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989 Ticonderoga TrCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA098183 Date Issued: 03/08/2011 Permit Category: ePermit Site Address: 989 Ticonderoga Tr Lot: 10 Block: 4 Addition: Lexington Square 6th PID: 10-45080-100-04 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 - Applicant - Owner: James W Lundberg 989 Ticonderoga Tr Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature ' • ' = CITY OF EAGAN . ~ ~ c~ ~ ~ 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # r/•.~ ~ r~ To be used for Est. Value y` Date ~~~4 1` ,19 ~ Site Address • OFFICE USE ONLY ; ;~~'i~_i^, ~ ~ On Site Sewage ~ Occupancy ~ Lot I ~ B1,9Ck Sec/Sub. MWCC System _ Zoning } ParCBI No. ' At ~ On Site Well Type of Const ~j Ciry Water h (Actua~ . . (Allowable) W Name ~k of Stories 3 Address - Length - ~ City Phone l; ' , Depth S.F. Total , p Name Footprint S.F. ~ Q Address APPROVALS FEES . Uv ?a- City PhOn2 Assessments Permit WatedSewer Surcharge ~~V yVj W Name Police _ Pla~ Review . l)~ Address Fire _ SAC,City I~ ~•.UO ~ Engr. _ SAC, MWCC ~~~v q yZj City PhOne Planner _ Water Conn. ~ Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit ~ thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPt -•~U State of Minnesota Statutes and Ciry of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee ~ ~ ~ TOrA~ • ~ • A Building Permit is issued to: on the express condition that ail work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinancea Building Official ` Permit No. Permit Holdsr Date Telephone * Plumbing :a l~/~~ - f~ ~~%'/=`'7 L C+ H.V.A.C. ~~j ~ Li~v Electric ~ / ' ~ </c~ 7 ~S/~-a ~o . r, Softener / ?,SC~ ~ ;~C.%a 1~~7 ~~S Inspection Date Insp. Commonta Footings i Footings II Foundation Framing ~z f~~ ~v„~ ~p~, - v Roofing L ~ O~ - Rough Plbg. ~ / ~ _ Rough Htg. 3 7 , Isul. Fireplace ~ Final Htg. ~ f~ ~ Final Pibg. ' ;2a~ . , Bldg. Final 7Sa ~.A. Cert Occ. A, Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , x _ . . , ,.a . . . , : ~ • ~ . PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 6 9 7 CONTRACT PRICE: PHONE: 454-8100 Site Address 1 ? BLDG. TYPE WORK DES IPTION Lot Block ~ SeciSub Res. _~C New ~ ~ ~ ' ~ Mult. Add-on ~ Name Comm. Repair ~ Address, Other c Ciry f~ 4*~e,,.--~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~ FIXTURES TOTAL Name Water Closet - $3.00 ~ 3' d Bath Tubs - $3.Oo 3 " 3 Address ~_Lavatory - ~3.00 3' p City Phone ' g3k3 5hower -$3.a0 ~-Kitchen Sink - $3.00 3 ~ FEES Urinali8idet - ~3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES -~Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~_Water Heater 50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.U0 ~Gas Piping Outlets - $1.50 /.S~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000 0) Well - $10.00 Private Disp. - $10.00 ' ~_Rough apenings - $1.50 ~ ~ SIGNATURE OF PERMITTEE FEE: ~ STATE S/C: ~ SJ FOR: CITY OF EAGAN GRAND TOTAL: al •-~v . • . PERMIT # - _ -?3 i ~ ~ ~ MECHANICAL PERMIT ~ ~ RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: G'~~~'~~ ~ CONTRACT PRICE: PHONE: 454-8100 Site Address ~ , BLOG. TY~ WORK DESCRIPTION Lot ~~~~.Bloc Sec/Su Res. New , ~ Name ' ' Mult Add-on ~ Address - ~ ~ Comm. Repair c City ~ r~!~ ~ yq.~ c/. Phone 3- ~ ah~ Name i . FEES L _ RES. HVAC 0-100 M BTU -$24.00 3 Address ~ ! ADDITIONAL 50 M BTU - 6.00 O City J~,;tn-~ Phone ! (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK ~..1 COMMIIND FEE - 1% OF CONTRACT FEE Forced Air f~ M BTU a.~ APT. BLDGS. - COMM. RATE APPLIES - - TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler ~ 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 ~1G IF PERMIT PRICE GOES Gas Piping OuUets # ~ BEY $1,000}, Other ~5 FEE ~ f i ~ .l S/C: ~ SIGNATURE OF PERMITTEE ~ ~ TqTAL• ~ r FOR: CITY OF EAGAN INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ` Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~ ` i „ ~ ~ ~ k, ~ , APPLICANT: ~ , rtNn~ Rr)r A T ~ , . . . i : ~ PERMIT SUBTYPE: TYPE OF WORK: . . , , ~ ~ ~ ~ ~ Permit No. Permit Nolde~ Date Talephone It ELECTRiC PLUMBING HVAC I~apectlon Date Insp. Comments FOOTI NGS FOUND FRAMING ~~3'~t ~ I ~rp r ! ~.~i ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYPBOARD FIREPLACE f ~ .c . r FIREPLACE L( ~ AIR 7EST • FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . } A r . ~ . PERMIT ti /.~~I PLUMBING PERMIT RECEIPT 1# ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: / r PHONE: 454-8100 Site Address E' F~ ' BLDG. TYPE WORK DESCRIPTION Lot lock Sec~3ub Res. New ~ ~ ~ ' Mult. Add-on Name ' ~ ~ ' ~ ~ ~ Comm. Repair ~ '-l ~ Address - ' ~ ~ ~ ~ " Other c City, - ~ % ~hone ' ~ ° RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL : ,~,~h,~,,'. _ Water Closet - $3.0~ s Name Bath Tubs - $3.00 3 Address % . ~ ~ Lavatory - $3.00 p City ~ ~ ry~! ~ Phone ` r%~~ Shower -$3.0~ Kitchen Sink - $3.00 FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1°~6 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8~ CONDO - RES. RATE APPLIES Water Heater -$t 50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - S3 00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES ~ Softener -$5.00 ' \ BEYOND $1,OOO.C~j ~ Well - $10.00 , Private Disp. - ~10.00 ~ Rou h O g ' y ~r~t~.L ,C~~ g penin s - $1.50 SIGNATURE OF PERMITTEE FEE: r STATE S/C: t.~ Tl FOR: CITY OF EAGAN GRAND TOTAL• ~ ' EAGAN Permit No: Data 5-z2-~~ dt Knob Road Meter No: Size: ~ 21199 Reader No: G ~-3 ~ 7"l Date: ~g,(~ MN 55121 ~ .~er. ~-tro ~,ustoru :iov~es iteAddress: T~-conderoQa Trail I,10 F34 Lexin~ton Sq Fith Plumber. rti`orthru r` ~ Conn. Chg: 525. 00 d o~~~~g~ j Acct Dep: 15. e I g1~ ~~lo gAg~+,~. ~ ` Permit Fee: 1~ Surchar e: • ~ ~ 9 1~ 0. ~~9~~ mply with the City oi Eagan Tr. Plant Ordinances. Meter. h7 ~ Misc : gy WATER SERV'CE PERMIT ~ . CITY OF EAGAN Permit No: ~76~ Date: 5-22-$7 ~ 3830 Pilot Knob Road Meter No: a ' P.O. Box 21199 Size: Eagan, Mf. 55121 R~der No: Dat~ ~ Owner. '-?~=tr~ ~"ustom ??oaes ~ SiteAddress: gfi9 Ticon~ero a Tr~iil Llp BG LeXin~torz Sr~ Ftr 1 ' Plumber -Zortlyru ;~.echaaicSl ' Conn. Chg: _ ~~S.OOFd Zoning: Rt Acct. Dep: 1S •~(3nd No, oi Units: 1 ' Permit Fee: 10. Op Surcharge: _ • S~~ ` I agree to comply with the City oi Eagan Tr. Plant ~80 OD~d Ordinances. Meter. - f 7 t~n ~ Misc.: By i WATER SERVICE PERMIT - - - _ ' CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pibt Knob Road ' P.O. BoX-21199 PERMIT NO.: n Eagan, M~155121 DATE: 5- ~2 i Zoning: t P1 No. of Units: ~ ~ Owner. % *~~tro Custom ~o~es ~ Address: ~ ~ Site Address:-9g`~ Ticonc~eroga ; raiZ L10 $4 Lexington Sq 6tt; ~ Plumber. ~orthr~~ *SechanicaZ ' 5 -21 -E7 7"s799 ~40.OOpd i ~ I agree to cwmply with !he City of Esgan Connection Charge: 52 ~ r3~~ ~ Oro~^~~e~ ; Account Deposit: 15 . d0~.- j ~ Permit Fee: 1~ ~0~ ~ ~ Surcharge: , 5~~p~ , f BY ~ Misa Charges: j Date of Insp.: Total: Inap.: Dete Paid: ! ~ ~ ' . • ~ ~~r#~ftr~tt~e uf C~rru~~tnr~ ' ~itp of ~agan ~ ~l'}iMl'~Mif A~ ~lT~iltg .~ri~Ptttittt This Certtficate issued pursuant to the requirements of Section 306 of the Uniform Building Code cerlifying that at the ti~ne of issuance thrs structure was in compliance with the vaROUs ordinances of the City regulating building construction or use. Fo~ the following.• use Cla~s;Baeon 3 ~ 1' ~ - Bidg. Rrmit No. t Ooc~pancy Type iZ~ Zoning District < i T~Vyp~e Conu Owr~er0/BUl7deqqiQ~'.u"~cJ Q).Cil~: r`i". ']';d_ Addreu :"~'~i lVi~ 6mldingAdd[tsa :?^Cj 'i ~''X`'',tt~a,^T_.l:a~ ~.~iL], ~1~~ ~u_1''^':(?!~' t.~~iP,.~' ~Lt~ ~ .i~! i ^'4 ~~~7 Ih1G: ' Building D95cia1 POST {N A CONSPICUOUS PLACE This request void ~ - ry Y~ / 18 ; ~nths fram ~ / cJ 7 D 17869 ~~v t~ , ~ ~~l~o-" Nequest,De~e---a Fire No: qo ph-in InAoe ion R iretl7 ! ~HeaAy Now ~Will Notify Inspec- a ye5~ ~Np 1or When Ready Licensetl Eleclrical Contractor I hereby request inspec<ion o~ above ? Owner elactrical work installed at: Sveet Address, 9ox or Route No. CitY 8 7i ohd er~o ~ I ~a ah ecLOn o. Township Nama or No. Rnnge o. Com~ty 1~ ko-ta~ Oc u dntIPHINT) Phone No. v ~u -fan~, Pow r $uppliar Atltlress I ,~o,~r.t. le~ ~3oa a Eleclri al Contrac~or ICompan amel ' Comter.mr's License No. /1/~idlavrd ~eG-Er~~, t~/G/o -a. MailinB AdJress (Conlta ~tor or Owner MakinB ~ns~aila oN r ~,.~oo G?~ C'o ~Pd Bur~sv~ llea AutAori SiB~awre (COnhactor Owner Making Installationl Phone Number 8~10 - ~6!/ MINNESOTA SiATE BOARD OF ELECTNICITV THIS INSPECTION flE4UE5T WILL NOT Griggs-Mitlwey Blda. - Aoom N-181 BE ACCEPTED BV THE STATE BOAND 78Yt lJniversi~v Ave.. St. Paul. MN 661D4 UNLESS PNOPEH INSPECTION FEE IS Phone1672)642-0800 ENCLOSEO. 7/q/8~ REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-os ~ See instructions lor comp~atinq ~his torm on brck p} yellow copy. D µ~7 '"N" Below Work Covered by lhrs Requesl Adtl Re0• TVPe ol BuilCing Appliancee Wired Equiumam Wired Home Ranye Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Buildinc~ Dryer Electric Heatin Commercial Bidy. Fumace Silo Unlonder Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm ou,e~ ueci v ~ner ~S,ec:iv~ 2 er Spec~ y O[ner piher nmpute lnspection Fee Be/ow N Fea ServiceEntranceSiza tt Fee Feuders~Subieaders M Fee Circwts . DD U to 200 Am s 0 to 30 qm s ~ 0 tn 30 !~m ~s Above 200 Am>s. 31 to 700 Amps 31 [o lU0 q Swimming Pool Above 100_Amps Above 100_AmPS Transiormers ~rngation &~ort~s p Partial.'Other Fee Signs SUecial InsUection TOTA flemarks ~/c/ ~7? S JQ ~ F / i7 ::ryµµt ~ 6'~ ~ ~CJ Pouah-in~ " ~/nr./_ ~~r~os.~ ~.the ' Inspectoq hereby ~ cer~ify that ~he nbove Final ' . Dat/e inspaction hes been ~ . ~ ~T 0 ~ made. mis repueal vold 18 monlhe Irom This reques~ void ill~~C~ j8'f 'r~C ~ot 18 rtqnths from C, 9~'' 51 G Q~l - u ~ l~~ ~ia i Nequast Date Fira bo. Pough-in I spection n G ReQwred? ~Neady Nuw ~ Will No~ity, Inspec- ',5~ ~ ~ / ?Ves ?No ~or When Ready Li~ensed Electrical Cont~acto~ ' I herebV repuest inspaction ot ebove Owner electrical wark ins~alled et: Sveei Address, Box or Route No. City 8 7 v~dera ~ir ar~ ecLOn o. Township Nama or o. ange No. County ~a ko-~i~ OccuOant (PRWTI Phone No. -h^o Cus-fam Po SupD~~er AdCress ~~o-fcL ~~~°C. ~300 ~-o~ Elecvical Convacmr ICompany Namel Cnnvactor's License No. ~dlav~d ~le~-(-~^~e~ ~~elo-a ~ Mailine Address (COntracmr or Owner Makin Ins~eilationl o Ca ~d ~a Burt~~vi t~~ Authori d S~B^ature (COnhacto Owner Making Instellation~ Phone Number / ~ O -46! THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE eOAND OF ELECTNICITY BE ACCEPTEO BY THE STATE BOAND GriBBa-Midway Bldg• - Room N-181 UNLESS PROPEH INSPECTtON FEE IS 7821 Univereitv A~e.. St. Peul, MN 55104 Phone (612) 842-D600 ENCLOSED. ,~~~9~87 REQUEST FOR ELECTRICAL INSPECTION EB-0 001-06 ~s9c83 ~ See insfruetio~s /or comoletinp ~his form on beek of yellow eoov. ~ "X"' Be/ow Work Covered by 7his Request AAd RaO. Tyoe ol BuilEinp Aoo~iaoces WiraO Epuiumenl Wiretl Home Range Tempprary $ervice Duplex Water Heater Lightiny Fixtures Apt. Buildinc~ Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner 8ulk Milk Tenk Farm t~er Peci y ONer (Spr;cify) t .r Veufy ther Other ompute lnspection Fee Below ~ p Fee ServicaEnheneeSixa p Fee Fexders/SUb/eeders p Fen Gircuits Oto200qms Oto30qms Oto30Am A6ove 20 _qm ~y 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Am - Transformers Irngation Booms Partial•~Other Fee $ign5 Special Inspection Remarks 5 ~ ~j`D TOTAL F ~ Nougb-in Da[e ~he Elecbical ,_,r.~. InsPector, ~eraby certify tMt the above Finel ~ nsoeetion hes bean meda. TMS requeal void 78 mo~tim Irom CITY OF EAGAN N~ 13 616 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454•8100 ~/?ry/}O BUILDING PERMIT Receipt # f J/ 7/ Tobeusedfor SF DWG/GAR Est.Value $67,000 Date ~Y 12 ,19 Site Address 9g9 TICONDEROGA TR OFFICE USE ONLY Lot i~ Blocii Sec/Sub. LEXINGTON SQUARE Onsitesewage Occupency R3 6TH ADD MWCCSystem ~ zoning R1 Parcel No. On Site Well Type of Const Tr Ciry Water (ACtual) a Neme METRO CtiSTOM HOMES INC (A1lowable) y~ # Of SIOfi83 z Address P• 0. BOX 1049 ~ength 3~ o ~~ty B'VILLE Phone 454-9383 Deoth ~g S.F. Total , p NamB SAML Footprint S.F. ~a Address APPROYALS FEES ~ City Pho~2 qssessments _ Permit ~ 3$8.00 FQ WatedSewer _ Surcharge 33.50 W W Name Police _ Pian Review 194.00 i~ Address - Fire _ SAC, City 1 00.00 Engc SAC,MWCC 595.00 aw City Phone P~annar _ WaterConn. 525.00 Council _ WaterMeter 67.00 I hereby acknowledge ihat I have read thia application and state BIdg.OfL _ Road Unit ~0~0 thattheinformationiscortectandagreetocomDlywithallapplicable APC _ TreatmentPl 1R0_00 State of Minnesota Statu es nd City of E gan rdinances. Variance _ Parks CopiBS F~5~--~ Signature of Permitte TO7AL ~ i! • ~0 A 8uilding Permit is issued to: METRO CUS 0 HOMES INC on the express condition that all work shall be done in accordance with all applicebl~ tata of Minne ta Statutes and City of Eagan Ordinances uilding Officfal 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~~S- 651-675-5675 Please complete for modifications to existing residential dwellings. Date ! ! C~~ ~7r ~ Site Street Address g ~~1~ Unit # Property Owner Telephone # ( J Contractor s~k ~C Telephone #(71 j) ~S~Q r~~~07 Address~ ~~/Io~fJ City State_~ Zip Sl~~/(n The Applicant is: _ Owner Contractor _Other Alte~tions to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) ~ Other: f Water Softener _ Water Heater $ 15.00 ~ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rehuitd $ 30.00 State Surcharge S 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, wo~k is not to start without a permit and work will be in accordance with the approved p{an in the event a plan is required to be reviewed and approved. ,~nnr-_ 1rl mPC ~C~of~.~ ° " ~ ApplicanYs Printed Name A IicanYs Signature ~!s ~ I I~ NOV 1 S 2004 rY _ RESIDENTIAL ~~~'I ~ ~ BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PIlOT KNOB RD, EAGAN MN 55'122 ~ 65'I•681-4675 • New Construaion Renuirement~ RemodeVReoair Reuuiremants • 3 regisiered srte surveys showing sq. fl. of !oL sp. ft. of house: aM all roofeA areas • 2 copies of plar ~20°/ maximum lot coverage allawed) • 1 sel of Eneryy Calculatioiu (or hea[ed aaaitbns • 2 copies of plan showing oeam S winGew ;izes: poured fcund nesyn, etc.) • 1 sile survey (or eztenor additions S decks • 1 set of Energy Calculations • Indicate if hame served by sep~ic system lor additions . J co0ies of Tree Preservation Plan it Ict Olatted afler i!1l99 . Rim Joist Detail Oplions seledion sneel 1,6ICqs wilh 3 or iess unAS) DATE / ~I ~ VALUATION~ ~ J'~'Z~ SITE ADDRESS ~Q ~ ~ ~oN~r~~ MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK ~~r'~r C~~C~ 5~~~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT f STREET ADDRESS CITY~ ~ l STATE,1~ZIP ~ i TELEPHONE #IqFJ~a~~~~.D00 CELL PHONE # FAX #~~-12~B2.~L'~OD~ PROPERTYOWNER IUN~~~! .J TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \(I\NLSO"f.1 RGLHaS i(i70 CA"C1:GORY I ~[IN~`ESO'I':1 RULL:S 7672 (v submission type) • Residencial Ventilatlon Category 1 Worksheet Submitted • New Energy Code Workshee[ Submilted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc n Plumbing system includes: Wa[cr Soltener _ L1wn Sprinl:lcr Fee: 590.00 Water Heater _ No. oF R.I. Baths _ No. oE~ Qad~s - , _ ~ ~ _ ~ J ~ Mechanical Contractor: Phone # 1' ~Icch.uiic:il systcm includc,: :\ir Condiuoning , J Pcci y70.Q0 _ Hcat Rccovcr}' S}~stcm _ - Sewer/Water Contractor: Phone # - I hereby acknowledge that I hove read this application, state that the information is correct, and agree to comply with all applicoble State ot Minnesota Statutes and City of Eagan r i nces. Signafure of Appllcanf i OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 O5-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ~ 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak • Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 ~eck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 t0-plex ? 19 LowerLevel ? 24 StormDamage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 ~emolish (Bldg)` ? 43 Reroof O 46 Windows/DOOrs ? 34 Replacement "Demolition (EnNre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Cily Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ F'seplace _ R.I. _ Air i'est _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector 6ase 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 RESIDENTIAL ~ ( b3 BUILDING PERMIT APPLICATION CITY OF EAGAN ~2 3830 PILOT KNOB RD, EAGAN MN 55122 ~O J ~o „ 651-681-4675 1 ~a--g, New Canstruttion`Reauiremenb ' ' ' - ' ~ ~ " ~ ~ RemodeUReoair Recuiremanta ~ • 3 registered site surveys showing sq. R. cf IcG.sq. tt. o( house: and all'roo(ea.areas . 2 copies of plan . . ~ (20 a rnanimum lot coverage allowed~ , • 7 set of Energy Calculatpns Wr heateA addiGOns . 2 wpies of plan showing heam & winaow sizesi ~poured found desgn, etc.) ~ ~ ~ ~ • t site survey for extenoF addRions & decks ~ . 1 set uf Energy CalcWations • Indicate if home served by seplic system for addilions . 3 copies of Tree PreServation Plan if lot Flatted after 7l1%93 . Rim Joist Cetail Op[ions selection sheeu;Wdgs with 3 orless units) DATE r ( S ~Y i VALUATION SITE ADDRESS ~~~3f~CI~r~ I/~ /L~ MULTI-PAMILY BLDG _Y ? N TYPE OF WORKTP t`j.'(^ h~~S '~~E,~~b~ _ FIREPLACE(S) _ 0_ 1~ 2 APPLICANT ~ r I STREETAD~RESS ~ L ~ CITYC~i ' STATE~]~ZIP ~ LI TELEPHONE #~~~.~~~~'?Oh1J CELL PHONE # F,ax #I(o1Z~ ~~--~1.-- 1 Dbb PROPERTYOWNER ~-UDU 71~~'~c~ ~J TELEPHONE#~`~~ 'Z ~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~~[~;~~S~~~C.1 RliLk:S 7G7O CA"1'LGORY' l MIVNt;SO'P:\ RliL1:S 76i2 submission type) . Residential VenlilaGon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Ca~cuiations Submitted Plumbing Contractor: Phone ~ Plumbiiig system includes: _ ~Vatcr Soltc~~er J_ Iawn Sprinkler Fee: S90.OU Wa[er Heazer ~o, oF R.I. Baths No. oF BaLhs Mechanical Contractor: Phone # ` ~ ' , ' ~[ccti.mic.il systcm indudc,: Air Condiuoni~tg Pcc: ~570.0O ,J ~ Hcat Rccovcry' Sy~stcm ~dY - Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this application, state thot the infor ation is correct, and agree to compiy with all applicable Stafe of Minnesota Statutes and City of Eagan i es. , Signature ot Applicant » OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pla~ Received _ Not Required _ Vvda~ea y, oz OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 18-plex O 20 Pool ? 30 Accassory Bldg ? 02 SF Owelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait • MWtl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex p 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 7p-plex ? 19 LowerLevel ? 24 StormDamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement q 38 Demolish (Interior) ? 44 Siding ? 32 Addition 17 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/~oors ? 34 Replacement •Demoiltlon (Entire Bldg only) - Giva PCA handaut to appllcant Valuation Occupancy _ MC/E5 System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pooi _ 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 MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumhing Permit Mechanical Permit License Search Copies Other Total 3 ~ / : ~ 7987 BQILDING PERMIY APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 7NCLDDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SORVEY, 1 SET OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSINER MIIST DESIGAARE WHICH ADDRESS IS DFSIRED. NO CHANGES WZLL BE ALLOE7^aD ONCE BIIILDING PERMIT IS ISSOED. MOLTIPLE DWELLINGS - RBSIDENTIAL RSNTAL iJNITS FOR SALE [I~lIYS INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SIIRY6Y - CHSCK iiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS C0.'Il~ERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND ~ To Be Used For: Sin~le FamilY Valuation: $5~,~08- Date: Mav 11, 1987 Site Address 989 Ticonderoaa Trail, OFFICE OSE ONLY Lot 10 Block 4 On Site Sewage Oecupancy ~ 3 MWCC System ? Zoning fL~l Parcel/Sub Lexin~ton Square-6th Addition On Site Well Type of Const City Water ? (Aetual) ~ Owner Metro Custom Homes. Inc. (Allowable) ZL' U of Stories Address P.O. Box 1049 Length ~'3 Depth 3~ City/Zip Code Burnsville, MIV 55337 S.F. Total Footprint S.F. Phone 612-45~+-9383 9PPROVALS FEBS Contractor Metro Custom Homes, Inc. Assessments Permit 388 . Water/Sewer Surcharge 3. S_°- Address P.O. Box 1049 Police Plan Review 1 4. Fire SAC, City IC,b. City/Zip Code Burnsville, MN 55337 Engr SAC, MWCC 5 Z; Planner Water Conn 5 2 5 Phone 612-L54-9383 Council Water Meter (07. Bldg Off Road Unit ~S. Areh./Engr. Metro Custom Homes. Inc. APC Treatment P1 I 8C>. Variance Parks Address p,0. Box 1049 Copies TOT9I. ,S ~ City/Zip Code Burnsville, MN 55337 Phone u 612-45~-9383 2~~~ ~1 = ~~7~ X S~ ~`~~~S~c,~ ~~z2~ ~ ' = `~~e ~ 4¢ r ~2 2~ 22 = QP~4 x( 2 ~ SBo~ ~C~S~ 2 p n M~o C~s-:,;, Nc,~,~ nOp~ CDHSUl7~H6 EH61HEfAS, ~#2'F6•~: ENGiNE~i~ING PtAHt1E4S nnd lAHO 511RVEY0lSS COMni~N~, INC. L f000 F~tST ISBCi S7RE_T, 6(JANSVILLE, 4lNHESOTa 5~~37 pH ~32~~OOfl C~T~Z~Z CLZ~C D~ ~3~-~"' iY~ C~ Z~-~Q~I -U~-,?C7"~P~.~TL: (.pT lo , BLCC:C 4, LEXIAJE~7~ON SQUQ?E 6~ aDQ!`~~ CAK'J%A CJUiUTY~ MJIJ/VE~TA /~RAlNAGc AND ( UTlLi7Y ~AGC'M~VT S ~ s 4.3, o,,, ~ I 7$, 00 ' , - ~ - ~ ~ ,~93. ~ ~ ~93.3~ r r J ,i 15 C~.9'~~~ 1~1 5~ L_~,I`~` Lr ~ LD7 l0 ~ s~~: _o I~ ~ I C.~~~~~ DE;.lOTES EX;:-iN6 CIFI~~~,c, I \ ~ I I I ~ (9a3.5~ CEti1C?~ PRDF' Ei~.V,G`,,,, ' W ~9oo.d~s.E.-v.o[oo.o~ ~ , I ~2~°_~> ~9~=s% (yo3.~; I INDICATES DIR=_ 101~; CF ~ p z<.~~ ~ I o° ~ SURFA,CE DR.41f`..-=_ .`c o~ I zs.oo I I a~ i\ M ~ c PRoPO~ED i a 9os.83= F;NI<~~D E~:~R~?~~ FLOCK o I ~ ao~sE i 5s,eac.~ I-~ o~ ~ , ~ I m i N ~ E~~UATiO,V' V ~ 1 I m £S.oo ~o.ao ~ ~ - . ~ J ~ ~ 90.°..8 (yp/_f3~ o - /Zoo ` `~o .s 2$.uo ~ i (~i, i~ l~i.3~ I I7 ~ ~9od,5j o L°~~~ - I / o J 5 3D' FIZDAIT BUILDIN6 f! y Sc'TBRC}C L~~tl E Cao.6~ - - - ~ 01.5~ o ~GD. _ i ~jo%, / ~ •r- 75. a0 o S ~y° 9-3'o3"E 0 4i N r ~ T/CoNERo6q TRAlL `900. /!l ~200_9?~ I her:by caMify that thi~ is a t-~~~ gnd corrtct r$preaentatioa o! a 4ract of l+nd +~s ahovn'and de~cribed hertan~. Aa prepared by mn on this 9"' dty of~ /llav ~ 19 87 . Hfnn. R~s. Na. ~~~5 xR_ * ` CITY OF E~GAfV * oF~ * ~ a,prxovat, oF r~T. * ~ APPLICATION FOR PERMIT * * YNSPF7CCPION oF SET~It A~R1ID/~t V~17FR . . * TTS4TAi.7ATTON$ ~.ja NQ'j' $E ~ * SEWER AND/OR WATER CONNECTION ~ T~ P~T ~ * APPTtOVr3S. ~ a M * M p . rt* ~ta*.**:~*+*~.,e~,~**x*at:*~:*3r:+rrs,r P ease Print ~ 1) PROPERTY ADDRESS: I/C''~~~/°O ~ I,C~ ° LEGAL DESCRIPTION: ,/D Ql~~_ ~~~j~' ' Lot Block ub ivisi or T Parce ID ) IF EXISTING STRL'CIS.'RE, DATE OF ORIGINAL BL'ILDING pFStMIT ISSL'ANCE: ' (Nbn Year - PR£SEL1T ZONING/PROPOSID L`SE: C0,"~RCIAL/RETAIL/OFFICE ~j R-1 SINGLE FAMILY Yw' II~ID~'STRIAL ~ R-2 DL'PLEX (Rt~ Pnits) ~ ZNSTI'IL'TIONAL/GpVII2PA~NT' ~ R-3 'IOW[~I(X!SE (Three + Units) ( Onits) ~ R-4 APAR'IN~Pf/CO~OMINZOM ( Units ) 2 ) cv~n~: /~o,~i i~C°h~ivi48~7L Gv~J ADDRFSS: F~ O- -I ~7 ~ - - , . CITY. STATE. 2IP: . Pxor~: ~3 - pi ~ 3} ~ u ~ For City [,~se . NAh~: . ~~iYi ~ ~ ~id~~/E Pltunbers Li.cense: ADDRFSS: Active A F7cpired CZTY. STATE, ZIP: R Pbt recot@ed PHQNE: _ - ~ MASTER LIC'FS75E# ~ ~ ~al 4) ~~a4•:, o..~.i~; r~: ~~t~Zo i~tu/d~ _ ADn~ss: b D , . ciTr, s~, zzr: j,~ : .55.33 Pxor~: ~ ~~3 •5) d• • : ~ • . - ~ [~j mru~crzOta zo c'.xT7t s~mx (~f Cot~riolv ~ Ci~'St t,~7'gt omt~a ' ~T 6) ' • i- ~ PLFASE FIOI.D APPROVFD PERP~IIT ECkt PICK-()P BY ONE OF ABC3VE ~ PLEASE MAII; APPRO~IID PERMIT TO 1~ 2, 3, 4~ ABOVE . ' ( cle one) 7) r u' • . ~~i ~ ~ / ~ ~ ~ • c ~e ' ..,e ~ • • - • ~ - o i;.• . r i ~ • • ~e • y ~ r r~ • ~s. ~ : o-«:r. •,da. i ~ ~ s• • e• • r. a~, 4 . ~ " iy~. . ~OR Cll'Y USE ONLY PERMIT # TSSDED ~ Pd w/Bldq, Permit~ FEES: ' $ ° S ~D•,~ „ SEWER PERMZT (INCLUDE SORCHARGE) $ $ lG,--,7:!Z~ WATER PERMIT (INCLCJDE SL'RCHARGE) . $ G~ 7~~Z~ S_,~ - WATER METER/COPPERHORN/OL'TSIDE READER $ $ ~ ' ~ WATER TRP (INCLL~DE CORPQRATION STOP) $ $ SEWER TAP S S ~S'~ ACCOUNT DEPOSIT - SEWER $ S ~ 7'~ ACCOC'NT DEPOSIT - WATER S ~j Z 5'O d wn.c S ~ 2~ 5~-r~ 0 S sac $ S TRL~NK WATER ASSESSMENT $ S " " TRC'NK SEWER ASSESSMENT $ $ LATERAL $ENEFIT/TRUNK SEWER $ S LATERAL BENEFIT/TRUNK WATEF2 S. ~X[j~(J C7 $ WATER TREATMENT PLANT SURCHARGE $ S OTHER: $ ~ ~~jGJ ~'Q~ $ ~~•O~ TOTAL ~ ~ RECEIPT RECEIPT 3 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL~BLIC RIGHT OF WAY? ~ YES IF YES, THEN A'°PERMIT FOR WORR WITHZN PL~BLIC ROADWAY" MUST BE ISSC~ED BY TAE ENGINEERING ~ NO DIVISION. LIS,T, AS A CONDITION'. ' SUBJECT TO THE R{)i,LOWING CONDI~'IONS.: - ' APPROV~D $Y: ~~r~ /t~r,~-u~y ~ TITLE: • DATE : `">/Z Z-~ ~f ~ PERM~T ~ CF~Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o r rv s Eagan, Minnesota 55122-1897 Permit Number: 031067 , (612) 681-4675 Date Issued: 11 / 0 4/ 9 7 SITE ADDRESS: 989 TICONDER06A TR LOT: 10 BLOCK: 4 LEXINGTON SQUARE 6TH P.I.N.: 10-45080-100-04 DESCRIPTION: (GAS) i B`v~lding~~ermit Type FIREPLACE ,~uilding Wcl-rk, Type NEW ,~Census Code ,_t 434 ALT. RESIDENTIAL ~l t_~~ , . ~ , . x; :f ~ ~ ~ ~ ~ ~r ~ ~ ; t_ - ~-~-r `'i $ ,af^ ~ z~ ~i S ~L..-. r~r i ~ l~~j~~ ~~i~!~ ~~5~}~(,~~~~~~~ , ~ v:y ~~r~1 "<:i' '~.r REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: _ Applicant - sT. I.IC OWNER: , FIRESZDE CORNER'INC 16332561 2009091 LUNDBERG JIM 2700 N FAIRVIEW AVE 989 7ICONDEROGA TR ROSEVILLE MN 55113-6847 EAGAN MN 55123 (612) 633-2561 (612)454-2781 S he~r~fiy ac.knowles4ge tha~ I,haue read ~hfs appYlcaC3orr~~~id eta~s t~at th~e~ ~ informatiQn 3s cqrract aqd: agree Co comply wi'th aSl applicmbl~ State trf Mn. Y o~f Eagart Ordi~nerrce~s. , ~ ~1 _ Stet~r~G~s and ~Cit - - ~ . ~ . _ ~111i OIAX ~ rn!~ APPLICANT/PEFMITEE SIGNATURE ISS : S~ 1~~- ` ~ O CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~~~1 1997 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: n U. ~ PERMIT FEE: $50.50 DESCRIPTION OF WORK: ~ CONSTRUCT ~ FIRE ACE _ AI.TERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTI-IER: STREET ADDRESS: / ~ l C- O IJ O C~{2 C7 C4' I~ ~?~iJ LOT BLOCK L~. - SUBD./P.I.D _ ~ ~ APPLICANT: (cirs:le one only) OW:IER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: N~ 6~`~~ ~ v d~ Phone ~~8 l OWNER ~ Signature: StreetAddress: /a~~ ~ ~oN p~~ ~ ~ City: ~10 ~ N~v state: ~ zip: ~Sa~ l Z3 1..~, i~-Ya ~j y1~~i~~ ~3 3-Z s 6/ FIREPLACE Company: iC~c~ Phone P qo INSTALLER Signature. Stree Address:3 ~ S<~ --c~ - G~ j/ ~ l3 ~ License # Z~~~ 4~~ City~ v?~r1 S'~/l L L l~ State: l~ Zip: ~~~~7 GAS LINE Company: Phone INSTALLER Name: D ~ ~ ~ ~ L/ ~ Signature: ~ ' :i F^~t j Street Address: City: State: Zip: ~ ~ ~ i ~ ~ , 1, ~ b ~ _ ~ ~4. r . 1. OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. _ J_ c... ~ { i t.'f~. - CITY USE ONLY LOT D BL 'S" RECEIPT 7~ °Z SUBD. RECEIP7' DATE: S/a I~/~' ~ 1998 MECFIANICAL PERMIT (RESIDENTIAL> CITY OF EAGAN 3830 PIIAT IQi08 RD EAGAN iMt 55122 vete: 5/a(Pl9F~ (612) 661-4675 Complete this section on[v if you aze installing HVAC in single faauly, townhomes or condos under construction and not owner /occupied • HV.SC: 0-100 hi B T U $ 24.00 AUDTTII)AIAL 50 Ivi BTU 5.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residentia] units; but is required for the following: _ Install fumace ~ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 3tate Surciiarge 50 Total: $ 20.50 si~ nnnxESS: AR9 7"~' ~ p~, 01 evo ocL Th 1. OWNERNAME: .Ti rr, L~. 6 e rp PHONE `t'S`~" a~~I INSTALLER NAME: wD ~ ~~Y'S ~Sl)U-~-~ C'r c~C ~l 1' f'1 ~G Pxor~ a: 431- 7a 99 STREETADDRESS: I_'{'~ P~hYIDGK I~'V~1,Ll~ crnr: ,TnI:2 Vn II~PN STATE:~{ l~_ ZIP: I~ ~zd¢.Q~~~ SIGNATURE OF PERMITTEE ~srFOwas ei.nmgcH rEw.sr ~s~ - ivsa CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 199B MECHANICAL PERMIT (C02~II~RCIAL) CITY OF EAGAN 3830 PILOT IQJOS RD EAGAN, I~T 55122 (612) 681-4675 Please complete for: all commerciaUindustrial buildings muiti-family buildings when separete pertnits are not required for each dwelling unit DATE: CONTRACT PRICE: 'NO~~ T'YPE: I~iE~V ~ONSIKUC'TIUN INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE (5.50 per $1,000 of vecmit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (nv~ROVEMErrTS oxt.~: INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ CASH RECEIPT _ ' CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE ~ 19 n¢coveo ~ ; FROM ~ / ~ ~j i } ; L AMOUNT $ ~ ` ~ ~1 ~ DOLLARL ~eo ~ CASH GHECK i"~ f FOR ~ 't ' ~ ~L L l~ ~ ~i , 'I / t~~ ~ - ~ ~ ( ~ FUND ~E AMOUNT l Thank You , BY ( 1( White-Payera Copy Yallow-Posting Copy Pink-File Copy 'xa.~ BLDG. PERMIT N~. ~ ~ . ~r - _ ~ T~' , _ : _ ~ ' ` ~ ~ `7 ~ • c' ~ 01-3210 ldg.~"ermi~E~ ~ ~ 01-3422 Plan Che~k ~ , 01-3445 Surch./Adm. 01-3446 SAC/Adm. ~ 01-2155 Surcharge ~ 17-3860 Road Unit ` 20-2275 SAC ~ 20-3865 Water Conn. ~ ~-u ~ 20-3868 Water Trmt. o ~ 20-3716 Water Meter ~ J 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-38b6 Sewer Conn. i,~'~~ L~ 17-3855 Park Ded. TOTAL ' ~ - ~ S ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 989 Ticonderoga Tr Lot: 10 Block: 4 Addition: Lexington Square 6th PID:10- 45080- 100 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: James W Lundberg 989 Ticonderoga Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA091515 10/08/2009 ePermit City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 c,057661 Lsoccoes Use BLUE or BLACK Ink Permit#: t r t �-7 Permit Fee: /1"0-, Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 1---am.°141-6.1‘ Unit #: Date:'(')..- o2O (( Site Address: -137 Tc or lCrc RESIDENT / OWNER Name: -/ la f� I94 Ito` Phone: 17�/u r•(9 Address / City / Zip: el i5 I P/Vi 4-A1!i a'rl'"iiP Applicant is: Owner// Contractor TYPE OF WORK Description of work: 10 (t -.A., k.. Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Company: +-4, tezir1d.. Vc�rk Contact: m l e SA-r',n:C-614 Q—D, Address: - 13LiS s, CAQY V WL wi A1/4 -k4 (3 City: (\-Av\ (-,QA -k-ce____3 State: VVI t!) . Zip:..,' (E® Phone: (c>5 I — c=.4 6 "''5&-t ' License #QOR( 7 tai Lead Certificate #: ? 0 c(=') )?R 2<4.3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: A. 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 thatwould permit, the City 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.org 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. T- x rl�7'!�►�� r a, rctCk Applicant's Signature Applicants Printed Name Page 1 of 3 Q 7-1 CO/26( 1 / DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3 -Season) _ Storm Damage Single Family Garage Porch (4 -Season)_ Exterior Alteration (Single Family) Multi (..Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES 4 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 Valuation Plan Review (25% 100% v ) Census Code r # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) �! Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: i"? MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required / y 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 Page 2 of 3 ROBE CONSULTING ENGINEERS, # 246.x, ENGINEERING PLANNERS and LARD SURVEYORS METRO Cii.17".:m Ai" COMPnNY INC, 000 EAST I46 STREET BURNSVILLE , LIIHNESOTA 55337 PH 422-3000 - .�i�.JCreo�icrt: DRAINAGE" ANC UTIL'TY EA5cMC1UT S 9° ¢' 03" g- 75. 75. o0 LOT /o , BLOCK 4, LEXlAi 7DAI SQOA.2E 677-; ADD/7 DL)KO T A, COUAJTY, M IlIIIVE TA Ui N 75-.00 S 89° 4.3' 03" E i 77C0AJER06A TRAIL x 900._! (2E6:9-5) SC4L�= /" - 30' C915 -On DE!.IOTE S E X I ELE'/, 7-; 003,5) CENJCTES PR.R.OF2 E �VA`tC' INDICATES DARE: -',Olt; OF SURFACE DRAT N.2-1- 903.53 = ... 903.83= RA�= EL EVATiOAI moo' FROAJT BUILDING SEETLv4CK LAVE I herby certify that this is a true and correct repr'eentatian of a tract of land as 'howl' and described hereon.. As prepared by me on this 97' day of /%7Av , 19 637 %/%t. /�k-e--W Hinn. Rag. No. .2/17/13 04:39PM CST DDR Mechanical –> Permits 6516755694 Pg 2/2 Use BLUE or BLACK Ink City of Eaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 875.5675 Fax: (651) 675-5694 For Office Use Permit s: Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Dab: 12' 1-7 /L3 Sib Address: 58'i Tics flf 01(1 :9 cA 'Trcu I Tenant: Sults*: Resident/Owner Name: Phone: Address / Zip: Contractor -1�City t � - Name: ` 50 ��f' CArvv 'i i Co. U . I License #: (.c: -1 Y 4 Address:4. L l (�.% '1'h } i l7'C . s City: $) OCPW1 i 1 .,�L�•1 _ Zip: 55I?) ( Phone: f) b 5-3 '7 (c4 ar q502-79) • 3 530 state: r'')� )) n s it� Contact: c�•i r•N Email:'- -('U 1 k R (J ( 4 v1'+e 010-4t CM ► COP'S_ Type of Work �..,_--� New Replacement Additional Alteration Demolition _IN Description of work: (kyr Lf-• ,•nrWie.Q �• Xv\ .0 h(1 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for Information on permitted screening methods. Permit Type RESIDENTIAL urnsoe COMMERCIAL New Construction Interior Improvement Air Conditioner -�„ Install Piping Processed Alr Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/Above ground Tank (— Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration $100.00 Residential New to an existing unit (Includes $5.00 State Surcharge) (Includes $8.00 State Surcharge) =s / TOTAL FEE COMMERCIAL FEES $68.00 Psrml as Minimum Contract value $ x .01 ■ $ Permit Fee $70.00 Underground tank installation/removal "If contract value is LESS than $10.010. Surcharge . $6.00 "If contract value is GREATER than $10,010, Surcharge • Contract "11the project valuation Is over $1 million, please call for Surcharge = $ Surcharge" Value x 60.0005 a $ TOTAL FEE I hereby acknowledge that thin information Ie 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 nota permit, but only en application fore permit, end work Is not to start without a permit; that the work will be In accordance with the approved plan In the one of work whloh requires a review end approval of plena. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Deb: Underground Rough In Air Test Gas Service Test in -floor Heat Final HVAC Screening