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997 Ticonderoga Tr . • . ~.~42~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , . BUILDING PERMIT Receipt # i ~ ' ' To be used for ~i'~K Est. Value $1 Date ~ , 19 F~ Site Address q47 'f l CO:~DF' QC~GA l f~ Lot b Bbck 4 Sec~Sub. ~XINGTOi~ S4 6TH OFFICE USE ONLY Parcel No. Occupancy - FEES ~ Zoning Q Name T~QhAS PAiiI.A~ (Actual) Const - Bidg. Permit 26 • QO o Address ~97 TICMaDEA+~CA 7R ~Allowable) - Surcharge • S~ Cit EA~H Phone ~56-9355 # ot stories y Length 14 ~ Plan Review , o Name S~ ~ep~n i S' sac, c~iy ~a ACIdf@SS S.F. Total - SAC, MCWCC ~ CI~/ Phone S F. Footprints - On Site Sewage _ Water Conn ~ ~ W Name On Site Well - Water Meter = MWCC S tem a W Cddress Phone City Waters _ Acct. Deposit y PRV Required - SM! Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surcharge intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature ot Permitee APPROVALS Road Unit p.~k~k Planner - Park Ded A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council - 1~~ applicable State o( Minnesota Statutes and City ot Eaga~ Ordinances. gid9. pry, _ Copies Building Official Variance - TOTAL ~ Permk No. Permit FFolder Date Telephone # WATER SEWER . PIUMBING H.V.A.C. ELECTRIC Inspeetfon Date Insp. Comments Footings I Founda6on Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Fina! Pibg. Const. Meter Plbg. Inspector-Notity Plumber Engr./Plan Bldg. Final Deck Ftg. S Declc Final ~j ~ Well Pc Disp. CITY OF EAGAN 3830 Rilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # - To be used for ~F L•4IG/GAt~ Est. Value ~~il ,Ut)i1 Date 5l=j' C;:i-,B~F 17 19 7 Site Address TiCC1*1Ol~'`;c)t'A 1 i L OFFICE USE ONIY Lot ' Block 4 Sec/Sub. ~~~GT~•?~~ r~1~~1~ OnSite3ewage Occupancy '~j b~ ~n~ MWCC System Zoning Parcel No. On Ske Well (Actual)Const Vn ~t~~`;ZYIN vEQRGE BLllRS I?~C CityWater x (AUowaWe) yn ac Name W G~ g~X ~2~ PRV Required # of Stories 3 l~dd~ess Booster Pump Length 43 o ~~ty 17r .~~ceto~ Phone 3~9-3?_QI Depth 4G , o~1ame SAl~f 33 ~'-3C S.F. Total ~Q Address FootprintS.F. ~ City Phone APPROVALS FEES , ~ 3 7 . uta a Engr./Assess. Permit W W Name I~~ ~p U ~ Address Planner Surcharge • Council Plan Review ~1`9. ~0 a W City • Phone ~ Bldg. Off. _ SAC, Ciry ~ ~ • ~ Variance SAC, MWCC 52 5, t)U I hereby acknowledge that I have read this application and state that the 5~ information is correct and agree to comply with all applicable State.of Water Conn. Minn~sota Slatutes and Cily of EaganArdinances. • Water Meter 67.U0 Signature of Permittee `T ~ ~ Road Unit 3~ S•~ A Building Permit is issued ta `~~Vltd G£~fJkS I~rC Treatment P1 ~~V• ~ on the express condition that al I work shal I be done in accordance with al I parks . applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL ~Z~398.OQ Building Official - - - ~ ' CITY i0F EAGAN . ' ' " ' 3830 Pflot Knob Road, P.O. Box 21-199, Eaga~, MN 55121 PHON E: 454-8100 BUILDING PERMIT Rece~pt # To be used for ~ ~`'A`~ Est. Value 1'``~,~ Date ~ ,19 Site Address ' y~' 7' 1L0'`~it''~~ 1" OFFICE USE ONLY Lot bly~k~ Sec/Sub. L: 1Ni 'Fj <-t A? ~ On SAe Sewage Occupancy . _ ; f;f•-: MWCCSystem Zoning Parcel No.1 . 4 On Site Well (Actual) Const ¢ Name ~ti~ ~ ~ ~ CityWater ~ (Allowable) Ltr W - PRV Required ~ of Stories z Address ' ' ~ ~ Ciry . r,Cr E.C~r Phone 1 ti-. ~i ~ i ' Booster Pump Length Depth " , o Name " ~ ~ - ; S.F. Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES . . . ~ W Engr.lAssess. Permit Name {y y~ • . F Planner Surcharge ~ ~ Address : i W City Phone Council Plan Review Bidg. Off. SAC, City I hereby acknowledge that I have read this applicafion a~d state that the Variance _ SAC, MWCC J inforcnation is correct and agree to comply with all applicable State of Water Conn. ' Minnesota Statutes and City of Eagan Ordinances. • Water Meter Signature of Permittee ' ' i ~ - _ A, - ~ Road Unit ,c i~i,.~;c t A Building Permit is issued to: ~ ~ ~ Treatment P1 " ~ on the express condition that all work shall be done in accordance with ali Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ y~ TOTAL Building Official _ Psrmit No. Psrmit Holder Dat~ Telephon~ # Plumbing ~'S~ •~i~ .~~~.c.e r_~ i:'C. ~ ~ F~I.V.AC. C1 / ~2 rC. ?i x~,~ ElectriC ' , -~~~~1 ~7 ,C,/ °z' Softener I~spection Date I~sp. Comments Footings I , ~ ~ Footings II Foundation Framing ~ i Z' (i`7! Roofing Rough Plbg. c;! ~ • Rough Htg. /c-~P-B? S/ C.4lPr~ A/ Tc~r Isul. Q Fireplace Finai Htg. ~ FinalPfbg. ~,,s~~i ~ ~u ~ ~ ~ ~ Bldg. Final Cert Occ. 3o r , 6~r. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ~`rr;` . . .r ,~q,.~..~~..,, , ,c," '/.v ~X ~ ~ PERI~iIT . % MECHANICAL'PE~i11AIT RECEIPT# rl~~~'~~1 CITY OF EAGAN N cf ov3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: pt aj ~ PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ ock ~ Sec/Sub ' Res. New -x . . ~ SED IC ~ Muit Add-on ~ Name ' Address 91 ~ ° ' Comm. Repair ~ ~i~ . ~fTRi~''E • Other 8R-.;~39 FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE ForCed Air ~1 M BTU ' APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - AL~ ADD-ON 8~ Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ STATE SURCHARGE PER PERMIT - .50 ~ / S' BEYONO PERMIT PRICE GOES Gas Piping Oudets # Other FEE: ~ , !Yi _ k1P~~ u/ S/C: SG SIGNATURE OF PERMITTEE ~i TOTAL• FOR: CITY OF EAGAN . . . , . _ _ . . : , • • • PERMIT # ~ ~L-~~ ~7 y PWMBING PEHMIT ' ( ~ ~ ' ~ RECEIPT t~ ~ ~ CITY OF EAGAN • 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE; CONTRACT PRICE: PHONE: 454-8100 Site Address ~ ~ BLDG. TYPE WORK DESCRIPTION Lot ~ Block <a/ Sec/Sub Res. New Mult. Add-on . . ~ Name Comm. Repair ~c Address~ Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - N9. FIXTURES TAL Name ~-Water Closet - $3.00 - ~ ~ ~_Bath Tubs - $3A~ ~ ~ c Address 3. c ~ 3 , ~_Lavatory - $3.00 p City Phone Shower - $3_00 ~Kitchen Sink - $3.00 3 .oo FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00 -3-~' ° APT. BLDGS - COMM RATE APPUES -LFloor Drains -$1.50 v TOWNHOUSE & CONDO - RES. RATE APPUES ~Water Heater -$t.50 r~~ MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE = $20.00 -~Gas Piping Outlets - $1.50 ~ • ~ C STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Soitener -$5.00 BEYOND $1,000.00} Well - ~10.Oa Private Disp. - $10.00 ~ Rough Openings - $1.50 y,/' ~ ~ SIGNATURE OF PERMITTEE ' FEE: 7• d ~ STATE S/C: - G FOR: CITY OF EAGAN GRAND TaTAL: ~y `~n _ _ _ ,_Y.._ .~__~~.~~..___~...a..._.~_s_~ _ . • ~ , s / , ~ , . . . SEDGW CK Fi~EATiNC~ & A R CON~~tfi#ONING C~ HOUSE HEATING TEST RE~ORQ ADDRESS ~~l ~ T/GdN U~ `R,nG, 1--.^ ~C'R . CITY . RC-~1l~ t~I OCCUPANT ~ OWNER ~1 ~ '~~V t N f„~oizr,~~ ~ L _ HEAT LOSS - DATE HTG. INST. ~ 50LD BY - INSTALLED BY -~~~~~u1 ~ ~ ~ Etectrica~ Work By _ -'r7-~ fZ S Gas Line By _ C~4~ c~ W 1~-'~~ TYPE OF HEAT GA_ FA~ HW_ STEAM SPACE HTR. UNIT HtR. OTHER GAS DESIGN CONVERSION MAKE ~7 4_ ~J Xt ~ti! ~ MAKE OF BURNER Model ~9~~ I~WG 3(e r~ Model Serial 7.~ {Z~ H S co Max. BTU Rating INPUT ~S • o d ~ MAKE OF FURNACE . << Model CONTROLS ~ THERMOSTAT~~ Heat Plug Vent Size Valve ~ - X _ KIND OF LINER SIZE NONE Limit E~'t'! ~ o Draft Hood ~ E. S t G d~ Regulator ~~S Limit Setting .x D~ ° F Filters Size Number ~ Fan Setting T c w? E: Chimney Location Inside x Outside Pilot Type E LE= cZ ~ o tJ ~ c Chimney Construction ~'-1~ A~S L~ Pilot Make K~1~? rt"~ P Pilot Model N SC- ~ Smoke Bomb`---~--- Wiring -~'~t<- Pilot Timing ! h1 S~ W ti~~~ Draft ~ TestTag ~ L.W. Cut Off Door Pressure Lighting lnst. Pressure '3~ 5~~~~ ~ Percent C02 ~L~ Date Tested ~ r' ~~7 Input CFH ~7 S Percent 02 ~ ~~o Company Testing ~ ~ Stack Temp. c7 ~ Percent CO n~ E Name of Tester ~'~'•J ~ p~ Form Z35 - i Data `i -g CIT? OF EA3AN Permlt No: ~ -~j ~ f oc/t ~ q a S'3 s~Ze: 3830 PHot Koob Road Meter No: s-* Date: ~Tn ~~~Z . P.O. Box 21,~ ` Reader No: Eagaa, MN 55721 :`rr.- i~i George Bldrs. ' Owner. n r T pX;-,--r~~-~ ~r~ ~r_~~ Slte Addfess: Ct°~ 7 i~°O~ Tr~ i ~ Plumber " ' ' • _ 5. O~~d : ` Conn. Chg: ~ 15 . ~ ~T~O~ 1 ~ Acct Dep: ~ E~ ~ 1 t) . C?' ~ Permit Fee: r C~ R~ ' o~ YyHh the City af Eagan ~ Surcharge: ~ lP ~ " 8 ~ Tr. Plant Mete~ ' B~'~ ~ Misc.: j WATER SERVICE PER _ ~ - - - _ . - , __-_.__._...,,F--~-~- ~ 1. Dat~ - CI'T~ OF EAti~AN Size: 3830'~Ilot Knob Road Mete~ Na Date: p.p, gox 2119g ' Reader No: Eayan, MN 55121 . *~un,j,n G~or~Q Bldra. , ~ Owner. ' F ~ Site Address: Plumber. r-~- 525 . fl~pd 2oning: ~ i Conn. Chg: i S No. of Units: Acct DeP= 1~ Q~~ - Permit Fee: ~ a~~ee lo complY w~th C~ °i .50 d Surcharge: 15~.~~ d p~~nances. Tr. Plant i Meter. gy Misc : WATER SERVICE PERM~T ? -29-87 Date: , 7 , , C1~1f OF EAGAN Permit Na _ , , Data ~ ..1. - ~ ~ 3g3p ptbl Knob Road B/P No: P.p. gox 2179! , Es9a°~,Mt~~5iQ1 . . z. Owner Q,- , ~ou.iero~2 _~a`~ ,a ..:x9 . - - - Site Address: n . . Plumber. ~ ~ ` ~ ~ , ~J r~~~~ Zoning' MWCC: , . , , No. of Units: Ci1y Ch9: 1 wfth the Cft1? ~ Ea9an 1 a9ree t° comp y Acct DeP~ l; ~ y ~j~},u', Permit Fee: Ordlnances. , S~" Surcharge: ~ Misc.: S~~ SERVICE PERMIT w ~ 1 ~~r#i#ir~t~e af (~rru~~nr~ . ~ ~itp of ~agatt ' ~r~r~rtmrtti nrf ~iu~l~ng ,$~ts~rPrt~on This Certijcate issued pursuan~ to the requirements of Section 306 of 1he Uniform Building Code certifying that at the time of issuance this structure was ~n compliance with t/re variaus ordinances of tlie City regulating building conrtruction or use. For the following.• vx Claaaifiarion /~''~R elda. tlrma No. l~ pxay~rcy Type Zoning piurip 'L 1) ','P. Owoero(Hu~ldiog ~'k~~ ~ _ ~I'Y„p,~ P.d. ~y i+~~i, '~':~.1i~1':_.'~Cr1 B~ngAddrc$ 3c7 TIC1~'~r',i.~_X~•', ~i'r'.'.rr ~ty Tfi, IE[~'L"~y'; ~Y~".~,'-.~' ti7~" o~ae: ~.~CPO~; 30. l~ ~ ea~7diug o~ic.ia~ POST IN A CONSPICUOUS PLACE This request volA[~ p ~ ~ 18 monlhs from l/p/~~ i/ D..t} D 2 9 9.4 ~-~s Rv.nuest Uate~ Fire No. equhreA7lns ~r,lion ?fl~atly Nuw~H'~~I Notity.lnspec- tor When FeadY ~1'es ?Nn ~Licensed ElecUical Co~~vnctar I hereby reques~ inspection of ebove ? Owner electrical work instatled at: Svee~ Address. Box or Raute No. City ~f ~ ~ ? ~ /~-0? / ~ £ couniv ecuon o. Towns~i0 Name or No. a ge No. v OccupnntlPRINTI Phone No. Ill~U : DP/~ i~3~-~n3" Power SuOV~~er Adtlress o ~aEc .~G-,%~d.~-~ ' CoMractor's License No. EleGric CnnVactor ICompany Name) ' `~g'S/[/L- f~I~G)2'! ~ 0l,~'rs MailinB /address IConvactnr or Owner Making Instailationl ~07~'/~ ~ _"Phon~r Authorized Si9~a e IComracmdOwner Making Instnll.~tinnl ~9a ' s' THIS INSPECTION NEQUEST WILI NOT MINNESOT STqTE BOAAD OF E ~~CITY eE ACCEPTED BV THE STATE BOARD GrigBS-Midwey Bltlg. - Moom N•~91 UNLESS PROPEH INSPECTION FEE IS 1821 Univerei~v Ave.. SL Pnul. MN 55104 . ENCLOSED. Phone (612) 642-0800 - ~,/~/S7 REQUEST FOR ELECTRICAL INSPECTlON Ea-ooooi-os ~ See instructions br completirp tnis form on back of vellow copy. ~ ~,y ~ g g~ 3 "'X" Be/aw Work Covered by 7his Request Frid eD~ Type oi 8uiltling Applinntas 17~ired EnuiV~~0~1 WireA Home Range Teinporery Scrvice Duplex Wa[er Heater lightin{~ Fiztures Apt BuilAfn~ Dryer Electrie Heatin Commercial BIAy. Furn2ce Silu Unloader Industrial BIAg. Air Conditfoner Buik Milk Tank Farm O~nei oeci v -iher ~snecirv~ ~ qr Sueci y O~her Oth~~ ompu[e Inspection fee Below p Fee ServiceEntrenceSize fl Fee Feeders~Subtaeders N Fwe Circ~i~s S Uto200qm s Oto30qm s ~ am30Am. s Above z00 q~~~~~y 31 to 100 Amps - 31 to 100 A 5 Swinvning Pool A6ove 100_Amps ' Above 100_Amps Transtormers Irngation &ioms ..~0 Partial.'Other Fee $igns Speciallnspection Hertyrks , S ~,a TOTAL F ~ RouBh~in , ~ 1, the Electncal Inspec~or, ~ereby rortily that the nbove Final r D:~te inspection hes Eeen /3 mede. ~~h reqaest vo1C 18 moniM Imm ' CITY OF EAGAN f~°_ 1418 0 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE:45a-81oo Receipt# ~ r~ Cp Tobeusedfor SF DWG/GAR Est.Value $$1,000 Date SEPTEMBER 17 19 87 Site Address 997 TICONDEROGA TRAIL OFFICE USE ONLY Lot 8 Blocli 4 Sec/Sub. LEXINGTON SQUARE On Site Sewage _ Occupancy R3 6TH ADD MWCC System _ Zoning Pn ParcelNo. OnSiteWell (ACtuaqConst Vn a Name ~RVIN GEORGE BLDRS INC Ciry Water X (Allowable~ Vn PRV Required # of Stories ; Address P•0. BOX 428 - ° City vrinceton Phone 389-3201 soosteraump _ Lenqth 43 Dep[h 46 , o Name SAME 332-3034 S.F.rotai ~a AddfCSS FootprintS.F. ~ City Phone APPROVALS FEES $ 437.00 ~ W Name Engr./Assess. Permi[ ~ Z Planner Surcharge ~+0. 50 z,~ Address 218.50 City Phone Council Plan Review ° W Bldg. Oft. SAC, City 100.00 Variance SAC,MWCG 52$.00 I hereby acknowledge that I have reatl this application and sta[e tpat the informetion is correct and agree to Comply wyfh all ap liCa Fat Water Conn. 525.00 Minnesota Statutes and Ciry of~an din rSces. Water Meter f17.00 Signature o( Permittee 305.00 Road Unit A Bui~Aing Permit is issued to. ~RVIN GE RGE LDRS INC 7reatment ai 180.00 ontheexpressconditionthatallworkshallbedoneina cortlancewithall applicable State o~ Minneypta Statutes an¢,City of Eagan Ordinances. Parks n.fl ~ i,. /J ~ TOTAL BuildingOHicial ~~i~~"~'-"~~ 2 398-00 ' ~ CITY OF EAGAN N~ 16425 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:4548100 /T /O~j BUILDING PERMIT Receipt # L/ d To6eusedfor DECK EsLValue ~1,000 Date MAY $ , 19 89 Site Address 997 TICONDEROGA TR Lot $ Blpck 4 Sec/Sub. LEXINGTON SQ 6TH OFFICE USE ONLv PefCBI NO. Occupancy - FEES Zoning - w NBme TNOMAS PAWLAK (ACtuaq Const - eldg. Permit Z6.00 3 Address 997 TICONDEROGA TR (n~~owao~e) - Surcharge .50 ° Cit EAGAN Phone 456-9355 #oisiodes y Length l~i ~ Plan Review , p NBme $AME Depth ~Z~ SAG Gty ~Q Addfess S.F.Toial - ~ City Phone S.F. Fooryrinls _ SAC, MCWCC On Site Sewage _ Waler Conn ww Name OnSiteWell - WaterMeler z~ Addfess MwCCSystem - U~ Ciry Water A~~ Deposit aw City Phone - PRV Required _ SNJ Permit I hereby acknowlege that I ve read this applicati and s te t t e Booster Pump - S/W Surcharge iMOrmation is correct and gree to omply wilh applic le at Minnesota StaW s and C of Ea n Ordinan s. Treatment PI Signature of Pe ' ee APPp~~A~ Road Unil A Building Permi~ is issued t; Planner - park Ded. on the express condition [ha all work shall be tlone in accordance with all Council - 1.00 applicable Sta[e of Minnesota Statu[es a-yn~d C}it(y of Eagan Ordinances. Bldg. OIf. _ Copies Building Official ~,~91l~ ~ 1~ 11 Vanance - TO7AL 27 • 50 ~ ~ ~ 5 15 S~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~l~I~ Site Street Address i''O Unit # Property Owner 1 Telephone # ( ) H.P. PIPE ORKS Contractor 3670 DODD ROAD Telephone ) Address (B51)~36513~~ City State Zip The Applicant is: _ Owner ~Contractor _Other Alterations to existing dwelling ~ $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. lf ~ are installinp onlv a water soffener and/or water heater, do not complete this section. Move to the next section a~d check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ~ater Heater $ 15.00 _ new ~replacement Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $~i~ sv I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve . p~n ll~a'~4,fS~ Applican s Printed Name A ic ' gnatu e ~ I s. s~ a ~3 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConatruetl6e ReauiremaMS RemodellReoair ReauiremaMs • 3 registered site surveys shawing sq. R M lot, sq. IL of house; and all roofed areas . 2 copies W plan ~ (20% max¢num lol coverage allowed) • 1 sel of Eneyy Calculatiar~s far heafed additlong . 2 eopies of plan showing beam 8 wiMar s¢es; poiaed (ound design, etc.) . 1 site swvey Por eMerior additions & dedc.v • 1 set of Energy Calculations • Indieafe d home served by septic system fw addifions • 3 wples of Tree Preservation Plan i( lot platted after 711/93 • Rim Joist Defail Optb~ selectbn sheet (bldgs witl~ 3 or less uni~) c~ 2 i Z- DATE VALUATION i~ l~ J JOB SITE ADDRESS_ l -I ~ ~ ~C~~J~~ ~OGI~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER W~ROrc v3_C.;u~, CI~OpU~T TYPE OF WORK~ ~S J.~D~I~-l~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT b~ T.SZGA )~(,~C S PHONE# ~ SZ $`I~I 3~~ ADDRESS ~2S IU ~,t_J 1.~}[.R)V ~3 ~V~CIULi1~Z.LL~ ZIPCODE SS~3~ PAGER # CELL PHONE # FAX #~.SZ ~~~I 9Ob NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category MINNFSOTA RUL~S 7670 CATEGORY 1 MAR 1 2 2ppp D (check one) - Residential Ventilation Category 1 Worksheet Sub d - Energy Envelope Calculations Submitted ~ _ MINNESOTA RIJLFS 7672 BY - New Energy Code Woricsheet Submitted Plumbing Conhactor. Phone Plum6ing System Inciudes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechantcal Contractor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery 5ystem Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ~ Updated 2002 OFFICE USE ONLY ~ Ot Foundation O 07 05-plex ? 13 18-plex Q 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi ? 03 O7 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex O 18 ~eck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Stortn Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 3fi Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Poo( _ Ftgs _ A'v/Gas Tests _ Final _ Fireplace _ R.L _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit . Mechanical Pertnit License Search Copies Other • Total T ` 1989 BDILDING PfiRMIT APPLIC9TION - CTTY OF EAGAN ~ SINGLE FAMILY DWELLINGS I ~ ~ ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs 6DDRFSSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNA'fE NAZCH ADDRESS IS DESIRED. NO CHkNGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS I38DED. M[TLTIPLE DWELLINGS RSNTAL T]NITS FOR SALE OAITS # OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS CONAfERCTAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS - ~ kiAY 0 3 1989 ~a~~~~l~..; To Be Used For: k valuation: 1 Date: -S/i /~9 Site Address q~'7 T~oa~ler~,aaa %nz,/ OFFICE IISE ONLY Lot Q Block ~j- Occupancy FEFS Zoning Pareel/Sub ~p,rrn~/o.~ ~,uaa^e_ /~dd~frok Aetual Const Bldg. Permit ~6,OD Allowable Surcharge , Sa Owner T,aowas r~iwia~c # of stories Plan Review Length i4' SAC, City Address Qq7 T,~o.~deroea Ta,I Depth ~y~ sac, r~wcc S,F. Total Water Conn City/Z3p Code ~'~z ~ Footprint S.F. Water Meter Acet. Deposit Phone .4~9 3 S5- On site sewage_ 5/W Permit On site well S/W Surcharge Contractor MWCC System _ Treatment P1. City water _ Road Unit Address P8V required _ Park Ded. Booster Pamp Copies /-pO n~i_ iqe., ~ T/~T T 4.11~~T! ult. VC:P. ~o APPROVALS Phone Planner Couneil Areh./Engr. Bldg. Off. ~S~g Variance Address City/Zip Code Phone ~ NOTE: Sewer & Water Permit fees and acQOUnt deposit Pees will be included in the building permit fee. Processing time for serrer and xater permits is tvo days onoe a 13eeased plumber has applied for a permit at City FIall. . ~Comp~nles 6875111gbway 65 N.E. CO.OoR 32J08 FOnneopon~. NN 55AJ2 IFIYI 57I bfl(G lURDAN ENG?IYEERfNG. INC. ~Y203 Nkdle~ Aw. So. B~~n.uYle, MN 55337 r~~zi ssH~ nr.m , C1~/. M.nkbd ~ LnMwnsnM Eny~nenW ~ 4«d ~areWM ~ Lwd I'FMMM ~ 901 kxwy Certitlcsts of Burvsq for MarYin G¢or4¢ uilders Beerinqe $hown Are Aseumed ~ o Denotea Iron Honument pSOrpggp pyEY6TFON3 ~ e Denocee Fou~detion Corner Offaet Steke. a Denocee Eaietine Ele•etion 7op of Blot~C 9 Qi Denotes Propoeed Lle~etion . o r-+~- Denotea Dtrectfon of Snrfene Ureineqe Loveet F'loor ~ Denotee Drainsaa ~nd Utilit~ Eeeement Cere`a Floor ~ ~ , /Vg9°~3~p3a~ . . roq"~ 75.~~ ro°~ g~S.y s " " , d 9L ~ . p Qrainage end (/filit O 6eale: t Mich -!o reel ~o ~asemenf ~ m ~ ~ ~ , ~q^ 1 ti ~2.U e.o l3. ~ .y0 v ~ J Q~O~ til. XI ~ ~ ~ x, I.~ a~e,~ ~ aM A~o zo.ct Q v b u'~ tn 22.0 ~ :x93 ro o m~ ~ ~ - - - 9 0/, ~ ~ ~O ~O ^ o°~ h o „ x ~ O Oro ~ ? 5~_ a~ y 4 q~~Y' ` , ~s ~ Q Q $99.~J 89'~4303"W 75.0o S~~ti ~ ~cond~ro9a ~ai ~ Lot ~ ; Block ~ ~ ~LEXINGT4~V SQUARE 6th ADDIT'I~N Subject to easemen~s ot record Dako(a Counf y, Minnesota I herebr cectl[7 thet chie eune7, plen or report wae prepnred b~ me or undnr m7 dlrect auper•ision end that I em a dul~ 1lcenaed l.end Surre~or under the lera of tl~e Stete oE Ninnesotn. ~ _ Signed thie ~del of A.D.. 19d~ ~ ~ [omnan/c~ SUBUABAN ENGINE 1NG. INC. Not PoLlfshrd: 1111 H~hts reeer~ed I Cnp~r1F*e 1987 SL Co.Denleq Su6urEea Ia~1n<aMn~. Ine. odt~ ~ 5lransk , Illnh. 1:1cEnde No. S 87502 /90i ' ~ ~S~ y I~"A~ I I _ Ex~Srr.~E, ~ //vu3L hNti l~cPcbrb Lec;r GA~c~E ~q, _ ~ - -vo~ ~ - ~z'- - ~ ~ ro. ~ ! 1 -aa' I , , i o I SitL ~IOw 10f 17u~:usF~~ tA`[~ -,-,,~AS Sn~9s ~~riTJCditE;_o5,' T:PrL ; _ / ~ ~ 1987 BOILDING PE 6PPLICATIOH - CITY OF EAGAN / SINGLE FAMILY DWELLINGS IACLQDE 2 SETS OF PLANS~ 3 CEATIFICATES OF SORVEY, 1 SET OF EHERGY CALCOL9TIOH5 HOTES ADDRESSES FOR COBNEB LOTS - COHTRACTDR/HOMEOIiNER MIIST DESIGHAiE ABICH 9DDRESS IS DFSIRED. NO CHANGES WILL HE 9LLOWED ONCE BOILDING PERMIT LS ISSDED. !lOLTZPLE DWELLINGS - RFSIDENTIAL RENTAL IIAITS FOR S9LE UHI25 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQftVEY - C~CB iiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COI~4lERC71I. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND To Be Used For: Single Family Valuation:~'~' Date: ~-9'87 Site Address 997 Ticonderoga Trail ~ OFFICE OSE ON~.Y ~I, DD~ - Lot 8 Block 4 On Site Sewage_ Oecupancy ~-3 MWCC System ~ Zoning PD Parcel/Sub Lexington Square 6th Add On Site Well Type of Const City Water (Aetual) Y-N Owner Niarvin George Buiiders, Inc. (Allowable) V-N # of Stories Address P.O. Box 428, . Length ~f3.00 Depth y6.33 City/Zip Code Princeton, MN 55371 S.F. Total Footprint S.F. Phone 389-3201/332-3U34 APPROVALS FEFS Contractor Same As Owner Assessments Permit ,UO Water/Sewer Sureharge 4 O.SO Address Same Police Plan Review 2~s.so Fire SAC, City I00.00 City/Zip Code Same Engr SAC, MWCC 525•~ Planner Water Conn $Z ,oD Phone Same As Owner Council Water Meter ~,00 Bldg Off q il Road IInit 30 ,00 Arch./Engr. Same APC Treatment P1 b,00 Varianee Parks Address Same Copies TOT9L City/Zip Code Same Phone ~1 Same GARAGE 4'~ zZXZ2'-y84Xi2 = 58og ~ r House 3tSx.~y= ~f2 a~x~t= `f62 Z X ~3%z: a 7 I yb~ x s~= gt zs~' ~~od~ GRAw~C Ilyl$= 198 Z~IzX`6= I`~~6 4K~4=~ yUzk~ti= ~L~`~~ ~b ' ' 3Y~:3'1'+.~Y:'."'^3~iL]._... [ompanles 6875 Illgh~nay 65 NE. PO Dox 32308 Ftinneapolla. FIN 55432 IbI21 571 (~C•~ SUDUR@AN ENGINEERING. INC. ~P203 Nkolle~ Ave. Sa e~.~.mn~, Ml~155337 lfi121 N!M1 h:ii~~ , Ch~µ MaMapal ~ En.MOnmenld Eryennog ~ Land ~wwyhy ~ Lend 1'MnNry ~ Sdi hriry Certitio~?ts ot 6urvey iorMarvin G¢or Q (Lfl~ers 8earinge Shovn Are Asaumed ' o Ilenotes Iron Nonument ~ ~ o Denotea Favndetion Corner OfEeet Steke. PROI'OSED ELEVA'C~.ONS x Denotea Exie[ing Bleretioq O Uenotee Proposed 61e~etion . Top of Blbt~C 9 O/ s Denotee ~irection of Surfece Dreinege Loveat F1oor ~o Denotes Dreinega end Utilit~ Eeaement Gersge Floor o ~ ~ /Y89°~3'0 ~"W ^ ~ a°~'°~ 75.00 '~q " d9~ g~5,4 s" t s , f ` p ~rainage end Ufilit I O Scale: 1 kwh - ao tee~ ~ ~asement O 4 m ~ ~ 3 ' . , ~2.0 e.o IS. 5~b e ~ Q.~oQ~ yb m ~ I~ ~ , i ~p ~ ~ q~ r aM 0 20.6? ~ ~4 H oW . ~ ~ Q _ 220 ~ zi93 w o `T ~ ~ ~ 90/,! ~ ~p ~ ~O ^ o°~ ~n e °a` b R O ~ro ~ °V ~ ti~ , 5 S q ~S. Q ` g99•'~ - s9°~303"w ~s.oo Sqq~. ~ ~q$. H icondaro9a. ~ s.i ~ Lot i3 , aiock LEXINGTON SQUARE 6th ADDITION Subject io easemenis of record Dakota Count y, Minneso(a I here67 certlf7 thnt thie aune7, plen or report ves prepnred 6J me or under m~ direct superrision end that I em e dul~ licenaed Land Surrelor under the le~e of the State of Ninnesotn. = _ Signed thia ~da~ of' A.D., 19d~ a; [ompanles SUHURHAlY fNGIlVE /NG. INC. Not publtshed: ~11 rlghte.reaer~ed I CoD/~1Rht 1987 58 Compentee, Suburben Pnpineerin6. Inc. ebCY'E E Sr~A„Sk . T11nn. l:ic~nsc No. S 87502 /903 R~! ~R Fa:~ R. r d a~~ ~ MINNESOTA STATE BUILDING CODE D2VISSON , EXTERIOR ENVELOPE AVERAGE "U° COMPUTATION OWNER M ~ RV .a~ C.~ ~'r) {L ~J ti I '1 P f.:. ~ SITE ADDRESS qq'1 T?fo~ld2rbpc~ ~%.~1 CONTRACTORM~~~~-K1 C~cuJF'(,~ ~jj ~~j.p~. ~ DATE PHONE Determine workinQ square footaRe of each: 1. Total exposed wall area..... SG sq. ft, x ~ = 1G 3. ~ 2. Total roof/ceiling area..... I(~ ~ b sq, ft. x-Dol Total exposed wall area above floor = ~ ' a. Total wall window area . . . . . . . . . . . . . . b. To[al door area. . . . . . . . . . ~ c. Total sllding glass door area. . . . . . . . . . . ~f d. To[al fireplace wali area . . . . . . . . . . . . . e. Total wall framing area (average 10%). T~ f. Total net wall area above floor. . . . . . . . . . : /J[e'a~ g. Total rim joist area . . . . . . . . . . . . . . . Total exposed foundation area = 9/ h. Total foundation window area . . . . . . . . . . . . - i. To[aZ net foundation area above grade. . . . . . . ~ . - ~ Determine "U" value of each wall segment: a. ~ / "I X ~~U~~ . 3y = Sa, ~OW b. y a x~~U,~ ~ a 3 - 9.~~ ya X „U„ ,~Ja = i~.6~1 d - x ~~U~~ _ - e. } (p ~ K ~ U-i = ~ ~ ~ 1`7 f. _ ~ ~ ~D~ g~~~~~~~ _ L! (.f Q ~yl_ ~ v w Minneapolla SL Paul 35E • 94 35W d 55 Q . ~ Mpls. 5 110 , St. Paul Int'I. Airport ~ 494 ~ ~ Lone Oak Rd. ~ / ~ ¢ Wescott Rtl. ~ ~ r / ~ . ~ ~ ~w i.ri. 35W ~ c . e Co. Rd. 30 ~~-t~~, Diftley Hd. / / ~i / ¢ ~ e • Y 35E ° a Co. Rd. 42 r!' • . • 165 ST. 167 ST. _ . ~ . . ~ ~ F. ~ . . . _ . ~ . ~ . ~ r , ~ . ~ ~ I I I ~ ~ ~ / 2 3 0 5 6 7 B 9 10 11 12 19 ~ . ~ I . - ~Op W~l Nts IDq ~M19 i0as IOOt y9] :pY] 9es fe~ e:- ~ 1 ~ ~ ~I L ~ Z ~ TICONDEROGA ~ TRAIL 1 a~ i W I Q ~ 2 3 4 5 6~ i~~ 10~6 tOb 1017 1010 ~Opp 1006 t00] 99! 99~ 990 9!t Y!] YT! ---_----------1~~ ~ I 2 g i H e32 31 30 29 28 27 26 25 24 23 22 21 20 = a 1 ~ O ~099 ~os~ ~oev ~aa~ ~o~s ~ ~ 9 I Z ~ Q ao o~ Z zr s3 I Wi p9T a,J oJ9' J'1 2 3 4 5 6 7 8 9 10 11 12 13 ~ 14 15 16 ~ 17 78 19i a^ ~ ' J~ Hy~F~ . ~ ~OT ID37 tOS7 ~019 ~OtS 1011 100] ~00] 999 995 91~ eer oe~ 9:9 973 9~1 96' 96] 959 y' 951 I . A LEXINGTON SQUARE 6TH ADDITION ' ~ 'ADDRESS PLAT N ~ ~ ~ r = soo~ ~o [ ompanfes SOHIlRBAN ENGlNEERING INC_ f~Rll./nr.be5.'il P~Rn1~LH M.r~Jn.YHSN,I$ ' . 1 pq!:..cr M1~ <r P~..w.u .W ::tlT ~ CRY USE ONLY ~ B~ RECEIPT#.5~~ SUB . ~ DATEt Cv ~~/~jlp 1896 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD , EAGAN, MN 5512Z (612)681-4676 ~ Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unft New construction Add-on fumace ~ Add-on air conditioning Add-an air exchanger, i.e. Vanes system, etc. Date: ZU FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL Z ~ • S ~ SITE ADDRESS• C~~ ~ Nl~/~.Q~A- ~1~~ I OWNER NAME: C~/Z~i f~(f1'A'1~ NL~~ PHONE l d INSTALLER NAME• ~7 ~ ~VG~~ l ~~L~ ~ STREET ADDRESS: ~ ~ ~ ~ L ' ~ • CITY: LC'.Vl ~1 t~C~ STATE: ZIP: PHONE#: (~XZ) ~I.~~a~71oL~ . / r~z-~T~~ ~n~ CtTY USE ONLY ~ B~ - RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Piease complete for: ? all commerciaUndustrial buildings. • multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee 4L 1% of contract price, whichaver is greater. ' ~ Processed piping - g;>.5.00 ~ State surcharge of ~0 per $1,000 of fee due on all permits. CONT~iACT PRICE x 1% PROC:ESSED PIPING STATE SURCHARGE TOTAL _ ~i7'E ADDRESS: OWNER NAME: , TELEF'HONE _ TENANT NAME: (IMPROVEMENTS ONLY~ _ INSTALLER: ADDRESS: CITY: ~ STATE: _i_ ZIP• - " PHONE SIGNATURE: SlGN.4TURE OF PERMITTEE CITY INSPECTOR ~i*********+**********tf****t#*4*#4# . ~ * ~ CITY OF EAGAfV * ~:~ATT ~°F~ * . . * ArPxovar. oF r~ruT. * APPLICATION FOR PERMIT * * . . * ~r~rr~cizort oF' sF.~t at~/~t t~zr~t * ,*f 711STA7TATTOIIS WIIZ I~XJT BE SCfIED- * SEWER AND/OR WATER CONNECTION ~ PmM~T ~ ~ ' ~ * Arr~. . * . . * » * ~ ~P ea'se Print ~ ~ 1) PROPERTY ADDRESS: ~/7 / /CDh ~ /~j • LEGAL DESCRIPTION: ~O7 ~ ~ Gcv°~(~ y~ C~ -~Lot Block Subdivision or Tax Parcel ID ) , . IF' EXISTING SIRCCl[7RE, DATE OF ORIGINAL BL'ILDING PEEIMIT ISSL'ANCE: " (Nbn ear PRFSE[~ ZONING/PROPOSID OSE: Q CONY~7ERCIAL/RErAIL/OFFICE ~ R-1 SINGLE FAMILY . ~ ZPIDC'STRIAL ~ R-2 DLPLEX (1ko t~nits) ~ INSTI'IL~TIONAL/GOVII2I~7'P ~ R-3 717W[~i00SE (Three + Units) ( Units) , x-a a2~Tr~ar/cormorurn[.~ ( ~nits) z) ~ c~r~: - _ .~,oDxsss: V vi~6fl~Els 61~1~~ . • Cl~rsr, STp,TE, zzP: inaoAN. MN 55352 - PHONE: y9a - ~i ~ i , 3) . For Ca.ty Use Plumbers License: ADDRFSS:-T.O ~cru . ~ " E7cpi ed ~p CITY, STATE, ZIP: ~Qj~ Not recorded Pxor~: ~9~- z/ ~ ru,s~ Lzc~ss~ o~/ d`7 s r.~t~ai 4) . i~• I~ tu~: ~ ?r vi ~ ~eD~' e- (.G~~~e ~S , . an~ess: ~ ~ ~ . ~ . CZTY. STATE, 2IP: r PHONE: r'~jtf / - ~Z, ~5) a• • : a • ~ CONI~C.'TION 10 CITY SEWE:R ~ CONNfX.'TZON ~ CITY WATEE2 O~PIiER ' 6) • ~ PI~EASE HOLD APPROVED PERMIT FC)R PIC UP BY ONE OF ABDVE PLEASE MAIL APPROVF9 PII2MIT ~ 1~~3. 4. ABOVE ~ ~ ~ ) _ ~ (Circle one) ~ ' ~'1// 7) r i• -~in.0 ~`L~'ln-/'~ rf~u:~~..~ 5` • 7' ~ Y' Y I: ~ ~ • 1' t~' D IJI• D P Y71• •71• • •S~ Y F • :r~ 1 " M:1• •.(~91 1 1 1 . ~1' • ;~I' • 1.• } . : ~OR CITY USE ONLY ~ . PERMIT # ISSDED ~ Pd w/Bldg. Permit FEES: ' $ S I~ S~ SEWER PERMIT (INCLL~DE SLRCHARGE) $ $ ~U'S~ WATER PERMIT (INCLUDE SURCHARGE) $ ~ ~'G'~ $ WATER METER/COPPERHORN/OL~TSIDE READER $ S WATER TAP (INCLC'DE CORPORATION STOP) $ S SEWER TAP - $ $ ~S- GrU ACCOUNT DEPOSIT - SEWER $ $ /S'~'~G ACCOONT DEPOSIT - WATER $ .~J Z .s , O-~ $ WAC $ ~ z S~' ~ s sac $ $ ~~Ar e~,~T~.(3~i]K~~7~ ,~,y~y~ ESS~ NT . ~ 7 . . ,vet~:'1 Y~~.e..,~F~"~~".! . $ S TRL~NK SEWSR ASSESSMENT $ $ LATERAL BENEFIT/TRL~NK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ / on•~~ $ "4(~$i i°:~YTF}SpF~i,l'~tfi~.~t'BTMN.'I~P+~~~I;7~[VT SLRCHARGE $ ~:r. $ aN~ n~~~~ ~A .4Ak~fi{~2~L $ f~ r0 ~ $ J~~/ `G' C' TOTAL ~77~~~ 3 ~7~/ 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC~BLIC RIGHT OF WAY? ~ YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: 1 APPROVED BY: e+~C ¢J ~-~L.~~ ~ TITLE: DATE : ~ ~z J I 'Y/ o , ,LB~ i/~~fl,e.!/,r/ G7Ea~~l~ ~e~.~i~~ ~ - . l_ !1y 3~~' ,~~2 d.¢,e~~ ~~sOE` jCe4. rk~l~;cul~ 9 ~ ~ ,a~.~~,~~~, HeAr ~oss cA~cu~arionu HEATING ~ AIR CONDITIONING CO. MINNEAPOLIS, MINIJ. WsalhsriUlps A.S.H.V.E. . ' ConBlructlon No. Insulatlon W~rKfows Doora Guide Out. Wail Inl. Wall Callinp Pool Floor Kird How Applied ~ Referencs Yss-No Yes-No ~g_ ~ • , . ' ~ - ~ FI. . Q E~ Roam lenptb /~j Wldth Helpht FI. Haan LenptM WIJ~h Noiphl Y~ind ws and Doors-Crackage end Area Wlndows end Doors-Creckage and Area ~y N~~ Ha~phl No. ol l~nul 11. 4on y~id~~ / o~pM Nn. of l~nanl 1~. ~.on Ne. ol ~ n o/l 1n~ Ii h1¦ ol r II. ~ ' No• al ~n o~ ~na 11 hi~ ol is k ~a. ~ / (O ~ 'o ' D 9 2~ ' coet e w coe' e"' InfiUrelipn ~ (o InlUlreUon Glesa 3~ ~ cleea E.p. wall E.p. well Net eap, well jJ ~ Net eHp. well ~ ~ ~ Int. well . Int. wel I Cellinp ~ Celllnp . ~ . . ' Floa . ~ Flow ~ . io~sl Bw. ~ ~ ~ To~el Biu. ~ Requlred sq. Il. E.O.R. or sq. Ins. W.A. Leeder eran Requirad 6q. ft. E.D.R, or sq. Ins. WA• LoaJor area ~ FI, ~r~E Poan Lenpth ~ Widlh / Heipht FI, floan LenB~h Witlth Heipht Y~indows and Doors-Crackage and Area /a . Windows and Doors-Crackape end Area ' Ho. Widre Ilelyhl No. ol l~n0el 11. 4r~n . Wubh Ila~phl Nn. ol Unenl II. Aren ol sne of ma h hu. ol e.I 0. 11. NO• ol ene ol na~ h hU al erltk 1~. / l /.rJ d / /L o25 ~ coer e w ~O°~ ° InflllreUon ~7 e2 Inlillrolion . . Glass ~55 Gless _ EKp, well EKp. well Net exp, well ~7 /~J~ ' Nel e~p. well Int. wall Int~. wnll . . Celllnp ~ ' ~ ~j Celllnp - - Floa . Floa - to~el 8W. ~ ~ Tolal Blu. Required 6q. Il. E.D.p. o~ 6q. i~s. W.A. Leader'areo Requirad sQ. It. E.D.R. or sV• ~ns. W.~+. Lcader araa F1. ~ Rodn Length ~(o Widlh Halpht . FI. Room len8th Width Lloipht Ylindows and Doors-Crackage end Area Windows and Doors-Crackage and Aroa No. WN~n /l.~pnt r+a. 01 Un~al 1~. ~iea . No. y~"'n~~ u~~• ene li~~hu ul cre 4~ a~~1i. ol ~ ns • ol nM II hl~ al re 11. , ~ ~ ~ • . ~ • coai e w coa~ e w Inlillralion ~7 ~ 33 InfiltrnUon I _ ~~age yo o ~~oaa _ E.p. wall Exp. wnll ' . . _ Nel exp. well ~ ~ Nel e~p. well _ Inl. wall T Inl. wnll Ceil:ng .1 ~ c/~ Ceilinp ~ ~ . Flow p ^~Irnx lolal 61u. OS ~olol Utu. ~ ~ _ NequiieJ cq. Il. E.D.R. a Sci. I~~S. W.A. LuuJo~ aeu ' ~oyui~ a~l sq. Ib C.U.f:. w sU. in~. Yf.A. Loadw mau . . . ~ ' HEAT lOSS CALCULATIONS . `rk~~~~ MINNEAPOUS, ldll4td. HEATINGBAIR CONDITIONING CO. . ~Weeibsrculps A.S.H,V.E. . ConelruetlonNo. InsuleUon YT~ndows Dowa Guide Out. Wail Inl. Wall Cslllnp Rool Floor Kind How Appliad Helarancs Yes-No Yes-No ~g_ ~ ~ , ' FL E,~>TPopn Lenplh 3~ Wldtb ~ Helpht ~ FL G/~,p ~ Raan lenplh Wldth ~ He1gh1 Ylindows end Doors-Crackage end Area Windows end Doors-Crackage and Area No, r'~drh I~e~Ohl No. ol L~n~~l 16 Ar~n . No. ,vldi~ IlorOhl. Nn. ol L~nenl 11. Q'nlt. o ~n ol ~n~ li hu 1 r h, o m of ~n~ 11 M~ ol n COB1 B lU ~ C00~ a~~~ InlihrsUm t/7 pp In111tration '~7 Glesa Sp , Gleee ~ S~ E~p. well ~ ~ ~ E~p. well Ne~ exp. weU ~ 5 Net exp. wall ~.?J~o ~ ~ I~t. well . Int, well Cellinp Celllnp . ~ . . ~ floor . . . / ~ c~/ Flpor ' . , s Tolel Btu. ~ ~ ~ Tolel BIU. ~ ~ ~/D flequlrgd 6q. It. E.D.R. or sQ. Ina. W.A, Leader eree ~ Hequired 6q. ft~ E.D.P, or eq. Ine. W.A. Leadar erea / FI. ~V/~ Aoom Lenpth ~ Width / Heipht F~ /J~. ~ Room Length ~ Witlth Heiyht ~ Ylindows and Doors-Cracka8e nd Area riindows end Daors-Crockage and Area No. W~'~'n Meip~l No. ol l~n~el 11. ~~~n . W r~ip Ilo~p~t No. ol l~nael II. Awn . ol ene of ~ns I~ hl~ ol r r o. 11. No• ol ~ en~ nf nnu I~ ht~ ol a 4 ~ ~/G ~ i3 a ~ ~ i i~ / i3 coe~ 9 ~o c`o~ o w InNltr'atlon 7 f InNltretion ' ~a ~ /O Glesc ~ 3 G186S II 50 550 Exp, well ~ ~ ~ Exp. well _ Ne1 axp. well ~ Nal eHP. well 5 Int. wall . InI, wnll ' ceni~a cam~a v ~ Flaor ' S ~ iioa ' S ~ Totel Btu. ~ .~p Tolel Blu. +J ReQUl~ed sp. it. E.D.H. or sd. i~s. W.A. Laeder'ereo Required aq. It. E.D.N. or sq. ins. W,A. Leodor eroe FL A Room Lengfh• Width HaiBht • I FI•,~jq->/f Room Len01h Q WiJlh 7 Hoieh( ~ Windows and Doors-Crackage n Area Windows and Doors-Crackaga end Area N~. Wimn Ha~yn~ Na. ul l~n~nl tl. A~eo ' . ' No. nm H~~~pht N~. nl L~nanl II. ~ ielt. of in! ~ DI nn~ II hU 01 rE k 16 4~~ nn ul nnN h h~s ol oeCk 3 ~l / ' ~ • Coe~ a w co"~ n`° ~~~rwa~im 3y ~~~iwnUon ~ _ ~ Glese l/ O 550 Glass ' ~ Erp. wall . EMp. wnll _ Ne~ exp. well ~ ~ ~ ~j _ Nel eHp. well ~ Inl. wall Int. wnll Ceil7ng . ~ . - a/ "a-- Ceilinp - L'~j" ~O ~ F loo~ ~ S ~ f liH~r ~ . luta~ Blu. ' ~ Tolal Utu. ~ . HeQUireyf cv. It. E.D.R. o~ sa, iny..lY.n. L~uJo~ e~uu ~ ~~:,lu~~:~~1 c~i. E.D.r.. w s~. in:. Yl.A. lundw wuu . ''tl~~•. CASH F~CEIPT . ' CITY OF EdGAN ' 3830 PIL07 KNOB ROAD EAGAfV, MINNESOSA 55122 DATE ~ ~ / ~ 19 ~ REC~~veo / ~ J/~ FROM ~ ~ 4ri ~~'"C (jL~I . AMOUNT $ % C/~ ?S / ~ oc?.~wwa ,oo ~ CASIi C}iECK ROR ~I` L ~ ~ / ! _ _ ~ ~ ~`1 r y' ,~rrl~ -t~ . ~ ~ ~ ~;e-~ S/j~ FUND CODE AMOUNT {~y,1 1..,1 Thank You BY ~~-t.~-~- , ~ ~ ~ ~ White-Payere CoPY " Yellow-Postinp Copy Pink-File Copy BLDG. PERMIT N0. ~~~~7C ~ / ~J~, ~ ~ , , ~ti f~ ~ • ~-~2io ~ Biag. ~~r~~t ~.~7 ~D OI-3422 Plan Check ~ ~ ~ v 01-3445 Surch./Adm. 01-3446 SAC/Adm, ~ 01-2155 Surcharge ~ (P ~17-38b0 Road Unit ~ zo-zz~5 SA~ ~ 19 ~20-3865 Water Conn. ~ ~ Q~ 20-3868 Water Trmt. C~'' 20-3Z,}~6 Water Meter ` ~ ~ 2fl-2252~ Acct. Deg. 20-3713 k'ater Permit 20-3743 Sewer Permit 74-386b Sewer Conn. ~ j' r' 11-3855 Park Ded. TOTAL ~i ~ Y G'`G' ~ ~:L~ ~ CASH RECEIPT , . ~ . ' ~ CITY OF EAGAN ' 3830 PILOT KNOB RaAD EAGAN, MINNESOTA 55122 DATE 19 ` RiCE1VEO • FROM AMOUNT $ I & DOLLAR! ~oo ? CASH CHECK FoR , FUNO CODE AMOUNT Thank You BY • ' White-PeYert CoPY Yellow-Posting Copy Pink-File Copy City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 997 Ticonderoga Tr Lot: 8 Block: 4 Addition: Lexington Square 6th PID:10- 45080- 080 -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: Window Store LLC 9909 S Shore Dr Suite 270 Plymouth MN 55441 (763) 412 -4280 PERMIT City of Eaan Permit closedwithout required inspection(s). Letter sent to applicant on 12/11/09. (pi) Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Vicky L Chaput 997 Ticonderoga Tr Eagan MN 55123- -152 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA089553 06/05/2009 ePermit 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