986 Ticonderoga Tr CITY OF EAGAN ~4 ~ 1~~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-810Q
BUILDING PERMIT Receipt #
To be used for ~F d~/~Ati Est Value 473.~~~ Date AUGL~ST 1 S 19 PR
SiteAddress ~a~f; ?1CQ?:?)P.RtKA TP.:~1L OFFICEUSEONLY
'2 2 LL°X1M~TON SQ. ~STN OnSiteSewage Occupancy ~-3 !t-2
Lot Block Sec/Sub.
MWCC System x Zoning PD R-1
ParCel No. On Site Well (Actual)Const Y-~
~ Name '~1R1E~Rk~P,K.S $UILDBi~5, Tla^v. Citywater ~l
_ (A~~owable) V-!i
= Address 1821 1dAL. sH LANF. PRV Required # of Stories
o ~ity~EF1DOTA HTS . phone 681--0112 Booster Pump Length 45
Depth 45
°G Name S~~•°• S.F. T~tel
~ Footprint S.F.
~ Q Address
~ City • Phone APPFiOVALS FEES
~ W Engr./Assess. Permit ~ ~~b'~
y~ W Name 36.5~J
= Z Address Planner 5urcharge
Cit Phone Counci~ P~an Review z33.Q0
W y Bidg. Qff. SAC, City 1~• ~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correCt and agree to comply with all applicable State of Water Conn. SSO.QO
Minnesota 5tatutes and City of Eagan Ordinances. Water Meter
Signanure of Permittee Road Un~t 325.00
A Buil~ing Permit is issued to: j~~R` N-~`'~~ bU1L1fERS, 1NC Treatment P1 2b4.00
on the gxpress condition that all work shall be done in accordance with al I
applicabl~ State of Minnesola Statutes and City of Eagan Ordinances. Parks
Buildfng Offi~ial TOTAL 1
CITY OF EAGAN . ~ ~ ~ ~ ~ :
.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value " 73 ?•`~Q Date ' i~ ,19
Site Addre s 1~`~~ ~ OFFICE USE ONLY
. L^}!?R~r c:n. 'S'itil OnSiteSewaqe Occupancy
Lot B ,r~T Sec/Sub. MWCC System x Zoning r^J i
Parcel No. •'G On Site Weil (Actual) Const
. fi U 1 [.DP.. RS , 1 . Ciry water ° (Allowabie)
W Name ,
= Address 'h PRV Required ~ of Stories
~ City . ' Phone °011 L Booster Pump Length 4`-'
Depth ~+S
, o Name S.F. Total
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
~ ¢ Engr./Assess. Permit ` 4~{'' ,y~
W
F W Name Plan~er Surcharge ~
~ ~ Address ~
.~±1
Council Plan Review
`W City Phone
Bidg. Off. SAC, City '
` ~ . C)1'
I hereby acknowledge that I have read this application and state that the Varfance SAC, MWCC '
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Stafutes and Ciry of Eagan Ordinances.
Water Meter
Signature of Permittee ' - Road Unit ~•"d
T?-.~~ rk~~,:ti'i BJ1t,.ic~~S. 1HC ;r'
A Building Permit is issued to:.__ _ Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks .
Building Official TOTAL ~ 5~3~ • ~
_ Permit No. P~rmft Holder Date TNephon~ x
Plumbing y J ~ ' ~t
J
H.v.ac. 0 ~30 ~ ` S
l_ ,
Electric ~~J(L'~7~~ rc. ~9r ~ > . y ~ ~
5oftener
Inspectfo~ Date Inap. Comments
Footings I .
Footings II
Foundation f, ` j~ ~ _ _ , _ - • Z '
Framing 7 ~ _ _5
Roofing ~~-f'% S ~ yJ~ ~1~
Rough Plbg.
Rough Htg.
ISUI. `1,. ~ / v r
Fireplace
Final Htg. ` , f
-
Final Plbg.
Bldg. Final
cert oca 1i;",,;
y
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• . ~.~7.,nc1 ` _ _ . . . .
~r ,
.
~f ~
~~rttf ir~#~ n# (~rru~~nr~
~ . ~Citp of ~agan
• ~ ~p~i81"~11tPltt Af ~lt~ttt~ ,~ttS~tPt`~iDli '
' This CeMif
cate issued pursuant to the requiTernents of Section 306 of the Urrifarm Buildrng
Code certifying lhat at the tinie of issuance this struc[ure was in compliance with the various
orriinances of r/ie City regulating building construction or us~ For the following.•
ux c~.~.~ ~ nr,/r~u rb. ~
Sr.~?
~~v~1' 7YP~ ~e'u~g DisVia ~ 7ype Co~t. ~
Owner of 9wldinE ~S ~~.5. ~ Addre~ 182 I~,~i ~pi I~
BuiWicg Addres ~ l.acelily b~
' t c r _l ~w.r'i D~rc: ~t~RY 28~
~
POST IN A CONSPICUOUS PLACE
.
,c:.. .....s,~-.~ -_n:~Jtaar.~:uc~~_:•_~,~_ - . . e~~.__r . F . . _
. . . ,s- ,~;~~,'1 ~ .~i , i
PERMIT # '
' • ~ r~ . MECHANICAL PERMIT " ~
~ ' ' ` ~ CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' ~ ~ ~ ~ ` ~ ~ BLDG. TYPE WORK DESCRIPTION
i
Lot '~_r_ Block Seo}Sub Res. ~ New
i.~1 ~v.~ ~ ~
Mult Add-on
~ Name • ~ , t; ,
m ~ ~ Comm. Repair
~o Address ~ r~ ~ "
Other
c City Phone ~ { ` -
FEES
Name ~ RES. HVAC 0-100 M BTU -$24.00
~ Address J ~ ~ ADDITIONAL 50 M BTU - 6.00
p City ~ Phone ~ (RES. HVAC INC~UDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEk~+Aln - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES
Boile~ M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. 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 R
FEE: ~
. _ -
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN ~
. w . , PERMIT # ~55~ f,-'~'!C
, ~ • ' PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~~l'
CONTAACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot a Block Sec/Sub ~ Res. New * -
Mult. Add-an
~ Name T C~mm. Repair
in Address ~ Other
c Ciry • Phone ~ RES. PIBG. ONLY - COMPLETE THE FOLLOWiNG:
NO. FIXTURES TOTAL
Name - ~-Water Ctoset - $3.00 s
m ~_Bath Tubs - $3.00
3 Address ~_Lavatory - $3.00
p City Phone ~_Shower - $3.00
~ ~_Kitchen Sink - $3.00 ~
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 1°~b OF CONTRACT FEE ~ Laundry Tray -$3.00
APT. BLQGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$1.50
MINIMUM - fiESIDENTIAL FEE - $12,00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ' Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERM(T - .SO (MIF!!MlJM - 1 PER PERM~'~
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) y - Well - $10.00
Private Disp. - $10.00
~ - Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOtAL:
~ , " . . ' c-9~.~~ ,..~L;~~~,,YI'~.~ i - , 4n . . , - . ~~~h~.i `f' ~ '
~
n ~S
PLUMBiNG PERMIT ' For Offic~j U S~r~y
CITY OF EAGAN ~ PERMIT # ' ~
CONTRACT 3830 PILOT KN4B ROAD~ EAGAN, MN 55122 RECEIPT # °
PRICE PHONE 454-8100 DATE: ~ ~
Site Ad~s~ ~ BLDG. TYPE~ WORK DESCRIPTION
V
Lo °L lock Sec/S~e , Mu~~. Add-o~
2 G'7
~ Name ~ r~~ ~n D, L Comm. Repair
I-~~ /~lr~ t OCher
~ Addre ~
c City H G N~ t pho~e ~`°Z°'~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- N FIXTURES ~TALo
Water Closet - 53.00 $ , ~
Name ~ u ~ Nc~ L Bath Tubs -$3.00
~ Addre c" ~ r Lavatory -$.3.00 ~
~`t~! N ~ ~ , i ~ , E titsa -$31 T snower - $3.00 - . G o
~ Cj~y Phone ' ~(i~hen Sink - $3.00
UrinaVBidet - $3.00
FEES Laundry Tray - $3.00
COMMIIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Z Gas Piping Outlets -$1.50 ,S o
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMI'n
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD . S!C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. -$10.00
~ ~ : ` /~~L~ Rough Openings - $1.50
SIGNATURE OF PERMffTEE PERMIT FEE:
STATES S1C: ` 5 ~
FOR: CITY OF EAGAN GRAND TOTAL: SD .
INSPECTION RECURD
CITY OF EAGAN . PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ' r~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ; „ i , , ; ; i , , , r APPLICANT:
~ • ~enc~n ~W . . .
~ i! i ~ i ~ i I I; i t f ~ J i I ( ~ ; ~
PERMIT SUBTYPE: TYPE OF WORK:
. ~
~ , , <
~ -1
~
Permit No. PermR Holder Date Telephone ~
S/VY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspaction Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Otsat Test
Fnal Pibg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Finel
Dedc Ftg.
Dedc Final p
/
Well
Pr. Disp.
CITY OF EAGAN Permit No: Date: ~22-F`'
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. ~~~L'9~vrtca "is~ta~~rs
Site Address: ~~6 iicoadero~a 1'Yat1 L;' T~~a;u;~toa Se~ 6th
Plumber. • ~~~'.ni0i1 EXC~Vii71.~,•r pZ~~r~t;, j-;.r
Conn. Chg: ~~~•~CP~ Zoning:
Acct. dep: lr •~~~n~' Mo. o( Unils:
Permit Fee: _ = ~ . `'c'~'
Surcharge: ~ S~p'' I agree to comply with the Clty of Eagan
Tr. Piant ' -
Ordinances.
Meter. t57 tl~'f,~,;'
~
Misc.: gy
WATER SERVICE PERMIT
r.
CITY OF EAGAN Permit No: 2 n016 Date: 2-~?;
3830 Pilot 1(nob Road B/P No: s'~~ Dgt@: ~ n~
P.O. Box 21199
Eagan, MN 55121
Owner. ` °r,ac~-~,
- ~ :Sili i ,rrrc
SiteAddress: f~~ Ticc~nderc~Re TYail L22 R~ L~{ngtor ~th
P~URIb@f:_ Tnhl~nn vn fs7gt 1 a~ n1 ~,~,,b~A~
MWCC: ' . Zoning~ r'
City Chg: I~C No. oi Units: 7
15.0 d
Acct. Dep: _ ~P
Permit Fee: 1~•`'{}P~ ~ agree to comply wlth the CHy of Eagan
Surcharge: - -'~~~Z Ordlnances.
Misc.: gY
SEWER SERVICE PERMIT
CITY QF EAGAN Permit NO: ~
Date: -
3838 Pilo1 Knob Road Meter No: /O D~{0 6
~O. Bbx 21199 ~ Size: 9d' ~
Reader Na ~~~~T Date: - 9-/'S-F~
Eaya~, MN 55121
Owner. ~'}~'~~ei-~aarks Builders
SiteAddress: ~ '~icouderosa 'C'rail I.22 B? L.~xtn~~ ~ S~ ~,r
Plumber '~~~.Lnsou Exc ~~'a11e~- ~~I~mhin
Conn. Chg: ' , ~1~pr Zoning: it~
Acct Dep: L CO d ~
No. of Units:
Permit Fee: 1 ~ .
Surcharge: - . SOnd I agree fo comply with the Citr of Eayan
Tr. Plant- 204.OOvd Ordinan
Meter. _ F 7 r~;~,,,~ ~
Misc.: ~ ~
er ~ ~
WATEA SEAVICE PERMIT
~LDG. P RMIT NO. ~ o~ y' ,
~0 . L. 16~4
01-3210 dg. Permit
01-3422 Plan Check '
01-3445 'Surch./Adm.
01-3446 ; SAC/Adm. ~j
07-2155 Surcharge /
75-3860 Road Unit a~ 00
20-2275 SAC ~J ~
20-3865 Water Conn. d~ ~
20-3868 Water Trmt. ~Q ~
20-3716 Water Meter ~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ O DD
28-3855 Park Ded.
TOTAL 'A~ ~ ~ ~ ~ ~
2 7 3 ~ ~ ~e~ ~ ~a°~-
Requesl ~a Flre No. Roug~-in nsp on '
Fequiretl? ~CMaetly Now ? WIII Notity Inspactor
" ? Yes No ~ 1 When Ready?
I'~licensed contractor ? owner hereby request inspection of ahove electrical work at
Jo dtlress IS~reet. Box or ute No.~ ~ Liry /
J Pv 6 ~l~- . vti
Seciion No. Townshlp Neme or No, Range No. Gounry
/~"O / ~
0 n11PRINTI / Ph~~ ~ I ^
/,t/e ~ ~
Powe: Supplier Atltlress
~ K~?~/-~ v~t°~C,°~ ' i~ i rl/ ~ 7~ rt/
Ele cal Comfr aor ~COmpany Na ~ Comracmr5 Licanse No,
7' C~ ~ i ~/1/C z (o
Mading AOCre IConVact r Owner Making I allatipn, -
/ ~ S.._~ Z Z
Autn etl ~ wre (COn Ing instal ~ one Num er
SZ
MINNESOTA STATE 90Aqp CTRICITY THIS MSPECTION REQUEST WILL NOT
GtlB96-MlCwey Bltlg. - Room 54]3 S BE ACCEPTED BY TNE STATE 80ARD
1821 University Ave., St. Peul. MN 5510C UNLE55 PROPER INSPECTION FEE IS
Phone(81Y~6d2-0900 ENCLOSED.
y/~ REQUEST FOR ELECTRICAL INSPECTION ea-ooao/,~-o
~ ~ ? See Inslmc~ions lor comple~ing this lorm on ~ack ol yellow copy. L'~
. f p ? 0(
d 2 y ~ 7 q - "X"Below Work Covered by This Request °
ewj~dd Rep~~° TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Eleotric Heating
Apt. Building Dryer Other-~Specify)
COmm./IntluStrial Fumace
Farm Air Conditioner
Olher Ispecily) Conhac~oe's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Poal D to 2D0 Amps 0 to 700 Amps ~ D~
Transformers Above 2D0 - Amps Above 100 _ Amps
SIgfIS ~nspector's Use Only: ~ , ~p~~
~ Ircigation Booms ~J + G ~ ~ ~
Special Inspection
~ Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT
Other Fee ~ O COMPLETE~ WITHIN 18 MONTHS.
I, ihe Electrical In ector, hereby Ro~9n-~n oa~e
certit that the above ins ection has ` ~
Y p Flnai ,n! ?
been made.
OFFICE USE 9NLY
This request voitl 18 monlhs trom
K06342 ~ oo s
/8 9~-~°~.~~,~3.2 ~ ,5'
Request e Fire Na. Rough~in Insp C~ n•
Requiretl? ff~4Reatly Now p Will Notlty Inepector
[JYes ~ o WhenRe
I
I~nsed coniractor ] owner hereby request inspection of above electrical work at:
JaD Atl~ress (S[raet Box or Raute No.) ~ City J
`1 ~ G T ~co h. o.~ 7`2 ~r C~
~
SecLOn No. TownsM1ip Name or No. ftange No. County
Ottupanl ~PRINTI~ PM1One No.
` ~ c~~. LfJ.-PS ~f~/~~
Power Supplier ~ Address /
a ~ ~ti'~-~
Elecincal ConVacto~ ICOmpany N~ame+)~ ~ /f Con~rector5 Gcense No.
' L +l`f 6~
MaiLng aDeress IGOnvacmr or Owner Makmg Installaiion~
P3 L~
Aut rrzetl Sign ure ~ComracyonOwner Ma Ing ns~allanon~ Phone /yNum~ber ~y ~ ~y
/ ~I' v /V.~
MINNE T OARD OF ELECTFICITV THIS INSPECTION REQUEST WILL NOT
Grigga-MlOwey BIEg. - Haom S-113 BE ACCEPTED BY THE STATE BOARO
1821 Universiey Ava., 51. Veul. MN 55104 UNLESS PqOPER INSPECTION FEE IS
V~one (fi12) 6dY~0800 ENCLOSED.
~p~ p~9~-- REQUESF FOR ELECTRICAL INSPECTION `,,~,,ii EB-00001-08
? See mstructit~s lor crompleung tnis lorm on Dack ot yellow copy. ~_F~3'~ //1/ [Lrj 3
vwT '
~ ~ ~ "X'~Below Work Covered by This Request -
ewAdd Red' TypeolBuilding AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating '
Apt. Building Dryer Other (Specify)
CommJlndustrial Fumace
Farm Air Conditioner
Other ~syacily) Gon[raalor's Remarks:~ /J
Compute /nspection Fee Below: ~ L ~ r7 ~C
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 10~ Amps
Transformers Above 200 _ Amps 0_ Amps
Signs inspecmr's Use ony: TOTAL
~ Irrigation 6ooms /J , DU S°
t
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa~e
certify that the above inspection has F;~ai oa~e~~~3~i
been made.
OFFICE OSE ONLY
This requesl voitl 18 monlhs Irom
~/~56~8 , ' ~a~~~~--
Request Date Fire No. Rou -i Inspeclqn
qeG ' ? Reatly Now ill Notiy Inspedw
• t. ? No When Reatly4
I ' sed contractor ? owner hereby request inspeclion of above electrical work ai: ~
Job tl (5 reet~oute Na.) Ciry~
Section No. Townskp Name or No. enpe No. Counry
Occupary ~ RII.J'/~-+ l. D L~ P1wne No.
N
PowerSupp'ier ~ Pddress ~
ElecMCel Contractor (Compairy Name) orS icense No.
.i.F,CTP~IC
9145~O~~i`~'~` '~°`~~IVE ;
Auih~fd~ij at~e ( s~ ~o r~k' I' j Phore Number
T
MINNESOTA STATE BOARD OF ELECTNIGRV THIS INSPECTION REQUEST WILL NOT ~
GrlggsMiCway Bltlg. - Hoom Si73 BE ACCEPTED BYTHE STATE BOAFD
1821 Universlry Ava., St. Peul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Pho~re (612) 842-0800 ENCLOSED.
I .~/~~/~q REQUEST FOR ELECTRICAL INSPECTION eeaoooi-o~
~ l ? See instrupions ~o~ compie~ing this lorm on back of yellow wpy. C,/~ S_7
/ a-
~ 8 5 6 4 8 X.. Below Work Covered by This Request
ewAdd Rep. TypeofBuilding AppliancesWired EquipmentWired
s ~ Home Range . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Ofher (Specify)
Comm./Industrial Furnace
Fartn ' Air Conditi0ner
011rer (specity) Contrector5 Remarks:
Compute Inspection Fee Below: ~/1?~`~
# Other Fee # ServiceEntrenceSize Fee # CircuiGVFeedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Siqns Inspeaor§ Use Only: ~ TOTAI ~
Irrigation Booms p2Q.GtJ
Special Inspection
AIarMCOmmunication .
Other Fee j j'
Rough-in ~ / - ~ ~ Oa~e
I, the Electrical Inspector, hereby r,~_ y/,~r'~~~ ~J~
certify that the a6ove inspedion has F;,,ei / / ~ ~ oa~e
been made. ( ~'/'Vi,• ~a ~
OFFICE USE ONLY ~ ~ ~
T~is requesl wid 18 monfhs fram
CITY OF EAGAN N_ 15 4 4 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100 `7 ~ 5 J~
BUILDING PERMIT Receipt# 21 O
Tobeusedfor SF DWG/GAR Est.Value $~3,000 Date AUGUST 15 ,~g 88
SiteAddress 986 TI~ONDEROGA TRAIL OFFICEUSEONLY
Lot ZZ Block? _Sec/Sub.LEXINGTON SQ. 6TH OnSiteSewage _ Occupancy R- M-
` MWCCSyatem X Zoning PD/R-1
Parcel No. On Site Well _ (ACtuaq Const V-N
~ Name '~IMBERWORKS BUILDERS, INC. Cirywater ~ (Allowable) V-N
~ Address 1821 WALSH LANE PRV Repuired _ # of Stories
o CityMENDOTA HTS. phone 681-0112 eoosterPump _ ~ength 45
Depth 45
~ Name SAME S.F. Total
0
~a Address FootprintS.F.
~ City Phone pppROVALS FEES
~ a Engr./ASSess. Permit ~ 466.00
~w Name 36.50
_ i Planner Surcharge
i~ Address 233.00
aw City Phone Council PlanReview
a eldg.On. SAC, Ciry 100.00
I hereby acknowledge that I have read this application and state Ihat the Variance SAC, MWCC 550.00
information is correct and agree [o comply with all applicable State of Water Conn. 5$0.00
Minnesota Statutes antl /Ci/t~y/of E~a~gan Ordinances. Water Meter ~17.00
Signature of Peimittee _J_l~6~Gr~
Road Uni~ 3.Z~0~
A Building Permit is issued to: TIMBERWORK$ B ERS ~ INC Treatment P1 _20~+~D0
on the express cond ition that all work shall be done in accordance with al I
applicable Slate of Min ota Statute ndCily of Eagan'Ordinances. Parks
~ /1 TOTAL ~253.1_._SO
Building Official ~y
~ ~
~_______'_____-__~I
~ ~
~ I
Clt~ of Ea~aIl ; Pa~~t~ ~ ,
~ e ~
I Pertnit Fee: ~
3830 Pilot Knob Raad i i I
Eagan MN 55122 ~ Date Heceived: j
Phone: (651) 675-5675 j Staff: ~s' ~
i
Fax:(651)675-5694 ~ i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / ' ~C/ ' d ~ Site Address: ! 8 ~ / L ~7~Lv
Tenant: UJ,[.C.~ (.sf~(hL4~ u(/o~17 Suite#:
RESIDENT 1 OWNER Name: !~I/ ~ Phone: L 9~~U 7 7 U- S 97.~j
Address / City / Zip: 7~ ~~GCtr~1 cZr~ti.o~~ ~/c-a.crc ~Qy~~h'1 Y7 ~
ApplicanT is: _ Owner ~ Contracror Ss~a 3
TYPE OF WORK Description of work: ~ <'n U
Construction Cost: ~i a+, ~d . ° Multi-Family Building: (Yes _ / No ~
CONTRACTOR Name. License#: ~ ~ ~ a
Address•~~
Ciiy: ~//NA ~iL~/[~ 5 ' ~ ~ Zip: ~Sd /Y'
Phone~~~~~/D~~o2~0~~ ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
Category submined suan~nad
Subrllission type) • Energy Envelope Calculations Submiried
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:
Mechantcal Contrector: Phone:
Sewer & Water Contractor: Phone:
. ~ : ~ .
~ ~ ~ . . ~ ~ .
:a " ~ ~
~t
1 here6y acknowledge that this information is complete and axurate; ihat ihe work will 6e in coniormance with the ordinances and codes of Me City of
Eagan; ihat I understand this is not a permit, but only an application for a permit, and woAc is not to start without a pe~ry t that Ihe~work will be in
accordance( with the approved pl in the case ot vrork which requires a review and approv plans. f/ ~
x CJ X l~"' '
ApplicanYs Printed ame ApplicanY ignature
Page 1 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
L~-~ -~j Y] 3830 PILOT KNOB RD, EAGAN MN 55122 ~ a~ ,'a J
651-681-4675
New Conatruction Renuiramenffi RemadellReoair RenuiremeMs
• 3 registered sile surveys showing sq. k. ot lot, sq. of house; and all roofed areas • 2 copies of plan
(20% mazimum lof coverage allowed) . 1 set of Energy Calculations (or heated additions
• 2 copies of plan showing beam & window sizes; poured found design, elc.) • 1 site survey Tor exterior additions & decks
• lselofEne~gyCalculations . Indicale'rfhomeserved6ysepticsystemforadditb~
• 3 copies of Tree Preservalion Plan'rf lot platted after 717193
• Rim Joist Detail Options selec6on sheel (bldgs with 3 or less unils)
DATE A'U~r ,~OO~- VALUATION ~7~ 7O. OC~
SITE ADDRESS / U~O
~coND.~(~¢ ~/L?p?(~ MULTI-FAMILYBLDG _Y ~[N
TYPE OF WORK IY.~HL~O~G f1~l~ ~G~ K~OG FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C~T~./L ~5~°,~ ~ °1p0 7/~3
STREET ADDRESS ISDBo~ MO. CITY ~W TE~IP J~oZ
TELEPHONE #~-'U~
o~l(o~ CELL PHONE #~OS~ 3.~4 `~J~Oo~Z- FAX #~JI ~~aJaJ -S3S J
PROPERTYOWNER I/~BLf~I/f~1'~ ~ I/l~'yi~/~Z_ ~~r TELEPHONE# IOSI-ySaZ -Q3/8
COMPLETE FOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL:SOTA Ri1LES 7670 CAT'EGORY 1 MINNLSOTA RULES 7672
(J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Enveiope Calculations Submitted ~
_ - i ,
" ~ '
Plumbing Contractor. Phonc # _
Plmnbing system includes: _ Water Softencr _ Lawn Sprinkler ~ rec~ ~$90.02
Water Heater _ No. of R.I. Baths ~
No. of 13a1}is '
~v ~ -
Mechanical Conhactor: Phone #
Mcchanical systcin includes: Air Conditioning Fcc: $70.00
Heat Recovery SysLem
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofAppllcant~~C;_~ C~dC~C..~
~~~~u?_-~=---~_-~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
OFFICE USE ONLY
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 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) ? 45 Fire Repair
? 33 Alteratio~ ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
N6r. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plum6ing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ 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
' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN , •
~ 5~~~
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEi 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. ND CHANGES WILL HE ALLOWED.ONCE HIIILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS ~ OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
1 SET OF
ENERGY CALCULATIONS
COhII~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 8
~lVt7
To Be Used For: Sid`~ ~+?»li~ Valuation: / 3, ~DO~ Date: ~ Z(~ ~
9gG
Site Address~'~Can10E~.obA Ti4A~~L_ OFFICE USE ONLY
Lot 2 2 Hlock Z On site sewage_ Oceupancy 3 (
/ CC system ? Zoning PRD R-I
Pareel/Sub L~1Cl+~No7t'~~ SOU~E. t~! On site well Actual Const ~
T • 1 City water ? Allowable
Owner /~/v1/_ii-/LU~02/CS ~c//oOE.tS PRV required of stories
D.,""~ ~ Booster Pump _ Length - ~ 5'
Address ~~1 / ~op#CSN ~4NE Depth VS ~
S.F. Total
City/Zip Code ~t'~/~j~T fY~/bfPf'~ Footprint S.F.
Phone ~~/Z~ p,~~- 0//2 APPROVALS FEES
Contraetor Tir18~F/1~/Zk-S f~d/ ngr/Assess Permit GG Oo
~N~ , Planner Surcharge .3~.Sv
Address ~A~rrfE. Council Plan Review Z.33,o0
Bldg. Off.~y~15 SAC, City /o O~oo
City/Zip Code Variance SAC, MWCC Z~ O 0
Water Conn , o,
Phone Water Meter po
Aoad Unit 3ZS, o~
Arch./Engr. ~/•f,~ ~,GHe~[.Ey T.r~1C. Treatment Pl ~v4~oo
T- Parks
Address ,~/3~ ~/Lr?,~iRooK L~E Copies
City/Zip Code ~/~./MOcJ77~ i I'Yl~j~yy/ TUT9L ~a5 1.5
Phone 6 /L~ S53 - q 6 ~ o ~
~ ~ D ~ ~J
hZ~z S~ bfi X~Lo J
b -,'~?iI
-LJ,1
sso 1 .~t,,,~S ~1
~ N ~ b 1n(
hs~~i x~sa~
~ ~ -~~xs
6 cap Z h X~, 2
1 S'LCt
~
S~9hi ~t~l ~ 79f-~ =~zx'Zz
~9b'Z~'P'
' JYO Ll..b Yl~ y~1 t''
rtificate for:
.eritor Development
DELMAR H. SCHWANZ Book , page i~
u~ e~~.
~~~~a~~a~
Ip50 SOUTM ROBERT TRAIL ROSEMOUNT. MINNESOTA 6!0!S !1@/~-17N ~
SURVEYOR'S CERTIFICATE
Q /GOnlbE2~4A O TAIL
M M
Ci c~•a c~v~.--qoi_41 N 89° y3'o3' v? ~c~~ ~-goz_~o
, - 75, o ' ~
RfVIE11*8ED ~
% 90~_ /O , 9oz -z
e,, JDM . . -a~~
Q ~ ~ al ~
DAT£ a~ -1 ~ e 8. _ r1 !~1 j~~a Ecso• _
~J~aE,.~.,~~ ,is.m ~ oz_6 ~4oz-v4
vx.~r 4~ ~ zi.v~~~ , • j~
= p ~
p/~~~~ ~ ~
~ S""`- 0 1 I \ p~. N I _`p
t1 Q O (~D~~ ~ 33 I ~ \
^ ES
YJ" ~ ~ i3 `o ~ Q
~
^ 1~G ~ N~v~P°~ aa~y N ~ ~
I.L~~~i:~~ p,~ e~~.: y ~ JS.cb, g4~•~O yZ ~t. ~
~~te/G 89 N„n Ecsv. _
Scale: 1 inch = 30 feet 5" l ~1~ ~ $99.18
F~~~' ~ ~I
~ Denotes iron monument ~ Q
cv r I h
m Denotes set wood hub M G v~ h .
9~o Denotes existing elevations ~ I ~ 2 "
~ ~ Denotes proposed elevations I,
from development plan Drainage & Utility
~ g ` I Easements
Denotes direction of draina e
$'Yy.O 5 9Z-
'y5on ~3-1
" ~ ° ~/3' U3" t~t/
Lot 22, Block 2, LEXINGTON~SpOARE 6Tfi ADDITION,~according to
the recorded plat thereof, Dakota County, Minnesota.
Also showing the location\\\g,~~~i~iii~~~oposed house as staked thereon.
p~ ~ S /ir
E... O j."o~,,~ / .
I hsroDy urtih th~t thia wrwy. Ol~n. or roporl wo ~ ~ . '
prop~rodbymsaune~rmye~netsupsnlNonand; ~i~ DELMAR H.
, tnat ~~m ~ duy Rpuursu une survsyor unwr = 5 SCHWANZ
tM I~w~ 01 tM Stab of Mh~npMa = _
August 5, 1988 ~ - 862,ri ~ N. ~
~ne4 '!r '~~o: MInnNM~ M~rMbn NO. M~6
• ~ , ,,,"'"o/„~~U~~R~~~~y~~•\\\
~,~n ~radley .
` o?rcl~itecturoJ ~~ultant~ inc.
pp~ ~r, t.t. aY[0.w~ Ni~~ M. fMq-qMfs7t
T OR N OPE AV A C P 1
plan " • Date fB
Owner~ - ~
~ ConlraCton ~
Sife AddreaQ ~Z L~~.o~K 2 L b1~Y
~)TOTAL EXPOSED WALL AREA 33~'.P~-sq,ft i U"~.LL-
2)TOTAI EXP09E~ ROOFj~E1LING AREA I I S~ s4Ft.x~l1~~'~~ 3p•o
1MALL AREA CALCUlAT10N8~
TOTpL WINDOW AREA I~ I sp.It.i~U~~= ~ ~
~ ~LAZED
3C3 f ft i~U~~ = z.!~
70TAL DOOR AREA q• • 1
TOTAL GLASS DOOR AREA ~ Z sq.ttx~U~~ L=___~_t~
- GLAZED
70TAL PIREPLACE WALL AREA aq.ft.x~U~~ ~3v =-L~--
70TAL WALL FRAMING AREA / I~ v aq•it.x~U~~-~~- ~ 3"-~
NET INSULATED WALL AREA ~=`~---aa•N.x~U~~ ~~--1.1,, v~
TOTAL RIM JOIST AREA I~I' Z sy,}~,x = 5, S
~ 3 r, :'u" , ~ ~ =~L~.~~
TOTAL FOUNDATION AREA(EXPOSED) W •
TOTAL FOUNDATION WINOOW AREA aq.ft.x~U~~ ~
3I T05A "ir=', (
!f ilem 3 Js IAe same as, or less IAon ilem l, you hare me1 fhe fitBnt o1
2 MCAR 1.I600B A and O.
ROOFfCE1LlNO CALCULATIONSt
70TAL SKYLI(iHT AREA ~ ~ 'Q ~x~~u -
TOTAL ROOF~~EtUNG FRAINING AREA ~~s ta•fRa~U~'DZ~°= 2.
HET INSU~ATED ROOF CEILING AREA -s4•~x ~ y~
. 4) TOT
1/ i~e~n 4(s tha some oa,a fess fhan itsm 2, you hors mef the fnf6rM ot
2 MCAR 1.t6008 A ond 0.
ALTEANATE ~tJILCINB ENVELOPE DESIAP! ,
To urilise the ?ota! rnv~fope syatem rrNthod, tha wm cf ftems 1 ond 2 eholf
p~ prsatsr fhan !M s+wn af if~ms 3 and 4.
1) ft) ~
~J) s
! An+bY c~rfffY Mat ?AS Dutld)np hon OASCrfDed ~ or excosAc Na S~aro o!' A~so~a
En~rqy ConasrvoNon ACf. ~
~ .
. O
I _ -
. ~ j~~ .~4.' . ' ' ' ..~.r. . . "
- • ~ • ' cE~ ~crroN c iNSU~~rEOi
~
. ' ~ ( ~ b~Nrla eJr /ilm 0.61
I i _ ~ S ri~i-. .S~o
(S 6+.owl,i 1~.sS .o
, (4 uf~ria ofr fJlm fsNl11 O.~
, . . TOTAL 11 ~g
. U ¦ i/f+ .ozL
'
~
~ rj ~ CEILIIC F~RAMiNC SECTIOM .
• ~ ; ~ ~,{Ot~rlw oir rlm O_6t
f~ow 2 i a s~b' s. R.. . s~
I ~ VENTED H~ew.,.t tr-1S '3'~.0
(4 taNria olr ftlm 0.6I
. ~s ~~fncl~t~ 01 ~~tt reed 4.~
. I .TOTAL R •
y ¦ 1/A •oL(c
GEIUNG SECTION ~INSUTATED~
( ~ Jnf~rla ofr /ilm ~
~
_ ~Y
(3 '
(4 ~ataiw ofr fflm fsHlll . O.&
- . TOTAL R
• U • 1/R
I
CEILING fRAMING SECTION -
' ( I.t9(,~rfa otr film ~ 0.61
' ~ 2 ~3 4 5 • Ie
~ (3 0.61
VENTED (4 int~~la alr Illm
~6 in'eMs of ~oH roof
.TOTAL R
: s I /R
5
' 4
' $ EXPOSED 8E/W CEILINB SECTION O.~
' Infe w ufr /IM~
. .
(s
~4 ~
~
' ~ • ~a saisrew a~r n -
T~~ w ~
~ y•~ -
~ . .
. , , .
. . . . ,
.rJ ~
~1 Y •
~
' ~,~[[O s-I'~~ w~ ZS'~' .
~ONSTRUCTION
WALL FRAMINO SECTION
~ Jellrfo? afr /ihn , O,i6
i T ~r •
~ ' A s f aoff w o ~
• 4 tb,,~~ ~'.~f'''~ z't~ ' .
y ~o~~~lc. .SI
' g ¦t ri ~ oir lilm 0.17
TOTAI R ~ ~
U = 1/R 'G
WALL SECTION (IN9UlATEO)
{,~r oir film O.6B ~
2 ~z s'R, ''tS
; S''~'b i?i5 f9.n
4 ~it.~~-r~E.- Z.ot~
y 'S~l~e-{a~ ~
g ~at~rlor afr film 0.1T
TQI~. ~ , iZ~, I
. - V `:;s ~:~1fK'~
RIM JOIST SECTION
~ ' t ri r ir fllm 0.68
Z b~ Ce'1-F ~?.1~~ 1 0 ~
. ~ ~~Z' MI~ ...5"-~-~ ~ .~I
~
4 ' z,~
s ~ar..~a .t~
6 ~atnior oir tilm 0.17
. ~ TOTAL R ~~I .
U • I/R ~0
FOUNDATION SECTION •
~ inf~rlor oir ftlm ~ O.6B
, ~ ~ • 2 1 '~'t-tfi• ~.o
.
~ 3 IZ c. ~..K' . ( .Zg .
• ~ , . 4 . ~b(~rfor air film '
. . ~ . ( S 0.11
~ ' • . TOTAL R~!_3
• ~ ' • . ARADE ~ . V ~ . ~~A • V
• A.
. ,
. ~ , 1. , . ' • a , ...-~.~i ~ • ~ .7F{~,y . . .
. . . • ~ .
' . . . ~ . 7 . . ~
, . . . . . . . , ~ _ ' . . . 1 . . ~ ' - .
~ ~
. PERMIT ~~z 3~~o h R 013~9I
CITY OF EAGAN f~~'~~ Iz9~43
3830 Pilot Knob Road P~RMIT TYPE: s u x ~ o i N ~
Eagan, Minnesota 55123 Permit Number: 0 2 2 0 7 3
(612) 681-4675 Date Issued: 09 /28 J93
SITE ADDRESS:
986 TICONDEROGA TR
LOT: 22 BLOCK: 2
LEXINGTON SQUARE 6TH
P.I.N.: 10-45080-22@-02
DESCRIPTION:
B,uildin`g~._,Permit Type DECK
Building lJ'ork 7ype NEW
rUBC Occupanc~~ R-3
/ Building Length'~ 23
% ~ 6uilding Width ~ 18
~
/
_i
~ ~ , ~ _J
~ , r,
~r _
v,! ~J~~~1~~~~;
. _
REMARKS:
FEE SUMMARY:
8ase Fee $25.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $30.50
CONTRACTOR: - Applicant - s7. ~IC. pyyNER:
DUNDEE NURSERY 18948740 0004218 WESTPHRL PAUL
4225 COUNTY ROAD 42 986 TICONDEROGA TR
SAVAGE MN 55378 EAGAN MN
(612) 894-8740
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 Mn.
Statutes and City of Eagan Ordinances.
L ~
~ A,~.~,~,1~ ~ R o~~~ ?
~PLICAN RM E SIGNATURE ~ ISSUED
6~ SI ATU
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Buz~oiNs
3830 Pilot Knob Road Permit Number: 0 2 2 0 7 3
Eagan, Minnesota 55123 Date Issued: 0 9/ 2 8/ 9 3
(612) 681-4675
SITEADDRESS: ~or: zz BLOCK: Z APPLICANT:
986 TICONDEROGA TR DUNDEE NURSERY
LEXINGTON SQUARE 6TH (612) 894-8740
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. r. .
FOOTING FINAL
~ -
REACT.~4TE _ rq~ CITY f)F EAGAN
P~RMIT~~ ~ ` v~~ 993 BUIL.DING PERMIT APPLICATION ~j~
~ ' 2.~ 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / L Z/~ Yaluation of work
5ite Address: y~ 1_ 1CUn~~r2CG<1- ~RA/~
SiREET SUITE M
Tenant Name: (commercial only)
IAT Z-~' BLOCK L SUBD. L~~~,jUN ~'il, (y7h. P.I.D. N
Descri tion of work: ~~(.v~
The applicant is: ? Owner Contractor ? Other (Deeeribe)
Name Phone
Property LAST ?~RST
Owner Address
STREET STE Y
City State Zip
Company ~ t/i~-~~ Phone ~C?5~/-S)~/c3
~cy~rn ~
r-y--5~u~y
Contractor Address `(22S ~~,,r,-ci Y Z_ ~;cens ~c~ov~~s Exp. ~-3 S
City S~f}C~~ State ~v Zip 5S 37`0
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. n
J~GI
Signature of Applicant:
OFFICE US~ ONLY ~
. , ,
BUILDING PERMIT TYPE ~ „s
~ O1 Foundation ? 06 Duplex ? I1 Apt./Lodgi.ng ? 1'~ Base~yn~,jpish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. " 1~17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Pubtic Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ~ 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC bccupancy ~ 2nd F1. sq. ft. PR4 Required
Zoning 5q. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~c
Depth ~ On-site sewage SAC Code
~
APPR~VALS a
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ~ Footing ? Framing ? Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee ~ vew.c;~: S
Sur So
an Re '
ense
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
~ lu r~n i ;;t ~t..~ tit;,~~ic . ~:.I il V S'7,~t I.~ t'.1
~ ~ , ~ K~f 1 Y .
e fara ~ , %
Dovelopment • ` , . , . r +
~ ~ ~ ~ ti • , ~ ~
. , ' . ; ;
~ s
~ . ~n ' ~ a~
r ! 7~
r : ~ ` ~ ' ~~~~~.~~1~',~.~,~~+~j~~~~a,~ , 9oak ~~,~„'„~'a; eaqe'~
/,~7 ,
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. ,~MMMIw~MM.0~79NWMdWeRIM~ . i:~ ~~r.''f i " ~ ~ i~ ~ r 'F ~o~'~r.
t 1416~ BOUTN NOB~RT Ti4A{L ~.~N08~MOUkt~ ANNNlBQ'fA`~ ~ ItIlAiM116! '
~ M.
~ . ^ ' . ~ qrt ' ~~~R y }~jrbk
~ ' . BURV@YOR'9.OBN71Rl4A'f0 - ~4 ~
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~
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~9° 'Y~4 A.'i~ V1~' , G~, GL rd r~jpi /C
~
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DATE - ~IJALILJ ~ ~ ~~aao 03 ~ t , Sb2 4y'
~ 90x >S 1~ ~ '.;3/67~9 ~NA1a ' ~
P t
i I.~ ~ 1 . _ .J , ; ; . . ,1 ~ t t p'~ :.i~
t~ ~ tF~.s ~~~~-f ~~pV~ t~ , ' ~
S~ ; U. t`R q'° h Ic~ '1. .i;', t,,~7
'r~~~;_~" d ~ ~ ~ a _ ~ ~ ~j ,
tl ~ i"+.' hi yP'° h >
~ ` G p~ ' ^ ~ a°'~~ " ( ' v
, .ll,oG~ri • : ~/C.A~ a 1M'~" N2 ' ~~-~y ~ ~ ~p 3' ; a ;:4'
t~ "'S • $97.80 ' ~ ~ uv, a ~ 4~
~d~~' ~('~5~1~->.- ~ _ _ , ~ 5 ~aD 899-IS t:.`
Gr~~ scale~ 1 inch m 30 Peat '
,
, ' s3Q . r '
Fr~ ' ' ~ "
~ . . n nenotes iron monument ' , ` , ~ ~ ' t- e x s
! < i~
, ` ~p Denates ,sot , wood .hub ~ : ~ 41 ~ ` ~
, . r) ~
• 9~xd oenotes exieting,elev8tions ; , A~ :r
Denotea propoaed elevatiane ~ Qxalnage 6 ULlli'Cy i'~~
fran developmant plan ~AQg~;entm j `
1 `
/~/J^ Denotes ddrecti,on ot .dreinag 5.,._..~•, ~ 4y•
. ; ' p. , . y ! . .
_ ~ p~ ~
~ 9i1
~'~50 ~D3'~1N~ ~ ~
~l ~ 89° .
° . Loc 32. Hlcak 2~. i.8xttipTOH'.8QUAa6 6R'IH ADDiTi[l~7~ 'accor~ding to
z:, ~
- _ =tha recozdad plat.'thereot,:,OaRotm CaunCy, Minnm~ota: :xt4
~ ~ ~ ~ ~
Also ahowing the locatio ~"~,~,~~Au~~,~+ogoaed Housa as atakect thereon.' ;r
~ , ,y S•Jr~w~ yii ; r~
.a ,
' f . . . . _ r I~,~4.~ ; ~
IMnby0wt11ylhaRMl~Nwv~y.P1~e.Of~oPo~wM..~`„~~' ~ ~ ~
~ pirp~rM by m~ a und~r my dir~pt wpenNbn Md G E L:tJ~AR hi ~ ~ . .
tnW 1 am e duh ReOI~laeod La~d Bueve~«ar undN ~,>~,}~IWANG ~ r~~. R,
~h~ la~rp ol tho ~1tA{o of MlanOaoto. , . i4 ~ • ' ~ ~d=~ d ~ ~ ~ " ~ ~ ~ . . . e , ~
' Dahakl M. If~Yane
puguat 5. 190@ , f` 4~ 8$2.r r~C' ' .:.1
, pau0 w r~'~ MIMMItl4 R{yY~1tlM1 NP ~i y
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' _ , ~ '~iiyN ~'1J41~~~M,: a„ ~
ar4;I~~Ut~i4~~ - ~
' . , ,
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,
APFLICATION FOR PERMIT § *~~0 PA~r OL' FY~ AT TIME OF ;
- ' , i APPLICATSIXJ DOPS N(If CON-
~ ~ STIISTIE APPR6JAi. OF PFFDIIT. ~
i~
C~~.. SEWER AND/OR WATER CONNECTIQN * Ic~settTIau oF s~e arm/ox wr+Tm
* xr~srtwv,rioris wua. nvr az: sc,eoa[.r~ ;
~ . . ~[RdPIL PIItPIIT HIS BFT4~ APPACNm. t
wfitftf~x*frr~»tf~+.~~ffat~++rffa~~;frfi
~ Ci~ OF CC1 C8~9
~
(PLEASE PRINT
1) PROPERTY ADDRFSS ~~6 r/ C ov! d'a f' o ~rQ- ,
T•FY:AT• DESQtIPTION: . ~~a . - . . . .
Lot Bloc S ivision or Tax Parcel ID
IF EXISTING STRC'CTL~RE, DATE OF ORIGINAL BLILDING PERMIT ISSOANCE:
Nbnt Year
PRESENT ZONING/PROPOSID L~SE:
Q COI~2CIAL/RETAIL/OFFICE ,~R-1 SINGLE FAMILY
Q INDt~STRIAL ~ R-2 DLPLEX (3l^~ @nits)
Q.INSTI'ILTIONAL/GOVERI~NT ~ R-3 TC7WDIIIOL~SE (Three + Cnits) ( C'nits)
Q R-4 APART[~NT/CObIDOMINIUM ( Onits)
2) ~ NAi~~ ,1 C~l7/1f'uh ~'.l~C.ex,/~~i~~I~i
ADDRESS: Q~OS- ~ ~~IiiSl
CITY, STATE, ZIP: ~'h ve r U Yo t-e. -f' ~~-~-J S-S~ 7S
PHONE: ~J-/-~yS~J
For City Lse
3) ' u:~: NAME; ~ Pl rum~s
I.icense:
ADDRESS: I~ Active
J Expired
CITY, STATE, ZIP: Not recorded
' PHONE: MASTEF2 LICEIVSE # St Initi
4) e i ~
t~: ~,c~,~,~J~~r 1~"r ~~ehf'
ADDRFSS: /,{'a/ ~~„~j L~c n~
CITY. STATE, ZIP: 'y1'j~n~;Qo~ R+ri// . S.{`/!~
PHONE:
5) s a~ a~• • . i a~~
~CON[~CTION TO CITY SE,WER ~-EONNECTION TO CITY WATER O OTf~R
6 ) ~'Ti~ . Slor~~.
~r
_ / 7 -
*~~**Y*******~************x~***,r***~*******~****************~*+*~*******x
*
* THEE GOID COPY OF 74~ PII2NffT WILL BE SENf DIRE(.TLY TO PUBLIC WORKS 7n FACILITATE MErIIt PICK-DP. ~
* PLEASE ALIAW 1W0 WORKING DAYS EC)R PROCESSING. SOMEONE FROM TE~ CITY WILL C~ONfACP YOL~ IF ~E ~
* ARE ANY PROBI,EMS. +
~******+~*************+*~***********+*********+**++~~++*w«~***+****,e*+**~,r~*****++***+*************;
. . _
FOR CITY USE ONLY ~ ` -
„
PERMIT # ISSOED "
~7
Pd w/Bldg. Permit FEES:
$ S ~ ~ 'S~ SEWER PERMIT (INCLUDE SURCHARGE)
$ ~ ~D ' S~' WATER PERMIT ( INCLUDE SDRCHARGE )
$ lG ~'Q ~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ S SEWER TAP
$ S ~ 5~~(» ACCOUNT DEPOSIT - SEWER
$ $ /~~'C3C> ACCOONT DEPOSIT - WATER
$ S ,S_~ $ WAC
$ ln S
h- c1'0 S sac
$ $ TRLNK WATER ASSESSMENT
$ S TRC~NK SEWER ASSESSMENT
$ S LATERAL BE[VEFIT/TRL~NK SEWER
$ ! $ LATERAL BENEFIT/TRC!NK WATER
$ ~n d n $ WATER TREATMENT PLANT SURCHARGE
$ S OTHER:
$ l ~ ( $ TOTAL
~~~~y 7, s
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSL~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY; ~~.~[~,~t,c~ ~~.U~Ld
TITLE:
DATE : ~ Z ~ ~ ~
--I
' CASH RECEIPT
CITY O~ EAGAN '
~ 3830 PILOT KNOB ROAD ~
, EAGAN,MINNESOTA55122
~ 19 t~~~(^:
UATE
f ' :
/
RECEIVEO ? / )
morn ~~i,' '1~_,.~.:..C.I ~i G'fL ~Gv I~i (.L.~~ .(:-C~ L.;J
~ AMCUNT S {j . I c: I J' f"jf 1
~ 8 ~ DOLLARS ~
~m
? CASH ~ L~CHECK.. ~ .
~ ~1
~ ~ - ~ - ci ~I + 1=:~~f ~
-
, - ~r , , i ~ l •
J~: %
Ur ~C~v
FUND ~ 08JECT' - AMOUNT
~~~a -
Thank You , .
-~f~{-.;; ~ ~
BY
i~•~~1: i]~r(~i~ NTi1~PaY~~VY
- YelbvrPosWqCaPY
PNk-iue Copy ~
i_22, ~P I~.e~ingf~n S~ 4~-N1
city oF ee~gan
3830 PILOT KNOB ROAD. P.O. BOX 21199 v~C EWSOtv
EAGAN. MINNESOTA 55121 M"''O1
PHONE (612) A54-8100 1110MA5 EGAN
DAVID K. GUSTAFSON
" PMv1EL4 McCREA
August 3, 1989 u+EOOOaEwncHr~a
Couricll Mombers
n ionnns HE~Es
~ CIN ~minlsLator
• EUGENE VMl O~ERBEKF
WILLIAM P WESTPHAL CiryCieik
LOIS R WENNEN
986 TICONDEROGA TR'
EAGAN, MN 55123
Dear Mr. & Mrs. Westphal:
The Community Development Department has received complaints from
property owners in the vicinity of 966 Ticonderoga Trail. A site
inspection was conducted by City staff and a violation of Eagan
City Code, Section 10.01, "Storage, Deposition and Disposal of
Refuse."
As owner of this property, you are responsible for the proper
storage and disposal of refuse. Please see to the prompt clean up
of your property to limit further City involvement.
Within three days of receipt of this letter, we will expect a reply
from you indicating your intentions and a Schedule of Compliance
with the City Code. Upon re-inspection of your property (August
llth), should this Code violation still exist, we will be forced
, to turn the matter over to the City Police Department.
Your cooperation is greatly appreciated. Should you have any
questions, please feel free to call me.
sincerely,
i~ ,
Michael J. Ri ley
Zoning Administrator/P1 ner I
MJR/js
TNE LONE OAK iREE...THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNIiY
G~7~/ ~iS~
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
2-(~ ~ G 5
Date V~ /
Site 54reet Address G1 Kl~ T G oVt d~{'~ (J un~c #
.
Property Owner ~1 v~ ~ ~ V vr~S} 1' r,~~ I Telephone #(~•jJj u 5 2 3`~C`~
.II'`~ ~
Contractor 'i~f 1' ~ i ~-e ~ti' ~ ~ KS Te~epnone # c~h .~1 'S ~ 3 ~
Address n'>~P~~ ~U(~C~ City ~.C State r?!1~( Zip SI Z"-''
The Applicant is: _ Owner ~ Contractor _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
Lawn irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
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 aQproved plan in
the event a plan is required to be reviewed and approved. Ii D~ L4s' ~~~~z
j~. a ~1(~ ! i l.~ '\-G, ~j J ? 2005 ~
l,c~I
ApplicanYs Pnnted Name Ap~3ficant's Sign~~u e
~Y
° a
. r_ _ _ _ _ _ _ _ _ __I
~ I
City of Ea~~Il ; Permit I I j
~ ~ I~
I Permit Fee:
3830 Pllot Knob Road ~ i
Eagan MN 55Y22 ~ Date Received: ~
Phone: (651) 675-5675 ~ ~Y ~1 ?OA9 i
Fax: (65Y) 675-5694 i Slaff: I
2008 RESIDENTIAL BUILDING PERM T APPLICATION
Data: • Sfte Address: ~ C~ J
Tenant: Suite
RESIDENT/OWNER Name: l:J't~.~ Phone:`15.~ ~R~I~-Sg7.3
Address / City / Zip: T ~l"1 i~. SS/a
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description of work: /f
~
Construction Cast: ~j s0~ • Multi-Family Building: (Yes No ~
CONTRACTOR Name: ' License I/ Y ~
Address: ~
Ciry: State:~ n• Zip: SSD ~'7
Phone: (P~SI-78~
~-G ~FL Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTI G A NEW BUIL ING
_ Minnesota Rules 7670 Cateqor~ Minnesota Rules 7672
Energy Code • Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
Category Submttted Submitted
submisslon Type) • Energy Envelape Calculatlons Submitted
In the last 12 months, has tha City of Eegan Issued a permit for a simllar plan ba on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Coniractor: Phone:
I hereby aCknowledge that this Infortnatton Is complete end accurete; that the work will be In conf rmance wlth ihe ardinances end codes of tha Ciry of
Eagan; that I understand this is not a permit, but only an application tor a pertnit, and work is ot to atart without a p il; that ihe~work will 6e in
accordance with the epproved plan in tha case of work whicn requires a review and epproval of pt .
x U~l3 U ~T~ I YVl x
ApplicanYs Printed Nflme Applica f Ignatu
Page 1 of 3
City of Emil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Usej
Permit #: t ` 'D'
Permit Fee: )44(P'918
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: St 0 Site Address: 7 IC(3 .Q` t2�1'll--
Name: Imo- P 14
Address / City / Zip:
Phone:
Unit #:
411 tr_‘•a.
Applicant is: Owner Contractor
Type of Work
Contractor
Description of w
rk: 11/64,u Lv%i) '-i kW-TV/LK-N/4+:7 AD CT O
Construction Cost: 21 ice 5
Company: “ L( t-tols krA.i
Address: '360 ( 6reUGOS 1
State: IVOQ Zip: C37(2-3
License #: l36 -6242o1
Multi -Family Building: (Yes / No 9c )
tikie
ontact: (1(a O5 "-a-I('f
City: le-t6(If( e
Phone: Q12 Fe (- 33E-17—
Lead Certificate #: 12:r--87-120 Z -f Zrnd'7
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
6u, \ Ve
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work 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.
xL 5
Applicant's Printed Name
—.ow"
App icant's • nature
Page 1 of 3
S .fli4 . Tv.
DO NOT WRITE BELOW THIS LINE
//95o 1
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
v. Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
V Deck
r Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergo14)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
g
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Iva
(--692___/( /5
Page 2 of 3
v, a� , lu • —1 i ni'1 i' i i, l li"'f\L i'it. ..•�L �
�• i
e tot 4,;',
Development:
N'. 1
la so]
••
�t1:iFit�:������yi yyy�y9�A
• t�a IuA�$.OMa. Ise '
I • :. 410611100d tN*1x COW Of fthe MMM'01
14750 ti0i)*14140111iiift MMIN1 '?A
BOO ro
> f
i£f ,
.i ',ftr-,,.CA
Y S 4 .
��1IrMrl•r.•�1w,.7r•
ommorrio
E AVG M..
-"REVIEWED
hY
DATE
1.41'
•
4.
•
Scales 3. inch 30 feet
r
•
s „Denotes iron monument '•'
131 Denotes sot wood ,hub .',.
90:10 Denotes existing elevations
Denotes proposed elevations
from development plan
Denotes direction of drai:nag
7500
•
Lot
the
f .
22, Block 2, • i Z* '1ARE, 6TH , ADDZTlPN, 'aacC4+rsling tv
recorded XTON.
orded plat.'thereof,:tiiiko-tsi Caljrlty, •tttnnesota:
the lacetientfutltintpropoaed' house as . stoked thereon-.
f 5
Also showing
1 hereby certify that this surrey, piss, or ropott was
prepared by me or under my direct supb vtsloa *rid
that 1 ISM a duty Registered Land Satveyvl undo.
the law* of the tltoIo of lMlnnomete. r. ,
•
}
August 5, 1908' ,
Datedw .n.. w w•+.rrr..•w.,r
til C11.414 • •
eft C'ELM 41141. ;?
-.V • •SC1'IVI ANZ;,,,
6620'7."
Deltaiir K 41c,u.M1d
M -ArekltratisesN
105.25 Use BLUE or BLACK Ink
� ------------------
� For Office Use �
• j Pertn it#: ( � � /0 � �
_ �lt� Of ����Il � � c �S �
� Permit Fee: �J �
3830 Pilot Knob Road . t/
Eagan MN 55122 j Date Received: 7 j
Phone:(651)675-5675 I Staff: �— J I
Fax:(651)675-5694 � I
��_������__�����_J
. 2014 RESIDENTIAL BUILDING PERMIT APPUCATION
Date: 07-22-2014 s�te aaa�es$: 986 Ticonderoga Trl. Eagan, MN 55123 u��t#:
` Name: Will/Janet Westphal Pho�e: (952)994-5973
�` � ,aaa�ess�c���z�p: 986 Ticonderoga Trail. Eagan, MN 55123
�,�. � .�
�� � � � �� �"� Applicant is: Owner Contractor
�3���� �� �� � x Tear off Siding and Replace with new Siding
=;; Description of work:
f�
' Construction Cost: �9,900.�� Multi-Family Building:(Yes /No X ) �
..:.q :'4:- .. .- I
�., ;� company: Custom Remodelers, Inc. ��ta�: Karli Anderson
�� r � 474 A ollo Drive Lino Lakes I
Address p City:
�� �� ���� MN 55014 (651 784-2646 karlin.a customremodelersinc.com
'����`� � �"����� State: Zi : Phone: � Email: @
�..: ,},; � �..�,. P
�: � ;� a.�:
- �� ... �r� ��cense#: CR001748 �ead�ertifcate#: NAT 27064-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
� Home was built after 1978.
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:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
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. wvuw.ao�herstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
, Eagan; that I understand this is not a permit, but only an applicaGon 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.
X Karli Anderson
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145623
Date Issued:09/18/2017
Permit Category:ePermit
Site Address: 986 Ticonderoga Tr
Lot:22 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-220
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Replacing brick with stone on front of house only
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
William Iii P Westphal
986 Ticonderoga Tr
Eagan MN 55123
(952) 994-5973
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169463
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 986 Ticonderoga Tr
Lot:22 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-220
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Yared Zewdie
986 Ticonderoga Trl
Eagan MN 55123
(612) 229-4618
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature