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1084 Ticonderoga TrCASH RECEIPT CITY OF EAGAN P, 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 macilVSD FROM f i.r AMOUNT $ 6 DOLLARS goo ? CASH ? CHECK FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RKCKIV<D - - j', FROM AMOUNT $ 6 DOLLARS goo ? CASH ? CHECK FOR r FUND CODE AMOUNT i J J Thank Vou • """ B Y 7 L White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 1 0 4 1 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 - BUILDING PERMIT Receipt Te tW deal for Est. Value Date 19 Site Address RfJGi, `?i Erect ? Occupancy Lot -t ?' Block SecISub. LEXINGTON Remodel ? Zoning Repair ? Type of Const. Parcel No. Addition ? No. Stories ""ITT . JND cc, 1 LIC Move ? Length W Name Demolish ? Depth 4 Address " Int Impr. C3 Sq. Ft. City Phone Install O Name ug Address Citv Phnnw that State of Minnesota Statutes and City of Signature of Pennittea A Building Permit Is issued to: all work shall be done in accordance with Building Official Assessment Permit ?' • O C Water & Sew. Surcharge 9 • 0( Police Plan Review i 83 JC Fire SAC 525.00 Eng. Water Conn. 04.0 C Plonner Water Meter 63.00 Council Road Unit 2 t. t .0( Bldg. Off. O 117/ b Tr. PI, i • L 'f APC Parks Ver. Date Copies Total on the express condition that sots Statutes and City of Eagan Ordinances. ' Ir4pection Data I Insp. I Other I Roofing Mtg. Plbg. Final Water Describe Location: Well f PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address z ' fO ;t :a / < 1 Lot Block I Sec/Sub Name Addre c City Address/G r4 ?'??"? p' O City E 6 4,0"J Phone 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) OF PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. New _ M ult Add-on Comm. Other Repair NO. FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bide! - $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: FOR: CITY OF EAGAN STATE S/C: TOTAL s GRAND TOTAL: Receipt. MECHANICAL PERMIT Permit No. CITY OF EAOAN y Fee ' • I ?' i fill in numbered spwa S/C Type or Print legibly Tot. 1. Data 5 ? 2. Installation Cost C 3. Job Address Lot ? 81k. ! Tract 4. Owner r , t . 4 i 5. Convector 1 ' k ; ' i ' A 1,_ Phone :? 8. Address :-j 4 1 irif- r-i tI ¢..C .1. U 7. City state N Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: Newl Add ? Alter ? Repair ? 10. Describe ' ? r U: r' Fuel Type t - , 11. No. Fquipment BTU - M. Ea. Forced Air - ` No. Equipment CFM Ai H Mfg. r andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg- Othe Air Cond. r Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ` for Rough Find Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee _ ?• fill in numbered specea S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot % S?81k. 41 Tract 4. Owner,' . ' 5. Contractor Phone 6. Address ` 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures l/D i C fi l Bath tubs esspoo e ra n d S i T Lavatory ept c ank f S Shower o tner ll W Kitchen Sink e Urinal/Bidet Oth Laundry Tray er i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . WAN WATER SERVICE PERMIT aoc knob Road . O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - - eZoning: ` I No. of Units: 1 ter. Rottland Co Inc: ran: Address 1f1R4 Tico ro ?a 7'1-a 11 LA') F,, Lexington Sr-ia-e Plumber. SO: , r lYleter No.: " ion Charge: 509. QO nd ze: u!/ R? chJ f rZ ? f , Account Deposit: / No- 0=4 Pend{ftFae: ' apes, to sw * Wuh ii h ew Surclwl ( ' MIeG. Charges: 132 QQ ;)t . ., Total: 61 01) pri m: Y a Doge %ld: Of ' - Insp.: OF ieAGAN Pilot Knob Road Box 21199 i, MN 55121 . 1 No.. to comply wkh tiw Gtr of Ewye¦ WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: ?•'•t: ?? Amt Deposit: Permit Fee: Surcharge: Misc. Charges: - Total: Doh Paid: Insp.: TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE ning: No. of Units: Address: to eemipy v Alb the Cig eF lgpm of Insp.: Connection Change. ?}? ?' ')0 Ad Account Deposit: Permit Foe: Surcharge: Misc. Charges. Total: Doh Pall: This request void \ -)? I (' S- III B =74 \L(5r ?eFS ?fU7. Request Late ./ Fire No. Bou h-in Inspection fired? ?Ready Now WiII Natily. InsPec- 3 14 Yes ?No tor When Ready ? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street ddress, §Ox or Route No. City e tton O. Townshi Name or No. No. Coun Occupant INT) Ph ne No. Power Su pl ter Address El, tri al Contractor ICoa,,xtay Narne) Contractors license NNoo. ?a - (_ Mailin Address (Contractor OF Owner Making Installation) ,. u thorized Si store (Contractor Owner Making Installation) Phone Number -?_? 6-'? 6©0 MINNESOTA?gTE ROARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 56101 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructions for eoopletine this form on Iraekmf yellow copy. 6 4 5 4 2 4 "X" BetoifViaq Covered by This Request EB-00001-04 <?S 5- New Add Pep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecr other lSocrilyl U_ t r peer fy [her O Other Compute Inspection Fee Below # Fe Service EMrertee Size # Fee FeedersrSubferders # Fee Circuits 0 to 200 Am 0to 30 Am Above 200 Am - 31 to 100 Amps a 1 Swimming -Pool Above 100Amps 100--Am Abovee Transformers Irrigation Boom s , r Hen-arks Signs Special Inspection S TOTAL F 11 r N00/ that the abov ion has been CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT T. be sad fen SF DWG/GAR Est. Value $78r 000 N_ 10410 Receipt # J 2_ _ n.... JUNE 18 / 85 Site Address 1084 TICONDEROGA TR Lot 15 Block 4 SeclSub. LEXINGTON SQ Parcel No. sc Name ROTTLUND CO INC z Address P.O. BOX 383 City OSSEO Phone 780-1848 Name _ Q Address 8 I 1- City _ Phone Name _ Address Phone Erect M Occupaney R3 Remodel ? Zoning R1 Repair ? Type of Const. V Addition ? No. Stories Move ? Length 60 Demolish ? Depth 44 Int. lmpr. ? Sq. Ft. Install ? Approvals Foss Assessment Permit ?i 367 O C _ Water 8 Sew. Surcharge 39.0( Polka Plan Review 183 • 5( - Fire SAC 525.0( - Eng. Water Conn. 500.0( Planner Water Meter 63.00 _ Council Road all 280.OC I hereby acknowledge that I have read this application and state that Bldg. Off. 6/17/85 Tr. PI. 132.0( the information is correct and ree tow ply wi h all applicable APC Parks State of Minnesota St ute nd City of ago Finances. I . ? Var. Date Copies Signature of PermlMee Total $2..089.5( A Building Permit is issued m' O TL[IND CO INC on the express condition that all work shall be done in accordance with pH applicable teb o Minnesota Statutes and City o7 Eagan Ordinances. Building Official CITY OF EAGAN Remarks ?? U r l 'a i J Addition LEXINGTON SQUARE Lot 15 elk 4 Parcel 10 45075 150 04 Owner Street 1084 Ticonderoga Trail State Eag an, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK !3W 1989 254-53 36 97 1c 254.53 0009757 10-12-84 SEWER LATERAL ben trk 1986 173.65 11.58 1 173.65 C010102 1-28-85 WATERMAIN 91 1986 68.3 4.5 1 68.33 C010102 1-28-85 WATER LATERAL WATER AREA 1986 286-4 19.10 15 286.43 0010102 1-28-85 STORM SEW TRK q 1986 501.29 33.42 15 501.29 C010102 1-28-85 STORM SEW LAT 1986 513.81 34.25 15 513.81 C010102 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. soo (In tt tt BUILDING PER. 30410 It SAC 5,) e; nn ? n PARK / 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS - o0 To Be Used For: Valuation: ?j Date: Site Address: JOB'( D i Lot: Block If Sect/Sub Parcel # Owner f'?a Address City/Zip Code 42u0? /jyi Phone -7-TO-1 Contractor f? Address 2e „ City/Zip Code 1'11v. Phone Sez-, x- Arch./Engr. Address City/Zip Code OFFICE USE ONLY Erect Remodel Repair Enlarge Move Demolish Grade ?C Occupancy Zoning Type of Const 11 of Stories Length Depth Sq Ft (0O 44- APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg OffL_t?_?Parks APC Treatment P Variance TOTAL ' c4 °u 1 83's° 500. ZSO. ? 132.°- ao?y'-.Sb Phone U x 882.4 x 8916 W Q ? T/CONDEROGA TRAIL \ N89°¢3'03"W S6DZ2?Z' 29./0 s9zy \ G' 0 093' R=600059.03 /Z--?b A o i o / P ?? J / q3u 3v gq3 K / Ee (893.3) I r 60-1- rI.47 -------- ? 22 ((,114 "? • I ' B„z /.O Cqn/' ever Bq t? r'' 3B i 8 a h 'V ; f poi F1-oposed" .,? , Dh ? ?' House / ? I a h h 2420 52 / /6. o gyg8' 0y+ (893.8)ja e\ C2'COnt/everJ/ I Dye SIE i? Uf??fy and D?o?e Eoseinenf S ?? ?. , ? wt x 894'! o Denotes Iron Monument x8924 99.82 N89043,m -,k/ X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation = 894.3 (000.01 Denotes Proposed Elevation Proposed Garage Floor Elevation = 893.8 .- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation = 890.8 1 hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 15, Block 4, LEXINGTON SQUARE, Dakota County, Minnesota And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 13tMay f June I 85 Thomas S. Bergquist / Registered Land Surveyor, Minn. Lic. No. 7725 +,,EAS EANyff x:,30' CERTIFICATE OF SURVEY W N SATHRE-BERGOUIST, INC. BODE for w { sz 8 $BS EABT WAVZATA BLVD. • WATZATA. MN. SSH1 FIL THE ROTTLUND CO., I?IC. TELEPHONE BIE?TB(O0D 'J'JOO./3 EXTERIOR ENVELOPE AVERAGE "U" C011PUTATION; OWNER M H (F- 2 C'TT Wits d /,'e, L SITE ADDRESS Zfqc? LI" T/ CONTRACTOR ? k4 c DATE PHONE 750-1`b 4`?/ Determine working square footage of each. 1. Total exposed wall area ......' 2? -7G Sq. ft. X . / /? = 2 y l , S?J 2. Total roof/ceiling area ...... I I sq, ft. x #02C? Total exposed wall area above.floor = c( 3 a. Total wall window area ..;,,,,,,,,,,,,, V. Total door area 33 C. Total sliding glass door area'.'..? fJ d. Total fireplace wall area e. Total wall framing area (average 10%)...... f, Total net wall area above floor." .. g. Total rim joist area ................. <r 41 Total exposed foundation area = 7 h. Total foundation window area i.. Total net foundation area above.grade .,..,..,.,,;, . 9c Determine "U" value of each wall segment. b. e?1 clS X uUii1 o-e) d. X uUp e. 1 U X "U" P-4 7°/ f. -i S3C? x."u?i: o0'/2<<,S g. X"Uii. h, tom" X nUu = 3........ ..Total /Ctf?.rE?c- If item # 3 is the same as, or less than. item #1, you have met the intent 0.1 SBC 6006(c)2. Total exposed roof/ceiling area = Total gross roof/ceiling area j. Total skylight area .... .... k. Total roof/ceiling framing area ...: ........ 6o ........ -65 ; 1. Total net insulated roof/ceiling area...... 132 Determine "U" value for each roof/ ceil.:iug segment. j . X ..U.. k. X65 x "u" #62-7 - ? 3d x „U--' ¢2? - 33 0?? . 4 .............................. Total = 3, U If total of 114 is the same as, or less than 112, you have met the intent of. SBC 6006(c)1. To utilize the total envelope system: method, cite values established by the su10. of items 113 and 114 shall not be ,greater than the sum of items 111 and .112. 2- 2. 2 3o 3. L ?i?l??aS + 4 3 X02 2j2,?S'?J _ iu'r> ; Use 10% 'o1 opaque wall area for ` i'uLJu 3 01- f ame construction Const?on R-Value l: Interior ai.ri',film .2.:' z`U p 132Y? 0.60 9• 2^ 5132 ? tlTCr ?o$?S '.' .. HALL S 2 loth Exterior air film 0.17 FIG. 111 TOPviEv1 or Total _ ... PRRlSE IMLL 00?a -7 _ Interior, ci.i.r.' film 0.68 3. [ a Y S i?IG, 112 f -770. 9• 2S?3Z I'I ---Q 5. S/U/liG GVEK FEL7 ---------?r?y •-"d'° 6. Ex t e? r?o r ?? 1 r. film 1 .oz 6 0..17 . . Total 2 3, v 2- -:raf Interior eti.r film , 0 68'' ?. I • ,,? ?----- - Q .3. 2 x ?z 'i r lr 2 5/3,2 t-1 -r-? /c . -13 z ?, II - ---Q 6.:Exterior aic film i \, 4 •_!1 °..._ _ ?-----Q . Total, 2 6.O s 0 L/-0 1. Interior air fzlm 2' 68 ._ iii.../?,• .. .. .. , -// /,rr_SVC; //, l 3, 2A f=LJF-) D Yi irrv r n. /2 6. Exterio-• aI i.r film Total 13„13 - J9 !. t. fyt.r,f r ?, /??' err T r. ,1 ?r `f• ' 6 , ?I1 113 - ? ? fy 4 T .7 R001"/CEILING ?J•? Construction ? RR^V?ilue ?_?Q' ?? 3 (} 1. Interior ai.r film 0.61. pj(?'t Exterior. lir film (stvi,rr 111 'local enced Heat flow.' up FIG. I15 1..interior air film 0.61 ...,,r_. '.-',•t,_•n^?_^[`'_`P.°.?c_...o?.ttc? 2. S COY T? V 4., Exterior air :Film ('still) 0. 67 't'otal ,, ' L (JJ 3 }ie:nc floe up vented 3 U 1. Inside ai.r film . 0.61 2 4. 5. Outside ii; film 0.3-7 _ .? ? Total L6 ,I 2 w N01-1 V1%-tpp Note: Use additional sheets if more :,pace a? needed for details and calculations. Heat 59 I p RESIDENTIAL BUILDING O Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 %Ir71.7s New Construction Reguirements Remodel/Rewir Requirements Office Use Only 3 registered site surveys showing sq. R of lot, sq. ft of house; and pit roofed areas 2 copies of plan -Cart of Survey Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pros Plan Recd 2 copies of plan showing beam & window sires; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if omite septk system -On-site Septic System 3 copies of Tree Preservation Plan ff lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date o' / R / 0-6 Construction Cost Z) q 31.0 dy Site Address -6?G TCQ•r 1 T+ Unit/Ste # ? - Description of Work 1? c??o CAS W r?cSOc?JS W ?? Sn Y l t A i 5 h n CTQg mi nr ? Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner lwzia 3a?i Telephone #((0,51) Contractor RENEWAL BY ANDERSEN Address 1920 COUNT`-'OAD "C" WEST City ROSEVILLE, d 55113 State LICENCE #20130983 telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone Telephone1#(Fc ,,) 9 `1 7003 I Telephorise'#( I hereby apply for a Residential Building Permit and acknowledge 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 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. -,\a.Jt ?Je,t?Sory ? ` Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding , ? 32 Addition ? 36 Move Bldg. ? 4,2 Demolish (Foundation) •'? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Unit's Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing - Foundation HVAC Drain Tile _ Other Roof - Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final Framing _ _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test - _ Final _ _ _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ??•?.. •v•.a ?uu aq. aV VAA !OJ 0!1 . aaga xn[asnw riranuatcbmr Ina?. ? . r Juna'7, 2001 . ?Y ofBa$an 3836 Pilot Knob Road E8qw. UN 55122 To whom it may Concern: Elder Jones is authorized to P U bt Bider Jones to Provide this swim date beyond 616/O I: until a r6a'aw, to the City- . I repeat this authorization be ace ovr building Pete any fhrd=. I oontacW at 763-502-4706_ ding Permits for Renewal hY Artdetsert Please allow n• ns in Hagen. `[ids amharizatian % valid for any , by Andersen mum= cevoloas it inwiidft ed expeditiously, as to not delay in the pig of Me call me if thm am any queatlons. • I can be Your la mGdiaw attcation to ?ws Mn c r is at}preclated Sincetaiy, and k Rau astatIation Manager Renewal by Andersen Cc* Kpm-Mder Ion". G ` T-?ar?j a U rrwa,y MAI_ wr „? i Received Time jw 1. 1:07P:M O U02 t RESIDENTIAL a? ?a BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reauiremenri • 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted after 711193 • Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) DATE 2-nC-?_ •L>?) SITE ADDRESS TYPE OF APPLICANT MULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ I _ 2 RENEWAL BY ANDERSEN, INC. STREET ADDRESS 1920 COUNTY ROAD ^C^ WEST --STATE ZIP TELEPHONE # I&SI'alo 1.,A-141-CELL PI ROSEVILLE, MN 55113 Vaot3a9 83 PROPERTYOWNER TELEPHONE4?I-1099-61 A COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ 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. Air Conditioning - Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the igormation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 1hancles. Signature of Applicant '1 OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Remodel Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 she survey for exterior additions & decks • Indicate h home served by septic system for additions VALUATION n, O6C?r Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 J t, 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 ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 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 ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldgp ? 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) _ Fuml/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By 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 ??, ?., r.+•.,.. auv li. JV rn4 404 oil %too pant WIL DI'MI)SLOM re al June'7, 20oi City of Eagan 3836 Pilot Snob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen. Please allow Elder Jones to Provide this service for us in Eagan. 'this mtewd2ation is valid for any date beyond 616101, until a t newal by Andersen maru +* expressly revokes it in writing to the City- request this authorization be accepted expeditiously, as to not delay in the processing of our building permito any further. Memo can me if there ace any questions. I can be contacted at 763-502-47o6- Your immgdiwm attention to this matter is appreciated. Sincerely, and R'Rau tistallauon Manager Renewal by Andersen Corporation C'v: Ran-Wirer Jnnea H [ NOAVY W ?Ilo OW: oa nem"t,o"?m.mm WUUVU Received Time Jun. 1. 1'01PM 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EMGAN 343830 PILOT KNOB RD - 55122 q (651) 681.4678 3_ ? ?- ? / New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: -3 / Zf f DESCRIPTION OF W STREET ADDRESS: LOT: I tJ- Remodel/Reoair Requirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions. CONSTRUCTION COST: ?J a BLOCK: LI SUBD./P.I.D. #: vti n S?? Name: fTrZ/?ii? Phone#: (p?/- !p pa -G(ay? PROPERTY Last First OWNER Street Address: /CL/ 7?C orb ?eo? ???L City `` zL}-Mxy State: //1?1/'v Zip: Company:_?e 5o v CO t Phone#: 3a0 - C $ - ?6) 3 CONTRACTOR C? -2 VV4 \--i O y -3 3 Street Address: ti' (? a 1 License #! OC) Gov r 3 Exp. ?gq City ` -) e2 t/ -e ; d State: dI I v Zip: 1? l,J g---I 2'?S C O U-vJC U S(" ARCHITECT/ ENGINEER Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 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 Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Phone #: Registration State: Zip: Tree Preservation Plan Received - Yes No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance % SAC SAC Units 1 ' ? 2/84 CITY OF EAGAN ( APPLICATION FOR PER,?IIT SETTER AND/OR WATER CONVECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: logy ??GC?zoGr LEGAL, DE.P,IPTICN: UZr/- 1.L= /Suiivisicn or Tat Parcei I.D. \; . er) IF :1ST=:G S?-[:C"-=, DAi:. OF C'R-TGI-",L Lu2=r'G ISS::ANCZ: PPESL^_ R-1 S L_ =..?, - " r'Ftiff v ? R-2 CUP= (TNO UNITS) ? R-3 Mll- =G TSE (7=- - U^ TS) ( TZ 21_•S) ? CCi.ntF-;CT_'?L/IZL^•'.,SI./C:"T_.,.y INf) 2) APPT7IG_+T (FLEEA E PR - / ADDRESS: /?/p P of p ?S ?A vd CT Y, STAT ZIP: ?'E v ?E2 7`u a n ?SG72 3) PLL:2ER IPLE/,?SE PRINT) NA^I': /Y/, L'?? vN /`" -4. M T Nom: FOR CITY L'S ONLY PDCRE S: 13 X , h PL'JPE-3 LICENSE: Active CITY, „STATE, ZIP: SG?e}?ii NN <i 5O/L ErPir -. PHONE: S133 '-s/'7/ PLUMB. LICENSE ;00 /'.SS/Z /Il5 of Record -Z, ' a :ntna 'l u-?-V. LiCl1/L:l1'ltyj 1(LLNaG rnlillf NAME: LPAtr/ C,o ADDRESS: !z m CITY, STATE, ZIP: _OSS?PJy//rYN PHONE: ?//? 8 - 7 $4 $ 5) INDICF.TE :4HICH PERUT IS BEING REQUESTED: ® CC:I:IECPICN TO CITY SERER Q CC:';IF -ION TO CITY IVATER ? 07,1 R. (PLEASE DESCRIBE) b) U.UICA - C,'-.: ? PT??E I:CID APPROVED PERNUT FOR PICT:-UP BY ONE OF ABMT PT--`"-,SE %1XIL APPROVED PEPMIT TJ 1. 2.© 4 ABM-E Al (Circle one) 7) SIB aTt c C ??i ? DATE: -21.;? 5. d''/ F 0 R C PERMIT °- ISSUED /n s S S $ $ T Y U S E O N L Y $ $ CO ?. wU $ ?S -Gtr Od_c?`n .Soo $ $ $ $ ?f f M4: WATER PER11IT (INCLUDE 3URCHA2GE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE77ER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASS;S521EN'P TRUNK SE-':ER ASSESSiT LATERAL BENEFIT/TRUNK SE::ER LATERAL BENEFIT/TRUNK ;DATER WATER TREATMENT PLAAN SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT R 5s "5;- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? L YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE.- of DATE: MIR ? OWN= ww? blmMR E?w vw??w MIR =wMm1,M okw 04-M w wit 40 A sk:4w rF w fl w?wv .wl+ Rim R mum Im m City of Eagan Cash Receipt Receipt Date 1014/00 Time Printed 15:08:45 Receipt Number 1114 hCJ ENTERPRISE= 1084 TICONDERDGA TR 4001.2145 .50 PF 43142 9001.4087 30.00 PP 43142 Total Receipt Amount 30.59 User HMCGRAH L 16 B CITY USE ONLY ppL SUBD. clYe, RECEIPT #: RECEIPT DATE: PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, PMr 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preverder for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic stem new/refurbished • requires MPC Ile. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installatioNrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler f dwelling is under construction 3.00 x = $ Under rounds rink. 1 f existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge 50 -> -> -> $ .50 Total -> -> -> - $ SO Reminder. 'Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - -- - - -- ---- -------- --- ----------•--•------------------------------- I hereby acknowledge that I have read this application, state that the information is coract, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: IcDgL4 ?i' OWNER NAME: CILD dpl?? TELEPHONE* (AREA CODE) INSTALLER NAME: 1r ZI (C n STREET ADDRESS: CITY: (AREA CODE) ZIP. SIGNdTURE OF PERMITTEE BY:- - `? , f? RESIDENTIAL BUILDING (.? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 1 a g . Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeN2eoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lotcoverage allowed) 1 set of Energy Catculatons for heated additions Tree Pres Plan Recd _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N l set of Energy Calculations Adddfon - indicate li on-site septic system onsite Septic System _Y _N 3 copies of Tree Preservabon Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date _a / 03 Construction Cost ID 006 _ Site Address I W m Qc1 ' J at 1 Unidste # MK 55123 Description of Work ypolorQ Stlnq On pni lre- L Multi-Family Bldg Y N Fireplace(s) _ 0 g 1 _ 2 Property Owner ICU l ( ,?f1 Telephone # (w Contractor f V? l1 ?i O11 Address 0 d ` City la State lephone ) 3 ' Z¢ 5 Zip 7-3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone # ( `G Telephone #I ( I IT61eoh0rie # I hereby apply for a Residential Building Permit and acknoM6dge.-that then ation 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 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 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) - 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 I NSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ _ Plumbing _ Foundation HVAC - Drain Tile _ Other Roof _ Ice & Water _ Fi nal Pool Ftgs Air/Gas Tests Final - Framing _ _ Siding Stucco Stone - - Fireplace - Rd. - Air Test - - Final _ _ - Windows (new/replacement) - Insulation _ Retaining Wall 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 Building Inspector 33 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. tt of lot sq. it of house; and all roofed areas (20% maximum lot overage mowed) 2 mp'res 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 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) tinnegaso mechanical ventilation form Date I GLt? l Construction Cost ? ? Site Address jloS ?Q / - ? / t L???? t /"T L Unit/Ste # EAGAN 5 Z -l Z1P Description of Work ? ^^ yh? LA-7- CJECK Df7f' SA MI MI Of IA0 E Multi-Family Bldg - Y I Fireplace(s) 0 - 1 _ 2 Property Owner 'JAC-X d At\ MEA , /,UJ c , / Telephone # &51) 7 - D `7`'b SEL F Contractor Address city hone # Tele State zip p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING/ - Minnesota Rules 7670 CateRM 1 _ 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 Telephone # ( Telephone # ( Telephone # ( t0 (Al I hereby apply for a Residential Building.Permit and acknowledge 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 permit, but only an application for a pennit, 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. A-A/8 PEA 47k ?p Applicant's Printed Name Applicant's Signature AtIo 1110 ,,RRemodet Repair Reouirements O(OceU's N Y 2 copies of plan showing footings, beams, joints CM16fSunx 33e ?+5'. 1 ons tree ueSPla&a T I? f I qJ F} I set of Energy Calculations for heated addi ti - 1 site survey for additions & decks Tree.P,?resJegbila? Y-,?N Addition - indicate it on-sfte Sepik system 6rrsdeS Sys'lam a. _Y- N DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition l ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 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. Aft - SF ? 10 08-plex ?j 18 Deck / " ? 23 Porch (screen/gazebo) ? 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: Water Damage_ Yes Valuation Plan Review 100% or _ 25% Census Code N ? I SAC Units # of Units # of Bldgs Type of Const Occupancy Zoning Stories Sq. Ft. Length Width _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final 7)( Framing - Fireplace _ RI. _Air Test -Final Insulation Approved By. MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Sheetrock Final/C.O. FinaUNo C.O. _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests Final Siding _ Stucco Lath - Stone Lath_ -Brick Windows Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total p?eat- ?? p v ? A ,. ?. x x 8q2: x 89/' 8 Ti?Or9!,D?R???g p i Iro m u i' v+ 1 aq 3:3 . __ 1 oh `?T PAS ? ? , A ROM CART( 6 (Z oqs3 K0 C©2kY2 1 _ _ f +? (893.3) r ;2z ?S.ID? K 6132 8134 /a C?r/f/evrr W A A \'" ?`u 38 / House'.' ? I o.. h 24.zn 52", /G.rn \' I, 4 OWL 011d U 9i iqp? Er erien7j. S o Denotes Iron Monument x89za 99,82 1V89 s3'03"h? X000.0 Denotes Existin Elevation 9 Proposed Top of 1=ounda'fion Elevation = 851 . 1000.01 Denotes Proposed Elevation Proposed Garage Floor Elevation - 891. P. a Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation 890.tt 1 hereby certify that this is a true and correct representation of a survey of the boundaries of! Lot 15, Block 4, LEXINGION SQiIAPE, Dakota County, Hinnesotu. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, front or on said land. As surveyed by me this 13 U day of June. 19 V '-r' , lhontos S. F.iercrquisi Registered Land Survft;eor, Minn. Lic. No. "Ti5 KALE /"-30' CERTIFICATE O SURVFY _1 for SEEP! SUp1F 9 SATHRE-BERGOUIST, IINC. i !]S FAST WAYIATA SL VD. • WAY2ATA, MM. !!]!1 TELEPHONE 912-1)6.600( 9ooA rncE-_ sz 8 FILE HO, 7700-/_? HE POT'll-UHD CO., INC. City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: y 3p_-47 Use BLUE or BLACK Ink For Office Use — Permit #: _ Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION IA. 77, Unit#: Site Address: Name: -t c4 �') t(..e_ S f -e ',- Address Address / City / Zip: 1j) 8- 7TC n rt Q/e.- n ^y 7/^ Applicant is: Owner Contractor Phone: t' 57- Vo 5r D y$' -es Multi -Family Building: (Yes Company: � 5 e.4 - mac,! 66%5 tea- 1 LC Address: /CZ D. 3e ;./3a f State: Ai it) Zip: ss/ay Phone: License #: /i7e ID 3 803,,E Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: hide f a theyrare Irade, CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.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. 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. x0�.wfo.6. Applicant's Printed Name x Ap ic. is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138636 Date Issued:09/09/2016 Permit Category:ePermit Site Address: 1084 Ticonderoga Tr Lot:15 Block: 4 Addition: Lexington Square PID:10-45075-04-150 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Nicholas J Abbas 1084 Ticonderoga Tr Eagan MN 55123 (612) 326-1919 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169464 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 1084 Ticonderoga Tr Lot:15 Block: 4 Addition: Lexington Square PID:10-45075-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Nicholas J & Tami J Abbas 1084 Ticonderoga Trl Eagan MN 55123 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature