1092 Ticonderoga Tr
CIT`; OF E"AN WATER SERVICE PERMIT
4830 PIIM Knob Road 'A , ?
!P.O. Box 21199 PERMIT NO.:
?Eagan, MN 55121 DATE 211274 ;'
oning: F 1 No. of Units: 1
caner Harvi n (4-n-raP
dress:
iteAddess: 3'),;2 Ticonder ra 4 T,14- T g
lumber. Star P11,P
eter No.: 376 6 S 6 G/ 11111 525.00
harge:
5/8 ? ? (f y
eader No.: a g,& p 1 . ^r
964 0-fore &Vi ?eSrhilt
q
agree to comply with the Cit LE@*6
Inances 67.00. ,?,eter
?
isn. on i---
R?QUIn;
BY Date
Date f Insp.: Insp.
CI74 OF ELAN
3830 Plot Knob Road
P.O. Box 21199
Eagan, MN 551;.1
Zoning:
SEWER
PERMIT NO.
DATE:
- No of Units:
SERVICE PERMIT
2/12 x'
1
Owner. _ Nlarvin George
Address:
Site Address 1092 Ti onder i xinpton So
Plumber. Star Pl- g- -T "'I'll"FTIRM
/ 71 /A We gigging call tocatikxft 1 o o . w)
I agree to comply with the ?,. E?fe r 2 ;
Ordinances. III e.O-% II a -Account Deposit' 1 r
Surcharge: -
Misc. Charges:
n OF EAGAN WATER SERVICE PERMIT
3*30 Pllot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 1.11 7/"
Zoning: 91 No. of Units: }
Owner. iftLuill
Address:
Site Addess: Tieeiiderq?,tt i,14 B4 Eexington
Plumber. tare'
Meter No.: Connection Charge: 525 _ tlo r
Size: Account Deposit: l 5 (Y)
Reader No.: Permit Fee: 1) _ 00
1 agree to comply with the City of Eagan Surcharge: S()
Ordinances. Misc. Charges: 67 _ Ilt) mpt pr
' rT>
Total: IRO
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 5511)
Zoning:
SEWER SERVICE PERMIT
PERMIT NO: '
DATE: , f
No. of Units:
Owner.
Address: T* or-d T to 1-.4 Lex nRror Ga
Site Address: 1()n?
Plumber. P^n Inn. fin
j?c1f?S 7(`? r?r nil
I agree to comply with the City of Eagan Connection Charge: nn
Ordinances. Account Deposit: r Permit Fee: -------- az_aa__
By
Date of Insp.:
Surcharge: -
Misc. Charges:
Total:
Date
Insp.:
1, , .-
BUILDING PERMIT
Receipt #
N2 13127
To be used for ? F DWG/GAR Est. Value $78,090 Date JANUARY 21 1931--L
Site Address 1092 TICON DER OGA T?j Erect I$ Occupancy R 3
Lot 14 Block .1 Sec/Sub LEXINGTON SOUAtZBemodel ? Zoning }??T
.
Parcel No. Repair ? Type of Const
Addition ? No. Stories
'•LgRVIN GEORG
N E BLDRS Move ? Length
i ame
Demolish
?
Depth
o Address' BOX 428 Int. impr. ? Sq. Ft
City °RINCE,We 33 2-3034 Install ?
o Name SAME Approvals
0 c Address Assessment
City Phone Water & Sew.
Q Police
i Name Fire
Z5 Address Eng
W
< City Phone
Planner
Council
I hereby acknowledge that I have readthis application and statethatthe Bldg. Off.
information is correct and agree to comply with all applic ble State of
Minnesota Statutes and City of Eagan Ordinances. APC
/-?
,
f' Var. Date
F L
Signature of Permittee .
%'
VIN GEORGE BL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Fees
Permit S 426.50
Surcharge 39.OU
Plan Review 213 - 2 5
SAC 625.00
Water Conn. 525 00
Water Meter 67 - 00
Road Unit 305.00
Tr. PI. 180,01)
Parks
Copies
Total X2,380.75
A Building Permit is issued to: ORS 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 Dab Telephone w
,Plumbing ` -
/
? 3 7
H.v.A:C.
Electric
,817l? 7710 ?ci? ti ? $7 ? /d • ? ?'
Softener
inspection Date Insp. Comments
Footings I j
7.
Footings 11
Foundation
Framing
Rooting
Rough Plbg.
47 ZZ
Rough Mg.
Insul.
Fireplace
Final Hip. r
Final Plbg.
J(/
Bldg. Final y'`? Jam" "
Cert.Occ.
UU ?•
Deck Fig.
Deck Fang.
WON
Pr. Disp.
-U.?. L
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address
Lot Block ff Sec/Sub
y Name
R Address 3 3 r ?' / ?/? s
c city Phone
C
c
3
0
Name -
Address
City _
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00)
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ?xNew
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-I Water Closet - $3.00 $ -
I Bath Tubs - $3.00 ?
_j _Lavatory - $3.00 T.
Shower - $3.00
Kitchen Sink - $3.00 3
Urinal/Bidet - $3.00
Laundry Tray - $3.00 3 C c
-L-Floor Drains - $1.50 C
-Water Heater - $1.50 O
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 5 O
FEE:
STATE S/C:
FOR: CITY OF EAGAN
GRAND TOTAL-
PERMIT #
>b MECHANICAL PERMIT RECEIPT # ?
CITY O&EAGAP '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:'"'
^^LMn A/+T nnlnr_
Site Address 4i
Lot , .ti Block
m Name _
Address
c City _
L Name _
r_ Address
O City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
Phone
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
1.50 EA.
s M BTU
M BTU
M BTU
M BTU
CFM
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
$24.00
6.00
- 12.00
- 20.00
- .50
FEE:
S/C: SIGNATURE OF PERMITT E _7r'4e __'1
TOTAL:
FOR: CITY OF EAGAN
t
(5tr if iratie of Mrruvanry
Citp of (eagan
This Cemfcate 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 clanismon Bldg. Permit No. , i
Oocupeacy Tw R.3 zoning District Type Coati.
Oww of BuiWiog a n M.M:i Addrem
Bur7dingAddress PacaGty i, s"
Date: '•iAXH 26,
Budding Official
POST IN A CONSPICUOUS PLACE
BLDG. PERMIT NO.
01-3210 BPermj
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 Permi
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
DATE 19 _
RQCEIVED
FROM
AMOUNT $
& DOLLARS
goo
CASH ? C?!X@fC
FOR
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT. r
DOLLARS
loo
? CASH ? CHECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 PILOT KNOB ROAD
Thank You
SEDGWICK HEATING & AIR C DITIONING a0.
HOUSE HEATING TEST RECORD
ADDRESS 1 0 9 2 T"-r COIN DE:R6Cx A rt `R . CITY ?Q?!g-0 A f J
OCCUPANT OWNER KEa 1C011y
HEAT LOSS` DATE HTG. INST. r-'
SOLD BY INSTALLED BY
Electrical Work By n-M4ERC, Gas Line By `??lR? 14C 1L_
TYPE OF HEAT GA_ FA,, - HW_ STEAM SPACE HTR. UNIT HTR. OTHER_
GAS DESIGN CONVERSION
MAKE ?2 Ya ry -[- MAKE OF BURNER
Model ?9,4 ?. A w n 3` p I G7 Model
Serial S ! S? Ja n 9? 3 / 1 Max. BTU Rating _
INPUT 751, on a MAKE OF FURNACE
Model
CONTROLS It
THERMOSTAT Heat Plug Vent Size S
Valve o _ KIND OF LINER - SIZE NONE
Limit T j-E VVN C v Draft Hood O F--5 1 64 4.1 Regulator ?I +?S
Limit Setting o O ° Filters Size Number I
Fan Setting ?C? ° Chimney Location Inside X Outside
Pilot Type Chimney Construction 92 A S!5 3
Pilot Make P A R 1L I G W I tp$_
Pilot Model N SC 1 Smoke Bomb Wiring N'K-
Pilot Timing I N S'1-W M7- Draft - Test Tag V ES
L.W. Cut Off Door Pressure Lighting Inst. r
Pressure 3 S 'r te - Percent CO t 0 '7o Date Tested I 1 - I,,
Input CFH 75' Percent 02 6 °7o Company Testing w i <-V--
Stack Temp. -2!a ° Percent CO b t-J?- Name of Tester C -, N R An
Form 235
ZX 7114
This request void 721`6 7/-
18 months from
flequest Dal' Fire No.r Rofgh-in Inspe ion
ReVwre ?' Ofleady Now II Notify Inspec-
?No When Ready
[;.L+Cens d Ele tricot Contractor (.G'CIf, t evu w
I hereby request inspection of abc!v.
? Owner electrical work installed at
?'t. yl ?f . J C
Street Addr s, Box or Route _ City
cq n No. Towns., Name or No. go No. Cn Iy
Occupant l PRINT) Phone No.
_ 3a3
Po r Su plier Addr '
EI ctn I n tractor C pan Name) u roc tpr's License No.
cZti 3 /-
M ng Address ontractor or Owner Making In tailation)
A ho
ture 1'ontrac1 ner aking Installation Ph a Number
L
LE /
v-L J
MINNESOTA STATE BOARD 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 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION a ?-EEByB-000001.04
7 See instructions for completing this form on back of yellow copy.
is ? "X" Below Work Covered by This Request 7/ 7?7
Nev, Add Rep. Type of Building Appliance. Wired Equipment Wired
Home Range Temlwrary 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 pen y ther IS pecifyl
t v:r Sped y Other Other
I # I Fee I Service Entrance Size # I Fee I FeedersySubfeeders I # I Fee I Circuits _ J
to
Final
1. the Electrical
Inspector. hereby
certify that the above
Inspection has been
?/Y
request void 18 months from V- ' zr-eVIi
?
?
J 44116 6
6
Request Dade Fire a. Rough= Inspection
Re uir '?
e Inspector
)KReatly Now ? Will
Ves ? No R
When en Rafltly9
I licetnsed contractor O owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route No.l city
or.cli olict. r, Fo, Y\
Section No. Township Name or No. Range No. County
u Koff c>,
Occupant (PRINT) Phone No.
? r
1 - 6So
Power 1.
!r -
/It; e Address
Eleclecal Contractor (Company Name) CgnVactor9 License No.
L?r L
Mailing Addiess IContractor or Owner Making Instaliauonl
?. ? -i f tr 14 u e 5 fix SS A, In C
AutnorizeO Signature IContractor;Owner Mahinq Installation Phone Number
M --A -1.0 14 n 4 "71 .P?/D
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT ?Lyl'y1.LY?'
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
J_44116
REQUEST FOR,ELECTRICAL INSPECTION
? See inslrections for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
8nlsey EEB-000000011.08
.zT?' cdle?ll G?y-v( 7
?°r r
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Rapge Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace Apt Se &'a w
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below.'
# Other Fee # Service Entrance Size Fee # ChcultslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps v 00 Amps
Signs Inspectors Use Only: TOT
AL
Irrigation Booms
'off
L07
36„S0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ERE I OpINECTED IF NOT
Other Fee SOD COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final r
Date? /
OFFICE USE ONLY a
This request void 18 months from
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
N2 13127
Receipt # ,/Go a
To be used for SF DWG/GAR Est Value $78,000 Date JANUARY 21
1987
'
Site Address 1092 TICONDEROGA TR Erect IN Occupancy R3
Lot 14 Block 4 Sec/Sub. LEXINGTON SOUARHemodel ? Zoning RI F
Parcel No Repair ? Type of Const.-V
. Addition ? No. Stories
W Name MARVIN GEORGE BLDRS Move 13 Length 56
3 BOX 428 Demolish ? Depth 38
° Address Int. . ? sq. Ft.
PRINCET?1Ae 332-3034
City Install ?
0 Name SAME
_
a Address
? City Phone
U¢
F w
Name
_z
u B Address
a W City Phone
Assessment-
Water & Sew.
Police -
Fire
Eng.
Planner-
Council
I hereby acknowledge that l have read this application and statethatthe Bldg. Off.
information is correct and agree tg,comply with al4ppI ble State of
Minnesota Statutes and gitypf E,Aj#an Ordii 4/ / i APC
Var. Dal
Signature of Permittee
A Building Permit is issuers to RVIN GEORGE BLDRS
all work shall be done in accordance with all applicable t of Minnesota plltulq
Building Official
Permit $ 426.50
Surcharge 39.00
Plan Review 213-25
SAC 625.00
water Conn. 525.00
Water Meter 67.00
Road Unit 305.00
Tr. PI. 180-00
Parks
Copies
Total $2,380.75
on the express condition that
City of Eagan Ordinances.
CITY OF EAGAN Remarks ?DI U ;- , D b ' t,, ))
Addition LEXINGTON SQUARE Lot 14 Blk 4 Parcel 10 45075 140
Owner Street 1092 Ticonderng2 Trail State_ Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 254.53 254.53 0009756 10-12-84
SEWER LATERALben-trk 1-9-8-6- 173.65 11.58 15 173.65 C010101 1-28-85
WATERMAIN 1986 68.32 4.56 15 68.33 C010101 1-28-85
WATER LATERAL
WATER AREA ff7 1 286.43 C010101 1-29-85
STORM SEW TRK 1986 501.29 33.42 15 501.29 C010101 1-28-85
STORM SEW LAT 1986 513.81 34.25 15 513.81 C010101 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
/3IA7
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL 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
To Be Used For: 5ingleeFFa_mi Valuation:
Site Address 1092 Ticonderoga
Lot 14 ! Block 4
Parcel/Sub Lexington Square 1st A
Owner Marvin George Builders, Inc.
Address Box 428
City/Zip Code Princeton, MN 55371
Phone
332-3034
Contractor Marvin George Builders
Address Box 428
City/Zip Code Princeton, MN 55371
76, Ex9 D
9t-, _0-0?0 Date: January 14, 1987
Erect ? Occupancy
Remodel Zoning F- I
Repair _ Type of Const SL
Addition 11 of Stories
Move Length
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 42?-
Water/Sewer Surcharge
Police Plan Review . Z 13. is
Fire SAC ?ZS
Engr Water Conn 5 25
Planner Water Meter GT
Council Road Unit
Bldg Off
Treatment P1 _
.lbo.
APC Parks
Variance Copies
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
TOTAL
7S-
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
IOl2x ?a 33
X22 132x- 7
22,c 2¢ 5 Z8 x (2 " ?o 33?
1-7 3 2v
or ?I 6,qk
9
?j MOM
'? 1'" 6 6-Aw Calww.aa • aw T""" • aa1! S..Yw a L.w pft y aN? ?, n Il6ararlll. 8"m
Certificate of Survey for 1?'IWIA) ?fzOQCaC 'EwJ&-Q.S
s
YwYM?Y
,.rw/naawlYw
Ni
To
Fop ,4%
`89 09
Top I4-0g
EA-ZJ,= 093.80 clv"i
00
Top dug v e
J ks
o ??v
?<1
Top leoa 79. Z3
Et-e4.= 891.14
top +jQ
oe E,?1?.? eA?as
T
892. E%-".. 893.,¢
Dmofts Drainalt J ufdil
Wrings SARwn are Assumed.
o Demotes Iron ftnu ent.
0 O!?Rnota S6.T '-Ea-s-• K 41"01
®CPE1AC,1ES P1 ov e.n FJ_E.J AT1oN
09040motes Existing Elevation.
'Oe-- orletes Direction of Surface Draimp.
EaRmen}
?ADpOSED ELEVATIONS
Top of Block 895.2
Lowest Floor
6arep Floor-159 47
LOTA. , 9LOCX
LEXINGTON SQUARE, ARE, DAKOTA MiUM.
Sabjed to drainage j utildi eo:emenh
1 M1Ny awally HNa ewe is • lrw a" awrwl rgpwe a 1691" N a OWWOW of *a 1W 160 eke"
d?wlb" Wad.
as awwo wl by 16NLf-Np.l TMrrwLV A.D. loin
^ J a{PYRRAM 4066NaIRINe1, INC.
,Scale: 1 imb = S) ael
r'
l-ropIP.J
f? m
I ? EI.aJ,_ 8F?;3173
f4
?? o
l? o0
r. ?
6116w6
Na Y N!.
•111406 IM7T
d'¢S ? E°P "ka
Z
?" Oelaeu y? ?
IX,
as .09 9
eo
PRUPOSff,D
Po"r, _
4' No, isrsrs
Ila+wl d
?i0'x3y "
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER MAPUZN I?POQC F ?ta??C,-t??;_
SITE ADDRESS
CONTRACTOR w ? ('[- ®U'? \ AO ;DATE PHONE
Determine wor``k??i+n?g square footage of each:
1. Total exposed wall area..... 9 f sq. ft. x a
2. Total roof/ceiling area..... J 3 3 sq. ft. x Slr?y(_ LL 5 8
Total exposed wall area above floor = )9,-)S
a. Total wall window area . . . . . . . . . . . . . 0()(4
b. Total door area . . . . . . . . . . . . . . . . . .
C. Total sliding glass door area. . . . . . . . . . . .
Y 1
d. Total fireplace wall area . . . . . . . . . . _
. . . .
e. Total wall framing area (average 10%). . . . . . . .
f. Total net wall area above floor. . . . . . . . . .
g. Total rim joist area . . . . . . . . . . . . . . .
Total exposed foundation area
h. Total foundation window area . . . . . . . . . . . . --'?
i. Total net foundation area above grade. . . . . . . . .
Determine "U" value of each wall segment:
a. . C -1 X 'lull 3`? = to?i, 3 ?P
c. yD X „U„
d. X „D„ _
h ?'- X „U„ a r-
i. 99 X „U„ , 00 t - g3
3. TOTAL . . . . . . . . . . . . . . )_:::2_ ?, oa
If item 43 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = l 3 3C)
j. Total skylight area . . . . .??
k. Total roof/ceiling framing area (Average 10Y.) .
1. Total net insulated roof/ceiling area . . . . . . .
Determine "U" value for each roof/ceiling segment:
k. 13 3 X "U"
1. )i? 3 X „U„
4. TOTAL . . . . . . . . . . . . . 31 If total of item #4 is the same as, or less than item 112, you have mev,'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
#3 and 04 shall not be greater than the sum of items 111 and 112.
+ 2. 3 y .5 8 a S9CC, y 2,
3. (??.od +4. 3l_c?3 = ?nn.oJ
:1 (U0
j 2000 FIREPLACE PERMIT APPLICATION a A U C)
3C CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
( 651 681-4675
Date: ,
?( Z
Description of Work: Construct new fireplace Gas -Masonry Alterations to existing
Install ras insert only Install eas line only
cy rJOther ?-
Job address: ?? C //? ?sG (J(11(r L i^CL/1 n '
Lot: Block: 4 Subdivision/P.I.D. #:
Applicant (circle one only): Owner Contractor Permit Fee: $601.50
Name:
Ro SrC o Phone #: ~ vl??O1
PROPERTY Last First
OWNER
Street Address: ,?
!(? Y // (), a (y --*/-j
i '
City o (y yl-- State:_R t!o Zip: ?- 1 J
Company: rt' J S / CQ ed roo-, qkpPhon #: CO%7
(area code)
FIREPLACE
INSTALLER Street Address:
city .S-L// '//L:2- State: Zip: 3
GAS LINE
INSTALLER Street
City
L Phone #:
L,
(area code)
State:
Zip:
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 Ordin ces
Signature ly ?4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code 434
SAC Code 01
? 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
REMARKS
Chimney/flue must be inspected before concealing.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTT: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WATER
INSTAII.ATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
-xxxxxxxxxxxxxxxxxxxxxx*,.:xxxxxxxxx*
(Please Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year}
? COMMERCIAL/RETAIL/OFFICE 4-1 SINGLE FAMILY
? INDUSTRIAL ? R-2 DUPLEX (Two Units)
INSTITLTIONAL/GOVERIZEW ? R-3 TOWNHOUSE (Three + Units) ( Units)
? R-4 APARTMENT/CONDOMINIUM ( Units)
2) 1174 ?3v
NAME:
ADDRESS:
CITY, STATE, ZIP. LG O
PHONE: '3'? 0 2 n 2 4
3-1t? -1 -- For City Use
3) NAME:
Plumbers License:
ADDRESS: 92 Active
CITY, STATE, ZIP: Expired
s 2 C1 Not recorded
PHONE: 5/ y/ rj/f MASTER LICENSE#_
Staff initial
4) ?• , i:•
NAME: \ S?Q
ADDRESS:
CITY, STATE, ZIP:
PHONE:
•:• :: o• DID
Mr-CONNECTION TO CITY SEWER ga ?NNECTION TO CITY WATER ? OTHER
6) • r ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -
? PLEASE MAIL PROVED PERMIT 70 1, 2,? 4, ABOVE
'` (Circle one)
PERMIT # ISSUED
Pd w/Bldg. Permit
c
$
FOR CITY USE ONLY
FEES:
$ /[S SD SEWER PERMIT (INCLUDE SURCHARGE)
$ /O 5 WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S D!? ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
/
$ O v? s ?J Z? $ WAC
$ /? ?? • U $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
p
$ /p D -o-y $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
Q
$ $ S/. Od TOTAL
- 70083 70?/?
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: o? -?
ie,r/?YIO,t/U ///OpEL Cfee.
HEATLOSSC LCULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Winows Daces Guide
Reference
Out. Wall
IM. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes-No Yes-No iB__
FI. ltiaM m Length Width _?3y Height S Fl. Room Length J Width Height
Wi ndows a nd Doors -Cracka ge and Ar ea Wi ndows a nd Doors -Cracka ge and Ar ea
No. W,drh
of arw Height
of cane No. of
li htn 4neel h.
of crack Area
ae. ft. Na Wi drh
of am Hmaht
of one No. of
li his Lineal ft.
of crack Area
so. It.
Cost Btu Coef j Btu
Infiltration 7 / d Infiltration 1.2 1
Glass S /o7<o Glass O A10
Exp, wall Exp, wall
Net exp. wall 6 Net exp. wall (p /DO
Int. wall Int. wall
Ceiling Ceiling Z/7 q 6Z6 F
Floor / Floor
Total Btu. 5 Total Btu. L/O
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ft. Roan Length _'1 , Width Height
t Ft, .,j Room length /3 Width /a Height
_Wi ndows
a d Doors- Cracka ge and Ar ea +16 Windows and Doors-Crackage and Area
No. Wrtlrh
of ana aieht
tH ane No. of
hh a
t Lineal h.
of crack Aran
se. h.
NO'
W?drh
o/ ane
N pan
n l o.ght
a
No. of
bottle
lineal ft.
of crack
Area
se. It.
-0?4- ??' 7 0? ' ?O fJ /
cry
Coef Btu Coef Btu
Infiltration "/7 q7 ?o Infiltration 47 1
Glass Glass 020 50 1 160o
Exp. wall Exp, wall
Net exp, wall
e20
/r:7
Net S.F. wall 176 '/
7 6
Int. wall Int. wall
Ceiling y Ceiling
Floor S Floor
Total Btu. b 7 7 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P,equirod sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ft. Roan Length Q Width 7 Height FI. /A, -EEO Roan Length 1 Width 1 Height
Yli nd ws a nd Doors- Cracka ge an Ar ea Wi ndows a nd Doors- Crack a ge and Ar ea
Nn. idrh
of ane Hereht
of nna No. of
li htn Lineal ft,
of crack Area
se. fl.
No. W?mh
of xr.a 1Unpht
ul nnr _114. l L(neel IL
f ack Area
a H.
o
to, IV
/
C20
a
/c
8
Coef Btu Coef Btu
Infiltration 417 1?7f& Infiltration? _ o25 471 1175
Glass Glass /F "5)1 fm
Exp. wall Exp. wall
Net exp, wall 4?L _10- n rf Net exp. wall 61
Int. wall Ant. wall
Ceiling Q ??D_ Ceiling __ p? a
Floor Floor 5
Total Btu. 55 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
HEAT LOSS CALCULATIONS H EATING & AIR
""df?
CONDITIONING CO. MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Iffindows Doors Guide
Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes-No Yes-No 19_
Fl.-EA r Room Length Width /p Height Ff. Room Length Width Height
Wi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea
No. Width
of pane Height
of Dana No. of
lights Lineal It.
of crack Area
ae• 11.
No. Width
of pane HDIg111
of ene No. of
lights Lineal It.
of crack Area
SQ. fl.
Coef B to Coef Btu
Infiltration Y71 Infiltration
Glass Glass
Exp. wall Exp. wall
Net exp. well s Net exp. wall
Int, wall Int. well
Ceiling Ceiling
Floor Floor
Total Btu. 0$? Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. p Roam length f Width jq? Height F1, Roam Length Width Height
Wi ndows a nd Doors- Cracka ge an Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
N
No. Width
of ane Height
0} ane NA of
li hots Lineal It.
of crack Area
sq• ft.
No. WI Ath
01 aria Hxi ghl
of ane No. of
lights Lineal ft.
of crack Area
50. f[.
JC ?a /L. S
Coef Btu Coe( Btu
Infiltration S 1175 Infiltration
Glass Glass
Exp. wall Exp. wal I
Net exp. wall (o Net exp. wall
Int. wall Int. wall
Ceiling Ceiling
Floor Floor
Total Stu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ff. Room Length Width Height Fl. Room Length Width Height
Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea
No. y/idrh
OI ane Height
01 AOB No. of
lights Lineal fl.
Of crack 4rea
a IL
NO' Winin
Of Ane N«?ght
Uf anC Nn. I
lights Lineal It.
Of Crack Area•
aQ• ft
Coed Btu Coef Btu
Infiltration Infiltration
Glass Glass
Exp. wall Exp, wal I
Net exp. wall Net exp. wall
Int. wall Int. wall
Ceiling Ceiling
Floor _ Finor
Total Stu. Total Btu. _
Required sq. It. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
RESIDENTIAL-SWDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
0 IS TdS-
New Construction Reouiremenb RemodeVReoair Reouirements Office Use Onb
3 registered site surveys showing sq. tt of tot sq. ft of house; and all rooted areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) _ 1 set of Energy Calculations for heated additions -Tree Pros Plan Recd
2 copies of plan showing beam 8 wirbow sizes; poured fount design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition -indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 0 / ? t ? / 6 0-2
Construction Cost 7 1 35
Site Address log a -i C Q n -E( -Tfn t Unit/
Ste #
Description of Work
Multi-Family Bldg _ Y_ N
Fireplace(s) _ 0 _ 1 _ 2
?
Property Owner (l ?
r(7Tt^ r' (0
Telephone #(1j,jt.) " /T3
Contractor RENEWAL BY ANDERSEN
Address 1920 COUNTY ROAD "C" WEST
city
ROSEVILLE, MN 55113
State 651-264-4777 'elephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet - .. -Jew Energy Code Worksheet
(4 submission type) Submitted ubmitted
• Energy Envelope Calculations Submitted -
1- ?t
:1
Licensed Plumber Telephone fli )
Mechanical Contractor Ry ----Ilepb )
Sewer/Water Contractor Telephone #( )
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.
oplicant's Printed Name Applicant's Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
s7o.() ?
New Construction Requirements RemodelReoair Requirements
l
2
i
f (itti '
"'
3 registered site surveys showing sq. ft of lot sq. R of house; and all roofed areas
(20% maximum lot coverage allowed) an
cop
es o
p
1 set of Energy Calculations for heated additions ?t
l
'
dditions & decks
f
1
it _
R $
u
2 copies of plan showing beam & window sizes; poured found design, etc. e survey
or a
s .
1 set of Energy Calculations Addition - indicate ilon-site septic system ({1 .RPI1Rry , Ll
3 copies of Tree Preservation Plan g lot platted after 7/1193
Rim Joist Detail options selection sheet (bidgs with 3 or less units
Date '{ / /Z / ()C'
Site Address (09 2 l t C-0 n b£-l-? A Construction Cost 3 SyU
1 2' r L Unit/Ste #
Description of Work V-F-PLP? ( (- iLce? P
Multi-Family Bldg - Y Z N Fireplace(s) - 0 ? 1 - 2
Property Owner Soo iT zc-i-K Telephone # ( (o t o6- R 73"2-
Contractor IG3N h .- r so" `ON5-rseo a'j
Address Pc- go,k (2-t
State A /NN £ 5 6-TA
Zip Sb 3 3L City GPeF71ab
Telephone # (3 2D )'R
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
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
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.
lS if Fr 7 IZb-tk
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 - Multi
? 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 Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demoligon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# 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 - Brick
Fireplace _ R.I. - Air Test - Final _ Windows
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1092 Ticonderoga Tr
Lot: 14 Block: 4 Addition: Lexington Square
PID:10- 45075- 140 -04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Jeffrey P Sellner
1092 Ticonderoga Tr
Eagan MN 55123- -152
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA088134
02/05/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116873
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Jeffrey P Sellner
1092 Ticonderoga Tr
Eagan MN 55123--152
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119813
Date Issued:12/19/2013
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Jeffrey P Sellner
1092 Ticonderoga Tr
Eagan MN 55123--152
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138058
Date Issued:08/05/2016
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
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 -
Adam L Oldenburg
1092 Ticonderoga Tr
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150814
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Adam L Oldenburg
1092 Ticonderoga Tr
Eagan MN 55123
(952) 200-0232
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162233
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 L Oldenburg
1092 Ticonderoga Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162233
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 1092 Ticonderoga Tr
Lot:14 Block: 4 Addition: Lexington Square
PID:10-45075-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 L Oldenburg
1092 Ticonderoga Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature