Loading...
973 Ticonderoga Tr INSPECTIQN REC~RD CITY ~F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. / H I Eagan, Minnesota 55122-1897 Date Issued: f 1~~' ~ (612} 681-4675 SITE ADDRESS: r; ~ d' F' APPLICANT: I t~ f, 1.3 KI.Ur ~ . ~ , I r.rlNl1F'Rrec~+A 1'1~ t;~ ~ ~ ~ I~ t f' I N1, I i~ld '.eillllV. i ~l i~1 1~. I. I PERMIT SUBTYPE: TYPE OF WORK: r~i~ t i~ ri ~,ii ,ti~ i i;:~ ~ t ~~ra i~i . ~ t, I 1 ~~i • ~ • f f:AM I i~~~ 1 Nl ~il~ r~ i 1~if1 f~ItllliN 1 M I'1 f:~~ ! I?~(ii i:~ r~n~;t l, ,i i~~,i:~Alf I~i F~M~ t i~, kt [~uli~i i~ Arr; F~t ~lMlfstN~~ i t!~ lK1rAI NCIhK ~ ~ I~ " ~ Permlt No. Pertnit Holder Data Telephons N ELECTRIC PLUMBING ~ HVAC Inspection Date Insp. Comments FOOTI NGS FOUNO FRAMING ROOFING ROUGH ~ , , b PLUM8ING i.~ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL 85MT R.I. BSMT FINAL DEGK FTG - ;n~ ; i ND~; ~/~3~~ ,~r~i Gt~ !~Oi~i No~7y~ • J~t~~N~~ ~ G~ :~u GLZC ` h~i ~wsP~'~7d~cl. _ i " ~ . CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date , ~ g Site Address OFFICE USE ONLY Lot BIOCk ~ Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning Percel No. On Site Well _ Type o( Const City Water _ (Actual) a Name (Allowable) W # of Stories 3 Address ~ength ~ City Phone • Depth S.F. Total , p Name Footprint S.F. ~ ` Address APPROVALS FEES ~ City Phone Assessments _ Permit ¢ Water/Sewer Surcharge F W Name Police _ Plan Review z Fire SAC, City _ - Address - u Z Engr. _ SAC. MWCC ~ W City PhonB Pianner _ Water Conn. Cou~cil _ Water Meter I hereby acknowledge that 1 have read this application and state B~dg. Off. _ Road Unit thettheinformationiscorrectendagreetocomplywithallepplicable A~ - Treatme~tPt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee 70TAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagen Ordinancea Building Official / Permit No. Permit Holdar Date T~I~phons * i -Rlumbing Sf' ,~i', ~ ~ t .N_ `,a. < ~~../%tll H.v.ac. ~a 7 `1 ~ ! • ~.3~/, Electric ~ 9I'-~G' ~ yJ 1~~~%~~d ; C:E,~.f ~/~l87 G-C Softener Inspectlon Dsta Insp. Comments Footings I ~ Footings II Foundation Framing Rooting ~ Rough Plbg. ' S•$ Rough Htg. `s Isul. Fireplace Final Htg. • ~ ~J ` ~ , Final Plbg. f Bldg. Final ~t ~ ,.t Cert Occ. ~ f ~ ~ • Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. R'..'^'~; "4'nf7' . .i"C~~ . ~ . _ _ _ . . . . . , . , , ~ . . - . . . _ . . . _ . . . . . . . ~;.I CITY OF EAGAN ~a ~ 7O ~ ~830 Pilot Knob Road, P.O. Box 21-199,fagan, MN 55121 PHONE: 454-8100 t -`''C, j BUILDING PERMIT Receipt # ~.r :~I' ~ ~ To be used for BA3EtlE01T Est. Value ;1 s~ Date SEP 1 , 19~~ Site Address 973 TICOIiDEROGA TR Lot 13 Block 3 Sec~Sub. ~I~"~ SQ a'~ OFFICE USE ONLY PdfCE~ NO. Occupancy - FEFS Zoning W Name JOSEPH V JAES (Acluai) Const ~ Bldg. Permit 36.00 o Address 973 TICOIiDEROGA TR (AllowableJ - SurCharge i•~ City Phone ~8g"~~~ ~ oi scot~es - Length _ Plan Review =F Name Depih - SAC, Ciry Address S.F. Total - SAC, MCWCC ~ City Phone S.F. Footprinls - On 5ite Sewage _ Water Conn ~ ~ W Name On Site Well - Wa1er Meter x= AddfeSS MWCC System _ ¢z Acct. Deposit s W City Phone cay wacer _ PRV Required _ SNV Permit I hereby acknowlege that I have read this application and state that the Boos~er Pump - SiW Surcharge iMormation is correct and agree to comply with al~.applicable Slate of Minnesota StaWtes and City of E9gan Ordinances..- Trea~mem PI Signature ot PermiteE - ' ~ APPROVALS q~d Unft A Building Permit is issu d to: 'j~E~ V ~an~~ - Park Oed. on Ihe express condition that all work shall be done in accordance with all Counal ~ applicable S1ate of Minnesota Statutes and City of Eagan Ordinances. g~, ph. _ Copies ' Variance - TOTAL ~ ~ ~ ~ Building Official Permit No. Permit Holder Date Te{ephone k WATER SEWER PLUMBING H.V.A.C. E~~~~~ Ga r ~ ~ ~ ~ ~9 ..~C' Inspeclion Date Insp. ` Comments Footings I Foundation Framirg Rooting Rough Plbg. Rough Htg. Isul. ~d Fireplace Fnal Htg. ~6f ~ Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPian Bldg. Final Deck Ftg. ~,~?L Deck Fnal Well Pr. Oisp. INSPECTION RECORD CITYOF EAGAN PERMITTYPE: ~ 3830 Pilot Knob Road Permit Number: ' I'' . Eagan, Minnesota 55123 Date Issued: ~ (612) 681-4675 SITE ADDRESS: ; „ , , , ii ~ APPLICANT: ~ i ~~ri~i: ~;~~(in ttz , r i it ~ ; . i i ;~II:~~•1 , l li { i . ~ PERMIT SUBTYPE: TYPE OF WORK: ~ ~ ~,i i ~ • • i~~ ~ ~ i r~;~, ~ ~ ~ L~ ~ Permit No. Permit Hotder ~ate Telephone ~ 5NV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Commerna Footings I Foundatfon Framing Roofing Rough Plbg. Rough Htg. lsul, Freplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. ~ Deck Final C ~j~.~ ~ ef Well Pr. Disp. INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: i•' A Eagan, Minnesota 55122-1897 Date Issued: t' ~ (612) 681-4675 SITE ADDRESS: ~ ' ~ ` ~ ~ ~ ~ APPLICANT: i~~~. ~ . t~i~,~~ . i;~ nNrf! r~i~r~A ti~ ~ j•.~ .tn•,~ i~11 I I i~~~ c ~~II : ! I ~ . PERMIT SUBTYPE: TYPE OF WORK: i ; ~ i :s~ ; • • t~~ti~~11 ~ r~ , ~ ~i,, ~ ~ ~ L~ J P~nnft No. Perntk Holda Wt~ TNspharo ~ ELECTRIC PLUMBING HVAC Insp~ctlon Dste Msp. Camments FOOTINGS FQUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE _ s ~ ~ FIREPLACE ~ AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Date: ~ IS~F 7 CITY OF~ sGAN Permlt No: 5~~,~~ ~ocK 39~0 Pitat Knob Road A,feter No: ~g~ ~ 9~ ~ Size: - P.O. 8ox~2~i i99 Reader No•Q ~.r. ~~C~.T ~ Date: - Eagan, MN 55121 _ • ~o,i ~omes Owner: ~ ~ ~ SiteAddress: "~ic~nclero~ Tra 1 L13 B3 Te'xinrtor 5~ ~L Plumber. `~orth u `:ech r . n ~ ~ ~ ~ ZU I tl ' ~`I- Conn. Ch : - = Acct Dep: ~ ! ~11AjcS'~a~ ~ni~ 1 Permit Fee: L ` . ~ • ' ~ '~~,1~ - Surcharge: 1~ with th y ol gan Tr. Plant - ` ~ • , ~dinances. rnu~~~~~a Meter. ' ~ Misc.: BY WATER SERV{CE PERMIT ~ . - - I - - - - . I . ' CITY OF EAGAN ?~~j ~n ~`-rr'{~/~ ,('E ~~IT ; ~ 3830 Pllnl Kn~F+ ~ PERMIT NO.: i ~-R7 I P.O. Box 21199 1 j Eagan, MN 5512k~ DATE: Zoning: -i-~--- ~-__«,~,~~--~~Io.ofUnits: ~i Owner. . I Add~eSS:~~'~'fE6~~i'-°°rn~•~ Trail L1~ ~i3 .exin~ton Sa I~ j SiieAdu~~:~ }3~~~~~~~'h,n~rrA1 - _l._ l~t},~O~c Plumber, a 7y st7 7~~~+l 57 5. Q~l~d ~ I I agree to camply wFth the City of Eagan Connection Charge: 1 5-~~~~- , Ordiaances. Account Deposit: ~ ~ - ~~p~ ~ Permit Fee: - 5t~~_ Surcharge: ; ~ By Misc. Cher~es: ~ ~ Total: ~ Date of Insp.: ~ Insp.: _ _ Date Paid: //~89 ` C'.,~~ ry q ~ 9 5 9 7 6 i3 . ~s .~,z= ,~1~ ,~~~o uest Date re No. Rough~inin nn ~ ~ ~ RequireE? ? ReaGy Nav}~Will Notlty Inspectw r'r Yes ? No ~ When Reatly? I p licensed cnntrador `~owner hereby request inspection ot above electrical work at: ~ Job Atltlress ~Sireeq Boz ar Rauta No.) Ciry Cl'73 "~"f ' o A Th~AIL C=~4Cr~4 '_f SeUlon No. Townehip Name o~ No. Ranqe No. Couny Occupent (PRINT) Phone Na. ~ ~-6y" Power Supplier q~~ 'bA Kc~TA E LcZ~ lC~ Electncal Contrac[or (Comparry Name) Conlreciw5 Lkense No. Mailirg Address (Comraclor or Owner Meldng Instslletion) `i'7 3 T! co N D~~IZo Autho~lzad Signptur¢ (C ~r Meldn Ilatio Phone Number (o~$ 6'-1 f3r? MINN OAR~ OF ELECTHICRV THIS INSPECTION REOUEST WILL NOT GrippsMldway 810g. - floom &1]3 BE ACCEPTED BY THE STATE BOARD 1821 Unlvorelty Ave., St. Peul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Phona (61S) 69Y-0800 ENCLOSEO. C~/dc~ REUUE.~. ~JR ELECTRICAL INSPECTION r eeeoom-w ~ See instrucl ' comple[ing this form on back oi yellow upy. C~ 6 ~ ~3l0 7 / ~ g~ g 7 6 ~`X" 8elow Wark Covered by This Request :/N Add Rep. 7ypeofBuilding AppliancesWired EquipmemWired Home Ranga , Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Other (Specify) Cumm.llndustrial Furnace Farm ' Air Contliiioner OTher (spedry) Comractor5 Remarks: ~~-~n~rrT F ~ ni ~ s~ Compute fnspection Fee Below: # Other Fae # ServiceEntranceSize Fee # CircukslFeedere Fee Swimming Pool 0 to 200 Amps a to to0 Amps TfansfOfiners AboVe 200 _ Amps A6wa 100 _ Amps Signs Inspeclorg Uae Ony: - TOTAL Irriqation 6ooms .~Q 3o S~ Special Inspeaion ~ Alarm/Communication Other Fee ~ . I, the Electrical Inspector, hereby Rougn~n 1~ oa~e certify that the above inspection has F„~ ~ r p been made. ~ . 6~ OPFICE USE ONLV ~ This 2puesY ~roIC 18 moMhs Irom ~ C~ '1 ~ OFFI E US ONLY This reqeesl void 18 months imm validonon dok pnnkd i`n fiis /byox. n ~ N%~~ d /~a~ W PLEASE PRINT OR TYPE Reqvezf Duk~ Rough-in inspection rcqWmd2 ? Yas Inspection OMer Than Rough.ln: Reody Naw Q WII Call ~ (You mus~ call the inspeear when reody) Dote Ready: I, ~licensed conhador ? owner hereby requesi inspetlion of }he above elechicol work af: ~ Jab Addmss (Slreel, Box, or Route No ) Cily T~P d~ cv~ ~ho ~T ~ ~ la3 Se n No. Township Name ar No. ange No. Fin No. C y~ j d~ Ocu~panl VM~ No. ~ 6~s-6~g Po~.erSupvlier Addreas Eteckl~onvacmr (C mpany Nome . Commnor license Na. MmMr lic No. ~Plam Eletl.Only) aY' ~ ~ ~7 d Mailing dreaa ~Conrracmr a Owner P iming ImMllofion) n~ ~f cts . st n/E M s Aufiorized SigiwNre ~Conka rOwntt P<r(oiming Insmllanon) Phone No. ~-r.~J~l,Pit ~i yS/%d~o EB-OOOUTA.10 6/95 STATEBOAli OP -SEEIN57flUCT10N30NBACKO YELLOWCOT' IIII~ ~$I HEQUEST FOR ELECTRICAL WSPECTION 5~ , I Minnesota State Board of Electricity 1821 Universi[y Ave., Rm. Sd28, St. Paul, MN 55704 * 2 8 1 8 7 3 U~K. Pno. (e:~3a2-0eoo ~ Home Dup ez Apt. Bldg. Ofher: New Addn Commerciol Indusfriol Farm Remod Re air Air Cond. Hig. Equip. Water H}r. Load Mgmt. Other: D er Ran e Elec. Hea} Temp. Service "X" a6ove tFe work covered by fhis request. Enfer remarks in this spoce and on ihe back of the whifs mpy onfy. Cal<ulafe Inspec~ion Fee - This Inspection Requesf wil! not be accepfed without tbe mrrecf fee: Olher Fee Service EMrance Sae Fee # Circvih/Feeders Fee Mo6ile Home Park Stall 0 fo 200 Amps 0 to 100 Amps / Sfreet Ltg./Traffi< Sig. Above 200 Amps 00 Amps Tronsformer/Generator IN57ECTOR'SUSEONIY T~~ ~ $ign/Oufline Llg. Xfmr. ~O • / Alorm/Remote Control Swimminy Pool I here cedi ~at I ins Med ~he elean zcnbed herein on the dorcs sfokd Irrigution Boom Rough-In oaro Spe<ial Inspection Final ~ Investiga}ive Fee THiS INSTALLATION MAY BE ORDER D UISC NNECTE ~ F NOT COMPLETED WITHIN 18 MONTHS. ! CITY OF EAGAN 13 4 4 4 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454•8100 ~~33~ BUILDING PERMIT Aeceipt# 7obeusedfor SF DWG/GAR EstValue $$z,000 Date ~RIL 8 ~y 87 SiteAddress 973 TICONDEROGA TRAIL OFFICEUSEONLY Lot 13 Block 3 Sec/5ub. LEXINGTON SQUARE On Site Sewa9e Occupancy R3 MWCCSystem ~ Zoning R1 Parcel NO. On Site Well _ Type of Const V City Water (ACtuaq a Name ~TRO CUSTOM HOMES (Allowable) V w # of Stofies 3 Address P• 0. BOX 1049 Length ~ o ~ity B' VILLE Phone 454-9383 oeptn [~9 S.F. Total , p Ndme Sp`ME Footprint S.F. ~Q Address APPROVALS FEES ~ City Phone Assessments Permit $ 440.50 Water/Sewer Surcharge ~W Name Police _ PlenReview ~~n 75 Address Pire _ SAG Citv t nn _ np Engr. SAC,MWCC 525.00 aw City Phone planner _ WaterConn. 525.00 Council _ Weter Meter b7 • 00 I hereby acknowledge that I have read this application and state Bldg. Oft _ Roed Unit l(l S. n0 thattheinformatloniscorrectandagreetocomplywfthallapplicable APC _ TreatmentPl 1R(1_[lQ State of Minnesota Statutes iry of Eag~ Or hances. Variance _ Parks Copies ~7 Signature of Permittee ~~0- ~ - TOTAL yL 'vJ 5 A Building Permlt is issued to: METRO CUSTOM HOMES on the express condition that all work shall be done in accordance with ell a I' ab~ Minn ota $tatutes and CitY of Ea9an Ordinancea Building OHicial , " ° CITY OF EAGAN NO ~ ~ O ~ 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 MC BUILDING PERMIT Receipt # ~ ~ ' To be used tor BASEMENT Est. Value $1 , 500 Date SF.P 1 , 19$4- Site Address 973 TICONDEROGA TR Lot 13 ~Block Sec/Sub. LEXINGTON SQ 4TH OFFICE USE ONLY P2lCBI N0. Occupancy _ FEFS Zoning w Name JOSEPH V JAEB (ACtuapConst - BIdg.Permil 36.00 o Address 973 TICONDEROGA TR (Allowa6le) - Surcharge 1.00 City EAGAN Phone 688-6487 s o~ s~odes - Lenglh _ Plan Review ZF Name SAME Deplh - SAG Ci~y gQ Address S.F.7otal - SAC,MCWCC ~ City Phone S.F. Foolprints _ On Site Sewage _ Water Conn r ~w Name OnSileWell - WaterMeter x~ Addf@SS MWCCSys~em _ ui Acct. Oeposil i W City Phone Ciry water - PRV Required _ S/VJ Permit I hereby acknowle9e that I have read ihis application and state that the Booster Pump - SNV Surcharge information is correct and a r lo comply with al p Ii able State ol Minnesota Statutes and ~ of gan Ordin e. 7rea1menl PI Signature of Permi APPROVALS q~yd Unit A euilding Permit is issu d to: .TOSE H V JAEB Planner - park Detl. on ihe express contlition thal all work shall be tlone in accortlance with all Council , 50 applicable Slate of Minnesola Stalutes and Cily oi Eagan Ortlinances. BIdg.On. _ Copies {I~~ yy~ Variance - TOTAL 37.50 Building Oflicial ~Q~ ~ ~ :`v f~pr#if~r~f~ nf (~rru~ttnr~ c~itp of (~agan ~P~181fillPtlf Df ~It~I~ ~P131Dt1 This Certif+cate issued pursuanl ro the requirements ojSectron 306 ojlhe Uniform Building Code certrjying that at the time of issuance this structure was in compliance with !he various ordinances af the City regulaling bui(ding construcdon or use. For the jollowirtg: UseC7amfiauov BIdg.Pl~milNO. li ~'~S -r • OccuW^~Yn'P~ ZoniogDislrict t;~~ TyRConsL ~f OwnerofBuiltlinB f~ ~ p~~~. ;•~~r 1C`. ~.3^r~,• s~aa~~anaarro, --~r::. u~.;1~, wornzlJ. '..Ci~~-ii-~: ~ 1:~~;_. r~i: „ti - j. 'S~7 u.k: awie~~ oa~;m . POST IN A CONSPICUDUS PLACE ~j 3 ~ RESIDENTIAL ~a l~ a ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 65'I-68'I-4675 NewConstrucdon Renuiremen[a RemodellReuair Reauiremants • 3 registered site surveys showi`g sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20%<maximum lot coverage allaxed) . 1 set of Energy Calculalions tor heated additions • 2 copies of plan showing bearn & windaw sizes; paured found desi9n, e[c.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home urved by septic system for additions • 3 copies of Tree Preservation Plan i( lot platted after 711193 • Rim Joist ~etail Oplions selec6on sheet (bidgs with 3 or less units) DATE ~ ~ ~U l0"L VALUATION ~S_7 J.2•00 /Z~-Z~ SITE ADDRESS ~`l3 T1 Lo u~.Q,ror~, ~ MULTI-FAMILY BLDG Y ° N TYPE OF WORK ~ E R fL- 't ~ E' -~Ot' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT TPVI LD~C.. P~lLO C~G ~~G STREETADDRESS 3S21j ~n111~(..h Ad[- ) CITY M~I~ STATfi!h~ ZIP frY~tl' TELEPHONE #~1 Z'g~~~i7~0 CELL PNONE # FAX # b T2•Yz2- ~oaQ PROPERTYOWNER ~~I~Qi14S . ~rIJ TELEPHONE# ~5~~~~S~CIS COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~-[IVN1~:S0'1':\ 12i1L[;S 7fi70 CA'l'GGORF t ~[INnF:S01:A RLLCS 7G72 (J submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing systcm incliides: _ Watcr Softener _ Iawn Sprinl:ler Fce: ~9U.00 `rVa[cr Heater Na. oF R.I. L'aths No. oF Batlis Mechanlcal Contractor: Ph n~1F a~~ I ~ ~'Icch~mical syslcm includcs: _ Air Conditioning r. n i ~ 1 9 cQfili~c: ~ D.00 HC:l[ Rl'COVCl'V SytiLCill ~ Sewer/Water Contractor: Pho I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable StaTe of Minnesota Stotutes and City of Eagan di nces. Signature of Applicqnt OFFICE USE ONLY Certificates of Survey Recefved _ Tree Preservation Plan Received _ Not Required _ Update0 a/02 . OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? i 6 Fireplace O 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex p 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex • ? 12 12-plex P16g_Y or_ N ? 25„ Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 ~emolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entira Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City W2ter 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) _ Final/No C.O. Footings(addition) _ Plumbing Foundation . . ~ HVAC~ ~ Drain Tile Othzr Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fcatning _ Siding S[ucco 5tone _ Fireplace _ R.I. _ Air Test _ Final _ Windo~vs (new/replacement) _ Insulation _ Retaining WaII Approved By , Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit ~ Mechanical Permit License Search Copies Other Tatal . . ' ~ 1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN , SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS~ 3 CERTIFICASSS OF SORVSY~ 7 BT OF EIJE Y CALCQLARIONS - ~N ~ NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMS ER MQST SIGHATE WHICH ADDRESS TS DFSIRED. NO CHANGBS WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSi]ED. MOLTIPLS DWELLINGS - RESIDfiNTIAL RENTAL U~TITS FOR SALE IIBiITS INCLUDE 2 SETS OF PLANS, CfiRTIFICATS OF SORVSY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS; $2,000 LANDSCAPE BOND 8 Zr Q-"Y~ To Be Used For: S~rlo ~e-~'~rn, Valuation:- ~1$-'~'bYl Date: ~!-(o- $7 Site Address 9 ~ 3 ~.0 OFFICE OSfi ONLY Lot J 3_ Block .3 On Site Sewage_ Occupancy R 3 MWCC System ? Zoning R I Parcel/Sub L2xina-Iv?i Sq~qr~ ~-1~-/~dd. On Site Well Type of Const ~ City Water ? ~Actual) ~ Owner YY~ 2, ~t~p Cu S~rYl 1r25 ( Allowable S of Stories Address ~.Q, Jgp~C 1049 Length ~ • rz Depth ~ City/Zip Code UurnS~ i I~r. 55 ~ 37 S.F. Total Footprint S.F. Phone ~l 5~ _q 3~3 3 APPROVALS t~s Contractor Stawi~ Assessments Permit 44 Water/Sewer Surcharge ¢I• Address Police Plan Review ZZo.Zs Fire SAC, City 100. City/Zip Code Engr SAC, MWCC 25 Planner Water Conn SZS. Phone Council Water Meter 6~. Bldg Off Road Unit 3D5~ Arch. /Engr, g/km¢~ APC Treatment Pl ( gp' - Variance Parks Address Copies TOTAL ~ ~ City/Zip Code Phone ~ Z~ ~ _ ~ 7~ ~ s~. ~ ,~~,s~a . - . . . i, . ~ ~ x Z~ 32~ ~ ~ (~~s~ ~ zq- x 2 z~ sz~ s~ ~ 2.__ ~~73~ B~oK 69, Pqt~ So e ~Ylento CusTOm ~/ome.s {7OBE ~pHSllLTiN6 EN61HEfR3, ENGiNEEitING PLRNxE~S and IAHD SURVEYO!!S ~ COMPf~NY, IN~. f000 U.57~ I46L'1 S7REcT, 911ftN5VILLE, 41HHE56TA ~.`.$37 PH 4:2~~Q6G - C~'9"z~Z~Z CtZ~e O~ c5'ZL'i"~/"~ l.~ CI ~~CY'~PCZOrt: LOT /3, B~OCK 3, LEXlA76ToN $qUAf~E 4TN ADDIT/ON, DAKOTA CovNN MlNNc50TA ~ i~-r- ~-DP.A/NA~6 AND L~ ' , ~ ~ ~Lt UT~L•'TY c`A~r-"M61v7 'fI 1I ~902. s~ N 89° ~F3' 03" W qo` ~',L , 1;y I yc=-': ~ 90.00 ~1 ~"~ay6.3~ ~ ~ ;1 - ~ _ _ ` /-.N ~ (°96. 3J . . ~ . o, i 1 ' / 5 - ` _ 1 ~ / i r _1_~ I _ _ scac~ : t" - '>o I I LV~ l~ I C9_a!•3J Dc'NOTES GX/STINo p c L_ UATION ~ I ~ ~ ~ I s.s o~ I L~ (898,5~ I ~902. o~ pc~/OT65 PROPoS~D i ~ ~ 89E_b~ S.E.W.O. ~98.L ~ll ~1 1 ^ I 39.00~ I~ ~ `v E/~~AT/oN. J ~I . 'v~ ! o PRoR"5co o ln . ~ . ~ No~ss I °o . INDlCATES Dl2EGT/ON J I I. 9oz.o~ ~i v +D ~ i ~ o~ I yoi, z, ~ e: o i~ ~ OF SuRFAC~- DR~ /N<1 i~_< ~ o a.oo r~_ ~.o - - o ~ Z I ~ ~ osoi o If ~ ~ yop,33 = FlNISHc'D 6ARA5E " zo o~'~ u I F~oo E~EVqT/ON h I C~foig. ~ 4 ti I ~ ~'1 [902.0~ n ~ . I / ~ 23 00 9.00 ~ . ~ j ~foi.-4~ L9o2.33~ ~ 'o~.i~ . I / ' 1o I ~'oz.~Q ` ~Zis 30' FRO/JT BU/LD/A/6 ( i~ _ SETBRCK Lln/E L~~ ~ ~ ° ° rs~v.-~', %yoo.e~ 90.00 yo~. o N 89° 43' 03" W o 0 . N - ;699.oZ~ ~ ' 1C`-~ ~s~ ~ % /CD/JDcRa~! TRA/C 9Y.z7 ~ I heraby eartify that th3s ie a true and earrsct t•epr~ssantatioa oi a tract af ljnd as ahc+m':nd de~trihed hereon.. Ae prepared by fie on thi~ 2,,,__'dtY a! ,9n~,~ , 19 s7 . , Yinn. 1tes. Fo. /~aSs.~ PERMIT ~ ~ ~,~~3 ~ ~CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 2 4 (612) 681-4675 Date Issued: 0 9/ 01 / 9 5 SITE ADDRESS: 973 TICONDERtlGA TR LOT: 13 BLOCK: 3 LEXINGTON SQUARE 4TH P.I.N.: 10-45078-130-03 DESCRIPTION: (GAS) Baiildi~g..Permit Type FIREPLACE Buiiding Work Type NEW t`~ `=ys ~ _ . ~ _ „ . , - . . " . . , REMARKS: FEE SUMMARY: 8ase Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - JAEB JOSEPH 973 TICONDEROGA TR EAGflN MN 55123 (612)688-6487 I hereby aoknawledge that T have re:ad this application a-t~d stats that the anfiormation is correct and agree to comply with d31 appYicabla 5tate of Mn. ~tatutes and City ofi Eagan Ordinances. ~ ~ ~l i r~ ~t PLICANT/PERMITE 'SIGNATURE ISSUED :SI UA-E ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ~ I ~ q ~ DESCRIPTION OF WORK: V INSTALL ~N1 FIREPLACE: _ WOOD BURNING V GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: ~~rwT^~ STREET ADDRESS: ~ rI T~ b~1 ~ LOT BLOCK ~ SUBD./P.I.D. ~m ~PfYi ~~~~IU APPLICANT: (circle one anly) OWNER CONTRACTOR I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: ~o e~e- Phone ~ ~ OWNER ~T P1R8T Signature: Street Address• ~ ~ Tir nr,r~Pvaa +'a ~ ~ Ciry: E va~ ,w~,> State: ~ Zip: ~S FIREPLACE Company: Phone INSTALLER Signature: Street Address: License City: State: Zip' GAS LINE Company: Phone INSTALLER Name: Signature: Street Address~ City: State: Zip: . ~ @ y r . • OFFICE USE ONLY ' + ~ BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New ? 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION ~ Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: ~ ~ PERMIT ~a21~ ~CITY bF EAGAN PERMiT rvPe: ~f (~f 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55723 Permit Number: @~~~ g g (612) 681-4675 Date Issued: 0 4/ 13 / 9 4 SITE ADDRESS: 973 TICONOEROGA 7R LOT: 13 BLOCK: 3 LEXINGTON SQIJARE 47M DESCRIPTION: Be7ilding'-.Permit Type DECK Building Wo,rk Type NEW ~ ~ ~ i ~ t~ _r~ . r> ~ ~ ~ 1 . - ~ ~ :rt ,~t - ~ ~ 1~ 'i ? , f,:~ ~ I~~! ~ S fir^ll t /"-i )i;- ~ i i ~ i ~ p I ':-.]Ji: ~.c~ ~~k~.r7 ~~'l4. ~~~t~ l~~~~I V. ~a•:.11 ~ "-.~~>J i3 ~ ..~=\r'~:c.' _'A E REMARKS: FEE SUMMARY Base Fee $30.06 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - applicant - JAEB Jq5EPH 9T3 TTCONDER06A 7R EAGAN MN 55123 (612)737-2456 I hereby acknowledge thst I have read this application and state that the infiorinativn is correct and' agree to comply wiCh all applicable 5tate af Mn. 3tatu~es and City of Eagan Ordinances. ~ ~ AP LP ICANT/PEFiMITEE SIGNATU~ I SUE~ BV: IG~ATUR~ ` ~ CITY OF EAGAN _ - - _ 1994 BUILDING PERMIT APPLICATION ~ ssi-4675 a s fsy~ ~-3J-~D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date A-°r~ ` Valuation of work Site Address: ~}~3 ~lC C~ln Cl~vcz~ ~r ( lr. STREEi SUSTE 0 Tenant Name: (commercial only) LOT ~ BIACK ~ SUBD. B~ ~ rl~~ P.I.D. # ~ Descri tion of work: py~ aT' ` U2J\ Ve~ I ' The applicant is: Owner ? Contractor ? Other (Oescribe) Name ~~Fi-~~~ ~i~yefl~ Phone737-2~S~D Property ~AST FIRST Owner Address 173 ~ICbV1~LQv~~.~ r~ STREET STE # City State rV1~ Zip~~~lz-3 Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication a d state that the information is correct and agree to comply with a11 applica te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY , ~ ~ ~ BUILDING PERMIT TYPE 1" 1~ ~ y~ 'y` `~,..d m_,.~ ? O1 Foundation ? 06 Duplex O 11 Apt./Lodging ~ 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool ? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch ? 09 12-Plex ? 14 F9replace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ~`15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INF~RMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Cade ~ Depth On-site sewage SAC Cade ~ Census Bldg APPROVALS Census Unit Planriing Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site ~ Footing ~ Framing ? Insulation ? Wallboard final ? Draintile ? Fireplace Permit Fee vei~c;«~: g Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units , . , . 38'-0^ I 32'-6^ 41,_ 8^ 30' -41-° 2 60'-lOZ^ . ~ PERMIT ~ ~ ~77~ CITY OF EAGAN 383oPilotKnoeRoad PERMITTYPE: Bui~Drw~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 0 7 (612) 681-4675 Date Issued: 0 5 J 31 / 9 6 SITE ADDRESS: 973 TICONDEROGA TR LOT: 13 BLOCK: 3 LEXINGTON SqUARE 4TH P.I.N.: 10-R5078-130-03 . DESCRIPTION: (BATNROOM) t r ~ui1~~9iri'g~ Permit Type BASEMENT FINI5H Building ~k~ork Type ALTERATIOM P~Cens~as Code~ 434 ALT. RESIDENTIAL /r~* ~ ' ( r Jj' ~ ~ . ~i~r/ 4~ ~ ~ ~ r;_~ ~ ? ~ t~ ' ~ ~ t ( T` V ~ i ,i ~ E r- I ~ E ti~ 1 r C ~ ~.r` ( i ~'w 3.-^,~ h e7 ,S d ..:.~~~3 .3~: r a ~:s -?y,~.f`'..,^.-~ . REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - JAEB JOSEPH 973 TICtlNDEROGA TR EAGAN MN 55123 (612)688-6487 I h:Qreby ackrsowledge that I have read this application and state that the informatipn is onrrect a.nd ag'rea ta comply with a11 applicable 3tste pfi Mn. Statutes and City of Eagan Ordinances. ~ . _ _ .J PLICANTlPERMITi E SIGNA URE IPSSU~: IG UR~ CITY OF EAGAN S1 ;~1 3830 PILOT KNOB RD - 55722 ~~il ~~:e' ~1996 BUILDING PERMIT APPLICATIQN (RESIDENTIAL) ~~~~.3~ 681-4675 New Conslrudian Revuiremenls RemodellReoair Reavirements ? 3 reglstered sile surveys ? 2 croples at plan ? 2 copies ot plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterioi additions & decks) ? 1 energy plculations ? 1 energy calculations tor heated additions ? 3 copies of tree preservetion plan 'rf lot platted after 771/93 required: _ Yes _ No . DATE: S~~ 3' 1 b CONSTRUCTION COST: n ~y~~~at~ v ~ower DESCRIPTION OF WORK: l ~ ~ ° ~~~~iiii°""" STREET ADDRESS: 9 7~ Tl ~}?1 ~I ~Pv-o a'r~ TrA i LOT ~y BLOCK 3 SUBD./P.I.D.#: ~^e~~~ ?~`"`L ~a~;'~o'^ PROPER7Y Name: ?''~2 ~ .~oS-e d v~ Phone - ~~y - OWNER Street Address: q`1'~ TI ~ c r~ r1 ~n~_T.~ City: ~r4g .4 State: ~11~ Zip: ~ ~ ~ ~ ~ CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Pho ENGINEER Name: Registra ' n 5treet Address: City: State: Zip' Sewer 8 water nsed plumber: . Penaity applies when address change and lot change are reques once permit is issued. I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I / Signature of Applicant: OFFICE USE ONLY ~j ~,~Co~Q~ILSLJ Certificates of Survey Received _ Yes No ~A~ Tree Preservation Pian Received Yes No OFFICE USE ONLY ! ~ - BUILDING PERMlT TYPE 0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging o~16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ~33 Alterafions ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Baoster Pump Length sq. ft. Census Code. ~/3 ~ Depth Footprint sq. k. SAC Code o i Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Capies Total: % SAC SAC Units 198g BfJILDIIlG PEAMIT APPLICATION CITY OF EAGAN 1~l~` . ~INGLE FlMILY DWELLINGS t~ATL,YIPI.E D1iELLINGS ~ACIAL `'°"PS OF PLANS 2 3STS OF PLlN3 2 SETS IRCHIlECfUR9L .':ISTEAED SZTE SDRYEYS 9fiGIST6AED 3TfE SQAPE73 - tr 32HOCipRIL PLAN3 :;~:`T OF ENERGI CiLC3. (CHECE WITH BLDG DIV.) 1 8BT OF SPECIFICATIONS i S~ OF EI~AGI CiLCS. 1 SEi OF EBERGT CiLCS. lWLTIPLE DWEI.LING3 ~HT1L DNITS F~ 3SLE U6IZ3 1.OF DHITS ~OTE~ 1DDRESSES !OH ODR9ER 1.Cf3 - QOdQTRlCT0~/80l~OM1Zl~EA !lDST DF3IG1iATE i1HICH ~DDRFSS IS DFSIRED. AO CHiNGES iiII.L BE iLLOiIED ORiCE HUILDING PERHIT IS I3SOfiD.. SEWEfi 8 YITER PEAMIT FEES lND ?CCOONT DEP03IT lSES 1TII.L Hfi INCLt1DED MITH ?HE BOILDINd PERHIT FEE. PROCFSSING T~ F08 SLniEH i1PD ifATBR PEl~lIiS I3 TWO DAYS ONCE A PfiAMIT SAS BEEN f~LEfEA IHDIClTIAG A LICENSED PLA~ER. PENALEY APPLIES WHENs PEEIMIT IS NOT PAID FON IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSDED, "r- ??e Used For: i7~=~te~-r ~~NisN Valuation: ~ S~~ ~ Date: ~ ~ .~te Address OFFICE D3S ONLT Lot 1~ Slock ° _ Oceupancy ~ Zoning Parcel/Sub 2~tim ~A'n 1~tr ~-~i. Aetual Const Bldg. Permit --R Allowable Surcharge ~,o J Ormer c~~~~, U. _ ~ c*E ~ f of stories Plan Review Length SAC, City Address Depth SAC, HNCC S.F. ToLal Yater Conn City/Zip Code ~n .r~,^ ~t() 55123 Footprint S.F. NaLer Meter 9cet. DePosit Phone S~~ F's on aite eewage 3/A Yermit On aite vell 5/W 3urcharge °`.ntraetor _~(a ) ~1 r' V' !litCC System _ Tr~tment Yf. Ci€y vrater _ Aoad Uni~ ..ddress ~['i W-~L_ PRF reqvired _ Yark. Ded. &rost~ P~p _ Copies , 50 CitylZip Code g~TOT~ 1PPROYAIS Peealty Phone Planner _ lOiAL Council lrch.JEngr. Bldg. OTf. 7arianee aaares9 City/21p Code v Phone +t L~ gL ~ CITY USE ONLY RECEIPT ~~~y~ SUBD. ~ DATE: `5 °2~ -~j'~i 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit Msvl ~onstra~:tion ,Add-on fi~macs x Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: S~~l1/96 FEES ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.~0 Additionai 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 T~T~L ~d~o SITE ADDRESS: 3 T~°^~~'°; ~ T I OWNER NAME: ~ J aeb ,~To e PHONE INSTALLER NAME' sTmioFao~RnxcauoAiecor,omaxixcea tt MINNEAPOLIS, MN 65109'+~ii{ STREET ADDRESS: s~z~exause CITY: STATE: ZIP: PHONE ( ) ~-~s-~7 .tG~/ CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comptete for: ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are ~t required for each dwelling unit. DATE: CONTRACT PRICE WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTIQN OF WORK: FEES: ~$25.00 minimum fee g~ 1% of contract price, whichever is greater. ~ ProcQSSed piping - $25.00 ~ State surcharge of $.50 per $1,000 af permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADURESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:- . , _ . . CITY: STATE: ZIP: _ , PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR L~ gL ~ CITY USE ONLY RECEIPT ~77'S5 ,s~//~'~ SUBD. e~G. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 ~675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ~SEI t1Q. TOTAL Shower 3.00 x 1 = ~ Water Closet 3.00 x = 3,~ v Bath Tub 3.00 x 1 = o ~ Lavatory 3.00 x ~ = 3 .O ~ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Spfinklef ' home under const. 3.00 = ~ Alterations ' to exlsting 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL - ~~~-~D SITE ADDRESS: 9 7 3 TI ~ h v~ d~ r o a OWNER NAME: va5e(~ ~ ~1 A~C ~ INSTALLER NAME: ~ Tl'~- ~fl'~ ~ STREET ADDRESS: ~~3 ~l (O?1~ Pvo a fi I?' CITY: ~ A~AU~~ STATE: .J ZIP: 55123 PHONE ((c~12 ) ~ $ ~6 ~ T ~ ~s b`T~"AATC~~SFFEFfTJf I OPFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT fCOMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 5512~ (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ~ multi-family buildings when separate pertnits are f14t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER RE~UIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permjt fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: I 1 ForQffice'/-;Us~@-~ C~~~ O~ LLL~LL~ j Pertnit# ^f/ LlU I ~ ~ I Permfl Fee: / ~ 383D Pilot Knob Road ' MAR 2 0 2009 i Eagan MN 55122 ~ Date Received: ~ Phone: (657) 675-5675 i starf: i Fax:(651)675-5694 ~ I -----------------J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 ~ C~ Site Address: ~ 1~ ~ I~j~K] ~-P r C_7qC( . I r~iLl 1 Tenant: " Suite RESIDENT! OWNER Name: {rl, K--Q. Phone: (p S I" lli ~ 3~~ ~ 31 Address ! City I Zi l~ 3 ~ CU~~ v-1C1 T{~G~~ ~ ~ ~u "1~~~ Applicant is _ Owner ~ Contractor TYPE OF WORK Description of work: ~-P ~ 1 G~ ~~R~ 1S ~~-l ~ ws Construction Cost: `~1 ~-~U ~ Mutti-Family Building: (Yes _ / No ~ CONTRACTOR Name: ~('(;l VVl - Pd/~ ~X~?1 015 License#: c~-~~SS~nS~ Address: I~ S ~0 T VVG C~ LVI v Cily: IC.C J X U` ~ 1~ State: ~i Zip: .JS - Phone: ~ J~ " lU 1~` J~ 5~ Contact Person: G)1.~~ e~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted . submission type) • Energy Envelope Calculations Submitted ~ In the last 72 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone: NOTE:; P/ans and supportmg documents'thaf yoq submit are cons~dered to be pub6c rnfoimation. Portions; of;; the mformahon may, be classified as non-publ~c ~f you provide specrfic reasons that would perm~t:the City to = xS cF~ x^' t '!t ;~"t.,: COnC~Ud@ fh8f~~!@ 2rB~f!'d!~@~S@CLB~S T ,!,K h.+,t,.~ '~~t 4°wn C^~ 1 hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wilh the ordinances and codes of the Cdy of ~ Eagan; that I understand this is not a permit, but only an appiiwtion for a permit, and work is not to start without a pertnit; that the w8rk will 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. x ~~r~~~~ ~ Ur~h~ x U~~~a~~e Ap`RlicanY° s Printed Name ApplicanYs Signature Page 1 of 3 For Office Use r7 Permit City of Eap r ) el I Permit Fee: / E LJ I 3830 Pilot Knob Road LIAR 2 0 2009 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION yam( (,R i Date: t Site Address: 13 Tenant: Suite L1 t t 1- Phone: (y,) if 73 { 1 .31 RESIDENT / OWNER Name: { rul /.A t : v~ f.I ~r 1 i , (1 i' Address / City / Zip Cr 1 i I , c Applicant is: Owner Contractor TYPE OF WORK Description of work: I C 3 V1 d y Construction Cost: t"t Z--c. L Multi-Family Building: (Yes / No _ _ IC-j _ License CONTRACTOR Name: (i V' _ r V4 Address: ! I~ City: I&>i~ '1 I A.. State: Zip: c~ l 1 C_ a_ U j Phone: t s , r .t% Contact Person: ( Cl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('1 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, 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. 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 = J d L ` ' x / f LC v l~l V L' ~,1 ~Yr~ r r Ap icant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink -------------, � For Office Use I ��• ' �3 l�C�3°► � } h� nn �� I Permit#: � 4� U 11u� I l,��� I � Permit Fee: 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 j i Fax: (651)675-5694 �_Staff________ I ��J 2015 RESIDENTIAL PLUMBING PER;MIT APPLICATION Date: �l���.5 Site Address: / �•+� ��Gd'`JDx-°�G''4' ��- Tenant: Suite#: � `=����� , � � ° o �,�N�r� �? Name: �i�Rc.yt �aNkEb( P�one: ��3— �1/3 ! 'i� ������������� � � � �� =� ��� � ,������� Address/City/Zip: 97.3 'Z�l Go,uo�LR.�l•A- t'2•• �-�+��N , �`P� �����°� �°� � Pa. �.1.�'3.�/ �i��u�������� � Name:_ �-�Q ��6 8� �L��STRA�{. � � License#:,��6a�35l 3`� � � � „ - � � , ` �� " Address: ��S ��.Kt�,�.� � � /tl�? ��s S 4 Z 6� � City: �����lGi�T�66�--��a�� ��# ���'� �' ' �. — � �� ' p�� � 3 CoSI-`�S� ^,�$6 � � State:/�—Zip: .,$",�4 T Phone: tl�i �'� �� ' I � �., mG��� ��. � � Contact: ��t� �+�'�✓� EmaiL � �- '���� -:: ����� 7i�°ailoi� �i�� .�- ���� �� � � �C��.�F���� � _New �Replacement _Repair _ReC�uild _Modify Space _Work in R.O.W. �'�� � �,�` ���; r�,; ��� `-' , ��" � Description of work: � " ` �,� RESIDENTIAL � � � � � � � � � � �µ, � ��� �� � : i�� r �,;i �Water Heater = � � Water Softener �w,��,��,r�� � � ; Lawn Irrigation�RPZ/_PVB) E��i`�'tl �� �� �- 'j� � � � � � � �� Septic System Add P'lumbing Fixtures�Main/_Lower Level) � �r��t 7�� � "� �"� �� �������� � New � � Water Turnaround � � � � � �i;�.� . �: � ,��,.. : ����� � �,�; �;�r"�.,,,; Abandonment � � RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(include�;$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaro�und"(includes$5.00 State Surcharge) I "Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and $5.00 3tate Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www�.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work iis 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 �,4.v r b �'��9 T1��( �� — x ' ApplicanYs Printed Name Applicant's Signature ��"��i� �i _ �f - �;� H fi� � r�C�F�i3�1-�����[1���. ��'� �, �� ,i��� � R�Y� , ��� , ������� � �� t� � � m � �' �- p „., -�� � ��� ,i ff�� „t _ '. ��� : h ���� t� f 1.. ���� �11 -.�1it1 : 1�11�' �� . �a � . �Q �u '� � ��!�R'�u� t`+����"�,z�,�.��`��?t1$'��� �� £�V�" ';��� -h �€'}�����i �`c'��' ti,. : �� �� � �, G� � � �,� fi : � ; � l�[ety.�;, �,�[atQ ,�te � :`. [�r.er Sy�,a� � � F� R�adx� u��� '1�l�r�c�r�a�, �v������rr� �� `' "� ti ��i� PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150681 Date Issued:07/18/2018 Permit Category:ePermit Site Address: 973 Ticonderoga Tr Lot:13 Block: 3 Addition: Lexington Square 4th PID:10-45078-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Marlys A Kohnke 973 Ticonderoga Tr Eagan MN 55123 (651) 683-9131 Rumpca Services 1048 Hastings Ave St Paul Park MN 55071 (651) 459-2896 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160951 Date Issued:04/24/2020 Permit Category:ePermit Site Address: 973 Ticonderoga Tr Lot:13 Block: 3 Addition: Lexington Square 4th PID:10-45078-03-130 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Marlys A Kohnke 973 Ticonderoga Tr Eagan MN 55123 Spotless & Seamless Exteriors 8715 Jefferson Highway North Osseo MN 55369 (763) 428-1111 Applicant/Permitee: Signature Issued By: Signature