1033 Ticonderoga TrCITY of FAGAN WATER SERVIC?3 ff RMIT
3830 k"llot Knob Road
lO. Box 21199 PERMIT NO.:
Eagan, MN 55181 DATE:
Zoning: College My ns No. of Units:
Owner:
Address: -
Site Addess:
lumber.
eter No.: 3 ? +: 5 It ! 3 jail harge: 500. 00pd
ize: s 6", r2 acdt VT P T-
cDem, . 5.OOpd
ader No,: 6 707 ? 9<p 9 e. ?,,.e r{iatll IO. OCpd
"
agree to comply with the C Wia L . 50pd
?????? 156.00 d TP
ordinances REQUtR °e'-?b mew
BY Date Paid: ena ?T p
D e of Insp.: Insp.,
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 3 8.5
P.O. X21199 PERMIT NO.: _
Eagan, MN 55 j21
DATE:
Zoning: No. of Units:
Owner. Colle?e City Const.
Address:
Site Addess:
Plumber: -
Meter No.: _
Size:
Reader No.:
Connection Charge: ?uv • ??Fa
Account Deposit: 15.00pd
Permit Fee: 10.002d
I agree to comply with the City of Eagan Surcharge: .502d
Ordinances. Micr rharnpw - 156. QODd TP
By
Date of Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN S5121
Zoning:
Owner. `
Add
site
Plur
SEWER SERVICE PERMIT
PERMIT NO.: 9 53 6
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
t
t
I By
Date of Insp.:
t Insp.:
Connection Charge: 475.00rd
Account Deposit: 15.00yd
Permit Fee: 1 OOT)d
. 50`n'
Surcharge:
Misc. Charges: Penalty 10.00pcI
Total:
Date Paid:
CITY OF EAGAN
h 3830 Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Rt 0 1 v -
PHONE: 454-8100
BUILDING PERMIT Receipt #
SF DWG/GAR
$94,000
Site Address 1033 TICONDEROGA TR Erect Cf Occupancy R3
Lot 4 • ' Block H Sec/Sub. LEXINGTON SQU AREmodel 11 Zoning R1
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
W
COLLEGE CITY CONST
Name
Move
? b
Length
Demolish
? 3 4
Depth
o Address BOX 309 Int. Impr. ? Sq. Ft
City NORTH FAt. 507/645-•6648 Install ?
= o Name SAINE APPrOVI
Q Q Address Assessment _
~ Citv Phone Water & Sew.
va
W W
?z
UV
? W
Police
Name Fire
Address
City Phone
Eng.
Planner
I hereby acknowledge that I have read this application and state that the Bldg. Off. 12119/131
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC
Var. Date
Signature of Permittee'l?
A Building Permit is issued to: COLLEGE CITY CONSTRUCTION
all work shall be done in accordance with all applicable State of Minnesota Statutes i
Permit '
Surcharge 47.00
Plan Review 207.50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Copies
-00
$2
254
Total ,
.
on the express condition that
of Eagan Ordinances.
Building
= Permit No. Permit Holier Data, Telephone #
Plumbing
H.V./y 9 ,_2 4.
Electric S2 ?i
Softener
Inspection Date Insp. Comments
Footings I ?
Footings 11
Foundation
Framing
Roofing
Rough Plbg. Z S_?
Rough Htg.
Insul.
Fireplace
Final Hill.
Final Plbg.
Bldg. Final
Carl.Occ. g ?Q
Deck Ftg.
leck Frmg.
sit
Disp.
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Address
Lot Block
m Name
Address
C City
Sec/Sub
C
Name
Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00
MINIMUM - COMMAND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
COMM. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $ 1
Bath Tubs - $3.00
Lavatory - $3.00
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
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-
/D3 3 ??
?/ ?7 liJ/o ,¢e?urrr?
?y fcc?+
n / . . _ .,
PERMIT # -5 G' ?z-
MECHANICAL PERMIT RECEIPT # Z'L? 77
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ,
CONTRACT PRICE: PHONE : 454-6100
Site Address - ?? TYPE WORK DESCRIPTION
BLDG
.
Lot Block Sec/Sub
N
R
?
ew
es.
Name Add
M
t
Address -on
u
t
i
C
R
c
City Phone r
epa
omm.
Other
Name FEES
D Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM
` J BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
S/C: SIGNATURE OF PERMITTEE
- ,
TOTAL.
FOR: CITY OF EAGAN
1 , w '.0
• Terttf irate of Orrupaury
Citp of eagan
Mrpartmmt of SuflMng ,fin, pdton
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.•
Use Clasifiadon - -?'- Bldg. Rnnir No. t
Orcupsocy Type Zoning Dishier Type Cont.
Owner of Building a-: C: `_ ffl-is 1 . Address `K ":- I
Building Addr= MUM" ??ty LAS BB , LAS uNC711 N JA-A;1
Date:
Building OlficW
POST IN A CONSPICUOUS PUCE
BLDG. PERMIT NO.
• rJ
01-3210 Bldg. Perini
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 Perini
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
r
DATE 19
RECEiVEO
FROM
AMOUNT' $
DOLLARS
too
O CASH []-CHECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
This request void
18 months from
C 76792
71i -7.J
???. oc7
uueu'? u."Iull
(fig--1 equ ned? mReady Now ? Will Notify. Inspec-
t ^ `? Q ®Yes ?No or When eeptly
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, Box or Route No.
;63 3 /;
I City
F
e/o ,o
Dan.' /9 An
action No. Township Name or No. anBe No. County
A
Occupant
0 Phone No.
Power uDDliy?
{ Address
ti
?
i
,, C. a le c
A /I o v .
.
v
m
Elect n/caf Contractor ICompany Name)
TI
z n Cd actor's License No.
d eel
?c o
1?e-
iG 7
Mailing Add rasa (Contractor
r) Owner Making Installs
o
?
ro
or
?
C/ SrC LC cL{? %j?R/ fj
Authorized nature I ntra t O Making Installation) Phone Number
MINNESOTA STRE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1921 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (6121642-DROD ENCLOSED.
3?3?87 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05
See instructions for completing this form on back of yellow copy.
"X"" Below Work Covered by This Request
6.7 q
ie7,WAdtllRep. Tvae of Building _ Appliance. Wired Equipment Wire
Horne Range Temporarv Service
Bulk Mi
F e Service Entrance Size p Fee FeedersBubfeadera a Fee Circuits
] r4V 0 to 200 AMPS 0 to 30 Amos rve 0 to 30 Am
Above 200 Amps 31 to 100 Amps Sjo 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100-Amps
Transformers Irrigation Booms "d' Partial."Other Fee
L_I I Signs - -- - - -'-1---TSpecial Inspection 's
r
remarks ,J? TOTAL FE
C ,oJ
I, the Elec41ca1
3v Inspector" hereby
certifv that the above
Final . D', ?i ? inspection has been
r made.
,• CASH RECEIPT
CITY OF EAGAN
383 PILO KNOB ROAD
E!k'GAN, SOTA 55122
i AT ?'w- ?7 1$
AMOUNT I$
ci
,oe
CASH CHECK
K??,p
FOR
/G33 ?ucGfln%_
FUND CODE AMOV NT
1 _
L
p/ a
v
Thank You
B
N_ 70230
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
7
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 13006
BUILDING PERMIT PHONE: 454-8100 Receipt ii 4w<'
To be used for SF DWG/GAR Est Value $94,000 Date DECEMBER 22 1986
Site Address 1033 TICONDEROGA TR Erect Cf Occupancy R3
Lot 4 • Block 8 Sec/Sub. LEXINGTON SQUAR Remodel ? Zoning R1
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
Name COLLEGE CITY CONST Move ? Length 60
Demolish 11 Depth 44
3 Address RnX 309 I
I 13 F
S
p nt.
mpr. t
q.
City NORTRFI?Edo9) 50 7/645-6648 Install ?
a
=
o
Name SAME
Approvals
Fees
$ a Address
City Phone
w m Name
u u Address
a W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree com h all applicable State of
Minnesota Statutes and City agan rdi ce ,,.II
Signature of Perm itte J+-zr?
Assessment
Water & Sew
Police
Fire _
Eng.
Planner
Council
Bldg. Off. 12/19/8'
Var.
A Building Permit is issued to_ LLEGE CITY CONSTRUCTION
all work shall be done in accordance with all applicable Stalo 91 Minnesota tatu?
Permit
Surcharge
Plan Review
SAC
47.00
207.50
575.00
Water Conn. 500-00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2 ,254.00
- on the express condition that
of Eagan Ordinances.
Building Official V??.CifJC l!/xL.e
CITY OF EAGAN Remarks
Addition LEXINGTON SQUARE Lot
Owner
Street 1033 Ticonderoga Trail State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK iggs 254
52 294.53 C009800 10-12-84
SEWER LATERAL ben tr 1986 .
171-69 173.65 C010145 1-28-85
WATERMAIN 1986 68.33 4.56 19 68.33 C010145 1-28-85
WATER LATERAL
WATER AREA 1986 286.41 19 in 1 286.43 C010145 1-28-85
STORM SEW TRK 1986 501.29 33.42 15 501.29 C010145 1-28-85
STORM SEW LAT 1986 513.81 34.25 15 513.81 C010145 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
53 7 ((3 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681.4675
New Construction Reaulrements
• 3 registered site surveys showing sq. tt of lot, sq. ft. of house; and L roofed areas
(200% ma)dmum lot coverage allowed)
• 2 coples of plan showing beam & window sizes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan g lot platted after 7/1/93
• R'm Joist Detail Options selection sheet (bags with 3 or less units)
DATE 2oCG -Da
SITE ADC
TYPE OF
APPLICANT
AULTI-FAMILY BLDG Y _?N
FIREPLACE(S) ' /0 _ 1 _ 2
STREET ADDRESS (a S CITY n-L?QlcjeSTATE AAIP !5
TELEPHONE # C LL PHONE # FAX # PROPERTY OWNER _ cI of re? TELEPHONE# ro Sl ??b -?iY7p
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR eeNEWee RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ M^I'Y2 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted ' {rS new rte' orksheet Submitted
n
• Energy Envelope Calculations Submitted
,IUI 2 9 2002
Plumbing Contractor. Phon
Plumbing system includes: Water Softener _ Lawn Sp ee: $90.00
Water Heater No. of R.. aths
No. of Baths
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
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 Ordin ces.
Signature of Applica d R P,"?
_ _...___._?..._._._._ ..._ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Air Conditioning
Heat Recovery System
ygy9
RemodellRepair Reaulrements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• t site survey for exterior additions & decks
• Indicate If home served by septic system for additions
VALUATION,
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 - Mufti
? 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 Mufti
? 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 _ Figs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ 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
Total
??-
c2o(n
Building Inspector
/.3 CD 4
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
l .
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
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
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
A L CJ-%
To Be Used For- PwIlLy N 0
Site Address
I
_/_ D3.? T/Gan/O?PoyA
Lot Blo
Parcel/S
Owner dit?»Lt? 6'c"
Address
City/Zip Code
Phone
Contractor COLLE' ClOry C11A1SM4(Crk41
Address BOX .3a 9
City/Zip Code q/atrAoc EL D
ssos?
Phone j p 1 6 V-5'- 6 4 j
Arch./Engr.
Address
City/Zip Code
Phone #
Date: ka'1 /-V
Erect ? Occupancy IZ-3
Remodel Zoning 9.1
Repair o Type of Const :377
Addition 0 of Stories
Move Length Coo
Demolish Depth 34
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 41 S,
Water/Sewer Surcharge 41,
Police Plan Review 'LO7.5o
Fire SAC 57 S.
Engr Water Conn eo•
Planner Water Meter (03.s?
Council Road Unit 2010.
Bldg Off
/.2, Treatment P1 15(0.
,.
,
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
94t,
r
Valuation; =
IZx Z? 4 x 5b=
2?on Z-b 7 Z? S8 = 422z?
22n2z- 4-rC (Z ? Sca oo
ZCpx 2? ?2? x44--' 3Zc?3Z
TRI-LAND CO.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN
COLLEGE
N6?°o
\ T2 0.900"1qr
\ b
??14
N N /?
0
S? & 8
Y
!n
o\
TJc 00,
00"
ONFRT o 4.g '6s
TRA/C
I W
O
p? O
N °N
Z
FOR
CITY
N
I
SCALE: I"= 30'
PROPERTY DESCRIPTION
LOT, BLOCK 8 ,
LEXINGTON SQUARE FIRST ADD.
according to the recorded plat thereof
DAKOTA County, Minnesota
LEGEND
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
° DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= 9q, R
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = >_
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION 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.
Bradleyf/fSwenson, Mn. Reg. No. 15235
Date: /P//,&
/EXTERION MELOPE AVERAGE /'lull COMPUTATI4.,
it .r( 1 :r . r.?. ? • X / ... -?
OWNER
/0163
SITE ADDRESS - --
WF5MNSTER
- f . . v
CONTRACTOR ?`?n u6(eE C.%'N GGaf15 I? DATE;;;''' i6:,:PHONE s„ '
1.
2.
Determine working-'square` footage'of eacF: 'fm
Total exposed wall area ...... Z 3$7,x5 P sq. ft: x .'
Total roof/ceiling area ..... ' 1173.0o R. sq'.-ff: 'x ! 5
Total exposed wall area above floor
a. Total wall window area ........................... Ib5_ C) IZ
b. Total door area ....................................?$ .1.
e. Total sliding glass door area .'.:.:.'...:.....:'::• 4-4n. <
d. Total fireplace wall area ........................ -
e. Total wall framing area (average 10%)...:........ 23e_?25?
f. Total net wall area above floor i joz.8i2
g. Total, rim Joist area ............................ Ik7ilGk LI
Total- exposed foundation area
....... - s
h. Total foundation window area., .............
I. Toal net foundation area above grade .......::... _ 9 B.A 8 Z
Determine'"U" value of each wall segment.
11
a. 165.017- X "u" .3 4b ° 57. o? °I-
r ?.D?JS
b. 37.7 g X "u" (x13
C: 40.00 'X "u" 346 ° 13•$¢
d _. X "U"
e._ 238.725 X "U".097, 21.0163
f. 1 190/2.812 X "u" 40k3 I ..6QZO
g. I b f. ct Z l x "VII . o ° k7 . CJ CJ'T-
h X "U" - r
i. 018.887 X"U° 1019 _° 7gI
.....................................Total I
3 °
If item 13 is the same as, or less than item 11, you have met the intent
of SBC 6006(c)2.
''ii? X5.1`I:F'e"?f7; ;'?YCii-f,j ,. ?'., 4j. +i,?.,'.l ?1' ?;??J•'i.
" Total.. exposed roof/ceiling area =.
J: -Total skylight area . ........... ..?........
k. Total,roof/ceiling framing area (average 10x)... l1-y. 3 CO
1.- Total net.insulated roof/ceiling area..::......:
r 10?5.70
Determine "Wrvalue,.for,each, roof/ceiling segment..
M1,11 r s
?`14•i•.?. j• ?. `• XSU
117.??0 X'"U"• , 174- ZoAi0
1; IO5 .70 g "D" , 0zlL a Z3?2?
4..'......' ..........................Total b3
If total of 04,is,the same, as,,or. less,,than f2. 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 04 shall not be greater•than the sum of items Ol and 02.
1. + 2.
ti
5. r?
?t.r f p 1 •n •t.r
.h(Sl, !.rd,p oq f" y. .? -.,
f `tii
WINDOW ANF-A
.
Ty PI= Of W I NVQWS
16/13" iusaL 611-455
TO, \N,NDO.u Uvirs NAVt BcfrJ npraP roC "? =VALK?, 'tNLV AttL Aa LiNLO
2 89
A800 c qy0 1a4y of A?si4VSo .A OcsiyN CSAFL! VAL-tA.c. of ft?•
(MCWD,N ri q,A FILMS ?,
Ill, = I/fit, I/ - _
001 At,L +IO•TAAj?
FOL/NDATIW WINDOW AREA-- TYPE Of W1040aw i
TNF vv,NOOW elo,n /JAVt gttA/ Yt3TRD foR'R= VAtAAc..rNLV ARt As ?,.+FO Ap•V•. AUG
1"41'.er A62ijNLO A pcs?y./CJAR!? VAwt oo •q"r ,ucwyolA/4
Ad 'ILM9 a
Lacs III.. • 1/ _? FoorArc i FcorAgf.
?LIro1N? (?LASS Doc) Pt ARLA
1YPL Of DOOP,
.SS /NSuL i-.
yLtP,?!ca q# 455 DOO(LS 14^VL OLR-4 -tLV-tLP FoA"R=VAL.Kci rNLY ARL ti WA*tp
ADovL AdO MINI B• A.3s?gNn.p A DasIc,NGsAr13 VALHC oVLM.0 + tB9 ,u«.?...
A10 FIL?AS _
poaR / KA A : Type OF Door.;
rosM*^^ -rmU
C)caq Utirts NAV4. ecLN TLsrtP A,JO ROuLAO TO HAV& 044
'R"- VAUUA of "7. B 1 1 Ad d; AIR ri?.MS,
`/ .. /Zg
4q FmTA 4 t Am
5PEG/AL5 ; ryPE
w -
D?r?' SK?NLd
I fbaM F-1 !DAVU.%
Rom
folsr AIrcA:
W - VALUE
•b1 _i NtFRIoA. Al IC F) L M
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APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
R-1 SINGLE FAMILY
? R-2 DUPLEX (Ttm Units)
R-3 TOWNHOUSE (Three + Units)
R-4 APARTNENT/CONDOMINIUM
----------------------------------
(Please Print
1) PROPERTY ADDRESS: ?fj33 ?? oG _
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRLVIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
i
PRESENT ZONING/PROPOSED USE: (Nbn ear
M COnAERCIAL/RBTAIL/OFFICE
0 INDUSTRIAL
n INSTITUTIONAL/GOVERNMENT
2)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
N101'R: PA7MR OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITS7TE
APPROVAL OF PERMIT,
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
3) u c?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTED. LICENSE# 3 70 ?l
4) ?• • i::• C
NAME:
ADDRESS: V
CITY, STATE, ZIP:
PHONE:
( Units)
( Units)
rlumoers license:
Active
Expired
Not recorded
Staff InHilai
.5) : w• : r •:? :: ?:
JFV_QONNIECPION TO CITY SEWER CONNECTION TO CITY WATER OTHER
6) i C] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - -
PLEASE MAIL APPROVED PERMIT TO 1, 2,(3,) 4, ABOVE
(Circ' one) / / -
7) a7
?wrrf?aa-iaa--?
FOR CITY USE ONLY
PERMIT # ISSUED
?3 8S^
Pd w/Bldg. Permit FEES:
$ $ fd S D SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /U-Sy WATER PERMIT (INCLUDE SURCHARGE)
$ ?J J $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ l (,' ACCOUNT DEPOSIT - SEWER
$ $ J a O ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ / $ WATER TREATMENT PLANT SURCHARGE
$ O U Z?
$ OTHER:
?P?C r? L? cR C?? c=
$ 12- 7
$ // el ? TOTAL 21-,f j ,
loi3,kf ?7o z3o
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q 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:
TITLE:
DATE :
l ` G
0 7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114357
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 1033 Ticonderoga Tr
Lot:4 Block: 8 Addition: Lexington Square
PID:10-45075-08-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Juliane Jubinville
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 -
Adam T Johnston
1033 Ticonderoga Tr
Eagan MN 55123
Simon Construction
12366 River Ridge Blvd
Burnsville MN 55337
(612) 861-7000
Applicant/Permitee: Signature Issued By: Signature