost: _ � ��2 �• �l� DAulti-Family Building: (Yes /No�
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Company: �G""�� C �t"y C����'� ���Contact:-.��� S�ro�?6�4c�� v�
Address:_f b�� ���� Rv� �p , _City: l�0 �S
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State:� p• maiL• �
�icense#: �.3� 3 �����ead Certificabe#: t'V!�f 7 Z 3 7 3-)
If the project is exempt from lead certlfication, please explain why: (see Page 3 for additional information)
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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:
� �
8 �
CALL BEFORE YOU DIG. CaN Gopher State One Calt at(651)454-0002 for protecticm against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilftles. www.aonherstateonecall.oig
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 af 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. . 1
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ApplicanYs Printed Name Applicant's Signature
' Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154974
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 969 Ticonderoga Tr
Lot:12 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Debra E Rosenthal
969 Ticonderoga Tr
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168459
Date Issued:04/21/2021
Permit Category:ePermit
Site Address: 969 Ticonderoga Tr
Lot:12 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Debra E Rosenthal
969 Ticonderoga Trl
Saint Paul MN 55123--150
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173235
Date Issued:11/04/2021
Permit Category:ePermit
Site Address: 969 Ticonderoga Tr
Lot:12 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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:
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 -
Debra E Rosenthal
969 Ticonderoga Trl
Saint Paul MN 55123--150
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature