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1016 Ticonderoga TrR CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt i To be used for Est. Value Date 19 Site Address TRAIL Lot Block Sec/Sub. ' 1N6TUN SOLAR Parcel No. a Name kUTHERS CONST z Address p City Phone °C Name .o Address P City Phone Address City Phone I hereby acknowledge that I that the information is correct State of Minnesota Statutes Signature of Permittee OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well T Type of Const City Water (Actual) Allo bl ( wa e) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. - Road Unit APC Treatment Pt Variance Parks Copies TOTAL 3 539.50 f5 0 .;10 .,0 10 Q A Building Permit is issued to: (-HMAN BROTHERS CONST on th diti all work shall be done in accordance with all applicable Building Official e express con on that Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone it Plumbing A Electric qcl /? CE/L xe? c11Y 7 O? Softener Inspection Dots Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Q So?CiT l.1r - C Fireplace -IVA-) v2 - 50'- $- 7 - Y?P Final Htg. Final Plbg. Bldg. Final Cert Occ. / - ?% Temp. LP Deck Ftg. Deck Frmg. well Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ' PHONE: 454-8100 Site Name Address c City Name C Address p City 1 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$110.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF L FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NQ. FIXTURES TOTAL Water Closet - $3.00 $ • ' Bath Tubs - $3.00 Lavatory - $3.00 i Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 I Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 4ul;t.ts t m Name ` ePenuao..e nes.cin Address 2619 Coon PApids c City ! pan n ;a Phone BLDG.TYPE Res. Mutt Comm. Other WORK DESCRIPTION New Add-on Repair FEES 2ach Name man Homes HVAC 0-100 M BTU -$24 00 RES c Address 4620 W. 77th St. Suite 104 . ADDITIONAL 50 M BTU - . 6.00 0 City Edina Phone 893--0755 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 10-01000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent vent 3 bath IF PERMIT PRICE GOES (ADD $.50 S/C Gas Piping Outlets # neter O furnace 1.50 BEYOND $11,,00 00) Other FEE 25.50 ?F S/C: SIGNATURE OF PERMITTEE TOTAL- 26.0@ 4" FOR CITY OF EAGAN CITY OF EAGAN 142 10128 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' ILDIN'G 0,ERMIT Receipt # ?.,.' if, FIREPLACE Fcr vah P =1.000 t)ataJULY 10 is ? Site Adirss "" Lot Block Sec/Sub. LMLNGTUN Bill r Parcel No. W Name KEN MUS Z 1016 ?ICOHDZROCA Tit c Address City EAGAN Phone CHATEAU BRICK o Name 1.- 758 JEFFE11113113111111 5-T ou 8Q Address 51111AZWKIL 443--9377 I.- CitV Phone Name Address City - Phone I hereby acknowlege that I have information is correct and agree Minnesota Statutes and try Signature of Permitee A Building Permit is issued to: - on the express condition that all v this application and state that CHATEAU BRICK applicable State of Minnesota Statutes and City of Eagan Building Official L OFFICE USE ONLY Occupancy FEES Zoning 25.00 (Actual) Const Bldg. Permit (Allowable) Surcharge 650 , { * of Stories Length Plan Review Depth SAC, City ? S.F. Total SAC, MCWCC q q S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System - City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge I Treatment PI APPROVALS Road Unit 1 Planner Co ncil Park Ded. u Bldg. Off. - Copies Variance TOTAL Permit No. PermM Holder Date Tewowne # WATER SEWER PLUMBING H.VAC. ELECTRIC krspsction Date kap_ Comments Footings l Foundation Framing Roofing fig. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. This request v v/ ?/g 18 months from41 D 1UI?s?i , ri(CIY7 ?I/J..n.rr lfi 12& 419 5 Request Date ? o c r Fie No. Rou n Inspect n Re ed? H ? Ready Now?Will Notify Inspec d ??d Cdr, Oyes ?No for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at. Street Address, Box or Route No. City o G i Gid OE/Z G? ? /G J?- ectiot NO, Township Name or No. Range No. County ?r /per 4wt: Occupant (PRINT) Phone No. Power Supplier Address 4O Z:M= 61- 222 A T' Electrical Contractor (Company Name) Contractor s License No. D1A`SY?f? ?G EG?7L/Co d (f Mailing Address (Contractor or owner Making Installation) Authorized Signatu (Contractor/Owner Making Installation) Phone Number ??a - SSA MINNESOTA STATE BOARD OF Et LITRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. d?L Permit Nu. n 3 , Meter No,, D? 3 _Q Reader No: df-?-U 55121 Zach an Bros. Date: G Size: 1 , Date 60 ' Zo-j 9 ' OF EAGAN, _ Permit Na. Date: 4-I0-87 i Pilot Knob Road Meter No, Size: Box 21199 Reader No: Date: on. MN 55121 Zoning: R1 No. of Units: 1 I agree to comply with the City of Eagan Ordinances. By CITY OF EAGAN .,, SEWER SERVICE PERMIT 3830 Pilot Knob load 101 T' P.O. Box 21199' PERMIT NO.: Eagan, MN 5912 DATE: Zoning: No. of Units: Owner_ chman Bros. Address: Site Plumber. 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.- Insp.: Connection Charge: 525,09Dd Account Deposit: 15.00p_ Permit Fee: I. Q, oopd Surcharge: . 50pd Misc. Charges: Total: Date Paid: 11 WATER SERVICE PERMIT 8`,2/ F'2 REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e ' 7 rrgg = See instructions for completing this form on beck of Vellow copy. l: CF// 6 / 9 5 ® C 99' , 46 "X" Below Work Covered by This Request Add Bep. r Type of BYlldlno Aopliances Wired Equipment Wired I 1 I I Duolex I I Water Heater I I Liahtinu Fixtures I Commercial Bldg. Furnace Silo lhtloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer pace v .Thor (S,,,:ily) N Fee Service Entrance Size # Fee Feeders/Subleeders N Foe Clrcu ite Z 0 to 200 Amps 0 to 30 Amps Z/ 0 to 30 Am Above 200 Am )s 31 to 100 Amps p 31 to 100 Amps Swinvning Pool Above 100 Amp, Above 100_Am s Transtormers Irrigation Booms 5e I Partial Other Fee Signs Special Inspection $ 413r _f0 TOTAL(n_ Z, Bem3 rks T i7 i9(J I. the Elacir,cel (? • Inspector, hereby Final O1le certify that the above r r) inspection has been -do. This request CITY OF EAGAN Ni 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 $112,000 Date JULY 27 '19 - Site Site Address 1016 TICONDEROGA TRAIL OFFICE USE ONLY 32 2 LEXINGTON SQUARE Lot Block Sec/Sub. On Site Sewage Occupancy -T- R3 RI 5TH ADD MWCC System Zoning Parcel No. On Site Well Type of Const V City Water X _ (Actual) _ a Name ZACHMAN BROTHERS CONST (Allowable) V w z Address 4620 W 77TH ST # of Stories Length 54 c City EDINA Phone 873-0755 Depth 48 S.F. Total p Name SAME Footprint S.F. ?< Address APPROVALS FEES m? City Phone Assessments Permit 539.50 h 56 00 Water/Sewer _ Surc arge . W Name Police Plan Review 269- 75 z z Address Fire SAC, City I no _ n0 ¢ _ 0 a w City Phone Planner i Water onn. W t M t 525.0 7 n l Counc a er e er 6 0 ths app lication a late 1 hereby acknowledge that hav ead Bldg. Off. _ Road Unit 3a s 0 ) that the information is correree I plicable APC Treatment Pl ?ti0 / State of Minnesota Statuteity og n ces. Variance _ Parks J Copies Signature of Permittee TOTAL r25 A Building Permit is issued to: ZACHMAN BROTH ERS CONST on the express condition that all work shall be done in accordance with ail applicable Stetp pf M innesota S ntutes an City of Eagan Ordinances. Building Official ?(°'/J"•l 0 r (gFrtifitatr of (Orrupanty Citp of eagan appartmnd of -Mu[lbatg Impprtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- Uucm?ira,eoe SF DF?GlGA13 Bldg.NnnitNo. 13975 oaewn=r'rYx $3 using Mircc `fig Type coed. O?wevldos ZACHMAN DROS AddM 4520 U 77-AH ST., LDWA Scalding Add?eas 1016 TIC014DEROGA TtRocaI_ry L32, D2, LPX SQUAD. iMl vy Date: OGTOr3uix 23, tOiu7 CBuildies Offidai POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /1 < 7`""' CI BUILDING PERMIT Receipt # l 1 7) , To be-used for FIREPLACE Est. Value $1,000 Date JULY 10 1990 Site Address 1016 TICONDEROGA TR OFFICE USE ONLY 32 Block 2 Sec/SubLEXINGTON SQ 6TH Lot . Parcel No Occupancy FEES . Z i Name FN KUBFS ng on (Actual) const Bldg. Permit 25.00 W Address 1016 TTC'ONDEROGA TR (Allowable) Surcharge .50 3 ° EAGAN Phone City #of Stories n th l Plan Review g - e o Name CHATEAU BRICK Depth SAC, City 8< Address 768 JEFFERSON ST S.F. Total SAC MCWCC City SHAKOPEE Phone 445-9377 S.F. Footprints - , Sit S O Water Conn e ewage n ww Name On Site Well Water Meter 1-i uE Address MWCCSystem osit Acct De <w City Phone City water .- . p PRV R i d S/W Permit re equ I hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and of Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: CHATEAU BRICK Planner Park Ded, on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies In T Variance TOTAL 25.50 I\Ot! Building Official ?° ?rv `k RESIDENTIAL 1-i= 914b BUILDING PERMIT APPLICATION CITY OF EAGAN 5'?) U 3830 PILOT KNOB RD, EAGAN MN 55122 11,,??nn,, t?.Ms _ 651-681-4675 Now comkItiction Requirements ?,131?DZ RemodelrRegair Requirements • 3 registered site surveys showing sq. R o sq. fl, of house; and all rggfed areas 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window siz :poured found design, etc.) t site survey for exterior addi s & decks 1 set of Energy Calculations °KQ,?•. ^A • Indicate if home served by pllc system for additions • 3 copies of Tree Preservation Plan if lot platted a er 711/93 r [ • Rim Joist Detail Options selection sheet (bldgs wi 3 or less units) aL 3 1 1qt r ?? DATE SITE ADDRESS TYPE OF WOR APPLICANT _ STREET ADDRESS TELEPHONE # _ PROPERTY OWNER /0-6??- b 1 (0 -T-1 e` ?vo n r Iz e, ff CELL PHONE # X144 JOilsen/ Wa r Heater N . of Baths ------------------ COMPLETE THIS SECTION FOR KNEW RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RiJLES 767TEG0 _ MINNESOTA RIJLI:S 7672 (J submission type) • Residential Ventilation Categ/ol Work sheet ubmitt ad New Energy Code Worksheet Submitted • Energy Envelope Calculation mitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. ------------------------------- I hereby acknowledge that I with all applicable State of t VALUATION YF- LTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 CI STATE ZIP FAX # TELEPHONE # Phone # Law Sprinkler No. o R.I. Baths Air Conditioning Heat Recovery System -------------------------------------- read this application, state that the sots Statutes and City of Eagan Orc Signature of Applicant OFFICE LJSF. O Fee: $90.00 Fee: $70.00 correct, and agree to comply r?i?JIS'I. .1111 1 0 20[1] Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY . N_ . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs - Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 7152460858 ,Ju1t20 02 05:30p JOEL ZIEMEK CON 7152460958 p.1 7/1 r?s I r aAr?ss C010 16 Ly ?> t -?Y- 5-330 ?a "e j? e., CLAIM VOUCHER-REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: TITUS N WINGER ADDRESS: 17715 12TH AVE N PLYMOUTH MN 55104 LOCATION: 1016 TICONDEROGA TR RECEIPT #/DATE-. 31195 7/16/02 REASON FOR REFUND: DUPLICATE PERMIT PERMIT #: 53045 TYPE OF REFUND: Plumbing Permit Mechanical Permit Building Permit Fee Plan Review Fee SAC (MC/WS) SAC (City) SAC (Admin) 9001.4087 9001.4088 9001.4085 9001.4222 9220.2275 9379.4681 9001.4246 Water Connection 9220.3865 Sewer Permit 9220.4532 Water Permit 9220.4507 Account Deposit 9220.2252 Water Meter 9220.4509 Water Treatment 9220.4685 Surcharge 9001.2195 Overpayment 9001.2250 Curb Box Deposit Refund 9220.2253 Construction Meter Dep Refund 9220.2254 321 Other a TOTAL $ 321.25 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 7/31/02 U SIGNATURE DATE 11 city of eegan PATRICIA E. AWADA Mayor PAULBAKKEN PEGGY CARLSON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGES City Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122.1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 w ..cityofeagan.wul THE LONE OAKTREE The symbol of strength and growth in our community July 31, 2002 TITUS N WINGER 17715 12TH AVE N PLYMOUTH MN 55104 RE: REFUND OF BUILDING PERMIT #53045 TO WHOM IT MAY CONCERN: On July 16, 2002, permit #53045 to reroofheside 1016 Ticonderoga Trail was issued to your company. On July 22, 2002, permit #53310 to rerooflreside this home was issued to you, as well. As you requested, we are refunding $321.25 to you under separate cover and canceling permit #53045. We are unable to refund the $10.00 state surcharge that was collected. This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee Schedule assesses a $50.00 fee to refund permits that have been processed and receipted. As a courtesy, we are informing contractors of this policy and issuing a full refund, minus the state surcharge, for a cancelled permit on a "one time only" basis. If you have any questions, please feel free to give me a call at 651-681-4695. Sincerely, Severson Office Supervisor cc: Dale Schoeppner, Chief Building Official RESIDENTIAL 33 I BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. 1. cf Icl. sq. It. of house, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of clan showing beam 3 window sizes: poured found design, etc.) • 1 set of Energy Calculations • 3 copies of free Preservation Plan if lot placed after 711i93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) _t DATE VALUATION Moo C5 0 SITEADDRESS (OIL CC? 14 -7-a-. MULTI-FAMILY BLDG _Y -N TYPE OF WORK f?CxS? 4 S(D (n Q FIREPLACE(S) _ 0 _ 1 -2 APPLICANT I l QS t? W I r, r STREET ADDRESS ??7(f r- ti . _CITY c? STATE ZIP TELEPHONE # CELL PHONE # (0(24D'i_s -610L/ FAX # PROPERTY OWNER le/7SC)-I TELEPHON : E# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I I'l dential Ventilation Category 1 Worksheet Submitted A eet x(v submission type) • Resi • Energy Envelope Calculations Submitted U Jul Plumbing Contractor: __---______- Phone # Plumbing system includes: Water SofteneLam Sprinkler y 0. Water Heater No. of R.I. Baths -- No. of Baths -- Mechanical Contractor: _ NIcch:utical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: 570.00 ----------------------------------------------------------°-------------- ------ 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 Ordin es_____, Signature of Applicant OFFICE USE ONLY RemodelfReoair Requirements 3 I I _ _ 7 • 2 copies of plan • I set of Energy Calculations for heated additions I site survey for exterior additions d decks • Indicate if home served by septic system for additions Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS - Footings (new bldg) FinatiC.O. Footings (deck) _ Final/'.,No C.O. _ Footings (addition) _ _ Plumbing - Foundation HVAC - Drain Tile _ Other Roof - Ice & Water _ F inal Pool Ftss AinGas Tests Final - Framing _ _ _ _ Siding _ Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final - _ Windows (new7eplacementj _ Insulation Retaining Wall Approved By 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 Building Inspector Total 7?r 1987 HOZLDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 4j:-- `J d/ Site Address ldl( 7-rn..,ds?n r, & STRUCTURAL PLANS, SET OF Valuation: 117-10? , Date: Lot J d Block a V On Site Sewage_ MWCC System Parcel/Sub ` Q o; ) * On Site Well _ City Water Owner Address City/Zip Code Phone Contractor L [*A? men ?? ??J fe(?//r? Address / yda WPs? 77 J'• City/Zip Code Call;?A /)IN fSt/3S Phone ?13- z7 rS Arch./Engr. Ca APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council 'L) •A7 Bldg Off !APC Variance Address Sq;? -IS AI. b--( I City/Zip Code Occupancy F, - 3 Zoning fL I Type of Const (Actual) (Allowable) # of Stories Length Depth 48 S.F. Total Footprint S.F. FEES Permit 551. Surcharge 5(0. Plan Review ?_(0- SAC, City 60 SAC, MWCC 525. Water Conn 52S Water Meter (07- Road Unit 305• Treatment PI (Q:o. Parks Copies TOTAL ;2 S Phone S (: % 0) ? o1?? 1?3 -z 08 Z s 17 z? cb-?7 = 2Z oZ, 4S -? 077 = IDZ x o2 t ? 1914 12) „ 3 ccZg!i-I _E_t,ing ZAC.,VIJ?W,41 13905, cows rilC% /o// __.____ ._-__r___---.--_----- Certificate of Survey for: / I I ?' -- --- t'?g5 --- - - Cis- LP S8 g:3tJ3E?q?? 2'S too- -- ?.©?\ i5 6o(r&c?- z ? , s tit ?? I ? - 3 0 1 1 - _ 00 N a t4? lyl0 • s I , p?r,c o Q ? - ! \ x }- -•-•-tv G ry U} rt30 71o I A I \ N m pI,SE?c. ?? N C\9 1 ? ? ? ' to ` " P'`ropJSE m /3 i? E ~; I l . Ra i2 1 6.a Q N.T.S. ? ` Sag 43<::)3? 510 ` PPOUOSto NOOSE EKfVATIONS , 900.o Denotes exrsffn? Elevairon i a-?- - . goo a Denates,Pro used Elevation owes/ FloorElegyof/on tS 3._ ?DenoleSOrarna¢eiUfrli,yFasernen{ orgioc(( Elevation = =.7 - - Oenofes Druinaie Flow Arrow ?ToP r - _ Garo?e Slab Eleval;bn = . > 3 o Denotes monument Peartr s chrjiti'n ore a5surne4 3Lock 2,,?XI?I?' Ot .? ?,?RE l?40 lily DAUOTA COUNTyf m•LNNE50tA sueJEcr ro EASEMENTS of REeaPD t, t. Cc ect r-3: of z "' )rt,, p ?PJ i('/7/'f? pelf Ck L?'iS t. n9 j' •?. i ? >c alP t t '? Cit., oC an %v_.._. tj j. J ON max' 'f ? ? •. ?? '..'vN YpS. cc-574 XC "SCN CO. ??20 st 7.7 th St. ri; .? ..... C•i':5 A - - _ - -0- -- F _-- ------- -- -_-- 5I'S'D i.PDN } S5-_- 61755 .Tl7OR ?4C ?',4N :diOS CO'61;?UCTZON --- DATE ?-/?-'7 PfiONE 893 _ __- Doterinine •,:w:kir,g squ.-,re `ootage of each. I. Total e,-loosed :all area ..... ?? ---so. ft. X_11--- ?j -29 o sq. ft. x .026 - ?3-Z • Z? Z Total roof/ceiling area f Z { Total wall wincocr area ....... . ........... .. .. . .. ? p2 • Sg B. Total Goor area................................ 31 -7 C. Total slicing glass door area .................... S o•o -_ D. Total ?i_colace v-a11 area ........... ............ . .-_ ..-- F_ Total wall framing area (averaue 10%)..---__.._. 2l Z 1 F. Total Rim Joist area ............ .••_.-.-_...._ - 5.-- G: Total ?:ct •. all area above floor. . . .... . ......... / 3 0 9..SS_ ri4-S Total exg?seo founcation area _ _- g_ Total foundation wi.-a'.o•a area. . . .............. : - I. Total at rowiliation area Above grade.......... (? oe Determine "U° value of each wall sec,"ent. a. Z o Z . 5--8 x ,.u.. .47 = S -L / b. 37.7 x "u^ _ -137 = S e 17 go, oc x „U„ .55 ¢?, o0 d_ 22, ao x ,;u., 3 Z- 7-o,7, e. z t 2 •11 X .•?., ,.os = .17 , (SG•S .oG? . ?g l2 9• x ., U., ,0477 = 1/ , OS b. .55 3 ...................................Total °[JOS•/3-? 33 `f\_Ji If it m 93 i? iLc s:r:ng as, or ]css th a itc:? @l, ;•ru l ce m;t the intent of Total c>:_.::;cd roof/ceiling area ----_---------_----_.--- J. Total s}:vlipht area .-.......--.• ................... - Y.. .Otcl roof/ccilicg f:.:mi.ng area (average 101)...... ( Z 4- • D o 1. Total r,ct insulated roof/ceiling area ..............?(( G L2termiue "U" value for each roof/coiling seg;n_nt. ] _--- -_ 8 "U" -.50-_ _ 1. X "U.. --025 - - 2 ,-- ? 4..... •••-•••••._Total ,OL57? o2G l 2 C/- if total of °-4 is the sa=me as, or less than '2, you have .-..et the intent of SBC E'006(C)i. Alternate Building Envelope Design -_. ..} To U; ize the total CI:V2l0 e syste:a r:ethed, ehc ,:alU?s ^ctablished _ e.u:a of i-Ems a3 c-^-d s:r:li 9reat.er tba? e sum of ?t?. ?i zad ?2. 1. 3. + 2- + 4. = , !•. .or -ti .iluC jen ,4 z -F --r X1.3 _ _ 7D 3. • 32? inc1:cs -Oft'. Th=:-^ax Sheathine _x.00 4• J]_srd oa d Siding •17 1 5• O.17 • (• Exterior air film IC 12.35 Total ILL U = .08 FIG. "l l = l l w OF - 0.68 L Inter or air film -5 Fr_uSE ,BALL 2_ i n ^v6D, _-B:)$rd -- a___- _- 3_ R _ 13 Aber=lass tts 13.00 6.00 4. 3 4" The-MPX Sheathine-- _67 J' S. 7/ 16"? ardxard Sidine - fila 0. 37 lff l `---{? 6. Exterior P.31: . !`^_ _• .'? 2'otal 20.9"7 FIG. @2 .0477 O.GB --- 1. Interior air filn_ + lz Oct Z R - 13 Fiberglass 3. din Jst. So? ftwood 1.88 - ?? 4_ ' 1" Thzr:^zx Sheathing 6.00 67 ~ T E7/lD" =ard'cbard Siding ---- ?•C,c,-,t=?_ ?''I?l l- S_ ff ' -- - - (? _ 0.37 - of _ •t' ( ( ----?'f o. xtcrior air ;:ill J Total 22.40 u o'146 -- 0.69 ( 1?1 • I 1_ Interior air film 10.00 2. lz" Tnex-r?a?c Sheathine 3 * 3 "Conc. ffiocK 1.11 'LL ?? .I• v- "JC- 5- ---- - 0-17 ter_or air ;:1_,-n <1 y 'r } - :/ ?' --- - Tctal I1.9D 1 •h U .0836 • SLAB ON Gr?%nE V lit V4 ft t It 3 (((? - -- --? l (? II it rhlili: Ji,3J :t.r Lp;•-. i{f? IIlIl4'l.1 r??II lIi1??I?I`I ?1?r'? ' -r VE;; _tl l .1 ' --nted d 11ca[ floor - T J up FIG. r5 1? 7't t . ? IJ ? tIr ` ell, \J ? U :. ti; ??p ?•c ?t?:d FIG. 06 -03 r • l?: rtC . tip n1v Crn:rt_ructio;t (C• c for Itch L) 1;_Vn7nc 1. Interior air film 3. _? i_" CerTU7ose 4. Exterior air film 3. Ina,es soft ,-ooa 3 in 4. Inc',,cs inst,l ahave S. Air Film CLG_ F d6IRr_(GSe for Item K) L Interior Air film. 2. 5/8" G:?p. 1x,ard 0.61 _ .69 4.33 6 z" 2h.98 _ 0.61 9''3c3l 31.27 U = .032 1. Interior air films _ 0-G1 2. - 3_ - - 4. Exterior air film (still Tota1 1.- Ia:icc air film 2. - -- 5. out idc_tir fi_l:a i ' o. Fl (':1.111) -_-`0. Ul ToraI _ q9-1 U = 025 0. O.G1- 0.17 Tcta1 • i Note: 11::c :1:+.7it3o11a7 is 1: •:x :A :1 fnr nrt,tiL: Mll cnlCt:l:,tior,r%. 14124 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 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 ISSUED. NOTE: 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. To Be Used For: Valuation: Date: Site Address /D/4 cond6ro4A ?r Lot ?52 Block Parcel/Sub /_?/? n1?JL ?Q?h? OwnerC Address 4616 f 1-1zn&I'09 V. City/Zip Code Phone )) (('?? Contractor[ ZQ`??a ?? 1 Address City/Zip Code Phone ?-? ') % L,'/ / ?? Arch./Engr. If-ha Address ?C6,Vl2- City/Zip Code C, q \e Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water - PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance USE ONLY FEES ?i mo Bldg. Permit pI5 Surcharge Sa Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL a5•?"o PAYMgP' OF FEE AT CITY OF EAGA \ * APPLICATION ' DOES NOT CONS >: APPROVAL OF PERMIT. APPLICATION FOR PERMIT *f *,INSPECTION OF SEV= AND/O •* 12 r CNS WILL NOT BE SEWER AND/OR WATER CONNECTION * ULED UNTIL, PERMIT HASIBEE I APPROVED. e?1,>,:'i PROPERT E Y ADDR SS: LEGAL DESCRIPTION: Lot B oc Subdivision or Tla?t'jparcel ID ?? 1EYE7QSTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: .3?' •, t'PRESEPTP ZONING/PROPOSED USE: (Mont h/Year ' COhA1mCIAL/11EPAIL/0FFICE ? R-1. SINGLE FAMILY I .'INDUSTRIAL R-2 DUPLEX (1F,o Units) C 'INSTITUTIONAL/GOVMU` ? R-3 TOWNHOUSE (Three + Units) ( I Units) R-4 APARZT]ENf/CONDOMINIUM ( Units)t a ' NAME: 0? 1 i ! ADDRESS: CITYi STATE, ZIP: - I - I.I {w s I , x ?) .?jl! PHONE LI 1 '5 1 . sti I : ). 1: 71• 7 , Ebr. CltY_ se NAME - X) t2 .' . Plumbers r nrp.??• . t ?ADDRESS: I' AOtiv'wl IS1A, •ZIP: Expirdd Not l j 11 PHONE: ; MASTER LICENSE# ZOG ?, u s, S qty ?j ?" $' •• • 101- i f w !,WV-JE: rv,Q; l c > . ?, ADDRESS L}?DZn 1z? pk ?? )o . 1CITYi' STATE, ZIP: Z f A/ Q C ?xx PHONE: r 7r D1 A ; CONNECTION ''CITY SEWER 17f CONNECTION TO CITY WATER" Q 'OTHER P£'• • 1` [? PLEASE.HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE l • .I-µ. PLEASE MAIL APPROVED PERMIT TO 1, 2) 3, 4, ABOVE f '' (Circle one) Pd-w/Bldg. Permit Is r $ .F ,,• $ Yu t'°''$ ??n • cry RECEIPT # FEES: $ ?(- 5?D $ s 5 c? $ $ s s 77/7 RECEIPT SEWER PERMIT (INCLUDE SURCHARG WATER PERMIT (INCLUDE SURCHARG -j£..- WATER METER/COPPERHORN/OUTSIDE WATER TAP (INCLUDE CORPORATION SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT -.WATER WAC SAC TRUNK WATER ASSESSMENT ^.Y READER`" 'y STOP) TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER i LATERAL BENEFIT/TRUNK WATER r WATER TREATMENT PLANT SURCHARGE OTHER: , TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY. Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC i ROADWAY" MUST BE ISSUED BY THE ENGINEERING ulTi, NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: ` (APPROVED BY: I: TITLE: DATE: FOR CITY USE ONLY CASH RECEIPT - r CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f r 19 • AMOUNT, $ I & -DOLLARS Sao ? CASH Q CHECK FOR I 44- V r BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. ?--? 01-32110 Bldg. Permit` ?- 01-3422 -Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 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. 11-3855 Park Ded. Cj 4 , -L IZ L5 sFSI 1 / -7:5 U ; 00 00 TOTAL City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1016 Ticonderoga Tr Lot: 32 Block: 2 Addition: Lexington Square 6th PID:10- 45080- 320 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Richard J Jensen 1016 Ticonderoga Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 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 Building EA090443 08/03/2009 ePermit PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105611 Date Issued: 07/20/2012 Permit Category: ePermit Site Address: 1016 Ticonderoga Tr Lot: 32 Block: 2 Addition: Lexington Square 6th PID: 10-45080-02-320 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Wenzel Heating & Air Conditioning Richard J Jensen 4145 Sibley Memorial Hwy 1016 Ticonderoga Tr Eagan MN 55122 Eagan MN 55123 (651) 894-9898 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117725 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1016 Ticonderoga Tr Lot:32 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-320 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Juliane Jubinville 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 - Richard J Jensen 1016 Ticonderoga Tr Eagan MN 55123 Simon Construction 12366 River Ridge Blvd Burnsville MN 55337 (612) 861-7000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141183 Date Issued:02/24/2017 Permit Category:ePermit Site Address: 1016 Ticonderoga Tr Lot:32 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-320 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Richard J Jensen 1016 Ticonderoga Tr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature