977 Ticonderoga Tr BI,DG ~ERMIT N0.
~ _ ~ _ ~1 t~i=X 4~7. %-;,~L
, ~ ~ ^ . , , ~
01-3210 Bldg. Permit~ J
~01-3422 Plan Check ~
01-3445 Surch./Adm, ~ ~
01-3446 SAC/Adm.
01-2155 Surcharge 01
17-3860 Road Unit ! C~'~ Ov
20-2275 SAC 'r ~ ~ -
20-3865 Water Conn. ~ C~ ,
20-3868 Water Trmt. ~O
20-3716 Water Meter I
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. C- C,
11-3855 Park Ded.
TOTAL `
CITY OF EAGAN ...a`:` ~~e~~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT Receipt #
To be used for Est. Value # l~~ Date ~R 21 , i g 89
Site Address q» ~IC{~i~~~OG~? TR
Lot _~Bk~k Sec/Sub. ~xi HCTl1~~t SQ b'ffi OFFICE USE ONLY
P8fC81 Npl Occupancy - FEES
Zoning
W Name "'ri~j~ ~ (Actual)Const BIdg.Permit 1~•~
o Address ~77 TLCQNDERCC/1 2R lw~owab~el - .50
Surcharge
Ciry g~~ Phone aS4--~745 # ot stories -
Length _ Plan Review
Zp Name Depth - SAC, City
AddfesS S.F.7otal - SAC, MCWCC
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
~
W W Name On Site Well - Water Meter
Addfess MWCC System - q~t. D osil
a W City Phone cay ware~ - ~
PRV Required - S/W Permit
I hareby acknowlege thaf I have read this application and state that the eooster Pump - S,NV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature ot Permitee APPROVALS Road Unit
A Building Permit is issued to: ~I i'j"I+a,t~ A~g~.~. 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 of Eagan Ordinances. g~y, p~}, _ Copies
Variance - TOTAL Z~ ~ ~
Building Otticial
Permit No. Permk Holder Dats Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
~ Inspection bate Insp. Commenta
FUotings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bidg. Final ~
Deck Ftg.
Dedc Final
Well
Pr. Disp.
IF'~'.w~-'~7o~.v.-~::.~o~^,~- -~*r7~'Te•~`., .,at,a,.gs -...,,~,.,.--a~yr,~qNCT,~:~y.~~~,p~„yF.a :~p~.c~ ~•,~,N.;~- . .
: ,~`~~,L CITY OF EAGAN ; ~a 1864~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' ~ ~ PHONE: 454-8100 ~ ~ ~ ~ z
BUILDING PERMIT Receipt #
Tobe used tor if/1SEMENT FINISH Est. value =i • S~ Date 9 , t9't ~
Site A' M 9~~ TI~D680GA TA ~
Lot ~ 1~ Bl~k 4 SeclSub. ~XIIiC[ON SQ b'fii OFFICE USE ONLY
~
Parcel No. occ~Pa~cy - Fees
~ Zoning
¢ Name Wit'LIAM .A C/1B~'i' (ACtual) Const - 81dg. Permit 35.00
i 77 TICOl106ZOGA TA
O AddfesS (Allowable) _ 1 . ~
Surcharge
City ~~"~H Phone ~v of stories -
lengih Plan Review '
9
o Name - ~
Depth SAC. City '
o4 Address S.F.Total _ ~
~ ~ snc, Mcwcc q
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
~
W W Name O~ Site Well - Water Meter
z
MWCC S stem
Address y - Acct. Deposit
s W City PhOne C+ty Water - ,
PRV Required _ SnN Permit ~
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge ~I
infortnation is correct and agree to comply with all applicable Stat ot
Minnesota Statutes and Ci of Eagan Ordin es. , 7realment PI
5ignature ol Permitee [ ' C- APPROVALS Road Unit
A Building Permit is issued to: A~~ P~~~~ - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. g~d9. p~~, _ Copies
' ` Variance _ TOTAL 3a ~ ~
Building Otticial ~ ~
ae.mn No. Pern,n r+ower ~aee Tebpnono
WATER ~
SEINER
PLUMBING /O 7~ ~Sy -
H.V.A.C.
e~crRic 3 / ~ 9
In.pecrion ~ate ~esp. commen,s
Foolings 1
Foundation
Framirg ~3 ~S%/ I~ S
Roo(mg
c~a,sn P~~ - d
~ -s- ~ ~ ~k-
~ i -~.3 ~ , r ~i,J ~ i8' -
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engt•1PIan
81dg. Fnal T~ !/GO r¢.. C.-
Deck FOg. ~ ,3 - i~
Dedc Fnal
w~+i //r/g G. - 3 ,t~'
Pr. oisp.
Hu t~~tv ~F~ ~ CITY OF EAGAN
~ r d~~
,i~ - ~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 d
BUILDING PERMIT Receipt # - `'l /
To be usedfor " Est. Value ~'7`~'`~~'", Date '``•'t •`>T 17 ~19. 7
SiteAddres~?T ' ' ~ ~ ~ ~ OFFICE USE ONLY
,~Lot ' ' tBl~o~k ' SeclSub. ~'''t ""'Z~ON S~:li.~iai:t On Site Sewage _ Occupancy ' '
g~ , ~ j~ ~
j~ MWCC System _ 2oning
ParCel NO. On Site Well Type of Const 'y
~A Ciry Water _ (Actuap
'~;r;t; i:~ jl~~; (Allowable)
~ Name ~ # of Stories
~ Y Address ` ~ ~.r
p ~ S~L-3'•.i Length
City Phone Depth + 5
- S.F. Total
, p Name ~ j~~f l Footprint S.F.
~ Q Address APPROVALS FEES
~ . SU
~ City Phone Assessments Permit ~
~ WaterlSawer _ Surcharge ~~t30
yVj W Name Po~~ce _ Plan Review ~5
~ Z F~~e _ sAC, c~cy t~.;:_, . ua
x- Address ~V
vt7 Engr. , SAC, MWCC
~ W City PhOne planner _ Water Conn. - llu
Council ^ Water Meter f~ u'0
I hereby acknowledge that I have read this application and state B~d& Off. _ Road Unit
:hattheinformationiscorrectandag?eetocomplywithallapplicable APC , TreatmentPl • 'U
State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks
Copies
Signature of Permittee TOTA~
A Building Permit is issued to: " on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City oS Eagan Orciinances.
Building Official
Pormit No. Psrmit Holdsr Date Telephons x
Plumbing ~%~Y,`;l~Z' ;,~,~E~~. ~,~4/,~'J
r~.v.ac. 9/~"~ ' 9/~8
Electric ~J%L~ ^ f 2a_1.L , , !~f ~~7 ~v
Softener
Inspection Dste Insp. Commenta
Footings I b'~ ~
Footings II
Foundation
Framing
Roofing
Rough Plbg. . ~ o
Rough Htg ~0~3 - ~
Isul. ^
Fireplace
Final Htg. p-~,~_s ~ 1¢.
Final Plbg.
Bldg. Final ,d y C~ •
Cert. Occ. io ~ ~1'f .
7emp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
f . . r.....f „ .9 , . . . : , , . .
PERMIT #
~ ~ • ' ' PLUMBING PERMIT ~ ~~--j
CITY OF EAGAN RECE~PT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address G' ~ f~~ ? BLDG. TYP WORK DESCRIPTION
Lot ~ Block SeciSub - Res. New
~ Mult. Add-on
~ ,Name~ • 1 Comm. Repair
~ Addres~ - ~ Other
~ c~~, rc~a ~J Phone - ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N . FIXTURES TOTAL
~ Water Closet - $3.00 ~ ~
Name ' ~ ~ Bath Tubs - $3.00 L'
c Address ' ~ Lavatory - $3.00 ~ G~
3 -
p City ~ ~ Phone ~ ~ ~_Shower - $3.00
_~Kitchen Sink - $3.00
FEES Ur+nal/Bidet - ~3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 ~
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -~i.50 ~
MINIMUM - RESIDENTIAI FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50 I, ~
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
~Rough Openings - $1.50 ~ ~
SIGNATU E OF PERMITTEE ~ FEE:
~ ! i, ? < ~ STATE S/C: ~ ~v
FOR: ITY OF EAGAN GRAND TOTAL:
~w.~~.- z. , , . _ ~
~'{~~t PERMIT y[.,,L~"JL,I~
b/;- 4'~°?~iD MECHANICAL P~RMIT RECEIPT # ~ f i
CITYglF ~4GAN ' ~ ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: y ~ 7
CONTRACT PRICE ' PHONE: 4548100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot~ ,i . ~ Blo~k ~ Se /Sub Res ~ NeW ~
~
` ~ D~ I.K HTG. 8~ AIR CONd. C0. ~ult Add-on
~ Nai~ie
~c Address ~ ~~NP.roGRTH AVE. S0. Comm. Repair
c City N 55420 ~ Other
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address AD~ITiONAL 50 M BTU - 6.00
p City Phone (AES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK n COMM/INQ FEE - 1~i6 OF C~NTRACT FEE
Forced Air ~ M BTU APT. BLDGS. - COMM. fiATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REM~DELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # l BEYOND $1,000)
Other
FEE: ~ ~
S/C: ~ SIGNATURE OF PERMI EE /h"~=4~J
TOTAL: ? v
FOR: CITY OF EAGAN
5E G~C~EATIN & R C ITIONING 3 C7 9~ v .
HOl1SE HEATING 7EST-~fFCDRD
ADDRESS l ~J ~C;fvC~`('rl~G Q~'? 1 r CITY
OCCUPANT 1 7 ~ n!NNER
HEAT LOSS DATE HTG. INST.
SOLd BY INSTALLED BY ~ - ' ~
Electrical Work By II V' Gas Line By c ~ S
TYPE OF HEAT GA_ FA X HW_ STEQM SPACE HTR. UNIT HTR. OrtHER
AS DESIGN CONVERSION
MqKE w MAKE DF BURNER
Model 3 y Q 3 S Model r""
Serial ~ ~ ~ 3 Max. BTU Rating !
INPUT Q MAKE OF FURNACE ~
Model ~
~ ~ CONTROLS I
THERMOSTAT ~ Heat Plug Vent Sixe
Valve 6`~(. ~ _ KIND OF LINER SIZE NONE
Limit
~r' j71CG DraftHood ~4 u~Q ' Regulator ~P~
~
Limit Setting ~ l Filters Size Number ~
Fan Setting ; Chimney Location Inside ~ Outside
Pilot Type " ~ Chimney Construction ~ ` /~S
Pilot Make -S' ~ r G ~
Pilot Model ~ ~ Smoke Bomb Wiring
Pilot Timing i `
~ draft "'r Test Tag ~ ti
L.W, Cut Off ` DoOr Pressure Lighting Inst,
0
Pressure ? _ ~ ' ~ Percent CO ~ ~ ~ G Date Tested 3 ~ ` ~ ~
Input CFH 7~ <<- Percent OZ lU ~ G Company Testing s ~r t ~
Stack Temp. ~ UU U Percent COZ ~d ~ L~ Name of Tester
Form 235
i
CITY OF EAGAN Permit No: Date: ""25-$7
3830 P~oi iCnob Road Meter No: Size:
P.O. Box 21199 Reader No: 4 Date: ~
Eaqen, MN 35121
Owne_r ~:~r4~ (~or~e Tiicirs.
SiteAddress: ~77 Ticondero~a Trai? L13 B4 I~e_.cinctur_ ~q Fth I
Plumber "~11_ev Plumbin^ L i
5~5. i)(~pd~ ~
Conn. Chg: ~~~~,.a ~ oni '
Acct Dep: p ti~
Permit Fee: R~~ . GA~
Surcharge: ' 1 r~°~~piy with ths Clt~r of Esyan
Tr. Plant I ~0 , t'~ ~~fnSnces.
Meter. 5 7 -
' Misc.: ~ gy a/~-.
WATER SERVICE PERM ~
- -
. ~--~-~-T-~-----~~~~>-~
CITY OE F.AGAN Permit No: $~g~ DaY~ ~~'25-$7 ~
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eags~, MN 35121
Owner. ' =1tvi: (:eor re ~1:?rs.
~ SiteAddress: Ticonderoga ~rail L13 ~4 Lexfn~toa Sq 6tn
Plumber ~'~lley ~lumb ing
Conn. Chg: OOpd Zoning: r.l
Acct Dep: ' No. of Units: ,
Permit Fee:
' Surcharge: ~ I agree to cemply with the Clty ol Eaqan ~
Tr. Plant b~' ~d Ordlnances.
Meter. ~ ~ •
Misc.: By
~
WATER SERVICE PERMIT _ ,
~ - -
~
CNj1f.QF~AGAN SEWER SERVICE PERMIT !
' 3830 Pffot Knob Road 10147 ;
P.O. Boz 21199 PERMIT NO.: ,
Eagan, Mt~4~S1 ~1''~ DATE: 1
Zoning: No. of Units:
Owner. t'a~~ ~rge Bldrs.
Ste dd.ress: Ticonderoga Trail L13 ~4 I.exinFton S 6th
Va ey P umbing,
Ptumber. 6 l00 . 0apd
r Connection Charge: S2 ~ ~1~-
1 I ayne tv compy wNh th~ CMr o1 Ea~an 1 S. 04
Orclinsnees. . • ~ Account Deposit:
PermR Fee: 10 OnF~._
Surcharge: 5~ ~
~ Misc. Charges:
Date of Insp.: Totel:
I : Date Paid:
k - ~ - -
This repvest void / / ~ .
~ g months ~rom ~ ~ y Jr
~ ~ 5 9 G~~~.~ i~ J~~ , ~ ~
Aequest pata Fire No. Roup,-in InsVe iion
~ p AP red? ~ ~Ready Nuw Will Nntify. Inspec-
~ ~ p Yes ~NO ~[or Wh¢n Reatly
~lfcensed ElecVical ConVactor I hereby request inspaction of abova
Owner elechical work installeE at
Street Adaress, Box or qome No. CitY
~oa ~
ecbon o. Township Name ur o. ange No. County
Occupan[ IPRWTI ' Phone No. a
Power Supplie~ ~ Atldress _ 3
d ~L 4 /
Elechical Co/nj~Vactor (Company Namel ~ nntractor's I.icense No.
T r7 ~~f-~ ~ G d A ~
Ma~hne AdJress (Comracmr or Owner Making Ins[allationl
Authorizetl Sig ure ICon~ ector/Owner Making Install~ ion~ Phone Numbe~
o - ~S
MINNE pTq STATE BOARD OF E CTRICITY THIS INSPECTION NEQUEST W~~~ NOT
Griggs-Midwey Bldg. - qoom N•1 1 eE ACCEPTE~ BY THE STATE 60ANO
7821 Universitv Ave.. Sf. Peul, MN 55104 UNLESS PFOPEF INSPECTIpry FEE IS
P~one(612)642-0800 ENCLOSED.
/ S/ . C~I~o~~~3°
3607 ~ ~ ,~'~p
Reques~al ~ O Fi No. Roug~-in ns on
qpp 'retl? O Reatly Now ill Notity Inspector
7 Yes No When Ready7
I 0 licensed contractor owner hereby request inspection of above elecirical work at:
Job Atltlreas (Street Box ar Foute No.) Ciry
X ~ ~~No i,~. cA~
Seclion No. Township Name or No. Range No. Couny
~ Occu antlPqlNT) P~one No.
/tG'frv~'~ , ~~LL `f~~~7 ~
Power Suppliar qdtlress
EleMrsal ConVactor (ComOany Name~ ConVector5 License No.
r
Mailing AOOress ICOMraclor or Owner Making Inslslla~ion~
Aut~ori tl Si naWre IContractor/Owner M~ q Inslal ~ P~one Number
x YS
y ~ 7 ~
MINNESOTA STATE BOABD Of ELECTFIQTV THIS INSPECTION REOUEST WII.L NOT
Grlg9s-MlEwey Bltlg. - floom S-1]3 BE AGCEPTED BY THE $TATE 60AR0
1821 Unlverel~y Ave., 51. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Fhone (612) 602~OBOU ENC~DSED.
r 8/9~ RE~UESTF~R ELEC7RICAL INSPECTION ee-ooom-o~
? See m'stmctions for compieting U~is 7orm on Dack o7 yeliow cropy.
"X"BefowWorkCoveredbyThisRequest ~((Cp1~ et
C~ 3~607 ~ ~
ew Add np' '"TypeofBuilding AppliancesWired EquipmeniWired
. Home Range Temporary Service
~uplex Water Heater Eledric Heating
Apt. Building Dryer Other (Specity)
~ Comm./Industrial Wmace
Farm Air Conditioner
Olner (specRy) Controetor's Femarks:
Sin Z`• ~~'s
Campute Inspection Fee Below:
# Other Fee # Ser~iceEniranceSize Fee # CircuitslFeeders Fee
Swimming Poal 0 to 200 Amps 0 to 10o Amps
Transformers Above 200 _ Amps 0_ Amps
SiynS Inspectar'sUSeOmy: TOTA~ SO
Irrigation Booms ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Rou~"-'" oa~e
certify that the above inspection has F;nei oa p~
6een made. ~~'C
OFi1CE IISE ONIY
This request void 1B months (mm
CITY OF EAGAN N~ 16334
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 f
BUILDING PERMIT Receiptx ~
To 6e used for DECK Esc Value $1 ~ 000 Date APR 21 , 7g 89
Site Address 977 TICONDEROGA TR
Lot Btutlk SeGSub. LEXINGTON SQ 6TH OFFICE USE ONLY
P8fC2~ NO. Occupancy - FEES
Zoning -
w Name WILLIAM A CARLL (qctuap Const - Bmg. Permit 26.00
3 Address 977 TICONDEROGA TR (Allowable) - Surcharge . SO
° City EAGAN Phone 454-6745 aors~o~es -
Lengih _ Plan lieview
, o Name Depth - SAQ City
~a Address S.F. Total - SAC, MCWCC
~ City Phone s.F. Fooipr~n~s -
On Site Sewage - Water Conn
~
W w Name On Site Well - Water Meter
i~ Addf055 MWCCSystem -
~ Accl. Depasit
aw Gty Phone Ciry Water -
PRV Required - S/W Permit
I herehy acknowlege that I have read this application and state thaf Ihe eooster Pump - SiW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota StaWtes and City of Ea an tlinancQg. A~ Treatment PI
~ APPflOVALS
SignaWre of Permitee Road Unit
A Builtling Permit is issued to: WILLIAM A CARLL Planner - park Ded.
on the ezpress condition that all work shall be done in accordance with all Couricil -
applicable State of Minnesota Statutes andy Cy~ity of Eagan Ortlinances. BIdg.Otf. _ Copies
Building Oflicial ~~~ti~l I' I~ Variarice - TOTAL 26. 50
CITY OF EAGAN NO ~ 564~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /O ~ _22
BUILDING PERMIT Receipt # l0
7o be used tor BASEMENT FINISH Est. value $1 , 500 Da~e -TAN $ , 1g2L_
~ SiteAddress~?~ 977 TICONDEROGA TR
Lot Block ~ SeC/Sub.i FXTNC.TON 0 6TH OFFICE USE ONLV
Parcell3o. occuPa~~y - FEEs
Zoning -
~ NBme WILLIAMA CARLL ~ActuaqCOns1 - BIdg.Permit 35.D0
w
o Address 9~~ TICONDEROGA TR (Allowable) - Sumharge 1_00
~iry EAGAN Phone 454-6745 :ro~s~o~~es -
Length _ P~an Review
Name SA~ Depth - SAC, Cily
~Q Address S.F.Tofal - SAC.MCWCC
¢ City Phone S.f, Footprinls _
On Site Sewage - Waler Conn
~
ww NamB On Sita well - Watar Meter
i MWCC 5 slem
Address Y - Acc~. Deposit
aW City Phone Grywa~er -
PPV RequirBO - ~ Pa~~~
I heraby acknowlege ihat I have read this application and state that the 0oos~er Pump - S~W Surcharge
information is conect and agree to comply with a11 applicable State of
Minnesota Statutes and C ol E an Ordin~ce~; Q~ Treatment PI
~ APPROVALS
Signalure of Permitee Road Unit
A Building Permil is issued ~o: WILLIAM A CARLL Pianner - park Ded.
on the ezpress condilion that all work shall 6e done in accordance with all Council . 50
applicable Stafe of Minnesota Staptutes an/d Ci.ry,,, •of ~Eagan Ordinances. Bldg. Off. _ Copies
BuiltlingOfficial ~~tfl 15111fA 1 1111L variance - i07AL 36.50
NO PRV REQliIRED CITY OF EAGAN o
N_ 14062
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE:454•8100 ~ /
BUILDING PERMIT Receipt# la'7
Tobeusedfor SF DWG/GAR Est.Value ~~2~000 Date AUGUST 17 1987
SiteAddress 9~~ TICONDEROGA TR OFFICEUSEONLY
13 4 LEXINGTON SQliAR On Site Sewage Occupancy R3
Lot BIOCk SeC/Sub. MWCCSystem Zoning Rl
ParCelNo. TH ADD OnSlteWell Typeo(Const
City Weter X (qctual)
a Name ~VIN GEORGE BLDRS INC (Allowable)
w # of Stories
~ Address P•0. BOX 428
o PRINCETON 332-3034 Length
City Pnone oaptn i~~
SF. Totel
,o Name SAME 389-3201 FootprintS.F.
Address ~ APPROVALS FEES
a City Phone Asaessments _ Permit ~ 405.50
Water/Sewer Surc~arge 3~•~0
~ W Name Police Plan aeview 202. 75
Address Fire _ SAC, City t nn _ n0
~ Engc _ SAC, MWCC 525.00
aw City Phone planner _ WaterConn. 525.nQ
Council _ WeterMeter 67_00
I hereby acknowledge that I have read this apD~ication a state Bldg. Off. _ Road Unit 7(15 _(lp
thatthein}OfmatlonisCOrreCtandegreetoCO plyW e IlCable APG _ TreatmentPl iun_np
State of Minnesota Statutes an y of an i s. Variance _ Parks
Copies
Signature of Permittee TOTAL ~ 5
A Building Permit is issued to: ~RVIN GEO BLDRS INC on the express condition that
all work shall be done in accordance with all applicable S~ te of Minne Stat es and Ciry of Eagan Ordinances
Building Official ~
it ~ f
(~erti#irtt#~e af (~rru~pttnr~
~ • ~ ~itp of ~agan
~B}18TTpIMtt Df ~lt~t113 ,~I1S~iPttlittt
~ This Ce~tificate issued pursuant to the requiremenls ojSection 306 of the Unijorm Building
Code certijying that at the lime ojissuance lkrs structure was !n compliance with the varrous
ordirrrsnces oj the Ciry reguJuring building conslrucNon or use. Far tke followrng.•
utt a.mc~o~ 4}~ ~~'~C"f
`t eia~. ~o. It~i2
oaw.Mr rya zoo~ usc~ R~ iYx c~n ~
Ownaof9udd'me i~:~rilL'~ T~'~7 ~.i,'~. Aedrca ~.0. f..ISi(, G'1P,. ~~f~''~~i.~.' .
e~ua~~ nm~ ^•Ti :S~.C~£. *
~v'G3 .ti.,1~. ~,y L13, S.~>, L't~_r~r~* .~y"i3~'I~ 'u~3
~
~r / i wm: Cf.'~A:3; 73, ~~,",7
Building Olfinal ~T '
POST IN A CONSPICUOl1S PLACE
RESIDENTIAL
J/ 1~~~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-687-4675 ~ ~3
New Conslnicllon ReaukemeMS flemodeVBeoair Neaulremente
• 3 reg~lered stte surveya slwwing sq. tt. of lot, sq. iL ol house; and ~ roofed aress • 2 coples of Plan
(20% maximum bt coverage albwed) • 1 set of Energy Ca~ulatbns lor heated adAAbns
• 2 copies of plen showing Geem & wintlaw sizes; poured fountl Aesgn, etc.) • 1 stle survey for exterior add'Abns & tlecks
. t set of Energy Ca~ulatbns • Indicate it ~ome served by septic system for adtlttiais
• 3 copies of Tree Preservation Plan H lot platted etter 7ft/93 '
• Rim Jnist Detall Opfrons selectlon sheet rok195 whh 3 or less unils)
DATE ~~7~2- VALUATION ~~P~ • ~d
SITE ADDRESS %/LOi?~1~'A?.~L.~fG ~~7 ~1,T~-FAMILY BLDG _ Y N
NPE OF WORK ~~dL ~~.~il/~.Q< ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~2u~ov ~`ro~ Cov ~orz-h Or
STREETADDRESS 3~~ ~ ~~~F -~f2.S•~\~Z cmrM~~~~e>_~~\; STATE~ZIPS~
TELEPHONE # ~~FJZ 20~-~'~C CELL PHONE #la/~ZZ/- ~ FAX # ~oIZ• `aZ2. ~ `10Oa
PROPERTY OWNER / L~~.e TELEPHONE #
COMPLETE THIS SECTION FOR °NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths'
No. of Baths
Mechanical Conhactor: Phone t1
Mechanical system includes: _ Air Conditioning Eee~ $70.00
_ Heat Recovery System ~ ~ ~ ~ ,
~G ` ` Q~1, \ V
Sewer/Water Conhactor. Phone~#~~,, C' `
~ T:~~
I hereby acknowledge that I have read this applicatlon, state that The Informatlon is correct, and dgree to comply
with all applfcable State of Minnesota Statutes and City of Eagan Ordinances..
Signafure of Appiicant ~ '
O~GGE.~ %~cs~
__.._r.______~___________________~.- OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level 0 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of BWgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Finat
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ~ ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
• ~ i.
~
.
1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLODE 2 SEfS OF PLANS~ 3 CEATIFICAiES OF SORVEY~ 1 SBT OF ENERGY CALCULATI06S
HOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOKEOYiNER I+IQST DESIGHA2E AHICH ADDRESS
IS DFSIRED. NO CHANGES 1iILL BE ALLOHED ONCB BOILDING PERHIT IS ISSIIED.
NULTIPLE DiiELLZNGS - RFSIDENTIAL RENTAL IIAITS FOR SALE OHZSS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORV6Y - CHECK iiITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COI~R~IERCZ9L
INCLUDE 2 SETS , OF ARCHITECTURAL & STRUCTURAL PLANS, ~~~~2 V ~~~'C7 0
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2,000 LANDSCAPE BOND ~ ! ~ I ~ ~
To Be Used For: Sinqle Family Valuation: $T6~0~:89 I?ate: 8!~ 8 I
Site Address 977 Ticcnderoqa Trail OFFICE OSE ONLY
Lot 13 Block 4 On Site Sewage Occupancy R- 3
MWCC System ~ 2oning R_ 1
Parcel/Sub Lexinytor Square 6th Add. On Site Well _ Type of Const
City Water ? (Aetual) ~
Ocmer Marvin George Bui.lders, Inc. (Allowable) ~
Ii of Stories
Address P•0, Box 428 Length C)O
Depth ~35.83
City/Zip Code Princeton, MN 55371 S.F. Total
Footprint S.F.
Phone 389-3201/332-303k APPROV9I.S FEFS
Contractor Same As Owner Assessments Permit ~/~S.SO
Water/Sewer Surcharge , 6,~J
Address Same Police Plan Review 2 0 2•9~~
Fire SAC, City 100.00
City/Zip Code Same Engr SAC, MWCC 525,Do
Planner Water Conn 525.00
Phone Same Council Water Meter (o .00
Sldg Off 8 Road Unit ~OS•DO
Arch./Engr. Same As Uwner APC Treatment Pl f g0•OD
Variance Parks
Address Seme Copies
~ TOT9L ~3ifl~, a s
City/Zip Code Same
Phone 4 San'~e
GA~ . . ~ r
4;
22X2~~. ~15'~-1 X!'Z..e ~Jg~c4j: p ' ~
NoUSF ~
~4 K = 57~
!b~ ~l I L = zr~
7~2 x~8~= 45q3G
~ ~e~e,~
a~lX~g~ y3Z
~1~!
U xS :
~Go xy4~: Z~z~a
I~~~-I
` .
,
m~s""~-- [nmpanles 6875 Hlghwoy 55 N.E. PO. Aox 32308 A1~nnenpolls. MN 554.32 f6121 571 60(fi
SUBURBAN ENG/NEERING. IIY[. ~z2o3;1!colle~ Aoe. So. Bvrmu(Ile, MN55337 re~l~ avo ~,5~~~
OW[ Munklpd 6 En~bnnmm~d Engineerlrg ~ Lmd ~urueyuq ~ Land 1'bnnln9 ienby
Certificste oi fiurveg Lor /Y) aryin ~~0~ u~I~rS
Bearings Shown Are Assumed '
o Denotea Iron Monument ~
o Denotea Foundetion Corner Offset Steke. PROPOSED ELEVAI~ONS
x Denotea Exiating Eleva[ion ~
Qx Denotea Proposed Elevation . Top of Bldc~C ~oS, o
Denotes Direction of Surfece Drelnege Loveat Floor o/ o
Denotee Drainege end Utility Eeaement . Garage Floor O `
q ~ , tiv~
~°'q~ 89°43'03~N~ 86.95 °'°~1'
zs
S Qrein e axd ~o
(/~~I~Ey ~sse.n¢n ~ ,
O ~
o I a
M M ~ , r
~
~ Scale: 1 Mch = !a leet
1
ti ~ ti~ o,h
qp'1.- ~p~. ~0 qp~.
~n~d iA 5 4z.o a lo"' ~ 3df3
9 g ~ I
~
a ~0 q
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m ~ r
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~ ~
a. ~ 9.'.9 0 ~
N~~~'N v i4.3i qd~'~ h ~
m ~ t b b~
6 ad~zz.~3 ~ ------~n'~ 94.45 qo'' ~
,
w
~ ~ 9~Y,~ ~ ~ a
hO1 H I ~ ~ N , ~
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oO 5 ~0 0 'V
o m =
oz, l p~. 9~P5
•9
qo~q q~•
N NO7~7o%N/~ - N ,
•
Tcondero~a Ta~ I
. Lot ,~3 , Block 4
LEXINGT4N SQUARE 6th ADDITION
Subject to easements of record Dakota County, Minnesota
~ I hereby certifp thet this surre~, plen or report wes prepered bl me or under my direct
superviaion and thet I em a dull licensed Land Surreyor under the lavs of the Stete of
Minnesota. _ -
5lgned thia ~~de7 of A.D., 19~.
~ [ompanles
/f Sp61lRBA~
GINE
l~
~ d//
Q~~ ° i1
Not Dubliahed: All righ[s.reser•ed Minn..~lleeuse N~~
Cop~rlght 1987 SE ComOenLes. Subur~en Englneering, Inc. ~e~{ E S~~~S '
sat449 °
i~ ii ,
, ~i i~ II
~ ~ ~ ~ ~ I~
; I~ Ii il :i I~
i II , i~
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: ~I n ~
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! I: ~I I~ I
, ~I, G-_.._ I~
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u il: I ~ II r
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i~ ' I ~ I ~I
I~ ~I ~16~;,i~. ~I F~R.n~e ~ ~t
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I- ~ ;
1._-
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ii ~
li ~I
II II
I~
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uEATI~.1G PLPrh.I
1 \ ~ r u
(e~~f3 ~0~0. U
~y x~g MINNESOTA STATE BUILDING CODE DIVISION
, / EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
owNSR /U~4R~zN GP~.t? ~ F ~u~~ 1 c1.o~ a
SITE ADDRESS Ti C~~v~clvynaa.~~Jlx.. ~
~ ~,,C
CONTRACTOR~~t(LVS.y.1 (~e0 R E~E RU~ ~~~'I~DATE PHONE
Determine vorkinR square footaRe of each:
1. Total exposed wall area..... J~ sq'. ft. x ~ ~ `~3. 7/
2. Total roof/ceiling area..... / Q sq. ft. x,~p~ W ~ ~ Q-~~
To[al exposed wall area above floor = I~ ~ "
a. Total wall window area . . . . . . . . . . . . . . ~
b. Total door area. . . . . . . . . . .
c. Tatal sliding glass•door area. . . . . . . . . . . .
d. Total fireplace wall area. . . . . . . . . . . .
e. Total wall framing area (average lOX). . . . . . . .
f. Total ne[ wall area above floor. . . . . . . . . . ~
g. Total rim 3oist area . . . . . . . . . . . . . . . .
Total exposed foundation area =
h. Total foundation window area . . . . . . . . . . .
i. Total net foundation area above•grade. . . . . . . . ~
De[ermine "U" value of each wall segment:
a. ~ X , 3~1 ~ ~ -
b. '-1 a~... X , ~ ~j e 9 . ~ (p
~i ~ X„~„ , y a, = I~.
- -
d. X "U"
e. I~ l.f! R~~U~~ d.C,~ ~~--I ~
f. ~ ~~D oZ X~~U~~~_ a~y g
I _
. t~ 9G x,,,,,, y I . S~. D~
. g
-
h. g .
,
1. X nUn~ ~ ~ 3 .
3 . TOTAI . . . . . . . . . . . . . ~ ~ ~G . ~ ~
If item I13 is the `same as, or less than item /1. you have met the inten[ of SBC 6006(c)2.
Total exposed roof/ceiling area = l r ! v
j. Total skylight area . . . . . . . . . . . . . . .
k. Total roof/ceiling framing area (Average•lOX) ~ l~-
1. To[al net insulated roof/ceiling area
Determine "U" value for each roof/ceiling segment:
j ~ ~„U,. , 3 3 = 3 a
k. t~ S X~~U„tDo1 ~,o ~~.q ~I
~r~7 ~ x„U„ , oaa'- a 3:s
4 . TOTAl . . . . . . . . . . . . . ~ a~. ~ ~ .
If total of item 1f4 is the same as, or lesa then item 112, you have met the intent of '
SBC 6006(c)1.
' Alternate Building Envelope Design
To utillze the total envelope system meihod, the values established by the eum of items ,
$3 and 64 shall not be greater than the sum of items fll and 82.
/~r3-yG +z. 30.~~ ~~~`!~`~~3 ~
3. 15a, a~ + 4. a~~ 8~7 m I~ 8,_i
CITY QF EACAN FOR CITY IISE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERTSIT # ~o~~v2
PHONE: (612) 454-8100 RECEIPT #
I?LUk~I?~G.,;~!~~~ DATE: 1~R~~gI
~''~~DB~S'~~:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
. -
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
W~RK DESCRIPTIQN COMFLETE THE FOLLOWING:
ND. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ~ X SHOWER 3.00
REPAIR _ X WATER CLASET 3.00
BATH TUB 3.D0
/7,//~/ ~ LAVATORY 3.00
OWNER NAME: ~/i~L~A'YyI _ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: 77~ !/CO~DE~CU~A 7~~ _ HOT TOB/SPA 3.00
~ WATER HEATER 3.00
LOT:1~ BLOCK ~ SUBD.~+-~Y~~ ~ _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: SL~Yt4 C _ (MINIMUM - 1) 3,00
ROUGH OPENINGS 1.50
ADDRESS: ~f OTHER SARS'+'K
A WATER.SOFTENER 5.00
CITY: Gti~i~[(n1 ZIP: S~~Z~ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~SL ~ S $/~~,r{iTrf FINISH .
~///J~~//J SUBTOTAL S I y ' ~V
y~ . ~ ~G~~y~ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S 's~
~DMt~tEkCIA~.f~NDUSTRTl4L:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
~ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 19 OF CONTRACT FEE.
STATE SURCHARGE ~ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
` 1989 BQILDING PERMIT 6PPLICATIDN - CITY OF EAG6N
. ' ,y
~ ,:~"lc~
SINGLE FAMILY DWELLING3 ~ ~ ~ ~~~v
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
~OTE: ADDRFSSES FOR CORNER LOTS - COPTRACTOR/HOMEOWNER MQST DESIGNATE NHICH 9DDRFSS
IS DESIRED. BO CHANGFS WILL BS ALLOWED ONCE BIIILDING PERMIT I3 I330ED.
MQLTZPLE DWELLINGS RENTAL ONITS FOA SALE ONITS i OF ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVEY - CHECK HTTH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COI~IEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- ~Jr~ -
To Be Used For: ~EGI~ Valuation: ~~OD Date: ~8 ~9
Site Address g77 ~ICONI'~,t~[~('q TQ, OFFICE IISE ON[.Y
Lot ~3 Hlock ~ Occupancy FE6S
Zoning
Parcel/Sub L Cx~N~toti~ 5 cauARE [.,T*~ A~o Actual Const Bldg. Permit ~b
Allowable Sureharge .,S'a
Owner f~~~~{ ~~_~~Q~L # of stories Plan Review
Length SAC, City
Address ~J~J'J ~GoXlA~2Ch!d T/~ . Depth SAC~ MWCC ~
S.F. Total Water Conn
CitylZip Code E,Q%~tN/ Ss123 Footprint S.F. Water Meter
Phone y~l{-~7~~ On site sewage_ S/WtPermitgit
On site well S/W Surcharge
Contraetor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV required _ Park Ded.
Booster P~p _ Copies
City/Zip Code TOTAL T~
APPROVALS
Phone Planner _
co~,~zi
Meh./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone ~
NOTB: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Processing time For sewer and water permits ia two days onee a licenaed
plumber has applied for a permit at Citq Aall.
+ ; ~
6875 1f~ghwny 65 NE. 1'.O. flaa 32308 Aftnnenpolis, FfN 55432 f612~ :'1
[onrpanies !GI'tl 99f) fi51~~
SU8UR6AN ENG?NEERING. IN[. 122°3 rf±`°°e~ n~e. so. oo.~:oma MN ss3.3~
OoN. Ilvaklpol A Enulnmmminl Englneering ~ Lend.muryb~p ~ Lsnd Pbnning ~ SoA ieanng
~aeor e u; lo~~r~
Certificnte oi 6urveY for
i! J~.? ~
Bearing9 Shown Are Ass~med
a penotes Iron Monument pRpppgyp pyEryATZONS ~
~ Denotea Foundation Corner Offset Steke.
x Denotes Existing Ele•etion ' Top of B1dCk~`~os o
Ox Denotea ProOosed Elevation ~ ~ Lowest Floor o/ o
Denotes Direction of Surfece breinege Gerage Flaor ~
Demtea Dreinege end O[ility Easement .
qq q~ e,. ~ ol°L 1.5
89 ~303 Yl( 86.93 ~ z5
5 ro
p,ei,.b e and ~
(f~~l~ly ~ssermm~ Q
O p
0
~ I m ~
,
~ Scale: 1 Inch = !a leet
ti m a'~'y~ ~mq
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b 7q 5 4z.o o IP ~~!3 .
°lp~~' ' .
N p~
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M , 0~~1 =.b~h ~ "r. ~ ~
~
~ o."_^"' ^
~ ~
~ _p~ 9.33 a \
- ~ ~ 14.~3 qd~''
~ r ~ ~ 1 b~
qd,(ZA.33 m i ~lo ~3¢.4S w
w • •
a ~ 9~y~i ~
~ I V ~ . .
~ m ~ ~ m ~ h
O 5 ~ ~ ~
o ~ ~
oz, l Q~, 9
~5
q~~ ~ q~' ,-I o /~r
N ~~~70%p/! 0~7J N ~ .
Tcondero9a ~ ~a' ~ , ~
Lot ,~3 , B1ock~
LEXINGTUN SQUARE 6th ADDITION
Dakota County, Minnesota
Subject to easements ot record
- I hereb) certi[~ Che[ this surre7, plan or reD~rt wes prepnred by me or under my direct
saperrision and [hat I em a dull licenaed Land Surre7or under [he laws of the Ste[e of
Minnesote. A.D., 19~. ~
Signed Chis ~~de7 of rj~_ `
O ~_3Companfes
SUBURHAN ENGINE RING. JN[.
, ~ / ~ d~x"-~
Not publiahed: All r3ghts.resSuburben E~eineerins. 1~~• ~,~r! E. Slransk Ninfi.:l:iceuse No. ~
CoDlrlght 1981 SE ComDaniea,
Sat449 °
1991 SUILDING PERMIT APPLZCATION
CITY OF EAGAN
!~3 ~ y3
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE`UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 8q5~Nr~..uT f) ~ fiValuation: ~ Date:
Site Address / L~ ~ 1 cOt~~ti TI~ . OFFICE USE ONLY
Lot ~ Block I.~ FEES
Occupancy Bldg. Permit ~J~. QO
/ H Zoning Surcharge ~
Parcel/Sub ,~U~~~p7~ q,11i1l~(~ ~,IN Actual Const Plan Review
~ ~ `r~ /1 Allowable SAC, City
Owner UVI~L/~y1q A. c"A~GL # of stories SAC, MWCC
Length Water Conn.
Address ~~7 ~GU~O~D~j~ Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code ~Q ~ JrS~Z 3 Footprint S.F. S/w Permit
~ g - S/W Surcharge
Phone ~ On site sewa e Treatment P1.
~ On site well Road Unit
Contractor ~rcYV/'E MWCC System _ Park Ded.
~r City water _ Trail Ded.
Address PRV _ Copies ~ J
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ I.ot Change
TOTAL .
Council ~
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Li'~/vJ// ~ ~ agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
, *a*:*t*******x+*~*****x**t~t*r#****#
' " C ITY O F E A G A iV *'~T~` PA'~rr aF '~e `~'T xn~ °F *
* ~r~x~azoN DoES r~ar oorsr~z[rr~ *
' * r,rrxavar. oF r~T. *
APPLICATION FOR PERMIT * *
. INSPE7C7C'~SON OF SEF~t AbID/OR 4~R *
. . * ~~raras,mrONS wII.L NOT BE S4F~9- *
SEWER AND/OR WATER CONNECTION ~ ~ ~~T ~ ~ *
. ~ _ . * ~rxovm. ~
. * »
+ ~
* ~
~ P ~eyase Print)
~ ~ 1) PROPERTY ADDRESS : ~ `-1 ._,LI.L~,~ c,~,,~,~
LEGAL DESCRIPTZON:
Lot Block Sub ivision or Tax Parce ID )
IF' EXISTING S1RL`CIL~RE, DATE OF ORIGINAL Bi!ILDING PERMIT ISSC'l1NCE: -
Mon Year 1
PRFSENT ZONING/PROPOSID LSE:
Q CO~Y'~RCZAL/REPAIL/OFFICE R-1 SINGLE FAMILY .
~ IAIDDSTRIAL Q R-2 DUPLEX (7Wo Cfiits)
~ INSTIIL*PIONAL/GOVa2NME'NT ~ R-3 'lUWNHOC~SE (Three + Units) ( Units)
, Q R-4 APARIT~NT/CObIDC)MINI[7M ( Units )
2~ ~ r~r~YALLEY PLUMBING CO. INC~
ADDRESS:
-~ef~l~,i'~Mt~~a--55$52 `
cix~r, - sx~z~, z~:
~ pH~: <fia-
3) ' i: For City Lse
VALLEY PLUMBIN[; rn w~ Plumbers License:
p,pDx~ss: 610 CREEK LANE
CITY. STATE, ZIP: . ~ ~ . FScPired
Not recorded
PHONE: - 2/ Z MASTER LICENSE# - Z/d ~ ~dl
4) ~!t ~,.ni~: - / Q
NAN~: ~/r// f f/LJ ~C~ ~ .~/C~C~C-C'~C-~-~
. ADDRESS: , p~'
CITY, STATE, ZIP: ~r Jil C ~~~-L~ ~
- PHONE: ~ .i ~C~
i
~
•5} u - d: ' • : o • o~ -
COI~rION 1U CITY SEWEE2 CONPII~7C.TION ~ CITY WATER ~ OTHER '
6) • ~ PLEASE HOLD APPROVID PERMiT F'OR PICK-OP BY ONE OF ABC7VE
PLEASE M1~LL APP OVID PERMiT TO 1~2~~ 3r 4. A&JVE
~ (C~~rcle one)
7 ) r ~ t/<---- ~ ~ ~ ~ ~ .
_ ' ' 7• ~ u' c ~ ' • ~ ~ r a~ • ~ - a i~• • n ~ ~ • • • a• • ~ ~
~ r • ~ e : r r:r. •,e+a. ~ ~ ~ • s. . ~ • u. ~
- .
: F~R ,CITY USE ONLY ~ . ,
PERMIT # ISSUED
r7 % ~ 7
Pd w/Bldg. Permit FEES:
$ $ C/>-~~ SEWER PERMIT (INCLL~DE SURCHARGE) '
$ $ ~~~SZ~ WATER PERMIT (INCLUDE SLRCHARGE)
$ ~ ~eC~~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
S $ /.S~U-~ ACCOUNT DEPOSZT - SEWER
$ $ ~J •~~"7~ ACCOONT DEPOSIT - WATER
S J Z S~ G'"a $ WAC
$ (ti Z- S ~ 0-7~ $ SAC
S $ TRLNK WATER ASSESSMENT
$ ' $ TRLNK SEWER ASSESSMENT
S $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRL~NK WATER `
$ JdL~ o'~-' $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
1 ~ G
$ : ~ / 7 ' U~ $ G' L% TOTAL
~'~'~7~ 7U 7~ ~ ,
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~V%e_~-~ceJ /~S~ozL~7~-'~
TITLE:
DATE: ~IZ~:~/~/
. ~,/_3~ .~ifi,~ lv'_'~
~f/E ~C-rr~.S13~fKC" . 0.2C~
HEAT.I.OSS CALCULATIONS r~N~a~ 9~~ ~~~X~v MINNEAPOLIS. MINN.
HE~LTI110G8AI~i CONDI'PIOi111iUG CO.
Weatherstrips A,S.H.V.E. „ Construction No. Insula[ion
Windows Doors Guide Out. Wall Int. Wall Ceiling Fbo1 Floor Kind How Applied
Reference
Yes-No Yes-No ~g _ .
'FI. E~E~rRoom Length c~0 Width p7 HeiBht fl. GHE~ Roan Length ~ Width ~ y Hoipht
Windows and Doors-Crackage and Area Windows and Doors-Crackage ~Area ~
W~~~h Heiphl No. ol I.~neel IL Aiea Wi~~~ HmpM1t Nn. oi Linenl h. Area
NO' ol ane o( pana li p~s of crack sa~ ~1• N~' ol a~re o1 ene li hts ol crack su.
,7~ / / 01 .2 /C. 1 /
3 ~L /O ~ r u 2 i c- I a
~ 3~ ~z l~ ~3
coar ec~ coei a,~
Infiltretion ~ ~ ~ ~ Infiliration ~6
Glass 3 - Glass 3 ~ /
Ezp. well Exp. wall
Nel exp. wall ~p c` Net exp. wall ~~o ~i
Int. well Int. wall
Ceiling Cei~ing . / ~
~
Floor . ~(o ~£'(p Ploor J!
Total Btu. ~ 5 Total Btu. '~o~~~~i'_
ReQUired sq. It. E.D.R. or sq. ins. W.A. Leader area Required sq, iL E.D.R. or sq. ins. W.A. Leader area
F~, L Room length ~ Width / 3 HBiBht FI. 2 Room LenBth ~ I Wid[h Haiyht ~
Windows and Ooors-Crackage Area Windows and Doors-Crackage and Area
No Wi~rM1 Meiq~~ N0. ol LmOnl h. Area Wid~h M~uqM No. ul `l~~eal IL 4ren
ol ene ol ane h hu of crack ~ NO' ol ane ~i •+~a b h~s o~ uack sa•
a ~ o , , .D ~ 20
z~ 8 ~
~ Coef B tu Coe( B w
Infittration ~ ~a0 InfiltraUO~ 3~ / ~v
Glass ~ ~ p Glass J'~p
Exp. wall ~1 Exp. wall
Net 0xp. wall 2~ ~pc~ Net exp. wall ~i ~i
Int. wall Int. wnll
Ceilin9 aa/ Ff~ Ceilinp ~ ~g
Floor ,rj Floor s
~ s Taia~ ew. (7.30
Total Btu.
Repuired 5q. ~S. E.D.R, or sq. ins. W.~+. Leader area Requiretl eq. ft. E.D,R, or sq. ins. W.A. Leader area
FI, Room Length ~ Width Height ~ FL _ Aoom Length ~s Wid[h ~ Height
VJindows and Doors-Crackac~e and Area " Windows and Doors-Crackage ancTArea
NO. o1W~ ane ol o ne No.h~s of caack sQ.elt. No. oW~ ane ul ~pnne Nn.h s o/ vack s0,elt.
i ~ O i zo a ~ 3o i~ a
o i~ ~5
c~er e,~ coe~ ec~
Intiltration ~ 3:.J-r~ InlilhaliOn
Glass [ -rj 50 Glass C7C7
Exp. wall Exp. wall O
Net exp. wall 3 (p Net ex0. wall I 0 ~~~6
Int. wall Int. wall _
Ceil~ng Q-1 7~R _ CeilinB ~/Q y-r)
Floo~ floor S
Tutat Btu. iotai Bw. ' J-~
Ze4ui~etl s~• II• E.D.R. or sy. ins. W.~+. Leader area Roquired sq. ft. E.D.P.. or sq. ins. W.A. Leader area
. .
HEATLOSSCALCULATIONS HEATIII~G&AIR COMDITIOMIMG CO. MINNEAPOLIS,MINN.
Weatherstrips A,S.H.V.E. Construction No. Insulation
ATindows Doors Guide Out.-Wall • Int. Wall Ceilinp Root Floor Kind How Applied
qeference
Yes-No Yes-No ~g _ .
=1, ~ Room length Width Height fl. Boan Length Width Height
Windows and Doors-Crackage and Area Windows and Doors-Creckage and Area
y.~~~h Ne~pM1~ No. ol Lmeal 4. Area W~dip Ho~p~~ Nn. ol Lmefll IL Area
oi ane ol pane li p~g ol neck ca. IL N~' of nne of ene h h~s of crack sq. I~.
Coe~ Btu Coe( 81u
n(iltretion ~ y Inliltration
ilass 50 - Glass ~
ixp. well . Exp. wall
Vet exp. wall (o Net exp. wall
nt, wall Int. wall
:eiling Ceiling ~
~loor ~ S Floor
fotal Btu. Total Btu.
~equired sq. ft. E.D.R. or sq. ins. W.A. Leader area Raquired sq. it. E.D.R. or sq. ins. W.A. Leader area
FI. Roan Lenqth Z Width HeiBht ~ FI, Roan Length Width Heiyht
VJindows and Doors-Crackage and Area Windows and Doors-Crackage and Area
No. 'N~d~h Meiphl No. ot l~n0al i[. Area W~tl~M1 He~q~~ No. u~ t~~ea~ h. Aree
o~ ane of BnB 1~ h~8 0l crack ~C. f~. No. ol ana of ,ane I~ ~~g o/ crBek sq. 11.
a 3 ~ a~ ~
coer ew - coef e,u -
Infiltrstion d' Infiltration
Glass ~a Glass
Ezp. wall Ezp. wall
Net exp. wall ~ Net e.p. wall
Int. wall ~nt. wt+ll
Ceiling Q Ceilinp
Floor ~ ~J Floor _
Total Btu. / To~al Btu. .
Required sq. tt. E.O.R. or sp. ins. W.A. Leade~ area Required sq. ft. E.D.R. or sq. ~ns. W.A. Leader are9
PL ~ 3 Ropn Length Widih Height ~ ~FI. Room Longth Wid[h Hu~yt,t .
Windows and Doors-Crackage and Area ' Windows and Doors-Crackage and Area
Nn. W~dth HeipM1l Na. ol l~neal hL Aea N'~n~~~ Ib 0~~~ Nn. nl ~ineal f~. sq.ell.
ol ana ol OAne li hu of crack ~0. N~' u~ ane u~ ane b ~~s oi back
~L /
Coef Bw Coe( BW~
Inliltration InliltraliOn
Glass S ~ Glnss
Eap. wall Exp. wnll
Net exp. wnll ~ Net exp. well
Int. wall Int. wAll
Ceil~ng 0~ (~Q . Ceiling
Ploor ^ Fln~x
3 Total Btu.
Tutal Btu.
Reyuire~ sy. ~t. E.D.R. or sq. in5. W.A. LeadR~ area pe+quired sq. tt. E.D.P.. or 54• ~ns. W.A. Leader area ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 977 Ticonderoga Tr
Lot: 13 Block: 4 Addition: Lexington Square 6th
PID:10- 45080- 130 -04
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Pride Energy Solutions LLC
9254 Unity St NW
Coon Rapids MN 55433
(612) 385 -9597
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
Owner:
William Carll
977 Ticonderoga Tr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA089869
06/23/2009
ePermit
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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172950
Date Issued:10/22/2021
Permit Category:ePermit
Site Address: 977 Ticonderoga Tr
Lot:13 Block: 4 Addition: Lexington Square 6th
PID:10-45080-04-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
William & Jacqueline Carll
977 Ticonderoga Trl
Eagan MN 55123--254
(603) 264-1627
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature