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.
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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
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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
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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
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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
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��!�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