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1028 Ticonderoga TrCITY OF EAGAN WATER SERVICE PERMIT 3830 not Krob Road P. O. Sox 21199 PERMIT NO.: ' ` an MN 55121 Ea DATE: - g , Zoning; rl No. of Units: Owner: CO I I t ,' ?'• • ri 5 t Add s: res Sift Address: Plumber. I urr ?:.;.,1 Meter No.: O g O s ; ; ;::` a . Reader No.: N 1 elm ft 8, PI r w" the « 1 By Date of Insp.: -7 Misc. Charges: Ind Tr - -- Total: 50?+ r2 rPr Daft Paid: Insp.: ti CITY OF EAGAN 3830 Pilot Knob Road P. O. gox 21199 Eagan, MN 55121 E ZwIng: Owner: Address: - Sift Address: Z" T A-" Plumber Meter No.. Size: Reader No.: 1 Mroe to emm* wltfh the 017 of dNa ?Oh'+Iwaeese. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: _ Connection Charge: _ Account Deposit: _ Permit Fee: Surcharge: , Misc. Charges: Total: : _ Date Paid: _ Insp.: CITY OF EAGAN SOWER SERVICE PERMIT 3830 Pilot !!nob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: - Site Address Plumber: r ^' `cis i? 1 eons to own* wab the City of 1"Pe OrdlaeON& By Dote of Insp.: ConnecHan Charge: ;- Account Deposit: Permit Fee: ' Surcharge: Misc. Charges: Total: Daft Paid: BUILDING PERMIT T- L...-.J ?. 5F CITY OF EAGAN t, t 3830 PBot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i ' ?? i•7`?3 PHONE: 454-8100 Receipt S DWG/GA12 Est value $68,0U0 Date APR IL 4 .19 86 Site Address 1028 TICONDEROGA TR Lot 2 2 Block 4 Sec/Sub. LEXINGTON Parcel No. w Name COLLEGE CITY CONST = BOX 309, HWY SO ill: Address o _ tJnRTHF1F.i.n n t%dS-6rd i Name 6i,.IL 08 Address ~ City Phone W Name a Address 'Rr W City Phone Erect ?" Occupancy MJ Remodel ? Zoning R I Repair ? Type of Const. V Addition ? No. Stories Move ? Length 42 Demolish ? Depth d d Int Impr. ? Sq. Ft. Install ? Aoorovals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Permit "r - - I ? ' - W-' Surcharge 34.50 Plan Review 168.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 d.1 I hereby acknowledge that I have read this application and state that the Bldg, Tr. PI. 156.00 Parks Copie 52,124.50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. I ?? oe, Signature of Permitted-S??r ? COLLEGE C?1Y CONST Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official I Permit No. I Permit Holder I Date I Telephone M I S- Dlap. PERMIT # (0 / ,3 RECEIPT # I '5 n DATE. D CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res w", Comm Inst 3. Total Bid Price 4. Job Address '' ll Loth Block Sec 7. Contractor Phone # 2. New ? Add FEE S/C t ) _ TOTAL 00 Alter Repair 5. Owner C L-OJ_Lr f/ RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. _ RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for U \ ?.x.> f? :,- ?,.. ??.C Approved Inspections: Date Rough Insp. Date Final Insp. QERMIT'# RECEIPT # / Q DATE CITY OF EAGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res C om Inst 3. Total Bid Price d d?? 4. Job Address Lot Block Sec fx/ ?'' ?o 6. Contractor 7. Contractor NO. FIXTURES 1 Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 -Lrrinal/Bidet - $3.00 FEE c-IJ S/C ' So TOTAL o1 y' S J 2. New y Add Alter Repair -7/ C 0/Y d,! /,eo g .? N S. Ownerce,_, (St(eet) (City) r'r (Zi NO. FIXTURES Laundry Tray - $3.00 Floor Drains - $1.50 -Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 Rough Openings w/o Fixtures - $1.50 COMM.AND.,i ATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: a•=? for v Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN Addition LEXINGTON Owner Lot 22 Blk 4 Parcel 10 45075 22 Street 1028 Ticonderoga Trail State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK agj 1985 254.53 16.97 15 254.53 0009764 10-12-84 EWER LATERAL ben -Lrl 1986 173.65 11.58 15 173.65 C010109 1-28-85 WATERMAIN 1956 68.3 4.56 15 8.33 COIO109 1-28-85 WATER LATERAL WATER AREA 986 286.43 286.4-3-- C010109 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010109 1-28-85 STORM SEW LAT 4'7 1986 513.81 34.25 15 513.81 C010109 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This request void 5.3C? - ? 18 h f -Cp 3 / (o mont rom s C 7756 S? I Request Date (J / S l ' Fire No. Rough-in Ins Vean 8e ,,ed, q dy Now ? Will Notify Inspec - Wh j Q ( Yes ?No or en Ready M Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work Installed at: Street Address, Box or Ro??Iei NO. City a7 1C GO"'cY _X f!/U Section No. Tow hip Name or No. g?i y ? Range No. Cow / ?? l d o f Occupant lP 3T) 06 00.e. - Phone No. Power j` Dlier / Address Ot t Electrical C?yn?t+??actor (Company Name) ?? ? ?/ Co tractor's ?iLicense No. G w ec7 HEn?eo„ d Mailing Address IContracto?or Owner Making Instailationl 3oy7/ (UJ/c'o W S17 eaPfJ4'v 'thor17ed %%mvit rR IAnntramor Ow r Mak nO Installation) Phone Number V& BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT +q. - Room N-191 BE ACCEPTED BY THE STATE BOARD St Paul, MN 66100 UNLESS PROPER INSPECTION FEE IS Ax ENCLOSED. 5 z?U (?^,ellUtJI rUK MMI tl1L.AL IIYM"tl. 11VIY See instructions for completirq this form on beck of yellow copy. 7 7 ; P "X" Below Work Covered by This Request zazszz? 1 1 ?+ v = c.ed an. Type of Building Appliances Wired Equipment Wired Home a Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Electric Heating Commercial Bldg. Furnace Silo Unloader. Industrial Bldg. r and itioner Bulk Milk Tank Farm D2her per,i v O1nnr (sor,fy) I e, SVCCI (y ina, 01hCr Ka/Aw Y Fee Service Entrance Size h Fee Feeders/Subfeeders b Fee rcuits ee,) 0 to 200 Amps 0 to 30 Amps 17.a0 Am s Above 200 Amps 31 to 100 Amps & 0 Am E Swimming Pool Above 100-Am s 00_Am)s Above Transformers irrigation morns rrJ Other Fee Signs Specia l Inspection B ?/ 5C TOTAL F emarks ,j L/I.GU/ 1 C/ ° Hough-in r Date ; he Eli, F, . nspector, hereby certify that the above Final 3 inspection has been y? made. This request void 18 months tram CASH RECEIPT CITY OF EAGAN DOLLARS goo ? CASH CHECK--/?/}-- FOR/ txj FUND CODE gMOUNT O G I ? y e2U / J Thank You N_ _600.0 White-Payers Copy Yellow-Posting Copy Pink-File Copy 3795 PILOT KNOB ROAD CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt It N2 11733 To be used for SF DWG/GAR Est. Value $68,000 Data APRIL 4 19 86 Site Address 1028 TICONDEROGA TR Erect Occupancy R3 Lot 22 Block 4 Sec/Sub. LEXINGTON SQ Remodel ? Zoning Rl Parcel No Repair ? Type of Const. V . Addition ? No. Stories COLLEGE CITY CONST Move ? Length 42 i Name 11 44 BOX 309, HWY 3 SO Demolish Depth o Address NORTHF;N;?P 507 645-6648 cit Int. Impr. ? ? Sq. Ft y Install 5 SAME Approvals Fees Name Q u Address City Phone a W Name F Address 0 a m City Phone 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 ayfd Gity_of Eagan Ordinances. Signature of Assessment Water & Sew. Police Fire Planner Council Bldg. Orr. 4/4/86 Var. Date Permit ' .,' r . "" Surcharge 34.50 Plan Review 168. 0 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. Pl. 156.00 Copies'- Total ?? ?Z l1 ?2 44 A Building Permit is issued to: COLLEGE CITY CONSon the express condition that all work shall be done in accordance with all a licable State o A e Statutes and City of Eagan Ordinances. ??p h? Building Official 5-0a i BUILDING PERMIT APPLICATION if CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Redulri moms • 3 registered site surveys showing sq. R of lot, sq. R of house; and ad roofed areas (20% maximum Idt coverage allowed) • 2 copies of plan showing bean d wMft saes; poured found design, de.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot patted after 111133 • Ran Joist Oetail Options selection sleet (N dgs with 3 or less unite) DATE (IIA lJ It?aB T SITE ADDRESS TYPE OF WORK -1 OU V/. A 1-ir- Yl. V - STREET ADDRESS Water Softener _ Water Heater _ No. of Baths TELEPHONE # - CELL PHONE # FAX #L" nQ PROPERTY OWNER TELEPHONE # 51- Q(?' -313X ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category - MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing .Contractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 -------------- °-------°---° 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 Ordinances. Signature of Applic OFFICE USE ONLY CITY I V li V)1 flA /IM, MATE Phone # Lawn Sprinkler No. of R.I. Baths - Air Conditioning - Heat Recovery System RemodelfRemir Reaummurints • 2 copies of plan • 1 set of Energy Calcufaiions for healed addfliorts 1 site surrey for exterior additions 3 decks Indicate if home served by septic system for additions VALUATION -TA-) Y1C'? MULTI-FAMILY BLD YN FIREPLACE(S)170 _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 7 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER' 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Of3?? J Valuation: Site Address ?? 1/CAh1tY??(?pTO Lot Block Parcel/Sub &0 Owner CrrY Lttr.z`?i6)uP?fiB? Address c')y 3'J'),' jgo f 3 3-OL)T4 City/Zip Code Y?1 02 rlJ6? rLss ti ,S J ?S? Phone Contractor spil'umf, )?F nU)NC?2' Address City/Zip Code Phone Arch./Engr. y3Nv'?' 62 Address City/Zip Code Phone # O'O Date: OFFICE USE ONLY Erect X Occupancy R•3 Remodel Zoning R•I Repair Type of Const -1E Addition 4 of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install _ APPROVALS FEES Assessments Permit 337. Water/Sewer Surcharge 3q.sT Police Plan Review Ifo?? -°^ Fire SAC S? S Engr Water Conn So0- Planner Water Meter 63,?! Council Road Unit 2q O. Bldg Off Treatment P1 IS(o. APC Parks Variance Copies TOTAL atL .? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 24 36° ,- 515 = 5Ze:,96 (`(2? 442 o44v 4,oo ?C(2 = 4SQo 20 x zo (0(0144- R TRI-LAND CO. SURVEY' SERVI CE 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: COLLEGE CITY RAIL TICONDERO A T 1 I J9 67200100"& LA=- 417 49.93 23.66 o?aniwww .uRU nr FwIf N(wI" f- ? - ow?v r. `'at i ?f 3 ON O O Oi N M - N =c:=T r 2'i I Ifn In .I I ? ? NUS' =E c I M ° :I I \y 4 ? LOT 22 I ??elA,wAC. unurv !AlIMIM/ (7 81.34 S 66°00'00"E PROPERTY DESCRIPTION LOT«, BLOCK 't , LEXINGTON SQUARE according to the recorded plat thereof DAKOTA county, Minnesota LEGEND o DENOTES IRON MONUMENT e DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION LOT SCALE: I"= 30' PROPOSED GARAGE FLOOR ELEVATION- OI ,.so PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey,plan or report 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. Bradley J(,irensan, Mn. Reg. No. 18235 Date'. -312619G i EXTERIOR ENVELOPE AVLRAUE "U" COMPUTA'rIO.. OWNER &ULc,-C, L% G l i1' COrvSTn{rcrj oj - cr -7 Z SI FE AUURESS C'C)r?QG?J 0 6,.Q CON1RACTOR LnyoL qp- Qwrar_n, _ DATE PHONE Determine working square footage of each. 1. Total exposed wall area ...... __Z f f ?,> aq. ft. x Z9• 2. Total roof/ceiling area ...... !1 %0 _sq. ft. x Total exposed wall area above floor .?9 ?• S .............. /6 O,o a. Total wall window area..., ......... b. Total door area ................... ........ j,-!?0, C e. Total sliding glass door area ................... If d. Total fireplace wall area ........................ e. Total wall framing area (average 10x)............_:__ f. Total net wall area above floor .................. 141"4 g. Total rim joist area ............................ IZ Total ekposed foundation area ¦ 0 h. Total foundation window•area ..................... i. 7oal net foundation area above grade ............ ^ s?o•n Determine "U" value of each wall segment. X UP 341(0 '1 b. yQ X Pu" ?, S IZ c: y 5 X S-7 "U" 3? ¦ d. X "U" • f. ??{ ) / X "u" !"aiTl • ? .?? g. 1 ? X 4l. - "u" o S ` X h "u" . . X "u" C3L- 3 ........:............................Total S.I If item 03 is the same as, or less than item N1, ypu have met the intent of SBC 6006(c)2. Total-exposed roof/ceiling area n _ (1 y 0 J. Total skylight area...?gto1.C .1:?SV/.:?Q: ?)O,O k. Total roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area........... /1.00.0 Determine "U" value for eachrooo/f/7ceiling segment. •?• -IO x bull 0. ".l laL ¦ 7 75 k x Olust 1.,- 000. x mull 0 22 2-1l4 2-2 4 ..................................Total G' If total of 04 is the same ass or less than 12, you have met the intent of SBC•6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and #4 shall not be greater than the sum of items 01 and 62. 1. + 2. " T- 3. + 4. e WINDOW AREA TrPjE OF IN-VOW S X618` lNSul- 6PAS5 TOE %,vim,000-0 um"I" gAVL fixv4 nsra0 F04. °IZ'=VAa-µj6., TNdY ARC As 119140 ABorc 9'VD I,4y 68 -.1.ss1yt/tAP ,A y?si`A/ [=ArL) V.46-t&c- of ?/s?• Z'89 Iuc?uDli/6 AM PrILA15?, e I/pit • ?I oof A G L +FO•rA0¦ ? I"' FoUNDAT 1ON WNaow AREA: TYIjE oil W,Nlow AItD TNG. VVIraOOW I.I++IrsN4rf Ott" r&JTCD Fo2'R VALJAC,TNLYA•t AS Li•1L0 AO•VIL m4Y Ar AS$ly"It.u A j7aaly,JGOON ORD VA-UL OG 'R"+ IIJGI.MOIN9 AIQ RII M! , L(ta I/mi, • 1/ ?? Foer?rr• i FeoTA4i. • SLIDIW4; (5LA55 DooK ARLA- 1 YPL OP6 DooR t 5/g /NSuL L-• SI.IOIIIQ gL435 00C`AS NPVL OLC-I TLa-TLD FoR"R=VAL-Mitj -rwLYAL *to 1.ArAp ADOVL Ado /v1Ay 66 A-%J@tIN1-Q A 0SSICING5AP93 VA&..t L oP?R"• Z.®9 rYtLYd.. AIR FILAS y4j • I/Ilyj s 1/ St Ftrr?4L- = y Doog. AKA A : TYPE of DOM t 7"4F-a4-^^ -rmU [)OOIQ UMI Y3 HAV6 DLLN rCarCP A.ID POUy0 To HAVO AIJ Auu? e? '7. BI 1! 1Ny Au r1?.N?s, C / Z e FooTACI L>;:? y !b/ ; I/4a, t 1 / "I 8 SPICIALs ; TYPE - ' D4rE? sx,N?c -- FARM t-I r"AVU.% ' ?T ( r ?iM UCIST A?i.E.n; "R" - VAL LIE •bl __I NiElt102 AI2. F)L M 9. if 0 1IISULAT)04 CR•17 2.06 Z02- SNEATIN4 u1L-r lZrrE- .107 LAP 5101t14.1e 1.08 SoFrwooo 1 _E•XTF R.IO R AM r-14-01 24.39_-TOTA L'R-!' VA14LE 4„.3 TOTA6"rAgti Fouw O AT ION WALL AF F.A (ABovc, PKADS..3 R" VA L u. E, to/ INTEk)O2 AIR F?1-Ow1 _ g5 $ " CoyGa r rr pc ocK 1? Y'III1 J 0 IQ Z,1 4 1 g ;741,tW; (R. MWI i7 EXTLCIOQ. AIM FILM IL-6-3-TOTAL ;jo4 JALUC. uv4 1? r / 1Z(03 TOTAL p!»TAC?E. FbAm 9•1 104k Ob Sr "D / IFkAM fN4 f{RIL+i : ^.f;••. v^LUe 'rNTMOP, AM M" I Z Gyv.5am WALL&o'nco Sop r rvo.o Z.06 Z Z SHtL1N+NCr Qty. ...___ VAC DAaR+aa. rtL>ato+t A,lg- f ,L.M VA,L.u1- I/an a I 110,955 1 • TOTAL FODTA4C ?NSLL I.ATLo AK&A. B&TWL.N STUDS ..R.._ vALWL . bl iuree+oa AIPL FILM C Y V • ?-rJ V QYPSLLM WALL.8014eO if IuSLCLA T ION (tRyi9 Z,O(O 5NLA TM +N4 BU+1-M-LE 67 ?/Z S101N4 /AP '"" r VAPO14 q•w?rc?tR. 17 Stria +aM /1+A. ML.M ZZ. pTAL. N..+l. YALLAt.. ..y4.wti,. 11 2Z.476 t { -iLi ?WW7t.Jb TOTAL f'LtofACIL L)Art: > cvLO _ _ JOIST/ FRAM,mc, Aqg A, •R"• VALUE bl INTERIOR AIR FILM 315 3/Z SoFTWOOD 54, SIA GYPSt4r4 WALL.SOA40 .17_ 1 NTE12 IoR, AIR FII,M 5,13-5 TOT A L " R+,I VALU-G wI . I/ A.41 6 I /-5.-L3-5 = . 7 `F- TOTAL FOorA4a IWSL4L?TGa ARtA SGTWcGN 7146. JOISTS ' -R• - VIA04 f. II47E9IOR Alit FILM 44- )N34.LATION CR' .SB GYPSUM WALL 0010A0 VAPOR DARRILR. -7` INTEICIoR AIR PIL M 45.3 TOTAL bgo-- ' VALUE. Lf?.? Ilws ? 1/ ?I-5.310 = 0 2. 1 rj%6 FooTA4f. II ?l - ???/ S14?Wd " R q tNM1v7f. Rip CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PA)C.Ww OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER ' INSTALI IONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: i (Mon Year PRESENT ZONING/PROPOSED USE: CO.,v'PIERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITLTIONAL/G0VOWIEENT SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) r ADDRESS: CITY, STATE, ZIP: PHONE: 3) u .: NAME: ADDRESS: CITY, STATE, ZIP: PHONE: LICENSE# Active Expired Not recorded Staff Inti'al NAME: ADDRESS: CITY, STATE, ZIP: PHONE: GTION TO CITY SS'WER ION TO CITY WATER OTHER 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE _ r.FnGF MAIL APPROVED PERMIT TO 1, 2,<:a4, ABOVE (Circle one) / 71 Oi19 sue. ? G G FOR CITY USE ONLY PERMIT # ISSUED 73y7 Pd W/Bldg. Permit FEES: $ $ IC" S SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?C SZ; WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 45, Z% ACCOUNT DEPOSIT - SEWER $ $ Z--Z; ACCOUNT DEPOSIT - WATER $C - C' Ci $ WAC $ 75 C' C' $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /S •L C $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ?? / ?/ S ?{ $ l7 !J C' TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: ( ri TITLE: DATE: L11 Zj /?/ ?az? '09" 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Recuhements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 120% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan shaving beam & window sizes; poured found design, etc. 1 set of Energy Calculations . 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellReoair Reoubements 2 copies of No showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate ifarrsde septic system , ept) Office Use Only Ced of Survey Recd -. _ Y _N Soils Report _Y,._N Tree Pres Plan Reid Y_ N. Tree Pres Requrred_. N On-site Septic System _N _y Drone .rn rnnair.nrarl nnhlir infnrmatinn i nlass you state they are trade secret and the reason. ....... .. ........................ ......_ Date 16 / 26 / -2c,!!)7 ...._....--'--' - ' ----- - -- - -- - Construction Cost Site Address 162 -7-1,.,_ oll DFa-o A 7?eAli_ Unit/Ste # Description of Work 1,)"Vb°i^J ?f P?• 4C.rf'r?lf Multi-Family Bldg N - Y Fireplace(s) X_ 0 2 Property Owner ,' Telephone # (65 Contractor Address City State - Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and Telephone # ( ) Telephone #( Telephone #( )- tat the information complete and accural e; that the work will be in conformance with the ordinances and codes of the ulty or pagan anu tut; oiara ui i .N Statutes; 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: f lz) ?A6 f.rJ 0, 6?,, Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: WaterDamage_Yes Valuation Plan Review Census Code SAC Units # of Units # of Bidgs Type of Const Occupancy 100% of 25% Zoning Stories Sq. Ft. Length Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. - Air Test - Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco Lath - Stone Lath -Brick _ Windows Retaining Wall . Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION JD of) u CITY OF EAGAN l l 7y? 3830 PILOT KNOB RD - 55122 ' 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 3'23-0 JOB SITE ADDRESS 1020' 7T coogarafe46-4 7-el IF MULTI-FAMILY BUILDING, H?O?,W" MANY UNITS? PROPERTY OWNERJ2Wf flwCA/ d^ /)lm0t_c 1,&An/E TYPE OF WORK Yf Nt51} 3rl ta&:j FIREPLACE(S) 4 _1 _2 _3 APPLICANT PHONE # ADDRESS 1429 7GoNDfEe06-4 _tt L ZIPCODE 5-522 3 PAGER # &2- 61z - 9870 CELL PHONE # 65"1 - 26 3 -3y9(o FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # fee: 590.00 fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received - Remodel/Repair Requirements 2 copies of plan • 1 set of Energy Calculations for healed additions 1 site survey for exterior additions & decks VALUATION (EXCLUDING LAND) X5-60 Water Softener Water Heater _ No. of Badis _ Phone* Iawn Sprinkler No. of R.I. Baths Phone # ?C(P IC II I!I ct, and agree to c r1naVA ar5' Not Required _ with Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex - 9 Lower Level ? 12 12-plex Plbg_Y orV O 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 32 Addition ,451?--33 Alteration ? 34 Replacement ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? • 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2? Occupancy •„ ?_3 MC/ES System Census Code Ly3K Zoning City,Water SAC Units Stories Booster Pump Nbr. of Units t ?J Sq. Ft. PRV f Nbr. of Bidbs ( Length Fire Sprinklered Type of Const -MV Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) FinaVNo C.O. Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Roof _ Ice & Water _ Final Other - Framing _ _ Pool Ftgs Air/Gas Tests Final - Fireplace _ R.I. -Air Test -Final _ Siding Stucco _ _ Stone Insulation _ _ _ _ Windows (new/replacement) 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 Total Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA108522 Date Issued:12/13/2012 Permit Category:ePermit Site Address: 1028 Ticonderoga Tr Lot:22 Block: 4 Addition: Lexington Square PID:10-45075-04-220 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, 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 - David C Hagen 1028 Ticonderoga Tr Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA133521 Date Issued:10/19/2015 Permit Category:ePermit Site Address: 1028 Ticonderoga Tr Lot:22 Block: 4 Addition: Lexington Square PID:10-45075-04-220 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - David C Hagen 1028 Ticonderoga Tr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152171 Date Issued:10/02/2018 Permit Category:ePermit Site Address: 1028 Ticonderoga Tr Lot:22 Block: 4 Addition: Lexington Square PID:10-45075-04-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David C Hagen 1028 Ticonderoga Tr Eagan MN 55123 (651) 283-5721 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature % t 1 s i i B A s M e. AP .. +► + rA# AGAN w 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinginspections(a7`yofeagan.com ----------------- For Office Use �C jPermit #: I I Permit Fee: I I I Date Received: I I I Staff: I L ----------------J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' Resident/ Owner Type of Work Contractor Site Address: � � � L� �` �� ' Unit M Name: �, i �� Phone: `J �'" 1� 2 { Address/ City /Zip: l C �- I �`Y1[� VWaymi i ►� �-�'7 d Applicant is: Owner Contractor Description of work: Construction Cost: 'J �Multi-Family Building: (Yes / No Company: h �� "Vym�tkcl ��'i i.�:�� Contact: Address: ��1�i�+lUt %'lG % City: State: iAN Zip: I) � 171 Phone:(ol I nq 61 34� Email: License #: \�; Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: NOTE. Plans and supporting documents that you submit are considered to be classified as non-public if you provide specific reasons that would permit the Phone: Phone: Phone: Phone: fic information. Portions of the information maybe to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work 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. x_�ry� �� LYS E+ X X13 l� �_ TM___m Applicant's Printed Name Applicant's SignatureV i