970 Ticonderoga TrEC D
()CI L',°
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
o,Cftcel
Permit #:
Permit Fee:
c/0. 5()
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
RESIDENT/OWNER
Name: ki2A/4A1 Phone: 69.57 `d F6
Address / City / Zip: Q7.0 ( o h Q e rc a, -77a..'i (
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: cti 7-! v'u. rx-i- i l �\ C' -c -t -a. ✓I t& // f S--e�S'
o4%
Construction Cost: QV Multi -Family Building: (Yes / No /\)
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit 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.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 i'A►J lv(_ kAA--P/
Applicant's Printed Name
ApplicCRan s ignature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
_Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Meter Size:
Reviewed By: 14; ie__ L =
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Siding _ Demolish Building*
_ Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
12 3
2067 f'1/(56G
f2/
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
✓Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
411/1° Qty of
3830 Pllot Knob Road
Eagan MN 65122
Phone: (651) 676-5575
Fax: (651) 673-5694
FleSCEIVED
OCT 1 8 2010
1 -ax
UCt. MU mums nmiiuv
UDR BLUE or BLACK kik
Para Fen
Ogee Remade*
SON:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
ontir /49,6C/N sub Address: 9Z? 7ice,A2e,ND,A - Fi%/9-Ai
Tenant Waal:
RESIDENT /Molex
Name: era il--N Phone: 905- — 9 63 I
Address 1 city i 4z WO °'7i5 7,--1` - 5-75-1 a...7
Appierint is: theme 14-orikad1r
— ......
TYPE OF INOFtK
.
es r
Description ot work Rir...... i int e k4c.,‘..ts-e.
COrtitruGbon Co st /i 000 . MuNi-Fandi Building (Yes I No
/
cormoroN
Name: II, 'WA I\ k r,c-60-4:::te.r-S license a 2051 4/5Z3
mike= 5-6as- NEAL_Aft).0z2di air STCLA,c4)0Cr et,
statel"') ap: S- Se) 6Z--- Phone: 6-S-1 - 14 9 r - 6 SC43
Contact ..a/?Lc-Emet PHOEN6C- a ctiLlir r 1"6t%1 , cPv
COMPLETE
In Use teat 12 Mend*, has
Yee W ye&
THIS AREA ONLY F CONSTRUCTING A NEW BUILDING
the City of Eagan issmd * pent* for a Molar plan bared am *maim Om?
dole end address al ntaalar plan:
_No
Licensed Plumber: Phone;
mechanical Cantracter; Phone:
Sewer & Wafer Contractor:
Phone:
4 , .TEOlona find supporting 4kIcuments eat yaw =dog* ass consIdemd le be pubic i Iformendiam PostiOns: ::
.:;. .7;tb#:fit,Mititt,urr heir), Ira (*smiled alt isonimpbEc a rroa peovidlt speciliciraseitit ONO
: • : alealldlli swim sof barna swigs. -- . - - - • - • - • -1' f --
CALL BEFORE YOU DlG. Call Gopher Stale Oile Call et (151)464-0162 tor molecfmn against undeayound Wily damage,
Cali 48 hours before you intend 10 dig b receive bcales of undoground eddies. vtoraraoofierstelsonecalLogt
Ilona, adeno Mat this Mfonnslion is cordite and socuralK MN Me work vail be in conformer= WO Dra ortnances ard code" of the Cay al
Elden that 1 &Weiland This a not a wet out on so appicallon for • paint and von Is rid to siert wined a pewit Me lave work vie be in
119xxxdonce %All tie approved penal the ceie of raw each vaddes a naive end appeural of
A *(2,4A -CE. V* (A-ttrel- 27,
ApplIcanrs Prinied Name
Pagel of 2
' s T
I~,EACTIVATED FOR DECK 6/19/89 CITY OF EAGAN
THOMAS STRD 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' ~~~'~1 ~
68 ~-231d` PHO N E: 454-8100
BUILDING PERMIT Receipt#
To be us~d~or ~i~~~'~ Est. Value Date i~~r:~:~~ , 19
Site Ad¢ress ~Ir~~~~~~ ~~-F OFFICE USE ONLY
I.EXI?~GTJA~ St~~iAit~ On Site Sewage occ~pancy '
~ Lot L Block ` Sec/Sub.
, MWCC System Zoning ~ 1
Parcel No. On Site weli (Actual?Const ~n
4;ii.~.~Li~Ci ;1.rtP CiryWater ~ IAllowahle) ~t~ti
a Name
z Address 1:.Yi;•'?~.:.`. AYE St7 PRV Required # of Stories `h
~ Cit r~~' PhOne 8gi"~1~~' Booster Pump Length ~
Y
Depth
, a Name ' ' S.F. Total
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
t~ " 4
.G~.~
~ ¢ Engr./Assess. _ Permit
yVj W Name 1~Y p4
~ Z Planner Surcharge •
Address 252.t10
s W City PhOne Council Plan Review
BIdg.Off. SAGCity 1~*~
I hereby acknowledge that I have read this application and state thal the Variance SAC, MWCC 3~• ~
information is correct and agree to comply with all applicable State of Water Conn. s-~+~• ~
Minnesota Statutes and C~fy of Eagan Ordinances. Water Meter V r•~
Signature of Permittee - Road Unit 3~S.Ot3
A Building Permil is issued to: ~~~'~h ~'`~us.~~s ~iQE~'~ Treatment P1 '~i?L_[l(1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL SQ~"~' ~
Building OffiCial _ _ _
Permit No. Permit Hold~r Date TNephone fk
•Plumbing ~L- l f r ~ l`: ~xL~~' ~~.l~c~i
~ ,~~':a~-</ C~ ~3J~ 'L'.~'/J-~" ~~-/~g
H.V.aC. .(0 ~ 71 ~t~ L~ae o~.,, I~-~, ~
r ; ~ //~7 5 /
Electric ~ ; ~ /a- ~ ~ ~
~9a~ ' ~a~ ~
Softener
Inspection Date Insp. Comments
Footings I ,
; . ~ '
Footings II
Foundation ~ 6 -~~i,~~'
Framing /7
Roofing
Rough Plbg. " i = -S-g`
Rough Htg. ~ 3 sj P g
Isul. 5 ~
Fireplace
Finat Htg. ~y.g
Final Pibg. ~y_~-
Bldg. Final
Cert. Occ. ~ ,
Temp. LP
Deck Ftg. ~
Deck Final /1 f~
Well
Pr. Disp.
, , / PERMIT # % ~ I ~ !
, . PLllMBING PERMIT RECEIPT #
~ CITY OF EAGAN ~
3830 PILOT KNOB R~AD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Mult. Add-on
~ Name ' Comm. Repair
m
<.g Address ~ ' ` • Other
c City ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
~ Water Closet - $3.00 s
~ Name ~ Bath Tubs - $3.Q0 -
3 Address i ~ ~ ~~avatory - $3.00
p City ; ~ ' ' ~ ~ : Phone Shower - $3.00
~_Ki!chen Sink - $3.00 `
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 19b OF CONTFiACT FEE -LLaundry Tray -$3.00
APT. BLOGS - COMM RATE APPLIES _~Floor Drains -$1.50
TOWNHOUSE 8 CONOO - RES. RATE APPLIES ~ Water Heater -$1.50 _
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ~_Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMin
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - 510.00
Private Disp. - $tO.OQ
' Rough Openings - $1.50
SIGNATURE OF PEFiMITTEE ' FEE: ~+~~~~~y ~
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: ~y~C
_ , ? z
• ~ ~ ~
• ' ,.~+y~,... -
.
~ ~~ertt#ir~t~ ~f (~rr~t~~~r~ , .
.
~itp of ~agan :
~F~t~l"~ttPttt ~ ~ilttl~tri~ ,~tt8~1Pt'~iplt
This Certificate issued pursuan~ to the requiremenis of Section 306 of the Uniform Building
Code cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.~
use c~eciuon SF DHR'/CAR swg. Per~t wo. 15849
o~~a~r iYae R3/M l ~ p;~,;a R l r~ c~:c. ~
o,mer ot e~ ~TIi~ H(XJSIl~IG A~ 8901 ~ZYPIDAIE AVE 90 S[M;1N
970 TI~IIJ~tO('aP, TItAIL L2, , IEXIl~DDN 9C21IARE 4gI
' Builtling Address . r L.acality
~ 1
~ ~f:;~; ~ _ , y ~ ~r~} o~. ,C~ Date: ~ 7. ~ ~9
Bu~ing
POST IN A CONSPICUOUS PLACE
. _ . . . - - . - " _ . . - '
. - - _
CITY dF EAGA
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512~
PHO N E: 454-8100
BUILDING PERMIT Receipt #
To be used for b~ Est. Value Date ~'~~~'~f~ ,~g FR
Site Address 97 T?.GO!lfDSRDGJ? T~?IL OFFICE USE ONLY
? 4 GEXY~'GiY3N SQUAFtE On Site Sewage Occupancy :;s
Lot Block Sec/Sub.
MWCC System x Zoning p'~
Parcel No. On Site We~l {Actual~ Const Un
City Water x (Allowable) ~~T~
a Name ~^~T~g r~aUSII~G CO~
Z AddrBSS ~~l LY1~IDAI.t3 AVE SO PRV Required ~ of Storles c
o City B~~~ Phone 8$~~916C BoosterPump ~ength
Depth ~
, o Namq S.F. Total
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
~ 502.00
~ a Engr./Assess. Permit
W Name 4I.00
W y~
r Planner Surcharge
Address 2gf,pp
`W City PhOne Council Plan Review
Bldg. Off. SAC, City 1~•~
Variance SAC, MWCC 5~•~
I hereby acknowledge that I have read thls application and state that the s~a. ~
- inlormation is correct and agree to compiy with all applicable State of Water Conn.
Minnesota Statutes and Cit'y of Eagan Ordinances. ~
~ „r-,, Water Meter •
Signature of Permittee'_T_ ~ f Road Unit 325.~
' A Building Permit is issued to: ~~~~4 }•~~sI~~G Treatment P1 2nd+-f~
on She express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~~~a
TOTAL
Building Official -
. . . . . . 1 ' , .
' , PERMIT # ~ ` ' ~ ~
• ' MECHANICAL PERMIT RECEIPT # ~y~ ~ ~ f~
~ CITY OF EAGAN '
G 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE i~?
CONTRACT PRIGE O(Jv~ PHONE: 454-8100 For Office Use Only:
Site Address f J:'' - ~ ~J~' ,
BLDG. TYPE~ WORK DESCRIPTION
Lot ~ Block Sec/Sub Res. ? New
~ . , r ~ . . , Mult Add-on
Name Comm. Repair
Address • ~ Lti
~ City , r~,~ Phone _ o Other
' ~ ~ ~ FEES
~ Name ~ j~~-~ RES. HVAC 0-1p0 M BTU -$24.p0
~ Address ~x(1~~ ti`%r~< ~ ~ ADDITIONAL 50 M BTU - 6.00
3 ~ P~~e .1 - j,: (RES. HVAC INCLUDES A/C ON NEW
~ C~~ CONSTRUCTION)
r GA5 OUTLETS {MINIMUM - 1 PER PERMITJ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 14U OF CONTRACT FEE
Forced Air M BTU r~' y APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ COM~OS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL AaD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.~0
5TATE SURCHARGE PER PERMIT - .50
Vent CFM ~ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ~i . =r-~ BEYOND $1,0~0)
Other = - -
FEE: _ _ - ~/L~
- SIGNATURE OF PERMITTEE
S/C:
`
TOTAL: FOR: CITY OF EAGAN
. . . -o.~e~r~+Sf~""TEi~6~'~"~'. . y+~llR+~~~-,~~ _ . . . . .n_,.ti'~Pl'~$9
. S~I~~' Y~?': ~:98~t; _ _ 's
MECHANICAL PERMIT „u.,~~ ,:1~- For City Use Only
CITY OF EAGAN ~ PERMIT # ~ ~ ;
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
DATE PHONE 454-8100 DATE: ~ s ~
Site Address ~ BLDG. TYPE ORK DESCRIPTiON
Lot Blodc ec/Sub ~s. New Const
y~ . Mult. Add-0n ? , ~
- Comm. Repair -.I
ame ' _ Other > a
~ Address._13~~~~f ~ ~ 7
c City rf/~ ~i ~t.~J _ Phone FEES ~
RES. HVAC 0-100 M BTU -$24.00 ~
Name ~ AODITIONAL 50 M BTU - 6.00 ~
~ (RES. HVAC INCLUDES NC ON NE1N J
~ Aaaress9~~ .
CONSTRUCTIOf~
~ C~y~~~~J P one TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUIu~ WFSIDEN~IA'E"FEE - ALL ApD-ON d~
TYPE OF WORK REMOaEI,S..~INCI„{JQ~i GAS PIPING) - 12.00
Forced Ai~ M BTU $ S OI~TLE1'.5.~1~111~11~~41- 1 PER PERMIT- _
' GOF~St.) 1.50 EA.
Boiler M BTU $ COMMAI~b'qE~='19~~F:~ONTRACT FEE
Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES
Air Cond. Jn M BTU $ MIN~MUM COMMERCIAL FEE - 20.00
Vent ~ CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) i
Gas Piping Outlets # $ _ ~
Other $ ` ~
CommAnd. Contract Prlce x 19L $ ~ ' ~ ~ ~
~
PERMIT FEE: Q
S/C: ~ S v R: O AGAN
~ ; / TOTAL
,
CITY OF EAGAk Permit Na l 3~ 12 / I/?8
Date:
3830 Pilo! Knob Road ~ Meter No: a~ giZ~ o ~
P.O. Box 21199 6~~0: 3-~(_~
Eayan, MN 55121 Dat .
Owner. $UTLER hOU.SING COItP
Site Address: 97fl TI~ONDEROGA TR. L2, ~34, Lr.X? NGT(~v :~(IA??E,
Plumber WELTER b BLAI'I.O~K 4'TN
Conn. Chg: $550.00 oa Zoning: R-1
Acct Dep: t 5.00 n~ No. of Units: i
Permit Fee: 10 . 40 n~
Surcharg~ _ . 5~ n~ I agree io comply with the City of Eagan
Tr. Plant-_ r. nn nd Ordinances.
Meter. ~ ~7.00 pc~ ~
Misc.:
(~Pl WATER SERViCE PERMIT
32/iJB~?
CITY OFaEAG~~AN~ Permit No: Date: !
383~0 Pibt ICnob Road Meter No: Size:
P.O. Box 2119'9 Reader No: Date:
Ea~an, MN 55121
~:1'fL:?~? i~~t,!~il"G ~
Owner.
Site Address: ~ T~~'~~ RR A` 't • + + + -
Plumber ~~'T~P ~ ~ ~ '
Conn. Chg: ~S~•~ 2oning: ~ ~
Acct Dep: l.Oa p No. of Units: s
Permit Fee: P~
Surcharge: I agree to comply wilh the City o( Eagan ,
Tr. Plant ~Q~+•~ Ordinances.
Meter. ' ' }
Misc.: gr
WATER SERVICE PERMIT
_ ~ ~ -
CITY O~ EAG~XIV ~ermit lUo: 1'~~ Date: I 2/ 1 f 8$
3$30..PNof Knob Road B/P No: Date: Zif ~b/~3R
P.O. Box 21199
Eagan, MN 55121
Owner. z:'T~~r.f: :t~~~~S~"G
SiteAddress: 7i~;~~IGr'?2~~=A T!:., L~f g4,
Plumber. ' ._'rft h ~LA~~ _ 4'::'
MWCC: ~550.04 nd Zoning•
City Chg: 100.00 pd No. of Units: `
Acct. Dep: n° ~ agree to comply with the Clty of Eagan
Permit Fee: ~ ~ • - ~
Surcharge: • Ordinances.
Misc.: gy ~
SEWER SERVICE PERMIT i
C
BLDG. PERMIT NO. ' J ~'S 1
l~c;~- a r~1c~c~_lC ~ ~,x S~• y~`~
, 01-3210 Bldg. Permit C C~~
~ 01-3422 PlanCheck l GU
01-3445 Surch./Adm.
~ 01-3446 SAC/Adm. S
01-2155 Surcharge ~
U~75-3860 Road Unit :3 ~ -~j C'C ~
:4 20-2275 SAC ~ X-~
20-3865 Water Conn. ~~~x~` ~r'
J 20-3868 Water Trmt. ~L~f C~E~i
~ 203716 WaterMeter ~
' 20-2252 Acct. Dep.
~ 20-3713 Water Permit
v 20-3743 Sewer Permit
79-3866 Sewer Conn. 1 C~L
28-3855 Park Ded.
~ Jc~~3 ~
TOTAL
~~~600~. « ~ ~y~~~
Request Date Flre gh-In In e
% ~ equiretl? Ready Naw ?Wdl Notify Inspacta
/ ~ ~ ~ ~O ? Yes No W~en fleatlY?
I licensed contractor O owner hereby request inspection of above electrical work at:
Job Adtlress (Streel, Box or Routa No.) City nr
O ~ ~..~4.
Section No. TownsM1ip Name or No. Fanqa No. Co
Occupan~(PFINT) b pn~~~~ ~ ~ ~
POwBrSup0lier Atldress
Eiechics~Cpntreotor ~GOmpany Name Gontrectork ~cense No. ~
~ ~
Mai bg Atldiqss (Gonirector a Owner Making Insrallation)
3 1~a.Q_ ' ~.~t Yh'r1
Au~horizatl ure (COnVactod w g I~ la~i n) ~ Phon Numbar rn
~ ~ V ~
MINNESOTA StATE BOl ND OF ELECTqICITY THIS INSPECTION REOUEST WI~L NOT
Grlgga~Mitlway BIEg. - Poom 5413 BE ACCEPTED 8V THE STATE BOARD
1621 UnlVenlly Ave.. SL Paul, MN 5510a UNLESS PROPER INSPECTION FEE IS
Phone(61P)66Y-0600 ENC~OSEO.
'~~~/f~'~ R~~UEST FOR ELECTRICAL INSPECTION %ps" Ee-ooom"-m~
/ i? See -nstmct ons lor romple~ing Ihis brm on back o1 yellow cnpy. 3~ ~'~7 D'/s'
~ /0%F
~~-F 6 O O 1 `X` Below Work Covered by This Request
ewAd'd Rap.- TypaofBuilding AppliancesWired EquipmenlWiretl
Home Range Temporary Service
Duplex Water Heater Electric Healing
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
O~her (spealry) ConVac[ar's Remerks:
Compute Inspectron Fee Below.~
# Olher Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 700 Amps ~ a Q
Transbrmers Above 2D0 _ Amps A6 e 10 Amps
$19l1S Inspector's Use Only: I ~ 7n7(~~
Irriqationeooms !J'tl~ ~S•S
Special Inspection
AIarMCommunicalion THI5 WSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°"qn-m Da~e
certify that the above inspection has F;~ai Da~
6een made.
„
OPflLE USE ONLY
Tnis re0ues~ voia 1B montM1S trom .
iajia/88' L ~ ~ ~a ~
~ 7.7.~ ~ ~ ~
Requesl~Ite Fir No. Rough-in Insp ron
~7~j Required? ? Featly Now 11 NotiTy Inspe~tor
( GU es No W~enReady?
E
I~'licensed contractor ? owner hereby request inspection ot above electrical~ work at:
Job Address (SVeet, Box w Pou[e No.) City
G TiG~`r~ T2. cd G
Section No. Tamahip Name or No. Renge IJO. Caunry
Occup (PRIN~T/), Phane No.
L~ ITLL-{~! % I'~
Pow upplier Adtlress
~~d'~~ ~ ~ rc ~?'m ~ n r~ .
ElecVical Coniraaor (Comparry Name) ppnVaclor5 License No.
~l~ , ~ ~u ~ ~.s- 3
Mailing Adtlress (Coniractor or Owire~ Makirg InstalWtion)
`7~ S Cr.1 ' l_~ - sCI c,~G' f'I'I/"!.
Authoriz ignaNre (COMr NWmer Maki g InslallaHon) Phone NumCer
!~Z.e ~3~ ~
MINNESOTA STATE BOAPU OF ELECTRICRY THIS INSPECTION RE~UEST WILL NOT
Grigge-Mltlway Bltlg. - Faom 5-1]3 BE ACCEPTE~ BY THE STATE BOAR~
18T1 Universily Ave., St Paul, MN 55f04 UNLESS PROPER INSPECTION FEE IS
Phone~612)692-0800 ENCLOSED.
j~a/8`g' REQUEST FOR ELECTRICAL INSPECTION
$ee insWCtions for completinq this brm on back of yellow mpy.
;~j g 2 X" Below Work Covered by This Request
ew Add Rep. TypeofBUiitling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heafer Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm ' Air Conditioner
Othar (specity) Contractor5 Remazks. ~
Compute Inspecfion Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 10Q _ Amps
Signs Inspector5 Use only: 7'p7pL J~
Irrigation Booms /~,pU /j2
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical I~spector, hereby Ro~an-~~ ~ oe~e
certitythattheaboveinspectionhas F;,,y ~~y
been made. ' !
OPFICE USE ONLY
This requast wid 18 maMhs from
~ ~~~~9
' 1 ~ ~~1~
ftequese0ate Fire N. gh-in InspectlGn
C./) equ' tl? ? eatlyNOw ilNOtlNlnspeclor
/ l f-'~ / Ves ? No hen Reeay?
I~lice`nsed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlres~s
5)1rae~, Box or Route~No.) ~9 Ciry
' 7~ /CG C4'E ~
SeMion No. Township Name or No. ange No. CouMy
occu ant INT Phore No.
v~ l ,
~Y- 1S C,iY1c
Pvxet lier Adtlre •
~ ~
Elechincel
Contrector (Compeny Name) Conireclor5 nae No.
' J ' /^!@, ~J~-~ ~ _ ~
Mailin8 AddreES (COMrador ar Owner Making a~allation)
~~s ~ i3 - P ~'~'1~ .
Authori Sigreture (C Vactor er Making In ) hone umber
~ /1 C-~ 3 ~
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECrION REOUEST WILL NOT
Grigge-Mltlway 81Eg. - Raam 57~3 BE ACCEPTED BV THE STATE BOARD
1821 Unlverolty AW., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne(61P)602-0600 ENCLOSE~.
{~yyy~~~ ~yQ REQUEST FOR ELECTRICAL INSPECTION • EB-00001-0~
~P' ~d / ? See insWCtlons for comple[ing this form on back of yellow copy. L
f-~ ~ X" Below Work Covered by This Request
e d fiep. TypeofBUilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Elec~ric Heating
ApL 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
i Fartn ' Air Conditioner
Olher (specity) ConVacWrS Remarks:
Campute lnspection Fee Below:
# Other Fee # 3erviceEnVanceSize Fee- # Circuils/Feeders Fee
Swimming Pool D to 200 Amps ~ Lr ( 4 to 100 Amps
Transformers Above 2D0 _ Amps Above 100 _ Amps
SIgf15 Inspecior9 Use Only: TpTAL _ ~
Irrigation Booms `}~p -
Special Inspec[ion v ~ ~ ~
AlarrrVCommunication
Other Fee ,c~j _
I, the Electrical Inspector, herehy Rouqn-~n y l
.
certifythattheaboveinspecfion~has F;,,~ r °a
been made.
OFFICE USE ONLV ?
This requesl voitl 18 monUis irom
CITY OF EAGAN
383U Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121 N~ 15849
PHONE:454•8700 ~
BUILDING PERMIT Receipt# r
To be used f,~r SF DWG/GAR Est. Value $82,000 pete NOVEMBER 9 ~~g 88
5ite Address 9~0 TICONDEROGA TRAIL OFFICE USE ONIY
Lot Z Biock 4 SeWSub. LEXINGTON SQUARE OnSiteSewage _ Occupancy ~ Ml
4TH ADD MWCCSystem X Zoning Rl
Parcel No. On Site Weu (Actuaq Const Vn
a Name BUTLER HOUSING CORP Cirywater X (Allowable) Vn
W PRV fleqWred # of Stories
z Address 8901 LYNDALE AVE SO -
o ~i~y BLMGTN Phone 881-9166 BoosterPump _ Length 50
Depth 44
o Name SAME s.F.rotai
~ 4 Address Footprint S.F
t Clty Phone pppROVALS FEES
$ 502.00
~ W Engr./ASSess. Permit
wW Name 41.00
Planner Swcharge
i- Address
a2 Cit Phone Council PlanReview 251.00
a W Y Bidg. Off. SAC, City 1~~•
I here6y acknowledge ihat I have reatl this appl~~Ea'~ion and ~tate that the Variance SAC, MWCC 550.00
info~mation ig correct and ee [o comply wit all appli ~ble State of Water Conn. SS0.00
Minnesota StaWtes and C~ agan inan 67 00
Water Meter
Signature of Permitf Road Uni[ 3? S_ 00
A Building Permit is issued to: BUTLE HO[1SING CORP Treatment Pl 9nG nfl
on the express cond ition that all work shall be done in accordance with al I
applicable5lateofMinneso Statutesand ityotEaganOrdinances. Parks
Building Ofiicial TOTAL $Z s 590.0i
~
~ ~ ~ ~ ~ RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6ucfron Reouirements RemodeVReoair Reauirements Office Use Onlv
3 r~istered site surveys shaxing sq, il. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lol coverage allowed) 1 set of Ene~gy Calculations for heated addNons Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks Tree Pres Reqd _ Y_ N
7 set of Energy Calculations Addi6'on - irMicafe Hon-sife sepfic system On-site Septic System _Y _ N
3 wpies of Tree P2servation Plan if lot platted aker 717193
Rim Jaist Depil Optlons selection sheet (bldgs with 3 or less unifs
Date / _L / Construction Cost ~Z~~
SiteAddress 9~(7 ~COIJ!~C'~D(~,C~ ~ UniUSte k
Description of Work /NS~~~ C~~`7 F772L~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0~_ 2
^ r
Property Owner L ~~A ~ /?/Q~'~l~ Telephone # ((~~7 ) " Yb}/
Contractor ~ (ULS L ~
Address ,~3 ~ /-fw7 /3 City
State Zip -5'Si3(~ Telephone#(`7)2 ) ~j~J dJSb
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiantype) Submitted Submitted
. . Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone J
Mechanical Conhactor Telephone )
Sewer/Water Contractor 7elephone )
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of ork which requires a review and
approval of plans.
~~ol-1,r~ ~.`G~~.~ ,
ApplicanYs
Printed Name Applic Ys Signature
~
OFFICE USE ONLY • -
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex pibg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries 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 (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wal]
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
j
(o ~ ~ ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 }~(p .'a ~
651-681-4675
Naw Construction Reouiremenfs RemodellReoait ReeuiremenK
• J registerea sile surveys showing sq. R. of:bC sq. R. of house; and all roofeC areas • 2 copies o( plan
(20qo maxunum lot coverage allawed) • 1 set of Eneryy CalcWafions far heated adCilions
• 2 copies of plan showing beam 8 windaw s¢es; poured (ound desgn, elc.) • 1 site survey lor extenor aCdifioas & decks
• 1 set ol Energy Calalations . Indicate if home served by seDl~c system for additions
• 3 copies of Tree Preservation Plan if lol platted after 711H3
. Rim Joist Deuil Options selectian sheet (bldgs wiN 3 arless units)
DATE I~~. VALUATION st-~U~. e
SITE ADDRESS 'nJ ~o ~ c n,,~ 0 F e} ~ MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK I!4 itwATonl 01= ~IEW C~c~oRS FIREPLACE(S) _ 0~ 1_ 2
APPUCANT~AJ KIQfi~l~~ - I (
STREETADDRESS a~ ~l~,nPJ1L,2p~ ~!R_ CITY 2'~G~`^~ STATE/"~L/ ZIPSSt2
TELEPHONE # 9oS~ 4~ 3J CELL PHONE # ~ fa F'd f-I lY ~ FAX #
PROPERTYOWNER t~.n~ ICI~.~~hv TELEPHONE# ~IbS~(6 3/
COMPLETE fOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~fI\NL•'SO'CA RCI.ES 7670 C:\"CEGORI' I ~[I~ VESO'1'.1 RCLFS itii2
(J su6mission rype) • Residentlal Ventilation Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calwlations Submitted
Plumbing Contractor: Phone # _
Plumbing system includcs: _ Water Softener _ La~m Sprinkler Fee: 590.00
_ ~Vater Hea[er ~ No. oE R.I. Baths
_ No. oE' Baths
Mechanical Contractor: Phone #
~[ccfuwic.~ s~•slcm includcs: .air Condiuonin; Fcc: 570.00
Hcal Rccovcry' Systcm
~~~~.°~~~~~',~r'Ii .
Sewer/Water Contwctor: Phone r, ; `
i~ ocT e ~ ~o~z ~
I hereby acknowledge that I have read this application, state ihat ihe informotion is rrect, and agree to c~ mply
with all applicable Stafe of Minnesota Statutes and City of Eagan Ordinances.
, r- -
Signature ot Appllcant
W..._..-°--------____-----______.__.______-----_____..-----____.__
OFF[CE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 18-plex ? 2p pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 6ct. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck p 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addidon ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg oniy) • Giva PCA handout to applicant
Vafuation Occupancy MC/ES System
Census Code 2oning 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) _ p~~~g
_ Foundation HypC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- F~~B _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wail
Approved By , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply 8 Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
5 2~ ~ Z BUILDINC PERMIT APPLICATION
CITY OF EAGAN
5830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructianReauiremenb RemodeVReoai~Reauirements )
• 3 regislered site surveys showing sq. N. of lat, sq. f4 ot house; and all roofed areaz • 2 coDies of plan / r~
(20% mazvnum lot coverage allowed) • 1 set of Energy CalculaNore far heated additions
• 2 copies af plan showirig beam 8 vrindow saes; poured found design, etc.) • 1 site survey for eztenor additions & decks
. 1 set of Ene~gy Calculations • IrMicate if home served by septic system for aAdi6ons
• 3 copies of Tree Preservation Plan if lot platted after7/iMJ3
. Rim Jo"st Delail Optbns sekUion sheet (bldgs wBh 3 or less uni4s)
Oo
DATE lo ~~va2 VALUATION ~C1 C~O'_
SITE ADDRESS 1~~ ~ On~ct~CA MULTI-fAMILY BLDG _Y _ N
TYPE OF WORK 1'~2 ~~ir~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~~'1U5 N~ W l~°~Q(
STREET ADDRESS ~771 S I~- ~N2 CITY
P(4~mcrJ~-
STATE_ZIP
TELEPHONE # CELL PHONE # ~ta~~fS
-~10~/ FAX #
PROPERTYOWNER 1J~'v f~! I~T~If" TEIEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~[INNESOTA RULLS 7670 CATEGORY 1 MINN
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New e o s t~ i ed
• EnergyEnvelopeCalculationsSubmitted JUN 1 4 2002 ~
Plumbing Contractor: _ Phone # ~
Plucnbing system includes: _ Water Softener _ Lawn Sprinkler .
_ Water Heater _ No. oF R.I. I3aths
No. ol' Baths
Mechanical Contractor. Phone #
Mcchanic:il syslem includes: _ Air Conditioni~~ Pee: $70.00
f
Iea[ Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances .
Signature of Appllcant
OFTICI: LJSI: ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 ? 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 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 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ~ 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demoli6on (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Einal _ Windows (new/replacement)
_ Insulation _ Retaining WaII
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tota I
r
I I
~ 5~
~ , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS /
~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURV Y, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSDED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHEC$ WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COtM'IEACZAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFZCATIONS AND 1 SET OF ENERGY CALCULATIONS " .
NOV 0 8 1988
. ( ~ c
To Be Used For: ~ G Valuation: Date: 7- O~
Site Address 9 /iL~hGe~" OFFICE USE ONLY ~
~S 2 000 ~ ~
Lot Block ~y- On s~te sewage Occupancy ~J M-~
r1, MWCC system ? Zoning 'pD Lt~,
Parcel/~i~//t On site well Actual Const ~f-N
City water ~ Allowable y-~
Owner e/ G~S~ ~Y ~~"~~h PRV required of stories
Q Booster Pump _ Length
Address ~O/ ~yI?GlUe ~f > Depth
~ r/ S.F. Total
City/Zip Code /~f ~2 /N/~1, Footprint S.F.
Phone ~ ~ APPROVALS FEES
Contractor LLS~il'{ (..f6~:' / Engr/Assess Permit J'rD2,~0
Planner Surcharge 41 ~~,Q
Address J Council Plan Review Z ~O O
ldg. OPf. ~~/9 SAC, City OiOd
City/Zip Cod (i9/'I riance ~ SAC, MWCC D. O
Water Conn O
Phone % ~~Pa Water Meter , D
Road Unit 3
Arch./Engr. ~c~lvhG1 j~7PB/'~ Treatment P120~I,c~
Parks
Address D/ G~St'~looi#sy Copies
TOTAL ~
City/Zip Co lGbin in • O
Phone l1 d~-p /
VA~uq-r~oril
`t 1
_ ,
GA~a~
~ZK?-o=4~yox I~I. ~/bo
13Sm~-
a ~ x yc~ ~ ?,z~
ayKz_ yg
~ x i ~ = 5-0
a yL ~ a~r2 = C33)
~
I 185 X I 3=~ syoS
HbuSE
$~~..s7`~•=' !(`6S"
?'~z.~c 1 r ; 1 G
~ ~ 13= ~3
I21Kx~rq= s~ y~c~
~
~lv~~
~ - b~ G - ~l
, ~
Surrve~vr~s G'ert~f~cate
SURVEY FOR: I~utler Ilousing Corp.
DESGRIBED AS: ?,ot 2, Block 4, LGXiNG1'ON SQUARIi 4T11 nnni~rrou, City of
liagan, Dakota County, hlinnesota and reserving easements
oF record.
iy9; TICONDEROGA TRAS~~ 4 ~
_ ~ ~ ~z.~
~ :E.
S89• 43' 03' E 7. 00 ~
S'19.8 0 0 ~dYB,~ L;~
. 5~------$ _'~5 ;
I ~ ~ ~ SEiBACK LINE
I ~ f~
20.~ ev
~ 6~T 6~
I 6Y9.9 - GAR. ~ ~
o ~ ~ g A~ ~ o
~j ~ 20.
'~7 1l B3 L_ ~ t0.1 D N ~
~ PROPOSED ! =
W ~ SPL 1 T ENTRY „ ~
I~ ~ 5C W/D ~ ~
~ ~ S3.OO N I, ~ N
6 00 l1
~ ~ ~l0.00 1L60 l1.60 T_ -
o° I ""s I °o
Z 91. l17. Z
~ ex,.y ax.ti ~ .
- , „ .
~ ~ f ,~R ~
ir•::~ 4~=' ~i~! r~ ~
~ 11.33 ~ - L ~ 1
b _ ~ ~
, - , n-, c.~~y
~ ~ ~s?.~
5~'-----------~5 1.
1~'i-'i~- L~W Gi ~'dsLt~tIi~G 17EI~ '
y7g o SB9° 43' 03' E 75. 00 `~5 i
~
. #2'EVIEWEb
t3Y
~t- °I~t
_ _ _
PROPOSED ELEVATIONS BENC~
H~A~~
7oy of Foundaflon .90~.0 ~
Oorop~ Floor . aoo.6
Bas~nanf Floor . 09~.8 j MIN. SETBACK REOIREMENTS
Approa. S~w~r S~rvie~ ENv. ,
c
Propo~~d El~vallon~ ~ Q Fronf - 3o How~ Sld~ -~o m
Eti~Nna El~vollon~ ~ _ z
Wolnop~ DIr~tNom ~..r..-r R~ur - 3ci Oorap~81M' S o
D~not~s Of/s~l Stak• . O SCAIE: t lneh • 30 F~~f ,
dt
I MnOy arlll~ that tN~ wrwK iba w nParl wo~ yr~pan0 CY m~ ~OB NO.; ~
~
I~IEDLUND °r uoau mr ar~ci wwninm ma ino~ i om o awr n~a~~~~r~a ~?~K- 57 ~
~o~a srvr« u~a•r a~~ a¦. of IA~ Blol~ ~f Mlnn~wfa. S
BOOK: J
P/ann/ng Enginea~ing Surveying , ~
OI W Yoa4r~pp» MIA W~ ~g L~"
J WU: W~7~ ~ 46 PAOE:
~ J~ Y d n.llt~n~~ Nn 1lT6
~ '
=i u e ~1. ~_1f-' 6
nU1hdE:f~;.. Itl._Il'L_E~R HOI.iSI:hlfi CL1=(F'UF'(-al-T~IV
~I'TE F,I:ti.!RFr~: 97tj TICqNDEROGA TFAIL
f~ONTRA1~TUf-:: F:rtJ"R_.E:F. NCJIJSTNG ('=OfFI]~HTTUI'.I DAT'E: ].1/1f82
r>E_TLI~;h1Tl+.if~: 6dORk::ThIG S(~l..IAC;F.. FC]OT~GF fl~ E(-aCH:
i. fOT~ll.... EX,Pi.It~E'D WALI_. AftE.Fi: 1°i'3"<: SG?. FT. X .il = :'12.`.i2
'ftlTFil.. F.Oi~f=fCF'11_II'.IC-i AFiF.::Ft: 1:?4: SG!. F'I-. X.n:b = 3<.3~
f~. TCITAI_. W~I_.I._ WIhJP04! AF:F_A: 1~3.tiii
B. TOl`AL.. fi(:jOF: ARF'A: ~7.E3U
C. l'U'I'F1L_ i~L..IUIhl6 GL.(~SS ~7(]UR F~REA: 12p.0~r
l:i. "I`OT/1L F TFiF:'F'I..ACL bJtiLL ARE.A: "~'ii.iiii
TOl"{11_. WF1L.L. Ffz:AMING ArE~ (AVG. t.f.~%) : 19'.2U
F. TO'f4'll.. F27:M .7i:1IaT F~REAr, 135.U0
G. TO'fFlt_ hJE.7 !raAi._I.... AP,GFa AE~'JE Fl00Fi: 1,:_'S'::.0~~
. l`lJl AL F X~'i]SE'1? WALL.. AFiEF~: i, U'2. t~~ i
f-i. rc~r~i.._ r-oi.~rdl)AT:f.C~N t~JSNDOW ARF_A: 0-0^
I. fi:iTAl.. PJE"f FOUNDATSQhd F;f-',E:A FIPUVE GFiADE: i05'.00
,:1. T[7IFil_. OVI=:P:HAhdf3 AR~A: 6q.iitJ
a.?FTf.-=1~:MII~IE "l..l" Vf-ll._UE OF EAC;I-I W~I_L .S'EGMEh1T:
a. 1:'::'::. C~~~ X "l.l" i.i..~67 = 4F3.81 ,
b, =7. ~30 X "LJ" 0, pf~b = .?.49
c. i.:%U.r,i> x ~~U~~ q.~67 = n4.i1~F
~j, ;'i~,ti~~ X "U" U.~>74 - 1.49
e. i.~'3.=c~i "U" ~i.09C~ _ 17.4~
F. 1.:_5.~i0 X ~~U~~ i>,i>41 = .5.49
c1. 1"'`"~3. ~!ii X °U" Il.l.l~}J = ~J. SL~
~
F•~, i~,pi? Y, °lJ" i>. :67 = ii.~p
1U9.1>C> X ~~U~~ U.14C, iS.~S'
~i. ~~.on x ~~u° o.o~a = i.s~
~arsi~ = i~~?.~a
IF T`C'I_:M I4 tHE SAY'IG A~i. OFt L[~~~5 TI-I(~IV ITEM #1, YOII I~(~VF_ M~'T
THF_" Ih•.ItF:b.IT f:IF ~;f:sC E+(7nf~ (r_.>;_'.
~ ~
~'•.-51.~4':) .1~~ t..~F
fliTF1L.. FXF'Ci~iEt? RUl)F/GEIL_XNG F1F:E'A = 1,~4:S,uC>
1.:. Tc,Y.~~ s4::vl.i.qht. area: 6.9i~
1. 7ota1 r-onf:c:;E.>iliny +r~~minc~ area tavq lt~'1.): 12q.~.C~
m. Tnt~~l nc~t a. rt~ul ated roof /cei 1 i ny arE+a: 1, 112. 7i>
f~E::"CEF+:I~II1'~JE_ "LI" VF1L..UE F'l'JR EF-1C;H Rf]OF/CEILIPIG SiEGME:NT:
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m. 1, 11:::. 7~i j( ~~U~~ 0. C~21 - 'c"'~';.74
•7 . . . . . . . . . . . . . . . . . . . . . . . TOTf-1L_ U : = 29. t>4
I1 1`f)'fr-il._ C!f 4#4 I~~i 'TH[:' i3FiME' F~v>. QR L.ESe3 THAN #:2, YOU HA4E MET THF_
lfJIE:Nf f:1i' `cifs~: [:,tf(±6(c)1.
AI...TFRh~r~Tf.: i:~ll'[I....ll11VCi E'N'JFLCIF'F_ C)I_.SIGN:
70 l.1TTl_.IZE `fHF: Tfll"!-aL.. ENVELUF'F SYS7EM ME7HUD, T'HE VFILUES EST'AF~LISHE:D
I3Y THF- c_UM 1:1F I TE-_MS #:3 ANI) I#4 SHAL_L NOT BE G~iEATER 'fHAh! 1'NF SUM OF
I'fEME= #i. F~I•.Ir:~ #k"'.
' 1. _:'.1~.:;2 ._,2. ~,z' _ ~44. El4
_.__.--1--~..__~~_ '+4. ------9_i.>4- - --~-J`1 -
[ HEF:fr.iE~Y CEF:I'IF'( TFil~'T I HAVE' CALCIJLATED THE "U" FACTUFS AIVD "Fi"
VFII_UE::'~> HE:Ri.=:]:M F;hdl:) "fHPi"f T'Hl: E'UIL.llTNG HERE UESCF~II4~EU MFE7~i ?R EXCF'EllS~
l'F~E 8 I rl l`G:: (7F f ll'd [~NEF:GY CC~IVSEF?VFa"f T U~! AC"f .
5IGIWATIJRE
DATE:
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FILE hJl1ME: I::hJ(=RGY'. BNC
~~~~~~~~~~m~~~~~~~~*~~~~~~~*m~~~~~~~~~
CITY QF E~~AN
rASHIEC;e 5 TERMINAI_ Noa 938
DATE^ p"r'/Uc'/99 '1'7:MI~: ii::i:3:i~3
IIi e
NAHEu PRAia_EV CONSTF<~Jr_TIQN CO
3210 9f701 3r0 7ICO~LiEfipGA 60.C10
21:i5 3D0J. ~r'0 TSCf7NTi~:R()C;A ().SO
Tn+,al Receipt Amoi.:ni; a 6t1.50
Ch'Li.?_i'8i
USE:fi STi~ NANCY
~C# ~FN~X~ X~*~~k%c~*X~~k%~kc~k~:k ~k %K~k~F~%c%~~kX~# %c~#~~k ~~k~~
_ ~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3830 PILOT KNOB RDN 55122
~ ~a' 651-681•4675 0~ ~
coS~,1~.a~ 3c:> .
New ConskucHOn ReauhemeMS Remodel/Reoair Reauirementa
D 3 regisfered sHe surveys showing sq. M, ol lot, sq. (t. of house 2 copte~ oi plan
and g~j roofed areaa (20% maximum lof eoveraae allowedJ 7~ef of energy calculaflons for heafed addHions
D 2 copies of plans (show beam a window sizes; po~red fnd. design; ete.) 1 sHe suney fo~ exferior addRtons a decks
? 7 sef W energy calculafions
? 3 copies of hee presenation plan H lof platted affer 7/1/93
DATE: ~'J `Z~-~f~ CONSTRUCTION COST: IJ, ,~C~
~ / ~kl( '
DESCRIPTION OF WORK: L3c25-P y~ne+~ r n„5l~ ~'f
" I2
STREET ADDRESS: I 7D T l f Q~ ~,~n~ !,t
LOT: BLOCK: ~t' SUBD./P.I.D. _~~-P~~vWCC~ v~ SQ y~'~
Name: i ~C ra~tt.L %/~si~, ¢ ~~~t Phone ~5/ - 9v S-~1~ 3!
PROPERTY ~cs1 PIM °
OWNER
Street,4ddress:_97V "Ti~oti~lo~o~c~ 7iu; ~
C(yy E~.~c~ State: /til /1J Zip: .5 3 i.L3
Company:_ ~~-O~~2y Cohsr~H.c~/ ie~ Phone 6 3/- 6S 6` 7~'10~1
CONTRACTOR '~j~3~0~~?5ea code) ~
Street Address: 2~ .36 C~~~ lf. ll ~ License l7y 7$~p, wo~
city ~ /'7 Stote: /U Zip: SS' y Z
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sheet Address: Regishahon
City State: Zip:
Sewer 8 water Iicensed plumber (requhed for new conslruction onlv): ~w, c~~~ 1~ P~ke~w~~~w~
' 3enalty applies when address change and lot change Is requested once permR is issued.
I hereby acknowledge fhat I have read this applicaNon, state that the informaHon Is eonect, and agree io comply wBh all applicabl
State of Minnesota Statutes and Ci1y of Eagan Ordinanees.
Slgnature of AppllcaM: [~i~!i ~
~ii;' -
OFFICE USE ONLY
~ _ L 9
Certificates of Survey Received _ Yes _ No I
~ ~ ~ 'i'. ~ - _ .
Tree Preservation Plan Received _ Yes _ No _ Not Required__
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 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/Soffits/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 li /
, 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 Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: G~~
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit '
S/W Permit -
S/W Surcharge ,
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~ ~ CITY USE ONLY ( I ~~'1 (
L BL , RECEIPT#: d~
SUBD. S RECEIPT DATE: O /
PERMIT# J
1999 ~LUM$INfl ~~itMiT (ft~SID~N77~eL)
crrY oF ~a?e~vu
ssso ~nor xr~os en
~?~~?u. ~t[~t 551 E~
css~ ~ sai-~s~s
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ~ minimum -1 3.00 X = $
Hot tubls a 3.00 x - $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations ta existin dwellin 30.00 x - $
Private Dis osal 5 stem new/refurbished ` re uires MPC lic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x - $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x - $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water Softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 3D.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
Total $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
~ -
I hereby adcnowledge that I have read this appliption, state that the infamatlon is correct, and agree to compiy with all appliqble Ciry of Eagan ordinances.
It is the applipnYS responsibllity to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operafional and maintenance activities to the facilities cooshucted under this permit within Ciry propertylrightof-way/easement.
SITE ADDRESS: 7~ v J L~ Iv ~l ~a"' Gi ~ ~
OWNER NAME: : uJ ~l ~ 'f'l ~ ' ` 1J TELEPHONE ~ /
l (AREA CODE)
INSTALLER NAME: ~~C- ~'"ecL l~e cl ~ I ~I /~~)~~LEPHONE IY~Z ~ ~ ~ ~ ~I
STREETADDRESS: S~O 30 ~v~ ~ I ~ v S~ (AREACODE)
CITY: ~a I~~ v ~ 1 J-~ STATE: ~'1 ~ ZIP:
~ `
SIGNATURE OF PERMITTEE
t 1989 BIIII.DING PERMTT APPLICATION ~~1~~~
CITY OF EAGAN ~
~7 \ Q~
~ `
SINGLE F9MSLY DWELLINGS !lDLTIPLE DfiELLINGS COt~ERCIAL
2 SETS OF PLANS 2 3fiT5 OF PL?NS 2 3ETS OF AACHISECTURAL
3 REGISTERED SITE SUR9EYS 86GISTSRED 3I1'E SDBVE7S - i SiHOCTORAL PL?N3
1 SEf OF ENERGY CALCS, (CHECH WITH BLDG DIV.) 1 SSf OF SPECIFICATIONS
1 3ET OF ENEAGY CALCS. 1 3ET OF ENERGI C9LCS.
MULTIPLE DiiELLINGS AENTAL DNITS F06 SALE DNITS / OF ONITS
60TEt ~DDAES3ES FOR CDBNER LOT3 - COPTIIACTOR/HOME01iNER lIOST DF.4IGB9TE YHICH IDDAFSS
IS DFSIRED. 80 CHANGFS WII.L BE ALLOHED O~iCE HUILDING PEAFIIT 23 I3SDED..
SEiTER 6 AATBR PEAMI? FEES AND ACCOUNT DEP0.SIT FBES itILL Bfi IACLQDED iiITH THE HOILDIN6
YEI9lIT FEE. PROCESSING TIME FOA SEWER lAD fiATER PEI~lIiS IS TWO DAYS OHCE A PERMIT HAS
BEEH COMPLETED IHDICATING d LICENSfiD PLOMIDER.
PENALTY 6PPLIFS Wf~Ns PEAHIT IS NOT PAID FOR IN 3AME MONTH IT IS REQUESTED.
LOT CHAIiGE I3 REQOESTED OACE PERMIT IS ISSiIED.
,U11 1 6 198A
To Be Used For: Q~~~ Valuation: Date: U ~'9
Site Address ~70 Te»..~,l~r,~ ~~n,~~ OFFICE OSS ONLY
Lot ~ Bloek ~ Occupaney FEES
I Zoning
Parcel/Sub I oY1M~+a ~,Lti,.,~ ~•~,ti Aetual Const Bldg. Permit
~ V ~ , n Allorrable Sureharge
O~mer cc5 I\ i 7-o~C If of stories Plan Review
Length IZx~a' SAC, City
Address~7~ ~Q,,,,,~,~,,oQ,~ ~w~ I Depth ~H~iK'~7,~SAC, MWCC
S.F. Total Water Conn
City/Zip Code SS/~ Footprint S.F. ilater Meter
' Acet. Deposit
Phone w~$7-a23~c~ N`15~ •913~f Un site aewage S/W,•Permit
On site well S/A Sureharge
Contraetor MWCC Syatem _ Treatment Y1.
Citq vater _ Aoad Unit
Address PAV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code SQBTOTAL
lPPROVALS Penalty
Yhone Planner ?OT6L
Council
Arch./Engr. , t Bldg. Off. ~6~5
. Variance
Address
City/Zip Code ~ ~
Phone 9 `
. i
, o.
~ ° •
:_..,...~.,......:~.u-- - - ~ ~ W ..:M......_. -
. .
. :
~
~~C~~~,~~~~~~~~ ;
~
SURVEY FOR: liutlcr Ilousing Corp. ~
DESCR{8ED A5: ~,ot 2, 131ock 4, I,IiXiNG'fON SQUAIZLi ~l'1'll AI111I'ft0\!, City of ~
liagan, 1lakota County, P•linnesota and rescrving casements
~ o~> Tm 6;~ ~
. (~ck s i~e ~~c~~s q"1C~ T,•co~r,~ro~~ Trt,~ ~f
E~,~ah, ~M n ss la3
w fv~'7-a310
TiCONDEROGA TRAIL
991.A ry 4~_a.4 'A y7 q q, L
, ~ - -
S89' 43' 03' E 7. 00
5~19,8 ~ ^ ^ S~rfl,e ~
. 6~------~ ~5
I m ~ ~i SE BACK LINE
- ,t 3/. 33 ~ S0. 00
Q o 20.00 e~
~ fO.OD
~ 6r9.9 e ~ GAR. ~ °
.
~ I o~~'~~ !<.83u, 9.50 L- I SOI00 t°n
m I zo. s~ pROPDSED I ~
" ~ SPL I T ENTRY ,e ~
^ N 5~ ~I~Q N I' ~ ti ~
~ ~ ta. oo « ~
s. o0
1O ~ m. oa i2 so u. su `D
o ~ ~ _--1=-- _i. ac~:. ~ ' ~
~ ° I 2 x 13 ~g
I~0/~~4 I 81b:1 I . . 1~
i ~o. 00 li, ~
I 11, 33 I
~ ~
~ ~
5~'--~--------'f5 ~
E~,s.o 5B9' 43' 03' E 75. 00 ~ ~'~s.1 ~
~
~
~
~
PHOPOSED ELEVATIONS , SEFlCHhfARKi ~
ToD of Foundaflon ¦9oi.o ~~~,,'~11~_
Oarog~ floor . voo.4, ~
' Batemonf Floor ~ m B9l.td ~n+Ri. SF1'sACY, RFQ~ffESSEtiTS
Approa. S~w~r Servlc~ Ebv. . ~ - ~
Propoaod ElavaNon~ ~ + ~
Ea~dlnp El~vallons ~ O froM - 3o Hauas 51~c - c
O~alnoq• Dlncllon~ ~ M~? . Raar - 3d Garap~ S!~la.- 5 ~ c
D~nols~ Oflssl Stake ~ O SCAt£: !lnch ~ 80 Faal . ~
d~
I hif~by Nfllly IAO~ Illli W(WY~ plan f~Wrl wn~ PrepofOd DY ma J0~ NO.:
I~~ ~ or undv my dlncl wp~rvbim m0 Inat I am o du1Y R~9~~~~~~4 a`GV~-
Land Bwr~rw und~r iM krt af fM 81at~ o! plnnaaala. `
067K:
Planning Engrnsering Suiveyinp
YI{NIM'ie~W~afi~~~1.~"J~IYLVyW~161~0 ~h. (
1Nrqwm/~LMIWY U~'i: 10~21t$K V l3'Vf~•. 'AGE:
J~f Y ' rn , Llc~nte Na ~:378 ~
~ APFLI~ATION 1=0R PERMIT i~TT-'~ pAS~Tr FEE A7' TI~E p~' x'xx:
. : xre~caTT~ ~ nnr coca- ;
r : srrnrre nrrxcvat, oe PmHUT. ;
~ SEWER AND/OR WATER CONNECTION : I~~~ wn~a
~ ; xe~srntc~Tiais waa. n~r ee ~rFnvFn ;
~ . . . r 0[dl'IL PENMIT HAS Bffi1 APPROVID.
t++ffa~~:t~axxfr.aekxx~at~~fft~:+s~i;s?
ci~y oF eca~csn
PLEASE PRINT /7
1) PROPERTY ADDRFSS: 970 ~ TI C6~'1C1P.:V'O A
T•FY~AT• DESCRIpTION; . . .I,ot -2 ~ ~Block~4 Lexin6ton. Square. . . . . . ~
Lot Block S vision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMME,TtCIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY
Q IND~'STRIAL ~ R-2 DUPLEX (3Wo L'nits)
Q.INSTIZUTIONAL/GO~ERI~Il~IENT ~ R-3 TOWi~I005E (Three II~its) ( Lnits)
Q R-4 APARTMENP/CONDOMINILM ( Dnits)
2~ ~ N~~ Welter ic 3laylock, Inc.
AC1bRESS: $19 Weat 106th Street
CITY, STATE, ZIP: Bloominp~ton, MN 5542a
PHO[~: aa1-31']1
~ For City L~se
3~ Welter k al~ylock, Inc. d"~ pl erum~s Licen'se;
ADDRESS: Active
E19 Weet 106th Street Expired
CITY, STATE, zIP: sloonin~ton, MN 55~+20 . i Not recorded
pH~~ a81~31'79 MASTIIt LICENSE # 257
St Imti
4 )
IdAP9E= Yutler Hmusia6 Corp.
ADDRESS: E901 Lyn~ale Avenue S.
CITY, STATE, ZIP: ?leominRton, MN 55420
PHONE: $a1-9166
5) s ~ . ,y . i~ ae
~ CONI~CTION TO CITY SESqER Q CONNECTION TO CITY WATII2 a QTIIER
~
/ f,
6~ ~ /r~..l~~"'U~-+~w i! ~'6r'~~~.. 12-1-a8
~
*******:r*******+**,~*************x~:r~*,r,r**a/ x**x****+*****~******************~********~**s*
* THE GOID COPY OF THE PII2MIT WILL BE SENP DIRDCIZY 7~D PUBLIC WORKS ZU FACILITATE METER PIQ{-UP. *
,*t PLEASE ALIAW TFX) WORKING DAYS FDR PROCFSSING. SOMEONE FROM Tf~ CITY WILL CONfAC.T Y00 IF TIIEE2E *
* P,RE ANY PROSLE~~1S. ~
+
~~~~**********+r~***~r****«**x**~**~**x*~************~*~*****~*~**,r*****,t*~***,t****~*~,t**+**+,c*****~
1
_ FOR CITY USE 4NLY ` ~
PERMIT # ISSUED
~ /.3S"
Pd w/Bldg. Permit FEES:
$ J SZ' i
SEWER PERMIT (INCLUDE SURCHARGE)
SZ l
$ $ I ~ WATER PERMIT (INCLIIDE SL~RCHARGE)
$ ~ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ S SEWER TAP
$ $ I) f ACCOLNT DEPOSIT - SEWER
$ $ I~ l ACCOC~NT DEPOSIT - WATER
$ ~S ~ ~ $ ~ WAC r
S " S ~ $ SAC
$ $ TRL~NK WATER ASSESSME[VT
$ $ TR[!NK SEWER ASSESSMENT
$ $ LATERAL~BENEFIT/TRONK SEWER
$ $ LATERAL BE[VEFIT/TRDNK WATER
a~~ ~ $ WATER TREATMENT PLANT SL~RCHARGE
$ $ OTHER:
$ ~ 7' / l ~ `,f CsZa TOTAL ; ~
' ~95~~
RECEIPT . RECEIPT ~
~
DOES UTILITY CONNECTION REQL~IRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YE5, THEN A"PERMIT FOR WORK LVITHIN PL~BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: -
TITLE:
DATE : ~J~
/
. '
December l, 1988
BUTLER HOUSING / 'L~~~
8401 LYNDALE AVE SO ~ w ~
BLOOMINGTON~ MN 55420
RE: 970 TICONDEROGA TR., L2, B4~ LEXINGTON SQUARE 4TH
WARNING: BEFORE DIGGING, CALL LOCAL UTZLITIES - TELEPHONE~ ELECTRIC~ GA3~
ETC. - REQUIRED BY LAW
_XX_ Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR
YOUR PERMANENT WATER TDRN ON.
Your Sewer and Water Perm3t for the above property cannot be completed
for the following reasons:
Your Sewer and Water Permit for the above property has been completed,
` however, the meter cannot be issued or occupancy allowed until further
notice.
COt~@4ERCIAL PROJECTS ONLY
Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3503 Coachman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Publie Works
Dept. (454-5220) or Bill Adams (Plumbing Inspeetor - 454-8100) before
issuance.
Sincerely,
~
Jan Severson
Secretary
dS
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN ~ 1`~ ~ j
--~j 3830 PILOT KNOB RD - 55'122 n~ n
657-681-4675
y~...y._1~A.t~J
NewCansWCtionReauirements RemodeUReoairReauirements ~ _ ~ ~-~3
• 3 registered sde surveys showing sq. ft o~ lot sq. N. of house; an~ll roofed areas . 2 copies ot plan
(20% maximum lot coverage albwed) • 1 set of Ene~gy Calculations for heated addi0ons
• 2 copies of plan showing beam & windax sizes; poured found design, etc.) . 7 site survey for exterbr additions 6 decks
• 1 set o( Energy Ca~ulations . Indicate if home served hy septic system for additions
• 3 copies of T2e Preservation Plan if lot platted after 7l1193
• Rim Joisl Dehail Options selectlon sheet (61dgs wNh 3 or less unils)
DATE 12I 30' ~ 2 VAW WION 22 ' gS
JOB SITE ADDRESS ~ I ~ Co n o~ ~ ~ Ef~ ~N
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~
PROPERTY OWNER 1~. K/iR~,/
TYPE OF WORK ~.~.1 ~C~nQM tLpnMOnl¢~I FIREPLACE(S) x 0_ 1_ 2
APPLICANT ~v~,novo~.~~~o Qp.~..,n~a~~~o 1-~m,~S PHONE#~52--~I31-'3i Z2
ADDRESS 14~f~~-t P~0.~~Gw~r~ A~/o ZIPCODE SS33'~
~
PAGER # i CELL PHONE # GS2- 32q- 3(~ 1 u FAX ~ AS2-`i3~ - 3~ 22
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUL~S 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNF.SOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: Phone
Plumbing System Includes: _ Water Softcner _ Iawn Sprinklcr Fee: ~90.00
_ Water Heatcr No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Mechanical System Includes: _ Air Conditioning Fec: $70.00
Heat Recovery System
Sewer/Water Conhactor: Phone #
- Z -
All above information must be submitted prior to processing of application. i
J
I hereby acknowiedge that I have read this application, state that the information is c I , an~e to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi '`i _
Signature ot Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
~02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? O6 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 Alteratlon O 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation S pp~ Occupancy ~G~ MCIES 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) FinallC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain TIIe Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
T Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulafion _ Retaining Wall
Approved By ~ ~ , Building Inspector
-------------------------------------------------------------1-------------------------------------°--------°----------
Base Fee u 1 .
Surcharge . ~
Plan Review j~~~ /G~~~~,~'y~
MC/ES SAC
City SAC
Water Supply & Storage s/ QlJ~
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ~ 1'~ .-1 ~
~ b
~e~l~a~e S
2005 RE5IDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
~~(~~~fiC1~
Please complete for modifications to existing residential dwellings. I
JAN i 4 ~005
„
Date / / / ~ _ By
SiteS4reetAddress ~ T CbI~P.I!'D ~l" unit#
Property Owner ~ I Yl Gi ~(ru h r, Telephone #(~j -IOCJ" ~~J I
Contractor t7Y ~I nR.tn ~ Tr~ir~
~k5 Telephone #(~'JI )~J~~- I~LI l~
Address~~d FU ~ City ~ State~ Zip~J~J~ 0~3
The Applicant is: _ Owner ~ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other.
Water Softener ~Water Heater S 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total : $ / `U
I hereby appiy 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 accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,d~~c,~h
Applican 's Printed Name Applicant's Signature
~~j
~ ~ b ~o,
2004 RESIDENTIAL BUILDING~ PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmdion Reauiremenis RemodeVReoair Re~uirements OfficeU3eanl4
3 registered site surveys showing sq, fl. of IM, sq. ft. of house; and all roo(ed areas 2 copies of plan Ceft ~~~u`a?y RGCd Y~~~N
(20% ma~cimum lot coverage allowe~ 1 set of Energy Calculations for heated addilions TrOe Pr84Plsn R€cU Y. ~N_
2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 site surveq for additions & decks Tree P~e3 Reqwred Y N
1 setofEnergyCalculations Add'Rion-indicafeifonsifesepticsysfem Ori.adeSepCicSystem _Y _N:
3 copies of Tree Preservation Plan if lot platted aNer 7/1/93
~ Rim Joisl Delail Op~ions selection sheet (bldgs with 3 or less units
?ate / ~1"~ / 0 S Construction Cost ~ 3; ~ ~
Site Address CO ~ V..~`~ Qal Q~P0.~ ti Unit/Ste #
Description of Work "~~l (1 [4 ~ ~ 1,~5 w/ r ~Q JX ' ST(~D~ ( ~i
~j
U
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ vlQ ~ `('0.~11~ Telephone # ( ! ~ S ~ [ ~ 3 ~
RENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD. "C" WEST
Address ROSEVILLE, MN 55113 City
State 651-264-4777 Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Ivfim~esota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
ap r val of plans. ~ f~ I~ D
LS LS
ro. '~~,.sa?~ ~ 005
Applicant's Printed Name Applicant's Signature ~
By
~QFFI~E USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? DS 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 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 1D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement '~emolition ~Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump '
# of Unfts Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Wa[er Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Smcw _ Stone _ Brick
_ Fireplace _ R,I. _ Air Test _ Final _ Windows
Insiilation _ Retaining Wall
Approved By: , Building Inspector ,
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S8W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
vvive.sv..e. yuai tG.JV t11A fOJ arl+~qpD
xr~vtsnltl, nranutut,7~stv ~
. . ~luu
- ~ ~
sr.wm~asrr - ~ .
Jtare'7, 2001 ~ ~ - ~ •
~ - i- .
_ ~3' ~Fagan .
3836 Pilot Sttoli Roa~ •
MN 55122 ~
. To Whom It May Cortcern;
.g
a~%n~ ~ au~°~a r~pun an~a~g~r~ r~~~ ~y ana~ ~t~a ~u~
P~vide this sesvicc for ua in 8agan. ~Tti~ ~horhatian is vsiid for any
date bcyond 6/6/01; wnti~ ~~e~ by ~~n ~~p it in wifcing
to the Clty-
~ anQiorizaflon be ecc~te~~~dously. ac bo not detay in the p~rtg ~
S P~aaib aaY fuzthcr. Elcasc caII mc If thctc attc nn
r contact~d at ~63-502-4705. . 3' ~N~fona., I
can Uo
~ -
Your ~~iatc aGcntion to this matter is i • .
Sincecely, ~ .
j
Y' '
nd~R'Raa - .
dstallation Mauagor
Renowal bY Andascn Crnporativn _ .
(`.c._ Kma_Fid~7~ne¢ - ~
.~K~~F~C4 .C~C ~pe,r~, 4;,~
~i - 7~~j . - = ~
c~H p ~ ~ .
M
. . "'~a'unf~.6o.tt~zom
Received Time Jun. 1. 1:O1Pld
~ 3~a~
soos RESIDENTIAL PLUMBING PeRMiraPPUCanoN
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
P~ease complete for modifications to existing residential dwellings.
Date / /
Site Street Address ' Unk #
Property Owner a~ /~j^~j Telephone #{yr/ ) 5- 91a~~
Contrador ~~N~J W E.~~j~ Telepho~e ~0,_ ~-a- ~-O
Address ~D ~ aJ ~ c~ City HU. State M Zi?J p~D
The Applicarh is: _ Ow~rer ~y,Co~tractw _Other
SepUc System _ New _ Refurbished Submit 2 sets of pla~s and MPC license Indudes County fee
; 100.00
Per as-buitt $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee indudes installation of a water softener andlor water
heater at the same time. S you are lnstalli~ ~ a water soltener and/or water
healer, do not complete this secGon; move to the next secdon and chedc the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8' meter is required)
Otlier.
Water Softener _ Water Heater $ 15.00 ~
_ new _ replacement
~ Lawn I~rigation _RPZ ~i
PVB ~new _repair _rebulld $ 30.00
StaM Surcharge $ .50
T~~ $3~ ,50
I hereby apply for a Residential Plumbing Pertnit and acknowledge that ttie infom~ation is complete and accurate; that the
work will be in contormance with the ordinances arM codes of the City of Eagan and the plumbing codes; that I
understand Utis is not a pertnit, but only an application for a pertnft, wak is not to start without a pertnit and work wili be in
accordar~ce wilh the approved plan in Mie eve~t a plan i i W be reviewed and approve
` ~ ^ .
~?~n~~ a \ e-~ \ e
ApplicanYs Printed Name AppliqM's Signature
~ ' ~
' • - CASH RECEIPT ~+„~,rf
. ;.Yr' ~
CITY OF EAGAN
3830 PIIOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~ 19 ~ ~
r~tveo I ~ j .
FRpA ~ I ~ - _
, . L ~
~DU~ $ _ .
~ i,
& DOLLARS
? CASH ~ CHECK
coa ~
r
~A _
FUND OBJECT AMOUNT
' ~ 1
y_
~
/ - ~
_2~ -
Thank You
BY
, 71 ~ y ' .'C ~'1
. , 1Nhit~-PayMS COPy
Yelbw--POStin9 CoPY
Pink---F'ie Copy
' ~ CASH RECEIPT
CITY OF EAGAN
K
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
neceveo
r~da
t .
, AMOUNT $
1
& DOLLARS
~oo
? CASH ~ CHECK
L
soa
~ j
FUND OBJECT AMOUNT
Thank You
BY
~ " ~ ^ . 1NhB~PaY'~ ~APY
ld ~i veHow-POeu~9 ~Plr
PiMc-Flle Capy
For Office Use
%1%
% o r rr Permit#:
� rr r NIEcmcEi-v--0
5 2018 Permit Fee:
Date Rece ved: y`1)
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: ► 1`�
buildinginspections(a�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 61155' (2-0/8 Site Address: 770 ( co4 Tcl- Unit#:
�h t '(r
Name: it
h Phone:
Resident/ =
Owner Address/City/Zip: p/ 70 -/- 00 ir41 ( Ca-jam- , SS/2_
Applicant is: Owner ,/
pp /\ Contractor
Type of Work }
Description of work: ✓V e w De c.�
Construction Cost: $7°iS0 0 Multi-Family Building:(Yes /No )
Company: i-e.e),QA.-- 6ketSS SYS k-k+S Contact: JeP e y t✓rccr °'"�
I `I03 I0z4 S- t <
Address: City: G �PpeW� F
. a its
Contractor
State: ' Zip: C'1 l 7 Zg Phone: 651'"?06'68 Y) Email: :).tre,"7 Ci"4-7 �ro���/" I Goy,
License#: BG 2A is
r<0 y Lead Certificate#: 'V/A
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: Phone:
NOTE Plans and supportingdocuments that you submit are considered to be public information.Ory dr tionsof the i dation they be'
classified,as non public if you provide specific reasonsthat would permit the City to conclude that. hey are trade* „at, m .. ..
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.citvofeagan.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.00pherstateonecall.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 JQreMy x
Applicant's Printed Name Applican s Signa re
DO NOT WRITE BELOW THIS LINE £ 7,-) /i c 2/lcf6izt , - / 5/Z66,
SUB TYPES
_ Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _t.Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
V, 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 �.�° z2.5--. - Occupancy 2 4 - I MCES System
Plan Review Code Edition ynil Za )S SAC Units
(25% 100% )0) Zoning P 3 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ,V'0 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
ootings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water Final Pool: _Footings Air/Gas Tests Final
1e) 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: [ 0 FYI /fn r I<l`in , Building Inspector
RESIDENTIAL FEES / 5 `x /6
Base Fee
Surcharge 2_1,c 31 - f r
Plan Review u" / t..g> s4 . /4
ir-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
� i - `.`t ci 7U /i`ca` o i°, 71•
. Survcqor's ert' teate
SURVEY FOR: Butler Housing Corp.
DESCRIBED AS: Lot 2, Block 4 , LEXINGTON SQUARE 4111 ADDITION, City of
Eagan , Dakota County , Minnesota and reserving; aselnents
Of record.
•
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yg, S
T I CONDEROGA TRAIL
I Q
K ) - X
S89'43'03'E 75. 00
'6119,5 o e' o .6I8.f
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oSEAMST
LINE
,.+ a 34.33 i (1 ..) a 10.100
20.00 el4 I s
IT
1149,n GAR. '''Z'
ca la' 8 a S0 II al
20. °D: 14.83) L- A 3.101022.•N -2
c,i74 .7-- PROPOSED 45.4 rn
tu 5CL��UENTRY "' 1 w F
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i.n 13.00
* 6.00
w
L! oo. o/—\ 14.50 i4�3 :+ _.._Jr_it_
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1116.'i 1 i m; 811.9
40.0° r t 3B �' iis s 3 1, r r t' ? iv r.-.21
mew Dee.k i 1433lit i .-, If �v' ,___ ` -'
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ZI ,40012.
in in
6,5.0
S89'43'03'E 75. 00 2,15-5 t
• Fi'E V I E ,E b
SY •
jihh, ' 12rAtt 116" 42t '
PROPOSED ELEVATIONS BENCHMAR =
r t
Top of Foundation •901.o
Garage Floor •goo.
Basement Floor a Bil.8 ;MIN. SETBA K REQIREMENTS
Approx.Sewer Service Elev.s ,,1J�..
J.1 i�
Proposed Elevations i CD
Front - 3. Hoe Side — its
Existing Elevations w
Drainage Directions i -.r...0. - Rear -- 3d Garage Side- S
Denotes Offset Stake . 0 SCALE: 1 Inch * 30 Feet .
I hereby certify
lhel this survey,plan or report woe prepared by me JOB NO„
I1ED1LIND h under my direct supervision sion and that I em o duly R.OIstsfsd K. s7 4
Land Surveyor under the tows of the Slate of Minnesota.
@OOK:
Planning Engineering Surveying d
e . ho '�rwM=a to Z i l W P/IQE:
@ole:
J. y ,License Nn 376
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165430
Date Issued:11/02/2020
Permit Category:ePermit
Site Address: 970 Ticonderoga Tr
Lot:2 Block: 4 Addition: Lexington Square 4th
PID:10-45078-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Tina M Krahn
970 Ticonderoga Trl
Eagan MN 55123
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature