3469 Trails End RdRESIDENT OWNER
Name: Phone:
Address City Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: P( ..O -h T
Construction Cost: 2 Multi- Family Building: (Yes No
CONTRACTOR
Name: (L; t.-- L c. -r✓ AP-rtl License ')-v fd)"/ 0 X
Address: l ,-_'7t' C' e L- Ut,
City: ‘...-001.1-t) e State: 7y1 Zip: j l j
Phone: 5 t c) a2 C 2- Contact Person:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
documents that you submit are considered to be public information. Portions of
be classified as non public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
NOTE. Plans and supporting
the information may
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Use BLUE or BLACK Ink
For _Office Use CI Permit 1 1
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: J` //2/
1-76 f z/t 6 7 F Suite
Tenant:
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.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.
Applicant's Printed Name AV p cant Signature
Page 1 of 3
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 09/03/91
3830 Pilot Knob Rd. CHIP# PERMIT # 12250
Eagan, MN 55122 -1897
METER SIZE B.P. RECEIPT # C 14997
DATE
AUG 19, ,1991 ISSUE DATE B.P. RECEIPT DATE 03/19/91
PRV BOOSTER PUMP
SITE ADDRESS 3469 TRAILS END RD PERMIT REQUESTED
LOT 5 BLOCK 2 SEC /SUB WESCOTT SQUARE x SEWER x WATER TAPS
APPLICANT:
ADDRESS: COMM /IND RESIDENTIAL
CITY, STATE ZIP _x. NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOUTH PLUMBING INC Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHARY LN Credit WILL NOT be given for Deduct Meters.
CITY, STATE MAPLE GROVE MN ZIP 55369 n
PHONE: 493 -2474 /1 (244.4 f cl JQ,
AGREE TO COMPLY WITH CITY OF
OWNER: NEW HORIZON HOMES INC EAGAN ORDINANCES
ADDRESS: 12201 MINNETONKA BLVD
CITY, STATE MINNETONKA MN ZIP 55343
PH� 933 -2521 ,,�� 3 /� SIGNATURE WHEN METER ISSUED
PCEA TW R KI DAYS FOROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMI kONTACT g GINEERING DEPT.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137148
Date Issued:06/20/2016
Permit Category:ePermit
Site Address: 3469 Trails End Rd
Lot:005 Block: 002 Addition: Wescott Square
PID:10-83730-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Matthew C Clayton
3469 Trails End Rd
Eagan MN 55123
(651) 324-3553
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144573
Date Issued:08/01/2017
Permit Category:ePermit
Site Address: 3469 Trails End Rd
Lot:005 Block: 002 Addition: Wescott Square
PID:10-83730-02-050
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 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: 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 -
Matthew C Clayton
3469 Trails End Rd
Eagan MN 55123
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:EA160778
Date Issued:04/13/2020
Permit Category:ePermit
Site Address: 3469 Trails End Rd
Lot:005 Block: 002 Addition: Wescott Square
PID:10-83730-02-050
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: 5,000.00
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 -
Matthew C Clayton
3469 Trails End Rd
Eagan MN 55123
(651) 324-3553
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
II
07
Smoke and CO detectors affidavit for Building permit final 1 ` `
I SA-co rebave tested allthe required smoke detectors and Carbon Monoxide detectors,
At 3 9-.. (rAi t, Er . l`<:‘ ,on this date hex, 0 a 0
O� They are correctly located as perthe
manufacturer's installation instructions and operating.
There are working smoke detectors in every sleeping room,in every hallway leading to a sleeping room and on every
level of the house.
There are working Carbon Monoxide detectors outside of every sleeping room,within 10'
Permit# E A t(,O 778
Signature /
0