1013 Ticonderoga Tr CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
PHONE:454•8100 •
BUILDING PERMIT Receipt # `
To be used for SP ~'•~GAit Est. Value ~s~r~ Date 5wF'T 7 ,19 ~b
Site Address 1_^.13 ?ICO~iDB~OC.!? 'i7t OFFICE USE ONLY
On Site Sewage Occupancy '~"3
Lot ~ Block ~ SeClSub. sQ 6~ MWCC System X Zoning
Parcel No.
On Site Well (Actual) Const ~
c Name ~+T~PII-r ti i~C3P~8. INC City Water (Ailowable) V-i~
z Address 1~~~ p;t~ ~B ~ PRV Required ~ of Stories
3 Booster Pump Length ~F5 ~
o City Y~•~Y~hone 423-~3Z3
~eacn 49'
¢ Name $A~ S.F. Total
.O
~ ~ Address Footprint S.F.
~ C+ty Phone APPROVALS FEES
~a Engr./Assess. Permit ~l~•a~
W Name
W
~ Z Planner Surcharge
U~ Cddress phone Council Plan Review ~ Ss. L?G
4 W y 81dg. Off. SAC, City f~•~
I hereby acknowledge that I have read this appfication and state that the Vanance SAC, MWCC
information is correct and agree to comply with all applicable State of WaterConn.
Minnesota Statutes and Ciry of Eagan Ordinances. 87 •C?4
Water Meter
Signature of Permittee _ _ . _ Road Unit _i2s~0~
A Building Permit is issued to: __-sTr~''~"~ Treatment P1 Z~~~
on the express condition that all work shall be done in accordance with all
applicableState of Minnesota Statutes and City of Eagan Ordinances. Parks
~ ~
Building OHicial ~ TOTAL
~ . ~-w~~~ . ,a..~~.-. ~ . . ...5.
~ ' ~
CITY OF EAGAN , ~.?r~ _ ~ ~
3930 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be us "for SCRBEI~}iED tORCH Est. Vatue ;3 ~000 Date Jl!!! 6 ,~g~_
Site ~lddress 10t3 TICOIiDB~tOt'.A TR
Lot 4 81ock ~ SeC/Su~i~~ ~Q bTH OFFICE U5E ONLY
PBrCeI NO. Occupancy ~3 FEES
5~~~ ~ Zoning -
W Name (Actual? Cons1 _ Bldg. Permit ~
o AddfeSS ~Oi3 rrc:o~meROCr? r~ (A~~owable) - Surchar e 1•~
City ~N Phone +r or swries g
Lertgth 1~~ Plan Rgview
=o Name s~~p ~~S oecm 10~ s,ac, c~cy
o~ AddreSS 1~~~ M1A= tNOS RD S.F. Tota~
U~ City ~•V• Phone42'-3322 S.F. Footprints _ SAC, Mcwcc
On Site Sewage Waler Conn
~ -
~ W Name On Site Well
ww - Water Meter
AddreSS MWCCSystem _
City Water Deposit
i W City Phone -
PRV Required - S/W Permil
I hereby acknowlege that I have read this apptieatipn and state that the Booster Pu~nP - SNV Surcharge
intormation is correct and agree tq comply with al~,, applicable State of
Minnesota Statutes and City ot E,Bp ina s. ~ Treatment PI
APPROVALS
Signature of Permitee ~,f;• ~~w.w~..--~.--~ Raad Unit
Planner
A Building Permit is is5ued to: ~~H ~ - Park Ded.
on the express condition that all work shall be done in accordance with all -
applicable State of Minnesota Statutes and City ol Eagan Ordinances. g~, p~. _ Copies
~ • ' Variance - TOTAL SS • SO
Building Official , ~
a ~
Penrdt No. Parmk Holder Date Tebphone A~
WATER
$EWER
PLUMBING
H.VA.C.
ELECTRIC C/ ~ f` dD ~
Inspeetlon Date Int . Comments
Footings I
Foundation ~
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Firepl8ce
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. 6~
Dedc Final ~1~~,~ j~ ,~(~f/
Well
Pr. Disp.
CITY OF EAGAN r ~ ~
`r_'•-', ~
: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r~` ~
. ' PHONE:454-8100 ~
BUILDING PERMIT Receipt # '
To be used for 5k Lk'G f ~;k Est. Value '`'•4 r~+ Date ' . ,19~-
Site-Address ~'~1~ ~I~'~ ~'~ti'~ OFFICE USE ONLY
On Site Sewage Occupanc '?!-i
Lot Block " Sec/Sub. ~-~ki i~~': ~4 6Tt1 Y ~
MWCC System x Zoning r'~ ~
Parcel No. On Site Well (Actual) Const a~-h
~ Name T+-~'• s I~ City Water (Aifowable) ti'~i.
a PRV Required # of Stories
= Address i = • ! L..,. . :•:iVC$ ~D
3 Booster Pump Langth 4
s~~
o C~ty r. iPhone 47 _-3322
Depth ~
, p Name ' ' ° S.F. Total
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
~ a Engc/Assess. Permit ~ 1`•
F W Name Planner Surcharge
z
_ ~ Address " , , , ,
q W City Pfione Council Plan Review
Bldg. Off. 5AG City ll,t~'~.U~
I hereby acknowledge that I have read fhis application and state that the Variance SAC, MWCC ~SC•~
information is correct and agree to comply with ail applicable State of Water Conn. S~• ~
Minnesota Statutes and City of Eagan Ordina~ces. f, ^
Water Meter
Signature of Permittee Road Unit 3~_i.UO
A Building Permit is issued to: ~'Ti:!'r:-A;i ~(?iL S: ~.~a~ _ Treatme~t P1 2~•~v
on the express conditlon that all work shatl be done in accordance with all
applicable State of Minnesota Statutes a~d City of Eagan Ordinances. Parks
TOTAL ~'~K!
Q~~~~dingOfficial _ - -
- ~ Psrmit No. Psrmit Holder Oate Tslephona ~
Plumbing . ~ i ~
.
H.i/.AC. L.~ 4~ C ~1 ~Cs
Electric , ~ 9 ~q ` ,t(~ °T'
Softener
Inspection ~ate Insp. Comments
Footings I ~
Footings II
Foundation
Framing 'i' ~Q22' ~~(~~~e~I' ~'l1iS .
Roofing ~ /S~iG~SG ~-c~ -~?T •1
Rough Plbg.
Rough Htg. ? _ r
is~i. ; ~ ~cV t3/: - - ' - - L ~ /v- 7 F~'
FireplaCe yTi~ v ~ ' / n.Su - ~~.r LL~t' `j- `
Final Htg. c" ` r~~2 o- S-a s-~',.~ /~,c~--
f~f's ,
Finai Plbg. 6 ~
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
DeCk Final
Wel1
Pr. Disp.
, . , PERMIT It
~ PLUMBING PERMIT RECEIPT # r^ r,
' CITY OF EAGAN 9 ~ ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRi1CE PHONE: 454-8100
Site Address ~ J r f'-'G~ %~r ~ G~ BLDG. TYPE WORK :DESCRIPTION
Lot ~ Block SeciSub Res. New i~
Mult. Add-on
m Name - - ~ ~ ' ~ 'N ~ 'ti Comm. Repair
~ Address ~ ! r - ~ % ' ~ ~ ~ n C " ' c.L Other
c Giry h~`: ~i I1I Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- ~10. FIXTURES TOTAL
'O /i!C' S Water Closet - $3.00 ~
Name , , ` C r ~ ~ / Bath Tubs - $3.00 - • L;.(~
3 Address L.avatory - $3.00
p Ciry ~ Phone Shower - $3.00
Ki?chen Sink - $3.00 h .
FEES UrinaliBidet - ~3.00
COMMIIND FEE - 1% OF CONTRACT FEE ~-Laundry Tray -~3.00 r
APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 r
TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~_Water Heater -$1.50 ~ ~`~r'-
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 Sokener -$5.a0
BEYOND $1,0~0.00) Well - ~10.00
Private Disp. - $10.00
, ~j • ' Rough Openings - $1.50
~ t /::F~'l.t~ ~ ~l
' -
SIGNATURE OF PERMITTEE~ FEE:
STATE S! C: ~
~^R' CITY OF EAGAN GRAND TOTAL: ~ 1~ r~'
.
~ , i I
PERMIT # - - '
' ' ' ' MECHANICAL PERMIT "
• RECEIPT # ` I
• CITY OF EAGAN
' ~E~!~t_. ':'~i~:
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 x'''
~ite Address ~ ` ~ - a cono.eroas
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub I R~ New x
; , ,
~"'_ev~~ ~:eatin & t.ir Conci. Mult Add-on
~ Name Comm. R sir
~ Address ~•3U75 Pioneer Tr~il ~
c City 1'den Frairie phone 'j4:1.-4211
- 55347 FEES
:'-_~e h-~i Ho~u?es ~
Name RES. HVAC 0-100 M BTU t.$24:00
c Address 1G~3~~ ?ilot Knat Raad ADDITIONAL 50 M BTU -
3 • 423•- 3322 (RES. HVAC tNCLUDES A/C ON NEW
~ C~ty Arrple ~ t~lley Phone CONSTRUCTION) -
~?5124 GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA;
TYPE OF WORK COMMlIND FEE - 19~6 OF CONTRACT FEE
Forced Air •-~~:~:ox 7~r~~ M BTU APT. BLDGS. - COMM. RATE APPUES
Cl.vr'3~ 5 TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.Op_.
- 0~.1 ti:i Lche~n hoc:d STATE SURCHARGE PER PERMIT - .50 ~
Vent ~ t1i, J CFM $T~ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ` Furi~ce or.l j~ 1`= C~ BEYOND $1,000)
Other
,
FEE: ~ ~ , •
4~
S/C: O SIGNATURE OF PERMITTEE
Tora~ .~Lc. G
FOR: CITY OF EAGAN
~ i
CI~~11 OF EAGAN Permit No: y91 ~ Date: 9-9-R4
3830 Pilot Knob Road Meter No: u4 ~~a 2.3 3 giZe: ~
P.O. Box 21199 Reader No: O SR -3j~ oac~: ~o - d 5-~ ~
Eagan, MM 55121 ~
Owner. :=~r..•~,h-r~n Hoffies
Site Address: ? Q 1? T~ cnn~ ero~a 7'r 1-~ Lex i*~ ton
Plumber I~,ienzel Mecf~nical
Conn. Chg: 55~_l.Odpd Zoning: i
Acct. Dep: _ 7. OO~d No. of Units: 1 ~
' Permit Fee: 1_0. OO~d
Surcharge: _ . SOnd 1 agree to comply with the Cify of Eagan
Tr. Plant? . pOFd Ordi~anses.
Meter. ~,7
Misc : ' g
WATER SERVICE PER IT ~
i , , .
CI~Y O~,EAGAN Permit No: g~ Date; 9-9"`~ ~
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
, Eag~n, MN 55121
i r
Owner. ~,;t n~~~
Site Address: ~ I j 2icoadezo Yd '~'r 1~', ~4 I ~
~ ~ _ ~ c~ r• [F:
.
~ Plumber ~'nxel t~t~cba,nics?1
Conn. Chg: r' • Zoning: -
Acct De '
p: .~4Da No. of Units: 1
' Permit Fee: i~ •
~ Surcharge: •~~ad I agrea to comply w~th tbe Ctty ot Eayaa :
~ Tr. Plant 2'>~+•t~~r~' O~dinances.
~ Meter. I
~ Misc.: By
~
~ WATER SERVICE PERMIT '
- _
~ , a
c_q_gg '
C1TY'~F,-EAGAN Permit No: ~ Date:
872~r~ Date: ~..e-~Q
363tl Hllot Knob Road B/P No:
P.O. Box 21199
Eagan, MN 55121
Owner. C e ~h- ~ Ao~as
3 Ti~ot~dtroga Tr Lf: ?4 I.exfn~tnn E~~;;
Site Address:
Plumber. r'~~el MeCha~iCal
55~ , ~~n~~ i
MWCC: ~ , ~ , ~ Zoning~
City Chg: 7~ " No. of Units: ~
, ,n{.
Acct Dep: I agree to comply with the Clty of Eagan
Permit Fee: ' ~ ~ ~
~ , Ordinancea.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ ~ 3I CITY OF EAGAN -J
3830 PILOT KNOB RD, EAGAN MN 55122 ~~d . r j
651-681-4675
Nwv ConsfrucNon Reauiremerth Re~radeYReo~ir Reaulremanb
• 3 registared site surveys showing sq. ft, of lot, sq, ft, af hause; and ~ roofed areas • 2 coples af plan
(20% maxinum lot coverage allowed} . 1 set of Energy Calarations Wr heated add~lons
• 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey (or exte~ior additions 8 dedcs
. 1 set of Energy Calculations . Ir?dicate if hane served by septic system for addttbns
• 3 copies of Tree Preservatbn Plan H bt plalted aRer 7l1J93
• Rlm Joist DelaG Options selection sheet (bldgs with 3 or less un~s)
DATE ~ - U ~
~ VALIJATI~N
SITE ADDRESS I MULTI-FAMILY BLDG Y N
TYPE OF WORK3-~rC~ oP FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS I~l ~ ( l ~CITIf U STATE~,ZIP~Z~_~
TELEPHONE # 1Z CELL PHONE # FAX # qJ~o~'~I S'7~1~~
PROPERTY OWNER TELEPHONE # C~I p"77 ~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiJLFS 7670 CA'I'CGORY 1 MINNESOTA RULES 7672
submission type) . Residentlal Ventlladon Category 1 Worksheet SubmiUed • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
, I_ _ I. ,I
Plumbing Contractor: Phone # ~ :
Plumbing system includes: ~ Water Softener _ Lawn Sptink~~~ ~r~ ~ 0.00
Water Heater No. of R.I. '~s `J
~ No. of Baths By
Mechanical Cvntractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone ~
I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' nces. ,
OFFICE USE ONLY
Cert~cates af Suroey Recei~ed _ Tree Preservation Plan Received _ Not Required _
Updated 4IQ2
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 1fi-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? Q9 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 laplex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish {Bldg)• ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Foorings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion 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 Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tatal
~a
~
~
~ ~ ~rxfifir~fp ~f (~rr~t~~nr~
~Citp of ~agatt
~r}~~rtmrttf u# ~ittild'tttg ,~n~Pri~m~t
This Cenifrcate issued pursuant to the requiremenu ojSection 306 of the Unifonn Building
Code cerlifyrng thal ai the time of issuance lhis structure was in complrance witk the various
o~dinances of the City regulating building construction or use. For the jollowing.•
ux c~o~ ~ ~~'K~'~ ~L' ~ eia8. t~n r~o. ; ~-57~
R3 : ~ i' I ~'ri
~w~r ~ •-~EPEF-AN H~'~4~S~i.~'.. i ~ ?'~':1 ~
~ RC~1(}, A. V.
o~« ~ e~aa;~ ada~
l0;3 I'~O~~R~X'=A i~AIT. ?s~, i's?,
i
' 14n~',
t - n.~: OCXf.f~ 27,
su~ o6idd-
POST IN A CONSPICUOUS PLACE
7nis .equest voitl ~/~r-J' Sf~ ~ ~y 8
16 monlhE. from ~
~ 35~4~~ ~ L~~ ~ ~
• APny~C^Date fi e No. Rouph-in I Uer.tion
, PepuireA? ~Ready Nuw ~"/ill Notify Insp¢c-
Y ~Yes ?NO Lnr When fleadY
~ Li~ensed Elecvical Contractor I herebv reduest inspection ot abave ~
? Owner electrical work installeO eL
Street Address, 8ax or Houte No. Ci~y
/C! 3 7',~L bdtG~e.'LC~
ection o. TownShiD Name or No. t anye No. Coumy
%~-Qi~o~-
Occupent (PflWT) Phono No.
.s ~ f~~-~~
Power SupVl er Address
~,9 K~ L/e.~i1r ~ f flr~.m; ~ ~ ~i
Elechical Convactor ICompany Namel Con[rac~or's License No.
~~~,~<z ~ y~r s~-y
Mailing A dress ICon[r»ctor or Owner Makine Ins~allationl ~
~.Z ~~J ~4-~~j r~! Y LJ~-y ,ea.3e.~.~ S ~ u6fi
A t~ ¢ed i namr IConlra tor~ ne Mnkin Installa~ionl Phone Number ~
°~~~,o ._~~H Y~-
MINNESOTA STATE BOARD OF E~ECTRICITY THIS INSPECTION NE~l1EST WILL NOT
Griggs•Midwav Bldg. - floom N•191 BE ACCEVTE~ BY THE STqTE BOAND
M 56104 UNLESS PflOPEH INSPEGTION FEE IS
1821 Universi[vAVe..51. Peul, N ENCLOSED.
on....e ~wia~ we~.nann
c~ ag~~" REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
p/1 pC7
~q ~ See instrvctions br comoletine this torm on back uf Yeilow copy. /
6 3 5'J~'~V 5 '"X" Be/ow Wak Covered by 7his Request
~ Aeid Fep. TvPe oi ildin9 Apaliance~ WiroA E9uiument Wired
Home Range Temporary Service
Duplex Water Heater Ligh[iny Fiziu~ec
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace SIIO UIlIOAI~P.f
IndusVial Bldg. Air Conditioner Bulk Milk Tenk
F8flll Ner peci y OIhCr lSPenlfy)
1 P,! $y0(:Ily ~~hC! I~IHI.f
ompu[e inspectlon fee Below
p Fee ServiceEntreneeSiae M1 Fee Fee.tle~s~5ubfeeders ~ Fex Clrcuits
~p~, 0 to 200 Am s 0 to 30 Am~s 3GJ+'.+ ~ to 30 Am s
Above 200 qmpy 31 to 700 qmps ,d ~ 31 to 100 Am s
Swimming Pool Above 700-Amps Above 100_AmP~
Trans4ormers Irrigation Booms Partial•'Other Fee
$igns ~ Special Inspection 5~~~
TOTAL
Aema~ks ~
Houeh-in , o"~e ,y ' I.~he EI '
~ ~ ~ lo l~~ InsPector. ~e.abv
certify thet the above
Final / inspeclion hes been
~ ~ mede.
(~is reduasl vofd 18 montln irom
~ 6
4161~. ~ ~ ~ o°°~
Request Date Fire- . R h-in Inspecfi0n -
6/ 14/ 91 a o~rea+ ? ReatlY Naw f& wi~
n~a'y°~'~~
~ ves ? No
I~C~ licensed contractor ? owner hereby request inspection of above electrical work at: ~ ~ .
~!oo Aanresa (streel Box or Haute No.) ciry .
1013 Ticondero a Ea an
Seaion No. TownshiD Neme a No. Range No. ' . Coumy
k t
Occupant (PRINn Ptiane No.
StephAn Homes 423-3322
vo.re, s~nvire, naaress
~akota Electric 4300 220 St. W., Farminqton, MN
EiecVical Comracror IComparry NameJ . Comracmr§ License No.
2104 Great Oaks Drive, Burnsville AM01895
Maiiirg Mtlress (COnt~ector w Owner MaWng Inspllalion~ . . . .
Joos Eiectric Co.
Numanzeo Sgnature (CO~Vatlor/pwner Making InsWIlali . Phoire Number - -
431-4755
' IpNNE30Tp STATE B011AD OF ELECfXICITY ~ TH~S INSPECTION REOUEST W14L NOT '
GrlpprMMwey 81tlg. - Foom 5-1]3 BE iICCEPTEO 6Y:THE STATE 80AR~
1821 UnivN~Hy Ave., SL Pwl, MN 65104 VNLESS PROPER INSPECTION FEE IS
PMne (812) 86R-0900 ~ENCLOSED.
~
j~~/$r REQUEST FOR ELECTRICAL INSPECTION EBA0001-08 I
~ See inslructions lor completing fiis fo~m on back oi yellow copy. ~
~ 6 4.1 61 X" Below Work Covered by This Request
ew A.dd H9p. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial ' Fumace
Farm Air Conditioner
OIOer (specify~ ConVactoYS Rema~ks:
compure ~nspecrron Fee ee~oW: 3 Season Porch
# O[her Fee # ServiceEntrerice5ize Fee # Circui~s/Feeders Fee
Swimming Pool 0 to 200 Amps a to t00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19n5 InspecMrS Ilse Only: TOTAL
Irrigation Booms ~f3~'`
Special Inspeaion
Alarm/Communication ~ THIS INSTALLATION MAY BE ORDERED ~ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby Roig°-'" e~~"`
certify that the above inspection has Finai oa~e ~
been made.
OFFlCE USE ONLY '
T~is request witl 16 moMM Irom -
CITY OF EAGAN ~Q .19189
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SCREENED PORCH Est. Value $3, 000 Date dUN 6 , 7gQ~
Site Address 1013 TICONDEROGA TR
4 4 EXINGTON SO 6TH OFFICE USE ONLY
Lot Block Sec/SubL
P2rCBl N0. Occupancy R-3 FEES
Zoning _
,a~ Name STEVE MCMEANS (AClual) Const - Bldg. Permil 54.00
; Address 1013 TICONDEROGA TR ~Allowable) - Suroharge 1.50
° Ciry EAGAN phone x ot sar~es
length L~L ~ Plan Review
a Name STEPHAN HOMES Depih 1~~ snc,ay
~a Address 14340 PILOT KNOB RD S.F.Total - SAC,MCWCC
~ Ciry A•~• Phone423-3322 S.F.FOOtprints - WaterConn
On Site Sewage -
~ ~
Fw Name OnSiteWell - WalerMater
i~ Addfess MWCCSystem _
U~ Ci Waler Acct Deposit
aW City Phone N -
PRV flequire0 - S~N Permi[
I hereby acknowlege thal 1 have r ad this at~IiCati n and state thal the Baostar Pump - SiW Surcharge
inlortnation is corcect and agree comply(w~th al applica6le State of
Minneso[a Statutes antl City of a ina Treatmant PI
Signature oi Permitee APPp~~A~s Road Unit
STEPHAN HOMES' P~anner - park oed.
A Building Permit is issued to:
on Ihe express condition thal all work shall be done in accordance wilh all Council -
applica6le State of Minnesota Statu-les and C1'ity ol Eagan Ordinances. g~dA, p~~, _ Coples
Building Officia~ {~I rn(7 Variance - TOTAL S~• SU
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N~ ry ~ rj5~6
PHONE:454-8100 ZY /a
BUILDINGPERMIT Receipt# ~ O\`i-~p
Y--/
To be useafor SF DWG/GAR Est. Value ~84, 000 Date SEPT 7 g$~
Site Address 1013 TICONDEROGA TR OFFICE USE ONLY
Lot 4 Block 4 Sec/Sub.LEXINGTON SQ 6TH On Site Sewage _ Occuvancy R-3
MWCCSystem X Zoning PD R-1
Parcel No.
On Site Well _ (ACtual) Const V-N
a Name STEPH-AN NOMES, INC C~N Water ~S._ ~nlbwab~e) V-N
~ Address 14340 PILOT KNOB RD PRV Required _ # of Stories
o C~ty APPLE VALLEYphone 423-3322 Booster Pump _ Length ~+5'
Depth 49'
, o Name SAME S.F. iotal
~ a AddreSS Footprint S.F.
~ City Phone APPROVALS FEE5
~rc Engr./ASSess. Permit 510.00
W Name 42.00
_i Planner Surcharge
x- Address
U~ Cit Phone Council Planfieview 2$$.00
a w Y Bldg. Off. _ SAC, City 1~0.0~
I hereby acknowledge that I h v ead t ap 'cation and staie that the Variance SAC, MWCC ~ QQ
inbrmetion is CorreC~ end a e t co wit all applicable Slate ol Water Conn. _55Q...~
Minnesota Statutes and Ci I an es.
water naeter ~SiLOD.
Signature of Permitte _ Road Unit ~.,..QQ_
A Building Parmit is issued to:_. STEPH_AN HQME$i_SNC- Treatment Pt ~0~._QQ
on t~e express contlition that all work shall be done in accordance with all
applica6le State ol Minnesola Statutes and Ciry of Eagan Ordinances. Parks
TOTAL 2>603.D0
Building Otficial~[~~1,~~_
1988 BUILDING PERMIT APPLICATION - CITY OF E9GAN • ~
SINGLE FAMILY DYIELLINGS ~ ~ ~
INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PEF.MIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhII~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIrICATIONS AND 1 SET OF ENERGY CALCULATIONS
- S'`-~ - ~c/~b~.
wz~ 1
To Be Used For• ~ Valuation: ~ Date:
Site Address ~ 3~~~~c~a~..o--f3- ? OFFICE USE ONLY
Lot 7 Block ~ On site sewage_ Oecupancy 3
~ "Q MWCC system ? Zoning -1?-
Parcel/Suc~~,r~.,.~ir'JDyc.v.,~ ~ On site well Actual Const YN
City water r/ Allowable Y~/
Owner PAV required _ ll of stories
Booster Pump _ Length ~/S
Address Depth l,i y 33
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor ~~,~,U~~ l~~ ~ Engr/Assess Permit S/O
/~i/~j Planner Surcharge ~I'Z
Address ~7,7~~J 8"/~b~ ~'i1°f Council Plan Review ? S~;
Bldg. Off. SAC, City p~
City/Zip Code /a/L~>lt,~.4`l~~ Variance SAC, MWCC S$'fl
T +
Water Conn ss~
Phone ~J Water Meter (o~
Road Unit 3?S
Arch./Engr. Treatment P1 7 o y
Parks
Address Copies
I TOTAL ~ (P G
City/Zip Code ~
Phone ll
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~ ~9 0 ~p m
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~ 1 ~
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Lu _ .n _ ~ ~ ~ 89;,.0
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~
DESC-R1 P-~10 ~..1 _
n~'-- ~ / h~f~,t~E 30~
_L.n,T_ 4.' g~oo~c. 4,
n~t° lNGS A55UMED
LExt~4~o~ SQV AR~
EAGFii~T EIvGINs~h pI~D~~°~µ rv~o+.i~t~uT_
(p ~ ADp 1'1' 1 o e~-1 i
~AILt~ ~ 4 GovNTY~
Mtr.te.fL=hoTR+.
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: Ilr~.-sf 31~ rf81 ~
LeRoy ~Bohlen
Registered Land Surveyor No. 10795
. ' ' EXTERIOR ENVELOPE AVERAGE "U" COMPVfATION
. _ - _ .
. `.~-OWNEK: /V/(+ /~~n.1S .
` SiTE ADDRES$: ~ 3 -~/G p,!/.~ E a'~ Oi i°j T.Q ~/L -
corrT~u,,cTOx: _ , ~7-~/?f~-A~`~x /1~1~~ ~
,o~~ ~i
DATE: a~r PHONE: -
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA ~8~~ sq ft x"U" ,11 ~Qq,7(p
2. TOTAL ROOF/CEILING AREA la~lqq sq ft x"U" .02fo 33,~
3. TOTAL EXPOSED WALL ARSp, CALCULATIONS: •
Toca1 exposed wa11
area above floor. llpyl sq ft
(t)
a) Tota1 wa11 window area:
T2h3Le glazed. //7 sq ft x"U" •5~ - jOy.~{
` glazed. . . - sq ft x "U" - - -
b) Total door area . . . . 38 sq ft x,"U" • ~~o /7 ` ~
c) Tota1 sliding glass door area: ~ ~ ~
glazed. . . - ~ sq ft x ~~U,. . ~A~ o~4.Q~j ~ - . .
~ glazed. ~ sq ft x"U" r r .
d) Total f/place wa11 area ~ sq ft x"U" - ~
e) Tota1 wall framing area .
(Average 108) . . . . . ~~p~{/ sq ft x "U" . ~ _ /4. 77
f) Tota1 net wall area above
floor (insulated) . . . / 710.9 sq ft x "U" .D~_ - S`J.OJ
g) Total rim joist area. sq ft x"U" Q ~ QQ
- Total foundation area
(exposed) . . . . . . . 7 sq ft x ~~U„ = X/~' .
h) Tota1 foundation
window area . . . . ~ sq ft x "U" ~ .
i) Tota1 net foundation ~
area above grade. . . . ~ sq ft x "U" •l/; _ ~a,~,
TOTAL a) thru i) _ ~i~/_S4
If Item ~3 is r.he same as, or less than Item ~1, you have met the intent of 2 MCAR
1.16008 A and 0.
Page 1
. . . ' ~ . . ~ .:.:3L.. .
~ . - . ~ - . - .
3 • . . ~ .
_
i~. ~ .I . _ . .
1s. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed " _ _
roof/ceiling area . . . sq- ft _ -
j) Total skylight area NQ sq ft x"U" __~J~} = Nf~
k) Total roof/ceiling framing
area (Average 108 laqe~ sq ft x"U" . D~(~_ ~ 3,~ J
1) To[al net insulated
roof/ceiling area sq ft x"U" ~D~ 3$
TOTAL j) thru 1) _ ~ .
If total of Item #4 is the same as,. or less than Item #2, you have met the intent of
2 MCAR 1.16008 A and 0.
~ ~ i
+
~
t:
~t
ALTERNATE BUILDING ENVEIAPE DESIGN
To utilize the total envelope system method, tlie values..established by the sum of
Items ~3 and ~4 sha11 not 6e greater than the stim of.I'tems_#1 and #2. ~
~99. + 2. _ 33:~7 - a ~
2. _ ~or. ~a + 4. a~o. y9 ~~s: 4~1 :
i
~
;
~
;
~
~ ~ C E R T I F I C A T I 0 N ~I
i
I hereby certify that I have calculated the "U" factors and "R" values herein and
that the building here described meets or exceeds the State of Minnesota Energy
Conversation Act.
i
1
J ~
' . !N ~+'~+w-~+~~~~ . , i
(Signat re)
.
i
(Da[e)
Page 2
;
{
j ~
1991 BUILDIN T PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS DF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (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.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE 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 LICEN,~SlE,D,~ PLUMBER.
~'j[,~Q.~H~ 1
~ ~~J-~
To Be Used For: Valuation: ~'7`~ VV Date: c5""o~~'~f
Site Address ~U~~ //'Car,~e~q~ ~r~~ 3~~ ~ OFFICE USE ONLY
Lot ~ Block eJt fo~ FEES
S~lj-~t~ac~. Occupancy Bldg: Permit .Sy.Oo
U~'~}~ R~/o~ Zoning Surcharge I•~
Parcel/Sub Actual Const Plan Review
y;' ` c~~ Allowable SAC, City
Owner ~~jv~-/~ ~d`J~ ?d/C'~'~rz~ # of stories SAC, MWCC
Length ~N' Water Conn.
Address Depth 10' Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. 5/w Permit
, S/W Suzcharge
Phone On site sewage~ Treatment P1.
/ On site well Road Unit
Gontractor ~T~~~.ll'~'`-' ~T~m~S MWCC System _ Park Ded.
City water Trail Ded.
Address ~j~~/ ,/r~e~J PRV _ Copies
~ Booster Pump
City/Zip Code ~ -P L ~ SUBTOTAL
APPROVAIS Penalty
Phone ~i ',3.3d--~~ Planner _ Lot Change
Council TOTAL ~
Arch./Engr. Bldg. Off. ~ ~-~f
Variance
Address
City/Zip Code
Phone #
y,~~ agrees that all work shall be done in accordance with
ign ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
T~° . .
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-
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rm
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~Ex 1 ti t,'Co'--i S 4 V A2C- ALL C3C°R~N45 A`hUM~.D
(Q 11~ A¢~ 1-T 1,a ~--1 ~ ` DEtilo ~ ES IRoN Mow1t~MEhlT -
DAILa i 4 Go~JN-,'~Ci
M~~r~titLho
`
i
I hereby certify that this survey was prepared by me or i
under_my direct supervision and that I am a duly Registered
Land Surveyor u?~' the laws of the Sta.te of Minnesota.
, Date:_Qv~sf" 3~~ tf,~_-_
LeRoy H Bohlen
Registered ~and Surveyor No. 10795~ ,
. ******#*************f*k*******##***f
' C I T Y O F E A G A N PAYME?TC OF F.~ AT TIb~ OF
* APPLICATION DOFS NCIP COI~bTINiE
y*. APPROVAL OF, PERhffT.
' ~ APPLICATION FOR PERMIT *
* INSPFXTION OF SES9ESt ADID/OR Fp~TIIt ,
~ ' *f ~~rAr.ramrONS WIIS. NOT BE SC~~
SEWER AND/OR WATER CONNECTION P~~T ~ Bm`7
~ APPROVF~. I
*
•
~
. . *~*~~~~*****~****~***~*x,r**~*~~:**~ri
P~ ease Print)
~ 1) PROPERTY ADDRESS : lO T.I,C~,fI'I9/~LQ/`~~d'~'i/~ ,~j
LEGAL DESCRIPTION: Lf C,l f~
Lot Block Subdlvis on or Tax Parcel ID )
7F E~STING STRC'CZL'RE, DATE OF ORIGINAL B[.~ILDIA7:, PII2MIT ISSL'A[dCE: - ~
~
PRESENP ZONING/PROPOSID LSE: (t'bn YearJ
u C~Jti:~P.CL~I.,/R..~PAIL/OFFICE ~ :;-Z S::7GLE FF,E~.ILY
Q Itw'7C~STf2IAI, ~ R-2 DL'PLEX (2~„o IInits)
INSTI'IL'TIONAL/GOVERNNIEN~r ~ R-3 'IOWNHOUSE (Three + Units) ( Units)
q R-4 APARTMENT/CODIDOMINI[,fi1 ( Units )
2 ) ' ' -T~'r'~i
lVAN1E:
~ ADDRESS: .
CITY, STATE, ZIP:
PHOi~ _ -
3) • For City Use .
NAME:_~P/I~L~.~ ~~,~~/17,l,~~ Plumbers License:
ADDRFSS: I ~/S~~/J//./Y~'/O>~ /l.Lr~- Active
CITY, STATE, zzP: 5sia ~ ~~a
~ rbt recoraea
PHONE: /~$aoZ -/S/o~
j LICIIVSE# yJ~
Sta~7nitial
~ y/ t.~wy~s:~ ~4~.~i~: . . . . . .
:]F~4E:
ADDRFSS: .
CITY, STATE, ZIP:
PHONE: .
'~J~ - 1 :1 Y• ' ~'t[ai: • 71• 1 ' DI ~ ' ~l"'YYP/
~ C~NNEL.`PION R~ CITY SEWII2 f~T' ~p~,~ION 1U CITY WATE~2 ~ O~!'FI~t .
6) " PLF.ASE HOLD APPROVED PF~2MIT FOR PICK-C'P HY 0[~ OF ABOVE
PLEASE MAIL APPROVED PERMIT ~ 1. 2. 3. 4, AEOVE
~Circ~e) ~
. 7) nr. q.. ~
. ~ ti• . ~:r M ~ ~ ~ r•~ • 7~ ix• n r u~~
• r. •~)71~~ n t re. . L'I't ' )YY: ' 71• ~ • J~ 1' • ~ /
- .A ~ ~ .A 1~ ?~f. 74 .
/ .
. ~OR CI~Y USE ONLY ~
PERMIT # ISSL'ED ~ .
~/i~.~-~
Pd w/Bldg. Permit FEES:
$ $ ~O~S~ SEWER PERMIT (INCLL~DE SL'RCHARGE)
$ S ~~"s~ WATER PERMIT (INCLL~DE SL'RCHARGE) .
$ ~~-Z3 $ WATER METER/COPPERHORN/OC'TSIDE READER
$ S WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
~ S_1 S~- IiCCOUNT llEPOSIT - SEWER
S U ACCOL~NT DEPOSIT - WATER
$ S~J~ L~~ $ WAC
$ ~ .7~C ~ D'~ $ SAC
$ S TRL'NK WATER ASSESSMENT
$ $ TRL~NK SEWER ASSESSMENT
$ S " LATERAL BENEFIi/TRL'DIK SEWER
$ $ LATERAL BEN°FZT/TRONR WATER
$ 7 ~ $ WATER TREATMENT PLANT SL~RCHAP,GE
$ S ~ OTHER:
$ U~ $ ~d TOTAL
~7~~~ ~~i.S ~
nECEIY~ xECETPT ~
_ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC~BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
~ ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED BY: ~ L~,,~~; ~o-Y_~-i>~
TITLE:
DATE: J/~~~~
Nmme C AEdrtss J L+p L' ~~~T ~~•4~6~, PIl~ ~C~de~n.• "~~,"O ~j if701
Tot~~AeatLoss MEA7LO65CALCULATIONB ~ ~
(4~J/~0~9 =TotalBtulnput I Aii indowa8doonmw~stnme~pped/D!3 ./trtrn ~/Cp~
,_Fi. .t.c.' Y ~j~, p Room ~ Lp[I~U "Wth./(, . Nt. ' FI~/ r~' Room ~ Lpd~. • Ht. • " (J
No. o'qrt. M'pL~ Na.ol UmYlt ~ell. No. WVE~ Xaip~t Na.ol Li YII. Am'
1 pm Of pxu 1' 11 OI ttltk OI p~M OI qn~ li 4 OI Mit p.lt.
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Inlilv~fon wlDm~~ 118
r .22 ~ Z_ ~~fib,.tlonw~ooon tte
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c~ao~ ~ ~3 5 . ? .
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FL . CZ`F'{._ Room I 18M. S'~~'W~h. 5~•-•• Ht. fl. ' Room ' %2J
wmro wqm wo. oi u~.:u~, n... ~ lOth. ( 3 ' Weh. " Mt.
Ne. elym o1p~N lip~n alcoo4 pJ~. No. W'd[~ N~ippl No.ol LImMIL Aru
o1Wm olpn~ I' q oleKk q.lt, ,
~ 3~ ~6 2- S
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In~IpucbnWlMOw~ ~ ~ ~ ~ InlilvetlonWlnCpw ~ _
Inri~~mian wl0oon 178 Inl~mntqn w/DOw~ 11B
Inlilv~rton 5/poon ~l Infil V~lion S/Doon 77
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n
FI. ,~j tioom Lpth. (~'_^Wth. v'_' Ht. ' FL 2- Room lpthl'7Z "Wth. II Ht.
No. e1pIM 01pvy I'~4' ol{ip,k q~ft. He. bM N~~t No.ol LfMYIt. A~Y
f yn~ OI pr~ f b 01 tlKk q.11.
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Inuma~~m WJOaon 71B
mnin..mn wrooon l le
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`
.'-?//l Y'"f`{~ru~ Address pl~ # ~p 7fy~1 '
HEATL06SCALCULATIONB
,,eatLoss =Total9tulnput I nuwlndow~edoortue.wnnartricpee
~ 1 FI. / Roam ~ L9lh. I7 "Wth. IZ- Ht. ' I. floom ~ Lqth.~7 "WM?Z~ Mt.
Ha WWI~ Hniy~t NO.aI Llnxlll. A~BG Wid~M1 Wip~t NO-0~ IMY~t AM '
ol qne af O~ne liq1~8 0l [hck m. ~L ND• ol Wne Ot px~e Iqhb W OKk q.ll.
~z 3 Z- 3 z- 6 3!
,dea<
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Inlihrnlon W/DOOn 118 Inlil~mion W/Oaon H8
inGUnfnnslowr. Iniu.mionslooon 77
E~o.Wall 3 j ~ x Em.W~ll ~ _
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6
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F~~. ~,o F~ a,ca ~ 7S ; 3 .s~
.o„~ a,~. 3 ~ ra~.~ s~~. i
FI. Room ~ LBth. • •,Wth. , Ht. • ° FI. RoOm LpM. ' •,Wth • Ht. •
No. WiEf~ M~ipA1 Na.al limtlit Are~ WiEt~ H~iplu No.al LImMh. Am .
o~ wn e1 i' n ol c~k q, h. No. o~ pun ol prv II M~ ol cnck q.1t.
i
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~
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tta i„Ginnionwlooor. tle
Iniiiv~twn wlDOa~ ~
IMilU~tienS/DOOq In1iI1n1ion5/Oaen .
1
Ev. W~II Exp. W~II
Gwu b Doa~ G~ns6 Door~
N~t EsO. W~11 8 ~ Ntl E~p. WNI s :
s. a
~
C~IFM ~436 Giitrq { I
Floor ~3106 Fbm S 6
TOU1BlU. TomIBtJ.
FI. t Room LpM. ,.•Wth. Ht. ' FI. Roan Lpth. . "Wth. Ht. '
Wtll~ NtipAt Na.of LImNfl. Ane ' Witl~~ WiqH No.ot ~InNll • A~M
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h
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In1i1VNw WIDow~ 118 Inli~tntion W(DOa1 ~ - /18
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a i
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2004 RESIDENTIAL BUII,DING PERMIT APPLICATION -
, ' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouiremants RemodellRe~air Reoulrements Offce Use'aniv
3 registered site surveys showing sq. fl of lot, sq. k. of house; and all roofed areas 2 copies of plan CeR of Survey,Recd ' _ Y,~~~, _ N
(20°~ maximum lot coverage allowed) 1 set of Energy Calalations for heated addiGOns Tree Pres Plan Recd`~ ._Y h~_N~
2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks Tiee Pres Requi~ed, Y~ N
isetofEneyyCalculafions Add'rtion-indicateifon-sResephcsysfem On-sileSephcSystem _Y;~._N
3 copies ot Tree Preservation Plan if lot plaried after 711193 ~
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date ~ ~ / $ / Q ~ Construction Cost ~ 3a 79 ' ~ ~
Site Address ~ 0 ~ 3 ~I ~Y1~0~~.~~
~ 55 ~ a',3 Unit/Ste #
Description of Work ~LXX ~If~. ~ ) ~Q~ f Q
~+.~v_~,~~`
Multi-Family Bldg _ Y~ N Fireptace(s) _ 0 _ 1 _ 2
Property Owner j~~~~ Telephone ( • / ~
Contractor ? ~U ~ ~~W ~ ~c • •
Address S~S ~ ~Q~ City ~ [,~(./l,Q,
State 1 ~ ~I r Zip J~-S~`/ ~J Telephone #(g5Z) '7.~' /~(L! /
COMPLETE THIS AREA ONLY IF CONST GGA~NEW'BUILDING
'~,C ~~n L ~ i ,~i
Minnesota Rules 7670 Cateeorv 1 ~ n~M~esota Ru1es 7672
Energy Code Category I ~E~ '
• Reside~tial Ventilation Category t Worksheet . New;Eriergy Code Wwicsheet
(~submissiontype) Su6mitted ~ Submitted
• Energy Envelope Calculatlons Su6miked
Bv
~
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Suilding Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
1 C
{~~n'i J~ 1jah.S ~ . ~
ApplicanYs Printed Name Applicant's Si ature
OFBICE USE ONLY
Sub Types '
7 01 Foundation ? D7 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch {3•sea.) ? 31 Ext. Ali - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? ~ 9 Lower Le~el ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fi2 Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Window5/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIREDINSPECTIONS
Footings(new 61dg} _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumhing
Foundarion HVAC
Drain Tile Other
Roof Ice & Water Pinal _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Smcco ` Stone _ Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
' . ~ CASH .n~`FCEIPT ~ ~ '
~ L ~ ~
- CITY QF EAGAN
~ 3830 PILOT KN~B ROAD
• EAGAN, MINNESOTA 55122
~
. ~C,
DATE ~ ` ~ 19 ~ '
; 1
~FROM~--~ ~ ! l ~ l~ I.~~~ ~ ~,~1`~LL" '
~ ~QV~ S ~
G~ ~ c:
& DOLLARS
~ou
? CASH CHECK
~ ~f~'-{~~ r~~~ ~i.i. , '
~ / i
T
. , L '
/ G~~~`?~GL07 C~- t-0--~-~- 5~..~U ~ ~C.. ~
` ~ -.-J,
/~~_i.~C ~ ~
FUND OB,IECT ~ AMOUNT
Thank You
BY ~ l ~--~~-G~-
~
YeYaN--POStinp Cppy
Pink-File COpy
- BLDG. PERMIT NO. ~ % 1~~
~
~ ~ i9 , ,yi
-,-i'(- L - ; / • '
01-3210 Bldg. Permit ~ % G ~
:i' =r d V
01-3422 Plan Check
01-3445 Surch./Adm.
0y-3446 SAC/Adm. ~
~ ~
01-2155 Surcharge
75-3860 Road Unit r
20-2275 SAC ~
+
20-3865 Water Conn.
20-3868 Water Trmt. ? ~
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ ~ ~
28-3855 Park Ded.
TOTAL ~
• _ ,
CASH RECEIPT
' CITY OF EAGAN
383~ PILOT KNOB ROAD
E"AGAN, MINNESOTA 55122
oaTE ~s
n~rveo ;
cno~~
AMOUNT $
& DOLLARS
~m
O CASH ? CHEGK
roR ~
FUND OBJECT AMOUM ~
,
Thank You
BY
" r , YVhile--Payera Copy
• J , ` ° ~ . ~ Yelbw-PosNn9 ~~PY
Pink~Ye Copy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1013 Ticonderoga Tr
Lot: 4 Block: 4 Addition: Lexington Square 6th
PID:10- 45080- 040 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Mel Hazelwood 555
S metana Drive Minnetonka, MN 55343 952- 935 -9669 kari@minnesotarusco.com
Total: $70.00
Owner:
Amy M Linander
1013 Ticonderoga Tr
Eagan MN 55123
$69.00 0801.4085
$1.00 9001.2195
Issued By: Signature
Building
EA074867
08/24/2006
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
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Date:
City of Eapil
3830PilotKnob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
,uN1%1011
r
Use BLUE or BLACK Ink
For Office Use/� /
Permit #: j(s 94x1(
/L�//
Permit Fee: / / T
Date Received: 6,-/ ii-, Z,
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION CidKA
��
Z l - Site Address: tOT 1 ? e� �'er� l L-- Unit #: `j
Name:
RESIDENT 1
OWNER
TYPE OF WORK
Address / City /Zip:
la I'3 -rt
Applicant is: Owner 1�
Contractor
Phone: C9CE---Z4S- 2(
Description of work: I ) C P c D� W
kaki IP -41W &Xt( 5�
Construction Cost: 7l Multi -Family Building: (Yes / NoJ
Company: gk2L i GAF' I CEKJKJ7`t Contact: L) L'Lkl J5
Address: 7601 `7Yf✓l%ta195 �cv� City: g-1 •V"1 Lis)
State: JAW Zip: j�"l2 Phone: (e(2, --7-(Y3 —61 Coq
License #: E%�pL(�Q($ Lead Certificate #: S- - t2 4c0j3
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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.
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
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 mu t be completed within 180
days of permit issuance.
x `". t -1-0605
Applicant's Printed Name
x
App
ature
Page 1 of 3
g r;4cc/ 1C-i'/1%i?
SUB TYPES
Foundation Fireplace
Single Family _ Garage
Multi Deck
01 of Plex Lower Level
7Z
DO NOT WRITE BELOW THIS LINE
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% /4 ---
Census
lCensus Code
# of Units
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
— Interior Improvement
Move Building
Fire Repair
Repair
3moa
11341
1
1
REQUIRED INSPECTIONS
Footings (New Building)
AFootings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
/0'1964/
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
/?Li
1.2.
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
- Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath __Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Contr �
Building Inspector
u
&-jj/
l ?'I D4,1, j 5 _yci
Page 2 of 3
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EAGAN
REVIEWED
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DESC..Rt P -t' c;
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t,,Extit.at., Tc% -t ' QV
-t-k\ b b 1-r 1 ea e---1
A.V..c'r b. C-OJNTY,
M t e•.t N L h O; A.
4,
aR�Date D � t►aG5 A55uMEfl
EAGAN EI\GIivEi�Rii
bet.i.o-r 5 tRoµ tvto.wl Nnewr_
""ONS DIVISION
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date ; 41141-s 1' 3) I 13'J'l
LeRoy H Bohlen
Registered Land Surveyor No. 10795 -
lar
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171242
Date Issued:08/06/2021
Permit Category:ePermit
Site Address: 1013 Ticonderoga Tr
Lot:4 Block: 4 Addition: Lexington Square 6th
PID:10-45080-04-040
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
John P Friendshuh
1013 Ticonderoga Trl
Eagan MN 55123
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature