1017 Ticonderoga TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128894
Date Issued:12/12/2014
Permit Category:ePermit
Site Address: 1017 Ticonderoga Tr
Lot:2 Block: 4 Addition: Lexington Square 6th
PID:10-45080-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peggy K Shepard
1017 Ticonderoga Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
.o , . . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMlT Receipt #
To be used for -!Z' D;'~GNA Est. Value 1p T' Date 24 , 4
OFFICE USE ONLY
SiteiAddress T"'-`'L~~`~''~A TR Lot Block SeclSub.GJ-",4lNG~l01a ~'Q 6TN
Parcel No. occupancy R 3-U=-l FEES
Zoning pI)
W Name (ActuaqConst V-1; Bldg.Permit
Address AVr (Allowab{e) W-~ 39,00
.
o Surcharge
City Phone 423-6100 # of Stories ~
T~ ~ ~
Length 47' Plan Review -
t
, o Name DePm 4$ snc, cny I00600
o~ Address S.F. Total 5 ?g. pp
ua SAC, MCWCC
~
Cit S.F. Footprints
~ -
Y Phone On Site Sewage ~Nater Conn ~~C
W W Name On Site We11 Water Meter •co
=z Address MWCCSystem AK j~.~q
~ Acct. Deposit
a W City Phone ciry water
PRV Required _ S/W Permit 20.010
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge 1•00
information is correct and agree to comply with all applicabie State of a~~•~p
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 3' 10•00
A Building Permit is issued to: 4AXtDi`1' CL 70M earN'T.3 Planner - park Ded.
on the express condition that all work shail be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies
Building Official Variance - TOTAI 2 a813•00
Permit No. Permit Holder Date Telephone #
WATER
SE!WER
PLUMBING
H.V.A.C. ~&41
ELECTFIC ,~G ~I ~.3 , (f;• 1131P11991
Inspection Date Insp. Comments
Footings I
Foundation z y c
Framing
Foofing
Rough PI6g. -Z,)
Rough Htg.
Isul.
FireQtace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final y2s
Oeck Ftg.
Deck Final
weu
Pr. Disp.
. . , .
. . . . . PERMIT #
• • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot, -24_ Block ~ 'Sec/Sub Res. ~ New u
Mult. Add-on
~ Narime " ' T Comm. Repair
~ Address Other
c City J:'.:S *'~*:~•f Phone RES. PLBG. ONIY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL .
Name ~-Water Closet - $3 00
3 Address I-Bath Tubs - $3.00
, :
--I-Lavatory - $3.00
p City ~°.,.,c,:f Phone ~12 ~~OL Shower - $3.00
-4_Kirchen Sink - $3.04 ~ w
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPLIES .T_Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES j Water Heater -$i 50 i•`~
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - S3.00
MINIMUM - COMM/IND FEE -$20.00 __J__Gas Piping Outlets -$1,50 i-
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Prfvate Disp. - $10.00
Openings - 51.50 -
- n. SIGNA UP1E OF ERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• s`1•
MECHANICAL PERMIT PERMI7 #
RECEIPT # CITY OF EAGAN ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ • BLDG. TYpE ~WOR~ DESCRIPTION
Lot Biopk SeclSub Res. New
~
~ . Mult Add-on"~ y
~ Name Comm. Re ir
~o Address/` Other ~
c City ~Phone'i""
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Addres9 ADDiTIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
~ CONSTRUCTION)
GAS OUTLETS (MtNIMUM - 1 PER PEkMin - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
~APT. BLDGS. - COMM. RATE APPLIES
Forced Air < t`` M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAI 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. CFM (ADD $.50 S/C IF PERMIT PRIGE GOES
Gas Piping Outlets # BEYOMD $1,000)
Other ~
FEE:
S/C: _ SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
F c11VE1i & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT pATE l /17"F 9
3830 Pilot Knob Rd. WATER PERMfT SEWER PEFiMIT #
P.O. BOx 21199 . NIETER 17 Z 0'-0 B.P. fiECE1PT #
E39an, MN 55121 ER D ob3~/G ~ B.P. RECEIPT DATE
METER SIZE ~
.X Ra
ISSUE DATE PRV _ BOOSTER PUMP
SITE ADDRESS Le
'Z7 /~t~'~~~`~ ~ • PERMIT REQUESTED
LOT ~BLOCK 1 SEC/SUB~`~j1%~~'
SEWER L WATER _ TAPS
:.~il''n "
APPLICANT: %tf~ 42
ADDRESS: ~~-t' ~ ~ - COMM/IND ~ RESIDENTIAL
CITY, STATE ~ "'•~n/l~t ! /~'l/~? ZIP
PHONE: ' y-~ ~ - gzO`J S.3,y _,~s; NEW _ EXISTING
PLUMBER: Z, 7,~~,~~,~
ADDRESS: 15185 ^AROUSEL WAY I AGREE TO COMPLY WITH CITY OVI
GITY, STATE ZIP 55068 EAG/AN_9RDINCpS,.x7l
PHONE:
14
OWNER:
ADDRESS: S1G U N ETER I§SUED
CITY, STATE , ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR S RM SEWER PERAARS, CONTACT
ENGINEERINCa DEPT.
, . _
J'
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN 7/27/;, `4
3830 Pilot Knob Rd. PERMIT DA~~~
WATER PERMIT # SEWEA PERMI7
P. O. Box 21199 METER # B.P. RECEIPT # V~-
Eagan, MN 55121 READER # B.P. RECEfPT DA'fE 2 / 2 -7
, METER SIZE
ISSUE DATE _ PRV - BOOSTER PUMP
SI7E ADDRESB Zgz ~~~~~-t C''~ • PERMIT REQUESTED
LOT _-BLOCK SECiSU6
~ , " i ~ ' ~ ~ SEWER ~ WATER - TAPS
APPLICANT:
ADDRESS: y-'~~ COMM/IND RESIDENTIAL
CI7Y, STATE ZIP
PHONE: - ~/~L•j ` ~/~C - - • ~ . NEW _ E7CISTING
PLUMBER:
ADDRESS: 15185 CAROUSEL WAY I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP 55069 EAG/,kN ORDINANCES~
PHONE: s • :r .
OWNER: .
ADDRESS: SIGNATURE WHEN METER fSSUED
CITY, STATE ZIP
PHONE:
PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedior =F UWG/GA,P. Est.value ~713r000 Date FEB 24
Site Address 1017 TICUMZkOGA TR
OFFICE USE ONLY
LOt 2 BIOCk SBC/Sub.~~NCT0t3 $Q 6T=;
Occupancy R- 3 -&--1 FEES
Parcel No. •
Zoning PB
O
W f~ame ~US?OM HOME& (ncn,ai) consc V-~ 81dg. Permit 540.0
o Address 14355 CIMAxSON AVE (All°Wable) V-H surcnar9e 3g•~
City ROSt'.~lOillrP Phone 423-610t` # of siories
Length 471 Plan Review 270.00
, o Name SAYXI oepn, snc, ciry 100, 00
AddfPSS S.F.Total - SAC,MCWCC 375.~Q
~ City Phone S.F. Footprints - 380.00
On Si1e Sewage _ Wa1er Conn
~
W W Name On Site Well - Waier Meter g0•~
=Z Address Mwcc system xx
04
00 p~ Accc. Deposit 30.
<W Clty Ph011e Ciry Water
PRV Required - SNV Permil 20•00
I hereby acknowlege that I have read this application and state that the Baosler Pump - SyV Surcharge i
information is correct and agree to comply with all applicable State ol
Minnesota Statutes and City of Eagan Ordinances. 7reatment PI 22$ •W
Signature of Pertnitee X APPROVALS Road Unit 340.0
0
A Building Permit is issued to: ~~~OLL CLISZOV PCHE5 Planrier - Park Ded.
on the express condition that all work shall be done in accordance with all Council _
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official Variance _ TpT,qL 211813. 00
~ ~ / • .
r
(Itr#if iratt nf Orrupanry
.
Citp of (Eagan
arptrtmenf a# luild'mg Jweriinn
77iis Cerlificate rssued pursuant to the requirements of Section 306 of the Unlform Building
Code certifying that at the time of issuance this structure was in compliance wilh the various
ordinances of the City regulating building construction or use. For the jollowing:
un ausamtion RF MC/G2 Bkig. Perm;t No. 16153
oaup.acy TyW R3/M 1 zamng n;sv;u I'D 7* Cp,- VN
~ Owm of Bdd;ng CARRaL CUSIiM HQ-ES AMc, 14355 aMAffM AVE. , R06E14lUNT
~ su;ming naa= 1017 ' GA TRAIL tomfiry 12, B4, IEXIIVIQd 9Q[M 6IH
ettiamg o:i
POST IN A CONSPICUDUS PLACE
- DATE: 2/27/89
RE: 1017 T2C0NDExOGA TR., L2, B4, LEXINGTON SQUARE 6TH
0
--~%f Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
6- CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
~reaslms:
•
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILfTIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 2/27/89
RE: 1017 'i1CONDEROGA TR., L2, B4, LERING?ON SQUARE 6TH
X 0
-~,J(our Sewer & Water Permit for the above property has been completed. It will be heid at the
- Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
• w CALL PUBLtC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
F
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or xcupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~i iivc ~r• - ~
` ~~9// d' ~*•s~ S/!.~ 5 I
Re Date Fire No. gh-in Inspec1ion
~ •qw~r ? ReaCy Nax LjC6NiP6fi71nspecmr
QTes 0 No When ReadY?
I NA-censed contractor ? owner hereby request inspection of above electrical work at:
Job MdmsA (Str t, or o ~ CilY ~
417o(p Township Name w No. Range No. Courity
Plarie o,~o k~ z 3 l
~ressntracfor9 LJCense No.
o Wr or wpu~yi I~'n9 Ipsi51~~+^ ~'J 1 u
E V Lr. ~
AuNOrizeC Synalure (COntroclor/Owner Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELEGTflICRY TMIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway BWg. - Roam S713 BE ACCEPTED BVTNE STATE BOFPD
19YY UnWaraily Ave., St Peul, MH 55104 UNLE55 PROPER INSPECTION FEE IS Phom (612) 662-OB00 ENCLOSEO.
CITY OF EAGAN N~ 16153 ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 9
7obeusedfor SF DWG/GAR Est.Value $78,000 Date FEB 24 , ig8-9--
Site,Address 1017 TICONDEROGA TR
Lot 2 Block 4 SeGSub. LEXINGTON SQ 6TH OFFICE USE ON~v
Parcel No. ocouPancy R-3 -1Ll FEES
Zoning PD
w Name CARROLL CUSTOM HOMES (AduapConst -N BIdg.Permil 540.00
i Address 14355 CIMARRON AVE (Allowable) 39.00
o Surcharge
City ROSEMOUNT Phone 423-6100 smstodes
Length 47' Pian Review 270.00
ziF Name SAME DepN snc, ciry 100.00
g6 Address S.P.TOtal - SAC,MCWCC 575.00
~ City Phone S.F. Footpnms -
On Site Sewage - water Conn 580.00
ww Name OnSrteWell - WaterMeter 90.00
ii Addf@SS MWCCSystem XX
~i XX Axi. Deposit 30.00
aw City Phone crywacer
0
PRV Required - SNJ Permit 20.0
I here6y acknowlege that I have read ihis application and state that the Booster Pump - SnN Surcharge 1.0
0
iniormation is corcect and agre m comply with 11 licable State of 22$,00
Minnesota StatUtes and City o an Ordi Treatment PI
Signa[ure o( Permitee APPROVALS Road Unit 340.00
A Building Permit issued to: ARROLL CUSTOM HOMES Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ot Minnesota Statutes and Ciry of Eagan Ordinances. gld9. pry, _ Copies
BUilding OffiCial , ~.J-1 iJ~I Varianee - TOTAL 2,813.00
9 ~ ~
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 Construdfon Reouirenmis RemodeVReoa'u Reauiremenb
3 regisferad site surveys shwrirg sq. fG of bt, sq. R of house; and all roofed areaa 2 copies of plan
(2(1% meximum lot coverage allwred) 1 set of Energy Calculations fa heated additions
2 copie.s of plan showing beam & wiMow sizes; pou2d tound design, etc. 7 sits survey for edditions & decks
1 set of Energy CalaMons Addition • indicate BonsRe septic system am
3cDpies M Trtee Preservatbn Plan M bt platted afler 711/93
Rim Joisl Detall Optlons selec6on sheet (bldgs with 3 or less unils
Date7/ 30 / <:7> ConstructioaCost 13 000
Site Address /01~7 T r r bW 0s 2oc a -FAr+IL UniUSte #
? N. ' 23
Description of Work ~~j i2eCik-
Multi-Family Bldg _ Y X N Fireplace(s) _Y 0 _ 1 _ 2
Property Owner Telephone # ( X3) i(IB 2` 6c5a C£
Contractor ~ AP-IF BW T1 lrPi/L
Address Ciry
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Iviinnesota Rules 7670 Cateeory 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(d submiuion type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber IJ ~ Telephone )
Mechanical Contractor AUG 0 2 2004 Telephone )
Sewer/Water Contractor Y Telephone # ( )
I hereby apply for a Residential Building Permit and aclnowledge 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
Statutes; I understand this is not a pernut, but only an application for a peimit, 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 wluch requires a review and
appmval of plans.
P9-Aq u Shepard P.i,aW4 ,1204.
Applicant s' ted Name Appli s'i ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory'Byg
O 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot 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 Poroh (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
;Er 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteretion ? 37 Demolish Building' ? 43 Raroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicaM
Valuation (7t7I7 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
REQUIRED INSPECTIONS
Footings(new bldg) FinaVC.O.
~ Footings (deck) X FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ [nsulation _ Retaining Wall
Approved By: Building Inspector
-
Base Fee
Surcharge ov- o
V"
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Pw ~bs<~.O Ajr D ~ ~C(+-776~
5 ff-FP/-~~
.%/7
+N, ss12-3 763- 1f8;-61S.3
r
1'lli D`GK >
~
I y0'
C ,,,-F
~
~
~
~~~-Osko(z* r~~L
~ ..F
75
RESIDENTIAL
BUILDING PERMIT APPLICATION o1qa ` ~S
CITY OF EAGAN
~ 3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Conatruetbn Heoulrements BemotleVNeoah Beaulrements
• 3 replstered stte surveys showing sq. ft. of bt, sq. R of house; antl all rooted areas • 2 copies ot plan
(200% max'unum lot coverage ellowed) • 1 Set of Energy Cakuletions lor heate0 adtlitbns
. 2 copies of plen showing beam & window s¢es; poured found design, etc.) • 1 sXe survay for ezleAOr addttions & decks
• 1 set ol EnergyCalculetions • Indirate d home servetl by septic systemfor addMbns
. 3 copies of 7ree Preservatlon Plan if bt plelled atter 7/1/93
. R4n ,bist Deqil Optbns selection sheet (bldgs w0h 3 or less unils)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 6k51_7~~~~o~'ia-~ /1CINr 3;~/~a-1e,- STATEs~.?ZIP S~o
TELEPHONE #6S/- CELL PHONE # FAX # 65-1 3S/
PROPERNOWNER TEIEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 M 6w
(4 submission type) • Residential Ventiladon Category 1 Worksheet Submitted • Wode1VoL 9et ~B itled
e3
• Energy Envelope Calculatlons Submitted U
By
Plumbing Conhacfor. Phone # '~W=
Plumbing system includes: _ Water Softener _ Iawn Spruilcler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Conhactor. Phone q
I hereby acknowledge that I have read this applicaFion, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota STatutes and City of Eagan Ordlnan
Signalure ofApplicant ~:14!
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muki
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Paroh/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Poroh (screened) ? 38 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/Doors
O 34 Replacement `Demolition (EMire Bldg only) - Give PCA handout W 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'v/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
533t8- RESIDENTIAL - ~
BUILDING PERMIT APPLIGATION ~
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
657-681-4675
New ConsWctlon ReouiremeMS RemodellReoair Reauirements
• 3 registered site surveys shovring sq. ft. of lol, sq. ft. af house; and all roofed areas . 2 copies af plan
(20% maximum lot mverage allowed) • 1 set of Energy Calculations for healed additions
• 2 wpies of plan showing 6eam 8 vrindow saes; poured found design, elc.) • 1 sAe survey for extenor additions 8 decks
. 1 sel of Energy CalcWations • Indicata'rf home served by septic system for additions
• 3 copies of Tree Preservation Plan if bf plaited after 711193
• Rim Joist DeWil Options seleIXbn sheet (bldgs with 3 or less untts)
l
DATE 7 ` - I9 - ol VALUATION
SITEADDRESS ~V I l r(L~dl~df~ (-do cl- r(w~ MULTI-FAMILYBLDG_Y ~N
TYPE OF WORK re S~ FIREPLACf(S) _ 0_ 1_ 2
APPLICANTC, 1AS~`~w~5
STREETADDRESS NO nAf 4 (8 CITYLLriGlutSS~STATE /LLIP 517
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER f'L~I~I SY1f.l~r~ TELEPHONE# [OS f"~1S(~-~/~3S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIINNLSOTA RULES 7670 CATEGORY 1 MINNESOTA RULTS 7672
(J submission [ype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor: _ Phone
Plumbing system includes: = Water Softener ~ Lawn Sp ~i ~~~T IR D 90.00
Water Heater No. of R.I t7is
No. of Baths JUI. 19 2002
Mechanical Coniractor: P gne #
Mechanical system includes: Air Condiuoning y • 70•00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this appiication, state that the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan'Or
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 E#. 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 5[orm 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
, Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FranunB _ Siding Stucco Stone
_ Fueplace _ 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
: i
. 1989 HOYLDINZ3 Fe^,RH~.TiT 6PPL'CC6iIOfi CIT.S 0F Efitidll ~
STNGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo I SET OF EIdERGY CALCULATIONS
NOTE: ADDRES3FS FOB CORNER LOTS - COIPfR9CTOR/EOHEOWNER MOST DESIGNATE WAICH 6DDRESS
IS DESIRED. NO CHANGES i3ILL BE ALLOWED ONCE BiIILDIATG PEHMIT I9 23SUED.
MtILTIPLE DWEI.I.YNG4 RPiNTAL IINIg3 FOR 3ALE ONITS 8 OF JNIT3
INCLUDE 2 SETS OF PLANSp CERTIFICATE OF SURVEY - CSECK WZTB BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS -
COP44ERCIAL _
INCLLrDE 2 SETS OF ARCHITECTURAL & STRUCTUAAL PLANS,
1 SES QF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS 1589
;>snoo ,~E81B
To Be Used Fcrr: StS! . 4z'711(j- Valuati_on: Date:
Site Adciresa /01~~ T. ~ OFFICE OSE ONLY ~
Lot Biack ~ Oecugancy U2-3 /e~/ FEES I
Zaning E'D
` Par:;e1/Subpetual Const I//V Bldg, Permit
~ s A'slowable S•srcharge ~ 3 9
Ck•ner A of stories Plsn Fevi~w -220
~ I Length ~ SAC, City /pD
At3drass Depth y& S/tC, MWCC
I J.F. Total Water Conn S-"
City/Zip Code _ i E'ootpr.:nt S.F. Waber Meter ya'
Acet. Deposit ill ~
Phone On site sewage_ 5/W Permit 2 U
On sit~ weil 5/Gl Surcharge /
Contraetor MWCC S stem / Treatment Pl. ~'z
City water v' Road Unit 3 ya
Address PRV required Park Ded.
Sooster Pump _ Copies ~ -
City/Zip Codri,s~• TtYfAI,
APPROYALS
Phone Planner
Arch./EnBr'• /"'/~r'/+1CP7 BldgeilOff. 5ZE~*-I'I
?
y~ Varianee
Address Couneil -
City/Zip Code
~
Phone # -p
NOTEa Sewer P~ Ylater Permit Pees and account deuorait feea ai1.l ba inaluded in the building
permit fee. Prooessing time for €euer aFaci ?aater perraY.i:o i.a t.7+n daya once e liaensed
plumber has applied Fem a perm3.C at C.Stg i-la1l.
r •
000
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- SICl1IlA
- . SURVEYINGSERVICESINC. CQrr01l
3730 ~lot ~b a«~ . Custom
eaaor,,NUmewrc5siz2 House Certificate For• Homes
(612)452-JW7
101`I Ticov,,clefonaTra'i 1
Eayav~~ m~.l
- DRAINAGfl1N0171UTV-[ASEMCNTSIR[,. . . . . . , . .
SNOWN iNUS:
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B[ING S fEET IN w10TN:YMLEli-0M[qw13E I
IMDICAT[D, AND AOJOINING LOi'lIN[S AND
10 f[[T IN WIDTN AND ADJOININ6 STB[[T 'LIMES. ASSNOWMONiHE?LAT. L
. . L.r. n~ Y. j ~)f~,:5~.~~'. .
~S890431 03°E 75.00 - *a"•a ~
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9°.c43 3 W 75.00 co„~, c~.6 # ~,.ttK
I 93.5
H
N
TICONDEROGA TRAIL
-LEcENV- PROPOSED GARAG£ FLOOR ELEVATlON= 8 6.l
a Denotes lrcn Mornment PFoPOSED Top of Block ELEVATION= $92•0 ~
Denotes Woa1 Nib Set PROPOSED BASEMENT FLOOR ELEVAT ION= ~!9 4n w o
x895.5 Denotes Ezistirg Spot Elevatian NOTE: Verify all floor hei9hts with Final House Plans.
e9~.~ ) Denotes Proposed Spot Elevation
,~Denotes Drainage Directron
! hereby certity that th;s survey, plan or report
_pJOPE171Y DESCRIPTICNI- was prepared by me or wder my direct supervisim
LOT L8LOCK4_ aM that 1 am a duly Reg+stercd Lard Surveyor
Li.vieier the laws of t~ie State of Mirnesota.
cX~n~GTVn~ S w~ARe p 6~'` R~oo~T~oN
accordirg to ths reccrded !at thereof, Z1 r
Da te (L~ 8`~
~J.
a.tco Canty, Mimesota Weyre , CorOes, Minn. No. I4575
2
. p~~ :n49
~
_
~CITY OF v410 BtJILDITv(i llEPART:ir;NT.
k;7CPr:FcIOH k:BVt1.OPi: l.Vi:kAGr; "Ull COt•iPUTATION
(To be submltted rrith building ncrmit anpllcAtion)
One or Two Family Dwelling Owner 7'.
~
All Other Site Address p!'7 TiC~ZirD(;,4 T,
.ontractor Date .4~/i~~„Bq Phone
~,~~~r,~
LIN's'AL :'EET O','
.]:~C'~i OS:;? :7.4LL (,l.jr'~'~K.., ~~'Jft, above grr.de
Ti)r:,I, .-:'L'OSED ','eALL Ak:~A 5Q. FT.
0.o.,,r,US . i, COF:S1..,.r.J , . .
,PIJ1:: Va'_:.ue x krca
:ietail ~~r ,fUll x FT. 2I~ 74.U)(A)
.FI x :>2. =T. j9~.~n= ' 2(II)(A)
re~erence ' '
from ~'1111 nLrr~"' x SQ. FT. yq.~z=(U)(A)
attacned „Uv S; FT. - (U1(Q)
U~~ X g~w• =T• _ (U)(A)
s.heets n~il x Sr> :T. - (U)(A)
nLn y41uo _c Y'ea ~
:•:a:te & Type ";;it x S9V. FT. 50-(40 (U)(A)
n n U~ x SI. : T. - (U) (A)
I I n iiUn x SY. cT. _ (U) (A)
. rf it nulr _
. , X 5J. :Z'. M(A) DJJRS: t'Ufl Value : Arev,
..ti'::e & TY~e 2>f~ , ~x1`l _ii~ii ~ x S2. >T co (U)(A)
.u te pd!",,.~ - nUn ,tlx 5~~. rT.64,00 =~{9~ M(A)
n n nAn x SQ. FT. - ([])(A)
n n nUn n
_ x S~, rT. _
_ (U)(A)
r3rrLs Z2'S(O.j20 S;, r'T. (U)(A)
. kVefRAGE nUn
I'OTAL (U) (A) VkI,UES c
19 t.zi - ,
DIVIDED BY TO_TAI iH_I,L IiR:;A
A'vLRAGc; "Uti ` t 15 ' r less for 1&2 fuinily d~~ellngs
ROOF/CEILINQ:
TOTAI. AREA: Z :
Detail reference x SR. FT,!jZ!j = Z7. of~U)(A)
from x Scl. rT. . (U) (A)
attached sheets. flUti x SQ. FT. _ (U) (A)
Describe onenings leJTt x S'~. FT. (U)(A)
in rooP. nUn~ - -x SQ. .cP.-- (U)(A)
TOTAL (U)(A) VALUES DIVIDJsA DY
ToTN, ROOF/CEILIitG Ai:EA • • ~'c^;
, AVERA(3E " c02$ far ventilr:ted roofs. `
. M~ . .
,
--WALL SECTION--
Determining t'U" valuee at Roof, Wall, Rim, and Conc. Block
S ROOF/CEILINd R UALUE
-
i.) Interior Air k'ilm 0.61
2.) 518'f ayp. sa. .56
3.) Ittsulatioa ~a ~
4. ) ~r.r.
5.) Exterior Air Film .61
~ 2 3 (STTLL)
ilUn = 1/Ra rl7Z 'iOTAL (R)a
.
~
8 WALL It VALUE
9 6.) Interior A1r F11m 0.6$
7.) P GxP. Bd. .45
8.) Insulation I~j,dp
- 9.) 1~01a?~plrrE
to.) Masonite Siding .67
' to 17.) Exterior Air Film .17
l
npn a tIR= TOTAL (R)=
1'L RIM R VALUE
12.) Interior Air Film 0.68
13. ) Insu].ation 11, op
~ 14 14,) 211 Fir Rim Joist 1,88
t5.)
G
IS 16.) F3~~sonited3ng Z.67~
17.) Exterior Air EYlm .77
. o
ti
. d • • • nUll _ 1/Ra TOTAL (R)=Z11-Q.Q
,
O~ • ~
~ FOUtiDATION R VALUE
$ 18.) Interior Air Film 0.68
z1 . ~ 19.)
20.)
21.) 1p2" Concrete Block 1.2$
. , . ' e A \ID ?2..
23.) Fxterior Air Film r17
n .
: - L)~ ~o . ,IU„ ,14o ToTAL (a)= 7
13
- . . ..+.Y. . , .
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t
~ . . .
; ~ . . . . . . . 'i;.-!i'l`.rs!lf1?~'~lr'~'!
~I
t*eT 11
,
i;
,
f 4.5b )C (4o-f-40; 3Z-;3Z.) = zr8~.oa -
3•0o x 4n . _ ~Zo.oo
. '~'•607y~ (40~40Y.ziC;-3G~
,!4.aox (~O)
;iL Loo .7QL"-
"i i Zox ~C~ = :~e o ~,c 4 = zn, c~o . - .
z.~x 4-S =(v•7 x z= I 3- 4d
Zox(ob = ~J•i 7~. = 2>Z~_Zp _
_
l t
Z6P_x4{7
,f~ 11 \tIA',V''~ z ~ ~X 1U = ~OQ
_1
2x ~ . . .
:il 7 D.'~'D ZX ~ ~
:j
9LDG. PERMIT NO.~ I 5~ L. e. 4- z31 o c-k, 4 e.x 5~x+ ~
01 4,3210 Bidg. Permit -5 C) v0
01-}~422 Plan Check ~-:;2 CC~
I~ 01{3445 Surch./Adm. so
J -7r
~ 013446 SAC/Adm.
(\~0f .-2155 Surcharge
` 75-3860 Road Unit
~ 20-2275 SAC S ~Cr ~
~ 20-3865 Water Conn.
~ 20-3868 Water Trmt. ~ d~ L`6
~ 20-3716 Water Meter `7 L~ ci V
20-2252 Acct. Dep. . 0 G' C,
~ 20-3713 Water Permit U UO
~ 20-3743 Sewer Permit C'
79-3866 SewerConn. oo ~
28-3855 Park Ded.
TOTAL ~ ~ OD
• ~ - ~
. f,: CASN RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD , •
EAGAN, MINNESOTA 55122
~
DATE 19
FECENED ~ FR0M
~ AMOUNT $ . I .
i
:
& DOLLARS
iro
/ ? CASH p CHECK
i
FOFI
i , -
FUND OBJECT AMOUNT
Thank You
.
BY ~
lq' ~1 ; f 1Nhke--PaYers CoPY
Yelbw--Poedng Copy
Pink---File Gapy
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1017 Ticonderoga Tr
Lot: 2 Block: 4 Addition: Lexington Square 6th
PID:10- 45080- 020 -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:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
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. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
- Applicant -
Construction Type:
Occupancy:
$1.00
$69.00
$70.00
Owner:
Peggy K Shepard
1017 Ticonderoga Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Building
EA073480
05/22/2006
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 with all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129858
Date Issued:03/19/2015
Permit Category:ePermit
Site Address: 1017 Ticonderoga Tr
Lot:2 Block: 4 Addition: Lexington Square 6th
PID:10-45080-04-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Peggy K Shepard
1017 Ticonderoga Tr
Eagan MN 55123
All Craftsmen Exteriors LLC
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
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