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993 Ticonderoga Tr DATE: Z116/89 RE~ 993 'IICOND6ROGA TR. , L4, Eb, 1,$7f1NGTON 3QUASS 6TH r:. ~,~Your Sewer & Water Permit for the above property has been completed. It wiil be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~ CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: . - Your Sev3er & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE OIGGING, CALL LOCAL UTILITIES - TELEPHOME, ELECTRIC, GAS, ETC. ~ - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Secretary, Building Inspections Dept. . ....~,t • c r.:;'•7[:'11r "T~ 1~1~'1.'IVA~ FCIt IffiC 10/4/89 ffi~ t~1~G 221-20~5 CITY OF EAGAN . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for "-;/~i4fi . Est. Value 1 1 Date , 19~.~ Site Address ' ~ ~~~~n~'~~`~~ T}.: Lot ~ Blocl~ 4 SeclSub. ~XIh~TQ~` OFFICE USE ONLY Y Occupancy ~ ; !`{-1 FEES Parcel No_ - ~ ~ Zonmg W Name` ~~~'`3 Cu.S:i?S`f ?i4~lES, Ii~C (ActuaqConst BIdg.Permit 7C%}•:-%~ (Allowable~ ~ Address ~ ~ ~ 1 ' ~ ~ ~ Surcharge ~ ~ • City T' Phone SL-`~ 3 S3 s ot stories Lenglh ~ ~ Plan Review ~ • ~ ~ , o Name ~ oePCn ~G SAC, City 1~•~ Address S.F. Total ua - SAC, MCWCC 57 S. ~K' ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn SuO. 00 W w Name On Site wei~ Water Meter Address Mwcc system ~ A~t ~~5~ 30.00 a W City Phone C~y water • PRV Required _ S~'W Permil 24 I hereby acknowlege that I have read this application and state that the Booster Pump - SM! Surcharge information is correct and agree to comply ~roith all applicable State of Minnesota Statutes and Cityo4 €~jan Ordir~Rees.~" Treatment PI 2~~ 3•~ ~ r SignaWre of Permitee_ - APPROVALS Road Unit ~4t~ •~r A Building Permit is issued t0: r~ ~'~~SIY~": °'`J' T''1C Planner - park Ded. on the express condition that ail work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - ~0p~~ Building Official Variance - TOTAL 1• Permit No. Permk Holder Date Telephone # ~ ~ WATER ~~'1'7 ~t ~ u ~ ~ ~ i ; • SEWER ~ PLUMBING _.j r~ C~ - 7. ~'(C" L~2 tt~F ~ 3 l`S / ~;~L.• P . ~ 1~~~7 ~i ~ ~t .t..~ • ~ o?/~j''`j ~ c•-c H.V.A.C. ~G c~J tL.!~~1~~'~~r:.~ - ~/0 0 y : / r ~.L r ~ ~~7, ELECTRIC - [~v'~'~/~J •c._~ ! I~spectfon Date i p. Comments Footings I l,1~ Foundation Framing 3-/~0'~ f S Roofing Rough PIb9 ' d ~ ^ / ~ .~f - - Rough Htg. ~ ~ 3-~ ~ Firaplace 7 .y s' - y- c~ ~ Fnal Ht9. ` 6 - % ~/_~!i ~'S ~ c9 ? o"/I~~ ~ z• _ ~ Fnal Plbg. b?d•. j~ Const. Meler Plbg. Inspector- Notily Plum6er Engr./Plan Bldg. Fnal ~ G ~ Deck Ftg. i 3~d'i ~Q- Q. Deck Fnal Well Pr. Disp. , _ _ , _ ~ ~ PERMIT # "r " ~ ~ 'r ' , MECHANICAL PERMIT RECEIPT # 4~ ~ ~ J ~ ~r CITY OF EAGAN ~ ~ i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~i r CONTRACT PRICE: PHONE: 454-810~ ~ite Address ` ` ~ " BLDG. T1(~~~ WORK ES IPTION Lot ~ , Block ~r T- Sec/S b Res. New ` - . ; ~I ` ~ ~ F ~r~ IJ Mult Add-o~ ~ Name • ; Comm. Repair ~o Address } - ~ r - ~ - Other c City n Y1 f!~ Phone - c' FEES Name k"~ r r. :r RES. HVAC 0-100 M BTU -$24.00 c Address ~ ~ ADDITI~NAL 50 M BTU - fi,00 ~ j~ _ (RES. HVAC INCLUDES A/C ON MEW p ei~y,; ? 1 ^ i. ( Phone ~ ` ~ CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WOF~K CQMM/IIVD FEE - i°h OF CONTRACT FEE Forced Air M BTU U~ APT. BLDGS. - COMM. RATE APPLIE5 TOWNHOUSE & CONDOS - RES. RATE APPUES 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 STA7E SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuHets # _ , ` ~ BEY~ND $1,004) Other ~ FEE: - ' , ~ ~ ~ ; ~ r_•7•%~.~~~ ~ S/C: s SIGNATURE OF PERMIT'I'EE TOTAL: ~ FOR: CITY OF EAGAN PERMIT # ~ • - PLUMBINC PERMIT RECEIPT # ~ ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 551~2 DATE: !~'~I~~~ CONTRACT PRICE PHONE: 454-8/00 Site Address l BLDG. TY~ WORK DESCRIPTI~N Lot ~ Block S~c/Sub Res. New ~ . f- ; Mult. Add-on ~ Name ~ Comm. Repair ~ Address r Other « c Ciry ~;r Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTA~. Name ~ ~ f -~Water Closet - $3.00 ~~~,T_ ` ~_Bath Tubs - $3.00 3 Address l~ ' _~Lavatory - $3.00 °7 O Cicy .~l,~~j Phone ~~`~-y~~ ~ _LShower - $3.0~ ~ ' __~Ki?chen Sink - $3.00 ~ " FEES Urinal/Bidet - ~3.00 COMMIINO FEE - 196 OF CONTRACT FEE ~Laundry Tray - 53.00 J APT. BLDGS - COMM RATE APPLIES _~Floor Drains -$1.50 ~-_~0 TOWNHOUSE 8 CONDO - RES. RATE APPUES ~_Water Heater - St 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 -~Gas Piping Outlets - $1.50 / ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S!C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 ~ ` 1 Rough Openings - $1.50 ` ~ , ~ SIGNAT E OF~PERMITTEE ~ FEE 1. ri;; - STATE S/C: FOR: CITY OF EAGAN ~ GRAND TOTAL: • SEWER & WATER PERMIT OFFlCE USE ONLY CITY OF EAGAN 2; 1 I"'-~ 3830 PIIOt KflOb Rd. i PERMIT DATE P.O. BOX 21199 INATER PERMIT % i~~ SEWEFi PERMIT ~ - ~ , , Eagan, MN 55121 METER O ~ B.P. RECEIPT ~~.-,~~U ER ~ B.P. RECEIPT DATE METER SIZE a ISSUE DATE ~T~ 9- PRV _ BOOSTER PUMP SITE A~RESS ' ~ r ~D t G r~ ~ YQ PERMIT REQUESTED LOT ~BLOCK ~ ~SEC/SUB ~ r~ ~ , ~ SEWER _..yd, WATER _ TAPS APPLICANT: ~ i' r _ c~ . ADDRESS: ~ ` ~ ~ CITY, STATE n~ Z~P s~3,i' -~MhA/IND ~ RESIDENTIAL PHONE: ~S ~ NEW - EXISTING A ~ PLUMBER: ADDRESS: a ~ I AGREE TO COMPLY WITH CITY OF CITY, STATE Z~p EAGAI!l8f~WliiANC~FSf PHONE: y ~ ~ ~ ? ~ D _ • ~ ~ Y~PfrO ~ dy~ ~ ,f~'- ,T, G~ OWNER: " ADDRESS: ~ . SIG A RE N ER ISSUED CITY, STATE ` ~ -e ZIP ~5~~~ PHONE: ~UT~~--~? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSINCi. FOR S RIA SEWER PERMITS, CONTACT EMGINEERING DEPT. , SEWER & WATER PERMIT ~ OFFICE USE ONLY CITY OF EAGAN 3830 PilOt KnOb Rd. PERMIT DATE P.O. BQX 21199 WATER PERMIT # r' SEWER PERMiT # ~ Ea an, MN 55121 METER ~ B.P. RECEIPT g READER # B.P. RECEIPT DATE METER SIZE ' ISSUE DATE - PRV - BOOSTER PUMP SITE A DRESS .^~~~.Cd r U P~d r I~~ PERMIT REQUESTED ~ , LOT BLOCi(?.~_SEC/SUB < • r'r APPLICANT: } r , , , ~O y~ ' ' 7- ~ ~ ~ SEWEFi WATER - TAPS p ~ a p ~ ADDRESS: _ COMM/IND ~ RESIDENTIAL CITY, STATE r ~ S N ~II-C /5~~/~ Z~p ~ ~ - ~ ~ PHONE: , S~'y" ~ 3~~ ~ NEW - EXISTIMG PLUMBER: ~ P ~ ADDRESS: S A' . I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP ~ EAGAN ORDMIANCES: ~ _n - PHONE: rI ~ / G ' , Ln-. . T OWNER: ~ P ~i^0 dyy^ ~1r ~ r~~ ^r''r . C ~ ~ ~ ADDRESS: • U~ SIGNATURE WHEN METER ISSUED CITY, STATE + P ZIP - ~ - ' PHONE: ~ 7 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ..-r . . . . . . . . , . r~ ~.-~--v~-• . . . ~ ' BLDG. PERMIT NO. ~ ~ ~ ~ ~ r ~ - - ; I~~-~ ~ 1_~ x ~ ; 01-3210 Bldg. Permit ~ L' U , ' ` \ 01-3422 Plan Check ~ ' U v ~ 01-3445 Surch./Adm. ~ t F 01-3446 SAC/Adm. J ~ " f ~ ~ U ~~155 Surcharge - ~ ~ 75-3,~60 Road Unit ' 20-2275 SAC ~`'-J ~ C ° 20-3865 Water Conn. ~ ~ ~ U~ w~ 20-3868 Water Trmt. ~ G~ v e, ~ r 20-3716 Water Meter ' < < ' ' 20-2252 Acct. Dep. ~ ~v L 20-3713 Water Permit ~ 20-3743 Sewer Permit L G U 79-3866 Sewer Conn. ~ ~ ~ „r 28-3855 Park Ded. TOTAL - ~ ~ ' CITY OF EAGAN s~ : ~.G~.~Z~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . BUILDING PERMIT Receipt # / ~ ~ To be used for SF UWG/GAR Est. Value 1 1 7,?~~ Date , 19s.~ Site Address 493 TIC~ND~BOGA ?R Lot 4 Block ~ Sec~Sub. ~I~~~' ~Q 5~~~ OFFICE USE ONLY Occupancy ~t--3 tt_Z FEES Parcel No. p~ zonirg W Name MBTFA CUST~D"3 il~)?!8S, INC (Actual)Const V-A~ BIdg.Permil 700,~C ~ Address BOX 1049 IAibwabie) y-=" Surcharge 58. SC City $uRH$vI Ll~ Phone 451+-4383 ~ ot sto~es Length 5i# ~ Plan Review 3sa. ~ , o N8f112 '~r'~ DeP?h ~ SAC, City Address S.F. Total - SAC, MCWCC 575. ~ ~ Clty PhOne S.F. FootpriMS - On Site 5ewage _ Walar Conn SSO. Q4 W W Name On Site Well - Water Meter 94 • fl~ Qddress Mwcc syst~, X1L 30 UO ~ ° ci water ~pC acct. °eEws'~ • `W City Phone ry 20~~ f PRV Required - ~ Pe~h I hereby acknowlege that I have read this appli~ati0n and state that the Booster Pump - SIW Surcharge 1. OQ intormation is correct and agr to comply h all applicable State of Minnesota Statules and Ci Treatment PI Z a~ ~ Signature of Permitee , APPROVALS Road Unit ~s~ i`~iRU Cc1;.•~Tt)I'i ~U~IES, j~FC Planner - ParkDed. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all ~u~~~ - applicable State of Minnesota Statutes and City of Eagan Ordinances. g~dy_ pff. _ ~P~ Building Official Variance - TOTAL 3?~ ~ z•~~' INSPECTION RECORD ~ CI~Y EAGAN PERMIT TYPE: ~ ~ ~ ~ ' ~ ~ • 3830 Pilot Knob Road Permit Number. ~ ~ ' ' . ~ Eagan, Minnesota 55122-1897 Date Issued: +t~~'~ (612) 681-4675 SITE ADDRESS: ~ ' ~ ~ ~ ~ ~ ~ ~ ~ ' ~ ~ ' APPLICANT: ~ ~ r,i t ~ ~,Nl;l t;~ri;rti T1: , I f, i, , ~ 'i, ~Y ,ii; ' . ~ I i , PERMIT SUBTYPE: TYPE OF WORK; : i , , i . ~ r, ~~~i . r~ . ~ , , i t i ~.;ii: i r~ ~ ~ :~Ir,~ i~t;~; i', p~ '.I~r'~11il~ 1 I ~ e t t'f t i 1 t ~~II I I ; I~ ,~~i +,f! ~ ~~14i~ 1 P'I~t ~~I i l{ ~ 1 i~ I ~ ~l~ tl~1~r1 ~ ~ ~ , ~ „ 7 ~ . ~ ~ay~t-~. ~.~y.. f . ' " , u ~ ~ ~ _ ~~s , r ~ ~a=.t . , , . - ~ . - . _ e__ -F ~ ~ i `~~,'6s~~'~ ~ ' . r ~ a : ~ ' , ~ . . • x ,€i .a-.~,a - . . y,'„t - . , ~ - Permit No. Permit Flolder Uate Telsphat~e M ELECTRIC pr ~/D 95 ~ PLUMBING /D 9,~' ' HVAC InepecUon Dete In~p. Commanta FOOTINGS FOUND FRAMING ROOFING ROUGN PLUMBING ~I/ • j PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPIACE AIR TEST FiNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 7 BSMT R.L l~Z/• ~j~ ~f BSMT FINAL ~ ~ DECK FTG DECK FINAL ~'/wi~ / No . ' ' ' -y~.";.^y~_~ ~ r ~ . . + CITY OF EAGAN 681-4675 DEPT. OF BUILDING INSPECTIONS : ~ ~ ; Correction Notice I have inspected this structure and these premises and have found the following violations of city codes: ~ ` 1 i ~C~~~ v,° ~fs r.W ~Si°~ra~, : ~ ~ ~ f~jc/DIe~1L .Sr~ Tl`f'/~' _/4 'S~N C~~9-,t/.vtl'I"~/4~S ~cE'~~_ ~ ~ Z . 5,1~. d~t/~s,___~n~c~~~~ c.~1/~ ~u ~ t~v s~ ~~E Ell~'~7' ~_~ra?s~ A~v~ ~ ~F' //J T]-~~S S~iv1Nllr 7't~E . ~ ~ ~f When corrections have been made, please ~ call 681-4675 for inspection. Date ~~~vlG /~1'119~T1.~-~ ~ Inspector City of Eagan + fi ~ ~ DO NOT REMOVE THIS TAG ~ . . , . . _r~ INSPECTIDN RECURD I Control No. 0 2~ 8 ~ CITI( OF EAGAN PERMIT TYPE: N~~ a~ ~ 3834 Pilot Knob Road Permit Number: o~~ ' Eagan, Minnesota 55123 Date Issued: g2 (612) 681-4675 SITEADDRESS: ~,p~~ ~ ~~n~~ f ~ APPLICANT: 993 7ICpNDEROAA TR ~CHUMACN~R Y'ERkY lEXI1i8Tdi~1 SqUARF ~.TH (Ei1.2) 683-iM66 PE~~VII~ SUBTYPE: TYPE OF W4RK: pEW . . F uu 1 I li~i xNAI _ _ _ . PermR No. PermK Holder Date TNeptwne • SJVN PLUMBING - HVAC ELECTFiIC ELECTRIC M~p~etion Drb Insp. Comments Footings I FountlaHOn Freming Roofing Rou~ PIDg. Rough Htg. 18W. Freplace Fnal Htg. Orsat Test Final Plbg, Plbg. Inspector - Notlty Ptumber C~ar~st_ AAefer ErrgrJPlan Bidg. Final oea~ ~9. `~/~93 ~p~ ~~f 3 ~ w~i Pr. Dlsp. ' DATE: 2ll6/89 RE; 993 TI~ONDBROGA TR., L9, B4, LEXINGTON 3QUARB 6'[H ~~~bur Sewer 8~ Water Permit for the abo~e p~operty has been completed. It will be held at the CALL PUBLIC WO KS (454-5220) FOR YOUR PERMANENT W TER TUR ON. URE TO Your 5ewer & Water Permit for the above property cannot be completed for the follawing reasons: . ~ , ~ .f Your Sevu~r & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk Hause (Plumbing Inspectors - 454-8100} before issuance. WARNING: BEFORE DIGGING, CpLL LOCAL UTILITIES - TE~EPHONE, ELECTRIC, GAS, ETC. ~ - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ' ~ ' `""`-~F. ;^~4~~ . . ' - : ~°"'.'+~±rrr'~'~".M • ~ '1~ ~ - ~T,\~ ' r - j . ~r • ` p~ ~ ~ . ,.•s~~~r~w t~~er~tfxr~tP~ ~af (~rru~~nr~ r ~.itp of ~agan ~ _ ~~~rttttrtt~ uf ~Iding ,~n~rertimt This Certificate issued pursuant to the requireinents of Section 306 of the Uniform Building Code certifying tfrat at tJoe time ojissuance this slructure was in complia+rce with the various ordinances of the City regulating building constraction or use. For the following.• ~ r~r/c~t 16 i28 u~ a.~s~.~ • oo~„P,,,~y -rya R3/Ml ~,,;o~ n~a~s PD ~ ~ VN oW„~ ~r e~um~1~1RD QlS'IQi I~BrF.S IlJC. ~~(~C 1049, S1R~SVIIIE ei,;,~~,~ 993 II~i`~AO['~ TSAII~ i,~;~, I9, B~+, IEl~1CN 9QITA~ 6~I . t t~' . o.,~: APRTL 26, 1~9 ~ s~~ ~ o~a' ti POST IN A CONSPICUOUS PLAGE a ~ _ . : ~ i .......~r~ _ _ ' -~4_ _ . .......s....~_~-._. - - - - ~ y~~. 0- ~ ~031 0 ~ ~a~ y ° ~o Le - ~D Feque te Fire N. R gh-In Ins on equir InsOec~ion Other Than ough-In /O /~C (YOU s~ call inspec1or ~ reatly~ ~ Reatly Now ~,Will Notity Inspeqor j Yes No Da~a Reatl I? licensed contractor ~.owner hereby request inspection of above electrical work at: Job ~ATtlqdress ( eel. Box ar Route Na.) City_ I J c0 Rfd re , J-=r G Saction No. Townshlp Name or N Range No. County ~a a Occupant(PRINT) / Phona No. I~-~' ~uma~bi~~^ 6a3-ID b tt. 7 c-7at1 i?. Power Sup lier / ACtlress ~li ~ ~~2c I'ri` ElecMCal Conlractor (COmpany Name) Convacrors License No. M2-oWn Mailing dtl~ess (CoQVa[ror or Owner Making Installation) q ~l3 TI co~ ~ ~i`~ ~ ~ Aut~'pIri~ed SignaWre ~C t cto n Ma g Installa~ion) Phone Number 7~`~ µ V o~°~ 683-l056 H 736- MINNES TpTE BOAPU OF ELECTFICITY THIS INSPECTION REQUEST WILL NOT Grlggs- way BIEg. - poom 5428 I~ ~ II II I II I I II II I I II II BE ACCEPTE~ BY THE STATE BOARD 1BP1 U verelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 802~0800 . ENCLOSED. ~_~0 0 J?~ REQUEST FOR ELECTRICAL INSPECTION ~ Eg~/oq~o'.~-O~ ~ SBe ins~mc110ns lor cOmple~ing fhis fonn on back ol yellow copy. Y~ 7 yV~ ~~0 ~1r ~ "X"Selow Work Covered by This Request gy~ Ne Ad ~ ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speciy) Farm Air Conditioner Olher(specify) Contractors RemaAs: Compute Inspection Fee Belaw: # Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps Abova 100 -Am s Si n5 inspecmr's Use oniy: i ` / TOT L S~ Irrigation Booms ~4>rEn e1't t F~ ti~ Sh c.. f(, - 0- S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNEC7ED IF NOT ~ Other Fee . ' COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Aougb-in ` oe~e ~ certity that the ahove inspection has F~~ai r oa l M~ been made. , OFPICE USE ONLY This request voitl 18 mon~~s ~rom ' a ~d /8Y „ ju, ~ ~aU E ~5643~,g ~l , ' , ~ . Requesi Da~e ~ ~ Fire . ~-in Inspectb R uiretl? ~ Reatly Now ? Will No1Hy Inspeclrn ? Ves ? No When Reatly? I I icensed contractor ? owner hereby requast inspection of above electrical work at: ,bG~pdress (Street, Bor~a~'Ap~de No.) ~ ~ Cdy y 9 Seclbn To hip Nam r No. . No. ~ Couny ~ P~l (PRINT) Phon No. G~ ~r ~S ~ PowerSU Atldress Eleciricel Cp~tracto~ (Cqnpany Neme) Contmc~or§ LJCerse No. ~to ELECTR~IC Me lYJn4VrrL+o""'1~1~ 1 lWhori~A~Tir e iog a'on ' Phone Number r i~ MINNESOTA STATE BOANO OF ELECTHICfTY THIS INSPECfION REQUEST WILL NOT Grlgga-Midway Bitlg. -~NOOm 5-7TJ BE ACCEPIED BV THE STqTE e0AR0 i8S1 Univerelry Ave., SL Poul, MN 55100 UNLE55 PROPER INSPECTION FEE IS Phane~61R)fi420800 ENCIOSE~. I ~/~/~g' REQUEST FOR ELECTRICAL INSPECTION Eaooom-m % ~ See insbuclions for mmpleGnB U~s lorm on back oi yellow copy. ~'I G~ OC / ~ 8 5 6 4 3 "X" Below Work Covered by This Request ew Add ep. Typeoteuilding AppliancesWired EquipmeniWired Home Range mporary Service Duplex Water Heater Electric Heating ApL Building Dryer Other (Specify) CommJlndustrial Furnace Farm ' Air Conditioner Other (speciy) Contracbr9 flemarks: Compufe lnspection Fee Below: # Other Fee # rviceEnlrenceSize Fee # CircuitsiFeetlere Fee Swimming Pool 0 to 200 Amps 0 to i00 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs mspedor§ use Ony: ~ ~ Irrigation Booms 3 Special Inspection ~ Alertn/Communication Other Fee I, the Electrical Inspector, hereby R°~yn-~~ f oa~e certifythattheaboveinspedionhas Fi1ei ~e~i (1 been made. d '/,rS/ OFFICE VSE ONLY T~is mquest wid 18 monihs trom ~/ai/~ ~-s 9 ~ 0 4 7 T~ . Co ~G~,- Reque a~e Fire No. gh-in Inspection equi ? ? fleeay Now ' atiy Inspeda es ? No K'hen Ready? I 1Nncensed contractor ? owner hereby request inspection of above eleciriral work at: r e No.) Ciry ~ Sed• n Na. Townsh p Name ar No. Rpnge o. Coumy t(PFINT) Phon Na. owe s~vv~+ ~ naa E a'~LFGTFtI ^a"° Mai ( r r . ~PPLE VA~,LEY, MN 55124 ; fwthoHZ i9nelure (COr~trador/Owner Mlaking Inslallation) Phone Number ? "f . . . . MINNESOTA STATE B~11pD OF~ELECTf11CRY ~ ~ iH1S INSPECTION REQUEST WILL NOT Grigge-Mltlway Bltlg. - Raom S773 BE ACCEPTEO BYTHE STATE BOAflD 1821 Univeniry Ava., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS VMM (612) BOR-0800 ~ ENCLOSED. ~ 9 RE~UEST FOR ELECTRICAL INSPECTION EB-00001-W Swqnsvuctions (or compleiing Mis /orm on back ol yelbw mpy. G'~/. s~ / ~ ~ 4 7 2 7 `X" Below Work Covered by This Request e d ep. TypeotBUilding AppliancesWired EquipmeniWired Home Range Temporary Service • Duplex Water Heater Electric Heating Apt. Building Dryer Othe~ (Specify) Comm./Industrial Furnace Farm Air Conditioner O~het~specify) ConVactor5 Remarks: Gbmpute Inspection Fee Below: # Other Fee # ServiceEntranceSize e # Cimuil5/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps - _ Amps SignS Inspector5 Use Only: ~ TO L Irrigation Booms ~ ~ Special Inspection AlarmlCommunication Other Fee I, the Elecirical Inspector, hereby RougRin oa f-1+r r~ certify thal the above inspection has F;nai oe~~, been made. , OFFICE USE ONLY This reques[ witl 18 monihs hom CITY OF EAGAN NQ 1612 S 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 1~ BUILDING PERMIT Receipt # .J Tobeused(or SF DWG/GAR Est.Value $117,000 Date , 19~~ Site Address 993 TICONDEROGA TR 9 LEXINGTON SQ 6TH OFFiCe uSE ONIv Lot Block 4 Sec/Sub. Parcel No. ' oauPa~cy R-3 M=1 FEES Zoning P~ w Name • METRO CUSTOM HOMES INC (ACtual) Canst ~L-H Bldg. Permil 700.00 o Address ~OX 1049 (Ailowable) v=N Surcnarge 58.50 City BURNSVILLE phone 454-9383 xors+odes Lergth 54' PlanReviaw 350.00 iF Name SAME Depth 3~+~ SAqCiry lnn•On Address S.F.TOtal - SAC,MCWCC 575.00 ~ City Phone S.F. Footprints - On Site Sewage water Conn 5$0. 00 r - ww Name On Sire Well - Water Meter 90.00 z~ AddfeSS MWCCSyslem $7L Accl. De st 30. 00 a W City Phone c~ry wa~er X}L PO PRV liequired _ SiW Permit 20. 00 I hereby acknowlege that I have read this appli tipn and state that the Boas~er Pump - ~yy Surcharge 1.00 information is correct and a r to comply ith 11 applicable Slate of Minnesota StaWfes and G `~9f9i~, Treatment PI 228. 00 SignatureofPermitge ~ APPHOVALS RoadUnit 3~+n-nn A 8uilding Pertnit is issued to: METRO GUSTOM HOMES ~ TNC. Plenner - park Detl. on the express condiHOn that all work shall be done in accortlance with all Council applicable State ot M,/~innesota yS~tatutes and Ciry, /of Eagan Ortlinances. ~d9. pry, _ Copies Building Oflicial '-1~1.~~ I 1~~ tf~. 1 t Variance - TOTAL 3~ 072. 50 r • • , 1989 HIIILDING PSHlIIT AE~PLICATION - CTTY OF EAGAN 3INGLE FAMILY DWELLING3 I 4~~~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS AOTEt $DDRESSES FO@ CORNER LOTS - CO1PfRACTOR/HOMEOWNER MU3T DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE BLIII.DING PEAMIT IS ISSUED. MOLTIPLE DWELLINGS RENT9L ONITS FOR SALE IIHITS # OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHEC% WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONA7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS l / ~ O D O To Be Used For: S%h /~Crn, Valuation: ~ Date: `~C '~~l O/ ~ 'T' Site Address 9q3 /~coh ero94 /N. OFFICE [ISE ONLY Lot ~ Block ~ Oecupancy y2-3 /~l ~ FECs,4 Zoning ~ Parcel/Sub L i'H i> . Actual Const ~ Bldg. Permit '~Oo Allowable `/y Surcharge ~ Owner /~gfY~ ~US~rh-. ~d~~1 Hc ~ of stories Plan Review 3So q L Length 3"y SAC, City /DO Address ~Q.,~/f~ ~ Depth ~ SAC~ MWCC S~S ,Q S.F. Total Water Conn S Aa City/Zip Code 1vUrNSV, ~ .5.5 33~ Footprint S.F. Water Meter Acet. Deposit 3o I Phone ~S ~ 3 8 On site sewage_ S/W Permit z0 ,L~ On site well S/W Surcharge / Contraetor ~~l [~EC.d/~-h.. //~er MWCC System i/" Treatment Pl. zz City water r~ Road Unit 3 YO Address p/O'X /O~J~ PRV required _ Park Ded. Hooster Pump ` Copies City/Zip Code _ ~UYnSv,~ ~53~~ TOTAL ,~042_n0 APPROVALS Phone ~S ~ 5 ~ ~ ~ Planner _ ~s, r,_.-• Council Arch./Engr. ~ Lo~ /~-~~er~e I Bldg. Off. ~z~q Varianee Address Couneil City/Zip Code Phone 8 NOTfis Sewer & 4iater Permit fees and aceount deposit fees wi.ll be ineluded in the building permit fee. ProQessing time for sewer and water permits is two days onee a licenaed plumber has applied for a permit at Citq Hall. ~ . L ~S~ ~ z s~ ~ ~ ~ ~ ~ ' ~l~k ~ _ . 1 YX -z yya ~i . ^4 . ~o2y~,,y ~ ly~~3`, 1 s l loay~~ ~ ~/~zoo Z~9 33 ,Sk z ~ ~ ~ ~ /,f- ~-o ~ y ~ 537~ G9r. Z 7 Z G o _ /5 = ) //(J3y~ _ / t , ~ a irlEt~o GusToM i fi0 t3 E No~ES ~ ! ~NGi(VE6AING ~oi~sv~.TUiu Ertc~iriF4ns i: P1011t1E115 and l(It1U S~WIYEYOIIS ~~26,0/ , 3., 6oo.e / Z 3 ~ ~,OMPAN4'i INC• ~~96E 36 ~ ~ 1000 EAST IA61h STfiEET, 6UfiN5YILLE, MIflIIE50iA 56337 PII 4D2-9000 I ~ ii , , Certifiicate of Survey ~ Le~al Description ; ~OT 9, BLOCK 4, LEX/NGToN SQUARE 6Ty ADO/T/ON ~ DAKOTR COUNTY~ M/NNES07A (~oo. 8 ) DENOTES EXISTING ELEVATION ( 903• 5~ DENOTES PROPOSED ELEVATION ~ INDICATES DIRECTION OF SURFACE DRAINAGE ~ 903• B3 = FiNISi1ED GARAGE Fi.00R Ei.EVATION N 89 ° 43' ~3'• f~{/ ~ • 75. DO • ~ B96 _9 ~ H . " ~l . ' _ ` ~897_7~ (836.9~ T / ~ l~ A~ ~897,7~ . 5 !JC_..~...1 ~t- 5 1 p,~,N~~ .~NO ~ LoT 9 UT/L/TY ~ASEMENT I I ~ ~ I ~ ~ ~ I s~ ~ ~ ~ I ~ ~ . ~ Y ` O ~89B.S~ t~ C~ V7~ ~ O I~ ~ DAYUbif7 ~898.~ I p 4~ ~ ~ . ~ yoo_$. wrNA~wS ~y ~G~.~__.-..e~,a,.~.------'^_-' ~ \ \ O i.o'GtuT• ~pp,~.~ ~ ~D 2,~ " I ' \ I Di:te o , I ~ . E3o1GI"1tiTi..ERING DEPT_ J~\~o.~P N •~e.o~D~ 1 I p r. EAGP.IV r 6.~ F1ous6 Z~ti 30' FR~NT BU/GD/N6 0~~~ ~ ; i45o v .SETB4CK LI~I/E I N 81 /7,00 ~i i5 ~or0/.O~ 22. 00 en ~ ~L - ~ . ~ 7?0;6 (Jn3.83 ~an_s~ 9a3~5 ~~'~j o3. ao OoC9D3.5~ I5 (~~GAN ~ " ~ 1 ~_L~ _ (899,7) ~ ¢~EVIEWED ~y-9.~,. C9eo,b~ 0 0 `yoo_z . - SY l S 75. oo ~ a B9° ~3' 03 " t1/ o DATE ~ ;yo_o, i ~ 892_~, Tca.voE~eosR T,eyic ' Cav~_~,; 1 hsreby asrtlfy lhat ihis I~ a trus and oo~reet representntlo~ of a{ract of Innd ns shown ond dasalbed heraon, pa prapared by ma on this .ZTN ddy of ~BRv~?RY , ~9 89. / Mlnn. Rep.lla. . 85 v-- PERMIT Control No. Q 2 7 8 ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE:. BuI LOIroG Eagan, Minnesota 55123 Permit Number: 000317 (612) 681-4675 Date Issued: 0 4/ 2 3/ 9 2 SITE ADDRESS: 993 TICONDERO~A TR + LOT: 9 BLOCK: 4 LEXINOTON 3QUARE 6TH DESCRIPTION: Bui],din`g Permit Type DECK Building Work Type NEW ~ ~ , - ~`J ~ !I ~ ~ ~~_;~i ~1 ~ ~-~i r ~ , ' ti.`~~~, ~~.I/'ti~~. L.li~~ t/ ~'r ' ~ REMARKS: C g 1~ D FEE SUMMARY: Base Fee $25.00 Surcharge 5.50 Total Fee Ez5.50 CONTRACTOR: OWNER: - APPlicant - SCHUPIACHER TERRY 993 TICONDEROGA TR EAGAN MN (612)683-1056 T hereby acknowledge Chat I have read this application artd state that ehe information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ - ~'J'i I~c,~r,~,.«.lu/cu~ D , APPLIC T/PERMITEE SIGNATURE ISS D eV: SIGNATURE INSPECTION RECORD Control No. fJ 2"~ ~ CITY OF EAGAN PERMIT TYPE: aui~oiN~ 3830 Pilot Knob Road Permit Number: 000317 Eagan, Minnesota 55123 Date Issued: 04/23/92 (612) 681-4675 SITEADDRESS: ~oT: e BLOCK: q APPLICANT: 993 TICONDEROGA TR SCHUMACHER TERRY LEXINOTON SQUARE 6TH (612) 683-1056 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW . . FOOTZcNG:.~,c, w . . . . FINAL ~ ~ . . . . . ~~~5~ - - PERMIT # ` CITY OF EAGAN 3 I'~] 1892 BUILDING PERMIT APPLICATION ~j~pR ~~D 7`I~ J / 681-4675 1 5 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architecturai & structural ptans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lat chan e is re uested once ermit is issued. Date N / I 2 Valuation of work Site Location: 9R3 ~t,cohc~erpqq lrui f STREET STE $ Tenant Name: ~~rry Sc~Glh'lc~~er c- L0T ~ BLOCK ~ SUBD e . . ~ ~ P.1.0. # ~,'L Descri tion of work: ~ur~~ a c~ec~C c~ ~aSSi ~reene~l r~h or c~ afu The applicant is: ~ Owner ? Contractor ? Other (Describe) Name S~~Umac~~r- Tr~~i Phone ~g3`~~56 Property ~ASt FIRST ' Owner qddress 91~3 1 i~conc~c~"oq 4 r r'G~ ~ STREEi STE M City ~2Rn State ~N Zip SS/z3 Company h~~ • Phone Co ntractor Address License # Exp. City 5tate Zip Company h~~i • Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber n~c~ Processing time for sewer & water permits is two days once a ea 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. ~ Signature of Applicant: ~ ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? O1 Foundation ? 06 Garage/Accessory O 11 Res. Add./Porch ? 16,Agricultural ? 02 SF Dwg. ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move ? 03 Two family ~ 08 Deck O 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE 31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alteratlons ? 36 Tenant finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System 2oning lst F1. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth On-site sewage SAC Code APPROVALS Planning ~ Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site , ~ Footing ? Framing ? Insulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee Z~ vawae~o~: s Surcharge Plan Review - License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~ PERMIT r~eo~~~~~ ~ CITY OF EAGAN 383oPilof'KnobRoad PERMITTYPE: BuI~oIN~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 3 2 (612) 681-4675 Date Issued: 0 7/ 10 / 9 5 SITE ADDRESS: 993 TICONDEROGA TR LpT: 9 BLOCK: 4 IEXINGTON SQUARE 6TH P.I.N.: 10-45080-090-04 DESCRIPTION: Buildirrg-Permit 7ype BASEMENT FINISH B'u31d3ng Wor,k Type ALTERATTON ~ ~ ~ ,F ~ ~ . ~ ~,i, ~~ria _..n,,~,~. ~r _5~~~ „ `~I'C?'_ , , / -~~q t ~ ~,i / ~ I . . , . ~ REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBIN6 OR ELEC7RICflL WORK II FEE SUMMARY: Base Fee $35.00 Surcharge $.5~ Total Fee $35.50 CONTRACTOR: OWNER: - applicant - SCHUMACHER TERRY 993 TICDNDEROGA TR EA6AN MN 55123 (612)736-7@11 S hereby acknowledge that Z have read this application and state that the infiopmation is correct and agree to oomply with all applicable State o~ Mn. 5tatutes and City of Eagan Ordinances. ~ _ ~ ~tx,n DA.~~ IYh~ ~ APPLI ANT PE(iMITEE SIGNATURE ISS~ED 81~.~IG~TURE~~ re - - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: a u i ~ o i N s 3830 Pilot Knob Road Permit Number: 025932 Eagan, Minnesota 55122-1897 Date Issued: 07 /10 J95 (612)681-4675 SITEADDRESS:P'=•N.e 10-45080-090-0A APPLICANT: LOT: 9 BLOCK: 4 993 TTCONDEROGA TR SCHUMACHER TERRY LEXINGTON 3QUARE 6TH (612) 736-7011 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION . . FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: A 5EPARA7E PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRTCAL WORK ~ ~ ~ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~p ~O ~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r 681 ~675 (;Q= ~ b ~ 1 ~ RemodaVReoair ReaufremaMs ? 3 registerod site awrvaya ? 2 cwpies of Plan ? 2 cepiea ot plet~s (inNuda beam 8 window s¢ea: pou~ed fid. design; etc.) ? 2 eite surveys iexterlor additions 6 dedcs) ? 1 energy Calalatiom ? 1 energy cakulations for heated addltions ? 3 Wpies of tree D~servation plan i! bf plet[ed aRer 7!1/93 requfred: _ Yes _ No ~ATE: 6~L ~~95 CONSTRUCTION COST: DESCRIPTIONOFWORK: ~~"~r~"~ `~bec~roori, ~n uh~'~K~s~e~ /~ase~erif STREET ADDRESS: q g 3 ~co., oleroS~TT a~~ ~ LOT ~ BLOCK ~ SUBD./P.I.D. ~a~'n~~~ ~I~~~;p, PROPERTY Name: s~~ ur~a a c~ er Te r''y Phone 6$3 -~o.S6 OWNER ''`m r'"e' . 736 -7 D!J StreetAddress~ 993 TCOµc~°+~as~ Ta~l City: ~u a h State: MN Zip:~S/2 3 CONTRACTOR Company: ~'t/~ Phone Street Address: License City: State: Zip~ ARCHITECTf Company: LI Phone ENGINEER ' ~ Name: Registration Street Address~ City: State: Zip: Sewer E~ water licensed piumber. . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with ail applicable State M Minnesota Statutes and Ciry of Eagan Ordinances. G- Signature of Applicant: ~ OFFICE USE ONLY ~~~~0~~~ Certificates of Survey Received _ Yes _ No ~ ~ N 2 2 1995 Tree Preservation Pian Received _ Yes _ No OFFICE USE ONLY a 4. ' ffi ~ . ~ 1 ..wp . BUILDING PERMIT TYPE ~ ' 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging s=16 Basement Finish n 02 SF Dweliing o 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool 0 03 SF Addition D 08 8-plex o 13 Garage/Acxessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscglianeous n 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ? 31 New ~ Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL lNFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowabte) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ~L Census Bldg Census Unit d APPROVALS Planning Buifding Engineering Variance Pertnft Fee Valuation: $ ~r~ ~ Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~J / O p, ~ 3830 P 651-68/4675 55122 i.~-~~} lo l la ~ New ConslrucMOn ReaulremeMs Remodel/Reoalr Reaulremenh ? 3 registered sHe surveya ~howing sq. M. ot lot, sq. lf. of house 2 copies ol pian and ~II rooted areaa f20% maximum bt coveraae allowed) 1 set of energy calculaNont for heafed addiNons ? 2 coples of plans (show beam 6 window ~izes; poured Ind. design; e1c.) 1 sBe survey for exterlor addlHons a deeks ? 1 set ol energy calculatbro ~ > 3 copies of hee preservatbn plan H lot plaMed alFer 7/1/93 DATE: 3/R~ n CONSTRUCTION COST: SF / ~U . Ov DESCRIPTION OF WORK: /fe-~OQ7' SiV ({~7 M a9~ STREET ADDRESS: ~ 13 C6t~dE! ~(Y~' LOT: ~ BLOCK: ~t SUBD./P.I.D. L`e~~'tie ~ ~ ~ ~^-`~A ' 10~~~ Name: 1 V~v.maUnRn ~2?ry 9~ ; oh ~t a.. Phone 1F: PROPERTY ~a~ Fast OWNER Street Address: I~ 3 V!~'a~UeJ~o~fi~, ' City ~G~~,tM~ State: Zip: ~S~(~~ Company: ~ ~ ~ ' , 'r E"'"' 1 Phone IF: ~ 1 ~ ? ' ~ ~ - (area code) CONTRACTOR )~Sf 1 r ~ ~ , p ~I7 ~3~ DO Street Address: ~ `7 1 ~/1 Ucense # 6 ~P• ~1~ val state: fy1,/~l Z~p: Ssla~l ARCHITECT/ ENGINEER Company: Name: Telephone M: area code ( ) Street Address: RegistraHon 1F: State: Zfp: Sewer 3 wafer Ilcensed piumber (reauired for new eonshuctlon onN1: penclty applies when address ehange and lof change is requested once permB Is Issued. I hereby acknowledge ihat I hwe read fhis appllcaNon, stafe that the tMormailon s ortec~, a gree to comply wRh all appUcabl Sfate of Minnesota Statutes and City of Eagan Ordinances. ~ ~ Iicant. Slgnature of App OFFICE USE ONLY Cert~cates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ; , - ~ . _ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ?.16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 1 S Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handout to applicant for demolition pertnit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ' ~ ~ ' ° 1969 BUILDIIiG PfiHMTT lPPLICAlIOH CITY OF EAGAN . ~ ; ~~-r~ ~ SIIiGLE FAMILY DWELt,IPG3 LTIPLE DNELLING3 COlP~ RCIIL 2 SSlS OF PL6N3 2 SET3 OF PLARS 2 3ET5 OF 1RCSTIECTURAL 3 BEGISTSRED 3ITE SORYEY3 AEGI3TfiAED 3ITE SORVElS - 8 3?80CTOAAL PLLN3 3ST OF EREAGY C?LCS. (CHECS WITH BLDG DIV.) 1 SST OF SPECIFICATIONS 1 SEf OF S9ERG2 CLLCS. 1 8ET OF EIiEBGT CALC3. 1lULTIPLE DIiELLING3 ~NT,L UNIT3 F~ S1Lfi ~ITS i OF UBITS aOTEs IDDRES3ES FOd CORIQSA L0~'IS - CG1PlR9CTOR/~iNER l~ST DE42GNATE 1iHICH iDDRFSS IS DFSIRED. BO CSAIiGE4 iiILL BS 11.L0iTED ~FC£ BDILDING PfiAMIT I3 I3SDED.~ 3L~'NER 8 WATER PERHIT P'EFS lAD ICCOQAT DEP03IT FSTsS iIII.L Bfi INCLODBD iTTTH T9E BDILDIN4 PEft?!IT FEE. PROCES3ING T~ FOR Sb'KER lAD iIATEA PE8MI23 73 TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED IPDICATIIiG A LICENSED PWMBfiA. PENALTY„ APPLIFS iiflENt PEAMIT IS NOT PAID FOR IN 59ME MONTH IT IS REQUESTED. LOT C9ANGE IS AEQUESTED ONCS PERMIT IS ISSIIED. $Ep Z S 1989 To Be Used Fors ~ Valuation: Date: q Z9/g~ sit.@ Address /iGOntl~2rolgoc lr'~~ ~CIC' ~'FI~' ~C' ~~.I - Lot C~ Block ~ Occupancy ~ / Zoning Parcel/Sub._.~±nt,mt~~~.!1 ^ i ~~r. Actual Const Bldg. Permit ~.,cv Allowable 3urcharge ,s~ p~er ~w~--~ ~ I~O~~~~ I of atories Plan RenieW ~ / Length ic,~ ' SAC, City - Address `~%3 ~cond~~roq~ ~ra' l Depth JS.c~' SAC, MWCC S.F. Total Water Conn City/Zip Code ~a~~~N s5~23 Footprint S.F, liater Meter / Acet. Deposit Phonel H~~ ~'7 - qq~3 ~`"~~zZi~~S p~ aite aewage S/1i Permit On aite xell Slii Sureherge CoaLractor Dv~/~ ~r MWCC System _ Treatment P1. City vater _ Road OniL Address PRV required _ Park Ded. Hooater P~p _ Copies City/Zip C~e B~T~T~ iPPHOYALS Penalty Phone Planner • SOTAL • ~ Council Arch./En~. Bldg. Off. ~°~~2 _ Veriance dddress City/Zip Code Phone f \ .q93 T~oN~e,-~~~ ~~,-l M/d. fs/z3 ~r . ;s: -`P low; -~or ::f~e~l~ -~e?~~~-~ _ - f a - f : : , , - a-1 ~ . , . . . . z: , ~ . ~ B I e b? O S H~. I ~ ~ ~ 3 • 0 s ; 0 ~ ~ i ~ I ~ ~ ~ ~ ~ i ~ ~ ~ O ~ ~ ~ cirr use oN~r ~~3~ L ~ BL RECEIPT SUB . ~ DATE: ~~~/9'S 7995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = z-d,a ~ Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL zd• S ~ pc -7- t SITE ADDRESS: r/~ l i ~-o h~~r~-sr 4 rG i~ OWNER NAME:~~''~r•~ 5c-1~i, uv~~ ~i e~- INSTALLER NAME: SG ~ ~ STREET ADDRESS: 993 I~ ~d`°~~`~"~' ~ ~ J CITY: h STATE: V ZIP: S-~J PHONE (6 17- ) ~ ~3-/a,5d (r-f) 7~'~-7011 <w) i OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 ~675 Please complete for. ~ all commerciaUndustrial buildings. ~ multi-tamily buildings when separate permits are I191 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°h of wntract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1°h STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: LAT % BLOCK ~ SUBD. /~R- xECE~T # 5/~0~9~ ~`.'G~ CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: C~~ _ Commercial pmject ~ Residential pmject ~ Existing residence Area/address to be sprinklered: / i C-0 n~p'rt'J~q Installer: ~~~/G~ 0/dib q P~ C'd , Street address: / G L~ CG7 I~ /f~~-- /v~ - City, state & zip: ~~'~v~~ ~C a 5~~~~1~ Telephone Owner name: y~0~'~R .Slt~/7G/lQ/^ ~ 5treet addmss: ~G/ 2 ~i c~ c~ ~ r-- City, state & zip: ~l~''I~l°~ Phone ~ J ~ J ~d Irrigation rnntractor, if different: (f ~ e a~ /%G~~S%-S~ Phone 'J~' I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable City of Eagan ordinances. 3 ~a~^ v ~ , ? 7- ll~ ~ gna re of Permittee New service required , Fee due: $ i:, Calculated by: _ C'I'1'Y OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. . 3. Jerry Wobschall, Finance Department, wil] calculate permit fees as follows: a. Commercial project: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential project: $ 15.50 plumbing permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Ebstin~ residence: $15.50 plumbing permit -(not required if bacl~low preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility bi]]ing clerk for cost and notify installer of all costs associated with project. If new service ]ines are not reauired, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are rnmplete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20.3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backtlow preventor. The public works department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. I ~ RESIDENTIAL BUII.DING ( ~ Permit Application ~ `1 ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauirements RemodeVReoairReouirements OfficeUseOnN 3 registered site surveys showing sq. R of lot, sq. ft o( house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°~ mazimum lot coverage allowed) 1 set of Ene~gy CakulaGons for healed addNons Tree Pres Plan Recd 2 copies of plan stwwing beam & window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Not Reqd iseto(EnergyCalculations Adddion-indicatei~onsifesepficsystem _OnsiteSepticSystem 3 copies of Tree PreservaUon Plan if lot platted aRer 7/1193 Rim Joist Detail Options selection shcet ~(bldgs with 3 or less uniLs Date ~ / ~ / Construction Cost !b p(W(~/ Site Address ~('rG~ P~ T~ ( UniUSte # Description of Work ~~a ~~F I~ ~ Cl (}S LL' PGl l I~/ m?~lQ/"O V"V~ n/~~ txes'/r ~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 ~ 1 _ Property Owner ~r GT C (L` Telephone (JJ 3'-'~Q~~~ ~ ~ Contractor Address City , ' State ~/J y Zip ~2 Telephone # (~f~) ~9'~_T~_d ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) ~ Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor ~ir(~^ l~ P~I~ r/TCC~1ji~Telephone #(9,foZ)~~~'7SRi 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 be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand th'is is not a pernut, but only an application for a pernut, 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 approv of plans.C , Applicant's Printed ame ApplicanYs Signature OFFICE USE ONLY - . Sub Types ? 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.) O 31 Eut. Alt - Multi ? 03 01 of_ plex ? O9 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex rlbg_vor_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 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 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 Width REQUIRED INSPECTIONS _ Foorings (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. _ Air 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 S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 993 Ticonderoga Tr Lot: 9 Block: 4 Addition: Lexington Square 6th PID:10- 45080- 090 -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: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Terry L Schumacher Tste 993 Ticonderoga Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA083299 05/30/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 993 Ticonderoga Tr Lot: 9 Block: 4 Addition: Lexington Square 6th PID:10- 45080- 090 -04 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (9523 746 -3046 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. $90.00 Owner: Terry L Schumacher Tste 993 Ticonderoga Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA086893 10/15/2008 ePermit al (i.e. debris that could block vent openings) and I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State House heatin test record CenterPoint. Energy Owner��3cr� Controls Conversion � Address`�`r,j %�cf�c��*�`a Apt Thermostat �, �'�,� Neat plug Vent Size `"0 y� Ci��.�-� Valve f�_(,•.> . Kind of liner/size � �` �'"�"�'� Heatloss -�" Datehtg.inst �'��-'—�,j Limit .�-�,°,�� Drafthood��'� Regulator ✓�� Soldbv CenterPoint Energy Limitsetting j`�' J Filrers:Sizei�2S,� ( Number � �nsra��ed bv CenterPoint Enerqy Fan setting �;�; Chimney l�ations: side �Outside Electrica/work bv CenterPoi nt Energy Pilot type .��''�/""� Chimnev construction �`+�� Heat type � �Space heater Pilot make ,�'—"� Wiring �� Test tag Gas line by —""° Piloi model Ci.qhting Inst �' Date iested 1-�.�—/� Unitheater �—Bther — Pilotiimin Com an testin C nterPoint Energy Gas design Pressure:Hi fire/Lo fire �° � � � Tesier's nam �f�.-._ G'�'S ��--�� Percent CO2 ��" Make � Model �--�'�sc �'-�- . Serial no. /��,�`��°''''G`� f� � �� Input CFH �.S Percent Oz � •�� Stack temp � 5� Percent CO �. � �R/JUt �S(�G��t � CNP 235(11-2�8) PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129735 Date Issued:03/10/2015 Permit Category:ePermit Site Address: 993 Ticonderoga Tr Lot:9 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Jennie Wood 5720 International Pkwy New Hope, MN 55428 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Scott L Peterson 993 Ticonderoga Tr Eagan MN 55123 (651) 303-3756 Benjamin Franklin Plumbing 5720 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129222 Date Issued:01/22/2015 Permit Category:ePermit Site Address: 993 Ticonderoga Tr Lot:9 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-090 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. Applicant: Joann Zinken 9320 Evergreen Blvd Nw Suite B Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Terry L Schumacher Tste 993 Ticonderoga Tr Eagan MN 55123 (651) 303-3756 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature