The URL can be used to link to this page

990 Ticonderoga Tr . ~ N v . . . ~ . , . _ . rv ~ ~ ' CITY OF EAGAN ~9~~~ ~ 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 l Q~C~'' BUILDING PERMIT . Receipt # ~ v To be used for SF D~/GA[? Est. Value ~~F Date ~Y ~ , 19 Site Addres~ {'40 '~'It:n?~~~!'IK,P. T~ Lot Block ~ Sec/Sub_ ~ExIfiGTUti SQ 6'1'}i OFFICE USE ONLY PBrCeI N0. Occupancy R-3 kr"X FEES Zoning p~ F ~1 W Name ~A`'~'r;~`' `'`;~'''~~~TY~`' (Actual)Cons1 BIdg.Permit c:3~.:!~~ 3 Address ~ 1 D1 V I~~ I Uti S T ~nuowabie) v-~ 49. Ut7 ° Cit ~a~`T~~ZE~ Phone ~ ~07 ) u45-41 I ~ Surcharge ~ # oi Stones y Length ~ Plan Review i S•~ , o Name ~ Depth 4'~ ~ sac, c~ty 1~• 00 ~a Address S.F.Total - SAC,MCwcc 575.Op ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn SP'a• ~ ~ W W Name On Site well - Water Meter g~%~ ~ z MWCCS stem ~ 3~~~ Address Y ~ Acct. Deposit a W City Phone c~ry wa~er PRV Required _ S1W Permit • d~ I hereby acknowlege that I have read this application and state that the Booster Pump SNV Surcharge fnformation is correct and agree to comply with all applicable State of Min~esota 5tatutes and City of Eagan Ordinances. Treatmem PI ~ Ls. C70 Signature of Permitee APPROVALS Road Unit A BuildNg Permit is issued to: ~~'~5~l4C}•I (:(~1'j:iTft4;Cr7~.~ Planner Park Ded. dn ~e express,condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. g~, pff. _ Copies BuildingOfficial Variance - TOTAL ~~95~•~' • Permit No. Permit Holder Date TelephOne # WATER C'~~~/ G,',`> ' '"1 ' ~ , SEWER PLUMBING j ~ " ~ ~ ~ ~ ~ H.V.A.C. ~~"a C!' ' L.Lj~;,.~ ,~.Q f ~ ~'S ~ ELECTRIC - yC~ ~ ~ ~i~ ' ~7 D G ~{1~ r// Inspectlon Dete Insp. Comme~ts Footings 1 / ~S Foundation ~4/Eb ~j ~2 r~ ~ I., i- /~-~tGl/~i~ G l'~ y/ > Framing Ds ~-~Erf% ~ ~!a !s5 •lk:~ j~ /6 Roofing s!~~~= JT~ ~,.rit - ~ - 3.`~' :F7- Rough Plbg. C~r~ S~' 3 d~ b f ~ Rou9h Htg. ~ ~'iw ~sui. Q ~ T,~ J y~.i /1i~r T Freplace ~ - ? ~ o/f ~~/e f'q W!j 7 /y ~ Fnal Htg. ~~~j o ~ / - ' p ~ • Final Plbg. /-3 J 1Q ~ Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final aT ~/L~,~- ~ Q Deck Ftg. ' Deck Final Well Pr. Disp. . w . . ~ }..t"l,"..'sy.`,Sti..`.''k 'xa4-.. . ; _ . . • • PLUMBING PERMIT For Office Use Only ~ ~ CITY OF EAGAN PERMIT # ~ ~,'~~T- CONTRAGT 3830 PIL~T KNOB ROAD, EAGAN, MN 55122 RECEIPT# C r~~~ PRICE PIiONE 4548100 DATE: 5" 3// g`9 Site Address t'~ BLDG. TYPE WORK DESCRIPTION Lot ' ock Sec/Sub ~S~ ~ New ; . ~ Mult. Add-on Comm. Repair Mama ~ ~ther ~ Address ~ ` c City ~ . Phontl. - RES. PLBG. ONLY - COMPLE7E THE FOLLOWING: - NO. FIXTURES TOTAL , Water Closet - $3.00 $ ~ ~ Name _ . , Bath Tubs - $3.00 T ~ Address 'L - Lavatory - $3.00 y City , . ~ ~T . . . Phone Shower - $3.00 Kitchen Sink - $3.00 _ UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 G~MM./IND. FEE -1% OF CONTRACT FEE j__ Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 ~ _ TOWNHOUSE & CON00 - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.~0 Gas Piping ~utlets -$1.50 ~ MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Sohener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 ~ Private Disp. - $10.00 - , . Rough Openings - $1.50 ~c.l.,~~~ ' .L~, c.: t . ` SIGNOcfiURE OF PERMITTEE PERMIT FEE: c~?~~~~r ~ STATES S/C: r~ ~ FOR: CITY OF EAGAN GRAND TOTAL: , R:_ . PERMIT # ` • • MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAM - ~ `7' 383C PILOT KNOB ROAD, EAGAN, MN 55122 OATE: ~ CONTRACT PRICE: PHONE: 45a-81U0 For Office Use Only: Site Address ' ' ' ` BLD(i. TYPE WORK DESCRIPTION Lot • Block ~ Sec/Sub ' ~ E ~ ( ` Res• . Y New ~ N'ame . ~ ~ /1~ F f , ~ ~ Mult Add-on • Comm, Repair ~o Address r' , ' . r ~i % / c City ;"i n~• t h~ i J( 'r i• l~ S• G~~! Other Phone " FEES Name ~ ~ } r' ~ RES. HVAC 0-1a0 M BTU - $24.00 c Address ADDITIDNAI. 50 M BTU - 6.00 p City i'' r r k ~ Phone `a" (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK ' COMM/IND FEE - 1% OF CONTRACT FEE Forced Air `~~M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHGUSE & COND~S - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAI FEE - ALL ADD-ON 8~ Unit Heater M 8TU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent r CfM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ~ f FEE: ~I ~ r r~ z:/ ~ . SIGNATURE OF PERMITTEE S/C: TOTAI: FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 5 f f 1!".' 363U PIIOt Kf10b Rd. WATER PERMIT # ~ SEWER PERMIT # P, O. BOx 2 1 1 9 9 METER # B.P, RECEIPT # : 1 fs 5~~ Eagan, MN 55121 ~dG 7 f q 9'9o B.P. RECEIPT DATE /~w_~ METER SI2E ~ ~ R~`Tx ISSUE DATE ~ f' ~9 _ PRV - BOOSTER PUMP SITE ADDRESS ~ '~v l ' , _ r''~~- , ~ 1 ' k ~ PERMIT REGIUESTED LOT ~ StOCK SEClSUB~~~x i~~;:7v~~ . ~ , < APPLICANT: , 1 ' , ~ ' : , 1, _ - SEWER _ WATER _ TAPS ADDRESS: ° ~ ~ - ' ` _ COMM/IND _ RESIDENTIAL CITY, STATE ' f ' ~ ~ E-~--i-% , ZIP ' ' PHONE: ~ ~ ( G ~ ~ % ' - NEW _ EXISTING ~ / PLUMBER: ~ - F / ~V~v T4 ADDRESS: -U~~~~ L I AGREE TO COMPLY WITH CITY OF CITY, STATE r " ~ ~ ~ ~ ' L, Z~p ~ ;'_i EAGAN ORDINANCES: =-r PHONE , ~ OWNER: ';t.;i < <; `..~;r _ " , -i ; ; i r L~ l ADDRESS: SIGNATURE VVHEN METE ISSUED CITY, STATE. U ~''w ~ ~ ~ZIP ~ ' i'/~ PHONE: 7 ~ y~-`~ I ~ ~ , PLEASE AI.LOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE ''-1 • 3830 Pi~ot Knob Rd. WATER PERMIT # SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # ' Eagan, MN 55121 READER # B.P. RECEIPT DA7E METEfi SIZE ' ISSUE DATE - PRV - BOOSTER PUMP 51TE ADDRESS ' ' s PERMIT REQUESTED LOT BLOCK - SECISUB - SEWER - WATER _ TAPS APPLICANT: ADDRESS: _ COMMIIND ~ RESIDENTIAL CITY, STATE t ZIP ' PHONE: ` ` ~ ~ - NEW ~ EXISTING -s PLUMBER: ~ ' AODRESS~ ~ 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ~ ZIP ' EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: ~ ~ SIGNATURE WHEN METER ISSUED CITY, STATE ~ F ZIP PHONE: ' PLEASE AL~OW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: > /RQ RE: 49~i~tlURTT ~.IRy P~RK Rn~n_ L10, B2, LEx1NGTON SQ 6th 990 T1L'ONDER90A TRAlL, L23, B2 LEXINGTON 3Q 6TH ~L% Your Sewer & Water PermAfor the above property ~as been completeu. It will be held at the Pubiic Works Garage ( ~ Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKSj(~54-5220) FOR YOUR PERMANENT WATER TURN ON. a Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued ar occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk HouSe (Plµmbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DlGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REDUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Secretary, 8`u+ldir~g Inspections Dept. . . ~ ~ ~Y' ~~F ~ ~ • • ~ (~~r#ifir~t~e ~af ~rru~~nr~ ~ • ~ ~itp ot ~agan ~p~~ ~ This Ce~tificate issued pursuant to lhe nequi~menu ojSection 3f16 of the Uniform Building Code certifyrng that at the trme of issuance tlus structurie iwres !n compliance with the rnrious ordinances of the Ci1y regulating building construcuon or use. For the foUowing. ux ca~r~~ e~aa. 1643~ o~„~,~r Tra~ R3/M) z~ ~a;a PD/R1 ~ c~~,~ VN o.~. ~r s~~a;~ JA417~~ ~+1ST. ~aa~ 401 DIVL.fiT[N ST_ ~ r~3n a~m aaa~ 9_ L23. ffi. I~ILN 9fxJAItE 6Il~1 t" n.o~ I~(f1~ 23, 1490 - 9uJ ' B POST IN A CONSPICUOUS PLACE r h;= ~qw~= a;d ~/~9 e~~ ~f 18 nionth5:~ym E `40346,~a~ F;~ , f , ,q Raquest D te fire No. / ouph-in In clion ,~y' ~ R u ~eA? ~Aeatly Nuw~Will Noiify, Inspec- ~ ~a., _ , Yes ?NO ~or When ReaAy licensed Electrical ConVactor I hereby reQUest inspection ol ebove ? Owner elechicel wo~k instelled af: Street Atldress, Boa or Rouie No. CitY g ~cO..~~ER b cli.9 / R ~'r4~A~ ectmn o. 7ownshio Name or No. ange No. Counly l~ P~ ~ o f' A Occ$ Gan~ IPflINT) ~ Phone No. ~J PFSN O C~ c o N.r"~~ Lc ~ o~ ro G~S - vi~~' Power $upplier Addres~ a~A E"L c~ .~'s,v f a•H,,~.~ Elecerical ConVactor (Comuany Nemel Conlr:acto~'s License No. L~oG`s ~GEC~~~ T,uC_ ~~l-s Mailinq AdJress IComractor or Owner Makin0lretailationl ,t3ox 3srsNo2r~.Yi ~ Autho ize iBnatu ICOnvac ~Owner M In allation) Phone Number f r~ d.~df'• 7`/ 7:Z THIS INSPECTION pE~UEST WILL NOT MINNESO A STATE BOARD OF ELECTRICITY Griggs-Mi a~ Bldg. - Room N-191 BE ACCEPTED BY THE SiATE BOAXD UNLESS PROPEH INSPECTION FEE IS 1821 Univers~tv Ave.. St. Peul. MN 55104 o~.....e raw~ an~.nann ENCLOSED. ~~%o~ REQUEST fOR ELECTRICAL INSPECTION . een-ooo~a(~] Z~.~ofy ~O ~ See insGUC~ions Im comple~in0 ~his form on beck o1 veliow copy. ~ CO~~ E 4 Q 3 4 6 '"X" Below Work Covered b y This Request Ade fleo. Tvue of 9ulla~ng Appliance~ wlreC Epoiu~~em wired Home Range 7emporary Serv~ce Duplex Water Healer Liyhting Fixtures Apt. Building Dryer Electric He2tin Cortune~clal Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Buik Milk Tank Farm otner Soeci v .ine~ Isur:cilyl t er Vr.cify Other O~he~ ompute Inspection Fee Below ~ p Fee Service Entranee5ize k Fae Feade~s/Suhteede~s N Fe Circuits . 0 to 200 qm s 0 to 30 qm 5 0 to 30 Am s ' Above 200 qinps 31 [0 100 Amps "7, 31 to 100 Am s Swinuning Pool Above 100-Amps Above 100_Am~s Transiormers Irrigation Boorr~s artial.~Other Fee Signs Special Inspection S ~ TOTA Aemarks ~1~~ L Rough-in ~~~~e I, ehe Electrical r ~ Inspactoq hereby certi~y ~hBt tM1e nGOVe Final ' l~ t ` i~suection has been (''O meda. thbrepuesfvo1E18monllniram ~ • CITY OF EAGAN N~ 16430 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~i /Cl~rl BUILDING PERMIT Receipt # ' Tobeusedfor SF DWG/GAR Est.Value $98,000 Date ~Y 8 , 7g89 Site Address • 990 TICONDEROGA TR Lot Z3 Block 2 Sec/Sub. LEXINGTON SO 6TH OFFiCE USE ONLY Occupancy R-3 M-1 FEES ParcelYVo. Zoning PD R-1 ~ Name JASNOCH CONSTRUCTION (Adual) Const V-N Bldg. Permit 630.00 o Address 401 DIVISION ST (Allowable) V-N 49.00 Ci NORTHFIELD phonB ~ 507 ) 645-4118 # of Stories _ Surcharge ry . Lengih ~L (Z' Plan Review 31 5_ 00 , o Name SaMF Dep~h 46' sac, c~y 100.00 o~ Add~OSS S.F, iotai - u< SAC,MCWCC S7S.OO ¢ City Phone S.F. Footprints - On Site Sewage _ Water Conn 580. 00 ww Name ~n Site Well - Water Meter 90.00 w ~ix s~ AddfESS MWCC System aw City Phone arywa~er XX ~~~OepOSi~ 30.00 PRVRequired _ SIWPermit 2n-On 1 hereby acknowleg a I have rea ~ i application and slate ihat the Booster Pump - SiW Surcharge t_ nn information is corr t an agree t c qSpl with all applicabl tate ol Minnesota Stalute5 d t of Eag !di nces. Treatmenl PI 228 • 00 Slgnatufe Of Per i APPROVALS Road Uni~ 34n. nn ,ON$TRIICTION Planner - park Ded. A Building Permit is ~ sue to: on the express cond ion hat all work II be tlone in accordance with all Council _ applicable State of,/M~i sota Statutes fand City of Eagan Ordinances. Bldg. Ofl. _ Copies BuildingOfficial ~ i~lU; ~.G.((~~ I~~~ Variance _ TpTq~ 2,958.00 ' BLDG. PERMIT NO. ~ ~ (,,c-1- r.'~1 cc,~2 z L,- ~s Cc -I c~~ ~ 01-3210 Bldg. Permit t.~a ~ L 01-3422 Plan Check 5 00 I- 01-3445 Surch./Adm. ~ ~O ~ 01-3446 SAC/Adm. J ~ j ~01-2155 Surcharge ~ ~~U ~ y~ 75-3860 Road U~it 3~1 ~ C~= ~1 20-2275 SAC ~ ~ °I ~ J ~ 20-3865 Water Conn. ~ r_c _ 20-3868 Water Trmt. ~ 3 ~ I 20-3716 Water Meter ~ c cc J 20-2252 Acct. Dep. j~= c~c ~ 20-3713 Water Permit ~ ° °C' ~ 20-3743 Sewer Permit i ~ c c 79-3866 Sewer Conn. ~ 28-3855 Park Ded. TOTAL • 5'-~~ T ~ 1989 BDILDIGIG PEBMTT APPLICATION - CITY DF fiAGAN SINGLE F9MILY DWELLING3 f~~ 3~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCUL9TIONS NOTEs ADDRFSSFS FOR CORNER LOTS - COIQTRACTOR/HOMEOWNBR MOST DESIGNATE WHICB ADDRTsSS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE SOILDING PEAMIT IS ISSiJED. MQLTIPLE DWELLINGS RENTAL ONITS FOR SALS QNITS t OF IIDTIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3URVfiY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI+ASERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~Y 0 3 ~g89 To Be Used For: Valuation: ~~~~Vi Date: Site Address ~'f~b //Ca~}~~oF'7~ OFFICE OSE ONLY Lot 23 sio~k 2~~ Oecupancy R~3 M-I Fsss Zoning PD R_ 1 Parcel/SubLF~C~nl~TOa/ s~', ~„irL~Q. Actual Const ~/-~I Sldg. Permit 6~~~ ~r,,-/~ Allowable ?~J Surcharge ~ .~,.t?D Owner ~ytloG~ (~<./S~ ~/~(L, 11 of stories Plan Review 3/S,v..' Length ~ SAC~ City o0~ Address ybl ~vt5/aY S/~.~ Depth SAC, MWCC S~DO I ~7 S.F. Total Water Conn 5$D.aU I City/Zip Code rs6S" ! Footprint S.F. Water Meter 0,00 /~~c 4tii Aeet. Deposit 30,0o I Phone S~~ 6~ ~j -/S/a / yf y(~ On site sewage S/W Permit Za,oo On site well 5/W Sureharge I~~~ ~ Contractor ~.(aCrf ~.~~51~ MWCC System ? Treatment Pl. ~ City water ? Road Unit D~~ Address 5~/~ PRV required _ Park Ded. ' Booster Pump _ Copies City/Zip Code TOTAL ~ ,f, APPAOVALS Phone Planner couneil ~/4 Arch./Engr. Bldg. Off. 5 Varianee Address Couneil i City/Zip Code Phone l~ NOTE: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building permit fee. Processiag time for sexer and siater permits is tvo days onee a licenaed plumber has applied for a permit at City Fiall. ~ T VA~t,<A ~101.7 ` " _ GtAR~,G~~ ,~F ~ ~ ~ ~ ~ z 2 x 2 2=' ~fBN X I5 ='7'~ (o o'`± g~..- ~'?97' a'-1 X 3 ~r s 1 I S°6 u; ~~c x = C~ yl HouS~' IS 2~X 10 ~i 2. x i ~I ~ N ~ ~t ZN = 1ta~! 3y'~2. x lU~ y$3 I u 9= ~ ~ o x ~ _ . ! e'~Z ~ ~ ` ~ - ~ 50o x 5~=r ' : ~l-~~4~/ , ' ' 89-051 TRI-LAND C0. SURVEYING SITE PLAN FOR~ SERVICES JASNOCH CONST. INC. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 LEGAL DESCRIPTION~ LOT2~,BLOCK2, lEXINGTON SQUARE 6th ' ACCORDING TO THE RECORDED PLAT ~ THEREOF DAK~TA COUNTY,MINNESOTA - - - N TICONDEROGA TRAIL 6~p• Q~g\y g0~i~\,~, N I S~9°43'03" 75.00 . o -•rz.~ ----..o uv. ~ O R O ~ \ ~ Scale: I"=30' nj °o, °o (V M b~ i+l ~ ~ \ ~ GAR FLOOR lO ~ - O 22' - 9p~~ - 19' GAR FLOOR 901.91 ~ 903.41 GAR I N I o --J p {g IS' p a PROPOSED N I a ~ MOVSE ( n I 10.~ _ 34' ~ _ 19.~ . S9 09 N 5 ~,99~6` ~ +09pry\ 5 ~ LOT 24 ~ ~LOT 23 ~ LOT 22 z° ~ ~ ' ~ ~ ~ ~ ~ B ~ 09~' S89°43'03"E D~t . 0 ~ ~'~iGART E1VGI EERi1~TG ISEP'T LEGEND PROPOSED SPLIT LEVEL W/ WALKOUT INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ~LEVATION= ya2.a~ ~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 9oz.ei DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =~g~ei ELEVATION ELEVATION ~ENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITN FINAL HOUSE PLANS l heraby cenify that this swvey,plan or 9 roport wns preparod by me or undar my ~~8~- direct supervision and that I am u duly Bradley . Srenson, Mn. Req. No. 15235 g Reqistered Land Surv~yor und~ fh~ . ~//g~ : Laws of the State of Minnesota. Oate • ~ . RESI~ENTIAL BUILDING ENVELOPE~REQUIREMENT$ ~q_)~ q_p~ ^ 3/34 Component,Performance Approach BUILDING ADDRfSS G/ ~D T~~~U~~ . " DA o~ OWNER l,i"_~:~~,/,-?i':i ~ - TE ~ ~ r~~~ ? ~"I"~ ~ ' ` ~r!~~ CONTRqCTOR 1 ' {"J„i/~~'~~,1._~ ~(fy~.~r ~ MINIMUM BUD6ET 1• Total exposed waTl area <`~i:i ~ s ~ ~ q. f t. X--~__ ° 2' ~ 2- Total roof/ceiling/overhang area 1~~~ , __sq.ft. X ~ _ 3. Total unheated floor area ~ ~,sq.ft. .X A- PROPOSED WAyL SEGMENT a. Total wa11 window area /a~.~ sq.ft. X = 7 ~ b. Total door area ' - '~~_sq.ff. X '~U~~ - - ---~f.~_ c• Total sliding glass door area . `'d. Total fireplace wall area Tsq'ft. x~~U~~ C~/~. _ Z--r~ n~ ' -_~sq,ft. X _ e. Total wall framing area (a,yg.~5~) z~~ ~ s ft. X U 6 - ,,,;r.:, z~~= ~~i I u,5°%. ~ q, „ „ 8'~_ = Z~~C/~ f• Total net wall area abave floor ~~~sq.ft. X ,b yz = ~`c~ Z 9• Total.rim joist area i-~ - h• Tota1.~;-our,da~ion window area ~~-sq.ft. X"U". _ ~ -~_sq:ft. x 7ota1 net foundation area above grade /Z.. ~ ~ . , --F s.~.~ -~,sq.ft. X bgZ= dC~ ' ~ ~ ~ 1 ~ ~ ~ . ' . . . ' 1-~-~_ 1 ~ ~ (If Item A~is same as or less than Item ~1 TO7AL . . you have met the intent of Code 8- PROPOSED P,Opp CEILSNC OVERNANC SECMENT . ~ J. Total skyiight area . ~_sq.ft.. X, _ . k. Total roof/ceiling framing area (avg. lOX) -----_sq.ft. X~~~~~ G=___. ° 3--' CP 1• 7ota1 net insulated roof/ceiling area v~ sq.ft. X"U" . oZ5 G m• Total overhang area • ___sq.ft. X "U" _ t-~_ (If Itein B is same as or less than Item k'2, you have met the intent of Code • ~ C• PROPOSED UI~yEATED FLGi7R SECMENT n. 7ota1 unheated floor area ____.,_sq.ft. X ~ (If Item C is same as or less than Item ~3, you have met t(~e intent of~Code 1 ~ (continued on reverse side) ALTERNAT~ tiUtL'Ui;iG ENVELUPE DESIGN . To utitize the total enve]ope system method, the values established b Items A, 6, and C, shall not be greater than the sum of.,Items ;V1, 2, andh3_sum of Iter~ ~1 + Item' ~2 + Item N3 Item A + Item B ~ + I tem C . _ - • Based on Building Classification: 7ype A-1: detached one and two family dwellings T!'Pe A'2:. a11 other residential buildings three stories or less Degree Days - 8277 Latitude - 44° North . ~ > MODEL ENERGY CODE ~ Ta61e No. 5_~ Type A-l TYPe A-2 Element Buildinqs Buildinqs Mod'~ ~ R . Wa~ls R > Heating or cooling. 0.11 9.09 0.233 c x, 4. 2_ Roof/cei'~ing Heating or cooling O.D26 ~ 38 46 0.033 30.30 Floors over unheated spaces Heating or cooling 0.05 za.oo . 0.08 7z.5 Heated slab-on-grade Heatin ' • 9 R Value** 8.78 - R Value** 8.78 Unheated slab-on-grade Heatin g R Value** 6..48 ' R Value** 6.48 *502.2.7.6 Foundation Walls~ lf floors are not insulated as required in Section 502,. basement or c.rawl space walls must be insulated: Either the thermal resistance (R) of the entire wall must be~not less than R-5, or the thermal resistance (R) of the wall must be not less than R-10 down to the design frost line. **Values shal] be determined by using the graphs (Figures Nos..1, 2, 3, and 6) and contained in Chapter 7(based on Standard RS-9) using heating degree days as specified in Section 302. NOTE: Vapor barrier is a material to retard air and water va.por passage with a maximum perm rating of O.l grain per hour per ft2 per inch Hg pressure differential.. ~ ~ : RESIOENTIAL BUILDING ENVELOPE~REQUIREMENTS [A-1., A 2J y' ' n ~ 3/d4 Component Performance Approach B~ILDING DDRESS ~~C} ~ I - Gd~lO `L'~i eta?~ . t. ~ATE ownER ~b H. /,U~ CONTRACTOR. ,~/c~ ~an./5 7-" c , MINIMUM BUDGE7 1. Total exposed wall area ~ --~v ~ ,~s q : f t . X --~-k!_ ~ : 2. 7otal.roof/ceiling/overhang area J(~ _ ~_sq.ft.. x I.. . 3. Total.unheated floor area ~ ' -----sq . f t. X * - ~ 1~ - PRO~SED WALL SEGMENT . a. Total wall window area , . - ~/6 ~j sq.ft. X , y~_ . ~ Z b• Total door area ~ ' -i_sq.ff. X "U°.-=~~. ° - IO Total sliding glass door area ' `~'d. Total fireplace wall area . ~Sq,ft. X"U~~ y~ _ ~ ' -______-----sq.ft. X _ e. Tot~l wall framing area (axg,15%) r- ~_~,q~ 7:8~ z~3= 2~ ~t l u~5°%..~ sq.ft. x~~~„ 'l~` f: Total net wail area above floor : ~ Z~~sq.ft. x ~---~f Z-. ° -'~~3 g. Total~rim ~oist erea 2- ~j _sq.ft. ~X "U". = I~ h. Total'~>our,dation window area -~_sq:ft. X ~ _ i.~ Tota1 net foundation area above grade /Z. ~'f~~ -E ~_sq.ft. x ;*,~?$Z- l~?,fr, (If Item A ts same as or`iess than Item ~1, " TO7Al. ; you have met the intent of Code B. PROPpSED pApF CEILINC OVERHANC~SEGMENT . . ~ . . . ~ . J. Total skylight area , ~_sq.ft.. X..~~~„ . . , k. Total roof/ceiling framing area ; f';~,.(/ (avg. 10%) ' /:..---=7 '_sq.ft. X _~:.G-_ - 3i ~P 1. Total net insulated roof/ceil`ing area-/G ~sq.ft. X"U" . oZS _ m• Total overhang area ~ ~ !_sq.ft. x "U" _ {If Item B is same as or less than Item #'2, you have met the intent ofOCode C. PROPOSED p1dNEATED FLOOR SE~MENT . ~ " . - n. Total unheated floor area , ~,sq.ft. x _ {lf Item C is same as or less than Item ~3 TOTAL ~a > you have met the intent of Code (continued on reverse side) AL7ERNA7E ~UILu1~,u cNVtLOPE DESIGN To utiljze the total envelope system method, the values established by the sum of Items A, B, and C, sha)1 not be greater than the sum of:I~ems N1, 2, and.3: Item N1 + Iten N2 + I tem k3 _ Item A + Item B ~ + I tem C --__r°.; Based on Building Classification: ~7ype A-1: detached one and two family dwellings TYPe A-2: all other residential buiidings three stor4es or less , . Degree ~aYs - 8277 Latitude : ~ - 44° North , . ' MODEI ENERGY CODE Tab1e No. 5-1 _ TYPe A-1 TyPe A-2 Element Mad~~ B~ildinqs Buildinqs U A. R Wa'ls Heating or cooling. 0.11 ~ ` ' 9.09 : 0.233 4.2, Roof/ceiT`ing Heating or cooling 0.026 " 38.46 . 0.033 30.3( Floors over unheated spaces Heating or cooling 0.05 Heated slab-on-grade , zo.0o p,pg ~Z 5 Heating R Value** 8.78 R Value** 8.7F Unheated slab-on-grade Heatin 9 R Value** 6:48.; .R Yalue** 6.4E *502.2.1.6 Foundation Walls. If floors are not insulated as requ~red-in Section 502, basement or crawl space,walls must be-insulated: Either the thermal resistance (R) of the~entire wall.must`be•not less than R-5, or the.thermal resistance (R}~of the wall musb be not less than.R-10 down to the design frost line. **Va]ues shall be determined by using the'graphs (Figures Nos..l contained in Chapter J(based on Standard RS-4 ~ Z~ 3• and 6) and specified in 5ection 302. . ) using heating degree days as' NOTE: 4apor barrier is a material to retard air and taater vapor passage with a maximum perm rat9ng of 0.1 grain per hour per ftZ per inch Hg pressure differential, ~ . s'~ , t , n'~2 RESIDENTIAL BUII,DING ~ ~S ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemodeVReoair Reauirements Office Use Onlv 3 registered siie suneys showing sq. ft. of bt sq. ft of house; and all roofed ar~s 2 copies of plan CeR of Survey Recd (20°~ maximum lotcoverage allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Recd 2 copies of plan stwwing beam & window sizes; poured (ound desqn, etc 7 site survey for additions & decks Tree Pres Not Reqd 1 set of Ene~gy CalculaEons ~ Add'rtion - i~icafe ilon-site sepfic system _ On-site Septlc Sysfem 3 copies of Tree Preservation Plan if lot pWtted after 7/1193 Rim Jaist ~ehail Options selecfion sheet (bldgs with 3 or less units Date ~ 1 Construction Co~~ 1~~~~ SiteAddress TCC~n(~~'('~\~ IY (1.~~ UniUSte # Description of Work ~p~CIC~ LO V~( I Yl~ ~~SVV S l2 )I IY~I P`~l~~l RCa C~£'~' Yl I YZc~~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Properly Owner 11 ~ ~Sr~P. Telephone # (~Q~ ) c~ ; RMA HOME SERVICES INC. Contractor _ Home Depot Installed Sales Address 3200'Cobb Galleria Pkwy., Ste.#200 City - Atlanta, GA 30339 State 763-542-8826 Telephone # ( ) BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) ~ Submitted Submitted _ • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ~ Sewer/WaterContractor Telephone'~k~l~ ' t''' ~ ~~~~I J r. f IUi~ . . 1t I hereby apply for a Residential Building Permit and acknowledge that the inforp ation is complete and~ accurate; that the work will be in conformance with the ordinances and codes of the City-of-Eagan~nd"the State of MN Statutes; I understand tkiis is not a permit, but only an application for a permit, and work is not to start without a ires a review and permit; that the work will be in accordance with the approved plan in the case of work wluch requ approval of plans. ~o..c a~r~~n Applicant's Printed Name A icant s Signature OFFICE USE OP~I.'Y Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search ~ Copies Other Total i ~ ~ Installed ~ ~ ~ Siding and Windows i ~ ~ . ' LIMIT~D ~QWER O~'ATTORNE~' ; ' I , , ~ , COUNTY OF COBB j STATE OF GEORGIA I, KNOW ALL PEOPLE BY THESE PRESENTS: I THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania l ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN , 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute E(der-Jones Building Permit Service, Inc. ("Agent") as my true and lawful i attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my ' name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and ~i repair of windows and siding (the "Work"). I i The powers conveyed to the Agent by this Limited Power of Attomey are I limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the , powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the PrincipaPs death, ~ disability, incapacity or incompetence. ; i IN WITNESS WHEREOF this Limited Po~s~er ef Aitorney i~ eaec~rtcd thi~ ~ 21 st day of May, 2003 ~ , I. ~ i David . Katz ~ ~ ,I SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 200~ ; i ' Notary P ic in for the State o eorgia 1~4y Commission Expires: January 21, 2006 ~ 3968f6.v3 ~ ~ Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 20D • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (8D0) 79-DEPO f I ~-5(9g~ ~IS. so 2oos RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 651-675-5675 Please complete for modifications to existing residential dwellings. Date~~l a~l~ SiteStreetAddress i e~G ~r Unit# Property Owner Telephone # (~i ~ ~ J~) ~ se I Contrac[or ~ • Telephone # (b5` ) ~~J'~3~k1~ Address City SWte Zip agan, , The Applicant is: _ Owner ~Contractor _Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee - 5 ~oo.ao Per asbuilt $ 10.00 I Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. li you are installinq onlv a water softener and/or water heater, do not complete this section; move to the next section and check the i appliance(s) you are Installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener / `Water Heater $ 15.00 _ new ?-replacement Lawn Irrigation _RPZ _PVB _new _repair _rebulld $ 30.00 State Surcharge $ 50 Total $ I~ -sd 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 wiil be in accordance with the approved plan in the event a plan is required 4 be ~reviewed and approved. U 1 Q r, f ~!1 ApplicanYs Pr~ed Name~ h Applicant's Signature I~~I U OCT 2 6 2006 T,Y ~1~~~ ~~~E~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City ~f Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeilReoair Reauirements Office Use OnN 3 registered site surveys showing sq. R of lot, sq. fl. of house; and all mofed araas ~ 2 copies of plan showing footings, beams, joisLS ~ Ced of Survey Recd _Y _ N (20%maximum lot coverage aliowed) 1 sel of Energy Calculafions for heated additlons Sols RepoR _Y _ N 1 Soils Repod if pmposed 6uilAing is to be placed on disWMed soil 1 site survey for additlons & tlecks Tree Pres PWn, Recd _ Y_ N 2 copies of plan shovnng beam 8 wintlow sizes; poured found desiqn, etc. Adddion - ind'rcate i(on-sde septic syslem iree Res Required - Y N 1 sel of Energy Calculations On-site Sepfic System _Y _ N ~ 3 copies o( Tree Preservation Plan if lot platted afler 7/if93 ~ - ~ Rim Joisl ~eWil Optlons selecti~on sheet (buddings with 3 or less unBS) ~ Minnegasco mechanical venfila6on form Plans are considered puqiic information unless you state they are trade secret and fhe reason. v Date I~j / 07 q Construction Cos~~~ U~- Site Address ~'7 C,O o~N PtQ V R C~ ( Y.C~.~ ( UniUSte ~ ~ \ Description of Work ~ ~ ~ ~-"r'~~ ~ Multi-Family Bldg _ Y_~ ~ Fireplace(s) _ 0 _ 1 _ 2 Property Owner C_ J~~ S I`-' ~`~Q~I ~ Telephone # ( {o~~ ) ~ ~o S~3 Contractor V~' ~=V~ +Z`e'`'+'~la'~C~ Address ) S 7 p 3 -~3 ~~YL~ City d~SL' Ci-c~ State ~{"I Zip ~S3 Zip Telephone # (7p~ ~ ~ I - "rJ S 9 (2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category Residential Ventila6on Category i Worksheet . • New Energy Code Warksheet (Jsubmissionrype) - Su6mittetl Submitled ~ . Energy Envelope Calculations Submiqed In the last 12 monihs, has the City of Eogan issued a permit for a similar plan based on a master plan? _ Y. _ N If yes, date and address of maste~ plon: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( J Sewer/Water Contractor Telephone ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will ba in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. C9 aQe~ ~--~~~a-k~~ , N-~.G~~J~v Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 EM.AIt-S~ ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 MuIN Misc. ? OS 03-plex Cl 11 10-plex ? 19 Lower Level ? 24 Storm Damage ~ ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ~ ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 _ Windows/Doors ? 34 Replacement `Demoiltion (EnSre Bidg) • Give PCA handout to applicant DfSCI'IDtiOh: Water Damage _ Yes ~ Valuafion Occupancy MCES System PlanReview 1D0%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIl2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ ~ . _ Footings (addition) _ Final/No C.O. Fou~dation HVAC Drain Tile . ~ Other ~ . . . Roof _ Ice & Water _ Fi~al _ Pooi Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows . _ Insulation _ Retaining Wall ~ ~ Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utiliry Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI ~ CASH RECEIPT d~ w ~ ~ CITY nF` ~AGAN f ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE ' 19 i ~o ~ i AMOUNT $ & ' DOLLARS ,m p CASH G1 CHECK . ~ ~ ~ . - i ~ - - - ~1 i ~ ~ . ~ ~ FUND OBJECT AMOUNT Thank You BY ~ C ~ ~ r' wnne-Pare.s ~r C' es , verow-~osU~o ~vr PiNc--File Copy PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160029 Date Issued:02/07/2020 Permit Category:ePermit Site Address: 990 Ticonderoga Tr Lot:23 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chris. J Dallager 990 Ticonderoga Tr Eagan MN 55123 (612) 913-8299 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165077 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 990 Ticonderoga Tr Lot:23 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-230 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Christopher J Dallager 990 Ticonderoga Trl Saint Paul MN 55123--254 (651) 341-6554 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature