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1001 Ticonderoga Tr CITY OF EAGAN ; ~ ~ ~ , 383~ Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for ~g DIrG/GAR Est. Value ~9~~~ Date ,19 Site Address i~1 T1::OMT~FEt(~GA 'f'F OFFICE U5E ONLY 7 4'~ LEXINGTO~V $QUA~ On Site Sewage Occupancy R3/Ml Lot Block Sec/Sub. T}] MWCC System x Zoning Parcel No. On Site Well (ACtual) Const A uOLI,EGE CITY C(3NST Ciry Water x (Allowable) ~n s Name W 0 S7 ST PRV Required # of Stories z ddress ~ City Phone ~31-1211 Booster Pump Length 56 Depth ~b ¢ Name SAM~ S.F.Tota1 .o ~ a Address Footprint S.F. ~ City Phone APPRQVALS FEES W W Name Engr./Assess. Permit ~ ~31+.CJQ~ U~ AddreSS Planner Surcharge ~l'S ~ City , Phone Council Plan Review 267-CK! aw BIdg.Off. SAC,City t4O.L1Q I hereby acknowledge that I have read his application and state that the Variance SAC, MWGC SSO.~O information is cortect and agree to co~tply with all applicable State of Water Conn. S~_f9[) Minnesota Statutes and City of Eagan Ordinances. WaterMeter 67_IlA Signeture of Permittee - ~-`°'r~ ' i01.1.#~~:~ ~1TY CUNST ~ RoadUnit Z g-ii78 A Building Permit is issued to: ? Treatment P1 on the express condition that al I work shall be done in accordance with all appli~abldState of Minnesota Statutes and Ciry of Eagan Ordinances. Parks Buitding Official ( ' TOTAL r1 . _..F.,,~,.i•,ww•~•~:.. . . _ ~.,,~M,,,-, ,r* s~r- r.. ...~.y~_ , ~ CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P H O N E: 454-8100 BUILDING PERMIT Receipt # i,`_ t i~~~ To be used fo~ QAS l' •IfiISH Est. Value :1~ ~0 Date wpB ~b , 1g~_ Site Adccckkkeeess 'y t~i Y2C~t~DEldi'.11 ?H Lot ^Block ~ Sec/Sub.L.EXiti[."1bt1 SO liTR OFFICE USE ONLY Parcel N'~o. ~ occupancy - FEES Zo~ing W. Name !'1Il~ALL DVOBlCIN (ACtuaq Const - Bidg. Permit ]S.OO ~ Address 1001 2IGOIi1DE!!Ot'.A SR ~~uiowab~e~ - Surcharge ~ • ~ Clt}I aw~ Phone 6e~~~s ~ o( Stories _ Length _ Plan Review ~p Name Depth - SAC, City Address S.F.7otal - CItY Phone S.F. Footprints _ SAC, MCWCC On Site Sewage Water Conn ~ W Name on s~~e weii ~'w - WalerMeter ~ ; Address Mwcc sysiem < W City Phone City Water _ Acct. Deposit PRV Required _ S/W Permit I hereby acknowlege that I have read this application and stale that the Booster Pump - 5rw Surcharge information is correct and agree to comply with all applicable State of Minnesola Slatules and City ol Eagan Ordinances. Treatment PI Signature of Permitee ~ ~ - APP~~A~ Road Unit . _ A Building Permit is issued to: ~x~~Y~ ~~II1 Planner - Park Ded. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. g~, pry, _ Copies Building Oflicial ~~e - TOTAL u•~ , Parmit No. ~ Permit Holder Date Tekpho~e # WATER ' ~~A PLUMBING H.V.A.C. E~crRic 3 a `~'~~-y / Mspsetlon Date Insp. Comments Footings I Foundation Framing z ~ p Roofing CO CL~ Rough Pibg. ~ ~ ~ ;T/ -Q C(~ . ~ Rough Htg. Isul. Freplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Cj ~ ~ - Decic Fig. , - z p~ Dedc Final Well Pr. Disp. , ~ CITY OF EAGAN ~ ' ~ 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT ' Receipt # . , • t~,-~ 17 To be used for ` Est. Velue • Date ,19 Site Add~ss ~ , ~ ' ~ ~ ~ ~~~~~'r OFFICE USE ONLY . ! ~ Lot ~fock Sec/Sub. '~''~l's~f:TUN ~it,Et? ~ K-~ On Site Sewaqe Occupancy P,arcel I~Io~ MWCC System Zoning On S i t e We l l ~ A c tua l) Co n s t 1^ -~'.L:-:_;C, ~IT( rt7^tST CityWater x (Allowable) a Name z Address S' PRV Required ~ of Stories 3 + i - ~ Booster Pump Length I~' ° City ' ' Phone . ~ Depth •,~,,r. - ¢ Name S.F. Total .o ~ a Add~ess Footprint S.F. ~ City Phone APPROVALS FEES t. , ; ~ W Engr./Assess. Permit ~ * y~W Name s ~ Address Planner Surcharge a W Clty PhOne CounCil Plan Review 7•`7~ . ` Bidg. Off. SAC, City •`t • ~ ~ I hereby acknowledqe that I have read this applicatio~ and state that the Variance SAC, M WCC ~~~•'•'b information 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 " - ~ , ~.~4 'LLc'^~ " . "'i "'C)"~~'T Road Unit ~ A Building Permit is issued to: ` Treatment P1 ~,~6_tY'~ on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. r-T--r--~. Building Official TOTAL - i?ermit No. Psrmit Holdar Date TNephone it Plumbing ~ ~ ~~~'c J~:j/ H.V.AC. G~ / ~ ' ~~,?(s' Electric 1'~(_) ~ ~ :~.L.• 7 5~~j0 .~r'~~ Softener Inspection Dsts Insp. Comments Footings I o ~ Footings II Foundation Framing Roofing Rough Plbg. . ~ Rough Htg. l6' Isul. y ~ Fireplace Final Htg. ~ S Final Plbg. Bldg. Final ~ ,S C~v~-r ec.~; e~ S` ~ c~c ie ~O a~ cerr. occ. ~ US ~'NS roc ~ ~ B~ Temp. ~P ~a~~ ti Deck Ftg. Deck Final wen Pr. Disp. . • : ~~r . ~ , . ~ . PERMIT # J ~ ~ PLUMBING PERMIT RECEIPT q~~~ r~~ ~ CITY OF EAGAN ; ~ 3630 PILOT KNOB ROAD, EAGAN, INN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 3// d Site Address ~ BLDG. TYPE WOFiK DESC¢IPTION Lot ~lock ~ Sec/Sub Res. New ' - Mult. Add-on ~ Name Comm. Repair ~ Address Other ~ Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAL Name ~ Water Closet - $3.00 ~ TBath Tubs - $3.00 c Address . .,,~_Lavatory - $3.00 p Ciry Phone ~ Shower - $3.00 ~_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ~ Laundry Tray -$3A0 APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50 ~ TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~-Water Heater -$1.50 ~ 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) Weil - ~10.~0 , , Private Disp. - $10.00 , y ~.p~ Fough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ . ~ ` PERMIT # ~V ' . . ~ MECHANICAL PERMIT RECEIPT # ~ ~ D~ CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: / CONTRACT PRICE: JJ PHONE: 454-8100 ~ ~ite Address ' l ~'J ~ ' BLDG. TYPE WORK DESCRIPTION Lot __~~Bloc~i~ ~/Sub , - ; ~ Res. l~ New m Name ~ Mult Add-on Address r~` ~ 1~., ~ Comm. Repair " . J Other c City ~ s y ~ Phone ~ ~ FEES Name ~ ' ' ~ ~ ~ RES. HVAC 0-100 M BTU - $24.00 c Address ~ ~ ADDITIONAL 50 M BTU - 6.00 p City > ti? Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA5 OUTLETS (MINIMUM - 1 PER PEHilAI~ - 1.5U EA. TYPE OF WORK COMM/IND FEE - 19b OF CONTRACT FEE Forced Air M BTU ~ APT, BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON S Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # ' BEYOND $1,000) Other ~ J,~ ~ (p °a FEE j ~,(.4~',a: ~c- ~g8 ~ ` : ~ ,1,. ~ 1 S/C: SIGNATURE OF PERMITTEE ~t' ~'p I LP ~0 ~ ~ TOTAL: ~~~~r~Q~u?~` ~ J~/gg FOR: CITY OF EAGAN ~ . . _ . . i 6-;?--gR CITY OF EAGAN Permit No: Date: ~i 38?0 Pilot Knob Road Meter No: ~D D/( 9 7~ Size: / 9,~, 8{ P.O. Box 21199 Fieader No: ~ ~ p~~---~ Date: 7 Ea~an, MN 55121 Owner. :~lle e Cit Const. Site Address: '~O1 Ticanderosta Trai1 L7 B4 Lexin~ton '~ct hth Plumbar. ''tar Plumbin ':1 Conn. Chg: '~,C~ . OOpd Zoning: J- Acct Dep: d~p~' No. of Units: Permit Fee: 16 • ~0~ _ Surcharge: . •~~d I agree to ply with tha City oi Eagan Tr. Plant 2~~ • OOpd Ordina ~7 0(lr,d ~ ~ Meter. Misc.: WATER SERVICE PERMIT CITY OF EAGAN Permit Na 9~~ Date: 5~2 ~-8~ ~ 3830 Pilv~Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: I ! Eag;an, MN 55121 ~ Owner. ~~-~ege Cit~ Co~tt. Site Address: 1~Q1 Tieondatogp 1`rail L7 E4 I.~zis~ton Sq 6th ~ Plumber. ~tar Ples~nbing i ~ i Conn. Chg: Zoning: ~ Acct Dep: No. of Units: Permit Fee: ~ Surcharge: I agree to comply with the City oi Eagan ~ ' Tr. Plant ' Ordina~ces. ' 67.40pd Meter. Misc.: BY WATER SERVtCE PERMIT 7~' ~1 ~G ~~O CtTY OF EAGAN Permit No: Date: 3830 Pilo~lSnob Road g/p No. Date: ~--1 n P.O. Bo~ 21189 Eagitn, MN 55121 Owner. ~`3eBe City Cpagt , Site Address: J~ Tico~~-'ernF>R TT~ ~ ~ u.4 ?,e•.+, ~ o" ~;-t ~th I tar :'~ttn~.. i ~ . . Plumber. MWCC: 5 5f? , nc~pd ~ Zoning• City Chg: , rn No. of Units: Acct Dep: , I agrae to comply with ihe Clty of Eagan Permit Fee: Surcharge: Ordinances. Misc : gr SEWER SERVICE PERMIT f , ~ f~~e~#iftr~f~ uf (~rr~t~~~tr~ . , ~ ~itp of ~agan ~ ~,e}~rh~cercf ,rrf ~ittil~itug .~lns~enim~ 77eis Certificate issued pursttant 1o the requirenrenu of Section 306 of the Uniform Building Code cer~ifying that a1 the time of issuance this structure woos in compliance with the various ordinances of dae City regulating building construction or use. For the jollowing.• - ~.~~~;~k ,~•,.:;5 Use thmfinriaa ` Bldg. I~rmie No. Oa.upoa.y 7'ype ~/~`s ~ Zonieg Disuict ~3,lj~' ! ~ ~ti`~ i Owner of Bw7dinQ ~.'`~.a.~'~s ' ~i i . Add~as t.'~' ' ~ $1 5~ ~ E1. ~ . p, lA;,,e /+~~lA l W l ~\I. 7~~r.'~ v ~ l'~~1.T~ ~.OC~bty L~.7 g Di ~ ~i~1:N71 .l~rl~-}, l~ lil Date. ' ~ j ' l Bu7ding Official POST IN A CONSPICUOUS PLACE a~38352 ~ ~o Reuuasl Dete ~re No. Raugh~in Inspecllon /1 R iretl? ? ReBtlY NOw~WII NoXfy InapeclOr 'T OC t! SI yes ? No When Reatly7 I p licensed contractor ~owner hereby request inspection of above elechical vro~k at: . Job AaEress (Street: BoK or ule No.) . ' Ciry 00 Con e.r0 t~ ra $ec~ion No. TowMNp Nsme or No. Rarge No. ~ Caurm/ OccuOaM~PRINT~ Phone N0. or ' (r 88-95~33 Po-xer Supplin Atltlress Eleclncal Conveciw (Company Name) Contrector5 Liceree No. om~ow Er' Mailing AtlOress ~COntracror o. Owrer Makinp InslelWtion) /4 oV£ X Authorizetl - rlOwnar Making Insiallation) Phona NumDer MINNESOTR STATE BOIIPD OF ELECTRICITY ~ TMiS MSPEGTION REOUEST WILL NOT ~ Grppa-Mitlwey Bbq. - Hoom 5/73 BE ACCEPTED BY TME STATE BOARD - 1811 UnlvlnNy Ave., SL Peul, NN 55104 UNLE55 PFOPER INSPECTION FEE IS PMna (61R) 8~2-0800 ' ' ENCLOSEO. - CITY OF EAGAN yo . ~ g g ~ 4 , - 3830Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ~ PHONEa 454-8100 ~ 3 ~ j BUILDING PERMIT Receipt # ~ ~ Tobeusedfor BASEMENT FINISH Est.value $1,500 Date APR 26 , ~g91 Site Address " 1001 TICONDEROGA TR Lot ~ Block 4 SeGSub. LEXINGTON 50 6TH OFFICE USE ONLV Parcel No. occ~pancy - Fees Zoning W Name MIIQI9IL DVORKIN (nauaqConst _ BIdg.Permi~ 35.00 ~ Address 1001 TICONDEROGA TR (qnowab~e) - Surcharge 1.00 City EAGAN Phone 688-9433 xorscories - Length _ Plan Review o Name S~ oepm snc, c~~y $p Address s.F.TOiai - snc,MCwcc " City Phone s.F. Foo~prints - On Sita Sewage Water Conn ~ - ~ W Name on sae weii ~'w - Wa~erMeler Address MwCCSystem - a W City Phone Ciry Water _ Acct. Deposit - PRV Required - SNJ PBrmit I hereby acknowlege that I have read ihis application and stale that the Booster Pump - Srw Surcharge information is correct and agree to compty with all applicable State ot Minnesota SWtutes and City ot Eaqan Ord nces. Treatmenl PI Signature al Pefmilee 'i'~ ~ A7PROVALS Road Unit A 8vildin9 Permit is issued to: MIK}1AIL DVORKIN Planner - park Ded. on the express condition that all~work shall be done in accordance with all Council app~icable State oi Minnesota Statutes and City, Iol Eagan Ortlinances. g~dy, p~~, _ Copias Building Official ~~1:,_~Ql,~r ~l~.Cl Variance - TO7AL 36.00 ~ y/5.~ RE~UEST FOR ELECTRICAL INSPECTION °'4raa EB-00001-08 I ~ ~ See in5lruttla ' for completing this lortn on back oi yellow mpy. z~ e~3~/~ _'X'~~low Work Covered by This Request 38352 ' ew Add fiep. TypeofBuilding AppliencesWired EquipmenlWired ~ Home Range Temporary Service Duplex Water Heater Electric Heating ' Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner Ol~er~specity) Convacmr5 Rem 1 Compufe Inspaction Fee Befow: ~Sm C• r1 I S h # Other fee # ServiceEMranceSize Fee A CircuitslPeeders Fea Swimming Pool 0 to 20o Amps 0 to 100 Amps Transformers Above 200 _ Amps t00 Amps SiJf15 Inspector5 Use Only: . T~L ~0 Irrigation Booms ~Q ' Q Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, ihe Electrical Inspector, hereby Ro~yn~m ~ oaie cerlify that the above inspection has F„~i ~ 7~ been made. OFFICE USE ONLY ~ This request witl 18 monl~s Irom CITY OF EAGAN 15 0 2 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 ~3 ~ BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est Value ~90,000 Date ~Y 1~ ,19 88 Site Address _ 1001 TICONDEROGA TR OFFICE USE ONLY 7 4 LEXINGTON SQUARE o^ SRe Sewage _ occupancy R3 /Ml Lot Block Sec/Sub. MWCC System X Zoning pD Rl 6TH ADD ParcelN'o. OnSitewell _ (ACtuaqConst Vn COLLEGE CITY CONST Cirywater _~S_ (Allowable) Vn _ a Name w PRV Required # of Stories ~ Address 6970 151ST ST - ~ city A•V• Phone 431-1211 BoosterPump _ Length _~6 oePth 46 , o Name SAME S.F.7otal ~ a Addf8s5 Footprint S.F. ~ City Phone AppROVALS FEES ~W Engr./ASSess. Permit ~5~1.D0 W w Name ri Planner Su~charge ~4~..D0 Address a w City Phone Council Plan Review -_2[].Z.D~ Bldg. Off. SAC, Ci[y _ __LQQ._00 I here6y acknowledge that I ha read t is ication and state that ~he Variance SAC, MWCC -_$.SD.,.QO information is correct and a e to c pl ~ h all appliwble State of WaterConn. SSn Minnesota Statutes an of Eaga rd n s. Water Meter ~7 n~ Si9nature of Permitt e ~ Road Unit _~_5.,~~ A euilding Permil is issued to:_ OL EGE CITY CONST oMheexpressconditionthatalworkshallbedoneinaccordancewithall TreatmentPt -~9(f.-00 applicable State of Minneso e Statutes and City of Eagan Ordinances. Parks TOTAL ~2_~642.00 Builtling OHicial J This reques~ void ~js/8~ Q~<"~ ? ~ v e~ 18 months from E 1500 ,c~ ~ ~ " Reques~ Date Fir No. Rooph-in I Oer,~ion fte rzed7 ~Ne.atly Now~Will Notity, Inspec~ ~ ~ ~ 1'es ?No tor W~en Reatly t~censed Electrical Contractor I hereby reVUest inspaction of above ? Owner alectricel wark inefallad at Sveet Atldress, Boa or Poute No. C'tV T'c~ e,o p ~:1 .ti. ecimn o. Township Name or No. Range o. Couply l ~ r i ii UAi ~O /f OccuGam I T) Phone No. Power OP~~e Address / t~ H7l' TG'~/ Eleclr c I onttactor ~COmypa~n~v Nam1e) Contr cto~e',s/ Licena{ey N/y. ~C7/IICN C-!CC / cL wCr' ' 7 D/ Mailing AtlJre.ss (Contr tor or Own ~ Making InstailatioN /0~9~wf1 ~ ~d~'.(7fJ^] Authoriz ig ature ( onvac[or Owner ~kind Installatiunl Ph e Number ~9~,~~y~' MINNESOTq 5 TE BOANO OF ELECTRICITY THIS INSPECTION REUUEST WILL NOT Grigga-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAFlD UNLESS PPOPEN INSPECTION FEE IS 1621 Univarai~v Ave.. 51. Paul. MN 55104 an....e iai~~ anv.nann ENCLOSED. /,p~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 _ See insbuenltins'i'or'elm0leline ~his ~orm on beck ol Yellow copy. ~ E 5 Q O ""X"' Below Work Cove~ed by 7his Request Fdal Fep. TVPe ot Builtling AoD~~ancea WiroE Equiuman~ Wired Home Range Temporary Service ?uplex Water Heater Liyhtinq Fixtures Apt. Building Dryer Electrii; Healin Commercial 81dy. mace Silo Unloader Industrial Bidg. Air Conditione~ Bulk Milk Tank Fann O~nar per,i v -Ncr (Snec,fyl 1 er Succi y Other O~h~r ompute lnspection Fee 8e/ow !1 Fee ServiceEnhence5ize b fee Fendere/SUbfeeders N Fee Circuits , D~J 0 ro 200 Am s 0 to 30 qm s ~G~O 0 tn 30 nm s Above 200 qinps~ 31 to 100 qinps 31 ta 100 Am s Swimming Pool Above 100_Am s Above 100_~m~s Transinrmers Irrigation Boorr~s ~ Partia6~Other Fee Signs SVecial Inspection RerrNrks U~ TO L Hough-in ~~e I, th IecVic . C ~ ~6 Inspecloq ereby certify tha~ tha abpve Final r D:~ e insoec~ion has been , ; f ineda. Thls repueal voltl /B montM tmm • ~-~o~ i2~s-z5 RESIDENTIAL BUILDING PERMIT APPLICATION ~ I ~ / CITY OF EACAN ~o U 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4875 New Constructlon ReautrameMS pemotleVHeoefr ReauiremeMs • 3 registered site surveys showirq sq. fl. ot bt sq. ft of house; anG all roofed areas • 2 wpies ot plan (20% maeimum bt coverege allowed) . 1 set M Energy Cakulatbns for heated add'Aions • 2 wpies of plan showing beam & window sizes; poured fountl desgn, etc.) . t sAe survey for ezte~ior add'aions & tlecks • 1 set of Energy Cakulatbns . Indicate N home served by septic system for add'Alons • 3copiesWTreePraservetbnPlan'rfbtplattedafler7/1/93 • Rim,bist Detail Options selectbn sheet (hWgs w~h 3 w less untls) DATE VALUATION 5~~ - Z~ (OU SITE ADDRES ~ - ~ MULTI-FAMILY BLDG _ Y N TYPE OF WORK `~~ax-o ~ e~ FIREPLACE(S) ~ 0_ i_ 2 APPLICANT Ca~~S tC~S~o~`f ~av~, STREET ADDRESS `,ZS-lQi~ P~ro c~'~Z~~ ~C7 CITY STATE~ZIP~I ~ TELEPHONE # lQ~l-~~I-1-~?~~CELL PHONE # FAX # I4 ~1- ~IP)?~'OZl9 PROPERTYOWNER V~\~L~~i, ~V(~r~(.,~v~~ TELEPHONE# ~e5\-IQ8R-9~1?r~ COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (J submission type) • Residential Ventilation Catagory 1 Worksheet Submitted • New Eneryy Code Worksheet Submitted • Energy Envelope Calculetions Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone q Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System n~(r~ ~ n M~ L - lh IJ ~J Sewer/Water Confractor: Phone t1 ~ I hereby acknowledge ThaT I have read This application, state that the information i~rrect~cxnd agree to c mply with all applicable State of Minnesota Statutes and Cffy of Eagan Ordinances. Signalure of Appll c \ . . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS OB-plex O 16 Fireplace ? 21 Porch (3sea.) ? 31 Exl. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 E~ct. Alt - SF ? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10.plex ? 19 Lower Leval ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ~ 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoars ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MClES 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) _ FinallC.O. _ Footings (deck) FinaVNo 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 Water Suppy & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total _ ~ ~ ' 1988 BUILDING PEAMIT APPLICATION - CITY OF EAGAN ° SZNGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUBVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES F08 COHNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDEiES~ IS DESIflED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PEHMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL tJNITS FOH SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS~ CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI~4fERCIAL INCLUDE 2 SETS OF ARCHITECTUHAL & STAUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~ MAY 13 ]988 To Be Used For:~(oj~, ~AMI~~(- Yaluation: ~ Date: ~/s2 'b'~ E7Ac.NED -tilFw Site Address 1001 "'l~{c,oNO~ oC'-~A. OFFICE USE ONLY DOD~ ^ Lot `T Block Q- On site sewage_ Occupancy -3 Tfl-I I~ MWCC system ~ Zoning ,pD, R-1 Parcel/Sub ~Xl~f(~TOA1 S[aUA~ eT~ On site well Actual Const V-N ' City water Allowable V-N Owner ~vLI.F.(~E C.l'~`C C.Ol~f~e s~'T~~~rJ pAV required of stoMes Hooster Pump _ Length 56' Address l09'70 lS1s'~ S-G Depth 4~- 1,~ S.F. Total City/Zip Code ~ppl~ Vq~£`~ 5SIZ4 . Eootprint S.F. Phone ~3 l Z(~ APPAOVALS FEES Contractor Sf~{1'1~.$~S Owr._J6iZ Engr/Asseas Permit ,~j3~{•°0 Planner Surcharge ~fS,Op Address Cauncil ' Plan Heview ~,(07,00 Bldg. OPf. 'YT~~~ SAC, City / 00~ DD City/Zip Code Variance SAC, MWCC SS O~Ob Water Conn ,~$p,Ga Phone Water Meter '"1,Do Road Unit 325,~ Arch./Engr. SIaYY1E. AS OL~UETL Treatment Pl o~F~ o~ Parks Address Copies I TOTAL ~ City/Zip Code ~ Phone Il . f~ vR~uAr~au ~ , GAk~~. ~ . 22x2ra-~}4q~( ~y.v 6!(~o a, ` ~AS~M ~ r~7' , 2G x48 = r2~fg S X 7 ~ 5b I 3O4 x ~ 3= 1~952 F-I~~ 13SN+T = t 3n~t 1 Y~ `I = z xG~ _ ~2 ~~t~ly ~ Z1 ~ x 5 = 13yL x49= ~595+-! ~9 0 ~6 ~ 88-073 TRI'LAND CO. SiTE PLAN FOR: SURVEYING SERVICES COLLEGE CITY 1260 YANKEE DOODLE ROAD C 0 N S T R U C T I 4 N EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION~ LOT 7,BLOCK~, LEXINGTON SQUARE 6th ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA 994 S 89° 7 89s~ . ~ SCALE: I"=30' LOT 7 ~ ~ 95+'~6 895~ I I ~ ~ i. i ~~'~G.» a9v Ti~ OO, e• p 1_l•~ ~.~J-i~ h p ~ ~ M M 5 - - N PROPOSED HWSE N I W Z~ EXIST. HWSE 26' W v ~ GAR. FL. EL.= ~ I GARAGE N ~ `JO~I ~ II I ~ ~ 10' I~§~ z 899q O 9. p ~ 11UB Q I B99X99 Z I 3 Z ~ ~ ~ ~ s ° 897k~ 89°43'03" E 75.0089~ g 89BKi ~ BTBC TBC TICONDEROGA. TRAIL ~ Q ~~~@~~D By ' ~ Da:e_ ~/1_.G_/~f o DENOTES ERON MONUMENT PROPO f~AR'~lGE~CtlO~._~VATIdiV~ ~ o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION_ DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE~ VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS I hereby csrtify that this survey, plan or report wcs prepared by me or under my - direct suparvision and fhat I am c duly Bradlay J wenson, Mn. R~p. No. Ib235 ^ Reqisfered Land Surv~yor under ths , . Laws of the State of Minnesota. Date • ~/~~~d - i . , ~ E%TE(iIOR ENVELOPE AVEMGE "U" C0~IPUTAIION OMINER SITEAOURESS d.~ ~ GONTRACTOR ~ouEGE c rn~ ~ DATE PHONE Determine working square footage of each. 1. 7otal exposed orall area Zo19 sq, ft. x,1~ ° zzz 2. Total roof/ceiling arca 1'~~3>_ sq. ft. x,OZ(~ ° %4.~b._~ ~Total er,posed wall area above floor = Zo Iq a. Total wall ~aindow area 257 b. Total door area ~ t. Tatal sllding glass door area 40 d. Total fireplace wall area e. Total wall iraming area (average~l0%)...:........ I;S f. Total net wall area above floor I°~Q Z g Total, rim ~oist area l3~ . Total~ekposed foundation area a °10 h. Total foundation window'area 1. Toal net foundation area ebove grade „ 9 0 Determine "U" value of each wall segment. a. Z57 X "U" ,3Ab ° b ~ ~11- X "U" ,1 Z 0 ° ._.~2-~ c: ~40 'X uU» ,~;d-b . ~ d.. - ` d _ x nUr . . e. 1=_ X "u" .092 ° f• I3°?Z z MU~ .Od3 = 9, ~ 3~ x .01~~ _ ~ h ~ x M~~ _ a - . i. ~ ~ X "U" , o ° . 7 3 ~ q S~I .............:..........:............Total l If item 03 1s ti~e same as, or less ttian item B1. you have met the intent of 58C 6006(c)2. ~ ~ , ? ; Total..exposed roof/ceiling area ~ t3~~-.3 • . . - ~ Total skylight area _ k. Totel roof/ceiling framing area (aierage lOX),,, 1',, 1. 7ota1 net insulated ~oof/ceiling area,.;,,.,,,,, q Oetermine "U" value for each roof/ceili~g segment. x "U° . k. 1 ~ X '"U" . d ~ ~ S ~.~laq X "U" .02Z ' . 21o~°r~ 4 ..................................Tota1 a ~~.1 If total of 14 is the same as. or less than :2~ you have met the intent of SOC,G006(c)1. Alternate Bullding Envelope Deslgn To ut111ze the total envelope system method, the values establisfied by the ' swn of ltems 03 and f4 siiall not be greater than the sum of items il and 02. 1• } 2~ • p r--_. 3. + q. a ~ . 1I~ NJD. U.. V/11:CLL AI'1/~~~5~~ ~ ii~~~.~ A/VU'i-•arn~.~v_ ~l~`r"~~., ,7 . . lNDOW AR~.A , TYP~ ot L?~Na~W f 418~~ %NS~L GtiASS jut wiwoo~u uuers /~AVt BY[n/ Ti0/a'P Io~ "R':•vA?.~.ai, ~tN~Y wec ~s 1.~Ntv ~OoJC ~yo a»y 4~ ~ssi~Y~o .~A Atii4N [~~rt! V~r..K.c o? .R.+ Z'8 I~IC~MD~yG A~R .f14M5 wi s1/a5~ • I/ . ~ oo,whv~,,,.~ ~'Io.r~o~,~.~ - ~Ol./NAA7IAN ~IINDoW AR~/13 TjIPE pl' I~~~+~~W ~ TNF- vv~NOOW U+~~~s N~~L B~W TtirRD PoR'R= V~w~~ fN1.Y "~~~a Ab~~ AuA m~r ar A~titiN~u Gasii~?IC>~~W yw?.ut ow •1~»• ~uc~wvfNy A14 ~I~MS . ..%YOp?A54 ? PooM4~ • ~ i U~y L• I I - SLIDIN~y ~~-A56 wuR '/~Ri~p~ ~YPr.o~ DooRi • 5~8 ~NS°L+G L'' L~~?f P y~iP~rJQ C~1~19~ 000l=S ?/r~i OLR•I 7t.ST~D FoR"!L= VAL•K~y THLY AiL ni /1DO~l Ad0 M~y 8~ A.~S~4Nl?.p A V1f~C11~IGf~~1) ~A1.~4L Of'~R.~~~ .z89 ,~c?rdr~ ~ia ri~rts Fv.T:4~.s ~.19; . V'~~ : 1/ ' ~ ' DooR ~R~^ t TrPe av DbvR s `T'~+e~?~ ~ .T~.u p~alt IJNI'rs HAVL 6L4N TLST[O A~IG MouyO To F~AVi A~f '~`.~/AUN? C~ ~Nfj A~• III.MS~ ~ ~ ~ ~ FOUTACi L r+.. ~,4, ~ ~~p~~ F ~~J~l~ 5pec/A~s ; TYP~ : wRM r•e~,~R, f~1r~' stc~rlcs - _ , ~ i\ ~1rv v t~?. ~r Hz ~n•w•rr a: ~•r { t+•• vr ;16T .G."':J~~%~1 bf~.S`...._..a..'°~- R, M So, 5-r Ar~ "R'- VA~uE , •bI _T ?JtER1oR ,,12 ~IL N ~ ~ ___1~,0 ~-IUsu~~r~oN tR•/9 ) 7.ob z~sNc~r~u4 ~~~-r-R~-rE ~ .~7 LAP g~o~,~~ 4_ li,r ~ I~ ~ l, 8 B 1~h~~ SoF rwooa ~ , ~_~.~~~,lTER Ia R/~ IR- pl~.w~ 24.39 roTA 4'q..~ ~/A1-LLL ~ ~ /a..a ~ ~ 2~4. ~ r_~ r4rn~ r~o?.,tit ~oU?.1 D AT IoN WA~-~-. ARF A CA~~~ yRAp~.~ Y~ ~ u.6 ~:^~I1fER1oR AfIZ ht-~1 '~'r . s ~ CeNCR / I's Ol-oGK. ^ W"~-; Z~t 4- ~ S ~u~~ ~ p II ~:tY 't~.L:_.. GP ~R' ~ ~II ~~XT{.~IOIZ, A1~ MI~.M 12.b3 1--orn~ I~„~ J~~u~. . i/~, . ~ / '2. 3 . ~0,3,9~ ToT~t I~rr.r~„~e, ~~a~ ~a?uwq~ ' D~n~ y~u,~o,_ - ,K _ ~ . . ~ . , "A'IV h ~ C..~ `Y~f.1!' al R'K~:Y ~ S • vr ~ o ~t~, ~~,.+~-s . _ , . Srun / ~RAM,N4 A~.~.q : •FZ~• V^LUL ._~'~TWrcN~oR ~IIR~ ii~~) ~ ; ~S ~ Z GVv.ff1M WAL~~O~RD~ ! ~So~~rvo.o ' ~.ob z Z SHI~IH+N4 ~ 'Q'~. ._....~b7 LRP S ~Q?uc~ z ~Y ; . , " vn~e a~RR~s~. ~,~rf'1.RioR n~K. r~~M 093 orn~.~ R.~; , ~~~.u~ ~ •1I'-~ ~ 1 i o.e~s To r~~ wor~a c ~NSILI.ATLp ~R~A' B~TW~~N' 'StyDS , "(Z" v~~w L . b tureeioa ~?~K rwa+ , 45 Z 4YisuM y,/~~~eeqeo 19 . 0 ,~C] ~ u a u~ w 7' ~ o N (~,~9 ) ,,,,f'+~SH~~TNIH4~UILT(:-1't£ ,b7 ~IZ s ~ a i N G LAP r VA/Oi4. ~A~~CR. '~1?LI41e~, J1~It. !'~~M. z~.96rorA~ w~,+,, vA~w~ ~,•w?~ ( 2~ 2,96 ~ ~ TOT~~ rOOMGL Nf.i ~.,~„~.w ~ u~ru ~~~~~o_. ~ I~,.Y LL~ ' ~ {~~~L ~~wir~ ~~Si ' Vlv'~ICIf~ :~:wrr7C:1'~t'lflY•'~.r~rrr~~v~+i/~-'. ~TOis7~ FR~M~~~4 /~4~ ~ •F~•• vA L ~1. E .bl 1NTeRiaR ~~R ri~M i . 15 ~5o~rwoap• n •S$ ..=Lri.4YOS~aM W~«Oo~YD 'L2 !N:uc.n-no~~ VApoR C~etitK ' I NT~R ~oa. A~il /~~N j~OT ~ L" Ft;:y ?~1-t.1. [ w, . a.,,~ . i z-r.7A- _ To7~1. ~r~~ zNSu4w7~p ARLA pLtW[Gu 7H~ ~~IS'('3 •R• - ~i?~ue ,~1_Iluraa~o~ ~~a ri~r~ A~- ~Ns?i1.A7~oN fR•~- ~ ..+5~` ~4YPSUM W~1u.ow4D ~ ~ ~ _ V/1PGJZ ~AItR~6R. I ~ If ~Nr~l~wrt ~iR fu M ~5.36rOTl~L'R.y' VAILLb : ~I~z 1/ d-s,31o t~° 'Ib~AL roor~c~ a~.M ~ ~ n/nrlb A'i {Mtr! siavrn - - - - r ~ 1991 BIII P IT APP ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MITLTIPLE DWELLINGS CO?II4ERCIAL 2 SETS OF 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - ~ STRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS\REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS PEcIRFB. *T~ CK4PI~E° TdTLL E° "'L^'.JE^ CNC~' 3UI',.D:N~ P:sZM~T IS_I_SS~ED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ~vosEM6tJT F11JtSkValuation: ~ Date: ~ ' Site Address /DO( TtGONC~f~BOCyA ~iQ. OFFICE USE ONLY Lot ~ Block ~ FEES ? Occupancy Bldg. Permit J ~i~ Zoning Surcharge vt7 Parcel/Sub ~nr1~,nA,~~~hn ~~v Actual Const Plan Review Allowable SAC, City oWae= M~Kltar~ D?o.2,~i/W # of stories sac, riwcc Length Water Conn. Address rQ0/ l itONd6~OG4 ~,Q, Depth Water Meter S.F. Total Acct. Deposit City/Zip Code ~ O 4~H . M tv SS~a3 Footprint S.F. S/w Permit S/W Surcharge Phone 6 g~- 9 4 3 3 On site sewage_ Treatment P1. On site well Road Unit contra~tor S Q_/~l E MWCC Sys[em _ Park Ded. City water _ Trail Ded. Address PRV _ Copies Sooster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ Lot Change Council TOTAL ,~~QQ ~ ~~r~ Arch./Engr. Bldg. Off. pS ~/-15-9j Variance Address City/Zip Code Phone # agrees that all work shall he done in accordance with l ignature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 YERMIT # ~ PHONE: (612) 454-8100 RECEIPT # ~';~~xATt'%s~i~~~i',~ DATE: I~9 . . a.....,o.<.. It,~~~D;~.I1kX«~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON ~$4(E'MF•kT _ SHOWER 3.00 REPAIR _ F~+y ~ a y _ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: M t K tilQ 1 1. D?O~ IL! N _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: ~OOI T1 GONtJ~'/dOCoA T,Q, _ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 LnT:~_ 9LOCK SU3 . ^ ~ _ FIAOR DFi~1:N 3.OC GAS PIPING OUT. INSTALLER: S 4/k E _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: IOD/ %/!'ONo/E~OG4 _ OTHER WATER SOFTENER 5.00 CITY: GQ9GN ZIP: SSIL3 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE G ~ 8 ~ .3 ~ SUBTOTAL S ISI~u ST. SURCHARGE .50 URE OF PE TTEE ~ TOTAL: S "I1~ •Sy CpMMERCTALfTI~piTSTRIALI= PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND " ~ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMIT5 ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN , . , . - , APFLI~ATION 1=0R PERMIT i~~~ pA~7r aF F~ AT TI[~ OF ; ; nrr~.xcazz«a oots caar coN- ; ' ; srrnrre armcrrac oF e~ux. ; ~ • + SEW ER AND/OR WATER CONNECTION = ~-'1'i~ ~ ~ ~`T~ * ~ ; irsrr,t[.nazor~s wna, r~ar aE sc~ ; . . ' ' e [!NPIL PF126IIT HhS EEFSI APPROVID. \ ffiflWl#4~ltft4;ffff~fttf»ffffLi#~tft . 1~~ OF C~C1C~C~i9 (PL~EASE PRINT 1) PROPERTY ADDRFSS: OI ( l~ ~ QC.1^ Y! LEGAL DFiCRIPTION: L<'~ ~,s.._~ I e x S ~ (i,ot B ock S sion or Tax Parcel ID IF EXISTIPIG STRL'C'IURE, DATE OF ORIGINAL BiJILDING PERMIT ISSOANCE: Mon Year PRESENT ZONING/PROPOSID OSE: Q COPM9EE2CIAL/RETAIL/OFE'ICE ~ R-1 SINGL~E FAMILY Q INDLSTRIAL ~ R-2 DL~PLEX (3t~,o C~nits) Q;INSTITUTIONAL/GOVERN[~NT ~ R-3 TOWNHOL~SE (Three + U~its) ( Units) Q R-4 APARTMENP/CODIDOMINIUM ( L'nits) 2) ~ [VAME: C,6 ~L ~o~ss: 64~~ s( r~ ~ n CITY, STATE, ZIP: j ~ l 0~ PHONE: ~ For City Use 3) iic~• ~AN~: ~ < Plumbers License: ADDRESS: v Active , ~ ~ ~ I~ Expired CITY, STATE, ZIP: Not recordec PHONE: I. ~I MASTEE2 LICENSE # St zn~t~a 4) ~ " ~ ru~r~: ADDRESS: CITY, STATE, ZIP: PHONE: 5) s ~ "a~• i ~e ~CONNECTION 'It~ CITY SEWER ~L.{NNECTION TO CITY WATER ~ di'ff~R 6) ~ ~ / ***'k*****'k***'R'k****!t'k **'k****'k'k*'k***'k'k*********`k'k*'k'k********1[******************'k*'k'k*************k * * THE GOID COPY OF THE PERNffT WILi. BE SENP DIRECPLY TO PUBL,IC WORKS 7C~ FACILITATE MEI'IIt PICK-DP. ~ * PLEASE AISAW 7Yi0 FARKING DAYS FOR PROCESSING. SONIDOL~ FROb7 Tf~ CITSC WILL COD7I'ACP YOU IF 74~RE * * ARE ANY PROSL~ENIS. + ~***+************+*******~+***~~+r*,t*+****~*~~**~~,~*****+*+,r*~**********+*~~**+***+r****,t**x*+******; _ ~OR CITY USE ONLY ~ ' ; PERMIT # ISSL~ED ~ ~ . Pd w/Bldg. Permit FEES: $ $ / C5 ~ S~ SEWER PERMIT ( INCLUDE SDRCHARGE ) S $ ~L~ ~ S~ WATER PERMIT (INCLUDE SC'RCHARGE) $ S WATER METER/COPPERHORN/OL~TSIDE READER $ S WATER TAP (INCLL~DE CORPORATION STOP) $ S SEWER TAP $ $ <<}Z~ ACCOUNT DEPOSIT - SEWER $ $ ~~`~~C~ ~ ACCOONT DEPOSIT - WATER $ j1 'D`~ $ WAC $ L~' ~ C $ SAC $ S TRUNK WATER ASSESSMENT $ S TR[!NK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRO[VK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ n Z~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7~ S ~3 C~ C TOTAL ~-3 k' 7 G ~~f ~ 7.s~ RECEIPT RECEIPT DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED By; ,~_ti~~~_,J ~p_uJ_yL,~ TITLE: ~ DATE: ~ BLDG. PERMIT NO. ~ 5O~ ~ ILY~~T~c~on dercd f~~ ~(r~ 8`~ ~ 013210 Bldg. Permit 5 ~ ~ Ot-3422 Plan Check z~~ ~9 013445 Surch./Adm. ~ 01-3446 SAC/Adm. S ~ ~ I J 07-2755 Surcharge 753860 Road Unit ~ c~cJ 00 20-2275 SAC JU' 203865 Water Conn. ~ 20-3868 Water Trmt. ~ ~d 203716 Water Meter ~9~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ~~d 283855 Park Ded. TOTAL a ~ ~ ~v . _ _ - . . . CASH RECEIPT ~ , ~ CITY OF~AGAN , ~ 3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 DATE v~ I 19 . ~c~v~ , 4 4 { ~vr. L _ l, ~ ' ( . AMOUNT a _ L,- ~I , 4 & OOLLARS ioo ? CASH C~' CHECK ~ ~ - : r~ ~ ~ ~ _ • _ , / % ~ / ~ ~ ~ ~ t ~ ~ . ~ ~ l LI( i J~k FUND OBJECT AMOUNT r ~ Thank You 8Y ' ,r. ' ~ ~ WhB~Payers Copy ~V ~ ~i.~ Y~~---P ~ ~Y PERMIT City of Eagan Permit Type:Building Permit Number:EA123407 Date Issued:06/06/2014 Permit Category:ePermit Site Address: 1001 Ticonderoga Tr Lot:7 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mikhail Dvorkin 1001 Ticonderoga Tr Eagan MN 55122 Hause Construction, JG P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125814 Date Issued:08/05/2014 Permit Category:ePermit Site Address: 1001 Ticonderoga Tr Lot:7 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mikhail Dvorkin 1001 Ticonderoga Tr Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature 41,1 C!tyofEaQall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: / 7/7y '"1C 4�DatPermit Fee: /46. -- Date e Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION `27 Site Address: /00/ 7-"/ 4,e,r-ic: L. Unit #: der w Name: / I i iC Lt eg. t L b Ym , J / /"/ Phone: C 51— Zg8 -f433 Address / City / Zip: /&/ / (e 0 ><rc(E <'v ‘cr / /EL . 46,4-rYi /`f qj l Z-? Applicant is: /Owner Contractor oark Description of work: 2 E' PL. c 4 S l-.01-4 E, 40 zY Fie.7hr '7 LP / 14m a :, Construction Cost: 2 2 G' Multi -Family Building: (Yes 1 No V) gi C#Or Contact: Company: (E2 Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: N TF•C Plans ansupporting docume s at you ere fo rma inf® n may clasp - o s non p .1rc if you prows le i. concl at they are CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Usee� /) /�/� /�Cityof ELLan 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 - -- 2017 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 7—/c)-/ Fee: $65.00 City Sewer City Water /` Repair Disconnect Description Of Work: G t S5tA) X REPS/2 4(t! ?r/-P Street Address for Proposed Work /CZ I TSCoAibe -06,1 7 lL Name: /'1-L/ Phone-. . /-Z.3Y'307gl Owner Information = Address/City/Zip: /6U /f Applicant is: Owner Contractor Licensed Pipelayer Master Plumber X Property Owner Name: if Sit? ONDE-(2,X roc Phone: (e/Z- ZZ2 Address/City/Zip: 2335.E • / 7Z0-c&,!/c .5^J-//3 Pipelayer Training Certification Card#: or Master Plumber License#: O`o'/(o9 I acknowledge that the information is complete and accurate and that the work w I be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a emit, but only an ..plication for a permit, and work is not to start without a permit. • ffipp (cp4A-t 61w, _Awe Applicant(Print Name) :.licant's Signature CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145935 Date Issued:09/29/2017 Permit Category:ePermit Site Address: 1001 Ticonderoga Tr Lot:7 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - James Anderson 1001 Ticonderoga Tr Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151760 Date Issued:09/11/2018 Permit Category:ePermit Site Address: 1001 Ticonderoga Tr Lot:7 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - James Anderson 1001 Ticonderoga Tr Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152132 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 1001 Ticonderoga Tr Lot:7 Block: 4 Addition: Lexington Square 6th PID:10-45080-04-070 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - James Anderson 1001 Ticonderoga Tr Eagan MN 55123 Sayler Heating & A/c, Inc. 6520 West Lake Street St. Louis Park MN 55426 (761) 281-6585 X1 Applicant/Permitee: Signature Issued By: Signature For Office Use (1 t . t, f , , , ,V4t1,4( Permit /✓ ;i i S'r ,C7 ,R,..:: ,,, O. 1� lid, Q ® �® Permit Fee: Date Received: 7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsCc�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Wil.Pcil � Gil �>., Q.�ts .Date Site Address / 7 .rc� � Unit# Name: yo 4' ,,J,17. der-s, Phone: �/Z- 3/(, -- IP a S Resident/ t Owner Address/City/Zip: /O 2/ ,0 ,�c- -ich, 7-g474- 1 Applicant is: Owner `-Contractor i Type of Work I Description of work: 7,( "/' %' ;te D.--L.- 'it-4. . , .�_.,..._., r:_..,.�.--,.��:._- t Construction Cos 77 dc9 O. Multi-Family Building: (Yes /Nccc j i Company: &-‘4>r‘*"(", L'/ C. Contact: Je.. y. 1 r' Contractor Address: /Z 3 67-re f,L.,! 10 Z City: S� ry / 4 State:AI''Y Zip: 5 5 -e-5 Phone: ,w,�' - ��' 's Email: �‹,,,/9-1(,,,,,,d LLC ,Ci) ., 7 1r:,- I License# ac 42 g 0s f Lead Certificate# If the project is exempt from lead certification, please explain why: 74c( Ai ,/? 9 ?9 , 144'.1:•<. 6,...),z,47,,-g.-7 ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? , Yes No If yes, date and address of master plan: k Licensed Plumber: Phone: Mechanical Contractor: Phone: I t:: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non--Rublic ifyrotprovide specific reasons that would permit the City to conclude that theyare trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeactan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in con ormance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i- not to start without 41permit; that the work will be in accordance ith the approved plan` in inn the case of work which requires a review and approval of•ans. ,, Applicant's Printed Name Applic 's Sign- 4 re • /00/ 7766videIr0jc r DO NOT WRITE BELOW THIS LINE .-d 4.08 SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) / Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1%0_ Occupancyt.)..4 , kr MCES System Plan Review Code Edition OA t.„))11 57 SAC Units (25% 100° ) Zoning City Water Census Code CC Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vt) Width REQUIRED INSPECTIONS l Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) i Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final - 7( Framing 30 Minutes 1 Hour Drain Tile - Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick j Insulation Windows - Sheathing Retaining Wall: Footings Backfill Final - Sheetrock Radon Control - Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control - Shower Pan Other: Reviewed By: 1(.1 , Building Inspector RESIDENTIAL FEES Base Fee 0 9T1V\ l Surcharge 9 Plan Review i,0, MCES SAC I, City SAC '' Utility Connection Charge S&W Permit&Surcharge ()„,( 0 Treatment Plant vANPCopies TOTAL (elir �` Page 2 of 3 For Office Use �, i� � Permit it: � W l �v .�► .� E AG N Permit Fee: �� I ' I01 I �` Date Received: (0i 11 ` 1 1 I� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MCT 11+r (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 93S buildinqinspectionscityofeaqan.com 2019 RESIDENTIAL 11 BUILDING PERMIT APPLICATION Date: Site Address: I OC)l it con dlvra 9a- Tr t Unit#: Name: t/61 1~e A GQr ` 1 l Z) Phone: 7_51"Z l 6 "7 .7t) Resident/ f Owner ' Address/City/Zip: 1 0 01 �tf Ader D9Gi r e I , a qa V\ MA) Sr/z3 Applicant is: fir Owner Contractor Type of Work Descriptigqn of work:D A'Aj-1, �' a 4 X 81 ki ;IL base..wteA4- +'0 Q nit i`C.-�'1 t9 n C Q 6r h f - A d c( i 4 at 4.5�� //q(( in 14 i ft.4 74-O G,•-Gaff, uonstruc ion uosta" u`4 "� 940°012 Multi-Family Building: (Yes /No a---) Company: / et tri C-(Per 64.e.0-4 c AJ Okt/jontactJO5 L Si 1; FL / r2-4/-1 7c r Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i 'ot to start without a permit; that the work will be in accordance with with the approved plan in the case of work which requires a review and approval of . . Applicant's Printed Name Applicant's Signature t ' DO NOT WRITE BELOW THIS LINE /o / .l/Cd/1c�E= lf'J9 (l-- - ( , SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) y` Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool ,;: _ Accessory Building WORK TYPES New _ Interior Improvement q_ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Demolish Foundation Alteration _ Fire Repair _ Windows Replace Repair Egress Window _ Water Damage 1 Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation t,'1! Occupancy -71Z6_—/ MCES System Plan Review Code Edition ,.,„6--- SAC Units (25% 100%_) Zoning Pp City Water Census Code yak Stories — Booster Pump #of Units Square Feet — PRV #of Buildings l Length Fire Suppression Required Type of Construction I7 J Width REQUIRED INSPECTI•NS Footings (New Bu Iding) Meter Size: Footings (Deck) Final/C.O. Required Footings (Additio ) , Final/No C.O. Required Foundation ' oundation Before Backfill t HVAC Service Test Gas Line Air Test Hood Roof:_Ice a er Final Pool: Footings _Air/Gas Tests Final Framing 4730 Mi utes 1 Hour Drain Tile Fireplace: Rou h In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /If , Building Inspector RESIDENTIAL F' S Base Fee it 9' Surcharge Plan Review 3/ MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 A