4321 Trenton Tr41,11°
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit#:/ ree sf
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i \-2-- 10 Site Address: 43Z � Tye n 1 �.
Tenant:
Suite #:
RESIDENT /OWNER
Name: � m(' {r 'I
.C. bY�Phone: (� 1— 295- I riJL
Address / City /Zip:2 t T n TY
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: re - YC `i( ir,0 in*c�
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
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:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plansand supporting documents that you" submit are'considered to be public mformatron Portions of
the information may be classified as non-public;if you',prov!de specific reasons 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conforman
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t
accordance with the approved plan in the case of work which requires a review and apprc of plans.
tkivirrt,r- \\\(-9i
Applicant's Printed Name
he ord
ut
start wit
permit;
and codes of the City of
at the work will be in
x
Appli
age 1 of 3
CITY OF EqGAN
` 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ~,T00
89gs
PHONE: 454-8100
BUILDIMG PERMIT Reuipt
Te N ww fer D"tdG/GAR Est.Volue $52j000 Date AYRIL 19 , 19 84
4321 TRENTON TRAIL X R3
Site Address - Erect ? Occuponcy
Lot 33 elock 4 sec/Sub. NO VIFVd fiFAD Alter p Zoniny R1
Parcel No. 10-52100-330-04 Repotr ? Flre Zone N~
Enlarps ? Type of Const. V
MOVa #
Z Name 3471 1 W LAiV1D 73RD ST p Stories ~
Address Demolish ? Length
~ City `70RDAN Phone 492-6646 Gmde ? Depth-4g Sq. Ft._ li
CLA CON.~,T CO INC ApProveb F...
,g Neme
6451 " .ll S Assessment Permit • 0 0
Addreu
~ City P R I R K phone 447-6128 Woter 3 Sew. Surcharfle 26.00
]l~' . It QUI Police Plan check 144.50
~OW
„ Neme „ , Firo SAC 525.00
=Z Address 4 . ~~Q~_1!
U~ 1._ Enq. Water Conn. ~
~6 City Phone plunner WcterMeter-~~'~~ ~
Countil Rood Unit ~~0 o
I hereby acknowledge thot I have reod this npplicotion ond state that Bldy. Off.
the information is correct and agree to comply with oll opplicable
State of Minnesoto Statutes and City of Eapon Ordinonces. APC Total
Sipnafure of Pertnittee .
A Bullding Permit Is issued to• CLf1 COi7ST 'IIJC on the sxpreu cond(Hon tFun
all work shali be done in ac rda e ith qIJ a0l~liw la PaW of Mlnnesota Srotutes ond City ot Ecqon Ordinonces.
Buildinp Officiol
.i ~
Permit No. pwmit Holdsr Mitc. Pamit No. Holdar
Plumhie9 ' - p y
H.V.A.C.
NNII
Wabr
D'a0.
Snnr
Ebctft 34 1&4 5. a-o
insp.ada, o,n inw. ot,..
F~t~~
Found~tion
Fnminq
Rouyh PIbY. -7L 9 ~
Rough HVA _a~ ~
Inalntion
FinN Plba
FinaIHVAC ,Z Q
Final
Water DneriM Loution:
YYell ~
Sever
Pr. OhP.
.
~I
CITY OF EAGAN I60^1.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
,r PHONE:454-8100
BUILDING PERMIT Receipt # .
~r 'w
BASEHENT d~
To be (9sed tor T Est. Value Z10500 Date
Site Address 4321 ?StRH1't1Ai Tg
Lot BIoCk 4 S@C/SUb. OFFICE USE ONLY
PBfCBI Np. Occupancy - FEES
Zoning _
W Name A.'QII&EW 6&1!$ASa F[)I11~S jAduap Const - Bldg. Permit :l6. N.
o Address A'121 2REN1'tjN 'ig (Allowable) - Surcharge 1.0Q
Cjty EACAP Phone 44iL9tR6 k of stones _
Lergth _ Plan Review
~ Name COU1dT$Y CREBK GUI+I$TRUTZON Depth - SAC, Ciry
Address 383$ COilPPt'RY CItE$K WAY S.F.TOtal -
~ City ~~t~ Phone 454-6378 S.F. Foo~rirns snc, nncwcc
On Site Sewage _ Water Conn
~
¢
W,W Name On Site Well - Water Meter
i= AddfBSS MWCC System _
g W CIIy PhOn@ Ciry Water _ Acct. Deposil
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatmant PI
`
Signature of Permitee APPROVALS Road Unit
A euilding Permit is issued to: COUNTAY CREEK CGNST Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj. pry. _ CoPtes
Variance - TOTAL 3 7• Vfl
Building Official
- Pxmit No. Permk Holder Dete Telsphona #
W91ER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC CLC-~. ~ ~w,
Inspeetlon Date lnqL l Commwnb
Fodings I
Foundation
Frarning ~
I
Roofirg
RoLo FIb9.
Rok* HV. ~ PD
lsui.
Fr~ -3
Fnal Htg.
Final Plbg. - - ~
Conyy, Mgtqr Plbg. Inspector - Notily Plumber
Engr./Plan
Bldg. Fnal - - ~
Deck Fkj.
Deck Fnal
Well
R. Disp.
. PERMIT #
~ PLUMBINGPERMIT ~9a
CITY OF EAGAN RECEIPT # ~y r
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: c~ JCG' ~ I
CONTRACT PRICE: 1_1e o PHONE: 454-8100
Sit dAe dre s ~ jd~" 7^f BIDG. TYPE WORK DESCRIPTION
Lot BloCk Sec/Sub Res. New ~
'-~r Mult. Add-on
~ Name FR n.7f T18 .I.?G Comm. Repair ~
~ Address " ~"4 < i Other
c City PhOne 'e~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ,
NO. FIXTURES T OzAL
5
Name -WW /o ~Water Closet - $3.00 $
= Address -~th Tubs - $3.00
~Lavatory - $3.00
p Ciry Phone _,tShower - $3.00
_Kitchen Sink - $3.00
FEES -Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES -Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES -Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 -Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 -Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~
(ADD $.50 S/C IF PERMIT PRICE GOES -Softener -$5.00
BEYOND $1,000.00) -Well - $10.00
~ _Private Disp. - $10.00
_Rough Openings - $1.50
rS~.NATzURE OF 'PERMITTEE FEE:
L
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• -Ld• ~ v
~ T INSPECTION RECORD - - - - -
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
i (612) 681-4675
SITE ADDRESS: APPLICANT:
N_tOH It7 ~ ~ : . • , , ~ f , ,i ~
I PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION „ . D•
{ t.l';141 (t f~,•,; I t t':' i
h
: &
PermN No. Pa?mN Holdar Date Telsphone M
Lvr
ELECTRIC aJ~f~'f', , 8 7 O~ I
PLUMBING qtF _ gbo
HVAC
Inspsetlon Data Insp. CommaHs
FOOTINGS ~
FOUND
FRAMING
T
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING W
GAS SVC
TEST
INSUL 3
GYPBOARD
FIREPLACE
v
FIREPLACE H
AIR TEST
FINAL PLBCi
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
CITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 33 Qik 4 Parcei 0-330'~??
owner Street 4321 TRENTON TRAIL State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1984 76.75 7.68 10 69.08 A014345 8-2-84
STREET RESTOR.
GRADING
SEWER LAT 1981 15.89 . 9 0 12.73 A014345 8-2-84
SAN SEW TRUNK 515 1981 138.48 6.92 20 110,80 A014345 8-2-84
SEWERLATERAL TRKgtffl 1984 275.22 18.35 15 256.88 A014345 8-2-84
SEWER LAT 5717 1981 22.28 1.11 20 16.36 A014345 8-2-84 '
WATEFMAIN $ 1984 70.67 4.71 15 65.96 A014345 8-2-84
WATERLATERAL 5-71 1981 8.65 13.69 A014345 8-2-84
WATER AREA 1981 138.48 6.92 20 110.80 A014345 8-2-84
WATER LAT 1982 29.52 1.48 20 23.64 A014345 8-2-84
STORMSEW TRK 56 1984 392.32 39.23 10 313.86 A014345 8-2-84
STORM SEW LAT
DRAINAGE 984 30.58 A014345 8-2-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 42680 4-19-84
WATER CONN. 470.00 of Ti
BUILDING PER, 8906
sac 525.00 '
PARK
~
Receipt' PLUMBING PERMIT Permit No.
( CITY OF EAGAN Fm
r.-~~ •
Fil/ in numbered spaces S/C '
Type or Print legibly Tot
1. Date 2. Installation Cost
. „ .
3. Job Address Lot Blk. t~ Tract
4. Owner
. ~ ~
5. Contractor •~lPhone l.,,
6. Address
7. City State Zip 7 S : / L
8. Building Type: Residential I~ Commercial ? Institutional ?
9. Work Description: New C~ Add ? Alter ? Repair ?
10. Describe
77. No. Fixtures No. Fixtures
/ Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
_ Lavatory _ Softner
_ Shower Well I
% Kitchen Sink
Urinal/Bidet Other
Laundry Tray Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes g9verning this type of work.
Signed: / for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF'E`GAN
3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 No gggg
PHONE: 454-6100 ~
BUILDINfs PERMIT Receipr g
To bp wad ier SF DWG/GAR Est. Value $52,000 Date APRIL 19 , 19-84
SiteAddress 4321 TRENTON TRAIL Efe« Ef a~upancY R3
Lot 33 Block 4 Sec/Sub. NO VTF.[+] MF.AD A1fer 0 Zoning RI
PercelNO. 10-52100-330-04 Repoir ? FlreZone N/A
Enlarpe ? Type of Conat. V
a Neme KFV LAND Move p # Stories
z Address 3471 W 173RD ST Demolish ? Length 3$
City JORDAN Phone 492-6646 _ Grade ? Depth 48 Sq. Ft.-
CLA CONST CO INC ADDrorals Faes '
o Neme
Address 6451 E 190TH ST Assessment Perrnir S 289_00
F City PRIOR LK phone 447-6128 Woter85ew. Surcharpe 96-~0
Ga DENNIS HALLQUIST Police Plon check 144-S0
w Neme Fire SAC c+2 5-00
tz 990 SOUTH GATE PLAZA 470.00
z~ Address Enp. Water Conn.
'W City BLMTN phona $31-1875 plonner WaterMefer 63.00
Countil Road Unit 260.00
I hereby atknowledge thot I have read this oDPlication and state that Bldg. Off.
the inlormation is correct and ogree fo comply with oll apvlicable APC Total $1 , 777.50
State of Minnewlo Statutes and Cily of Ea9an Ordirances.
Sipnoture of Permittee
A Bullding Permil Is issued to: CnNqT Tn1(' on the express conditlon thni
oll work sholl be done in a rda e with qll o plic le S te of Minnewto Statufes ond City of Eagen Ordirwnces.
Buildinq Officiai
~l
j / CITY OF EAGAN N? 16091
/ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 9O a~ ~7'
BUILDING PERMIT Receipt #
BASEMENT & $1.500 Date 3~ , ~g 89
To be'bsed fofFTgEpLACE EsL Value
SiteAddress 4371 TRFNTON TR
lot 33 Block 4 Sec/Sub. NORTHVIEW MEADO OFFICE USE ONLV
Parcel No. occupancy - Fees
Zoning -
w Name ANDREW & SIISAN POIIT.OS (Actuap Const - eidg. Permn 36.00
o Address 4321 TRF.NTON TR (Allowable~ - Surcharge 1.00
Cj(y EA6AN Phone 452-9586 xofstones -
Lengih _ Plan Review
, o Name COUNTRY CREEK CONSTRUCTION oePm - snc, cny
z~ Address 3838 COUNTRY CREEK WAY S F. Tolal
~a - SAC,MCWCC
~ City EAGAN Phone 454-6378 S.F. Foolprints -
On Sne Sewage _ N/aler Conn
IN Name On SM1e Well - Water Meter
MWCC System
-
Address Accl Deposit
City Phone Cnywater _
PRV Aequned _ S/W Permit
I hereby acknowlege that I have read this apphcation nd state that the Booster Pump - SfN Surcharge
intormation is correct and a r e_t¢yompi 'wRh all pplicable State of
Mmnesota StaNtes and Ci of Eagan Ordr ances Treatment PI
APPROYALS Roatl Unit
Signature of Permitee
A Buddmg PermM1 is issued to UN R Planner - park Ded
on the ezpress condi6on ihat ail work all be done in accordance with all Councd
app6cable State of Mmnesota Statutes and C{iry ot Eagan Ordmances. Bidg Off _ Copies
-Pa^! I '1~y~ \6 Vanance - TOTAL 37.00
Bwlding Official A E1
CITy pF EAGAN Include 2 sets of plans,
[[[lll~'/ 1 Certificate of Survey „
BUILDING PERMIT APPLICATION 1 set c£ energy calculations.%i
Zb Be Used For S~ Valuati on Date &Juc /6
,
Site Pddress TI2NlL- ' OFFICE USE ONLY
rnt I; sloctc sec./suUJU:.cv ,'hu~o#t&t ~X occupancy At',,?
Parcei i n- S d/ d o- 330 - o~f Alter zoning It' /
RPpair Fire Zone
Qaner: ~~f ~dtircl Ehllar9e _ Type of const. y~
~ Nbve # Stories
Address: Demlish Front ft.
City/Zip Code: Mni Grade Depth y8 ft.
Phone
n' APPROVALS FEES
Contractor: Assessments Permit a 89 g~-
EY57 r' /~or~ Se: ?^later/Se,aer surcr,arge~-
paaress: Police Plan Check
City/Zip Cocle: P/UOk c,dKe' .0,~ .5~'S'37Z Fire SAC So25
water Conn. 70 ~
Phone planner Water Meter 4 3 ffi
(oD ~
~W..,; s ~AC~u: Council Road Unit 2
Arch./ESZg.: L
sy' Bldg. Off:
Address: '~8¢6" e~~Z,r~ APC
City/ziP C«le: 131ea-)~%,+g6t i-h* .-55-5r_;9
Phone TCYPAI' -7T- 7~7'-S ~
~ 41.
~
~ ~
( ~
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,
T
RESIDENTIAL
BUILDING PERMIT APPLICATION
SIp~-) ~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsUUCtion Reauiremenis RemodeUReoair Reauirementa
• 3 registered site surveys showmg sq k, of lot, sq ft. of house; and all roo(ed areas • 2 wpies of plan
(20%mazimum lot coverage allowed) . 1 set ot Eneigy Calculatrons for heated additions
. 2 copies of plan showing beam 8 window sizes, poured (ound design, etc ) . 1 sde survey for extenor addi6ons & Oecks
. 1 set of Eneryy Calculahans . Indicate if home served 6y septic system for additions
. 3 copies of Tree Preservation Plan if lot plafled after 771/93
. Rim Joist Detail Op[ions setection sheet (61dgs with 3 or less umts)
DATE II- 8 Z- VALUATION -4TILS-0 uD
SITE ADDRESS 13 Z MULTI-FAMILY BLDG _ Y _ N
.
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPUCANT tM 'fr\ 0 O -
STREET ADDRESS 'CITY STATE~ZIP
TEIEPHONE # 7f.. 3_7g1'7 LAALL PHONE # FAX #
PROPERTYOWNER TELEPHONE # 41f I' .~.5' •8 78f
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N4INNE50'CA RUL15 7670 CA'1'GGORY L MINNCSOTA RULFS 7672
(d submission type) • Residentiat Venhlahon Category 1 Worksheet Submitted ^ • New Energy Code Worksheet Submitted
• Energy Envelope Calculahons Submitted
Plumbing Contractor: Phonc N
Plutnbing systeat ittcludes: N4'ater SoFtener Izwn Sprinkler rec: 590.00
Wa[er Heatcr No. of R.I. Battis
No. ol 13aQis
Mechanicai Contractor: Phone #
Mcch.uiic.d sys'[cm includcs: Air Condilioning ec;:~,
Hc.it Rccovcry' ' Sy~stcm I ~ ~i i'~
-
Sewer/Water Contractor. Phone
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Siatutes and City of Eagan Ordi nces.
Slgnature of Appflcant ~
OFFICE USE ONLY
Certificates of Survey Receroed _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 O 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex 0 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applieant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Ptumbing
Foundation . HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test -Final _ Windows (new/replacemen[)
_ Insula[ion _ Retaming Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
331UR:VEYOR'S' CERTIFICATE KEYLAND HOP1E5 - '
- ~ri MODEL 3241
4321 TRENTON TRAIL
\ ci~ .
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`
S N 9
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~ W my~
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s Z
N
(9go~ 5 33 .
O~ ~ N
-
N ~ g6•0~ `~.o` ~ ~
~ Eo o m ~
~ W lB3 , ~
N o ~ 'm~ CA
_ ~ g 33 \ p A
~ N
a w_G
o 0~
ND
O W \1 c»' xK:. ~ OQD .
A
N
a .1Rp 1, .
SNlpN
--f-- DENOTES PROPOSED SURFACE DRAINAGE ~
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DEP70TE5 IRON MONUDIENT FOUND PROPOSED GARAGE FLOOR = 972.4 FEET
X000.0 DEPlOTES EXISTING ELEVATION PROPOSED LOlJEST FLOOR = 704 FEET
(000.0) DEIlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 971.7 fEET
] HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 33, Block 4, PlORTHVIEbI MEADOb1S, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. 1T DOES NOT PURPORT TO SHOW IMPROIIEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 30 T° DAY OF MA2CN , 1984.
SIGNED: JAMES R./HILL, INC.
PROPOSED ELEVATIONS 'a+ERE TAKEN FROM ~
THE DEVELOPHENT PLAN FOR NORTHVIEW
MEADOWS BY SUBURBAN ENGINEERING, INC.
LAST DATED 9-29-83. BY:
HAROLD C. PETERSON, LAND SURYEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. BooK ~ PAGE JpMES R. HILL, INC.
84606
Planners / Engineers / Surveyors"
FILE NO. ' -
8200 Humboldt Avenu* GoutA '•'FOLDER Bbominpton.Mn. 55431 e12-ee4-3020
~ ~w~ Can~tracooo Na INSULATjON
Doon Refamu Oat. W~ IaL W&D Ce~ias Roof Floor Kiad How Applied
I " I Yer--o 19-
' =t•ni /.j Ftcom ltoath..? Width 1 I/, c~? ~{es~l eLs ,r e Room I L_nath I(yLWidt6 / U HeiQhc
m+s and Door*--Cnctage end Arca Windowt and Doars-Lraclca;e anL Arc: ,
VM,n HeIn{ Ho.N Llnulf, •rt. WIE,h Hrlfit No.[ LIw.IfL ArM
f e~nr of c~ne uf~~• e( cracY p tt. 1 N. of p,n ~f "n. I4IIb ef v~ef K, fa.
X
2-.C
~
Coef. Btu Coef. Btu
on ~J In6ltratioo
/ Glus / 6 7 Z
Q ~ r(~~c X Esp. wall Sf O X B -
Wu N« nc. M.u
Int WaU /
p O,6UJ? ~ .5 ~ CCIIIOg r pdv~° ~
. . . / s . ' FlOOf ~ ~ . .
U. Tavd Bea.
d q. k. E.D.R. or p. ins. WA. Leader aru RequbW p, [L E.p,(t, w p, im. WA l.uder uu
. a Room kngth 91/,j, wath ~ Height Fl.I Room ILang& Width Height
6,.. .oa uoom--cr.ckage ,oa ar. Vmao..va no«.--cmct.P ,oa am
Nmu Wel xo.e L Aep y ~ Ati
[ RM e[ me* ll/Ots et enLaf q. [L KO. eff r ~ p~pa K
CML ~t?` . . • ~
10! ' ' ' ~trt170~
R, ~ Ezp. ;od .
. wa0 • D 6 Nd op wd - s
Int. wall
P v, . Calmg -
FI001 .
hL TOW Bi0. ' d p. ft. ED.R. m p. iw. WA Luder ~ra Reqnircd p. R. ED.R a q. ia pA ls~der arat
~ r Room LeaRb . Width tkig6t Fl Roem I Leae6 p'uhh Hei~t
bwi and Doorr-Cnekaee aod Aret vI'~ndowa aod Door*-Crackap aad Aeea
wmt H.IiEt Na oa. . n. Ar.. . . . ' .
.f pwo s[ puu llfsts 'ot etaet p, ft. . No ef pt ~ ~t PM WMa H ! q R
Z Zi ~
Coef. Btu ~ Coef. Btu
ion yo' Infiltr~tion
/ Gl&a
JI ID- ~-4 FsD. wll
I. rall / Net up. wal!
- . B lct. aap
. avt- - ~ Ceiling
- s s Floo. . 4a. • p Toul &a. - - -
ed p. (t EDR x p. ms. pA Isader area ReWind p. (t ED.R. w p. ina WA Isader uea
,
I,vw ~ r~vt, - .vrw
Weathentrips Coadtructioe Na INSULATION
Guide
L'~adow~ Doori Refermu Om. Wa0 Int. W~ Cedias Roof Floor Kind Fbr Applied
fr~=P1o I Ye+-fTo 19-
! F1. • oj •+Room L.enath i/ZWid!h i %Z.Height eS /4"fl.I 13. Room LteQt6 Q /ti.Wdth /,z_leKfit
Windowe and Dootii--Cracluge nnd Area Windom aod Uooes-CraekaM64/ %vmin H1ian~ Ne ol Lia-h w.e• W1ale. H~l(\t N~.-of 4a ol p~nf uf Dan• 1~[~~• af c~~cY p fl. M. O1 p~N ~/p~P1 Il(hU Ll G d'{ Z~ CxL Btu Coef. Bta Infiltration 9 6
Glaes sr J i Gleu / (L?
f.:p. wsll - -F X Esp, wall 140..5 4 S ~
IJet exp. wall 7 2 Z b Nd esp. wa0 9 ~,s
Int. wall joL wap
f.eiline .~Jr S CeilioQ „ S X • 0"U
fl~~ e e o Floor ,o -
Foul Beu. 3 Total gt,
Required eq. h. ED.R. w p. ius. WA luder area Requia p, $ EpR x q. im. WA [&ader arca
5-'n.1 624hi C° o. Room Len4e6 !2 Width Height B /dt FLI rr. Roomlle~t6 / 9 Width Hei~t
_ Wmdow~ sod Doon-Gaeksae wd A~ea Wmd2
~ad Doon--Cnek+Qa and Atea
wmu x.4u Na • e a ar.. `
T~w ef p~n0 et p~s. 11ffht~ ot ma! M~, af Width saa ~~O( w Y ot naet q K
_ i r. .
N~~ r g
lddtratioC_ . Ugtrabn • -
FsR wall' .S~ 6 Fsp, waQ
Net eip. wall J~ ezp,
Int. wall - a 1- rl e2 O O int. wall
Ceiling o'L ,S 5 (n P-S- O Ceiliog / X r
Floor e ~ Floor - 6
Toul Btu. 7ota1 Ben. J S
Required sq. Et. ED.R. or p. ins. WA Leader ama Required q. R, Ep.[Z, a p. ins. WA, Leader arca
~-Fl• M, B Room I Lengt6 //z.wdth ~ aight ~ tioom l Lenae6 / width d r HW1 8
Windows and Doorr-Crukage aed Atw Wiodow~ aod poor?--Cwcks~e and Area
wia~n x.irn~ we. ee Ye~tl R. An~ . . bl! x.~~ ~ a a ~w n ~n.
xe. or v.~s or wn. urau ee rs.ea p. NO, er e. ee o.e. ureu er er.et. .a. n.
2~ a 0 S / aa 6 /D 9
Coef. Bm Coef. Btu
(nFltretion ~2 6 4/71 9 D Inhltutan
Glass /,ig Glau i ' :Eap. wall / 5 EiD. wafl X'S
Net e:p. wap S Net e:y. wLU C: 2.
Int. watl 1nt ~vall
CulinS S / /.2 S p Ceiling f; eo '
Floor f!n / - Floor
2 4
Twal Bm ,S r«r eJIL . R1: . - - - ReQaind oca. h. ED.R a q. im. WA ltadrr a~e~
I( J(J
L'r7V Gy =?L41,1
M~, LRwt'TF'L,L r,tl: 32
i?/30L95 TIMrt 900,20
r
. r.
•OSEPFt R Yt:rL!_E':? Cor!sr
~
2029 'lC"'li 4321 4L=PlTlJN 274,75
1622 9009. 1321 TtE"!l'!)M 71't 427.98
-'405 `:O()i 432+ TRENTON TR 9.50
; c:. , ; 0 Mun n.2' , t,,"
, - :,sa - =:3
"f,qLvAq,
. .............~.i;:f..., ,
PERMIT ` CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, MinnesOta 55122-1897 Permit Number: 029303
(612) 681-4675 Date Issued: 12 / 3 0/ 9 6
SITE ADDRESS:
4321 TRENTON TR
LOT: 33 BLOCK: 4
NORTHVIEW.MEADOWS
P.Z.N.: 10-52100-330-04
DESCRIPTION:
' 4-SEASON PORCH/DECK
Building'Permit Type SF ADDITION
'Building Work Type NEW
Census Code ~ 934 ALT. RESIDENTIAL
\l. -
-,r
Jt \ /
REMARKS:
FEE SUMMARY:
VALUATION $19,000
Base Fee $274.75
Plan Review $137.38
Surcharge $9.50
Total Fee $421.63
~
CONTRACTOR: - qpplicant - sT. Lzc OWNER: ,
MILLER CONST, JOSEPH R 18925105 0005170 POULOS ANDY
17171 IPANA AVE 4321 ' TRENTON TR
LAKEVILLE MN 55044 EAGAN MN 55123
(612) 892-5105 (612)452-9588
I hereby acknowledge that T have read this application and state that the
information is correct and agree to comply with all applicable State vf Mn.
L Statutes and City ofi Eagan Ordinances. ~
~LI ANT/PERMITEE SIGNATURE ISSU BY: SIGNATURE
A S CITY OF EAGIkN
3830 PILOT NNOB RD - 55122
045 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1z Z
681 -d675
New Gonsl w+hn Reo ui1a nts ::emodeVReoair Ren uir m•nt•
? 3 repistercd ske surveyf ? 2 npks of plan
? 3 copka ol plam (indude Dqm 6 window s@es; poursC InL. dsspn; ete.) ? 2 stle surveys (erierior addkions 6 decks)
? 1 snergy aleulslions ? 1 enerpy nleulatione for Aaated adLiliona
? 7 wpbs M tree prmmUon ptm M lot platled atler 711193
wqWrod: _ Yea _ No ~
DATE: tl Z~ CONSTRUCTION COST: Z g~ aV` kt'
DESCRIPTION OF WORK:~ ~ P~, ,-c4 4v11
STREETADDRESS: ~37- / I ~
LOT ~R BLOCK ~ SUBD./P.t.D. -z.LJd.1Sd~~'~'~d&,)v
. l ~
PROPERTY Name: / aUlo5 Phone
OWNER
StreetAddress• L1324 Ir~~,kA Tk,,,G
Ciry: State: ZI/I I/ Zip• ~~Z 3
CONTRACTOR Company: Phone
Street Address: I7/71 ~ ~f/W License * LIZv
•Ciry: State:./I/V Zip, 94L
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
CitY: State: Zip:
Sewer 8 water Bcensed piumber: Penalry appiies when address change and lot
change aro roquested once pertnit is issued. 1 hereby aeknowledge that 1 have read this appiicaHon and state that the Infortnatlon is cortect end agree to eompiy with aii
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: 9,,x
OFFICE USE ONLY
Nov z 5 1996
CeWficates of Survey Received _ Yes _ No Wy'3
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
, e .
1y
BUILDING PERMIT TYPE
n 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
r' 02 SF Dwelling o 07 4plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
~tf 03 SF Addition o 08 8-plex ? 13 GaragelAccessory n 20 Pubiic Facifity
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. ? 10 = plex a 15 Deck
WORK TYPE p``k--
a 31 New ? 33 Alterations ? 36 Move
;a/ 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System /
(Allowabie) Main level sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~I3
Depth Footprint sq. ft. SAC Code ~ i
Census Bldg ~
Census Unit o
APPROVALS
Planning Building M? Engineering Variance
Permit Fee Valuation: $ ~q. ooo. -
Surcharge
Plan Review 1 2~'J38 q-Se„Q., Add~f~w-
License
MCNVS SAC 35 r6 I sa = 7, 010, -
City SAC
Water Conn. •
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Capies
ToWI:
% SAC
SAC Units
YOR'SCERTIFICATE KEYLAND H0F1ES -
MODEL 3241
4321 TRENTON TRAIL
l O0
\J l
V*- (b~1 ~
m A ~
v y
. ~m
.41)
~qD
od,h p ~
~
S ~ Z
N
360\
\ ~ •p D
~ N OpoED o ~ ( ti
l 33
`J o\ s til -
. ~
tr R ' o
o w,GP"
0
4 ~
Nl
N - „ o
o 0
*o~w _
600
<<aA PlL /
L 6~ 3 t~
i' N oN
W TR - '
-e DENOTES PROPOSED SURFACE DRAINAGE ~
O DENOTES IRON MDNUMENT SET SCALE: 1 INCH = 30 FEET
• DENDTES IRON MDNUPIENT FOUND PROPOSED GARA6E FLOOR = 97.2 -4 FEET
X000.0 DEPlOTES EXISTING ELEVATIOt! PROPOSED LOIJEST FLOOR = 969 4 FEET
(000.0) DEIlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 97?.7 FEET
] HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 33, Block 4, MORTHVIEbI MEAD041S, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROUEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURYEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 30?° DAY OF MAeCN , 1984.
SIGNED: JAMES R.~HILL, INC.
PROPOSED ELEVATIONS 'riERE TAKEN FROM
THE DEVELOPtIENT PLAN FOR NORTHUIEW
PIEADOWS BY SUBURBAN EN6INEERING, INC.
LAST DATED 9-29-83. BY:
HAROLD C. PETERSON. LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE
e4sos JAMES R. HILL, INC.
Planners / Engineers / Surveyors : , '
FILE NO.
8200 Humboldt Arenue 6outA
~ FOL DER Bbominpton„ Mn, 55431 612-ee4-3029
/ CITY USE ONLY 3
V L ~.3 BL ~ RECEIPT -~-x
SUBD-~r /~iucoifl~-74~~4'.ctd'.0tl11 DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551,22
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH tLQ, TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c °;j7
Laundry Tray ~ 3-.D0 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 _
Floor Drain 3.00 _
Gas Piping Outlet ' mintmum - 1 3.00 x =
Rough Openings 1.50 _
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 65.00 =
(new and refurbished systems)
U.G. Sprlnkler ` home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL D7Q
SITE ADDRESS: q3 ~ l J m"1d^'
OWNER NAME: Pp ~ u 5 ~Sa Cl
INSTALLER NAME: a
S STREET ADDRESS: 7~~
CITY: Pr
lc-~, L-aSTATE:ZIP:
PHONE ( ~f d ) y~}- ~'QaS-
h
brUNA -
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commerciaUndustrial buildings.
• multi-family buildings when separate permits are M required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. If SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 ot permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: 21P:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY '
METER SIZE: " DATE: INSPECTOR:
1989 HOILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ' T Oq I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSFS FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE i1HICH ADDRFSS
ZS DFSIRED. NO CHANGES WILL BE ALLOHED ONCE HAILDING PEAMIT IS ISSIIED.
M[TLTIPLE DWELLINGS RENTAL IINITS FOR SALE [TNITS f OF ONIT3
INCLUDE 2 SESS OF PLANS, CEHTIFIC9TE OF SORVEY - CHEC% WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
1711 RE R.AX.G ~ /
To Be Used For: Sfn~.P,J~ .v h, Valuation: Date:
Site Address '4'1 a I j r.enrFoai?ra„' OFFICE OSE ONLY
Lot ~ Hlock '1j. Occupancy FfiFs.S
-r I Zoning 3~ ~
Parcel/Sub ~~,Q~~~Hpi,') m„~aT7,M,gy Aetual Const Bldg. Permit .
' Allowable Sureharge
Owner AflDR£Wd ~5u54ti -t~Qu ~as I! of stories Plan Review
Length SAC, City
Address 30 ( ~V-,s,v-fou~-a, ~ Depth SAC, MWCC ~
S.F. Total Water Conn
City/Zip Code .,~1
/~ij'un) SSic,93 Footprint S.F. Water Meter
Acet. Deposit I
Phone ~/a -~sot - 9skG On site sewage_ S/W Permit
On site well S/W Surcharge ~
Contractor ~pu'/~ry/pi,/SirKC6D'- MWCC System Treatment Pl. ~
~ City water Road Unit
Address rgok/4,~V PRV required _ Park Ded.
y Booster Pump _ Copies
City/Zip Code 'f"%G!!'o Ov. SS/o~2 TOTAL
APPROVALS
Phone VSSI (,374V Planner
Couricil
Mch./Engr. Bldg. Off.
Variance
Address Council i
City/Zip Code {
Phone 0
NOTE: Sever & Water Permit fees and account deposit fees irill be included in the building
permit fee. Processing time for sexer and xater permits is txo days once a licensed
plumber has applied for a permit at City Fiall.
i
I'll 2/8~}
C
ITY OF EAGAN APPLICATION FOR PERMIT
SETIcR AND/OR 6•IRTER CONNECTIODi
(PLEASE P3IHT)
1) PIMPEIR?Y ,apDR:SS: /3 z/
TFr',I. DESCRI=_Cv: LoT L lUdlTh
(Ir~t/3iock/Sui~~~~ision or Tax Farcel I.D. :iuurzer)
l: rX::-- •17 S'.LC-j~.:4., Dn'?:' 0_° CRIG:::AL `.u;i...~,L`:G _.i'~S^_ ?SS~?2:~• ~y -
• s '
~ F?:5=- R-' S_iGI: L.Al= .
9~1-2 C[JP-,-.. ('?'i0 L'MITS;
0 R-3 `ICi.%-T~iF"CZiSE ('IIT.c::. + TiT7ITS)
? -'-4 ?pa.R''*m;n/CC,T.Ci-JE-:r~:l
? CCi ~ff..?CI.=w/~r.'~'AI: ?0~'IC~
?
2) t`,P°7I= (PLE:,i;E pa[Nr)
N17VME: ~e y L A.vh ~am e S
ADC2.SS: 3Y7/ ~cJ /7~rD sT-
~-'ITY• 7.ri :
PFje:\7E:
3) pjh,^,~c-a (PLEASE PRlNi) fOR CITY USE 09LY
~i•W: /J'lPC r ~1
PIIJMBERS LICE.45E:
ADDRESS: 12CJ90 CN~J r- ~/J C Active
CITY, STn'IE, ZIP: ~ IO h ~j Expired
~ No[ ai Recard
PH0~1E: H~r:'
Y5~1 ri- G~~/ PLUNBER LICENSE #Qb ~zT7 t~Jy/ ~
.arr nttia'y
4) OCC,."UPp_d'P/C!•7p]c-R (PLEASE PNINI)
tv~:~~: ,4m e /~S G ; c s~n%T
ACDRESS:
CITY, STT,T'E, ZIP;
PHO:'G:
S} I'[VpiC;'I'E ;•7HICIi PEF.',LIT IS BEP:G RLQUESTID;
~ CC.ulP.C:ZON TO CZTI Sc^.iER
~ CC:..'VF~.'PIGi7 TO CZT'i SvATEI2
? G'I'E'.ER (PLFi15E DF.SCZiBE)
6) C:Z:
? PT..`' ;SE E:OLD :;P?Ra1p PER•LIT FOR PIGR-UP BY O^IE OF V,0`JE
~P?.EMSL ti*t'1ZL APPR0% PER.-'uT 'R7 1, ?r a 4 r1PC'TL
(Circle one)
7) SICZ,T[.aE: De+TE:
S
uaa• r
F O R C I T Y U S E O N L Y
PrRMIT ISSliED
F°ES: 5 /01 5/)
{ _':C:. -
_ Sii..........
5 /n• }0 WATER PERPIIT ( Ii:CLUDE SURCI:aRGE)
S G.3.C}U WAT°R METEP./COPPERHORN/OUTSI^E RE:,GE:?
$ WATi.R TAP ( 1NCii1D: COp?.~`iR.aTI.r'i:: S=? )
$ SE:•iE.°. _ .
07) ACCOUiIT uEPOSIT - Sc.':?ER
S /S, (}U ACCOULNIT DE?OSTT - ~,i~,T°_3
S o •(1D WAC
S $2 S~ ciV s:,c
$ TRUVi: I•:AT°D ASS°_SS:•iE`iT
$ TFliciS SEi•iER ASSESS:-lEN-T
$ LATE°'v:. BECILrIT/TRU`:iC SE:•:ER
$ LATERAL BENE£IT/TRU:Iri SdAT°R
S OT??ER
$ TOTAL
$ AMOii:IT PaID/RECEIPT ; y.3 F9Z~
DOES UTILIT'I CONNECTIOy REQUIRE EXCAVATION IN PUBLZC RIG:iT OF SvAY?
~ YES IF YES, THEN A"'PERMIT FOR I90RK WITHIN
PUBLIC ROi1DFlAY" MUST BE ISSUED BY THc
4 NO EP7GINEERIP]G DZVISZON. LZST AS A CONDI-
~ TION.
SUIIJECT TO TEIE FOLiO?9IiIG CO.:DITIOD]S:
APPROVED BY: ~ M4,.`.
TZTLE: (j~/5 c&
DATE :
i
Use BLUE or BLACK Ink
I >•1pQr QttiCe Use
I
~
j Permit*-.
Penult Fair i
City of Eajan 1 ~
3830 Pilot Knob Road I Date Received:
I I
Eagan MN 55122 I
Pbone: (651) 675-5675 I Staff i
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
sibs Address: t f e ~ V
Dom: _
r. T11 Suite
Tenant:
v u M F , ~l ."'yp r ~i, Name y~~1I~W i :i, PrklOne:
1,vdly,Li~C~V „
clu
r ' x}321 ~~en ~f'I Akan
Address / City F dip:
If~„i JY r e ~h 4 rR ~ u' Name'
~1,m,~ Krrv r
Address: Q' - Gv
Or.
Statm Zp:~C)5 Phone;
1\'\..~.,tl, , contact Email: ~w e5 r"1
Replant men( R 0 r R%b%ltl _ Madl~r SKI~►4e -..Mark in R..,W.
Pe .
;;ids'",, ew
N
r„~ :;°,•:.j~r`j~l~;u•.1rr',it>'r.~~rt;"N ":i:~c;:~;;.`•;,::
Description of work:
's>; ;r •r'Y~ ' " ' RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation FRP2 / PCB)
Add Plumbing Fixtures Main Lower Level)
p Septic System
Water-Turnaround
New
1 ~ Ilrr M
Abandonment
RESIDENTIAL GEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge)
$60.00 Lawn Irrigation pncludes $3.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic SAtteem Abandonment , Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $200.00 If a 518" meter is required)
$115.00 SeDO .System New ($10.00 per as built) (includes County f~ and $5.00 State Surcharge) TOTAL FEES $
CALL BEFO ^E 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. uvmn"•9ogherslategne~ii'°rg
I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances ndtco eewk the City of will be Eagan; that I understand
this is not a permit, but only an application for a permit, a oval rk is not o start without a permit,,
accordancewtth'ttre approved plan-In tthe case of"workwhleh"requires amOvw and ill - plans.
X ~UV~ 4 ~~1tL b x
lcnature
a
Appllcants Prinle Name p
d,
,v.. ,r. . . r I:_ V,'li• `:l , ..k{ ,Jx ' w~'h~ •~iY;
t~^ ..Y.l.r tl iJ 1 I I (dS 4 !:h' i f A r., i,,o ;N„Yo~:\Ur ~~.z~:ac. Wa1
~~++yyy~yyyy,, WWyy~~gqp,~, y a J , AJ;. . ^i,•',r.' i'iut 1 iiyr,@M~91•' aW`4aw P,' .l'+' 'n;'
ut~l~~+{'4►~~~~ ,:.y:,- 1 Fr h r+,,.,,`!, M :Yy,,. ~.~-','Y-.~",":w~>
i,! 1+ +i 'S, a Y r\r Is,,~.i~j4~'''`~ .-f,~%{.,•%~ k, ''~,yl~,;y G,6,.;~ R+ ;i~'..i. f ~lrx,.l9°`i? Sri hit 1, a N..~~..t, 1.; 6µi,„`;Sgi n'' ~r,,,,.d.~r'
if .,1 J n + `;,'a . , a v ~Ir'. y,~y; a ~'~t • r~yq/~ ..y ~ 4, itw~Fa~ R M1.;ar.,'"~a\'1~~19~{4:d+G'SLI, 'h ~~Ol;u r P ~
1`~a 1 r 1 \ / ~rNi' W,,~GP I~~WnM 'rl'Y~1` µ (,rVM~~llf~.~ll4 ( N... r'', J '~^Y.h T,:•„`.+\"- T' Y' "Y h S f ,I 1 µ N~
MI~~ a. r
1 '4I'Y.
,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147031
Date Issued:12/04/2017
Permit Category:ePermit
Site Address: 4321 Trenton Tr
Lot:33 Block: 4 Addition: Northview Meadows
PID:10-52100-04-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Summer Nelson
16455 Stemmer Ridge Rd
Shakopee MN 55379
(651) 219-1858
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:EA149796
Date Issued:06/11/2018
Permit Category:ePermit
Site Address: 4321 Trenton Tr
Lot:33 Block: 4 Addition: Northview Meadows
PID:10-52100-04-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Roy T Varghese
4321 Trenton Tr
Eagan MN 55123
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175926
Date Issued:04/21/2022
Permit Category:ePermit
Site Address: 4321 Trenton Tr
Lot:33 Block: 4 Addition: Northview Meadows
PID:10-52100-04-330
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
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 -
Roy Thankachan Varghese
4321 Trenton Trl
Eagan MN 55123
(715) 821-1621
Joe Nance Plumbing & Water Conditioning Sys Llc
W12738 705th Ave
River Falls WI 54022
(715) 821-1621
Applicant/Permitee: Signature Issued By: Signature