974 Ticonderoga Tr ~
CITY OF EAGAN
~ s'n
'~7 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for g~ L~kG~GAjt Est. Value ,;if"` Date ~jTJtiF ? 7 , 19;iQ_
Site Address 97L TI[:G,~ERO~A T~
Lot _L 81QCk j~- Sec/Sub L~ING1'O~ 5C1 ~Y'~! OFFiCE USE ONLY
Parcel No. occupancy ~ ~ ~1 FEES
Zoning p~
W Name ' t~TRC C'lfi':Ci~i '?~i~S~.'5.I~C (ActuaqCons~ v-~ B~dg.Permit 54n-~~~;
~ Address P ~ • ~f'~ ~ C~~.~S (Allowable) V=~ Surcharge 39 • ~
City `~+~y= Phone o~~--9383 # or sro~~es
Length t1 S~ Plan Review ~ 70
Zo Name tia~E ~~n ~!~r snc,c~~y itjO.~A
va AddfeSS S.F. To411 _ r
~ City Phone S.F. Footprinis _ SAC, nncwcc ~75.~0
On Site Sewage 1Nater Conn ~~~E~
~
W W Name On Site Well - Water Meter ~0•~
Address Mwcc syscem 7CX ~ p
a W City PhOne City water 7~ ~
PRV Reqwred _ S/W Permit ~Q.~
I herehy acknowlege that I have read this application and state that the Booster Pump - S,NV Surcharge j•~
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances. Treatment PI ~ZB•O~
Signature of PermRee APPHOVALS Road Umt 3~d+~
A Building Permit is issued to: ~~kL V~~~'T~~~ t~~'~~~+ - Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council _
applicable State of Minnesota Statutes and City ot Eagan Ordinances. g~dy_ pff. _ ~P~~
Building Official Variance - TOTAL ~ 1~•~~'
" Permit No. Permft Holder Date Telephone #
WATER Ca>X7 ~ (,C~iL e c•' L`t i~~ r S~. ~
r
SEW~ER •
PLUMBING ~,,Z ~l 4'~ r~.tF~ 7-~
OJ
~ . ~d ~ ~ 9 J
H.V.A.C. ~ ~y+o '0 ~ ~
ELECTRIC ~`Y ~ % O ; L "C/LI C L ^ ~
Inspectlon Date Insp. Comments
Footirgs I l
Foundation
F~~~ /
Roofing
~sn ~~s~ c3
a«,sn ~s~ ? 3
~su~. < y ° L~
Flreplace
Fnal Htg. ~1~
Fnal Plbg. f~ j~> "C~~
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final ? ~
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
RP~~~: . __TM";' . . . . . . • .
PERMIT #
~ ~ ' MECHAMICAL PERMIT RECEIPT # ~ ~ ~~a~
CITY OF EAGAN ' w c~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address ' " ~ , ^ ~ ' r ' ~ g~pC,, npE WORK DESCRIPTION
Lot % Block ~ Sec~ub Res. New
~ ~ J
, Mutt Add-on
Name ~E,;,~' ~~.~,~f ,
Address ~ - ~ ! Comm. Repair
c City ~ l 1 i; I f IPhone ` r,~" r 7 Othe?
Name ~ : • -f t ( ' ~ r_, t ( ~ ~t- ~ i f' FEES
RES. HVAC 0-100 M BTU - a24.00
c Address ~ h' ~ ADDITIONAL 50 M BTU - 6.00
p Ciry ~L~ Phone ~ (RES. HVAC INCLUDES A/C ON NEW
" CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA
TYPE OF WORK COMM/IND FEE - 19b OF CONTRACT FEE
Forced Air M BTU ~51. f~ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CQNDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.Q0
Air Cond. M BTU MINIMUM COMMERCVAL FEE - 20.00
Vent CFM S7ATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # ` ~ ~ BEYOND $1,000)
Other
4'' ~ ;
FEE:
, .l~L SIGNATURE OF PERMI7TEE
S/C: ~ > ' - ~
~~~.y/
TOTAL• FOR: CITY OF EAGAN
J .r ~ 4 S.c:~.r'~L~.>T~ ~r'-~ - n'~.n~r'~.:
j r~- i ;i~: . y~"` `y_ ~"'T f 1R~~
(Y~ >
r PLUMBING PERMIT For Offlq~U~~l~t,
' CITY QF EAGAN PERMIT v~.~
CONTRACT P~~~T KNOB ROAD~ EAC~AN, MN 55122 RECElPT #
PRICE PHON 4548100 DATE:
Site Addr ss ~ `a` " BLDG. TYR~ WORK QF~CRIPTION
Lot B, ~ SeGSub Mult. Add-on
• ~u ~ / , Comm. Repair
Name - - aher
~ Addre ~ ~ u _
c City f Phone RES. PLBG. ONLY - OOMPLETE THE FO~LOVYING:
- NO~ FIXTURES TQT~
Water Closet - $3.00 $
` Name ~ \ Bath Tubs - $3.00
&q Lavato 00
~ Addre_~ ~ ~ ry - ~~r
~ City Phone ~ ~~r - $3.00 ~
Kitchen Sink - ~3.OQ
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMMJIND. FEE -19~ OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whi~ipool -$3.00 ~
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1,50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIn
STATE SURCHARGE PER PERMIT .50 SoRener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
~ ~ ~ Private Disp. - $t0.00
~U(
L ~ `)L f iL i-- , J~ , Rough Openings - $1.50 ~
SIGNA E OF PERMITTEE PERMIT FEE: ~
-
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL• ~D
SEWER & WATER PERMIT ~ OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 5/ 291 &9
3830 PIIOt KI10b Rd. WATER PERMIT SEWER PERMIT #
P.O, Box 21199 M~rE~-# 4 B.P. RECEIPT 71
Eagan, MN 55121 ~.~pER # 8 5 B.P. RECEIPT DATE ~~,Q
~ ~ METER SIZE 5 ~ at
ISSUE DATE _ PRV - BOOSTER PUMP
,
SITE ADDRESS ~7~ ~~i PERMIT REGIUESTED
LOT! BLOCK '~SEC/SUB ~Fx~N~Tv~? S~ '~T~ J
~FTRU ~ US Yc%~J1 ~~til ~S ~ . ~ SEWER ~ WATER - TAPS
APPLICANT:
ADDRESS: Po ~fC lOq9 ~
55337 - COMM/IND ~ RESIDENTIAL
' CITY, STATE ~~S~~L~~-; µN ZIP
PHONE: ~ Q3$3 ~ NEW _ EXISTING
PLUMBER: ~~~~W ~~~~5 ~NC.
ADDRESS: '~SJ~S ~A~2ou5~4 IN~4-Y I AGREE TO MPLY H CI7'Y OF
CITY, STATE ~SEMO~AIr I~IN Zlp SSObfj E NC~
PHONE: ~23'- 3~3U _~i : .
OWNER: ~IIF_ T20 ~US~-pMl ~l~t,FiS. ~j~L . l% ,
ADDRESS: P~ ~ 5~337 SIG R I$SUED
CITY, STATE ~RNS+~ ~LL~ . N~l~? ZIP
PHONE: ` 9 3~~ ~ ~
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR S R~II SE ERAAITS, CONTACT
ENGINEERING DEPT. , ~
- _
lJ..~ . . .~~J: ,-1 Y J.C-`,'~ ~
Y ~
SEWER & WATER PERMIT ' OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 PIIOt KI10b Rd. WATER PERMIT #.1!' S~? SEWER PERMIT #
P.O. Box 21199 METER # B.P. RECEIPT #~T ; t~
Eagan, MN 55121 READER # B.P. RECEIPT DATE ~L~:~
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS ^ ' ~ ' ` ~ ' PERMIT REOUESTED
LOT~LOCK "1 SEC/SUB ~-F~~N~'~-~" ~`k ~
V , M r j. ; w` ~ SEWER , WATER - TAPS
APPUCANT:
ADDRESS: ~O ti ~~1`' _ COMM/IND ' ~ RESIDENTIAL
CITY, ~TATE ~-i1zN j~ ~1: ~ ~ }U r~ ZIP ~ ~ ~7
PHONE: ~ ~ ~ ~ r NEW - EXISTING
PLUM6ER: ~~ELS
ADDRESS: ~j~ ~ryR~O~~F~- L~-'~ I AGREE TO COMPLY WITH CITY OF
~ ~oSf'MOt~NT A+~N ZIP ~~AN ORDINANCES:
CITY, STATE
PHONE: 423 - 313:~ , _ . _
a
OWNER: ~.~!f 7 F.C, ~ u~T'vA~t ~tulUtl= j~1•~' '
ADDRESS: Pa ~ SIGNATURE WHEN METER ISSUED
CITY, STATE ~t'~~`+'s~ ~L ~F_ , Mti' ZIP ~ ~ ~
PHONE: ' ~A - -~j
PLEASE ALLOW TWO WORKING QAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ' j°i'
Eagan, Minnesota 55123 Date Issued: '
(612) 681-4675
SITE ADDRESS: , 1 ~ ~ + APPLICANT:
~ i ~ ;,~diii It1)FiA 1 I+ I~" ~U~~.? ' I1t 1•; I Y
~ I ~rt~ ~~tl:,, , I II i~. ~ , .
PERMIT SUBTYPE: TYPE OR WORK:
, ii~i ti ~i~ ~i
.
, i ~i~ ; i i.~ , i
~ ~
I__. ~
Permft No. Permn Hol~r Date Telepnoee ~
SNV
PLUMBING /O/~
HVAC
ELECTRIC ~9g,~3 upa'7flX,elL D ~ ~{7 0~
ELECTRIC I~+ 0 , /O 9
J
Inspectfon Date Insp. Commerrts
Footings I
Foundation
Framing O ~ ~ s,s/ ~"V w
Roofing / ~C~ ~ - L
Rough Plbg.
Rough Hlg. ~O ~ .
~sul. `O U
Fireplace
Fnal Htg.
Orsat Test
Flnal Plbg. /iQ Pibg. Inspector-Notiy Plumber
z ~c
Const. Meter
Bidg. Final Q ~
Deck Ftg.
Dedc Fnal
,
Well I
Pr. Oisp. 1
INSPECTION RECORD ~ COnVoi No. J;~~ ~y=;
CITY OF EAGAN PERMIT TYPE: AVI~AxMQ
3830 Pilot Knob Road - Perm~t Number: 7~ ~
Eagan, Minnesota 55123 Date Issued: x/~~
(612) 681-4675
SITE ADDRESS: ~.ot ~ t t~l. nc~ : 4 APPLICANT:
9T~ TICOM[1~Rb8A TR ~aou~ ROMIN
^ IEXIMQtOM S~QUARE ~ItH (bl~~ A~!-T72!
PERMIT SUBTYPE: TYPE OF WORK:
or. c K ME1~
~
U F 11V C1 t` I M A!.
REMARK~: R~CFI~Y ~
- ' .E~=
Psrmlt No. P~rmR Holdar D~ TN~phona r
S/1N
PLUMBfNG
HVAC
ELECTRIC
ELECTRIC
Inopectlon D~ab~ Inap. CommeMs
Faotin98 I
FOUrbelti0n
Framing
Rooflng
Rouph Pibg.
Rough FIt9• -
Isul.
FlrepleCe
Final Htg.
OisaS Test
Final Plbg, Plbg. Inspector - Notlfy Plumber
Const. AAetor
EngrJPlan
Bldg. Flnal
DeCk Ftg.
7 / Z~
Deck Final 1~~~3
W811
Pr. Disp.
CITY OF EAGAN N~ 16721
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700 ~ J
BUILDING PERMIT Receipt # V
Tobeusedfor SF DWG/GAR Est.Value $78~000 Date .111NH 27 , 19$9
Site Address 974 TICONDEROGA TR
Lot 1 Block ~ 4 SeGSub.LEXINGTON SO 4TH OFFICE USE ON~Y
Parcel No. occuPan~y R-3 P~-1 FEES
Zoning PD R=1
a Name ~ METRO CUSTOM HOMES, INC ~qauaq Const H=b1 B~dg. Permit 540.00
; Address P 0 BOX 1049 ~Allowable) V=N Sumhar e 39.00
° Ci~ BURNSVILLE phone 454-9383 # oi stories 9
Y ~~9m 45 ~ Plan Review 270. 00
, o Name SAME DepM 47
~ SAQ Ciry 1~~.
zr
Address S.F. Total
u< - SAC,MCWCC 5~ .nn
~ (~.Ity Ph011@ S.F. Footprints -
On Site Sewage _ Water Conn 580. 00
ww Name OnSiteWell - WaterMeler 90.00
zz Address MWCCSystem ~
u~ Acct.Deposit 3~.~~
aw CItY PhOf18 CifyWater ~
PRV Required - SNJ Permit 2~.
I hereby acknowlege that I have read this application and state that the Boosier Pump - SnN Surcharge i. nn
information is correct and a ree to comply with all applica6le State of
Minnesota Statutes and i Eaga rdinances. Treatment PI Z Za. ~0
Signature of Permilee APPHOVALS Road Unit 340. o0
A Building Permit is issued to: METRO CUSTOM HOMES , IN P~anner - park Ded.
on the express condition ihat all work shall be done in acCOrdance with all -
applicable State of Minnesota Statules antl Ciry1/of Eagan Ordinances. g~~, pry ~Op1e5
BuildingOlficial ~~11~~~~'~i,(1) Vanance _ TOiAL 2.$13.Q0
I ~ '
J~ . f
. ~p,.,~lr~-y`•'Y'Y ~ ~ i ~ . .
- -I~~s~-~ 1 ?
(~~x#i#ir~t~ nf (~rru~ttnr~
, .
; .~itp of (~agan
~P}1~ritPtl2 Uf ~1ttl~tltg .~t16}iPt2tittl
y
This Certiftrn[e rssued pursuant to the reguiremenls of Sectiors 306 ojthe Un{form Building
J
~ ~ Code certifying tha! a[ !he lime ojissuance this sm~crare was rn campliance wrlh the various
_ " :j 4 ordinances~o the Ci1 ~ ` ' .
f y regulafing building construction o~
r use. For the jollowing:
~ ~ ~
. Use Oe~ification ~~'~~C+~ Bldg. Rrmit No. 16~Z I
:j; ax~w~yrya ~~41 zo~~~n~,~a ~~R~ ry~~'p~~, . ~
% Owner o( Bwlding ~i~ Addr~ P•~• 'vT~ t,~
e~aa~~nea.~ 1'I~Q~RO('.A TRAII. ~,.,i~ry L1, B4~ iF•lSONGfQ'T 9QIIARE 41H
i ~i` ~ neU: AiR~15f 29, 1489
t \ s~aa~ oa~
~ POST IN A CONSPICUOUS PLACE
I B~LDG. PERMIT NO.
~-v ' ~ D C~12 '`'f i r, 5 C'~l
01-3210 Bidg. Permit 5~ O (~O
I~ 01-3422 Plan Check Z~~ U~~
Ot-3445 Surch./Adm. qd ~
~ 01-3446 SAC/Adm. -5 ~5
C
ot-2155 surcharge ~ ~
~ 75-3860 Road Unit 3`~ ~ °p
~ 20-2275 SAC `5~° 9 `3~
20-3865 Water Conn. 5 v~~
~ 20-3868 Water Trmt. $ ~'U
20-3716 Water Meter ~
1~ 20-2252 Acct. Dep. LiO
~ 20-3713 WaterPermit ~
20-3743 Sewer Permit
79-3866 Sewer Conn. /(u O o0
28-3855 Park Ded.
TOTAL ~ 3 ~O
- ~ATE: 6/29/89
RE~ 976 'f1CONDEROGA T&41L. Ll, B4, LBR1I~iCTOti SQ 4th
~ Your Sewer.8 Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) uniil the meter is picked up. BE SURE TO
CALL PUBLIC.WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
~ reasons:
_ Yo~r Se,wer & Water Permit for the above property has been completed, 6ut the meter cannot
be issued or occupancy allowed until further notice.
=b
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNING: BEPORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
.F-- ,
Secretary, Building Inspections Dept.
DATE: 6/29/89
RE: 474 T1C(1NnF.ROGA TRAIL. Ll, B4~ LERINGTOAI SQ 4th ~
-BX Your Sewer 8 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 TURN ON. .
~ Your Sewer & Water Permit for the above property cannot be completed for the following
s reasons:
`Y
_ Yo~ir ~wer & Water Permit for the above property has been completed, but the meter cannot
be issue{i or occupancy allowed until further notice.
~
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
CONTACT COMMUNITY DEVELpPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
ro ~e3 5~--
.M 35360~,~ - ~S°°
Fequest ~ale e No. ' flough-in In lon NOTICE: Vou Mus[ Call ElecVical Inspec~or
I~_ ~ n Requi~etl4 I~ A RougRln Inspec~ion
N ~Yes ? No Is Requiretl.
I(~,licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (S~reet, Box or Rovte Na) . Ciry
`I I~. n ~l'~CL.L ~ G'~
SecHOn No. Township Name or No. Rarge No. Counry
Da~Ko
Occupanl(PRINT~ ^ Pnone No.
{ ~ - ~L? I
Power Supplier Address
Electrica~ Cont2c~or (Campany Name) ^ ConVactor5 Licenee No.
rI C,~'Y\C0. ~~U~~IOt~ C0. Ol.D
Mailirg Mtlress (COn[recbr or Ow~r Makilg Ins~allaMon)
~~0. ' S~ . ~0. ~ MrJ ~510-1
Aul~orizetl igneture (COnVeaorlOxner Maki Instal(~(ion) Phane Num ~r~~
r
ii,
MINNESOTA STATE BOAHD OF ELECTRICITYr' ~ THIS INSPECTION REpUEST WILL NOT
Griggs-Mltlway BIAg. - Noom S77S V"" i( BE ACCEPTED BY THE STATE eOARD
1821 Univenity Ave., SL Paul, MN 55709 U~n !/1 UNLESS PROPER INSPECTION FEE IS
Pho~re (812~642-0800 u'~ ~ ENCLOSED.
~ REQUEST FOR ELECTRICAL INSPECTION e o J0
? See inaimcfions lor completing Ihis form on back of yellav copy. ~7~
3 5 3 6 0 "X" Below lh4rk Covered by This Request U
ew Aep. Y~ TypeofBUilding ~~AppliancesWired EquipmentVOireil
Home Range Temporary Service
Duplex Water Heater Eieciric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Fumace Other (Specify)
Farm Air Conditioner
Other (specify) ConVactor§ Remarks:
Compute Inspection Fee Below.~ ~ ~ ~ f ~
# Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 io 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SiCJOS Inspedor5 Use Only: TOTAL
IrrigationBOOms /SQO `5,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR~ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~gn-~~ oa~a
certify that the above inspection has F;,,ei ~ oa~~
been made.
OFFICE USE ONLY
This request wid 18 monNS irom
039 53 ~ - ~ ~~o~
ReQU t Dat ' Fire No. Ro ~ h-in Inspealon
/Q ~7/~~ ireC? ? ReeGy Now ill Nofify Inspaclor
~ Ves G No en Ready9
I C: licensed contractor ~owner hereby requesi inspection of above electrical work at:
JoD ress I eec Bo a No.~ ~f~ Ciry
~7 COh~N,~'' I`"
Seclion No, Towns~ip Name or No. Fange No. County
Ott anl IPRINTI Phane No.
D
Power Supplie~ Atltlress
Elenrical Co redor ~Company Name) Conlraclor§ License No.
G~~ ~ ~
Mailing Atltlre s iCOnvacror or Owne~ Making Instaliationi
~ ~
AWhori¢e S~ naWre iCOnVador~Ownar Making Inslallanon~ Phon9 Number
r~ , ~ ~
MINNESOTA STATE BOAR OF ELECTHICIT ~ l THIS WSPECTION REOUEST WILL NOT
Gtlgga-MlUway Bltlg. - Room 5~1?9 l I(J / I ~E ACCEPTEO 6Y THE STATE 80ARD
1B]1 Unlversity Ave.. 51. Paul. MN 5510< ~~l1NLE55 PROPER INSPECTION FEE I$
P~one 812~602-0800 , ENCLOSED.
~O/$/9~- REOUEST FOR ELECTRICAL INSPECTION ~ eg-_ooom.ye~
/ ~ See instmtficns for completing this torm on hack oi yellOw copy. F ~L
?n ~ 0~ / -
,j J~ 5 3 "X" Below Work Covered by This Request
ew dd Rep. TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporsry Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other-(Specify)
Comm./Induslrial Furnace
farm ~ Air Conditioner
Olher(specify~ Conirecl s: / //'/1
Campute Inspection Fee Below: ~s J l~~~~
# Other Fee # ServiceEntrenceSize fee # Ciroui~s/Feetlers Fea
Swimming Poal 0 to 200 Amps 0 ta 10o Amps
Transtormers Above 200 _ Amps Above /00 _ Amps
Sig05 - ~nspectork Use ~nry'. T
Irrigation Booms ~ ~0~~
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Othe~ Fee COMPLETED WITHIN 18 MONTHS. ~
_t
I, the Electrical Inspector, here6y Ro~yn~m oare ~ r~~
certify that the above inspedion has F;nai { oa p
been made. 7
OFFICE USE ONLV
T~is request voia 18 monihs irom
'(~~~~2~5~5~~ ~ ' ~ao
Request Da~e re No. ugh-I spec~ion Req tl Us eclm therThan Rough-in
(VOU mus callinspector a reatly) eatly N Wiil o' Insp ctor
p ? ~e= ~o ~~e Raad
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streey Box or Roule NoJ Ciry
CO Ct ~~T ~
S io No. Township Neme ot No. Ren9e No. County
~
Occupa (PRINT~ ona No.
Paver Supplier Addrress
G ~ 1 !Z M
ectrical Conlraclor (Company Name) Conirector's License No,
' ~ ~7
Mailing Atltlress ( ontractor or Own Making Inslallation) 1
N S ~f} P_ M~ 7
Amhoriz gn Nre (Comrad ~ Ow r Making Inslalla~ion Phone umber
~ ~Q QV
1 OTA STATE B ARD OF ELE RICITY THIS INSPECTION REOUEST WILL NOT
Qrigge-Mltlwey Bldg. Poom S-12B BE ACCEPTE~ 9V THE STATE BOAFD
18R1 UnlvereNy Ave., S1. Peul, MN 55704 UNLESS PROPER MSPECTION FEE IS
Phene(814)642-OB00 ENCLOSE~.
/O ~O -r/ pEQUEST FOR ELECTRICAL INSPECTION Es-oooai-os
0 2 2 6 5? Sea instrvdions Por cwnpleting ihis fortn on Eeck of yellow copy [13
_ r ~X'Befow Work Covered by This Request ~
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elactric Heatin
Apt. Building Dryar oad Manegement
CommJlndustrial Furnace Other (S aci )
Farm ir Conditioner
Olhar (speciy~ Conirec~or'S Ramarks',
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuiGS/Feeders Fse
Swimming Pool D to 200 Amps 0 to 100 Am s
Transfortnere Above 200,Am s Above 100 _Am s
SI nS Inspector's Use Only: TOTA~ ~
Irrigation Booms GQ o
S ecial Ins action
Alarm/Communication THIS INSTALLATION MAY 8 OR~E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, here6y Rough-in oe~e ~
certify that the above inspection has Final a~e
been made. G'•-~~
OFFICE USE ONLY ~
This r u 'tl mamhs trwn
.a-7-/fs Y 933~3
~ 3~4858 ' _ ~~s~,
Request te ^ Fre Na ~ Roug I ection
` ~ p~ ; R ' ? Ready Now Noliy Inepec[or
LJ as ? No When fleatly7
I~licensed contractor ? owner here6y request inspection of above electrical work at:
Job eas S 1, Box or Route No.) City
Section Na. Townahip Neme or No. enge No. Co
O u M(G INn N
uppG r qdtlress
~
Eleqrical CpMractor ~COmparry Name) ~,.~O~g~,.a„~
L1
1 L~
Mauing AdCress [Cpmo
PEN r M lg nsWllaUon)
4~~~ NOCK LA1~E
!~M a ( aki~,{~~II JJ 1 G`Y Phone Nu ber
a~ia ~
MINNESOTA STATE BOAPD OF ELECTHICRY 'fHIS INSPECTION RE~UEST WILL NOT '
GHggs-AAftlway Bltlg. - poom St]8 BE ACCEPTED BY THE STATE BOARD
182i Untverelry AW.. St. Peul, MN 5510I UNLESS PROPER INSPECTION FEE IS
Phona(61Y)842-0800 ENCLOSED.
I a~
j~~~' c~ REQi~ST FOR ELECTRICAL INSPECTION ea.ooooi-o~
~ ?$ee in~jYOns for wmpleting Mis tomi on back oi yellow copy. 933 8'3
3 4 8 5 8 'X" Below Work Covered by This Request
Add Rep. TypaofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric HeaHng
Apt. Building ~ryer Other (Specity)
Comm.Andustrial Furnace
Farm Air Condilioner
Other~speciy) Contraclor9 qemaMS:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize F # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to_iQ0 Amps
Transformers Above 200 _ Amps Above ~OD~ Amps
Signs Inspector5 Use Only. \ TOT L i!'~
Irrigation Booms ~ V S S
Spaciallnspection -
AIarMCommunication -
Other Fee
I, the Electrical Inspector, hereby Ro~n-in oa~a ~
certify that the above inspection has Final ,at
6een made. (
OFFlCE USE ONLY ~
Thi9 reques~ wid 18 moMhs /rom
. . ~ _
~
~V
C~ 3499Q~ .~-,c3 . `~`/9
Requ st~Dete Fire No. u tin Inapection
~ ired9 ? Reatly Now ? Will No~ify Inspedor
Y m Yes ? No When Ready?
I f~,{i~nsed contractor ? owner hereby request inspection of a6ove electrical work a[:
.bb reas 5t 1, r Rou(e NoJ ~ CRy
/ /
//17
Seclion No. Township Name ar No. Range No. Counly
Occ nt(PRIf~R) ~ Phon N~
l %
Pow r ier ~ Address
Electrical Convactor (Company Name) CoM or5 e No.
RICK ELECTRIC
Meiliig AQtlre~s~.(CAnyqctqry~p~qq~yqA~qyj71i8Glla
l~t~°r~ rr~ril•~vc,i~
Aul ( r eki ati n) PMrie Numbar
MINNESOTA STATE BOARO OF ELECTRICRY THIS INSPECTION FlEQUEST WILL NOT '
GAggs-MlOway BWg. - Room S113 BE ACCEPTED BV iHE STqTE BOAFiO
1821 Unlvarslry Ave., SL Peu4 MN 55109 UNLESS PROPER INSPECTION FEE IS
Pliare (612) 692-0800 ENCLOSED.
(e ~$'4 REQUEST FOR ELECTRICAL INSPECTION eaaaooi-m
~ ?$ee iru~uctuns br completirg Ihis fwm On back ot yellow copy. ~ y~a y~~-,
G~ 3 4 9 9 0~~ •X' Below Work Covered by This Request
e Adtl Fep. TypeolBuilding AppliancesWretl EquipmentWiied
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap~. Builtling Dryer Other (Specify)
Comm.4ndustrial Fumace
Farm Air Conditioner
Olher fsG~~Y) Conlracwr4 Remeiks:
Co.mpute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps a to io0 Amps
Transformers Above 200 _ Amps Amps
Slgns Inspectork Use Only: TO
IrrigationBooms r ~-G
Special Inspection ~
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in oa~a ~
certify thatthe above inspection has F;nei ~ oe~e G-
been made. '
OFFICE USE ONLY
' request void 18 months imm
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ~ ~
~3~ 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! l ~5 I o `
Site Street Address q~`~- Trco,.~eo~ 7,~~~ Unit #
PropertyOwner M~u'//iEL fi'T~'1fL9 Si~l/~ Telephone# (65~)'~5•~8~-T
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ?Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5!8" meter is required)
Other:
Water Softener Water Heater ~ 15.00
_ replacement _ additional
?Lawn Irrigation System RPZ_L/ new _ repair _rebuild $ 3D.00
State Surcharge $ 50
, Total $
I hereby apply 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.
~y~~y,~L S!E?/E _
ApplicanYs Printed Name Applj ant's Sig re D~~~~~~
/ SEP 1 5 2004 D
By
~
, 1989 Hf1ILDING PEtiMIT APPLICATION • ,
CITY OF E9GAN '
~C. ? ~.l
SINGLE FAMILY DiIELLINGS MULTIPLE D4iELLINGS CONAfEACIAL
2 SET3 OF PL9NS 2 3ETS OF PLANS 2 SETS OF ARCHISECTURAL
3 REGISTERED STTE 3UAOEYS REGI3TERED 3ITE SDRYEY3 - & STROCTURAL PLANS
1 3ET OF ENERGY CALCS. (C9EC% FiITB BLDG DIV.) 1 SST OF 5PECIFIClTIONS
1 SET OF ENEHGY CALC3. 1 SET OF ENEAGY C9LCS.
NULTIPLE DWELLINGS AENTAL ONITS FOR 3ALE ONTTS # OF D9IT5
NOTEs ADDRES3FS FOR CURNER LOTS - CONTRACTOR/HOMEOWNER M[13T DFSIGNATE IiHICB ADDRFSS
IS DFSIRED. NO CHANGES WILL BE ALLOiIED ONCE BOILDING PERMIT I3 I33IJED.~
SEWER 8 AATER PEAMIT FEES 9ND ACCOONT DEPQSIT FES3 i1I[.L BE INCLODED WITH THE HOILDIN6
PEAMIT FEE. PAOCESSING TIME FOR SEWER ?ND i19TBA PERMIT3 I3 TWO DAT3 ONCE 9 PERMIT 893
BEEN COMPLETED I8DIC9TING A LICEN3ED PLUt~ER.
PENALTY APPLIES l~N: PEAMIT IS NOT PAID FOR IN SAME MONTH IT IS REQtTESTED.
LOT CA&NGE IS REQOESTED ONCE PERMIT IS ISSIIED.
io kie Used F'or: SNb~ FR,N,i~ Valuation~~ llate: &lZ+~
Site Address q?t} TiwNQ~bA TR.MtC- .78' OFFICE OSE ONLY
[,ot t sio~k Occupancy R-3 M-I FESs
- Zoning P9 2-\
Parcel/Sub ~(tNfoTd~1 Sr.LJAQ.~ 4'T* Aetual Const V-N Bldg. Permit J`Jy~~OC~
'I r, Allowable ~[-I~I Surcharge 3 .00
Owner ~F~7'/zo ~iol~ 1~AA,fiS ~ 0 of stories Plan Review Z , 00
p Length y5' SAC, City 1 DD.00
Address PU ~JOK Depth yT~ SAC, MWCC SS'~S,c?D
S.F. Total Water Conn 58a,D~
City/Zip Code ~OWJSrItL~ Mh~ S~~ Footprint S.F. Water Meter O~OD
Acet. Deposit _,'OL,
_OO (
Phone ~~4- 9303 On site sewage_ S/W Permit ~p,0~ ~
i~~ On site well S/W Sureharge .rlJ
Contraetor ~lE7ROe.USTOM. Ro~S~~, MWCC System v Treatment Pl. ~
n City water Road Unit 3~-IO.b~
Address ~~x ~b~ PHV required _ Park Ded.
~j Booster Pump _ Copies
City/Zip Code DOR~S~IILL~ ~ SS337 SOBTOTAL
9PPROVAL3 Penalty
Phone `FS~F-q3$3 Planner _ TOTAL a
Couneil f
Arch./Engr. Bldg. Off. ~ 6~Z1~ W
Variance
Address
City/Zip Code
Phone l~
v'~ ~ u~--r i ~~t ~ ;
.
Ga,RAG~ ~ ~ ~
~
22 x22 = 4gy X 15 = r726D'` y
U~SMT
2~i xy 1 - °I Sy . ,
5 ~~2 K
j~L~s x~y ~ IN352
i
~'-l ~t.+.5~
asx 43 _ ,a,s -
~'r2X~;
y ~~z x ~ 3
~
If 22 x 5~ =56/00
~ ~ 'l S Z _ .
.
' ~IErzo C~sr~ flanlES
(10 f3 G # z~4~4, o ~ .
~9V6~I4~~~6~~I1G ~PIANNEflS uild~~ANUS~UfiVEYURS B~K i3o • .
f'~d~f /9
~ornr~Flru~r, ir~C.
~ IUUV EA9i IhGlh STf1EET, ElURN5VILLE, MINNE501A 6537T PH 432-DVUU
C~~'~t~ific~~le o~(~ 5~u'vey
Leyal llesci•i~ltioa?: ~~T ~3LOCK LEX/N6ToN Sl~ivARE 4-Ty flDD/T10~/
DAKOTA Cov/?TY, M/NNESOT•~I
~ 9an. ~ ) DCNOTGS GXISTIfJG [LEVATIOIJ '
( ~oi- ~ ~ UENU'1'E5 f'RO('USEU ELEVA~~ION
INUICATCS UII'iGC'I'ION O~ SUPi~ACE URAINAGE ~
9oz.oo = PINISIi[U UAiIAU[ f°LOOR GLEVATION
Pyfl.y& - BqSEMENT FLOOR ELEVATION
902•33 = TOP OF E3LOCK ELEVATION
T/Co,~/DE~A 7kAiL
_
~9od.bo~ ~~4z~ ~899,64:
O
O
5~G4LE ~ ~ ' .'X~ ~ N N $9^ 43' 03„-y/ -
7~,OU
. . /~a/, o, p p `899.!
.
C9o~.n~ - - - ~ (9oo.e)
a` °o
5 0
30' FiP_ONT BU/LO/NG '901.~ ~ m~9oi,~ 5
SETBACK L/NE 9e~,b (9oz,oo) ~879,~' ~
6 ~ 22.00
O h / I
~ ~ I N 6ARn6E (90%7) .
N I
n 4.~ '900,3~
. ~
- ~ _ I - N ~s.so z4/.oo ~ ` V
~ o NoVSE I I O.~
. ~ ~ I N N 1 ~ I ~ ~ , .
~ \ 41.co J ~ °0
I :897,0~ SEWO C@9i,6, \ ~ 1
1 ~ (898~5) (898.5~ I C ~
i. ~ I I ~v
. ~ ~I ~ ~ ~ I .
~ s~ ~v 1 ~5
p~?A/N~IGE An/O ~ ~ ~ ~ ~
~ UT/L/TY E/dSEME~t/T ~ / ~ ~
, ~h I
(894_z; 75. Do 4.' ~ '
(s~r,~ ,v B9°~',
~ Da e
~ EPeG.~1V EIVGIIVEE~RIIV DEPT
I lie~aby cerlily llial tl~is is n liua nnJ correcl reptesentaliun oi o tracl ot land as shown
Z do o~ ? g9
AIIII eSBaC11VOtI ha~em~~ Aa ptepmeJ by mo on 11~iu o7fl y t~N . -,19- .
/
u~~ P~7i~in, ney. rio. ~~ot~s
~C; PERMIT . ~~/a /~J~
_ ~ITY OF EAGAN ~-3
3830 Pilot Knob Road PERMIT TYPE: e u x ~ o z N e
Eagan, Minnesota 55123 Permit Number: 022159
(612) 681-4675 Date Issued: 10 / 0 5/ 9 3
SITE ADDRESS:
974 TICONDEROGA TR
LOT: 1 BLOCK: 4
LEXIN6TON SQUARE 4TH
p.I.N.: 10-45078-010-04
DESCRIPTION:
(GAS)
Bu'~lding`Permit Type FIREPLACE
~uilding Wa,rk Type NEW
/ \
i ,
/ 1
~
/
~ ~
i~ (Fr
~ / ~
L~' .
` 4 j, .
~~t
~ Vlv`l~l ~ i~r' ~11~,u~j~k~~~, ~i
i ~
-i= ~ ~ Z
'v ~ - -
REMARKS:
FEE SUMMARY
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - ST. IIC. OWNER:
HEAT-N-GLO FIREPLACES 18900758 0002960 FODOR CHRIS
3850 W HWY 13 974 TICONDEROGA 7R
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 890-0758
I hereby acknowledge that I have read this application and state that the
informatinn is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
~ -
~n P~~i ~ f Ti~Ff
APPLICANT/PERMITEE SIGNATURE ' ISSUED SI NATU~~-
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: sui~oiNs
3830 Pilot Knob Road Permit Number: 022159
Eagan, Minnesota 55123 Date Issued: 1 e/ 0 5/ 9 3
(612)681-4675
SITEADDRESS: t,or: i BLOCK: q APPLICANT:
974 TICONDEROGA TR HEAT-N-GLO FIREPLACES
LEXINGTON SQUARE 4TH (612} 890-0T58
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
. • "
FIREPLHCE
~ _ -
- -
REACTI4ATE _ CITY OF EAGAN r
pE~,T 1993 BUILDING PERMIT APPLICATION -
~~1,~~
681-4675
SINGLE ~ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs. ,
LOMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but nat picked up by last working day of month•
in which request is made, Z) address is changed or 3) lot change i_s requested once permit
is issued.
Date _ /0 / / ~ Yaluation of work l3 pS~G(J _
~
Site Address: ~~L~~ ~1~~'~
SiNEET u fUITE ~
Tenant Name: (commercial only)
IAT ~ BLOCK ~ SUBD. ~ ~ Y.I.D. N '
nt~ un v
Descri tion of work: ~/1'~9 ti E% l1
The applicant is: ? Owner ~ Contractor CI Other (Deceribe).
Name 1 ~ Phone
Property ~~5, , F,RS, ~
Owner Address ~17~ ~ ~i/nd.~~a~ r'~
SiREET 67E ~
c;ty state l1i /l~ Iip Ss~lz3
• U- C~ .~/u _ Phone ~~~~5
Company
CO~ti'eCtO~ Address '~~5~ ~ License ~1~~ Exp.
City / l~ State Zip
Company Phone
A~ChlteCt/ Registration /
Engtneer Name
Address
~ity State ZiP
Sewer 8 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 application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. 1~~~
5ignature of Applicant: ~ ~f _
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ ~ ~
,
tin
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. • Q 1'1 Sw~m '9001
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 Sf Porch ? 09 12-Plex O 14 Fireplace ~ 19 Coron./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Deuwlish
O 32 Addition ? 34 Repair ?.36 Move
GENERAL INFORMATION
Lonst. (Actual} Basement sq. ft. NWCC System
(A1lowable) lst F1. sq. ft. City Water
UBC Uccupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
p of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census tode
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS '
? Site ? Footing L1 Framing ? Insulation
? Wallboard ? Final ? Draintile O flreplace
Permit Fee v.i~.c~m: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
PERMIT ~ Cf 1
- `~fl'~( OF EAGAN PERMITTYPE: ~~8~5
DING
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 0 2 21 B 6
Date Issued: 10 / 0 7/ 9 3
(672) 681-4675
SITE ADDRESS:
974 7ZCONDEROGA TR
LOT: 1 BLOCK: 4
LEXINGTON SQUARE 4TH
P.I.N.: 10-45078-010-04
DESCRIPTION:
&dilding..Permit Type BASEMENT FINISH
,Building W'qrk Type NEW
UBC Occupancy~,~ R-3
~
j _
\
~ ~i
~ .,\;~i~ r.
;i
~ `
`l~
('~1 7 /
Mr`~ ~~il~\.:~.~~ L~"~~:~~~~~L7Ci,~
LI ~
~
REMARKS:
FEE SUMMARY:
Base Fee $35.00
Surcharge S•58
Totel Fee $35.50
CONTRACTOR: OWNER: - APPl~cant -
FODOR CHRISTY
97q TICONDERO~A TR
EAGAN MN 55123
(612)6~1-3285
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ell applicable 5tate of Mn.
3tatutes end C3ty ofi Eagan Ordinances.
~ -
i~l ~~~>rl~r~ ~ ru~ n~~Q~ ,l f
Yh~_
APPL7
ANT/ MIT SIG ATU ED B SI A UR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Bux~ozNs
3830 Pilot Knob Road Permit Number: 022186
Eagan, Minnesota 55123 Date Issued: 10 / 0 7 J 9 3
(612)681-4675
SITE ADDRESS: ~ oY : i B L 0 C K: q APPLICANT:
97q TICONDEROGA TR FODOR CHRISTY
LEXINGTON SQUARE 4TH (612) 671-3285
PE RMsEMENBTYPEisH TYPE OF WORK: NEw
. .
FRAMING FINAL
I
~
REACTIVATE _ ITY OF EAGAN
PER?~:T 93 BUILDING PERMIT APPLICATION ~,~.'',,~Q
~ 681-4675
i~~sl S~.
- - :z
SINGLE ~ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural 5 structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when p;rmaddressyisdchanted orP13kelotPchangesl,s~requestedYonce~permit
in which request is made, 2 9 )
is issued.
~ Date Valuation of work
~
n Site Address: ~~/y ~~~~n~~~"^• ~~'~'a<< -
fTREET fU1TE /
Tenant Name: (commercial only)
ypT BIACK SUBU. ~~~_.}-~l/'1~ ~I ~ P.I.D. N
~t.
Descri tion of work: v'Y~0 C l "~2V (OeQ.
The applicant is: @~ Owner O Contractor O Other (Deccribe)
Name C' ~•l ! 5~ ~ Phone /o~ 1">7~~
Property ust Fiasr CL~~~ l5
X Owner Address C~ ~'~~C'~~~~~D~UG~- 1?~n~~ -
SIREET fiE K
~ m ~ti 2ip ~~t~
~~ty ~~~A,~ State
Company Phone
~ CO~tI'SCt~C Address License Exp.
~~ty State ZiP
Company Phone
Architect/ Registration Y
Engineer Name
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
correctyandkagreedto comply with alldapplicableiStatenofnMinnesotahStatutesnandmCitynofs'
Eagan Ordinances.
~ Signature of Appl icant: ~1~~~ 5~~~'G'~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ y ~
- F
? O1 Foundation 0 06 Duplex ? ll Apt./Lodging 16 Basement Finish
O 02 SF Dwg. ? 01 4-Plex 0 12 Multi. Misc. ~17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck ? 20 Public Facility
O 2] Miscellaneous
WORK TYPE
31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
32 Addition O 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC 5ystem
(Allowable) lst F1. sq. ft. City Mater
UBC bccupancy R~~ 2nd F1. sq. ft. PRY Required
Ioning Sq. Ft. total Booster Pump
y of Stories Footprint Sq. ft. Fire Sprinkler
length On-site welt Census Code
Depth On-site sewage SAC tode
APPROVALS .
0
Planning Building Assessments
En9ineering Variance
REDUIRED INSPECTIONS '
O Site ? Footing ~Framing ? Insulation
? Wallboard °Q~inal ? Draintile ? Fireplace
~
Permit Fee ~ c~t~ v.~~:~~: S
Surcharge , ~
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Depasit
S/W Permit
S/W Surchar9e
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
,
PERMIT ~°~t 0 6 2 S
CITY OF EAGAN PERMIT TYPE:
~3830 Pilot Kno6 Road BUILDING
Eagan, Minnesota 55123 Permit Number: 000790
(612) 681-4675 Date Issued: 0 8/ 12 J 9 2
SITE ADDRESS:
974 TICONDEROGA TR
LOT: 1 BLOCK: 4
LEXINGTON SQUARE 4TH
DESCRIPTION:
,"~uiidi)~ag Perm3t 7ype QECK
/ Building'Work Type NEW
' Suilding length a7
Building Widti}i., 16
r-',
. ;
< , -
,
ar ~a
' ~I ~ ~ h ~C"~'~ (''..i.1+j ~j{;~t f `~}t;•-7i"-~
' ~.sl`_~ z~~ \.l"~i_.~ ~ ~ ~~.~,~~.{~u 1;:5~~~J
~ ...~;r
REMARKS:
RECEIPT #e,dlW~~~
FEE SUMMARY:
Base Fee =26.0A
5urcherge 5.60
Total Fee ~25.50
CONTRACTOR: OWNER: - Applicant -
FO~UR ROBIN
974 TICONDEROGII TR
EAGAN MN
(612)688-7721
Z herehy acknowledge Ch•at I have read th3s application and staYe that the
infor~mation is ~orrect and' agree to camply wa.t'h all applicable 5tate of P4n.
Statutes end Gity of fagan Ordinances.
~ -
l~"1,Yi 5~.~`~r~fcn
APPLICAN /PER ITE SIGNATURE G ISSU BY: IGNATURE
INSPECTION RECORD ~°nt~°~"°~ 0525
CITY OF EAGAN PERMIT TYPE: eui~oiNc
3830 Pilot Knob Road Permit Number: 000790
Eagan, Minnesota 55123 Date Issued: 06 / 12 / 42
(612)681-4675
SITEADDRESS: ~or: i a~ocK: a APPLICANT:
974 TICONDER06A TR FOOUR ROBIN
LEXZN6TON SQUARE 4TH (612) 888-7721
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
FOOTING FINAL
REP7ARKS: RECEIPT R
~ -
~ _ ` -.r..~'~ -
5~
PERMIT ~Y CITY OF EAGAN °Z S °
REAGTIVATE 1992 BUILDING PERMIT APPLICATION
681-4675 ~2
Jti?i i u RE~~
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
specificatians, 1 copy af energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date / ~ / ~ Valuation of work
Site Address: 9~`~ i
i'c,~~~l.~r-.~~~ Tf
STREET SUITE N
Tenant Name: (commercial only)
IAT ~ BIACK ~ SUBD ~ P.I.D. N
~ 7'
Descri tion of work: ~
The applicant is: Owner ~ Contractor ~ Other (Deac~ibe)
Name ~oc(~iv- ~o~,n Phone /y~-7ti'y~ -N
Property ~.51 FIRSi ~~-~~a w
Owner pddress ~y T,'c~.,J~~~a T~.
_ STREET S1E !
City ~a~~„ State .n~/ Zip SS/y3
Company Phone
C011tf8CtOf Address License H Exp.
City State Zip
Company Phone
ArchitecU
Engtneer Name Registration ~
. Address
City State Zip `
Sewer 5 water licensed plumber . Processing time for
sewer ~ water permits is two days once area as been approved.
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. ~ _
5ignature of Applicant:
OFFICE USE ONLY " , : . ,
BUILDING PERMIT TYPE
0 U1 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory O 18 Comm./Ind.
? 04 5F Porch ? 09 12-Plex p 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. f~7 15 Deck ? 20 Public Facil.ity
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition p 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
Allowable) lst Fl. sq. ft. City Water
UBC ccupancy 2-~ 2nd F1. sq. ft. PRV Required
2oning Sq. Ft. total Booster PumP
N of Stories Footprint 5q. ft. Fire Sprinkler
Length a ~ ~ On-site well
Oe th Census Code y,3 y
P 1~• On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ~ Footing ~ Framing ? Insulation
? Nallboard ~ Final ? Draintile ? Fireplace
Permit Fee ~S, oo v,i,,,i;,,,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter ,
Acct. Deposit
S/W Permit
S/W Surcharge ~
Treatment P1.
Road Urtit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units .
p.~...~1
` , ~IEr,~o CdST~I Na~~ES
~(10 E3 C ~ z3¢¢. o ~ ~
I~~f n~ N~ ~ PlnNN6fls u IJ~~RNU S~URYEYURS B~'K i3a .
EA i ! 4 t~ f'Ahf l9
Cornr~Fltu~, irvC.
~ IUUU E:A9i 11GIli S1~EET, IIUFlNSVILLF:, MItiNE507A 6bJlf PIi ~32-3UUU
G~r~l~iCic~~~te o~(~ Su~'vey
Leyul Ue~cri~~tioii: ~OT BLOCK LEX/N6TON S4~vARE ¢Tf1 ApD/T/ON,
DAKOTA Cov.~i7Y M/NNE,SOT<1 ,
( 90~~
~ ) DENOTCS EXISTING CLEVATIOI~ '
( 9oi- ~ ~ DENU'i'ES f'f10POSEU ELEVP;fION
INUICA"i'GS UII~IGC'I'IOtJ O~ SUfil"ACE URAINAGE
902.00 = FIIJISIi[U UAfiAGC f'LOOR CLtYATION
q`~P.yB - BASEMENT FLOOR ELEVATION
Yn2.33 = TOP OF BLOCK ELEVATION
T/Cc,VG~E,~AiA 7~'/1~~-
/~p,Ep~ !~cb42~ ~899_6_4:
O
O
5'CALE : _ ,~j~ i,~ r---.._
N N 69° 43' o~"~•V
75,00
r~oi_o, o ~ `999.Gi
~9o/.n~ - (9ao~e)
~ o
5 $
30' f,eon/T BU/[O/NG s~l,~ ~ m~9°',' S
SETB/~CK G/NE 9~~•~ (9oz.oo) (899.~~ I
b.oo '~•22~00
o ~ / I
~ ~ I ~j 6ARA6E ` ~ (90/,7) .
N
I~ ~ 4"' J~ so ~900, j~ I ti1' .
41 .I ~ /s.5o ~ ~
24I.00 ~ ` V
~9 l~ ° HouSE D ~ 1 I O.~
0
. \ ti ~ N 1 ' ~ ~ ~
a N
1
p~ I 4~,co ~ ~ ~
~ ~95, SEWO ~$97, I \ ~ 1
j 1 I(69B,s (898 s t6' I J
. . . d 1 ~ .
pRA/NA6E An/D / 5I U~ v 7 ~.t ~5
UT/L/TY E~SEME.vT-~ c_~' : J~
L ~
~ ~
~s.oo . ~
,$94._z
(s~r,~ N 89°~r
Da.a
EAGAN ENGINEERiP: U~,rT
I he~eLy ce~tily ll~al 11~is is a liuo nnd conecl repteeentaliun ol a lriicl ot land as shown
B9
Oncl deaCllVoll ha~eon, Ae ptepoieJ by n~o un 11iia Z_~Hdny ol ~uNF. _,19- .
i`
~lf~ . ~r r f~7iiiii, Ileg. Ilo. /(~OAS
~ ~S~w' ~aL~JM.~S MC
3.. Y e~mr 'y~~ ~ ~3 'h."a4ry c4
~ ~ro i~ ~~a~ ~~~3bzx s D 51~ t~Y•~,."'B~~S'~~,s~ ~x~~~~ ~ r ~ v a
. :`b 3 a3 s~ h g'~ i -0s~'y,h"~ ~'~~.3`~s8xA - 8~3~.',~'q1~~~h<. 33.P~t~~,~i s yr4 ~ <.;
F# < ; x ~k~3° a~'33`T~. R~~~ ,f,~` £ .>:3iµ <s1E k~. R, ~ 3V<i f x3~7~ ~ ~.s
t . e ....5'...5. 32'~ ' a.~ . . . .~`:h....RS~',<
D .~~'~~~i~i~~1~4~~~~
.
1993 PLUMBIIVG PEItM1T (RESIDENT7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTf.
ivv. Fixiui~~S "',r `i~ TfiT~,'.
SHOWER 3•~
WATER CLASET 3•~
BATH TUB 3.00
LAVATORY 3•~
KITCHEN SINK 3•~
LAUNDRY TRAY 3.~
HOT TUB/SPA 3•~
WATER HEATER 3•~
FLOOR DRAIN 3•~
GAS PIPING OiTfLET • m~~~mum - ~ 3.~
• ROUGH OPENINGS 1.50
WATER 50FTENER 5•~
PRIVATE DISP. • ne~cry. s~. 15.00
U.G. SPRINKI,ER • eome u~eer m~t. 3•~
ALTERATIONS • to eusting 15•~ ~
WATER TURN AROUND 15.00
STATE SURCHARGE .50
~
TOTAL: ~ '
STTE ADDRESS: 7i C~x,('~ o r ~ ,~a ~ ~a
OWNER NAME: l,! I I. T l >C-
INSTALLER:
ADDRESS: ~C'Gn~L~?~i~~~ IV~r ~
7~
CTTY: ~ ~ STATE: I~Y~ i~l ~ ZIP CODE: 1.~,1
PHOh'E Z) r~ ~ 7~I I~ ~
~~~2) ~ ~ 3z~~ ~ /y
~ C~~/~ f' ~ S ~U ~rn
SIGNATURE OF PERMITTEE
I
~"~75~'~i~Y y~t ^1
~V : ~n£s ~',,~hri.3ri c~~ ~~~s Et.~'3~~4~~r~)w~~,~:~.-d~ ~~FAdSS c:
~ i€ ~ s 1£ . cya s£ r j~s~~{~ s «,s ~ . . ~ ~ ~ ~ . Ffs
Jc3 c~.1 ~ aP ~e. E£- Ax~d„R.,°C> z~a? ~a`.v+~~„~`°sy.u¢sy~ a"~+.'3`°j"~ 9~. i3~
h i ~ g ~ % x . ~c e' .t~-'~ ~t\FA~Y ~ ~.5.~ p t .
..~.~.ro- .a..:iapx . d.4..en.c~q.< '{f35L3..~.i4FRk.~f ~ W ~ k.s~<~ii~°aµ~..°.f~~~:Yfi~$<;~. k£fF.,.,.,~
1993 PLUMBING PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN A~IIV 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COD~IIvIERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIltED FOR EACH
DWELLING L'i:iT.
_ NER'CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°k OF CONTRACT FEE.
STATE SURCH.4RGE S.SO FOR EACH SL,000 OF PER14iPf FE& •
MINIMUM FEE: S 25.00 ` " ° °
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
s:.i~ {..r.•LR~.~S:
TENANT NAN1E: STE. #
OWIr'ER NAME:
INSTALLER:
ADDRESS:
CI7'Y: STATE: ZIP CODE:
PHOA'E
•
FOR:
CITY OF EAGAN APPLICANT
~ ~
~`k zoo6 RESIDENTIAL MECHANICAL rE~iT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for, single family dwellings &[ownhomes/condos when permits are required for each unit
Date ~ p / $ /
Site Address ~ I~'~~"~2~Z~G GJ T~ Unit #
Property Owner K~ S~~i TC_.~ Telephone #(~Ca L~~~-~a ~
Contracmr Wohlers Southside Htg. & Air, Inc.
6950 W. 146~' St., #106
Street Address Apple Valley, MN 55124 City
(952)431-7099
State Telephone # ( )
Bond#: ~~--l~s~f'~9g'7 Expires: U~^~S-~~'
The Applicant is _ Owner X Contractor _ Other
Add-on or alteratian to existing dwelling unit $ 30.00
furnace _Additional ~Replacement _ New
air exchanger
air conditioner iI
_ heat pump n~~~ u;~~ I,I
UJ U
_ other I~` 3 2006
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete a~d accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
~ ~i ~ . Li
~C~l ~E'~<S ~~LS~
'~!~~-1 " ~ -
Applicant's Printed Name A icant's Signature.
CASH qEC~IF~T
~
CITY QF EAGAN ~
3830 P,IL~T KNOB ROAD •
EAGAN, MINNESOTA 55122 '
a~~ ' ~ " ~e
~rveo i t~~ , r ~ . ,
Fnaw ~ ' 1 ~
AMOUNT $ ~
8 DOLUR3
,oo
? CASH Gl CHECK
~ ~ -
wn L_._. T
. ~
~ `
i i ~
A , . ~ .
FUND OB,JECT AMOUNT
Thank You
• BY ,
C ~ .'v : , , Vvhite-Paye~s CoD1~
Yellow--Postirg C.opy
Pink--Fib Copy
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150531
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 974 Ticonderoga Tr
Lot:1 Block: 4 Addition: Lexington Square 4th
PID:10-45078-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Michael J Sieve
974 Ticonderoga Tr
Eagan MN 55123
(651) 587-1278
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature