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1049 Ticonderoga TrITY Oi IkAGAN WATER SERVICE PERMIT 0 Pilot Kmb Road . O:-Box 21199 PERMIT NO.: agen, MN 551.21 DATE: Zanirp: No. of Units: Owner: '?'Ltlund (:orapasti i CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: U Owner: Ott;i Address: She Address: 1049 TJ.Coa k Plumber. NIC1;P]eon Meter No.. Site: Reader No.: OM to W& 1y Cirr of low. ?r n? 7?Pt i'T' WATER SERVICE PEMW PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges; - By Total: Data of Insp.: Date Paid: 1rgX: CITY OF EAGAN 3830 Blot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: , .__ ; 77 Zoning: Owner -? L, 1 LJ1!11J3 K? - ?•o. or units: L , I 3, ,1 Address: Site Address: ?.' n JZ2 Plumber. &' '51336 1 Gene ro gone* w" tie Cky yMG Connection Charge: ^ Amount Deposit: Pam* Fee: By Surcharge. Dote of Insp : Mlsc. Charges; ,? . Total: Dinh Paid: ..e of Insp.: Insp.: CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j ?. 0 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $102,000 Date J UNE 5 -19 86 Site Address 1049 TICONDLROGA TR Erect C Occupancy R3 Lot 2 Block b Sec/Sub. LEXINGTON SQUA Akinodel ? zoning_ PI) Parcel No Repair ? Type of Const. "" . Addition ? No. Stories Name THF. ROTTLUND CO Move ? Length 44 = Addre P.O. I30X 3 3 ss Demolish I I ? ? Depth S Ft c City OSSEO Phone 571-0304 nt. mpr. Install ? q. . = o Name SAME 13 Address ~ City Phone ?¢ lu W Name a Address < W City Phone - I hereby acknowledge that I have re, information is correct and agree to Minnesota Statutes and City of Eag Signature of Assessment Water 8 Sew. Police Fire Eng. Planner Council pplicationand state that the Bldg. Off. 6/2/86 with all applicable State of Hanes, APC Var. Date Fees Permit 438.00 Surcharge 51.00 Plan Review 21-9-.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies $2,292.-50 Total A 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 -- permit No. Permit Holder Data Takiphone ft Plumbing ?- - (?% - H.V A.C. Electric Softener Inspection Date Insp. Comments Footings I 6 Footings ll Foundation Framing Roofing ? Rough Plbg. 17 r Rough Hill. Insul. Flreplace Final Htg. Final Plbg. Bldg. Final Cert.lke. 10*ck Fig. 1 Deck Frmg. 1 "I Describe Location: P?. Dtsp. PERMIT # PLUMBING PERMIT RECEIPT # (O/G C, CITY OF EAGAN // 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: TRACT PRICE: PHONE: 454-8100 Site Address I U Lot_ Block m Name V U t" y r? Al Address L 1 C I<< 1? L- c City Phone _L 4c, Name I\ u M I .. -- c 1 3 Address "C 3 V3 0 City Phonel t? BLDG.TYPE S f Res. J? Mult Comm. Other FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 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 PERMITTEE r u n- FOR: CITY OF WORK DESCRIPTION New Add-on Repair NO. FIXTURES Water Closet - $3.00 OTAL Bath Tubs - $3.00 _ 3 Lavatory - $3.00 I --I-Shower - $3.00 -..--Kitchen Sink - $3.00 S Urinal/Bidet - $3.00 Laundry Tray - $3.00 3 I 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: `i STATE S/C: S GRAND TOTAL. 3 61 S ?' L PERMIT # MECHANICAL PERMIT RECEIPT # ?n CITY OF EAGAN n 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE Site A ress BLDG TYPE WORK DESCRIPTION , Lot Block Sec/Sub R ? N m Name ew es. Mutt Add-on Address R g c City Phone epair Comm. Other Name FEES CD 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 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 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 - COMMAND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE " 19 RECEIVED FROM J- AMOUNT & DOLLARS +oo ? CASH ad, ECK r• , FUND COD1 AMOUNT ? J Thank You 6479A. BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '2 12062 BUILDING PERMIT PHONE: 454-8100 Receipt If 3336 To be usedior SF DWG/GAR Est.Value $102,000 Date JUNE 5 '19 _§6 Site Address 1049 TICONDEROGA TR Erect 9 Occupancy R3 Lot 2 Block 8 Sec/Sub. LEXINGTON SQUA Mmodel El Zoning PI) Repair ? Type of Const. Via Parcel No. Addition ? No. Stories THE ROTTLUND CO Move ? Length 44 w T Name 383 Demolish ? P O BOX Depth - 8 o Address . . Int Impr. ? Sq. Ft city OSSEO Phone 571-0304 Install ? w o Name SAME Approvals Fees i co, ¢ Address Assessment Permit 438.00 City Phone Water & Sew. Surcharge 51 .00 Police Plan Review 219.00 ?? =z Name Fire SAC 575.00 ?a Address Eng. Water Conn. 500.00 _z s w City Phone Planner Water Meter 63.50 Council I hereby acknowledge that l have read this application and state that the Bldg.Off. 6/2/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and City f Eagan eeees APC Var. Date Signature of Perm.... ®R, i THE ROTTLUND CO Road Unit 290.00 Tr. PI. 156.00 Copies-5 0 Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all apyplable State o?blingesota Statutes and City of Eagan Ordinances. Building Official / T This request Vold 9j ri V 18 months from I J tLr ?.L' ( t U C 24419 y.-? - Request gate / ? Fire No. go. h-in Insp coon Required? C n ?,z ?ReatlyNow7lWillNolifylnsPec- ???"'CCC Ior Wh R I I t U`?J 1- ?Yes ?No I ll en eady ? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at; Street A dress, Box or 5pute No. 0 O Cit ?`\J Wt ?? Section o. Township ame or o. ange -o -N IT Courtly Occupan (PRINT) Phone No. Power Su PPlrer Address E:??nVVAACa1l Contractor (eCompany N^ameyAAA) ? \1 H`1 l? j_ I V Cpntrartor's^/License No. ?? I M ailing Address Contra or or Owner Making Installation) g77u/,tl?loriz pd Signature IC tractor Owne Making Instal letionl V Pho Num`ble?r /') O V MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, 55100 UNLESS PROPER INSPECTION FEE IS pinnnn ENCLOSED. 181]149]3111 r l (n REQUEST FOR ELECTRICAL INSPECTION Ee.outwt.0a _(??, G Sea instructions for completing this form on back of Yellow copy. 0 2 4 4 1 9 '"X" Below Work Covered by this Request j Add Rep. Ty of Building Appliances Wired Equipment Wired me Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel y Olhnr lSnevilvl t er Specify Other Other Compute Inspectlon Fee Below If Fee Service Entrance Size p Fee Feeders/Subfeeders N Feo Circuits 0 to 200 Am s Oto 30 AMPS Om30 Am s Above 20 _qm xi 31 to 100 Amps mming Pool Above 100Amps Above 100Am s ; nstormers Irn gaton Booms Partial.'Other Fee ns Special Inspection s TOTAL FEF R Remarks ( t I , L?? l Rough-in Hale y 7 l1/ the "oct*ic01 p0 hereby cerlity that the above Final I O(rte ,y i+/O• inspection has been me do. This request void umonths from CITY OF EAGAN Remarks Addition LEXINGTON SQUARE Lot 2 Blk 8 Parcel 10 45075 070 OR Street 1049- Tisead^asga Trail State Eagan, N 55193 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK IggS 754-51 11; 97 15 25 .53 C - - 7^,SEWERLATERAL ben tYk 1986 173.65 11.58 1 1-28-85 WATERMAIN r 1 c)86 rA - 11 4.56 15 68.33 0010143 1-28-85 WATER LATERAL WATER AREA r' 286.43 C010143 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010143 1-28-85 STORM SEW LAT 9 1986 513.81 34.25 15 513.81 C010143 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 55? 3 J RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauiremanis • 3 registered site surveys showing sq. ft. of lot. sq. 3. 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 711M • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE '2 4? ? - 773 RemodelfReoair Requirements • 2 copies of plan • i set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions C VALUATION . ? 1-1, Mb, SITE ADDRESS ?oY9 ?t ?_v O? F % 2 MULTI-FAMILY BLDG# Y J?N TYPE OF WORK 1^j1r"00`v1 stetr-4 FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT A - F' C STREET ADDRESS ?aay ? •w?et Avy- CITY ?t7 STATE MO ZIP TELEPHONE # '(V2- 10405"' CELL PHONE # ?? FAX # ISa' ?! $B`?6 k ssl-His- f<v ? PROPERTYOWNER TELEPHONE# 612-4.<y_ 3°114 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N11NN1:S0T.AL RULES 7670 GCFF.GORY l (v submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcchaniad system includes: Sewer/Water Contractor: Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recoven• Systcm Phone # Fee: S70.00 -------------------------------------------------------------------------------------------------------------------------- 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 ofApplicanfr'' /T 1 OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # _'ivfINNFS(Q' 4,A'RUL1a 7i 72 • New Energ`yl Code )yor,Ilee?oDLn ,!U 1 - Z3 Fee: 590.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 3102 OFFICE USE ONLY W ? 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 ?+ y ? 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) _ 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 - Fireplace - R.I. - 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 Building Inspector 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 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 & STRUCTURAL PLANS, 1 SET 'OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND q To Be Used For Valuation:wo Date: Site Addresslc)qq TlCan v OFFICE USE ONLY Lot Block Erect _X Occupancy Remodel Zoning p Parcel/Sub c???Y? ?d 4?us Repair •:Type of Constt/. Addition # of Stories n Q` Q ?% Owner e . E& r . Move Length . ?' Demolish Depth y1 ( ? Address ?')c).FtY?= SF ?- Int.Impr.. _ Sq Ft ,T Install .' City/Zip Co ddet Z:) ? J - Phone APPROVALS FEES Contractor ?t? Q Assessments Permit _ Water/Sewer Surcharge S/ Address Police Plan Review . .7/? ' Fire SAC S7S` City/Zip Code Engr Water Conn Planner Water Meter fit i J O Phone -?- Council Road Unit 210 B1dg.Off •2'b yL Treatment PI Arch./Engr. sQ APC Parks.. Variance Copies Address TOTA L S[} • City/Zip Code Phone # ?- NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS ` IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING AS (1 PERMIT IS ISSUED. 23 2z - iz = X72 /6151. Mnn Off" 571 60" 6975 HOP-4v No 66 h k M,nrrrpulr. Munn. 56477 7'rwl 6 i1„rryw [yrrrnnr • S«I rn404 • Lw/ S.unry uj • lard Plrwrn" Ave. SO Cortifioat• of Survey for AQOT TL U/VZ2 CO. -e_? NORTH 6?0 r r 0O \ ICJ, MM J36 r; Cc ; - SOP ?ic U D r ??? M r r P ?r0. 0?/?? SGQ r'? - - "' - Dtnofec Drainci Je Boa rings Shorn are Assue&d. o Denotes Iron Monument. o Denotes 101) Foundation Corner Stake. r9m.oDenotes Existing Elevation. Ewemen} , - Denotes Direction of Surface Drainage. PROPOSED ELEVATIONS Top of Block Lowes t Fl oo r Garage Floor 873.1 LOT 2 9LOC9 8 LEXIIVGTON UA F , DAKOTA Cobuw Ml w- Subj ecf fo dra ncr? ? uti l r t.1/ eaSemenfs 1 hereby sort)/y thet this h w true mw serrest repesewteslow of a surrey of rho ?oundoorios M she orsrre rteserl?e/ bwsl, and of the 10461166 u1 •1J l wll/1 shoroew, ewd ;I 111-?1e ewareashwHwts, it way, from or an swN bwol. As 94rvo"41 by me this 2;F wy of lhomn w. t• ar I NC. ll y J ?f' r ywrs o ?n Un M 77/751 yyyvvv 98(0191 A-Ito 1551 EXTERIOR ENVELOPE AVERAGE U: COMPUTATION] OWNER ?UTTLV ti/D LO SITE ADDRESS U l.GC3YLLt 1B? TI?G.?P / '' a te CONTRACTOR .SANI t?7- DATE PHONE Determine working square footage of each. 1.. Total exposed wall area .... Z ` 97 sq. ft. x 2 17 2. Total roof/ceiling area ... / U 3 2 sq. ft. x'002 (O s Total exposed wall area above floor,.° a. Total wall window area « ?t b. Total door area ....... S Cr c. Total sliding glass door area d. Total fireplace wall area ..... e. Total wall framing area (average 10%). }cll f. Total net wall area above floor ... ...... 17/5 g. Total rim joist area ..... ... ..... •.•• Total exposed foundation area 70 h. Total foundation window area ......... ........•..••.• ... 5' 3 i. Total net foundation area above grade.,....... Determine "U" value of each wall segment. a. 1 g1<?Y X qU.. 6S-ct 102,06 b. 45- x "ull ,07 3.°( 2 C. X 11U" . k a d X nut. a .'. - . e. X Ifull "IS 2- f. /^ 7/ s X. ,,U.. -72o0/3 g- 12, X ..U" •V ??a??I l ?O 2 i. 5 3 X Ilull vo7? v, 03 3 .............................. ......Total °.. 74;S If item # 3 is the same as, or less than item #1, you have met the intent of SSC 6006(c)2. ,.* h Total exposed roof/ceiling area = / U 3 Z Total gross roof/ceiling area /G 3 2- j. Total skylight area ................ 6 k. Total roof/ceiling framing area .... ... 6 2 1. Total net insulated roof/ceiling are a 96 `f roof/ Determine "U" value for each ceiling seggment. ? j x null k. 6 2 x nu„ 6627 /e67 1. '7"- X 'Full 02-5 4 ..................................... Total B Y (. if total of 114 is the same as, or less than 112, you have met the intent of SBC.6006(c)1. To utilize the total envelope system method, the values esta blished by the sum of items 113 and 114 shall not be greater than the sum of items 111 and U27 277 17 2 2?o,?TS3 Q ,OC) 0 . + 1. ?? 2/'? 20.Y/ X12?: . e + 4. 3. • WALL LLUTI,.. t1?TE: U'se 10% of opaque wall area for frame construction WALL FIG. ill FRAHE WALL L'ayn J OL 4 Construction'.', R-Value 1. Interior'airl"film .2. 112-,0- Y P S R D - 4 S 3. 77 ?2 x4-, srriaS ?oFs$".. 4. 25'/32 SHTG ' 5. S/d/.IiLr OtJE/< FELT / e 2 ro 6: Exterior air film 0.17 Total 1. Interior air film 0.60 2. 0 OZ' D o S s 3. F(/L L /r/.. bU .2 -OG ` • ' S. 5iU%ri?- 'oVE,?F. Ear ? ,Z 6 av 6. Exterior air film 0.17 Total 2 3, 6 Z ' 1• Interior air film 0.69 ' 3 '2 X_ tzi rA }p 4. 2 S/3.2 5 H rV 2 mOC?" 5. S/O/ vC> (!: 6. Exterior air film 0.17 Total 2 S.O S O S? U Interior air film 0.68 v. 2. 3. 2l FU2 2 N v ' 4. ),2 e- O.wc, OGIe-/rLFS 5. . 6. Exterior air film 0,17 Total /3,/3 L f'•1. r r ??lT V FIG; If4 ' f(f c f 113 r r?5 /( ROOF/CEILING y Construction R-Value r (} 1.' Interior air film 0.61. 3 Z. 5/F.5" v'r n r3 R.o o sa MIT ? II L'IT` 3. BLOw.v /At _Sevg_. 3£'„00 n 4, Exterior air film (still 0. 61 /!i. Total 3ctogo. Vented Heat flow.' up . FIG. is-: I 1. Interior. air film 0.61 2•?. C?'YT? 13RD 58 3. /.vSUL ovE2'r7?U5? ('q 4,, Exterior air film sti 1 _ Total. um_ LG I i r Feat flow up - vented. , .FIG. 1I6:..I.• ' . . ': ? • ? i i >s? ` 1. Inside air film 0.61 5." Outside air. film .. ? 0.17 L ? lr'y/ I . Tota1:I Z NOi7r _ 'TED Note. Use additio:)al sheets -if more space is I needed for details and calculations. • .Heat flow up ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN (, 3830 PILOT KNOB RD - 55122 --9 o CUB 651-681-4675 9 07 New Construction Requirements Remodel/Repair ReautremeMs D 3 registered site surveys showing sq. H. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam s window sizes. poured tnd. design; etc.) 1 site survey for exterior additions Y docks 1 set of energy calculations ? 3 copies of free preservation plan R lot plaited alter 7/1/93 l DATE: `I 1- ? 1 CONSTRUCTION COST: ?? DESCRIPTION OF WORK: STREET ADDRESS: LOT. BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: U n0 lam' \ 1ITIL ?A Phone #: S \) 1? t f D Last ° First Street ?- l co iv?e?op w? Q City 0 4 /\ State: T)'\ ? \? ? -,dry,` \ Q Company Phone #: (? (area code) Street Address: 4E?, N ACC d vS ?C1? \ V?(? City l? a ? @ State: ' ' `n` Company: Name: Telephone #: area code ( Street Address- Registration #: City Sewer 3 water licensed plumber (required for new construction only State: Penalty applies when address change and lot change is requested once permit Is Issued. a'3i?(My ? Exp. 3 aoo? Zip: S J 04 Zip: I hereby acknowledge that I helve read this application, state that the Information Is correct, an gr to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 6 OFFICE USE ONLY License # Certificates of Survey Received Yes No Tree Preservation Plan Received ?_ Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ?????01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?02 SF Dwelling . ? 07 5-plex E3 12 12-plex 13 17 Garage ? 22 Porch/Addn. (4-sea. 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ° ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee 9 . -D Surcharge ?0 Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. T- Trails Ded. Other Copies Total: (q , D 5 Valuation: $ SAC Units % SAC Zutr• Ei-51uEi4" <1_ PLUMBING PERMIT APPLICATION ,CITY OF EAGAN 930 PILO KNOB ROAD, EAGAN MN 55122 651.675-5675 Please complete for modifications to existing residential dwellings. ? 23 ! AGARD, DARLA Date _ i 1049 TICONDEROGA TRAIL Site Street Address ----? Unit # EAGAN, MN 55123 (651)405-1641 Property Owner ( 2lephone # ( ) MOfRE L 1Vrfi' ?4 :,! z Contractor 312$27_4031,_. _ Telephone # ( ) Address 2M5 GARFIELD IAAVE. % e i®, city State Zip The Applicant is: owna, ?41\ Con'rac_or -Other Alterations to existir.g dmeiling $ 50.00 -Add fixtures tc rooms excluding v+.,ater softener and water heater -Septic System Abandonment -Water Turnaround add $121.00 if a 5/8" meter is required) Other: _ Water Softener X Water Heater $ 15.00 X replacement _ additional _ Lawn IrrryaJon Systc:T, new repair -rebuild S 30.00 State Surcharge $ .50 Total s? S• SO ? $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; 'hat 'he work will be in conformance with the ordinances and codes of the City of Eagan and the plt nibing code:; that I understand this is not a permit, but only an application for a permit, work is no !) oar. w ihcut a permit and work will be in accordance with the approved plan in the event a Naar? i;: raq:.!ire a to be. rFviewed and approved. Applicant's Printe,3 H I I1 f rt's Signature JUN ? 9 2004 ' y CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Nam: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER A IOR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print) 1) PROPERTY ADDRESS: /? o g l4 LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED LSE: ? COMMERCIAL/RETAIL/OFF ICE / fX1 R-1 SINGLE FAMILY r7 INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVII2NMMqp R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME:_&tk SON/ P ?- /- ADDRESS: _11O X - 1 2 8' CITY, STATE, ZIP: a ; a h1 N - 4 S'a ?? PHONE: 3 S/ 7/ 3) u i::• NAME: PHONE: MASTER LICENSE# Active Expired Not recorded Std ual 4) PHONE: 'S) it Y• I ? Y' •:1• :? • 71i CONNECTION TO CITY SEWER J?U CONNECTION TO CITY WATER On MR 6) a Y• • i PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1,(S 3, 4, ABOVE (Circle one) ADDRESS: Shy CITY, STATE, ZIP: NAME: _7 # e R o// L G h/ e_e f*`r IL 4e ADDRESS:_ E Q N,0 X 3 83 _ CITY, STATE, ZIP: FOR CITY USE ONLY PERMIT # ISSUED 7 v? Pd w/Bldg, Permit FEES: $ $ tv- s -o $ $ 16-s-0 $_ 6"3 S? $ $ $ $ $ /?•Uz? $ ,57 0 - $ $ s7S o o $ $ $ $ $ /5Z , col $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $_ $ 57, , a--r) TOTAL 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 CONDITIONS: APPROVED BY: TITLE: DATE : L c4- HEAT LOSS CALCULATION -q&--O TEMP. DIFF, Cust2N2n%7;Z &Fk hk?C NGV o W ri?tQ( Tyw oomuuetion city Windows Scam, Sash Defiler HEATING & AIR CONDITIONING INC Wall . fns. Wee 66d MOMM166Lhn Asia No Ceiling Ina. Cky --- OWN Y1114, RNOROW1 56402 Flow FLI 7r/ I Roo1nIL h g Width o?(w Haight 77- 5r'Fl.l i}ChYyAcfofnlLwVth_IL,5Width 11 mftmB Win{iows and Doors-Crackage and Arw Windows and Doors-pKha6a and Area No W.efh ^I Iw.N 1MNhf of MN No. N L~1 ff. L u of rftt• aw . n. 2 F r7 Ilk Caaf. Btu Infiltration 30 D /zoo Glass / '00 Exp. wall 8 0 Not exp.'wall 0 Int. wall Ceiling 0 Flow 3 Z96 1 Ne. wY1M a MNMf me, of LMNN n. aw n. J 3 a• ?8? Z- z.o 1 ? Coef. Btu Infikration 'Yo. 2-Z o Gktn ,l SZ) Z I o O Exp, wall 41, k Not exp. will r-O Z -C-3 U Int. wall Ceiling IL S K i t 2 Floor / r/ z S Total Btu. Total Btu. 1 2 I F1i 1 L•N •' Room ILength / Width Hei t /s--f-F117, I R;-w;i 1 3 Width t -Lwvth Windows Ad Dows-Crai*apand Area Winduwsa Doors-Cre6sp and Arne No. NhMn # ft"" M M W M Mo. a L N Lion n. tIM• Mr .If. ;L ?-- E7 .2 Coal. Btu Inrikration 3 -173 130 O Glass I z oU Exp. wall 36 g Net exp, wall Z y Int. wall ' Ceiling /'4 x / 7 z- flow 2z4 L Total Btu. _ 3 I F1.ID Room IL 1• S Width I 1 Inial 2k Wf nd Doors-Cnckaga and Area I OP ?- 2 Z Nn W.nrn w.,y., Na. of nl IuM nl NM L N LMYxA M. M t • MM . It. Coal. Btu Infiltration 2Z-- O O Glass O o - Exp, wall a S X$ go Not exp. wall (p '{ Inl. wall Ceiling i I. s x 'I (-L7 Flow l / 217 Z- 1 2-" Total Btu. I .198?- Ne. wleft, ipiptigg 1 "own 00 Me" No. of Lialvii, LYNN OL .4 410,1410, Met. l M.. fn o z 3a- a28 Z 20 Coal. Btu Infilti (o0 U oci Glen SS 5"'> z4bo Exp. wall 36 x 8 z qv Net exp. wall 1 g2 72-8 Int. wait -ivC rkr- o0 o Ceiling 13k 22 a 44z Floor 2L1 Z- Y Total Btu. 1 179 1 L 5'rFl.1 it niLarmthl'tS Width 9 Irelollt Windows anal Doors-Cradcga and Ana Nn. IN •~• NoNM ale. NN LYNN N. M ? 1-3 ? !8 Coat. Btu InfMrstion 2- Z Glass 2 1300 Exp. well • -,c L Nw exp. wall 16 (a 1( & IM. wall - Ceiling 131 2- 2 to Z Fkrw Z-(-- Total Btu. 137 log? P,v ?,e HE/AT LOSS CALCULATION -10-0 TEMP. DIFF, antsNatne ?ot+ IuyiC! Alf r- Tvpecomiryetion - Windows .mlw Norm. walk. Bfrem Calif" City -- Floor No Btu Exp. wall ( OX Nat exp. wall Int. wall Ceding I S JS Floor Total Btu. 2 F M* +& ?1t Windows and Duors-Clack m and Arm No. W,Mn of 1N,a•o It no NO. of L N I,~ n. of anal a... . h. w r Cos. Btu Infiltration p d O Gus 3? !(ooU Exp. wall 30 x Net exp. wall Yc? 3 y'L Int. wall Ceiling 241 3 Floor Z L Z Total Btu. 513.7 Z-rl F1.171cxX oom1Length 7l Widths' Neighs 8' Widows and Doors-Crackam and Arm Nn w,n•n H.?nf of n.n. nl Ne. of L N A.~ h. of i•es* A," . N. f 77 Goaq Btu Infiltration ` Q a0 Glau y dC? Exp-wall ?p k No exp, wall J Int. wall Ceiling ! >c17 3 '> Flow Total Btu. 1 dXX 7 G. a t 3 Storm Balls In$. Id. Windows and Doors- radu a and Arm Ne. a rM ffxitf'f we. a t? r n. • n, Coet. Btu Infiltration Gus Exp. well )(? C-A Net exp. wasp IM. wall ceiling (p Yc Z Floor p Q Total Btu. FI.1 aom1L q{,SWidth t l•S Haight Windom and Down-Cra *age and Arm Ne. win «Nx?anf NO* .1 Lilawn. ANw. f11 A 4 ' Btu Infiltration Igo G Fra Glas I v d Exp. wall ?Jp Q Net exp. wall 0 r7 (e Int. well Ceiling 1 ?? S b Floor liv? Z-4 ? -53 Btu. Windows std Doors-Cradcw wed Arm NO. «w.afn "own Mo. M e 1 n. Ar? ?? 2 1 c"f. Btu Infikrallon J Gus Exp. well Net Gap. well -7 if tj IM. wall ceiling O , S X 1 1 Floor Total Btu. 1 Z`Iz`z HEAT LOSS CALCULATION -9-00 TEMP. DIFF, amw Nam. AI¢u) or Typa Canerttetion r - Windows .aalar Name . Walk . Strain Coiling Citr Floor Windows and No W,etn N 11 00" of Infiltration Glass Exp. wall Net exp. wall Int. wall _ Ceiling Floor Total Btu. _ FI.1 Windows and Doors-Cradcage and Arm Ne a,mM eN^M No. W M Win' Am . Coat. Btu In! iltratbn Glas Exp. wall Net exp. wall Int. wall Coiling f lax Total Btu. F1.1 -- Room f Length Width New Wlnxlnws anA Doors-Crai*ap and Ana Nn Wm.n ..ye, ..1 ryM M IM Ne. M L Loml h, eret? area N. 1 600. BTu Inf iltrat ion Glass _ Exp. wall Net exp. wall Int. wall Coiling Flax Total Btu. I s7 9:y40 y'? 3G Ara Btu 3 v .F -3o Storm Sash Ins. - Ins. - Windows and Doors-Cra*ap and Aran Ne. able pitti, NeyeM Ne. el N I n. • N. Coef. Btu Infiltration Glad Exp. well Not axis. will Int. wall Ceiling Floor Total Btu. FI.I Room I LwVth Width t Window and Doors-Craduip and Ne. ate' ni Ne1rM M Ye. of eY «YN n. a re aNM r1 Btu Infiltration Gkn Exp. well Nat exp. well Int. wall Coiling Floor Total Btu. I FI.I Hoorn lLength Width Heigin Windows and Dons-Craekaga aM Am Net. ewarn iieleei M. M ? Win. ain.. Coal. Btu Intiftntion Glue Exp. wall Not exp. wall Int. teall Ceiling Floor Total Btu: Cortl%te(.+e 16Q ge'po 4,5 1, a i / Ih44 jr4e 761q? he-t+ Cities Diszi ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .. •..• Vii:. ;_ 'CITY AF',6'AGrN , ,' CASHIE'{: 38" TFkFiLh'Ft, 604 • wk,rE: it.ri0 TTOEs , t?L:t5?:S4. ' 4 . .i k 5? • i 3113 .. t. is • + • - '', VAME" I! VON RM-1 6Y16ERS {RLLS:: SWC: r 4001 'i04%"-104%"DiROG ? -3 r)7 ,ft: eg" qon . too ,.TI'CMTERCr ; • .x R?.no .: rd. li^.s T X3: JP? ? ?" • :14*:"?.•?7c?c.1c*r: 'S.rK:;:ockk:???.r?::sdaii?YiwP$?"?;kW#.•, '? PERMIT City of Eagan Permit Type:Building Permit Number:EA113064 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 1049 Ticonderoga Tr Lot:2 Block: 8 Addition: Lexington Square PID:10-45075-08-020 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, 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 - Christopher E Corona 1049 Ticonderoga Tr Eagan MN 55123--152 (612) 309-1100 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use C14s733 City o Eaaall :::e:1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/7/2017 Site Address: 1049 Ticonderoga Trail Tenant: Suite#: ResidentlOwner Name: Nicole Le Phone: 612-723-9450 4 Address/City/Zip: 1049 Ticonderoga Trail, Eagan, MN 55123 Name: License#: Contractor Address: City. State: Zip: Phone: Contact: Email: Type of Work / New Replacement —Repair Rebuild T Modify Space Work in R.O.W. p Installingirrigation system am, Description of work g y RESIDENTIAL Water Heater Water Softener ✓ Lawn Irrigation( RPZ/ PVB) Permit Type Add Plumbing Fixtures(_Main/ Lower Level) Septic System g New Water Turnaround I „ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Nicole Le x Applicant's Printed Name Applci ant'sStitfiiiture FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer . Staff: For Office Use (y I 1%1 t . i0$ Permit#: �,�iT Zt�%, ‘,.. ., ,, Permit Fee: / ...".010=11..."..... � RELIEVED Date Received: �/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 •71 I rP (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: � l6 buildinginspections(c�citvofeagan.com A-i�' 1 3 2018 L I j 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 7 Date: 5 __7b Site Address: 1 0 �a E'I' e . —I vet:rI : w Name: SRI (0 L Phone: tf —q7 �7`J7ICJ l"jen Owner <f Address/City/Zip: U �� l lr 'tn CI �j� TY�� r I �_C-ck CAS Applicant is: Owner Contractor bC,C.KAI 0 /'-'/ stiff)n .G—C.1(du Description of work: Y ' btD fn U ) Y -'0 0 //I , f C] e Pe ofWork ;x 1 Construction Cost: Multi-Family Building: (Yes /No ) Company: ..SE L 1 Contact: ,- -; Address: - City: Contractor State: Zip: Phooe''`y' —`'----- Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (:)D 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 a ress of master plan: Licensed Plumber: `^� Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: `� Phone: Fire Suppression Contractor: Phone: NOTE Plans nd:supporting documents that you submit are considered to be public information'Portions of the information may, classified`as non-public if you provide specific reasons that`would permit the City to conclude that they are trade gets 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.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 daof a CALL BEFOREpermit YOU DIGnce.. 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x N.)( al-e 4 x --ti)„t,,t_f2.Lev.e_. it Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE / `7 7/—c d , f/� � ` / ,,_. e.--. _ SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck — Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building — Reroof _ Demolish Interior y> Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation cat -2,, e t - — Occupancy ....1-12-L- ! MCES System Plan Review Code Edition inn 2ct 1` SAC Units (25%_100%\14 ) Zoning P.) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction t, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests Final pFraming 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS Insulation )4 Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / 01,Yt /11 I f , Building Inspector RESIDENTIAL FEES /��,_.,, ree / Base Fee C Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA170607 Date Issued:07/12/2021 Permit Category:ePermit Site Address: 1049 Ticonderoga Tr Lot:2 Block: 8 Addition: Lexington Square PID:10-45075-08-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Douglas M & Michele L Burnie 1049 Ticonderoga Trl Eagan MN 55123 Vp Construction Of Minnesota Inc. 2204 Mcaffee Cir St. Paul MN 55109 (612) 644-3866 Applicant/Permitee: Signature Issued By: Signature