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981 Ticonderoga Tr ~ CITY OF EQGAN ? : ~ 3830 Pilot Knob Rnad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for D~CK Est. Value { j 0(}{y Date y~~_~ , 19~- Site Addres~ + ~~1 T~GQ1~OgRL:~I? TR Lot ~~i Block ~ SeclSub. T--F p~T~~ ~~7`~i ~FFICE USE ONLY Parcel No. occ~pancy - Fees Zoning - (ACtual) Const Bldg. Permit W Name : ei~~ ~4:.-RIlVB~R'Y - --~~.#~6 o Address gg 1 Tl~~iilp~Q~~~TA (Allowable) - Surcharge City ?~C-i~ Phone ~?5.?--1?7'~ ~ of sro~~es - Length ~~t Plan Review Z~ Name Depth SAC, City Address s.F. rota~ - SAC, MCWCC ~ City Phone S.F. Footprints - On Site Sewage _ ~Nater Conn ¢ ~ W Name On Site Well - Water Meter Address Mwcc sys~em - A~ ~ s~~ a W Clty PhOne City Water - PO PRV Required _ SrYV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SrW 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 ~ :f' APPROVALS Road Unit A Building Permit is issued tn~ ~QMA$ C d~F~~rF,i(' Planner - park Ded. on the express condition ihat all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. g~d9 pff, _ CoPies 1• ~ Building Official Variance - TOTAL 1 E•~ Permit No. Permit Holder Date Telephone # . WATER SEWER PLUMBING H.V.A.C. ELECTRIC Ins¢~ection Date Insp. Commants Footings 1 Foundation Freming Roofing Rough PIb9• Rough Htg. Isul. Fir~lace Final Htg. Final Plbg. Const. Meter Plbg. Inspeclor - Notify Plumber Engr./Plan Bldg. Flnal Deck Ftg. [ Deck Fnal ~~~1 ~ S Well Pr. Disp. ' ~~~1~' CITY OF EAGAN ~;1 ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-5100 BUILDING PERMIT Receipt # To be used for Est. Value y~ ~'i ~ Date ,19 ` 7 SiteAddres9~~~, ' ^ i`~~`I~~ OFFICE USE ONLY Lot BloCk ~ Sec/Sub. ~'-"•~j~~'T~~'~' Sr'~ ; On Site Sewage _ Occupancy ~ - •.,y ~ MWCGSystem _ Zoning : Parcel No. ~ On Site Well _ Type of Conat ~ Ciry Water ~ (Actual) a Name ' ' ~ {Allowable? W i~ ; ~ ~ of Stories Z AddreSS ~ " ~ Length ti ~ City Phone ' ' ~ ' ° Depth S.F. Total , p Neme Footprint S.F. ~ ` Address APPROVALS FEES ~ ~ ~ City Phone Assessments _ Permit ' ` ~ ¢ Water/Sewer _ Surcharge - > ~ W Name Police _ Plan Review W ~ ~ 2 F(f@ $/~C, CItY ' ' _ - Address - v= Engr. _ SAC, MWCC ~ ~W City Phone Planner _ WaterCo~n. Cauncii _ Water Meter I hereby acknowledge that 1 have read this application and state B~dg. Off. _ Road Unit thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and CFty of Eagan Ordinanc$s. Variance _ Parks Signature of Permittee , ; 70TAL iE~_ ~_.i'. lr,l~.', A Building Permit is issued to: on the expresa condition ihat all wor{c shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Psrmlt No. Permit Holder Dst~ TNephons ~t Plo~tnbing . ~ 1~~. • 5 9 g 7 H.v.ac. g/~ o ~ Electric ~y _ s' 8~' 7 ~ G`"~ ~ ~ ~Co ~1 ~l ~ ~ ' `a~j 5 ~ i ~5~~ o.~ inspection Date Inap. Comm~nts Footings I % ~ ~ Footings II Foundation Framing 9,z3 Roofing 9j ~ Rough Plbg. Rough Htg. ~ Isul. 9 Fireplace 'O/`~ ~ Final Htg. e . ~ Final Plbg. ~ _ Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ~ Tr ; . . .:t~ c . PERMIT # X ~ ~ ' ' ' ' PLUMBING PERMIT RECEfPT # ~ ~ ~ GTY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' CONTRACT PRICE PHONE 154-8100 Site Address ' ~ ` " BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name• f' Mult Add-on ~ Address ' - Comm. Repair c Cily Phone ' Other NO. FIXTURES TOTAL ~ Name ` Water Closet - $3.00 ~ 3 Address ' ' Bath Tubs - $3.00 ~ p City Phone ~ Lavatory -$3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 ~ COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESlDENTIAL FEE _$~p,pp Laundry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20.0p ; Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ ,Sp 1Nater Heater -$1.50 (ADD a.50 S/C IF PERMIT PRICE GOES 1Nhirlpool -$3.00 BEYOND $1,000.00) Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.OD ~ - ~ ~ Rough Openings - $1.50 SIGNATURE aF PERMITTEE FEE ' ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ' ~ . . y. ~:~'r PERMIT # ~ MECHANICAL PERMIT RECEIPT # ~ ~ ~l> / cmr oF ~?c~w ~ 7 3830 PILOT KN~B ROAD, EAGAN, MN 55121 DATE: r~ 2~ CONTRACT PR E: PHONE: 45~1-8100 Site Address ' a BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub v f • _ Res. L~ New ~ m Name % - ~ ~ Mult Add-on ~ Address,~ - ' ' ~ ~ ~ ` Comm. Repair c City ' Phone 6 ~ ~ ! ' pther ~ Name - ~ ' FEES c Addre~s ~ ~ ~ « ' ~ ~ RES. HVAC 0-100 M BTU - $24.00 p City PhOne ' ~f ADDITIONAL 50 M BTU - 6.U0 ~ ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK , ' ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS 1.50 EA. Forced Air ~ M BTU COMM/IND FEE - 14f~ OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S1C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other ~ ~ • FEE `a ~J ~ : < . ~ s~C. !~-`j SIGNATURE OF PERMITTEE _ ~ TOTAL• ~ ~ FOR CITY OF EAGAN ~ ~ PERMIT # Eal d r MECHANICAL PEFiMIT / L i CITY OF EACAN RECEIPT 4` , 3830 PILOT KNOB ROAD, EAGAN, MN 55/22 DATE: - CONTRACT PRICE: /~v ~ PHONE 454-8100 ~ite Address ~ ' ` I'' ~ BLDG. TYPE WORK DESCRIPTION Lot Block ^ Sec~Sub Res. ~ New ~ ~ Name - Mult Add-on -:v ; . Comm. Repair c~g Address _b, - ~ ~ ~ L~- ~ . 50. Other c City , -~,Ptione~'y . ~ . FEES L Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCL`UDES A/C ~N MEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERiIAI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - CaMM. RATE APPUES TOWNHOUSE & CONDOS - FiES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. .~C~ M BTU " MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: .J ~.%:J _.r , ~ d S/C: ~`v SIG R ^ I EE ~ ' ~ ~ /~:l~i/ TOTAL• i~ /3 y FOR: CITY OF EAGAN ~ ~ °0 ~ ~ ~ ~ r~ o~ . ~~er#i#irttf~ ~f (~rru~~tnr~ . ~ ~itp of ~agan ~r~cr~tcrni a# ~uil~i~cg ~pr~~nn This Certifcate rssued pursuant to the requiremenu ojSection 306 of the Urdjorm Buitding Code certifying thar at 1he ti~rre ojrssuance this struclure was ln compliance with the various ordinances of 11?e City regulating building consduction or use. For che following. u,~ a.~;r~c.da, :,r i x,~ ~ s~a~. ra,~~ r,a. c~ Oocupaocy Type 7.onin~ Di~trict Type Coori owoa d ewldin~ Si1 T " • :`7(' i "'F? : ~ ' ~`i pddreea -3 r [ C1R (]Q[ ~1~[',At; B~aa~ nae~ . ,r n - ~~y I.,12. Fi~?, 1~.k~~t':~FtT! ;i"qr:3;tE ~ir ~ a~ t~7VH~R 9. l967 oa~ POST IN A CONSPICUOUS PUCE ,.r - , CITY OF EAGAN Permit No: Date: 'a-9-g?t . ! 3830 Pilot Knob Road Meter No: P.O. Box 9i~g9 Size: 4 Eagsn, MN 55121 Reader No: Data Owner. 'luf~ ~:4net. SiteAddress: `~`~I Ticoaderoy;a Trail L12 B4 Lexin~•t?~ c~ Sty Plumber. r•~'~ck_~uel2er "lum~in ~ Conn. Chg: S2 ~ • `~~~F~ Zoning: ~1 Acct Dep: S•`~~P~ No. of Units: Z Permit Fee: • 1~• Surcharge; • S~P~ I a ree to com Tr. Plant- 1 p ~ a~p:: ~ ply wtth fhe Clty of EaQan Ordinancea. Meter. E7 ~l(~~~ Misc.: gr WATER SERVICE PERMIT i I CITY OF EAGAN ~ ! 3830 Pllot Knob Road SEWER SERVICE PERMI7' • ~ ; P.O. Box .Z,11 J9 1~~ I i? ~ Eaga•~, AIN 55~Z~ PERMIT NO.: ; ! Zoning: P.1 DATE: , Owner, B 1 il ie No. of Units: 1 `%orls t . ~ Address: , ! S1teAddress: ' Ticondero~a Trail L1? 7::a I.exi~:~ron ;r Stt~ ~ Plumber. $~c eller P~um~in4 ~ ~-z - 7 _5152 i~ e~ree to comPl~r "~rltN fh~ I~`~ ,~~L~~ ~y of Eapsn Connection Charge: - S^ 5 (~i1„ ~ ~ Ordinance~. ! Account Deposit: - i 5 ~~~a ~ ; Permit Fee: i f ~ Surcharge; Sn ~ Miac. Charges; ' Date of Inap.: ~ Insp.: Totel: Date Pajd: - ~ . ~ CITY OF EAGAN Permlt No_ 3830 PtfotKnob qoad - Dat~ ~-`~-<?7 p ~~x 199 Meter No: s ~ _ ~ Reader No: ~'P J 7/ c,/ 7 Size: Eagan, MN 55121 Date: ' Owner. ~lilze r'~~bt, Site Address; 3~ 1 Ticozi.~ar~ a rI a~~ ,.i ~ Plumber. ~rucicz:~u Lexi;~ tor. S„ r`;, e]..J_e~ ~lt~~ ~L~; Conn. Chg: 525 , ~ 5 Acct. Dep: 15 . (1 ~ • ? Permit Fee: 10 , Op ~ 1 surchar9e: , 5 p,,. LECIRIC - c. Tr. Piant 1`<. p. pl~ - ~9~,~~~ the C~ ~~an i Meter. dl ~ Misc.: - , WATER SERYICE pERMlT - - - - ---~-V_.~~ y/~5/~~h REQUEST FOR ELECTRICAL WSPECTION ee-ooooi-os ~ ~ See insGatlion8 lor comD~ating [his larm On beCk Of ~ va~~ow ~oa~. 7~/3S 3 1 "X'" Be/ow Work Covered by Ihis ftequest Hti~l Fe~ ~ TvDe o1 Builtlin9 Aooliancm Wired Equiument Wire,l Home Range iemporary Service Duplex Water Heater Ligh[iny Fiztures Apt. BuflAinc~ Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. qir Conditioner Bulk Milk Tank Farm otne, oeci v ine~ ISnecltyl t .r Sucnfy Other O~h~.r ompu[e lnspection fee Below b Fee ServiceEnLanceSiza 8 Fea Fentlers~Subfeeders p fce Circuits 0 to 200 Am s 0 to 30 Am s ~ ~ 0 tn 30 Nn: Above 200 Amps~, 31 io t DO Amps ~ 31 to 100 Am Swinvning Pool Above 100_q~» 5 Aqove 100_Am s Transiormers Irripation Booms S Partial-~Other Fee Signs Speciai Inspection pemarks SS~ TOTAL FE NouBh-in ~ ~ :/t~~7[~/.~~' 'T D~e~I~~ I, the Elacv~ Final ~~sDecbr, here6y ~ D:ne certily thet the abova sDection has been de, TOIS repuest voitl 1B monfM imm This reques[ voitl~ ~/~n p ~ 18 months trom / D 3692 i " ~ Renv--[ ~ Fire~ o. ~ROUPh-in~ins{f9ction ~ Repwred? ~Ready Nuw ill N~~i(y InsVec- V ?~es ?Na t~ WhenFeadV icensed ElecVical ConVector I hereby requeet inspac~ion ol ebove ? Owner elechical work installed at Street Atldress, eoa or floute No. Cit ~13' f ~iut,~.~ ~a-~ ecUOn o. Towns~iD Name or o. Range No. County Occapa (RRIN 1 ~ ~ Phone No. Po Su li r ~ Address ~.KC~IJ~ Elecin onua tor ICpmpaaY Ne~ ^ C~ t~ac~or's License No. ~ ~('i _ i~yi.~ ~'J~~'i,~3 7 Mailinp AdJress (COnVac r or Owner MekinB ~n ailation) L ( 3 .S3 ~3 7 Ao~~ociz d Signa re IQonVactor Ow r a ing nxtalla~i I Pho~~ gr 1 ` f l! J MIN EN 80TA-97ATE BOARD OF ELECTRICITY ~ THIS INSPECTION HEQUEST WILL NOT Grie9s-Midwey BIOg. - fioom N-791 gE ACCEPTE~ eY THE STATE BOAP~ 1821 Universilv Ave.. Si. Paul. MN 5510A UNlESS PflOPEN INSPECTION FEE IS Phone (612) 642-OBW ENCLDSED. ~ REQUEST FOR ELECTRICAL INSPECTION ea-oooai-os ~ Sec insRUCtions br completirq this fwm on baek of yellow copy. ~~7 D~~ 7 "J(" Below Work Covered by lhrs Request HAd Nen TVpe of BuilAing ApP~~~~cee Wired Equiymen~ WireJ Home Ranye Temporary Service Duplex Water Heater Li~htiny Fiztures " Apt. Buildinc~ Dryer Electrii; Healin Commercial Bldy. Fumace Silo Unlonder InAustrial BIAg. Air Conditinner Bulk Milk Tdnk Farm O~her ~er.~ v .ihe~ ISnecilvl t a Syeci y ther O~h~r ompute lnspection fee Below p Fee SarviceEnhenceSixe H Fee Feeders~5ubleeJers U Fne Circuils 0 to 200 qm 5 0 to 30 qm s 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 qm Swimming Pool A6ove 100_Am s Above 100_AmpS Transiormers Inigation Boort~s Pertial.-0ther Fee Signs - Special Inspection 5 ~ emarks~ _ OTAVFEE~.• [i . ~ G NouB~.in Oata I, the Flec V ica ~ Inspeclor, haieby cartify Ihe~ the above Final r ' speclion hes Oeen ~ ~ea. ~Ob repueat vo1018 moniM irom Th~s request wid/_/~//~ ~`~S( 9'~i 18 months (rom ~L v !J / E 2 5 0 9 0~. i~z- , G~ti v°--`' Peques~ Date Fire o~ uPh-in Inspect~on equired? ~Ready Now Q Will Nn~ifv Inspec- ?~es No lor When Pead4 Licensed ElecVical GonVactor I hereby request inapection of above ?Owner eiecvicel work irtstalled et Street Add~ss, Box or flouie Na ~~b / 'cc~r~ ~er ~ c~~ eciwn o. T nsM1iP Name or No. Range o. Counry Occup- ~ RINTI Pho~ No. 1 C7 ~v~ Power Supplier Adtlress ~ Eleclri~al Convacmr ICompany Namel Contractor's License No. Harrison Electric Inc. 421867 Mailing AdJress (ContraCtor o~ Owner Makine ~~stailatioN 3 0 Mor n Avenue North. Mp1s. MN 55412 Authori- d igna~ ( o tractor/Owner MakinB Installationl Phone Number 521-0520 Tk15 INSPECTIDN REQUf5TWILL N01 MINNESOTA STATE BOAND OF ELECTRICITY Griges-Midwey BIdB~ - poom N-191 BE ACCEPTED BY THE STqTE BOAAO 1921 Universirv Ave.. St Pnul. MN 557Q4 UNIESS PflOPEH INSPEGTION FEE IS Phene16121602-0600 ENCLOSEO. ~ REQUEST FQR ELECTRICAL INSPECTlON ee-ooooi-os , See insV.~yns for rom0~eli~g tM1is ~orm on back o~ Vellow coOV~ ~~8~ 2 C~ 0 °"X" Below Work Covered by Ihis Request and 0.eo. Tyoe oi Bund~ne Aoo~~nnce~ wtrae En~w~+e„e Wiren Home Range Tertiporary Servicc Ouplex Water Heater Ligh[iny Fixtures Apt. Buildin~ ~ryer EleCtric Heertin • Commercial Bidy. Fumace Silo Unlnader Industrial Bldg. Afr Conditioner 8ulk Milk Tnnk Farm O~ne~ peci y ~iher ISnccliyl [ er SueadN Otner O~he, ompute lnspection fee Below k Fee SarviceEnvenceSiza H Fea Fnxders~Subteeders p Pn,e Circu~its 0 to 200 qm s 0 to 30 Am s D tn 30 Am s Above 200 qi» ~y 37 to l U0 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transiormer5 Irrigation Boorr~s Partial-~Other Fee Signs Special Inspection ~D~CTi pemarks L FEE ~~~3a a• flouBh-in D;~te 1. t al InsOactor, hereby ~ify that the nbove Final `H1e'/ ~~soection has been ~ IV" O" motle. mis reQUesl votE 1B montlu trom CITY OF EAGAN N~ 1~703 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ry ~ r ~ BUILDING PERMIT Receipt # ~ ~ ~ l To 6e used for DECK Est. Value $1 ~ 000 Date .Tl1NE 23 , ~ g 89 Site Address 981 TICONDEROGA TR Lot ~ Block 4 Sec/Sub. ~XINGTON SQ bTH oFFlCE USE ON~v Parcel No. o~c~Pa~cy - Fees zoni~g - w NBme THOMAS G RAVERTY (pduapConst - B~dg.Permi~ 7b-00 3 Address 981 TICONDEROCA TR (Allowable) - ~ City EAGAN Phone 452-1 273 # of Stories _ Surcharge . 50 Lengih 16' Plan Review Name S~ oepm 1~' sac.c~ry Address sF. ro~i - saC. Mcwcc ~ City Phone S.F. Footprints - On Site Sewage _ ~Nater Conn • F W Name On Sile Well - Water Meter z~ AddfeSS MWCCSystem - a~ City Phone clrywater _ /+cct.oeposlt PRV Required _ S/4V Permit I hereby acknowlege that I have read this application and state ihat the Boos[er Pump - S/W Surcnarga inkrmation is correct and agree to comply with al licable State of Minnesota StaNtes an ' o Eagan Ordinances Trea~ment PI Signa[Ure o~ Permit 1 APPROVALS Road Unit A Building Permit is issued to: THDMAS G RAVERTY F~anner - park oed. on ihe express condition that all work shall be tlone in accordance with all Council _ applicable State of Minnesota Stalutes and City of Eagan Ordinances. Bldg. Off. Copies 1. SO n~~~ V~~e~ - TOTAL Z$.OQ BuiWing Officia~ ~Jl~~T fi~-! ~ . NO PRV REQGIRED CITY OF EAGAN N? 14 0 8 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# ~~~5~ To be used for SF DWG/GAR Est. Value $$5, 000 Date AliGUST 25 19 87 Site Address " ~81 TICONDEROGA TRAIL OFFICE USE ONLY 12 4 LEXINGTON SQUARE On Site Sewage Occupancy R3 Lot ~ Block Sec/Sub. Mwccsvs~em X zoning .~D ParcelNo. 6TH ADD Onsiteweu 7ypeofconst _~.n____._ Ciry Water ~ (ACtuaq a Name BLILIE CONST (Allowable) Vn w # of Stories = Address 644 SUPERIOR CT Length 45 ~ CitY EAGAN Phone 454-1438 oevtn i.~_ S.F. Total ,p Name SAME ~FOOlprintS.F. ~a Address APPROVALS FEES ~ City phone Assessments _ Permit ~ 451.00 WatedSewer Surcharge 47.50 W w NBmB Police _ Plan Review J ~ S_ S(1 ti Fire _ SAC,City 100.00 =o Address Engc SAC,MWCC 9 •00 Qw City Phone Planner _ WaterConn. ST5_00 Council _ Water Meter 6~ _ nn I hereby acknowledge that I have read ihis application and state Bldg. Oft _ Road Unit 3(1 S_ Ofl thattheinformationisconectanda reetocomplywithallappliceble APC _ TreatmentPl 1fi0.00 State of Minnesota Statutes ry of Ea an Ordin/a~n a Variance _ Parks Signature of Permittee ~ / TOTAL ~ A Building Permit is issued to: LILIE CONSTRliCTION on the express condition that all work shall be done i~ accordance with all app ' ble State o inn~sota Statutes and City of Eagan Ordinances Building Official ~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN S ~j, ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~'3(~ 651-675-5675 Please complete for modifications to existing residential dwellings. Date .S ! 07 ~ ! ~ SiteStreetAddress T~/Cvic~DL ~"OGr} 7'/? Unit# Property Owner 'Tffm.v, r4S ~ ~aUPR-~ 4 7elephone # (~~'1) ~FSZ -1273 Contractor ?"f~oin k S ~ .~R-?~ R-f 4 Telephone ~F (~Sl ) 4~52 2 73 Address 98/ 7't[o„r[7E2oGR 'TR. City ~R~a4K StateljjaL Zip S~/,73 The Applicant is: ?Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 ~dd plumbing fixtures. If you are only installing a water softener and/or water heater, the fee is $15.00 plus the state surcharge - see next section. _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 _RP2 _PVB V new _repair _rebuild $ 30.00 State Surcharge D~~~ Q~ $ 50 MAY 2 ~ 2004 Sj Total By 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. ~~.n.9-s G. ~C'srvE2f~ n/~-~=-- ~J, ~N ~ Applicant's Printed Name ApplicanYs Signature ~ / ~ 8~Z . 1987 BDILDING PERMIT 9PPLICATION - CI1R OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SEPS OF PLANS~ 3 CERTIFICAYfiS OF SfIRVEY~ 1 SET OF ENERGY CALCDLATIONS NOTE: ADDRESSES FOR CORHEE LOTS - CONTRACTOR/HOMSOSi1QER MIIST DESIGHATE WHICH ADDRESS IS DESIRED. PO CHANGES WILL BE 9LLOWED ONCE BDILDING PERMIT IS ISSDED. MOLTIPLE DWELLINGS - RESIDENTI6L RENTAL DNITS FOR S9LE OBPIYS INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SDAVEY - CHECB iiITH BLDG. DBPT.~ 1 SET OF ENERGY CALCULATIONS COi~II~IERCTAi" INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND To Be Used For: °~i p<..,~', ~.c_ Valuation: a'SOOo Date: 8' Site Address d~ Tco~ c~anoqC. OFFICS USfi ONLY Lot ~ Block On Site Sewage Occupancy R-3 M4ICC System ~ Zoning PD Parcel/Sub ~2)( S9(A4,nA ~~¢klc~ On Site Well _ Type of Const City Water ~ (Actual) V-N Owner (Allowable) V-N 1F of Stories Address Length rf5;00 Depth y8, 83 City/Zip Code S.F. Total Footprint S.F. Phone 6PPROVALS FEES Contraetor \J L L.I'x-~ Assessments Permit ySl, UU Water/Sewer Sureharge ~12,5'~ Address ~ ~(L{ S:,~q(1.c.t~~ C~. Police Plan Review 2ZS,~o Fire SAC, City ! 00 ~ Od City/Zip Code ~ Engr SAC, MWCC 5 2 ~a Planner Water Conn $2 S,p~ Phone °j `1 ^ ~ Council Water Meter b 7, av Bldg Off /}~7~ Road Unit 3os.oD Arch./Engr. APC Treatment P1 IkO,Oo Variance Parks Address Copies ~ TOTAL City/Zip Code Phone 4i .e.~ .m x~ a x az.3 = N~6 x~z= s~s~ ~ ` ~ rn . ~ . ' ' ` ' 3g x ~b.S = lov~ 2sX~2 ~ 300 3~ y,~ ~ ~.~7 ~2%4 ~~l = 15116 YH t++ ~ 38X3p = ~q yv ~ o ~ a~= 2 b~ ~ 139n xWu= ~/lGv ~~6za x•, ~ :i' ~ . ~ L, l ~ L I c' '-1 L'P k i ~ t 1\ , PL~T PLAN ~'iceb - t incn - 2o teet . . . E~U~~~ _ . - - - - - - - _ _ _ - - . • . ~ ~tlZz - - - - - - - - - - ~I: ;ybzz - _ _ _ _ - - "9oy' = = - - = T = _ - ~ r -'i I. - - - - - ~ _ _GUtl~ ~ ^ ~ ~ - ' F ~'/6`r~ - - - . _ _ = ~ - , qo.-o _ _ ~ _ . _ _ - -:i-~ c-., _~.i ...1~ ..a.. _ -Ci ~ ~ , - H;- ' - _ - !'1 :Y ' - - _I ~ 1.. -i. - _ _ _ " ' _ ' ' ' ~ i~~~ i 3~ :r:.~ T.. - ~ ' " -II ~ ~ f~ ' ' _ ' - _ T+ •-t .c. =.a y_t y " ' _ ' _ ' _ - . - . . 1~ . 'Y-. - ' " t7. ` _ ' ~ _ . . . ' ~7 . - _ _ _ _ _ ' ' 1 . . . . ~ ~ . - . _ , ~i " " ' ' " :l]. - ~ ~'y -aa ..u ~ ~ . . ' ' _ _ 'Y _ _ ' _ " . ~ . . - . . . .i~ . ' . _ . _ . . . , i- . . _ . i " _ ' ' ' - = 1 _ " I ' r' - r _ - . ~ T. { " ' ~ ".:i_ - .-C ' ' 'T _ ' ' i i ` + . 1T l~ ~-t_ . ~ '1~ ~L 1 i . -.-N ' ~1 { " ~~~7 ~ ~ . ~ " y . - 7" ~w ' ~ ' i' _ ~ . ~ _ .;i - -i~, _ _ _ T - ~ _`.r' j - ~ - - 3_t 1' ~ _ - . ~ _ . - , i - - ~ . ~~P..: a ~ - ' ''3 - .I'-..^ ' ' .1~ _ - ~ • . ~ ' ' - - : _ ~ - ' . ~ - .l. . _ i.a.. ~ ~ . . . _ ,.,T ~ : - , - ' ' _ ' - . ~ ~ ~i~. -a._ ' ~ ~.Y. ' ' - 2 q-. - ~ , t ~ i7 ~ ~ . ti, - : - - ' ~ . - . , , . _ . _ _ : _ , . _ . . . . ~ . • . . ' - - ' .'4._ ~q:, t . , . . _ - ~ . ~7.. . - .:L - - - _ _ " . ~ 77': .I. _..i. - f ' _ _ ' 1 ~ - _ _ . ~:i 1 ' - " ' ' _ - - _ . , . . - . . -1: ~~...7-ir " ~ ' ' ' ' " " _ 1~~ ' " - i . ' 1_` ' ' _ _ _ - " ~ - ~ - ~ :T .i~ -r" " .;i . _ _ ~ _ ~ T~ ~r ~ ~ ~1_ ~ r Must show location oi streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisal is requested.) , a - 1 - ~ EXTERIOR ENYELOPE AVERAGE "U" COFIPUTATION ~ 041NER SITE A~DRESS ~oT /2 iQ~Ie lr Le lt Sn r.w.;,~ L~ iQt~,~ J . CONTRACTOR ~/L~C~ ~~2,~. T - DATE 7-7-~~ PNONE '.~/Sy ~~r k: Determine working square footage of each. 1. Total exposed wall area .7/ 7 j sq. ft. x_it =~9,~ 9~ 2. Totat_roof/ceiling area /1i~7~J~'' sq. ft. x_026 = 9~ Total exposed wall area above floor = /1/Z _ a. Total wail window area /Sr? b. Total door area Z c. Total sliding glass door area ~G _ d. Total fireplace walt area....... - e. Total wall framing area (average 10~)...:........ ~~,j f. Total net wall area ahove floor S'~ o g. Total rim jaist area `"[i Total ezposed foundation area = _~/7 h. Total foundation window arca..:.. - ~ i. Toal net foundation area a6eve grade ~ ` Determine "U" value cf each wall segment. > a. g . ~ _ ' - b 3;~ X„v,~ = Y. SS c: ~ d X _ _ , ~ O d. ` X _ - e. /""j' X~ , G~' _ %L~ - f. /l:'~',~ g ~ Cy' = 5~.~3 9 x ~ ~sc, _ _ ~ _ h. ' X "U" _ i. ~ X ~~U~~ , i , % i 3 . .Tota1 y v If item 03 is the same as. or less than item ki, you have met the intent of SBC 6006(c)2. W~LL SECT:nN3 lK4TE: Uae 15i of opaquc vall.area !or lrame construction Cons[ruction R-Value 1. i Z. ~z~~-~m . V5 Z i.nehe~ sofr_ @'_' 4. ~ L; ~ ~ GG S. cum /ii~ ~~iL ~ . ~/3 BASIC ~ 6. Exterior air film . 0.17 W1lLL 1bta1 , r ~ !O = . 06 FIG. Al TOPVI~? QF ggulg HAT.i. 1. Intcrior air film 0.68 2. ~ 'l ` ,~J r /3" - , 3• ~~Z' .F.i~':~~ - ---ISJO ~ • - r~~ :.=,r~ ~ . ~ 5• y;.,i r~' . P~• Y, i ~'3 6. Exterior air film 0.17 FIG. Y2 Total ~ y; ^p - ~ „ / , , . -0 1. Interior air Eilm 0.69 r'•~~ 2~ ~ ~-r : y;J.+ . • ' .n ~'/'o. : ! . r. ~~r ~ ( ~ 3. ''3 ` e'. !~~G J.'lJ i ~ S~LL rS6Ft~( i / 4. ~ 7? ~i~s r S o': " ~e 5. ~L,viN Sfi.%7f~.~(.~~i "i - Pc~ip;~e:al • ~0_-0, F~,~t,, ^ i 6. Exterior sir Film w0.17^ Total ~ , ~ I . k ; ~v . . . , ' n Y " ~ 1. Interior air film O.GB FOQ.~~l?ICN ~ • 3. __~:v~- ~ IdAI'L ~ ' tl' • 'p' . • 4. _ f - - V~ i ' : ~ 5. ~ ` , . ~Y , y 1:: :~fj~" . ' 6. Exterior air film 0. 17 ~ ~ Total ~ . i-~• - ' - sLAS oN c~ans . ~ . r . . ~ r . . ~~v~ • , . ' • ` : ' ' - ~ ? - , ' . ' a~ • A ~ I(/:.=r 4~,-F~• ~ ~ V ~ • 6': ' ~ _I!t v ~ ~ ~ - ~~r /[I . • , . . (11 o ~ ~ . ' • ~ • , ~ Ifl . r FIG. !14 ` • • ` ~ /fl Q ~ ~ FIG. M3 ~ 4 ` ~ (l1 ~ X X ~ ~ ' i ~ !lf : l~! ~ o_~ i ~ , NOTE: Indicata tyne, value, death and • plscenent of insulation. P ` . . . ~ ' b . - • • Paqo Thzee ROOI'/CEILINC . ' . . f ConsCruction ~ R-Value ; - ~J . ~ Intcrior u~r film 0.61 ~r'l I ~ 2. ,F G1GM . ~ ~ ~1 llif!'~' ' 3. a sCUCaJ .'~oo ~~J.I. , 4. Fxtexior air film (~till 0. ? v~rr - 1 lll ~~i 3y. FJ . . . ~ i ~ ~ ~ . . /.iS Venced tleat flov up . . FIG. MS ~ . ~ ~ Interior ai film 0.61 W~fl:~.~}V!+~.~.~1•Ta}!;~.f-`~~SP~_A^~C?~ A~/rt 'a 3. 4. Exteriur ai il sti~GT - . . . tal ~ - ~ . 1 l~~j%'1 ~ 11~1'~ _ ~o to . z~ ~ . ~ N.eat flou up vented FIG. A6 . . 3 ~ -5 1. Iiuide ir Cilm O.G1 - ~i~,r?~ 2. • _ ~ ..at.::i . ~ ~ ~ 3. 'a°~~-. /1~ 4. ~~l.ti.y' ~~'.~'iV~~1. r...'.'?' ir~ _ r1'•':"•~'•' S. Outs air. F1 0.17 Total 1 ' 1 Z . • . , . N0.1-VP.SQTEp Note: Use additional shects if more space i. . • needed for details and calculations. ' . HeaC ~ • , , flov up . Fi~. ~7 Total expased roof/ceiling area = ~ 7~~~~ Total skylight area . r k. Total roof/ceiling framing area (average 10%)... , 1. Total net insulated roof/ceiling area........... / 3~Y Z Determine "U" value for each roof/ceiling segment. _ X - ~ _ - k. /~/9. ~ x "u" , ??v = ,3.~ g ;_;~y..~ X .D~,` = 3~ 7/ 4.......:..~ ........................Tota1 = " ~ c"- If totaT of N4 is the same as. or less than ~2. you have met the intent of SBC 6a06(c}7, Alternate Building Envelope Design , Ta utilize the total envelope system method, the values established by the sum of items ~3 and i4 shall not Ce greater than the sum of items 1. 2~j, + 2. ~~'"-9S a ~ 3. ~ y! + 4. .~7 G s% a•~9. ~ , ~ ~ J ~ r. - ` f, ~ ~i,i' ; ,O i-~~,'.4 ` ` ri ~ _ c' , -;L' ToWI expased roof/ceiling area ~ ~y~~ Total skylight area - k. Total roof/ceiling framinq area (average~lOX)..: =~i.~~~ A l. Total net insulated roof/ceiling area.......... / Oetermine "U" value for each roof/ceiling segment. ~ • _ X - ~ _ . - k. /!~9. ~ x "U" . ??u = 3 Y G . t: !j`~'. ~ X . G~~ = 3:- 4.......:..~ ........................Tota1 = ~ :c: If total of N4 is the same as. or less than ~2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design . To utilize the total envelape system method. the values established by thc sum of items i3 and 94 shall not be greater than the sum of items dl a~d 9~2. i. 1~`-f,~9 ~ 2. 3~-95 G`_' 3 ~y, + a. 37G~%' a a~29./i' . , ~ / ~ ~ f~` ' c~`~--U~~ , , ~ A,n - ~~~-f ::i,/~ s-~; .4~,, - - ~ L' , , .:%c9 ~ r -3 ~--I ~ ~U .sC~ 1999 FIREPLACE PERMIT APPUCATION y~~/ CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date:~~~. C I ~ 9 Descriprion of Work: Construct new fireplace _Gas _Masonry _ Altera8ons to existing ~ Install gas insert onlv _ Install ,gas line on[v Other Job address: 1 / f~(~ (~)1~ rQ p f"~~~J ~ Lot: 1~-- Block: ~--k Subdivision/P.I.D. ~'-e~'~ v~YV h ~Q~.i-p,w~ b~ Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Pho~e~~ r*ame: ~r~ iPY'~G ~O~'11 PROPER71' Last Fust OWNER '''j'~ 1 Street Address: )°IJ l ~I ln C~ Ga' I/ l. City G ri{ (J~ a 1~ State: / V r Zip: Company: l_, re- ~ I ~?~~L~ 'I(~P~~l~`~S(,QePhone (/J~~ 7/ ZU^~ (area code) FIREPLACE 3~ `~Q f~ ~jI l INSTALLER Sheet Address: City ~V~ r~~~L~` 1! P' State: /V r Zip: Company: Phone (azea code) GAS LINE ~ I~VI/1 ~ INSTALLER S~eet Address: ~ ~ Ciry State: Zip: ~ 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 Statute a d City of Eag Ordi an s. ~ ~ , Sign re ~ D~ ~?C~ i ? ~~r; ~ l OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterarions ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 3S Repau ? AO Gzs:nse:t GENERALINFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ~ I. 1989 SOILDIAG PERMTT APPLICATION CITY OF EAGAN ~ l6~~3 SINGLfi FAMILY DiIELLIBGS lIDLTIPLE DiIELLIN135 COl~S7ERCIlL 2 SETS OF PL`!IS 2 36T5 OF PLAN3 2 SETS OF ARCHISECTURAL 3 9EGI5TERED 3ITE SQRYEYS 6EGISTfiAED SITE SQBYEY3 - 6 STHOCTOAIL PLANS 1 SET OF ENEAGY C?LCS. (CHECH iTITH BLDG DIV J 1 SST OF SPECIFICATIONS 1 3Ef OF ENERGY CALC3. 1 3ET OF EAEBGI CAI.CS. !lULTIPLB D1iELLINGS RENTAL DNTTS FOR SALE DNTTS E OF 0lfITS HOTEt IDDRES3ES F09 CORNER LOTS - CONTRACfORBOt~OWNEA !lOST DESIGAISE flHICH iDDAE35 IS DESIRED. NO CHANGES i1II.L HE ALLOiTED ONCE BUZLDIPG PERMIT I3 ISSDED.. 3EiiER 6 ii9TER PE18iIT FEES 1ND ACCOONT DEP03IT FS63 iIILL HS INCLUDED iRTfl TBE HOILDINQ PERHIT FEE. PAOCESSING TIME FOR SEWER ARD Ii9TER PEAHITS I3 TiiO DAYS QNCE ! PfiAMIT HAS BEEB COt~LETED INDIC9TING A LICENSED PLO[~EH. PENALTY APPLIESyidHEN: PEAMTT IS NOT PAZD FOA IN SAME MONTH IT IS REQUESTED. LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSiIED. o(I~±t. ~ ~J ~ To Be Used For: ~ec~ ~ Valuation: fo0a Date: ~~N 21 ~ 31te Address 4P/ T~•~/JE~eoGA ?,e OFFICE 03fi OPLZ Lot ~ Bloek y Occupancy g~ Zoning Parcel/Sub tl'IDSJ Actual Const Bldg. Permit aG, ~J Allowable Sureharge . Oamer ~fYe.+.? s C~ ./rAUr 2~7 # of stories Plan Review Length 16 SAC, Citp Address 9~/ T~CWJEQOG~4 7'Q, Depth !6 SAC, MWCC S.F. Total 8ater Conn City/Z1p Code f~9~.~ ..~e/ SSia3 Footprint S.F. Nater Meter 9cet. Deposit Phone S~S.Z -/.»3 On site se~+age S/N Permit On aite well S/W Sureharge Contractor ,gl.l~f MWCC System _ Treatment P1. Citq water _ Road Unit Address PRV required _ Park Ded. Booster Pump _ Copies ,5~~ City/Zip Code SDBTOTAL APYROVALS Penalty Phone Planner _ TOT6i. a, a ~ Coweil 9rch./Engr. Hldg. Off. Variance Address City/21p Code Phone 0 ; / ~ J ~ "r~ ~ ~ 1 L .r X ;t ~ rz~ . . PLOT PLAN `3'icrle -1 inch - 20 feet '`c+UQr'/ _-S : _ I._ _ :-:c~. _ -:{~a ~d' L z ~-~j - - - - - - - - _ - - i:L nI: , _ . Z ;,:::~='I.. . rc_= _ .:t 1b~'- _ . ~ y i ~ : » = ; : : - ~ _ ~ - 9 y~ ~:~~~,--~~r ' . _ ~ ~ _ ~ ~ ~r-- ~ s - _ - L) `1 t _ ~ ~ ~ / ^L,^' _ 22' _ ' _ . yby / .y ; * _ - , - ,z r . ~ „ + - , - ~ qo-o a , _ ; _ : - r : ~ , ' ~ ~ ; - _ ~ ~ ' ~ f ~ r.t. _ - _ ~ ; s.. _ .i ' s~ a S . - - - ~ ~ ~ ~ ~ I ~a _ ra~. ..7~. _ - r - _ . ~ - y - ;t~ ~ ' ~ ~I ..7 .~3, . a. ~ ~ ~ ' ' ~ - ~ - ~ . . . . ,i .i . ~ _ - - . -+r .~4j1 7.:._~,:i- ~:2~.. :r' _r - - ' ~ - ~ _ . r r~ ~ - + ~ - ..r Z-_.; _ _ . ~ . - ' - : ~ , _ _ . . . . ' - 1" -s _ : , _ ~Y'l _ s ,.i - - - _ - - _i ~ ~ i - t ' : ri. : ~ ' _ . : - -r,.: - . - - - _ .t. . _ . . , i ' ~ - I. ' ' - - ~ ; . : ~ , . .~i-~ - . 7' ;~t 1TF ~Y •+`i1 T' ~ .I"t'.. 7' -1 _ _:1. ':Z ' ' :I . , . . ~ i~ 7 I~ . J. ...tA .r1 { { . ~ ~ .]'S ~~r7. :ti l~ i ~ - :-7.k: I. ~ ~1: ~ . . I .1.. .1 T 11 i ~ . . . ; . i P ' . _ 7 7 ~ ~ . ~ , ~ f f~3 a t , , ~a : ~ ~ r 1. . ~ ~ . i , - 'y~ - ~r- ~~y r~~. . 1 u z, . { yui "t ~ * 1~ L ~ ~ ~ i. 1 r 1 a~ r. .1 I ~ . l"~ J. t { ' , ^ - - ~ ..I ~ H J ' _ ~ . I ~i ~ ~3 ~ ':1 ` ~ ~ _ - ~ 3' ~ i ~ , - , : ~ _ a .t:. jt. ~ :T~~ i7'~ , z: _ ~ - ir .x-, ...r .1 y .r. (y_. . .+ti-- - t ~ i~- 1.1 [ 1 ~1 .~1 ~1~~ _ / 1 J ~ . 1 1 . 1 ' 1 _ .~.I f . • i . . . ~ u~ 11'. ~.t11 ~ .~J ~ . . _ ~ ~ i ~'I l~T y~ I~iy 1 ~ 1 ~ . ~ I ~ ~ ~ ~ ~ { 1 1 , ~ ~ j a"_: -iI ~ r3f ~ ~t '7 trl ~ -1 ,r}` 'r • ~ i! . r r , ~ ~ -i - -a - ' - - - , ~3 . . _ _ - . . - . ~.-.,i; _ x T - c . Y~ _n. _ - _ - - _ - = - + 1 - 't; - _ ' _ y :i _ " ~ r . f. y , L'~+ ~f .1 , ' ' _ - « H `~cH I :i;. . 7 . ~ ~ Z . . .I', f ~ . i ' _ :'.3: :C_ t.-.. 1' . . . . , . : ~ . , Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and 6uilding site are lo be staked before appraisalis requested.) - ~ - ~ . _ * **R)T~: QAYMPTls QZ'' k~E AT TI~: OP' 1' CITY OF EAGAf~ , * ~ ~ ~ * ~ * r~P~vat oF P~rsr. * ~ APPLICATION FOR PERMIT * . * n~~cr~~v oF s~t 1~rm/~t v~~t * ~ . ~ y Tt~1STA7.7ATTONS F~aT~ I~'1~ .SQ'~ * SEWER AND/OR WATER CONNECTION P~MLT * ~ • ~ ~rPROVID. * * ~ w ~ ~ * » ~ P ease Pr1nt ~ 1) PROPERTY ADDRESS: ~cy~ fpu~ ~9Py°~C~C~I ~d^crr ~ LEGAL DESCRIPTION: L_ Zc~ ~~y~~o~, ~ G " Lot Block Subdivision or Tax Parcel ID ) 4 . IF EXISTING S~'ROC1S.iRE, DATE OF ORIGINAL BL~ZI,DING pERN1IT ISSL'ANCE: " : ~ (NY~n ear . PRFSENT 7ANING/PROPC)SID L'SE: q CONP7ERCIAL/RE1'AIL/OFFICE ~ R-1 SINGLE FAMILY . ~ IPID0SIRIAL ~ R-2 DLPLEX (7t~ Onits) ~ INSTIIVTIONAL/GOVERI~tdT ~ R-3 TOW[~IOUSE (Three + Units) ( Onits) , p R-4 APARTME~Nf/CONDOMINIUM ( Units) Z~ ~ r~r~: ~s'//,~ Ty~ ADDRESS: ~ _ ~~r~i f~ipsr 1"r~rl~ CITY. STATE. ZIP: Tcr~/E77 //`7iv~.o ~j-~j PHONE: C/ 5 - / 5" ~ ~S' 3) ~ i: ~ / / ~ j For City Use . . NAI~: i!/rfsos> L/ ~F(~~~ ~ Plumbers License: ~D~ss:_ 3 7s v ~i ~ /~µ<v ~ ~ ~r~~ ~pirea i CITY, STATE, ZIP: ~cet-1 t~~ S 5-/ ~ NOt recorded ~or~: G~'- G 2 5-l~ r~szm isc~sE# ~ 6 s~tiat 4) ' • ~..iua~7 +i NAME: . ADDRESS: ' CITY. STATE~ ZIP: PHOI~: 'S) , • : a ~ s• • CONNECTION T0 CITY SEWIIt COI~CTION TO CITY WATER a 07'HEI2 ' 6) n • ~ r ~E HOLD APPROVED PERMIT EY)R PICK-[]P BY ONE OF ABOVE PLEASE MAIL APPROVID PIIiMIT 7~0 1. 2.~ 4. ABOVE (Circ e one) ~I ~.u~~ . .L~~/~ C~ y . • ti- • r r ~ • • • ~ • i- a• ~ - a i~ n r a ~ ~ ~ a• ~ ~ • r a• ~ • • na~ ~ ~ ~ ~ ~ • ~ ~ . : FOR CI~'Y USE ONLY ~ PERMIT # TSSUED Pd w/Bldg. Permit FEES: $ $ ~L~ • S~ SEWER PERMIT ( INCLL~DE SURCHARGE ) $ S ( ~~S WATER PERMIT (INCLODE SORCHARGE) $ ~ $ WATER METER/COPPERHORN/OC'TSIDE READER . $ S WATER TAP (INCLL~DE CORPORATION STOP) $ $ SEWER TAP $ S '~r[~ ACCOUNT DEPOSIT - SEWER $ S ~S ~ 2 ACCOONT DEPOSIT - WATER S ZS • ~--D S wAc S ~ Z5' • ~ S sAC ' $ $ TRC~NK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~~Q 'G-~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S '/~cJ7'QD $ ,l~`!J-L~ TOTAL _ _ 7 ~ ~ ~ . 7 7 /.~z RECEIPT RECEIPT " DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: " APPROVED BY: e~ ~rn J TITLE: DATE : /4 ~ " ~ PERMIT# RECEIPTDATE: ~jlh~ l~SIDEPTI~EL ~LUM$llV6 ~~iiM1T ~f'~PIIC~TION CrrYo~ ~s,~4x s9so ~noz ~vos sn i:ABRR, MF 551 EE 651~6$1,4695 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation sysiem SITEADDRESS: "W ` 1 y JV~ ~UW1 U~'fA/ OWNER NAME: : Y~LI~V TELEPHONE l~`'~J~_~_L~~~ (AREA CODE) INSTALLER NAME: ~ TELEPHONE ~A~Jy l,_oE_~~~~ STREET ADDRESS: CITY: ~,~~~~W _ STATE: ZIP: ;/~J~' T ~ Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround ~ I~ Nature of work: Septic System, newlrefurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowietlge that I have read this appliration, state that the information is cor ect, and agree to complywith all applicable Cityof Eagan ordinances. It is Ihe applipnYs responsibility to notify the property owner thal the City of Eagan umes liability for an damages caused 6y the City durin 'ts normal operatiatal and maintenance activi6es to the facilities constructed under Ihis p it within Ci property/' t- ayleasement. I URE OF PERMITTE ` Uptlated 1/01 _7~~~ ~ ~s_ s~ 2007 RESIDEIVTtAt PLUMBING PeRmrr aPQ~rcar~o~ CiTY OF EAGAN 3830 PIL~07 KNOB R[3AD, EAGAN MN 55122 651-675-5675 Please com tete for modificatians to existin residential dwellin s, € ~jy,~ Date ~ / / ~ n r 8"~W Site Street Address ~ l~ KK ~-rd~ U~ T I'~~~ ~ Unit # ~ Property Owner ~ h D~"'' ~ S I~ ~~-C Telephot~e p{~C3~1 )~(.~ot 7 3 Confractor 1~~1.'~r«~- j~~~1*`~~e~`~ ~'~L; Telephone# ~'}~~`~L'll Address ~ :i .t'~i 1 _S +t%. City 1-~: i w ~Tc +1 State~ Zip 7 S L%a The Applicant is: _ Owner & Occupant ~ ~icensed Piumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC fieense lncludes County fee $ i0D.00 Per as-buiit ~ 10.00 fire Repair {repiace burned out fixtures, eta) } $ 90.00 ? 7his fee a lies when extensive lumbin re airs are made to a buildin . I Alterations to existing dweliing ~ ~ SD.DO _ Add plumbing fixtures to main level Iower level. This fee inc4udes # installation of a water softener andlor water heater at the same time. If you are ~ instatfing ort/y a wafer softener andlor water heater, do not compiete this section; ~ mo~e to the next section and place a checkmark next to the appliance(s) you are ~ instailing. i _Septic System Abandonment ~ = WaEer Turnaround (add 36.00 if a St8" meter is required) { Other: ( ~ Water Softener X Water Heater ~ ~a 15.00 _ new ~ replacement € Lawn irrigation _RPZ _PVB _new _repair _rebuild i ~ 3Q.00 I r State Surcharge ~ S .50 ~ Total ~ ~ ~ ~ , ~ I hereby apply for a Residentiai Plumbing Permit and acknowledge fhat the information is compiete and accurate; Fhat the work will be in cflnformance with the ordinances and codes of the Cety of Eagan and the plumbing codes; that I understan@ this is not a permit, but only an appiication for a permit, work is not to start without a permit and work will be in accordance with the approved pian in ihe event a plan is required to be reviewed and approved. `r' i 4L C~ y~F `l i~i i;~ Sr~ 1' ~ j~'s~.-~-'\ ~Rx.~f~....,~~ v' AppiicanPs Printed Name ApplicanYs Signature ~ ~,~-m-- ~ • ~ 89L138 ~ Cit~ of E~~~~ , Pe~,~t# ~ , ~ ~ Pertnit Fee: 3830 Pilot Knob Road ~ Eagan MN 55122 ~ ~ate Received: j Phone:(651)675-5675 ~ I Fax: (651) 675-5694 i Stan: i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION t~-~ ~ Date: - ~ ~ Site Address: o J /I ~`oh a~c-ro~ ~I'~~~i / Tenant: ~ Suite RESIDENTIOWNER Name:~On-~ ~ni~c ifAVet'k/ Phone:foS~-aa7'ga~`i AddresslCity/Zip: 10~ ! Ito c~e?n~'ia fi?~o.~~ ~sc~_ Applicant is: _ Owner Contractor TYPE OF WORK Description ofwork: ~ IWt9 I- I/~ OM e~ r~G c d~. Construction Cost: 7 5 ~a Multi-Family Building: (Yes No CONTRACTOR Name: J%r'"B^ CO~ S7Y? C~O r License ~OS ~3E, 5~ Address: /-2 ~ ~o~ 0~ ~?Cr' ~~F: ~ U~?cr- City:~~iYnS?~/~~ State:~LZip: ~'337 Phone: ~v ~ Z"~~ `-7DdD Contact Person: /7~ w., v~, e y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 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 12 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: N,OTF: Ptans and s~pporCipg documents thaf you submifar'e considered to b~~public information;~ Partions of ~-~#he ~aiorinat~on may tie-classifie'd as nnn-public ~if you provide specific reasnhs`thaf would perin'the City~o~ a ' t ~ r _ ° _ n _ _ _ ,co"ndude that ihe ar~ trade_secre#s _ _ 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, 6ut only an appliration for a permit, and work is not to start without a permit; that the work will be in accordance with Me appmved plan in the case of work which requires a review and approval of plans. x~l~"GZ'd/') M D r~ x ApplicanYs Printed Name i nt's Signa Page 1 of 3 4 ( ~ CASH RECEIPT ' . ~ CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, M I N N ESOTA 55122 DATE 19 ~ RECEI V L'D • FROM r AMOUNT $ I ~ E~ DOLLARS ~oo ? CASH ? CHECK FOR ~ FUNO CODE AMOUNT Thank You BY ~ ~r ~J ~K't' White-Payers CoPY , - Yellow-Poatir?p ' Pink-Fii~ Co~ BLDG. PERMIT N0. ~~v ~ , , J ~ 6~ ~~CJY~ , _ , ' F_ ~ 1; l ; , t r , . 01-3210• ~ Bldg. Permit `~r '~`s~'+ 01-3~i22 Plan Check -~u' ~ . _ 01-3445 Surch.lAdm. _ 01-3446 SAC/Adm. ~ 01-2155 Surcharge ~ 17-3860 Road Unit ~ ~JC' 20-2275 SAC ~ ~ ~ - . 20-3865 Water Conn. - 20-38b8 Water Trmt. ~ 20-3716 Water Meter ~ ' 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ~ - ~ ~ ÿ ü û þýýü ûûú ùüüýýø ü ÿ þý þý ö õùø÷ôó ý÷ö ò ýý ÷ñ ñýý úð ýû ü ý÷ûïî í ý ÿ ì ð ý õýë ðüñèïç÷ ñýíæ éÿéÿÿ ÷ù æ éîéî ê ûëé öõõô óò ÷÷ á øöñä øýñýùñ ýâç åø õýë îÿù ù á ý ýðô ëëü ðô ï íëàëëÿ úø ó å ý ÷÷ ý äñ ý ñ÷øó ÷÷ ú äðý ý öøäü ã ýé ÷÷ ßñ ýý ø Use BLUE or BLACK Ink r For Office Use 4*6 Permit:e: City of Eaall Permit . 3830 Pilot Knob Road LI --7 / 7 C_C Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: APR U 7 101712. ID Ga l ) 2017 RESIDENTIAL ENTIAL BUILDING PERMIT APPLICATION x X13-Cl Date: S--/7 Site Address: 9E3/ �Cc n r/P..,r e a � / / Unit#: i Name:' (�rt 0.J jVtr' Lf Phone: 4,0- Asa -/a 7,3 F Resident/ �-�-t / Owner Address/City/Zip: 9Ej / / / (....1A cU V f"pt -71---41.1--71---41.1-Applicant is: Owner Contractor127D� � 1. rm ,. ._ --1 1 / Type of Work t Description of work: t��'C,k fR--2�p I4('.cQl4,1irt: Id 1 Construction Cost: '/, CO Multi-Family Building: (Yes I No X_ ) ,1 '/1�-E._---75-4-4-1.:s- 1_,,.� .s�„_ 1 Company: bkioi (040,c1 �` LtUj7()y/(,Contact: L�° �- � 4 S Contractor Address: -7 7 e �,, Tc)AJ A.1 /'L � City: 14 (p/(4--,r() State: Zip: X57,)--- Phone: 6S-1-373--(Q.S��Email: �rdrtcic. )1Sler✓u,-i` 4 1/C cetqf) License#. BC,(.2a 7O�jcj Lead Certificate#: ,�17(()S I If the project is exempt from lead certification, please explain why: 9 k i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: > s Fire Suppression 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 the are trade secrets, aaa 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Ob. bCc lel YU�� x J x � Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE (la 0�� SUB TYPES 7 /".I \ t Cov. !QJ C Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 7, - Valuation 0 ancy .1. ( - ' MCES System Plan Review Code Edition 1,,i,,,,-4:),0 )'f' SAC Units (25%_ 100% V Zoning City Water Census Code l Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction J 1i) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: `\, Footings (Deck) Final/C.O. Required Footings (Addition) 4- Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee i") 11/v r Surcharge Plan Review MCES SAC City SAC Utility Connection Charge /9 , 1- 5((e 0 6, S&W Permit& Surcharge '(/ /1; �. Treatment Plant Copies TOTAL Page 2 of 3 r t , t . i 11 2, 3 6, ' r ci, ":ii,ic 1 es-' \-► C..-2.,,.431)c(-0 fir �,(,i / L4 1< 4--I i-4 x C 1 �, r-f� PLT PLAN `a le — 1 inch -20 feet .eV /'4770`-'3 I.. ,'.. •�,,. .1..?-..- � y_..:...-T- •-�_�� __..-._les 6: J - ', ..y..._......_:'', _jam •-• N_,.,_7,.: «- _-,-, mol:tr" Z 1:_y.i » / Ell lull r,�- ice.._ ___ t i, �. .7,-,-...-7.,..-.-.1...---,-,14.....,-4-...1.-•,-,. r-r-,t*— -r—, '--r—*—rr:�, // �[ • .. .a.a..rx,.ar..■.■r ...._. -.-^-•-r, _ • -',•J_-r•1 I1 - ', ] 7 rrY•w■•ifw.rwNw\• —.,1M1 .1 y:,-*-•• •..-:_, - . T J � 1■■w Lt/■.r■ ■wq�NrrAw/IEA■■■�� I `4- 1, t 1..,._..-- _ �,■.■...,w■r■AtM an fir . .iiiims[tab NNW ai ai�w•. u■ar .�u ■w - 4. ..a.... -t ■Y -'.v:::4-{-_.= .M-•-1• T-t- -+-, ♦ •4•—_ ■� 1 I-i- /� T#' t .. :} !.:,.J-f- R� * Vii, _ `: ' -' - { I,; .�Y■■ ■■.■ yi+ N. _..w N, *z .._ - --.-.. _�• _r-. _ 1 •.47_ aye, JJ-.t-� ,--..s:'-'41-.1''.-*"...-:"." 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PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168541 Date Issued:04/23/2021 Permit Category:ePermit Site Address: 981 Ticonderoga Tr Lot:12 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Janice Raverty 981 Ticonderoga Trl Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature