1012 Ticonderoga Tr + _ . - . -.....'"`R"7~'~"h°Q;~~4'~?f "w'.G~,''~ - , • : . . . -w~~r; ~^r"'~^-.
' CITY OF EAGAN ~ 846 f
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,
BUILDING PERMIT Receipt # ~
To be used fa~ ~E~NT FINISR Est. Value =1 Date ~'t' 18 ~g 9U
Site At3d.~ss 1012 1'ICONDB~lOGA TR
Lot Block 2 Sec/Sub. ~XIMC!'ON 9Q bTE! OFFICE USE ONLY
Parcel No. occuPa~cy _ Fees
zoning
W Name pAT NELSOli 6 TERitI POLICY (Actual)Const _ BId9.Permit 3~•~
3 Address 1U12 TICQNDE&OG/1 T'B (Aliowable} - Surcharge i•~
~ Cit ~G~ Phone +r o~ sco~~es -
Y Plan Review
a N~J SPACS$ HOFIE CMTTSHAN Le~~ -
=o Name ~a+h - Sac. c~~y
Address ~~2 S 5TEVENS AVE S S.F. Total
U~ City BURliSYILLEphone 63~-3478 S.F. Footpnnts _ SAC, Mcwcc
On Site Sewage _ Water Conn
W W Name On Site well - Water Meter
t= Mwcc s s~
~r~ Addl'eSS y em - Acct- Deposit
~ W City Phone c~ry wacer _
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - ~yy Surcharge
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City oi Eagan Ordinances. ~ Treatment PI
Signature of Permitee APPROVALS Rpad Unit
A euilding Permit is issued to: NSW $PACES HOME CRAPTSIiA Planner - Park Ded.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City oi Eagan Ordmances. Bldg. Oft. _ Copies
Bwlding Official ~a"a^~ - TOTAL 36.00
Pem~N Pfo. Permit Holder Date Telephone #
~+NATER
SEWER
PLUMBING ~ ~ ~ ~ „ ~4 G~
H.V.A.C.
ELECTR~C jCC~ ~ ' ~ D ._~*Jo-o
Inspection Date irtsp. Comments
Footings I
Foundation
Framing Q J ~f - ~ ~`dc Li ~
Roofing Z 1~' a.-. ~
c~,yn Proy. 0-3~ D . o
Rou9h Ht9• /-Q~ .(A}' -
Isul.
Freplace
Fnal Htg. ~
F~al Plbg. ' - ~ f!
Canst. Meter Plbg. InspeCtor - Notity Plumber
Engr.~Plan
Bldg. Final ia-~ O
Deck FIg.
Deck Final
Well
Pr..Oisp.
~..-.~.......r.r.r..~~~. .r,t7:;, z : ;r..~. -r . . . . . , , ..y ,-y*u~.~~, ..y,.~.~ .'r
PLUMBING PERMIT -L_',•-:._
' ` For City Use nly
CITY OF EAGAN PERMIT# -~~~0~
CONTRACT P~~OT KNOB ROAD, EAGAN, MN 55122 RECEIPT# C~ L G~
PRICE PHONE 4548100 DATE: I~i 5 D
Site AddresS ~ C 0 N 6 ? BLDG. TYP~j WORK DESCRIPTION
Res. New Const~_
LOt 3~ BIOC ~ SeC/SUb Mult. Add-on
~
r~ L Comm. Repair
L Name ' ~~r
Address ~ 11 ~°Q ~'`-^"x ~
~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
~ City ~•V~ Phone 6
- Np. FIXTURES TOTAL
~ Water Closet - $3.00 $
Name ~ ~ Bath Tubs - $3.00 =
3 Address O1 a ~ ~ ~ b~ Lavatory - $3.00
o City Phone Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00 -
COMMJIND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM - t PER PERMIT-NEW CONST.) _
STATE SURCHARGE PER PERMIT .50 ~ So(tener -$5.00 ~
(ADD $.50 S/C PER EACH $1,00~ OF PERMIT FEE} Well -$10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
SIGNATUR OF PERMITTEE PERMIT FEE: • Uv
STATES S/C: ~
FOR: CITY OF EAGAN GRAND TOTAL•
_ . . . . . . ,~.tiY~~
, . ~ , CITY OF EAGAN : 3 ~ $ ~
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
' ' PHONE:454•8100
BUILDING PERMIT Receipt # -
To be used for Est. Value Date ,1g ~
Site Add~ess ' ' ' OFFICE USE ONLY
Lot~ ' Block SeC/Sub. Lr.X1NC~TOd+ OnSiteSewage T Occupancy -
MWCC System _ Toning
Parcel No. + ~{J~ ~ On Site Well _ Type of Const
City Water ~ (Actua~
¢ Name (Allowable)
u+ ; , ~ of Stories
= Address Length
° Ciry Phone ` ~ ~"~'~J~ Depth
S.F. Total
, p Name Faotprint S.F.
Address APPROVALS FEES
?°C- City Phone Assessments Permit Vu
Water/Sewer Surcharge -T~p
W W Name Police _ Plan Review +`-~t~
Address Fire _ SAC, City . i:~
~ Engr. _ SAC, MWCC ~ `~0
6 yZj City Phone Ptanner _ Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Ftoad Unit a
thatthe information is correct and agree to compiy with all applicable A~ - Treatment P1 '
•
State of Minnesata Statutes and City of Eagan OrdinanCes. Variance _ Parks
Copies
Signature of Permittee TOTAL `
A Building Permit is issued to: ~ ~ on the express condition that
all work shall be done in accordance with all appllcable State of Minnesota Statutes and City of Eagan Ordinances.
Buflding Official
' Parmft No. Wrmlt Holder ~ata T~I~phone *
C~
Plumbing D-~ c~S J - ~c~. i~~~~-
- - l.
H.v.ac. j ' Y_.~ ~~9 ~7
Electric %7~~/`~ .U~ 1 ,
Softener
inspectfon Date Inap. Comm~nb
Footings I ~ ~
Footings It
Foundation r~
Framing
Roofing
Rough Plbg. ~
Rough Htg. ~ ~ ~ r
Isul. ~ ~Q
Fireplace
Final Htg. ^ ~
Final Plbg. _ ~ ~
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
~ . _ . .
~ri ~ ~
~-'u ~ ?
f~rr#if tr~ttP nf (~rr~~~nr~
~
. ~ ~ ~Citp of ~agari ~
~P}t~r'~1ltMiY Of ~lt~~tl~ ,~t1.~tPttlAit
This Certif
cate rssued pursuan~ to the requiremenu of Seclion 306 of the Uniform Building
Code certifying that at the time ojissuance thir snucture was in compliance wrth the various
ordinances of the City regulating building constructioR or use. For the following.~
SF UWG/GAR ~.~~~No. 13683
~~r'~Yv~ ~3 zoaio~ niuricc k~ rype rod,? V
~~BW~ ROTTLIiND CO P.Q. B~X 383, OSSEO, MN
1012 TICONDEROGA TR~~ L30, B2, LEX SQUARB 6TH
e~_~ ~"t NOVEMBER 11, 1987
~ OQ'uad J
POST IN A CONSPtCUOUS PLACE
~
. _ ; ~ , ,
, , , , • PERMIT # ~ S 8~ _S
~ ~ PLUMBING PERMIT , G~ L~
RECEIPT # ry~~
• ~ CITY OF EAGAN ~ ~ ~
3830 PILOT KNf?B ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address t ~ BLDG. TYPE WORK DESCRIPTION
Lot Biocit S~ec/Sub t Res. ~l New X
~ - Mult. Add-on
~ Name ~ Comm. Repair
~e Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name ~Water Closet - $3.OQ
~ ! Bath Tubs - $3.00
3 Address ~ , ~ lavatory - $3.0~ -
p Ciry Phone S}- ~ Shower -$3.00
_L-Kitchen Sink - $3.00
~ FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1~,5 OF CONTRACT FEE ~ Laundry Tray -$3.00
APT. BLQGS - COMM RATE APPLIES ~ Floor Drains -$1.50
T~WNHOUSE 8~ CDNDO = RES. flATE A~PLI€S~ " " ~-Water Heater - $~:50 ~ ' -
MINIMUM - RESfDENT1At FE~ -$i2.00 Whirlpool - 53.00
MINIMUM - COMM/IND FEE - $20.00 -l-Gas Piping Outlets - $1.50 '
STATE SURCHARGE PER PERMIT - ,50 (MINIMUM - 1 PER PERMI~
(ADD $.50 S/C IF PERMIT PRICE C,OES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - ~10.00
' " ~._Rough Openings - $1.50 '
( 1 f `F ~
SIGNATURE OF P RMITTEE FEE:
STATE S/C: ~
FOR: CITY OF EAGAN GRAND TOTAL: ~ y ~
. , .r . .`"F•}~or ~ . . . . . . . . .
. PERMIT # ~s ~ `1
• • • MECHANICAL PERMIT ~-+,~~y j -7
CITY OF EAGAN RECEIPT # ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE - r 9 /
r CONTRACT PRICE: j~ s- PHONE: 454-8100
~ Site Address " - BLDG. TYPE WORK DESCRIPTI~N
Lot Block ~ Sec/Sub Res. ~ New k
_ f ~
~ . , ~ ` Mutt Add-on
~ Name . Comm. Repair
~c Address ~ Other
c City Phone ~ ~
~ ~ FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ' ` ADDITIONAL 50 M BTU - 6.0~
p City Phone~ - C (RES. HVAG INCWDES A/C ON NEW
C~NSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT} - 1.50 EA.
TYPE OF W4RK ' COMM/IN~ FEE - 1% OF CONTRACT FEE -
Forced Air 1 " M BTU ` APT. BLDGS. - COMM. RATE APPLIES
TOWfVHOUSE & COIVDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MIN~MUM COMMERCIAL FEE - 20.00
Vent CFM ~ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
! FEE: , ~
S/C: SIGNATURE OF PERMITTEE
TOTAL ~ ~ ' `
FOR: CITY OF EAGAN
~ PERMIT # ~ ~ f ~ ~ 1
MECHANICAL PERMIT RECEIPT # ~ / "
CITY OF EAGAN ~ ,~l,. ,f
3830 P1LOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ' ' ' ` ~ ` ` ` ~ ` ~ g~pG. TypE WORK DESCRIPTION
L9t ' Block ec~/Sub Res, New
l. c'i~ ~L2..'~I_ ~
~ ~ ~ r ? ; r ~"i , ~ Mult Add-on
Name( ' Comm. Repair
~ Addres,~s ~ ~ ' • ' ~ C • ~r; '
c City , i`~ Phone ~ ~ ~ f Other
~ Name ~ ~ ~ s FEES
~ r l~ ~ ~ ~ RES. HVAC 0-100 M BTU -$24.00
c Addres$, r•= • ~ •~1 ADDITIONAL 50 M BTU - 6.00
p Ci t
y r' ~ l' ''J Phone v S ` (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS ~UTLETS (MINIMUM - 1 PER PEknAll] - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19'o 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-~N 8
Uait Meat~r M BTU REMODELS - 12.00
Air Cond. ` M BTU MINIMUM COMMERCIAL FEE - 20.00
~ STATE SURCHARGE PER PERMIT - .50
Vent C~M $ {ADD $.50 SIC IF PERMIT PRICE GOES ~
Gas Piping OuUets # BEYOND $1,000)
Other ~ ~
~
FEE: ~ ~~r ' - % '
S
S/C: j` SIG AT RE OF PERMITT E
TOTAL: Z 5 /a~ g~ RW .
fJ FOR: CITY OF EAGAN
..:--s,.F, . . . . . _
. . ,
PERMIT # ~T
PLUMBIHG PERMIT ~ j'i~~I'
CITY OF EAGAN RECEIPT #
~ ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Addressi C' A - BLDG. TYPE WORK ~ESCRIPTION
Lot=~
rBlock ~ SeciSub Res. k New
~.tai'~~ ~ .t;i. Y-L_ ' Mult. Add-on
~ Nam@ r ~ ~ ~ ~ Comm. Repair
~ Address! Y~~`~ ~ Other
c Ciry r ~ Phone~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
- .r, ~ Water Closet - $3.00 S
Name.~-' ~ Bath Tubs - $3.00
c Addres6~`'~~~ s~ ' E'P Lavatory -$3.00
p Ciry f'. ' Phone-l`'`^ _ f'-;. Shower -$3.00
Ki!chen Sink - $3.00
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$~.50
TOWNHOUSE 8 CONDO - RES. RATE APP~IES 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 PERMI~
(ADD $.50 S/C IF PERMIT PRICE GOES ~Softener -$5.00
BEYOND $1,000.00} Well - $10.OQ
Private Disp. - $10.00
K ~ ` Rough Openings - $1.50
SIGNATURE OF PERMITTEE , FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Permit No: Dat~ ~ 7 `
3~30 PNot Knob Road Meter No: ' 3 g a. ~~f Size: sf d"
RO• Box Z^i 199 Reader No: 9~/
~~,l Date: ~e. l S- g
Ea~an, MN 55121 ~rT
Owner. ~o t t lund Gc,m a? ,
SiteAddress: ~`~12 Ticonderopa i`rail L30 ~2 T.~~xi~~~ton ~
Plumber ~'a 11ey ?'~,L~b~r.
r
_ Conn. Chg: ~.!~;~Ur.' INAR~~ .
Acct Dep: 1_ 5. Of~ ~~~@~~~- ~
Permit Fee: 10 . cl i~
Surcharge: . 5(~y~~. E~T~I~ - G~$ ~
Tr. Plant Z s~~ . 0 i~ n~ F C'11 ~ ~ Q F~ 9r°e to com I with the CFty of Eayan
Meter. r i ~"~"y-~~~~
• ~~F~LT~
MISC.: BY
WATER SERVICE PER '
~
. , . ~ ~ -
~ CITY OF SAGAN Permit No: 1j Date: 6-10-87
~
3939 Pilot Kna~ Raad Meter No: Size:
P.O. Box 2! t99 Reader No: Date:
Eagan, FAN 55121
Owner. ' c-: t t 1u~ic, C~rn an
?12 Ticondero .a T~ail I.3~ B2 Lesin~tor. S ~t';
Site Address:
Plumber `~~al ey Plv.~bint
~25. OODrt' i
Conn. Chg: Zoning:
Acct Dep: 1 S.~1l~Dd No. ot Units: i
Permit Fee: 1~ • ~~D~?
Surcharge: • S 1 agree to comply with the Clt~r of Eagsn
Tr. Plant j • Ordlnancea.
Meter. ~(1~~
Misc.: 8Y
WATER SERVICE PERMIT
~ -
, cinr o~ EAC~AN SEWER SERVICE PERMIT
~_?;B30~flro! Kri~b Road ~ ~ ~ 7
~ P.O. Box 2,1h98 PERMIT NO.:
Eagan, MN 55121 DATE h-LO-F7
Zoning: ~ No. of Units: 1
Owner. Rottlund Cotapauv
Address:
Site ~kddress: 1912 Ticondero~a Tra il L30 A2 Lexi:: ton S_ ~ t~~
- ~ Plumbec Calle umbin~~
5-?9- 74~J6(? 10~).OOpc~
~ I pree to comply wNh th~ Clty ot Ea~an Connectlon Charge: 5~ K nn.,~~
i p~~~~~, Account Deposit: 1.5
~~d
Permit Fee: 111.~]vTd
! Surcharge: .S~d
f g~, Misc. Charges:
I Date of Inap_ Total:
Insp.: _ Date Pald:
. _ _ _
p C~ %O 8C~ Co
7i~ av
c~ ~ 3. ~ 9 0,c~o ~ ou~
ityquesF Da~e Fire No, Roug~-in Ins tion
l O ~ ~ Re uiretl~ ? Reatly Now ~,Will Notify Inspecmr
es ? No Whan Reatly?
1~licensed contractor O owner hereby request inspection of above electrical work at:
Jo~ Aatlress (SV\eet. Box or Route No.) ~j Ciyry/~~
d- ~ ~ ,1.~~+7 1 lt'~ ~^il
Secb n No. Towns~ip Name or No. Range No. County 1 ~
1`p
Occupanl(P1i1[JT1 , PhoneNO.
T~~J\
Power $upplier Mtlress
Ele al Convador ~CompanyN e C~actor's Lice~ N~
~"~I
~ i O )
Mading Adtl~ess ICOnv or or ner Making Insiplation~ ~ 1
yn : .A__ pv
Aut~o ~ G~ mre IGOnt cmrl0 Making Install ' n) P on N ber
MINNESOTA 5T TE BOAHD OF ELEC7NICITV 1}11S MSPECTION REQUEST WILL NOT
Grlggs~Mltlwey Bltlg. - Room S1]3 BE ACCEPTEO BV THE STATE BOARD
1BY1 UnivarsHy Ave., Sf. Paul. MN 5510i UNLESS PROPEF INSPECTION FEE IS
Plana(61]~86t-0BDO ENCLOSED.
i REQUEST FOR ELECTRICAL INSPECTION °'"~~.~0., eaooom.o~
/D/~~ O 'x~ ~
~ See insimctions lor completing this lorm on ~ack of yellow mpy ~`,31 e/Q GO
~ F' O
g Q "X" Below Work Covered by This Request
e Adtl~Rep. - TypeofBuiltling AppliancesWired EquipmeniWiretl
Home Ranqe Temporary Service
~uplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./InduStrial Furnace
Farm Air Conditioner
Other~speciTy) Contractor_ s Repiarks: ~ r ' '
I._(~.AJE/V l._4N~x ~w~~at~
Compute /nspection Fee Below: L.~ ~y, ~ ~S
k Other Fee # ServiCeEntranCeSiZe Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps Above 10 _ Amps
$ignS Inspxtor5 Use Only: TOTAL
Irrigation Booms ~ ~
j
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby Rough~in oa~e%3~~
certi that the above ins ection has ~
~ P Final Date
been made. l~~~d
OFFICE USE ONLY
This reqvest voiG 18 mont~s Imm
ihis request void /g~ 7~~ r~
18 nwnths (rom J
D 17~51~"7 ~o y " .~ri ~ ~ $s~~
fl uest Date Fire No. y,-i Insuer,[ion
• A rtetll L' ~Ready Nuw ill Notify InsPec-
~ Yes ~No [or When ReadY
? l~rensed EI¢ctrical Convactm 1 hereby request inspection ol ebove
?'Owner electricel work instelled at
SVeet Address, 6oz or Route No. Cit
I o a T' o~
ection o. Township Name or No; Hande No. ow~ty .
V
Oc ant IPPI T Phone No.
Power Supplier Address
Ele~Vical Contractor ICOmpanV Name Contract ~s License
~ -
Mailing A~sOs (COntr tor or Oyvner Makme ~~~sraqationl [/I,'~
1 `~L1 !~/1 ~ 1
I! l~.J V
Au orized Signature ICo ctor/Owner Making Installa[ion) Pbone Number - ~
MINNESOTA STqTE 9 ARO Oi ELECTflICITV THIS INSPECTION REQUEST W~~L NOT
Grie9s•Midway BICg. - Room N•191 BE ACCEPTED 6Y THE STqTE BOAHD
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PNOPEH INSPECTION FEE IS
Phone 1612) 662-0800 ENCLOSED.
~~g ~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
1 Sae inslrucGans lo~ completirq ~his form on Gack of yollow covY. ~.S~.S ~f
QG1 f J 1 7 "'X" Below Work Covered by This Request
/~dd'NeO~ Type o1 BuilEinB APPIiprlte! Wi~BC Equipment Wired
Home ftanye Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Furnace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ~nr~ aec~ v O~nFr ISpmritvl
1 a uccity Othnr Othcr
ompute Ins ection fee Belaw
N Fee rviceEnVenceSiie k Fee FaxEers~Subfextle~s N F Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 t~n. 5
Above 200 Amps~ 31 to 100 Amps 31 to lOp Am ~
Swimming Pool Above 100_Amps Above 100_Am~s
Transiormers Irrigation Hoorc~s Partial.'Other Fee
Si~s Suecial Inspection 5 ~
emerks OTAL FE ~
.rni
t
p~u8h I, the Elecv
^-'"'r ~a Insoectoq he~eGy
carti~y thet the above
Final D:rte inspection has been
ieJ~ ->.2 ~de.
This repueat roltl 78 monlrtv trom
CITY OF EAGAN NO ~ 846 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE:454-8100 /1 r~~r
BUILDING PERMIT Receip~ # l~ o~
To be used for BASEMENT FINISH Est. Value $1, 500 Date OCT 1 R , 1g9~
Si~e Address 1012 TICONDEROGA TR
LOt 30 BIOCk ~ SeGSubLEXINGTON SQ 6TH OFFICE USE ONLY
Parcel No. oa~pancy - FEes
Zoning -
W Narrle PAT NELSON & TERRI POLICY ~ACtuap Consl - B~dg. Permil 35.00
; AddreSS ~ 012 TTGONDERO(:A TR (Allowable) - Surcharge 1.00
° Cily EAGAN Phone x oi slories -
Lenglh _ Plan Review
, o Name NEW SPACES HOME CRAFTSMAN Deplh - SAC, City
o~ Address 15025 STEVENS AVE S S.F.Total _
o< $AC, MCWCC
~ ~i~y BURNSVILLEphone 435-3478 S.F.Footprin~s -
On Site Sewage _ Water Conn
ww Name On Site Well - Water Meter
~i
~z Addf05S I MWCC System - Accl. Deposit
iw Cily ~ Phone Grywaier _
PRV Required S/W Permil
I hereby acknowlege ihat I have read IhiS application and state that ihe Boosler Pump - SrW Surcharqe
infortnation is correct and~~~444gree tolcompI~{ with II applicable $$$tale ol
Minnesota Statutes and GilyAof Ea~ O/rdifl6n~~ ~ Treatment PI
Signature ol Permitee L/~ ~ APPROVALS Road Unit
NEW SPACES HOME CRAFTSMAN P~anner - Park Ded.
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all Council
applicable State ol Minnesota StrawtesI and Ciry of Eagan Ordinances. g~a9_ p~~, _ Copies
~ IM1~l~I 1~ 01`l,l,' rn~ Variance - TOTA~ j b•
Building Ollicial
CITY OF !`AGAN ~j° 13 6 8 3
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for SF DWG/GAR Est. Value ~68, 500 Date ~Y Z$ ,19 87
Site Address ~012 TICONDEROGA TRAIL OFFICE USE ONLY
Lot 30 Block 2 Sec/Sub. LEXINCTON SQpARE On Site Sewage X Occupancy R3
MWCCSystem _ Zoning Rl
ParcelNo. ~ 6TN ADD onsitewelt rypeorconst y
City Warer 7 (Actual) ~
a Name ROTTLUND COMPANY (Allowable)
w # o~ Stories
= Address P•0. BOX 383 Length 52
~ City OSSEO Phone 571-0304 Depth yg
S.F. Total
, p Name SAME Footprint S.F.
~a Address APPROVALS PEES
~ Clty Phone Assessments _ Permit ~ 395.00
Water/Sewer Surcherge "~L S~
W w Name Police _ Plan Review 7 07 5p
FW
z Fire SAC, Ciry ~v
Address Engc _ SAC,MWCC ~L9c
n~
aw City Phone ~ Planner _ waterCOnn. 59S np
Council _ WeterMetar 67_(lQ
I hereby acknowletlge lhat I~ va read this application and state BIdg.Off. _ Road Unit 305.00
thattheinformationiscortect ~ agreetocompl~withallapD~~~ble APC _ 7reatmentPl 1Rn.np
State of Minnesota Stetutes a City f aga(i rd ances. Veriance _ Parks
Copies
Signature of Permittee ~ ~ TOTAL 2 32 .00
A Buflding Permit Is issued to: ROTTLUND COMPANY on the express condition that
all work shall be done in accordance with all appl' able State of innesota Statutes and City of Eagan Ordinancea
Building Officiel
a
RESIDENTIAL
BUILDING PERMIT APPLICATION
f~ I Y'~~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
,~3 ~ . ~-s-
New Conatructlon Beauhemems RemotleMaoalr Neauiremems
• 3 replslered slte wrveys showinp sq. ft of bt, aq. tl. of house; and ~ roofed areas • 2 copies ol plen
(20% maz~num bt coverege albwe~ . 1 set of Energy Ca~ulaiions for heated add'nbns
• 2 copies of plan showirq beam & wlndow shes; poured foun0 design, etc.) . 1 sae survey for exteria add'aions & decl~
• 7 sat of Energy Cabulatbns . Indicate H twme servetl by septk system for atldNbns
• 3 oopies ofTree PreServetpn Plan tl bt platted aMer 7/1/93
. Rim Jolsl Detell OpWns selectbn sheel (61dgs wNh 3 or lass un~s)
-J 80
DATE VALUATION ~Q~ OD~J `
SIiE ADDRESS I v I ~ I MULTI-FAMILY BLDG Y N
TYPE OF WORK ~,C ~r ~e- Si~~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT r`~?i,S ~ 1 ~'1GQ J(~~.n
STREET ADDRESS SV I Z? t/{vc~. Vt> CITY~STATE ~ZIP
TELEPHONE # CELL PHONE ~a- ~~e ~L~ lv~j FAX #
PROPERTY OWNER S~S J`Z w`~ TELEPHONE #
°
COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9o~Y _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residenf~al Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal ConhacTor: Phone #
Mechanical system includes: _ Air Condirioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge that I have read fh(s application, state That ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicdnf ` I r I~~~ ~
~
OFFICE USE ONL
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not R~irsd
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Mufti
? 03 01 of _ ptex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level O 24 Storm Damage
? 06 04plex 0 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolkion (EMire 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 Bk1gs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldp~ _ FinaUC.O.
_ Footings (deck) _ FiuaVNo C.O.
_ Footings (addition) _ Plumbing
FoundaNon HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ F'veplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies '
Other
Total ~
CITY IISE ONLY
PERMIT RECEIPT DATE: ~ ~ - ~ l
l l.L~'~.J~v •
~SI~~'NNTT~a~kL ~H~~, PLEf~IT ~4~P~'I.~C~'I'10~1
crrY o~ ~wcwrr
3$SO PILOT KNOB RD
SAHRN MN 5518E
651-6$1-4675
Please complete for: D single family dwellings
townhomes and condos when permits are required for each unit
Date: ~ I
SITE ADDRESS: I D~~ ~ j G~ NO ~~P[~Crn ~~n[ ~
OWNER NAME: l~~ i~Yf7-~ S~ ~ TELEPHONE
(AREA CODE)
INSTALLER NAME: MT_ R{~pt~ TELEPHONE
2800 Campus Dr., Ste. # 40 (AR~a caoe>
STREET ADDRESS: P1Ym0IItt1, MN 55441
CITY: STATE: Z~P:
Place a check mark next to the permit work e
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• fumace replacement
• air exchanger
• air conditioner
. other
Natureofwork: f'~~i~
State Surcharge $ .50
TOtal $
Reminder: Call for inspections. ~ ~ " ~ ~ ~ ~ ~
AN 2 3 2001
SIGNATURE OF PE TTEE
Updated ll01
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: ,INSPEC70R
C014ll41~~CI~EL M~C~IAtNIIC~tL ~P£~M~°I' a~~~1.IC~kT10N
CITY Of ~a+4H~kN
3$80 ~[LOT KNOB gD
~aRflr~N, b1N 551 E8
651-6$1-4675
Please complete for: all commercial/industrial huildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
5ITE ADDRESS:
OWNER NAME: , PHONE #~;r ~ -
• ~nxEA con~
TENANT NAME (IMPROVEMENTS ONL17: { ~ ~ ~ ~ ~ ~ ' '
. .fl,...
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK 7'PPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing underground tank, calf 651-68I-4675 for inspectinn by Fire Marshal and
Plumbing Itnspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract priae: $ x I%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
3 -
3
1987 HIIILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
ffiCLQDE 2 SfiTS OF PLANS, 3 CERTIFICATES OF SOtiVEY~ 1 SST OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOidNER MDST DESIG~ATE WHZCH 6DDRESS
IS DESIftED. NO CHANGES WILL BE ALLOiiED ONCE BQILDING PfiRMIT IS ISSIIED.
MU[.TIPLE DWELLINGS - RFSIDENTIAL RENTAL O,AITS FOR SALE DHYITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUftVEY - CHECB iTITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COPII~IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2~000 LANDSCAPE BOND
/ OJ
~
To Be Used For: Valuation: ~ Date: .S /
Site Address ~r917 (~y~ OFFICB USII ONLY
Lot ~ Block f On Site Sewage_ Occupancy 1C - 3
/ MWCC System Zoning s~~ /
Parcel/Sub ! Ciy-4r~~~~.trYl b On Site Well Type of Const
City ~dater _ (Actual) ~
Owner (Allowable)
di of Stories
Address ~a, /~j-yJ ~g'~ Length
~ ?epth
City/Zip Code ~~A~y~ , S.F. Total
Footprint S.F.
Phone ,5'7 / -~Q^9 APPROVALS FEFS
Contractor - ~,.,.,,,,,g~ Assessments Permit ~~j , aa
Water/Sewer Surcharge y o
Address Police Plan Review /97.tO
Fire SAC, City /tlA•
City/Zip Code Engr SAC, MWCC
Planner Water Conn S3~ .
Phone Council Water Meter G 7~00
Bldg Off Road Unit 3os',
Areh./Engr. Q_ APC Treatment P1 jPp,•°
Variance Parks
Address Copies
TOTAL ~
City/Zip Code
Phone 7~
~
. ~
e' ' ~ ~
~3o X ~ o : G ~o x s ~ -;F~ 3 .yf ~ 2'Q . ~ "
~ , , ,
~ 5~ X~ O = y~' a X~% = a~ 6~{ o
~~,~~o
X a~- : ~gy x s' ~p~
f=~~
,
~
Section T-C Page 5
iteplaces
May 1, 1982 ' • ~tarch 18, 1983
~ JtiAr 7g wt;.
~NGINECRGD GARAGE HEADGR' ,
:g~ _
1G'6 X 22 in Stock '
NOTE: ~fAXI6fUld ALLOWABLE TIE-IN SPAN 24'0" ROOP TRUSSES
(650 LBS TOTAL PER LINEAL FOOT)
. - ~1~=-- - _ `~j, i ~ .
. _ : _ _ -..:t=~_.
~ „ ,
1G'G x 22"
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AU70MATED BUILDING COMPONENTS, INC. •
r~- ~ Mil~work Division Component Plants s~ Kitchen Divislon
Chanhassen, MN ' Lon9 L~ke, MN Chetek, WI ~~.'h'~ ~ Ezcelslor, MN ~
6121937~~j060 ~ ~ 612(473-7376 715/924-0867 6121474~1111 ~
I
. -
~ ' ~ s~e~c~t~ Il ~~s .
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATIDN
OWNER 'f~l~ u~ ~J~lJ C~ ~ I IVI.~
SITC ADDRESS rQ~ ~ ~.t.~~ryyt,-1p~/A-~'p~ il ~iS~
CONTRACTOR -`~j YJ~ J DATE PHONE ' O~
Determine working square footage of each.
1. Total exposed wall area ~ 20 ~ sq. ft. x./~~ _ ,8
2. Total roof/ceiling area /~7y sq. ft. x r~z(~ 30.5-
Total exposed wall area above floor = Y ,
a. Total wall window area
b. Total door area 3 8 , ~
c. Total sliding glass door area Y G
d. Total fireplace wall area 7?
e. Total wall framing area (average 10%) ~ S f
f. Total net wall area above floor / H 3 U
g. Total rim joist area iY
Total exposed foundation area = 7 0
h. Total foundation window area -
i. Total net foundation area above grade 7 0
Determine "U" value of each wall segment.
a. /y~ g ~~U~~ r ct'~ _ ~
b. 3Et' X''U" eG 7= Zo(o~o
C. ~L/ X ~~u~~ ~ y Z '~V^ e~V
a. -,z_ X „U„ .yy = 3/.~~~
e. I S-.3 g~~U~~ . U~ 7=/ 3~75_
f. i 4~'~ x ,,U„ .US~2 = ~a,o6
g i X ~ovv = 5,~r2
h. - X ~,U„ - _
i J U X,~U~, a 07~ = 5% 3~
3 ......................................Tota1 2~J°/ Sf /
If item 3 is the same as, or less than item 1f1, you have met the intent
of SBC 6006(c)2.
.
.
........:::rn~,...,wr..~.,......~ ~ . . . r~ . . . r.~........ -
Total exposed roof/ceiling area =
Total gross roof/ceiling area = 7 U
j. Total skylight area o
k. Total roof/ceiling framing area 7 O
1. Total net insulated roof/ceiling area //O~/ ~
Determine "U" value for each rooE/ceiling segment.
. ~ X nUn - _
k. ~U x "U" „ ~27 =
1. //U `f x~~U~~ ~ pL s = 2 7. ~
4 Total - 2 y °
If total of f14 is the same as, or less than ~12, you have met the intent of
SBC 6006(c)1. ~
To utilize the total envelope system method, the values established by the
sum of items l13 and ll4 shall not be greater than the sum of items I11 and 112.
1. L~/~/~~5 7 + 2. 3U.~ Z = 2~~~~ {
3. ~c~v,4s r + a. 29.~~ 34,3c~
, ,
. .WnLI, JL~.Y~jVIIJ YCII~(~ d oC 4
tdU1'E: Use 102 oI opaque wall area for ~
. ixame construction '
I Const~
op R-Value
. , -~-~ZJ . .
1. Interior air~film ' 0.68
~ i ~~.J , .2. ~lL~~~Y P f3 R D ~ o y. s,_ .
3 3. ~x~ s-rc~vS (oo$S
EnSiC ~ 4•_.r~---~!~ . 4. 25-/32 5I-rr~ 2oGG~
tanz.r, ~ , . s. ~iar-v~ vvci~ ~ECT /62~
/il 6: Exterior air film 0.17 .
_ --~(~l
Tota1
FIG. ~I1 ~ IEf9 OF . . s .
_ . . . . . , ~ ' FI2712'lE i?I~LL ~ . _ ' , ~ e ~ ~
. 1. Interior air Eilm 0.68
. . • . . 2. ~L~~G~.'r.'P f3oZ D ,,,5- .
I~~._____'• -
3 . ~UL L !.~/.A ~4 ' /.ti5~ / `'-1. CU
' 4• Z S 3Z 5h'TV- 2~ C~ '
1?TG. h2
• . ~ II ~_rO ~ ~v ~ 5. S/d~~fic OV~K' ~ELr ! 02 ~ .
6. F7cterior air film 0.17
~ i~---------(~ . Total 2 3~ 6 Z
' ~ I/ .
~~/I la~~ 1, Interior air film v~ ~U~ Z
L lSc r, L_~( ~ ~'~_'.~..------^-----4s~ 0. Gs
~.Y5cra1 ~ ,~.I.I~~ ~ 2, /.v5v~
, ~ y`
, s~_. ;
i.l.- `r~~ L:~ ~LI' 3, '2 X~ rZf .(`/i tSg
I ~/l ,l. .~1~~ ~ ~6
r.;~.:_:_._..._,~:~~::~ ; . . ~ 4. ~2 ~~3 ~ S
o a 2 aCJCo
I . ~-'<<,=-~~.ti s, siai.c.~ c~ v~fz r- ~2 z-
I /6'z~
j~2+ ~ ' _______._~;,,_O. 6. Exterior air film 0.17
~~J1TIChi~ . d C~'" .=i~ ( ~ . TotaZ 2S.OS
_LI. I ~ t
Q~--~`~- . • , U= . O `l- C~
, ~
~~d ;.5 ~ r '
\
I ,I51' 'r' ~ p ~ • '~,.,,,`J ' ' ' 1. Interior air film
'iti ~ 0.68
._:,.~~~____I . . 2. J.riSt~C,
_ . . . 2,e~1 FuR 2 i rt C~ U o
3.
r
9. 12 ~ G o.w r,/3 C oC L$
5 . .
, 6. Exterio: air film 0.17
. . Tot,a/l /3e//3
e~'7~O
/4~.'f,.` u ~ ~11 - . "~t~.~~~~~ e• ' ra ' ' ' r\ . a'
. ~ ~ . ~ V,, • • ' ~6,y , ~ i'.
f
4 ~ • f (~r . ' ' . ( • ~ .'r ~
. ^ . 6 . ' ~ I11 -
({r . . . . _ / I i~
, r, ~ , _ -
113 PIG. 1f9 r • •
r y.-.~~ . . . ,<< k -.o
l ~ o ~ \ ~
~ _ , r• • ~ / . . i .
~ Roor/c~iLiNc
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: L~tj~ , Const;rucL•ion ' R`Value
~ (i . 1. ~ Interior air film , . 0.G7.
l ~ 2 s „ v I~ f3 Q~ E .
~ .r.~' ~
' A ~ L~.~~i~ - 3. _C3~ /NSvt 3E~'.p~ .
~II„~, I~~ ~(II 111 9' Exterzor air film (still '~fiZ
~ Vc.1T ~ n ToLal 3~'fef3D.
. , 1 t,..( 7 \ --t.' . : ' ; V = evzs
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Vented Heat fLow ' • ' ' • ~
up ~ . , . , '
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FZG. $S ~ ~ , ~ '
'
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i ' , ' , . ' . . .
' _ _ i Interior.air film 0.G1
~..,_.~....~r-~~s~.+i;t^:.~~?.~t"-:,<~^nc~n~,e_~ 2. S a.C~Y?~ Iy~RD 58
------,-----ta . 3. i.vSVG oveiz rizus5 3`i ~q .
~ i 9., Exterior air film sti 1~ . I"
. . . . . ToeaL 3 (o r ~ ~f
~ ~ _ ' . ' V , ,oz~
~I~ ~ ~ ~ ? ~U~, . ,
,
. ~1 ~--02 , 3 4 ' • • ~ • ~ • . • • a ' • ' ~ . . ~
~
Bea~ flow vp ~ ~ , .•vented 1 . . ~ ~ • ,
. . . . ,i
• ' ~ ' , .r . ~ ~ . ,
• , _FIG. A6....~... • . . ,
. . . , . . - . • .
3 5 .t~U 1. Insi.de ai.r film O.G1
' - ~ ijP~"~ 7..
~aS::1
• ~ :.,a~ °•i~°l..' ~ : 3. ' . . .
9~.a1. ' 9.
:...••r~ ~•_!-,?;~r~.•;e: • ~
~`~y~''~''' ~ ' S. Outside air. film 0. 17
1'''~ ~ To tal
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' 1 ~ Z • .
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• H0~7-PL~h'TED ' Notc: Use additional sheets -iE more ~paco 13
• needed for details und calculatians. ,
' . ~Hent ~ ' . '
• , • ~f1ow up . '
' e . . . • ~ • .
' fiT.r,. ~A7 i , • .
,
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~ eO/II,~1d/IICS 6A7.5 1i7gh~uny h5 NE. !?O. l3ox 32308 Minneopolis, ~fN 55rt32 (612) 57LC>OC6
Sd/BURBAN fNGINEERlAfG. ~MC. 12203 Nlcullef Aoc. So. Du•n.Nlle, MN 55337 f612) 8'70 (r510
Gu~C Flunmipal & Enm.onme.rc~l [ngeaenng ~ WnA~maeVing ~ LarrJ Planning ~ So~l ie~nrg
Certificate oi Survey for ROTTLLI ti1C~ ~O}~1PIqN Y
8eurings Shoun Are Assumed ~
o Deno[es Iron Monumen[ .
° Denotes Foundation Corner Offset Stake. PROPOSED ELEVATZONS
z Denotes Existing Elevatlon
Ox Denotes Proposed Elevation . . Top oe eio~k 8 9$A
Deno[es Direction of Surfate Drainage Lor+est F~oor ~9
Denotes Drainage end Utili[y Easement Garage F1oor~9T1
~
~t C o N o~, ~o/~D
Top Co26 Top Coes
~J: 89y,y ~ ~ N~,~ 895.2
~p ~swa -`7~i.00 ~ 89~4~~03~~E- ,-op ti~a
E~J,=895.o j c~ u= 895.7
~ Q ~ ~Rt~~rJR4E zC- uT~~.~T~ I~ ~ ~
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~ cy~ ~
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T hl~a ~ i8'~CAUr. ~ TpP F~va
Q ~ ~ - tr
E~1.= 113.00 ~ys 24~33 q,,; - lo,~~: N F.~V ~ 85s 9 S
s9s.s3 {v ~ I 9 ~ o I (
0
~ M tv ti`. I I
~ 'Y` !/J 897.~ ~ m
Q I ~ Q° ~ ! 5 0,I aa.~7
~ ~ M
I ~ i ~ m ~ ~
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~~P ~ I b8 ~ I I ~I }~~9
~,.,~,I,> 13,0 30.0 2Z.o 0 _ ~°P
895,81 ~ ~ ~ F~.E~~~B%.~9
u~. I I 9
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Q . .
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Z ~ L I 11CV1 QP~~
~ , ~ i S~al
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,-oP ~~a s - - - 8 9S q
F.~.EV,= 895.8' ~r
89s. ~-7 S oo I~1 89° 43 03' W_ ~
o T ~j[~ ~ oc.K ~ ~>C ~ N G,TU ~
( Nor R ~AEO) 1
~QU V~R.~ CoT~ ~ DD !T?at~I, ~D~-Ko-r~ C~,1~t~,
I hereby cer[ify [hat [his survey, plan or report was prepered by me or under my direct
supervision t~nd Cha[ I am a duly licensed Land Surveyor under [he laws of the State of
Minnesota. ~y ' ~ ~
Signed this Lday of ~ 1~7 =
=
~ Companles
/7 SUBURBAN ENWNEER7NG_ /NC.
~
Not published: All rlghts.reserved lM1-~o- ~
Cop7right 1987 SE Compnnies, Snburban EngSncecing, Inc• ~e~~T ~ ~'~.~rk , Plinn.:-Gicense No. YS
S 87 21y ~-r
~ „
1~~G1
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET DF SPEGIFICATIONS
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.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOSE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~~t 1 p RECn
s~ /
To Be Used For: ~l~~OdEL Valuation: ~~v Date: ~ 90
Site Address ~(J/`~ %~~'p~~PvO~rC T~u~ J OFFICE USE ONLY
Lot Black ~ ~ FEES
Occupancy
Zoning
Parcel/Sub ~,~(j/(~/'~~ ~~~If1XI, ~~,d.N Actual Const Bldg. Permit .~ur, o~
' • Allowable Surcharge /,oo
Owner ~f NL'~SUI1 ~ ~C~YYi t'o~L[~ # of stories Plan Review
-7- Length SAC, City
Address /Q/,~ ~CD/~C?~°l~~cr /YC~ ~ Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~Gi~qv~ S~/,~ ~ Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor ~(~(,v ~~'(~PC ~~/Y1P~~'~~S/naV/ MWCC System _ Treatment Pl.
~J~/~~~ (7 City water Road Unit
Address ~~j',1 S~l~UP/~ ( rtJJP Jd PRV _ Park Ded.
~ Booster Pwnp Copies
City/Zip Code.,J,~~?Y1.S(~l 1I~.' SS337 SUETOTAL
APPROVALS Penalty
Phone '7~.5 y 7~ Planner TOTAL
Council
Arch./Engr. Bldg. Off. ~rj~~
Variance
Address
City/Zip Code
Phone it
- CITY OF EAGAN~ \ * PA~ °F ~ ~ ~ °F *
S
* ~riscrazorr noES r~ar aorsrr~ »
G~ APPROVAL OF PERNIIT. *
*
C APPLICATION FOR PERMIT J *
~ - * INSPDC.'rION OF SES~R AI~ID/OR S~&1'LFR *
,*t I11.STAL~LT+'?'30N5 WII,i, NOT BE SCF~- *
SEWER;AND/OR WATER CONNECTION ~ ~ P~T ~ ~ *
. • * APPItoVFD. *
* rt
µ »
. * *
.
'?****~,r~,tx******~«**xk:*:**r*#*r****
~ P ease Print
~~1) PROPERTY ADDRESS: ~uia T;c„~~.qoi~ }Q
LEGAL DESCRIPTION: 3 a tLr S
_ Lot Block Subdivision or TaX Parcel ID )
g' E~3TING STRL'CIL'RE, DATE OF ORIGINAL BC'ILDIN:~ PERMIT ISS(,`APTCE: . -
~
PRESENP ZpNING/PROPQSID t'SE: - (P3on YearJ
~ C0.'~4•~E2CIAL/REI'AII,/OFFIC~ ~ R-1 SINGLE FAMILY .
Q IDIDL'STRIAL, Q R-2 DL'PLEX (R~o Onits)
~ INSTIZL'TIONAL/GOVERN[~,~NT ~ g-3 1pW~-IpL~SE (Three + Units) ( Lnits)
. ~ R-4 APARTMETPP/CObIDOMINIL~M ( Units )
2) ~
NA[~~:
ADDRESS: • -
CITY. STATE, ZIP:_ I~RD Iu~ MN r.'14~
PHOI~:_ 453-a~a 1 ~
• 3) • u ~ME. For City Use . .
Plinnbers License:
ADDRESS: 610 ['RF~ir ~ ' Active
~
cix~, STATE, zir: . dORDAN, MN 55352 ~ ropt~erecoraea
PHOi~: 4 93- 3~ 3 1 MASTER LICE~ISE# /'l - 3 f u l gt~{" Initial
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6) ~ • r ~ PLF7~.SE HOLD APPROVID PERMtT FC)R PICK-L~P BY ONE OF ABOVE
~ PI~EASE MAIL APPROVID PEI2MIT ~ 1, ~ 3. 4~ ABOVE .
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. FOR CITY USE ONLY ~
PERMIT # ISSL'ED
3
Pd w/Bldg. Permit FEES: !
.
S $ /U • S~ SEWER PERMIT (INCLUDE SORCHARGE)
S $ ~O ' s~ WATER PERMIT (INCLLDE SC'RCHARGE)
S_ ~j~ 7i D U $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLL'DE CORPORATION STOP)
- $ S SEWER TAP
$ $ ~`^•D ~ ACCOUNT DEPOSIT - SEWER
$ S /f~ ' G ~ ACCOONT DEPOSIT - WATER
$ -~i Z S ~ CrZ~ $ WAC
$ ~z S 'O~ S SAC
$ $ " TR['NK WATER. ASSESSMENT
$ S TRL'NK SEWER ASSESSMENT
$ S ` LATERAL SENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
~ ' ~JZ~ $ WATER TREATMENT PLANT SORCAARGE
$ $ ' OTHER:
$ ~ • U7} $ G l~ TOTAL
c~ C, n 7~/~~ 3
RECEIPT RECEIPT
~OES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT EOR WORK 6VITHIN PL~BLIC
Q ROADWAY" MUST BE ISSL'ED SY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: _ ~.--t .~y.~/ ~h ti,
TITLE: _
DATE : !m~/~/~ ~
JUN-07-2001 15:d3 FROaFR61A HOl~ DEPOT AHS s 7635428227 T-826 P.001/OOl F-78B
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courrrsr oF N~a~ ~ ~0,~
STATE OF 14IINNESOIA
KNOW ALL PECIPLE BY THESE PRESENTS:
TT-]LAT I, Todd Daniel Lewis, a residenYOf QAn! ~EY County,
M'uinesota {"PrislcipaI"), and a licensed contractor of RNIA Home Services, Inc.,
DBA Home Depot Instailed Sales located at 646 Mendelssohn Avenue North, Golden
Valley, MN SS427, having a ticense munber of BG 20268257, do hereby appoint,
name and consritute Elder-Jones Building Permic Service, Iac, ("Agenc") as my uve
and iawful attorney-in-fact and do authorize and grant said attorney-in-fact For me and
in my name, place and scead rhe power co execuce, acknowledge, sign and deliver (in
such farm as.may be required by the municipality} a permit applicarion, or any other
insaument(s) which may be necessary and appropriate, in otder to obtain the proper
permit{s) from the Ciry of Eagan, Minnesota for the installation, maintenance and
repair ofwindows and siding (the "Work").
Tha powers conveyed to the Agent by this Limited Power of Aaomey aze
limited sotely to the express powers d~lineated herein and apply solely to che Work.
This Limited Power of Attorney shall expire and automatically be revoked on the tG
day of TJ
LlU? , 2402, which dace is one year from che execution hereof. F,~her,
the powers conveyed by this Limited Power of Attomey may be revoked by Principa[
at any time by express revocatian and shall also be revoked by the Principal's death,
disabitity, incapaciry or incompecence_
IN WITNESS WFiERBO~' rhis Limited Power of Attamey is executed this
L-. F= day of 5...~ ~ . 2001.
~f~.-~( ,~~,.~.f ~
Todd Daztiel Lewis
WORN TO AND SUBSCRIBED BEFORE ME by Todd Daniel Lewis on
this day of .~Ti a~ Q , 20~,.
.~,w.vwMu
~A1e b ic in foi e State of Miruteso gUR?ON T. eAOWN ~
NOT~HY PUBI.IGMUWa07A
My CommissSon Expires: M~'~u^•+'•~ ~
s
7%816.v]
Received Tic~e Juo, 7. 2:56PM
3 - ~
~ - RESIDENTIAL
~ '~`°11e°`~'°'~~10~5a~ ILDING PERMIT APPLICATION
~ 3200 Cobb GalIeria Pkwy., Ste. #200
Atlanta, GA 30339 CITY OP EAGAN I~~'
763-542-8826 3830 PILOT KNOB RD • 55122 $
BC-20268257 ~y,~g~ - 651-681-4875
Naw Conatrutdon Reauirements RemodeVRaoairReauiremenls
. 3 regislered site surveys slwvriig sq. ft of bt R of house; an~ll rafed areas . 2 copies ol p~an
(20% mazimum bt coverage albxed) . 1 set of Er~gy CakuWlions !a heated additions
• 2 copies of plan slqwing beam 8 windax sizes; poured found design, etc.) . 1 si~ survey 1or exterior additions & decks
. 1 set of Eneqy Cakulations . hMkate if home served by septlc system for additions
. 3 copies M Tree Preservation Plan if lo! platted aikr 7l1~93 .
. Rhn Joist Deteil Opbons seledion sheet (bldgs wilh 3 or less unils)
DAiE 13 • S~. ~f • ~ l VALU/~fION Lo , a ta ~
JOB SITE ADDRESS 1 U I a~`, C eCnQa,. ~ra. l
IF MULTI•FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Gh:.P~~ 5h.~n
TYPE OF WORK~ TIgC e o C~,~; iln l~~~n,~n ,4r[:S~FIREPLACE(S) _ 0_ 1_ 2
APPLICANT SCa~. . PHONE#
ADDRESS _ ~y~ZIPCODE~o~p
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNE50TA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculafions Submitted
_ MINNE50TA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Controctoc Phone 4F:
Plumbing System Includes: _ Water Softener _ lawn Sprinkler Fee: $90.00
_ Water Heater ~ No. of R.I. Baths
_ No. of Baths
Mechanical Confractor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone 16
All above information must be submit'3d prinr to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan dinances.
SlgnWureofAppllco~i~ll~.L.l L~Cll~i],(/~,~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
~ Updated 1/01
OFFICE USE ONLY " ' `
O 01 Foundation O 07 05-plex 0 13 76plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ~ 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 38 Muiti
O 05 03-plex 0 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? OB 04-plex O 12 12-plex Plbg Y or_ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demalish (Interior) O 44 Siding
~ 32 AddiUon ` ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraUOn 37 Demolish (Bldg)• ? 43 Reroof , ` O' 48 Windo.wstDoors
O 34 Replacement •Demolitlon (Entire 81dg only) - C~IqePCA,handout to appilcant
Valuation Occupancy MC/ES System
Census Code Zoning " ` v ~CsityWater '
SAC Units . ~ Stories= ~ - - , Booster. Purnp; .
Nbr. of Units • . Sq. Ft. PRV ,
Nbrrof.Bidgs. + Length FireSprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new hldg) _ FinaUC.O.
Footings (deck) _ FinaUNo C.O.
Footings(addition) _ P~~~g
Foundation _ HVAC
Drain TIle
Roof Ice & Water Final _ Other
_ g~y~g _ Pool _ Ftgs ~ Air/Gas Tesu _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco _ Stone
Insulation _ Windows (new/replacement)
Approved By , Building inspector
Base Fee W ~
Surcharge
Plan Review
MCIES SAC
City SAC
Water Suppty & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search -
_ . r . ' '
Copies
Other
Total
~ ..T . ~
CASH RECEIPT
i,. ~
, CITY OF EAGAN ? ~
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,
DA~E c~ i~, 19 - ,
RaCE1VED ~ ^ - j~~
PROM , p~ _ i- ~ 1 f. ~ . - '
r ~
AMOUNT $ : ~i' It.
. J, r ~
& DOLLARS
+oo
~ CASH ~ CHECK
•U~ ~l. ~~/vVl/ (,G ~:i
~ ~ / ~ -
~ ~ " ; j_ L ~ ~ , , _ G
. , ~
/ : n ~ ~ ' ~ : ; C`.. f . `-<-i C~'f . ~ .
RUND ~CODE pMOl1NT
Thank You _
BY i~~.i
' ~ 4 _
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
~ .
BLDG. PERMIT N0. j j'< J~
'y > h . 1
- , ^ ,
- _ 'j - . ~1
01-3210 Bldg. Permit;''~
.
O1-3422 Plan Check ~
01-3445 Surch./Adm. ~ ~
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit <'v ~ -
~20-2275 SAC G , 7
20-3865 Water Conn.
- -
20-3868 Water Trmt.
20-3716 Water Meter ~ ' ~ ~ ,
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-38b6 Sewer Conn. ~ v.: ~
11-3855 Park Ded.
TOTAL ~ ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1012 Ticonderoga Tr
Lot: 30 Block: 2 Addition: Lexington Square 6th
PID:10- 45080- 300 -02
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:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
If altering the opening size, a framing inspection is required.
Smoke detectors are required in
all sleeping rooms prior to final
inspection. When wall studs or
$90.00
Owner:
Hsiao Szutu
1012 Ticonderoga Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA077369
04/18/2007
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
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144520
Date Issued:07/31/2017
Permit Category:ePermit
Site Address: 1012 Ticonderoga Tr
Lot:30 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-300
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jared S Scheneekloth
1012 Ticonderoga Tr
Eagan MN 55123
(612) 618-4557
Hammered Solutions LLC
16064 Excelsior Dr
Rosemount MN 55068
(612) 298-6620
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154988
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 1012 Ticonderoga Tr
Lot:30 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-300
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Jared S Scheneekloth
1012 Ticonderoga Tr
Eagan MN 55123
(651) 678-6888
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160252
Date Issued:02/26/2020
Permit Category:ePermit
Site Address: 1012 Ticonderoga Tr
Lot:30 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Brandon E Newton
1012 Ticonderoga Tr
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160253
Date Issued:02/26/2020
Permit Category:ePermit
Site Address: 1012 Ticonderoga Tr
Lot:30 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
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 -
Brandon E Newton
1012 Ticonderoga Tr
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature