4296 Trenton Trl*
City of EaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 1 7 2011
Use BLUE or BLACK Ink
For -Me Use
Permit #:
Permit Fee: J J - 2
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
40.16
Date: 31014 Site Address: ^`
RESIDENT /
OWNER
TYPE OF WORK
Name: , HCl WaAos41 sL
Address / City / Zip: t b T T -r&'11
Applicant is: Owner Y Contractor
Unit #:
Phone: ,S7 - gi- .3'
Description of work: IZe(�+r V - vVi3 6y `e2
Construction Cost: 10i
�0.
Multi -Family Building: (Yes / No
CONTRACTOR
Company: SVPer c. r CoASAruc 1oov
Contact: J ®VBrowK.
Address: CtHOZ Z5-44‘ Ave_ 0 City: Attic a
61-
State: MIS Zip: C5-361
License #: -1231
Phone:
;/1- 1(q_
Lead Certificate #: NAT'" 904/2-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
3u,1%el- 67Z.
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documenthat submit considered to public inform. Portions of
the information may be classified as non-publicts you if you provide specific reasonsbe that would permit the City to
conclude that they are trade secrets.
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.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
x J�� D art
Applicant's Printed Name
App) ant's Signature
Page 1 of 3
-
wo-/2c-7H f1 7 z
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation 1/ —
Plan Review
(25% 100% f/ )
Census Code 414
# of Units
# of Buildings
Type of Construction
,3
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Al Framing
Fireplace: _Rough In Air Test Final
911- Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FE!S
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
r71/
Siding
Reroof
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
— Miscellaneous
Demolish Building*
Demolish Interior
_ Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
ZZG -i MCES System
,Zv? SAC Units
Po City Water
Booster Pump
PRV
Fire Sprinklers
r.
E
Meter Size:
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
Building Inspector
Final / C.O. Required
TOTAL
Page 2 of 3
CITY OF EAGAN R t~
3830 PNot Knob Road, P.O. Box 21-189, Eagan, MN 55121 11450
' • " PHONE: 454-8100
BiJILDikri, PERMIT Receipt #
Tobeuferdfor SF DWG/GAR Estvalue $79,000 Date JF'+M[1A-RY 15 ,19 86
~
SiteAddress 4296 TRE.NTC7N TRAIL Erect OX Occupancy R3 '
Lot-I Block 5 Sec/Sub. NORTHVIEW MEAD,4cRemodel ? Zoning
Parcel No. Repair ? Type of Const V ~
Addition ? No. Stories ~
a Name CORPURATF: CONSTRUCTION CO Move 0 Length •5
= Oemolish ? Depth ~2
o Address 4466 PiEDGWOOD DR Int ~mpr. ? Sq. FL
City EAGAIV pnone 454-0644 instau ?
o Name SAME Approrals Fees
~ Q nddress Assessment Permit 3 7 Q. 00
~ Ciry Phone Water & Sew. Surcharge 39.50
~ Q Police Plan Review 185.00
F W Name Fire SAC 575.00
~ o Address Eng. Water Conn. 500.00
< W Ciry Pnone Planner Water Meter 63.50
Council Road Unit 2 b U. 0 0
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld9 Qff. 11/1/8 Tf.PI. 132.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eqgan Ordinanc9s. APC Perk3
~ Var. Date Copies
SignaWre ot Permittee Total $ 2,14 5. 00
A Buildin Permit is issued to: ~=ORPORATE CONSTRUCTION CO
9 on the express conditlon that
ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _
Pormlt No. VormM NoMW Doq Td*pAOns M
Plumbinp ..J-
H.Y.A.C. . . - c~
EMcW ,
SallNW
Iropeetlon DaN Imp. Commonb
PoolNws I I 1 5 4.;~ I J
Fo~ ll
Foundatlon
F..ndng % 6 W
RoMMq
Rouyh Plbp•
Rouph Hlp.
Imul.
ilreplKe
FMaI Htq.
FMaI Plby.
&dp. FInN
cwrl. oec.
Doek flp.
Doelc Frnq.
WOY I
Pr. ONp.
Receipt PLUMBING PERMIT PermitNo.
CITY OF EAGAN
Fee i
Fil1 in numbered spaces S/C '
Type or Print legib/y Tot
i. Date 2. Installation Cost ~
~~~i5f' ~ •
i
3. Job Address Lot,~ _Bik: / Tract
4. Owner
5. Contractor ; Phone - U'U~ i c?
6. Address
7. City State Zip
8. Building Type: FlesidentiaLA, Commercial Cl Institutional ?
9. Work Description: Newd / Add ? Alter O Repair 0
10. Describe
11. No. Fixtures No. Fixtures
- Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ $oftner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray ; _ -
~ Floor Drains '
Drinking Ftn.
_ Slop Sink ~
_ Gas Piping Outlets i~
12. I 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
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
J
Rrwipe MECHANiCAL PERMiT
cirr aF Ee?c~w .
F«
F_il/in numbaed;prea S/c
T yPe ar Prini hyibly Tot ,
1. Date 2. Insallation Cost
3. Job Addrsst "'rr-tor. Lot Blk. - Tnct
4. OWMI "'.,:...~L?~P_ C'T~ngtT!]('tSpn
5. Contnctor F-ev:, .;e=tin~ */C Sr Phone 1-4?' ,
8. Addfhi 130%5 Pf^TlPPr ,r.•4_1.,
7. ~.Ly c;l _n FraiZie $L8b ~li:7trSCr~; ZIp
_ 8. Building Type: Residential ~K Commerdal O institutional ?
9. Work Desc?iption: New E7 Add 0 Alter O Repair ?
10. Desaiba New F%,)a,se FuelType?-;
11. No• Fqujpmppi BTU - M. Es. No. Eouioment CFM
' Foroed Air Air Handliny:
AAfy,
_ Boilen Maeh. Exhaust
Mfp.
Unit Flaeter
- Mf9• Other I
Air Cond.
Mfy. I
Gas, Rping Outlats
I
I
12. I hereby certify that the above information is true and correct, and I aqree to
comply with aIJ ordinances and codes governing this type of work.
Signed: for
Rouyh Final
InspeMions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition NORTHVEW MEADOWS l.ot 1 eik 5 Parcel WO-52100-010-05
Owner Street unrV..•~~~-DRIVE oT State EAGAN MN 55123
4296 TRENTON TRAIL
Improvement Dete Amount Annuel Years Payment Receipt Date
STREET SURF. 1984 76.75 7.4? 10 /
STREET RESTOR.
GRADING
1981 15.89 .79 20 i
SAN SEW TRUNK 51 1981 138.48 6.92 20
SEWER LATERAL 1984 27$.22 ~B• 41.~~ 15
sn 1981 22.28 1.48 4-.41 -2-ei
WATERMAIN g 1984 70.67 4.71 15 ~
WATER LATERAL 19$1 18.651.24 r93
WATER AREA 19$1 138.48 6.92 20
WATER LAT 7 1982 29.52 1,4'1 1:48 20 , D
STORM SEW TRK 750 1984 392.32 78,46 39-.-2'3' 40-g '
STORM SEW LAT
DRAINAGE ! 1984 33.97 Z 3-:49 t0 lJoAD
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER ONN.
n u
9UILOING PER. 1- 1490
SAC 575-00
PARK
CITY OF EAGAN
.
38W PNot Knob Road WATER SERVICE pEWNIT
P.O.Bgx 21189 PERMIT NO.: ''i°~
E+4j, MN 55121 DATE: °-17 '
Zontnp;_ R1 y
~
Owrrr; Cor orate C No. of Unitx
onst. '
/lddno:
~ Site Mdross: 4296 Trenton Tr. Ll A5 ^dorth~~iew ?'eac!ows
~ Plurnbrr. Ra ond 1. 3ae Plumhinr
~ n~r.. r~.: bs i,-
so~~.ue ~
~ size: 5lf7~' R~~ k ~iO" p1O'o": r
Raader No.: llZtn `l0anf6r t D°Posit: _ 15.1l21,1I 1 .one b eo.wy, ,.w, ~ 1 iQi~+ I~tubAl~~.les i u. o nz,a
f ~ ~~LLCqmq FtL'_ . Snpr]
232.00Dt; T'P
B Tdt81: fxrw
5Ond~tzr !
E~VIIt~~ . aa?d: j
Dcte of In Dat
t - a7_ glp
;
CITY
OF EAGAN
3830 PiloB Kr,ob Road SEWN Sof/wj PEMW i
P. O. Box 21199
Ea9an. MN 55121 PERMIT NO.:
z«g,,o: r. i oATE:
O+vner: roraaLnte Coj:~r No. of UNh: ~
Addrcu: :
SiM Addren: '+•'9!i Txr.nt(~r.. Tr. a ^
Plwnbsr, p.a cr::i R. Aae
5?11a <raE~.~
1 N"w r° 00",M! wkl~ A. Cily of I.M. . J<' i.I
Or/IMAeM, Gonnseeion Cha
ilernuM Depoyf~.
Pemiit Fea:
gy Surehorpo;
Dota of I Misc. pq~
~sp.:
1„sp.: Totol:
DoM PoW:
/ REQUEST FOH ELECTRICAL INSPECTION EB-~70WLU4
?
See instructions tor completin9 this form on back of yellow copy.
'rj77 ~S
B • - '"X'" 8elow Work Covered by This Request 4~
Nev4Hddj Rep. Type ot Bwitling ' Appliances Wired EquiVmen: WireA
Home Range Temporaiy Service
Duplex Water Heater 1 iqhLny Fixtuies
Apt. Building ryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industriat BIAy. Air Conditioner Bulk Milk Tanl<
FTfm Othqr Speci y Qther15PCCify)
ther ISuecify Other Other
ompute Inspeciran Fee Below '
M Fee Service EntranceSize k F¢e Feeders/Subfeeders 4 Fee Circuits
) 0 to 200 Amps 0 to 30 Am ps • 0 to 30 Am s
)UVV Above 200 Amps 31 to 100 Amps (0 31'to 100 Am s
Swimming Pool Above 100=Amps •.5 Above 100_AmF?s
TransformerS Irrigdtion Booms Partial,'Other Fee
Signs Special Inspeclion 50 r' 1
Remarks TOTAL FEE
RouBh-in ~ Date ~
Ihe Elecincal
Inspecfor~hero6y
~ certi~y that the a6ovo
Finai D.fleinspection has been
.l made.
This requesl vaid 16 months Irom
This request void r„
18 mon[hs from
M_ 0-8133 8 ~ L 5YA,~~ Ji~.~~
Ren~+¢s~ ate Fire No. Nough-in Inspection
~ Fequ/ireA? E]Ready Now ill Notifv, Inspec-
~ f ( S Q'Yes ~NO mr When Ready
L--icensed Elec[rical Coninctor I heraby requnst inspection of above
? Owner elaclncal work installed at:
Slreet Address, eox o Ro te No. Gty ~
ection o. Township Name or No. Ranye No. Comity
pant tPRINT) Phone No.
4 - /i S t t ~ ~ .
Power pplier Address r
l ,
Electr al Contractor (Com anY oi trac[ rs License No.
'KENDRICK F.EG"IC
Mailinp~ldyir~yYtGt.~orq~i~C O ne a r 'la[ion)
l~f 5124 Auth tu or wner Making Installation) Phune Number
MINNESOTp STA7E BOARD OF ELECTRIC.IT.Y•-. " THIS INSPECTION qEQUES7 WILL NOT
Grjggs-Midway-Blde. = Room N-191 BE ACCEPTED BV THE STATE BOARD
1`821 UniversitY Ave., St. Peul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone (612) 297-2171 ENCLOSED.
CASH RECEIPT •
• CITY OF EAGAN
P. O. BOX 27-199
AGAYMIEE_S~TA 55121 DA19
RECEIV O
AMOUNT
& DOLLARS
~oo
EJCASN []CHECK
PO
?
J
FUNO COOE AfAOUNT
o, ~v
~
~
~
7 4x_~)
Thank You
BY /
N_ 59005
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 114 5 0
PHONE: 454-8100
BUILDING PERMIT Receipt# /
7obeusedtor SF DWG/GAR Est.value $79r000 Date JANUARY 15 ,19 86
SiteAddress 4296 TRENTON TRAIL Erect 121~ Occupancy R3
Lot 1 Block 5 Sec/Sub. NORTHVIEW MEADSRemodel ? Zoning R1
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
Q CORPORATE CONSTRUCTION CO Move ? Length 45
Name Demolish ? Depth 52
3 /+ddress 4466 WEDGWOOD DR int.lmpr. ? Sq. Ft-~
0 City EAGAN phone 454-0644 Install ?
¢ SAME Approvals Fees
o Name
00
Assessment Permit 3 7 0. 0 0
Address
~ City Phone Water&Sew. Surcharge 39.50
~ Police Plan Review 185 . 00
F W Name Fire SAC 575.00
~z nddress Eng. Water Conn. 500.00
a W City Pnone Planner Water Meter 63.510
Council Road Unit 280.01]
I hereby acknowledge that I have read this application and statethatthe gldg. Off. 11 1 8 Tr. pi_ 132. 0 C
information is correct and agree to comply with II applicable State ot
Minnesota Statutes and CitY la9 an Or i~ es. APC Parks
Var. Date Copies
Signature of Permittee J^ b- --r'-~ Total $ 2,14 5. 0(
CORPORATE CONSTRUCTION CO
A Building Permit is issued to: on the express condition that
all work shall be done in accordance wi pp table State of inn ta tatutes and City of Eagan Ordinances.
Building Official
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
COhMERCI9L SINGLE FAlIILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$29000 LANDSCAPE BOND
To Be Used For: "~rbwCa•~(a~, Valuation: 19,000 Date:
Site Address 47-ac T~~-,~,~~e.-?. OFFICE USE ONLY
Lot ~ Block S Erect x Occupancy 3
/ Remodel ^ Zoning
Parcel/Sub LOP110.,,, IWlv.1.04-J Repair , Type of Const Q/~ ~ Addition !F of Stories
Owner (~Di()o~~ otr..clk Move ~ Length 5
Demolish Depth 52
Address Int.Impr. 1 Sq Ft
~f~- Install
City/Zip Code ri4Cr1Q=[N/V ssj~3
Phone -L26 q ~ APPROVALS FEES
Contractor Assessments Permit 3-70.
Water/Sewer ~ Surcharge 31,52
Address Police ~ Plan Review Ig S,
Fire SAC S ,
City/Zip Code Engr Water Conn SLb.
Planner Water Meter 73.
Phone Council Road Unit 280,
Bldg Off Treatment Pl 132,
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
7
Phone 0
i
3o x 40 ; (2~o x 5 8= (~,C~cOoc)
~-x o= ~~z x 44-
22 x 23
0
~
.
SURVEYOR'S~ CERTIFICATE ' 'cORPORATE CONSTRUCTION,
~
_ - 79.85 S0015'14"W
f •6
PLAT d UT/LITYEASEMENT~ 10 w 30. I
r g R
PER
~ ~
W~ LOT !1/ I N
w N -an.io
40.00 0
~ • ~OUSE ED o
oni ~ I
N
01 N I
' 14.00 O ~
83.0 A 971•o I
~ C'j ' 90
0 I O
(1 0 2 GAR. $ (973.0)
.J I
~ N I
R
N I
~ 22.00 30.00
? ° O
(V 30
_Q
(9~os -80.00 N0007~4911E - s 9crz)
i
M t+S I I
TRENTON TRA L
;
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND f'ROPOSED GARAGE FLOOR = 97.t4 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOl•JEST FLOOR =-7J0's FEET
(UOU.O) UENOTES PROPOSED ELEVATION PROPOSED TOP OF 4LOCK = 97I• 7 FEET
I HERE4Y GERTIFY TU CORPORATE CONSTRUCTION THFlT THIS 15 A TRUE AND CORRECT
REPRESENTATIUN OF A SURVEY OF THE QOUNDARIES OF:
Lot 1, Block 5, NORTHVIE4J NEADObJS, according to the recorded plat
thereof, Dakota County, Minnesota.
Af•JD OF TIiE LOCATION OF A PROPOSfiD BUILDItJG. IT DOES NOT PURPORT TO Sff04! 1PIPROVEMENTS
OR E.NCROACHh1ENTS, ]F ANY, TIiEREOfJ. AS SURVEYED 4Y ME, OR U14UER h1Y DIRECT SUPERVISION,
THIS Z Nn UAY OF 6G'1'c7%aK,, 1985.
SIGNEU: JAME R. HILL, INC.
4 Y : v dc-Z&O02-)
H ROLD C. PETERSON, LAFiD SURVEYOR
hilNtdESOTA L1CENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HfLL, INC.
8s88q
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus SDuth
FOLDER eEoorn?ii9ton, Mn. 65431 012-F384-3029
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q' , Total exposed roof/ceiling area = 72-
Total skylight area - , ,
k. Total roof/ceiling framing area (average 1N)... 1.27,2
1. Total net insulated roaf/ceiling area...:.......
~ Determine "U" vatue for each roof/ceiling segment.
J. X uUu .a ' . . ~
.
, . . k. X "Ull . 026 = 3,
x , 022 = .2s,i9
4 ..................................Tota1
r
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
„
Alternate Building Envelope Uesign
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be qreater than the sum of items #1 and ~2.
+ 2. s3• o,Z = ~s~ sb ,
.
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l_. '
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~
3830 PILOT KNCB RD - 55122
651-681-4675 `D
New Construction Reauirements Remodel/Reoair Reaulrements
? 3 registered sHe surveys showing sq. R. ot lot, sq. R. of house 2 copies of plan
and all roofed areas (20q, maximum lot coveraae allowed) 1 set of energy calculatlons lor heated addttione
? 2 coples of plans (show beam 3 window sizes; poured fnd. deslgn; efc.) t sRe survey for exferior addHions 3 decW
* 1 set of energy caleulations
D 3 copies of tree preservafton plan N lot platted atter 7/1/93
0'U
DATE: II -!s -?1 CONSTRUCTION COST:
DESCRIPTION Of WORK: _jd Q ~t Y a+ r~ tJ'f-
STREET ADDRESS: 2~~ TY' n Lm _TY'a ~ I -
LOT: ~ BLOCK: SUBD./P.I.D. , r ~ CAACWJ-Q
Name: ~f~~5lDuJS~i (~f yr, Phone#:
PROPERTY Last Ftrst
OWNER 9~ / 7 f ~
5treet Address: `7` Y~° n r~-vl 1 ~'~G ICity ~~c -~`i a h State: Zip: ~
Company:~h P e u1a ~ (210) ~S ~ruo~~ ~I ~ Phone ~ L5-
a vF,177C D (area code)
CONTRACTOR ~j
r/P _License Exp33/ 0 ~
Street Address: ~o a)n
~
7
City ~~?~~'4i"~~ Jc- State: Zip: ~
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 wafer Iicensed plumber (reauired tor new construction onlv):
4'enalty applies when qddress change and lot change is requested once permM Is issued.
I hereby acknowledge that 1 have read this application, state that ihe InformaNon fs cortect, and a ree to comply with all applicabl
State of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applica : '
OFFICE USE ONLY
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 ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump _
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee G~+ - a~ Valuation: $
Surcharge !5N C) C)
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:
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIp?L) ~~115'y~
CITY OF EACAN ~7 r
3830 PILOT KNOB RD - 55122
651-681-4675
1
Plew Conshuctlon Reautremenh RemodeVReoair Reauiremenh
9 3 registered sNe surveys showing sq. ff. of lot, sq. fl. of house 2 copies of plan
and all roofed areas (20% maximum lot coveroae allowed) 1 set of energy calculaftons tor heated addRions
? 2 coples ol plans (show beam 3 window sizes; poured fnd. design; etc.) 7 sNe survey for euterior addHions 3 decks
? 1 set ot energy calculations
? 3 copies of hee preservMfon plan M lot plaried atter 7J1/93
DATE: /~/-rr' ~i CONSTRUCTION COST: R~ ' J
DESCRIPTION OF WORK: -P.Gt2 a
STREET ADDRESS:
~ U v ,
LOT: ~ BLOCK: SUBD./P.I.D. V1n
r`-eoj;0 •
(o,S-/ -[o$/-L7 7J6
Name: Phone
PROPERTY Last FIrsV
OWNER
Street Address: ~ev T( y? `~~h.
City tate: Iip:
\
f ~
Company. P~hone lOl~- gD g//y ~
i\ (area code)-~
CONTRACTOR
Street Address: /DO/f' '.kNt LicenseR o Exp.~~
o.>
City ~ ~~ate4~ Zip: 7
: ~ C! ~ ~j`l t>
ARCHITECT/ CA
~J
ENGINEER Company: . Z Name:
Telephone area code (
Streefi AdJress:_ Reg(stration
City State: Zip:
,
i
Sewer 8 water Iicensed plumber (reauired for new constructton oniv):
PenaRy applles when oddress change and lof change is requested once permN is Issued.
I hereby acknowledge that I have read this appl(cation, stafe that the Information is correct, and agree to comply with all appllcabl
State of Minnesota Statutes and Ctty of Eagan Ordinances. /J
Signature oi Applicant: ~ ~274e'
• OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
~
BUILDING PERMIT TYPE .
? 01 Foundation 0 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? OB 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition [J 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg." ? 41 Wood Stove ? 45 Fire Repair
Er-34 Repair O 38 Oemolish (Interior) ? 42 Reroof
' Give PCA handout to applicant f-.)r demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee _/yss, Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VU Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 7
SAC Units
% SAC
• ~ 1
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
• MAKE CHECK PAYABLE TO: Mtdwest Cedar Timberoof
ADDRESS: 1001 E. Cliff Road
Burnsville, MN 55337
LOCATION: 4296 Trenton Trail P.I.D./LEGAL: Lt 1 BI S Northview Meadows
RECEIPT #/DATE: 120056111-24-99 VALUATION: $7,000.00
REASON FOR REFUND: Duplicate permit PERMIT
TYPE OF REFUND: Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Permit Fee 3210.9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
Water Treatment 3868-9220 $
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 S
Other 2250-9001 $ 142.75
TOTAL $ 142.75
. I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
_ d 11-24-99
SIGNATURE1~ j(l-~/ p DATE
~
• ' 1 ' ' • ~ • I • ' • 171' ' I~ ~I' •
' ~1' • • D~ ~ ~ • ' • ' ~I • ' l1~1~ • 1 1 / ~I • • :
• ~ I •
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
. ~ (Please Pri t)
Z) PROPERTY ADDRFS,S: -to
T,F7:AT, DFSQtIPTION: :G`~-~~~~ i f~.~'/~?,
(Lot Block Subdivision or` 1 I. . r) Ta>j IF EXISTING STRCCI[:'RE, DATE OF ORIGINAL BDILD PERMIT ISSt'ANCE:
(Month Year)
PRESENT ZONING/PROPOSID LSE: R-1 SINGLE FAMILY
R-2 DLPLEX ('Itvo t'nits )
R-3 ~WNHOL'SE (Three + L'nits ) ( IInits )
R-4 APARTMENT/CONDOMINItiM ( Onits)
COP1MII2CIAL/RETAIL/OFFICE
INID[.iSTRIAL
INSTI'IY'TI ONAL/GOVERI,&fENI`
2) ~
NAME:
ADDRESS:
CITY, STA'I'E, ZIP:
PHONE:
3) For City L'se
N11ME :
Plumbers License
ADDRESS: E. . ~k•
n26 uar ve, oActive
CITY, STATE, ZIP: ' C7 Expired
Not Recorc
PHONE: . MASTER L y NSE #
~
~ af~al
4 ) • • • i~• ~
NAME :
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) • • a•
CONNECTION TO CITY SEWER CONNECTION TO CITY WATII2
? OTHEf2 (Please Describe)
6) u • i
? PLEASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE
PLEASE MAIL APPROVED PERNLIT TO 1, a 3ABOVE
(Circle one)
7) '.i'
. ~
,
F 0 R C I T Y U S E O N L Y '
PERMIT " I55UED
. FE"S: / - r?
$ - (O~U 5C..U. T_~.r'..?2~1Ty (I1ICT7.'L~ JVP~~:c1.~GLJ
$ IU'SV S4ATEc2 PERPIIT (IP1CL'uDE ,^-,uRCHARGc)
WATER METER/COPPERHORtV/QUTSZDE REaDER
$ WATER TAP (INCLUDE CORPORATIQN STOP)
$ SEtvE4 TA?
'
$ ACCOtiNT DEPOSIT - SIA T E R
$ taac
sP.c
$ TRliNK NATER ASSESS:•?E.`iT
$ TRliNK SE;JER ASSESSil?ENT
$ LATERAL BENEFIT/TRUNK S7T•i:.R
$ LATE:tAL BEVEFIT/TRU~,'K S•IATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ AIMOU::T PAID:'RECEI?T n ~5d~ S
7 5_ Lu 5 5~/~
DOES UTZLZTY COVNEC^ZON REQUIP.E EXCAVATION IN pUBLIC RIGI-1T OF WAY?
~ YES IF YES, THEN ;y "PERb1IT FOR 'AORK WITHZN
PUBLIC ROADWAY" MqST BE ISSUED BY THE
~ NO ENGI:VEERIrIG DIVZSION. LIST AS A CONDI-
TION. '
SUEJECT TO TEiE FOLL0:9ING CONDITTDNS: .
APPROVED BY:
TITLE:
/
DAT° :
.,./-,ri 10~ ~n r L(.7_7 Aeen.. ~d . i~,L 2~~? ?lan # o.,. . ~ - ck ~
MEAT LOSS CALCULATIOt1I ~
:al!~ ot Lat ~ 'Total Btu Input All windows a dam.tti -v.u4«.vbob
-T- - ~ " . ~
'Room ~ lOm., ~ • W fl. / Rodn L0~• ~i1 • ' Wt1~: ir_. " Nt.
wdu .N.qhl Me.ei • liti«ll. ,•@ w4t~ •iol Mo.a lwil. .w
Io. a Done • p1 I M awY I0. 11. No. pf Do" p1 u W cnek .1t.
~ r• I
~
• r~ ~ .7 ~ p ~ .
yoa~
/~Oeen
' ' cotl. I11TU\ • ym,~ ~ Oo~. ~N
J /AOO.~ / ~
„~~wMeaa r38
~N~~~ ^tte inimmwnw/Doan
71
s/ooo, 71 I ~ IMINrHIM!/DoWo
, • ,
~~z ~ [o. w.u
WOoa" ' •
• 6 Ooo~ ~ Glr \
!Ml.We"
E.o'w~ 6 Q ~
i
1~6 f, ONUN ~ ~ • . ~
M 3 6
Nolim. ~ rewIlw.
, . j
Wth FI. r°, Room Jgth.', • .WM • .
. Mt
Roam LY~h. ~ ~
Wl~11 •~1 No.o1 UnrNlt. rM t Ne. 1. M
NO. pf pw* pf pone 1 te OI pKY p. 11. No. p1 1 p acrocY • n• _
_ Id" boen
Cwl., !TU Cad STY
/doon ~
~ InllltratlonW{MOw~
11~
InfllvnbnWlDoan
' .71
.111I~IIlrabn {/Ooas . 71
wwn ~/Ooow ~ .
~ wMl ' ErV.WM1 6/
~ 304
w i Ooon 3 ' Glw a Ooon
R4 0.WY1 Y~ ~ S.
n l }p.1M~/
~
~..q
~ e _ ump ~ 6
~ f
/0 ~100r
NM 9 W. . ~ ToW sN•
FI. / ROOm Lpth. ~o~ • Wth.r ~ " FIt. ~ FI. ~ • ROW~t LOM• / WM• ' • ~ N151' •
WWM H•qM No.ot U~rMh. r» w~ MN t No.N U r~. 'r : i .
No.
No, a py-W a n u ei om~ 44. h, er ne aru ua acmk M. ti.
_ .7 }
k ~ aS
< v ~ ~ ~dea.. e n cad. ..1
' Ieoon ced. Sru id"o^ , -
38
~.i~~w.on WinAw~ ~ InIHIMlOnWlidOw~
11• ,
n,Ivn.ow wlOoas 718 Innianion W/0oas
71
71 In1lltrnbni/D00n
.c wri Ero.wdi
. iw. 6 Ooar " t,j 76d8 G4m 6 Oom
1.,9w.wO 46.~ wwlw.MfW {_f
iM
y 7 Con
~ 6 %
fba
r ur N.1. Tool ~w.
. . . _ . ~
N.m. waa~.o •t• t.~ 1~.0/•l vi.~, s • U.,.
, HEAT L068 CAI.CUlAT10Nf
Totel peec Loss • 411Total Btu Input I All wlndowsa doW ay v-'•lh^tfkK'd
• Room lOM• ' 'Nhn.
-1 FI. ' y~ JL Roan . Lp1h. Wth. " Mt. F1. ~
~ wa~n Mo.v luvN No. Mo.W li n~
MO a~~ • of 1 q M trKY .11. oopwo OI pow 1 U el pnt? .11.
00 4
- . I
~
, .
cow. eTU COO'
Iaoon ~
Iw1YVNIW~ WiMOrh InlNtn~loo WIe00~~
Inllhntbn W/DuOn "
11~ in4nrw.pn W/OOp~ 118
71 1nf1hrt11on t/OOan . I
f.o n/
ck.r s G.on Gr A, Oom ~
a.,e.o.wri ~ 4 S7 w.~tm.whu • ~
17
'/Q f 3 ~
OIUh ,i
G~Il~iy /
_y
t aa 7 1 6 • ba
taN ~w. TeW ~ri.
a Noom Lath ~ • Wtn. ' " Mt FI. Noom LoM. • » Mth • + Nt.
W,eth Ndoht No.o1 LiMMf . IM
NO. pf of I p OI pmCY p. It. p1 O~ L~K~ . n.
. I
f Q IV .
11dOOq 1 ~
cw+. BTU ~ cow. ~
raoo.. ?
~MUVwbwwwm.q 36~~mnnw~w~~eo.n
11•
~,.~~n.nww w/om~ 1 te innn..iion wlDoan
7\
I.ravwbn L/DOp~ 71 zzl InlUVnlon t/Ooa~ ~
1w WIN 9 W.WNI
niw. ~ Ooon i l~ ~ ..S ~ Gim a Ooat
• ~ w.,I P.w~l ' 4
.?.w.r 4
.
O,t
~
_4 6 uui~ ~ s
fwr-M
3 / leo
r
/ 100/ 77
~
7W ~w. Twal tw.
F1. Room Lo[h. • ••Wth. • M. • F1. Room lYth • • »Wth • ""Ph,
W WIn M*./%1 No. of L.nW /t. Aw ' W WII~ Mo1 No. W 4~W M. ~
Mo. p~ 01 1 ti of ~k . ft. Ne• d W ft of cneL sY. h.
~AeOn
ldper~
ce.f. Gru
/eew. 38 `
i.~l~uwtwwwdow 38 innu.hwnwineew~
i~r,wNan w/Ooan 1nluvhion WlDoaM 71
1i•
71 InlNaeien i/Dowft
f V. Wan E W. WNl ~
G4w i Doan .16b GWO a Ooas
e 7
w+ [.o. w.a N" E1o.wW
4 0
J-11
3s.
aw~y
OF 9 wa
swa
Taw Lw. TaM Nr.
SEP-11-08 12:54PM FROM-Restoration Protessionals 651-379-1981 T-237 P.003/008 F-166
--------------i;
~ FofOfiCe.llsa
. j Permit~:__~.~
~t~ of EaiaIl ; Permi« C~o
3830 "lot Knob Aoad I om 7eceieea:
Eag MN 55122
ph0 : (651) 675-5675 ~ 5tath
FBx: 1) 675-5694 ~ ~
2008 RESIDENTIAL BUILDING PERMIt APPLICATION
~
. T
Date•. ~ Sfte Address'
jd~t " Lc/a i StiiOv
Tenant:
: Sc% Phone: _
RESIDEP[T 14WNER Name:
N2~J6 rr ~ ;l ~SSr23
Address / CiIY ! ZP=
APPlicarrt is: _ Owner X Contractor _
~^"k lk ~w a C~ i
TYpE QF ORK DescripSion of work: e(140
CorlstrUC4on Cost: Muiti-Family Bi,ilcfing= (Yes No,~~ :
PS'~frr~-~~b ~ rio~sa~J L~cense 1i: _ a"3Gbf N~" _
CpNTR CTOR Name: ,
neoress:
C;ry: stace:
Phone: Contaet Person:
~ S(-379-l9qo
COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NF-W BUILDING
Minnesot Rules 7670 Cateqov' 1 ` Minnesria F;ules 7672 ;
narg~~ Gode Wosks~eet ;
EItiCr COdO T• ResiderAial Vent3a11an Gategory 1 Worksheet . NewE gubm tted
Cat ory Submitted
(J sabm ion type) •r9Y Envelope Calculati= Subm'tted
~
In the last 7 months, has ihe CilY of EaW issued e permit fw a simflar pLan based on a mast Pr pl,in? ;
'Yes No If ym date and address of master p1an: ~
Phone:
Ucensed Phimber;
Phone_
Mechanical Cantractor,
Phone:
Sewer & W ter Contractrn'= ~
N07E: P ns.and suppo/tfi9 documents fht+t you submit a~e conslde~ t~~~ w„ P~ ~~f
the Info ation mar be cfasslfed as non-puWic ff you pncvrde spec
ppnclude Nrat tfw arie tratlo secrets- ' wfth
cOdes
CAY i hcreby acluorMedge tndt tltig iroortnati0n ls cwmPlae ~ accurate: p~ ~ ~iwork is rrolart ra~hout a~pe that tfm vwrk wi6 tie m
Esgan; that t imder5tend this is not a pertnit, bui oMy aPPl val plans• '
gxarda~e th ths app~m~.`d Wa^ in the case al work wfich requi~s a reviaw and app~
x o
ae e~~.n~ Y
s Sig~ture
Applipnt's Prinied Name Appl Paye 1:013
SEP 1 1 20~8
~
SEP-11-08 12:54PM FROM-Restaration Professionals 651-379-1991 T-237 P.004/008 F-166
. •
DO NOT WRITE BELOW THIS LfNE
SUB 7YPFS A Bullding 0 Pool
? Foundatioi ? OS-P~ex ~ t6-ptez ? ~~?Y
? Porch (3-s~son) O F~tt. Alt-- lllulti
~ Single F iiy fl 06-Plex ? FrePlace ? 6R. AN. -SF
a o, ~ o or.~~x ? Garage o a~ (4~) ? 02-Plex 0 OB-plex ? Deck Q Porch Isc?eerdgazebo/pergolal ? MutU Misc-
O 03-Plea D 10-plex ? Lower Leve1 ? Storm Dm"age
p M-Plex 0 12-pfez ? Miscellaneow
WORK 7YP pSid1ng p pemplish Building,
? New d Interior lmprovement
p Reroo1 El Demofish Intetior
p AddiCwn 0 Move Buildfng
? Fire Repair ? Windvws ~ Oemollsh Foundation
p Alteration 0 F5rew Window K Wate? Damage
? Repiace t
' Demoligat (entir9 bulNlirg) 91re PCA hardout to aApUcam
DES I N: MCES System
Valuation ~u~y ~
Code Edit"wn SAC llnits
plan Review
City Water
(25%__ 00`o Ij Zoning -
Stories Booste~ Pump _
ii of Units Square Feet PRY
# ot Building Lergth Fre SprinkEers
Type of Co ViridM
REflUIRED NSPECTIdNS Shmbvck
Foo ~9) - FlrtaUC.O.
~ Footin (deck) FlnaUNo C.O.
~ Footin ~ddltlon) ~ HVAC
^ D?efn 7 ie _ 01her. -
Pool: _Foobngs AirlGas 1 ests ~Fnal
~ RCOf: Ice & Wacer ~Flnal
Framl ng: StuccoL2th Stoite L.eth ~Brick
~ - Sid{
WirKlows
Frep ._H.I_ Air Test Fnal ~
~ t ReW~ning Wall
Insu~
Revlewed III Building Inspector
- - -
RESIDE AL FEES:
Fee
Su charge
Plan Review
M SSAC
CltV SAC Uti ity Connectiwt Charge I
S& Pemilt & SurchBrye !
T tment Plant ~
A'es - i
I
T 81 Paga 2 af 3
I
I
Date:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use ,
Permit#: 1v)
Permit Fee: DC)"--'‘)
Date Received:
Staff: `7
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
4'?? I r€� ., Tr 1 L7q/q /Ai N s5l?3
Site Address:
Tenant: Suite #:
Name: -3(41
W'(1G �•s(f i
Address / City / Zip: 4094, 71'4.04.4 Tr
Phone: f 6S " �'7 3
L- ., ' -sSf 3
Name: Pe4cr License #:
Address: 1136. /5r41k Dr City: SLG 14,10.0 e
State: /tit/L.' Zip: r. 37q
Phone: ?52 1/3 -14v6
Contact:51'14 vh H yre4 L Email:
PL MBING (Within the building envelope)
Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work:Ip p,,, 1p �i Sc� e R Qh �orjo.^ c� 1,0ti-;
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.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 6`h Al yeti z
Applicant's Printed Name
cantts'Signature
�.,._rsr,s
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
- C�t �f ' �
�n n� I Permit#:� l�o� �
Y Q�Q � '
�
� Permit Fee:� . �
3830 Pilot Knob Road � �
Eagan MN 5�122 �'C��..•���'��� I Date Received: �" �
Phone: (651) 675-5675 „ „ ` � i
Fax: (651 j P75-5694 ,��j�i� � i; � i ;: � staff:��
��������.������'��J
2015 RESIDENTIAL PLUMBiNG PERMIT APPLICATIO�"
Date: ' -1"" �Site Address: �d�� 1•����M,6�`�� 1���V �
0
Tenant: � `� '
Suite#:
�.��' � . r /�f - J $l��^^��
� � Name: hone:JB Id dEJ J-
�Residen Ow
L.�� ���: ` �` `
�� ���� Address/City/Zip: � j�%��
;. ,�, ;�p� �
� � rvame: M�b�'t Co�pany Inc dba Culligan Water �icense#: C6413 76.
_ , 4 r _ .
�.
��� , ��� � AadfeSs: 180� 50�' St East � ��ty: Inver Grove Hgts.,
} � �oAnt�ra to,
�� =uY
state: Mn Zip; 55077 whone: 651-451-224�
� � William R Milbert
�' � Contact: Email:
� �{� 3� p . . .....- , . .
TTM e� � _New �Replacement _Repair _Rebuild _Modify Space _Wo►k in R.O.W.
;, �� y����
O
` r � Description of work:
�
ar � '� RESIDENTIAL "
�
��_" '• � Water Heater �
�` �� �Water Softener �
� Lawn Irrigation(_RPZ/_PVB)
�F��1`�f�l'tl T�/p � Add Plumbing Fixtures�Main l_Lower Level)
� `��� SepticSystem �
_New Water Tumaround
��� :>�g�� ..- : _ . �A�andonm�n��
� RE3IDENTIAL FEfS:
' $60.00 Water H�ater,�Vater Soften�r� O�VY�SPr�I�P.�I��L��LF�3OI;�I?ar(inc�u��s w5.0�State sur��ar�e}
� $60.00 Lawn lrrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround"(includes$5.00 State Surcha�ge)
'"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10AO per as built)(includes County fee and$5.00 State Surcharge) R O O
TOTAL FEES$ U
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.caopherstateonecail.ora
I hereby acknowledge th8t 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 appiication for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved pian in the case of work which requires a review and approval of plans.
. ,
x x -
Applica Printed Name App icanYs Signature
�F FFI> �:� "�
�
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f�equ�5 � nsp'e,� d� s�� ���
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152546
Date Issued:10/19/2018
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
For Office Use
‘.2% %, /
". ° a a 'p" Permit#: t ✓
E AGA
6.�N Permit Fee:
F28' Ell 717 )
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 JAN 2 2 2019
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinainspections ancityofeaaan.com
2018 RESIDENTIAL PLUMBINGPERMIT APPLICATION
Date: ///0g" Site Address: /2'7 k6-A-)17:40
Tenant: /5013 ca9iSO&) Suite#:
Resident/Owner
Name: s�'n2 Phone:
Address/City/Zip� N2 /' m
Name: License#: �1/4° Wo/`
Address: 9150 W 35W SERVICE DRIVE Cit
Contractor BLAINE MN 55449 y.
State: Zip: Phone: 76 ?.,aS-4-)7_7 76/
Contact: LIS Ll'I/L Email:
i
New —Replacement —Repair Rebuild Modify Space Work in R.O.W.
Type of Work . — t—
Description of work: `� a j i //-Liz ) 64.),Pte-,?-) At y."& ',U
RESIDENTIAL
Water Heater �
/Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type y
Add Plumbing Fixtures( Main/—Lower Level)
Septic System
t —New Water Turnaround
—Abandonment I
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge) i!
$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) /�
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$(QD
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.00pherstateonecall.orq
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.citvofeaaan.com/subscribe.
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.
1t15 (/' A) x i > 1I )
Applicant's Printed Name Applican 's Signature 6�
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:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154097
Date Issued:02/19/2019
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154726
Date Issued:04/09/2019
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154924
Date Issued:04/18/2019
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 (miscellaneous)$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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
(763) 464-4988
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
r
For Office Use 4/1
4
, , :: '
rmit#:E AG A
.cia1` rmit Fee:
APR 2 9 2019 Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsoectionsCa�citvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/25/2019 Site Address: 4296 Trenton Trail Unit#:
Name: Robert Larson .Phone: 7634644988
Resident/ 4296 Trenton Trail
Owner Address/City/Zip:
Applicant is: ✓ Owner Contractor
Lower level south wall,replace pine furring,insulate over cement Flock porton(lower 4 feel of wall),fury upper 4 feet of wall to same depth,reinstall sheetrock.
Type of Work Description of work:Q
Construction Cost: $1,000 Multi-Family Building: (Yes /No ✓ )
Company: owner Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
House was built in 1986 after lead paint was banned.
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information,may be
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeaaan.com/subscribe.
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.
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.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 ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app .ra o p ns.
xRobert M. Larson
Applicant's Printed Name Appl .ant's Signatu
DO NOT WRITE BELOW THIS LINE z q6,, 7k-ea-to f117I ` / _5'/& C
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
'tc, 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 r Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Buildin Reroof Demolish Interior
g — —
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
— Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
J 14°0 c- l
Valuation I OccupancyZ MCES System
Plan Review Code Edit'onf .2 jZC -Zevi SAC Units
(25%_100%.70 ) Zoning ,]i City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VB Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ?D Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool: _Footings _Air/Gas Tests Final
Framing )0 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
Insulation 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: '%oW ink kik , Building Inspector
RESIDENTIAL FEES
Base Fee �,4 //77 LI 11---t ,e
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157533
Date Issued:08/26/2019
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
(763) 464-4988
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157554
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Robert Larson
4296 Trenton Tr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171323
Date Issued:08/11/2021
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Valuation: 5,000.00
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 -
Robert & Deborah Larson
4296 Trenton Trl
Eagan MN 55123
Northland Construction
4389 Malmo Circle
Eagan MN 55123
(651) 274-9777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174679
Date Issued:02/11/2022
Permit Category:ePermit
Site Address: 4296 Trenton Tr
Lot:1 Block: 5 Addition: Northview Meadows
PID:10-52100-05-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Robert & Deborah Larson
Po Box 21064
Eagan MN 55121
(763) 464-4988
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature