961 Trillium Ct
INSPECTION RECORDT~ --7
- CITY OF EAGAN PERMIT TYPE:
3£330 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: N1/'~' 1`o 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
11 1 IIIM • ~ I t,#. t,fi W Ifi i, I+f 'r't 1 tt,1:1
PERMIT SUBTYPE: ~ TYPE OF WORK:
~ NI 1.1
• D• ON TYPE DA
1'1 I IJ~~ 1 f#i,
1 1:1 1 1 nEI
,„~,,,II IP! rA I;r, ItJ 111if
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11 i11; t'• .~Y IJ I'1 Ftit ~ I/1M f'. i Pf I'! i't,
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- Wrmlt No. PKmi! Holder Dete TiNphone N
S11N
PLUMBING • ~
Hvnc ` , 7 /8 y' ~ -Od OS
ELECTRIC
ELECTRIC
kapsctlon DaDs kup. Commsnts
Foofings I ~7/~ Oe-
Foundetion ~
Framing
Roofing
R°ug" P'bg. 30
R°tig'' "tg. . 7-4V~Ci ~
I5ul. l Q Bs~r~ ,
Fireplace
Final Htg. •y
Onat Test ~
RnaI Plbg. Plbg. Impeaor - NotHY Plumber
r Gv
COf161. M819f
Ef1QfJPl8n
Bldg. Fi,a, 3 .
Doc* Ftg.
Deck Fnal ~
Well
Pr. Disp. ~
_ ...,:..i..i.l--N~..J... . . . . , _ ~...~MD'? . .
r; - - - -
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Werh~cate vf cccupanc4
Witv afi cFagan
Tcpertmcxt a~ ona&ig 3*60cctioa
This Certiftcatt Fssutd pursuant to the ieqvirenttnrs of the Uniform Building Code
ccrtifying that at the time of issaance this structure was iri compliance with the various
,
' orriinances of the Ciry rrgulating buildirtg consrruction or use. For the followiRg:
un a.sufiaam. SF DWG Bieg. Pert,,;t ro. 24218
0-4-Cr TYv~ R31M) zonina asma IPD ryK cimst. VN
o.aff or ewimm PARISH MARCET'IIC & DEyLL.Add,,,, 37CA %UAW= IN, FA(',AN
ewwing Aaeu Q61 1RILLI114 JOUltT t,od;ty IS, B2, IEXDGM POIldIE IOTi
eaikring
POST IN A CONSPICUpUS PLACE
ncE tPT #c~~'~`~' °
1994 PLLTMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
~ SHQWER 3.00 J
a_ WATER CLOSET 3.00 L.~
02 BATH TUB 3.00 C•
19 LAVATORY 3.00
_L KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00 3. ca
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 - 3.~
FLOOR DRAIN 3.00 3 . ^o
GAS PIPING OUTLET • mmimum - I 3.00 3.iv
_13_ ROUGH OPENINGS 1.50
WATER SOFTENER 5.00 PRIVATE DISP. • Dak.cry. ft. 20.00
U.G. SPRINKLER • nome uneor consi. 3.00
ALTERATIONS • to wsiing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITEADDRESS: ~1/ ~/~.~1/v:.??
OWNER NAME: &Zj/c3'/%
INSTALLER:
ADDRESS:_ /~/6f' ,2/i~G'-~r? i9v'e sG'
C1'1'1': STATE: /~7"'' ZIP CODE:
PHONE ( G/~ ) _~SS'7,~~~
~
SIGNA RE OF PERMITTEE
Y4,(1~2'l 8 53 ' .2 . D 0-IL
Request Date Fir No Foughdn Inspectlon Raqulretl Inspectlon Othor Th~npough-ln
(YOU u ttall inspactor w~en raeCy) ~ Reatly Now WIII NOtiy Impacloe
~ Yes ? No Dale Reatl
I lfkicensed contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (Slreel Box w Poute No.) City
7 651
r Sxlion No avnship Neme or No RanBe o Coun
Occu I (PRINT)_ Phone No A4A ~
Power S Irer AEtlress
Eleclncel Conhaztor (Company Name) Conlreclors Ic nse No.
~ o0 9
Mailing Atltlress (Co nctor or Owner Makmg Installation)
Aulhoriiea Sig Wre (ConlractodOwn r aking Irelaelalio ) Phane Number
D-
MINNESOTA STATE BOAflD OF ELECTpICIN THIS INSPECTION REOUEST WILL NOT
GrlggrMlAway BiEg. - Poom 5428 BE ACCEPTED BY THE STATE BOARD
1821 Unlvereity Ave., SL Peul, MN 5510J UNLESS PROPER INSPECTION FEE IS
PM1Ona(6121602-0800 ENCLOSED.
~Q EQUEST FOR ELECTRICAL INSPECTION -NM=:"~ EB-00001-09
Sea Iretmcnons lor comple9ng ihls brm on betk of yelbw copy zk01;`.
0 2 8 53R
"X" Be/ow Work Covered by This Request
eAdd Rep. Type of Building Appliance5 Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Mana ement
Comm./Industrial Fumace Other S ecif
Farm Air Conditioner
Olher (speclty) Comreclors Remnrks.
Compute Inspectron Fee Below:
# Other Fee # Service Entrance Size Fee !f Circuits/Feeders Fee
Swimming Poal 0 l0 200 Am s - 0 to 100 Am s
Transformers Above 200-Am s . Above 100 -Am s
Si rls inspector's Use Oniy: TOTAL
Irrigation Booms ( Qv ~ 6C~ ~ss~
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED-DISCONNECTED IF NOT
Other Fee 50 COMPLETED WITHIN 1&MDNTH . ~
I, the Electrical Inspector, hereby Roughdn J ? ~ oet
' ~-fl~
cehity that the above inspection has Finei oe~e G a
e 2'
been made. OFFICE USE ONIV ~
Ns request voitl 18 manths irom
0-~-~31~
Feq sl Oale ~ Fre No. o gM1-In Ins no Raqwretl Inspe n Other Than Rovgh-In
~ (VOU must call ms0ector whe eatly) Reaay Now 0 Wdl Nolity Inspector
Y e s No Date Rea
I censed contractor ?owner hereby request inspection of above electncal work at:
Jo tltlress ($Ireet, Box or Roule No) Cily
Seclion No Township Name ar No enge No Counly
14" ~o
Occupant (PRIN') Phona No V '-c
C 75~
Power$vpplier Atltlress
EI I treclor'COm any Name) Con/trac/tor's Ecanse No.
Mailing ress (Con[raclor or Ow"king InslalWtion)
7 ~
Aut~onzetl Sig re (COntract ner Malting Installalion) ~n Phone Number
l../
MINN OTA STATE BOANU OF ELECTFICrtY TMIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-128 BE ACCEPTED BV THE STATE BOARD
1021 Unlvenity Ave., SI. Peul, MN 55100 UNIESS PROPER MSPEGTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ~i~"=~~Y?~• ee-aoooi-os 7- ^y/ V3l oSee inslmclions lor completing Ihis lortn on bock ol yellow cvpy 15 9 5 ~
"X" Below Work Covered by This Request ~r•;~,~
Ne Add p. Type ot Building Appliances Wired EquipmeM Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatmg
Apt. Building Dryer Load Management
Comm./Industnal Fumace Other Specit )
Farm u Contlitioner
ONer (specity) CoNractor's Remarks'
Compute lnspection Fee Below.
# Other Fee N Service ENrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 _Amps
Signs Inspecror's Use Only. TOTAL
Irrigation Booms
Special Inspection ~
Alarm/Communication THIS INSTALLATION MA O DISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rou9n,m oaie
cedi(y that ihe above mspection has o..
been made.
OFFICE USE ONLY
Tins reque5t voitl 18 rtqntM1S Irom
Address 961 rai[.LZtmt couar Zip 55123_
Lo[ ' 5 Blk 2 Sub rIDC[rx= w»rnrrF ionr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9JW y Yes No Inspecror.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) j/
Permanentdriveway
Permanent gas ~
Sod/Seeded grass ~
TraiUcurb damage ~
Porch
Basement finish
Deck ~
Plcase verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in righbof-way or installing undergmund sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy ~
RESIDENTIAL ~J
BUILDING PERMIT APPLICATION ~
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon Reauirements RemodellReoair Requirements
• 3 registered sde surveys shawing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20°h maximum lot coverage allowed) . 1 set ol Energy Calculations for heated additions
• 2 copies of plan showing beam & windax sizes; poured found desgn, etc.) • 1 site survey for ezterior additions & decks
. 1 set of Energy Calculations . Indicate if home served by septic syslem Por additions
• 3 copies of Tree Preservalion Plan d lot platled afler 711193
• Rim Joisl Detail Op6ons selection sheet (bldgs with 3 or less units)
DATE E - 13-02 VALUATION ~Cco at)
SITE ADDRESS a6I % C't MULTI-FAMILY BLDG _ Y X N
TYPE OF WORK ~e,r.~-o,,~ l- ~~~wcz ~~-o ~ S•.ISI-CN. FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 1hCe_d,. I L
STREETADDRESS 5~S'g 7,U.(IL-5~'~;LL CITY _E: STATEtAN ZIP S~ 076
TELEPHONE#6SI-bg8'L~~6~'CELLPHONE# FAX# 651-
PROPERTYOWNER ~(-CL4 TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES07'A RULLS 7670 CA'1'LGO12Y 1 MINNr:SO'fA 12LJLLS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone
PIumUing systcm includcs: Waler So[tener _ Lawn Sprinklcr rce $90.00
Walcr Heatcr No. of R.I. 13atlis
1\'0. of 13atlis
Mechanical Contractor. Pho e~k~ a ~ ~ ~
Mcchviic:il sysLem includcs: Air Condilioning ~ 13Rd141 $1600
Hcat Rccovcry Systcm ~
Sewer/Water Conhactor: Phone By '
I hereby acknowledge that I have read this application, state that the inis c rro ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or iSignature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT c"c4"c) -2 a~- -99
-~<'CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024218
(612) 681-4675 Date Issued: g 7/Z 2/g q
SITE ADDRESS:
961 TRILLIUM CT
LOT: 5 BLOCK: 2
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-050-02
DESCRIPTION:
Building-Permit Type SF DWG
Building Work Type NEW
~'UBC Occupancy~', R-3 M-1
/ Construction Type V-N
/ Zoning ~ PD
Building Length 56
Building Width ` 52
~ Building stories
. , ,
\
'
= V
~ , .
s
REMARKS:
S& W PLBR - LAKESIDE PLBG
FEE SUMMARY
VALUNTION $122,000
Base Fee $716.50 MISCELLANEOUS $1,828.50
Plan Review $465.73 Total Fee $3,871.73
Surcharge $61.00
SRC $800.00
SAC % 100
SAC Units 1
Subtotal $2,043.23
CONTRACTOR: - npplicant - ST. I.IC. OWNER:
PFlRISH MKTG & DEVEI CORP 14526644 0001054 PARISH MKTG & DEV CORP
3799 BRIARW00D LN 3799 BRIARWOOD LN
EAGAN MN 55123 EAGAN MN 55123
(612) 452-6644 (612)452-6644
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 Mn.
L Statutes an 'ty of Eagan Ordinances. ~
~
APPLICANT/PERMITEE SIGNATURE ISSUED B: SI A
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 024218
Eagan, Minnesota 55123 oate Issued: 07122194
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 5 BLOCK: 2
961 TRILLIUM CT PARISH MKTG & DEVEL CORP
LEXINGTON POINTE 10TH (612) 452-6644
PERMIT SUBTYPE: TYPE OF WORK:
sF ows New
INSPECTION „ .
FOOTINGS FOUNpATION
FRflMING ROOFXNG
INSULqTION FZREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAI
REMARKS: S& W PLBR - LAKESIDE PLBG
F
L
~
CITY OF EAGAN
1994 BUILDIN 681E-4675 APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered slte ~~VEOf energy
calcs.
COMMERCIA4 2 sets of architectural & structur 1 pla~ris,f 1 set4af
specifications, 1 copy of energy c].cs_____________
Penalty applies: 1) when permit is typed, but not picked up by last working day af month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date July 13 / 13 ~ 1994 Valuation of wark
Site Address• 961 Trillium Court
STREET SUITE !f
Tenant Name: (commercial only)
LOT 5 HLOCK 2 SUBD. ~6xgnjton Pointe P.I.D. #
dti
Descri tion of wo=k: Single Family Home
The applicant is: ? Owner M Contractor ? Other (Describe)
Name Parish Marketing & DEvelopment Corp. Phone 452-6644
Property LA51 FIRST
Owner Address 3799 Briarwood Lane
STREET STE #
City Eagan State Minn. Zip 55123
Company same as above Phone
Co ntractor Address License # 1054 ExP, 3/30/95
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Lakeside PlwnbinQ - 894-7600 . Processing time for
sewer & water permits is two days once area has been approved.
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. / - i
Signature of Applicant: a
~l.d ~
OFFICE USE ONLY ° -
. ~j*
BUILDING PERMIT TYPE
w
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Q 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Camm./Ind. Misc.
? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck ? 20 Public Facflity
? 21 Miscellaneous
WORK TYPE
G]'31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) ,i/y lst F1. sq. ft. o y City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total 8ooster Pump
# of Staries Faotprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code
Depth On-site sewage SAC Code Gi-
Census Bldg -7-
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Si te C>3- Faoti ng •d-Framing ,[D- Insul ati on
? Wallboard El- Final ? Draintile ? Fireplace
Permi t Fee vewacion: $ 1~-Z D o 0
Surcharge ~
Plan Review ?o3,t-
License
MWCC SAC Z-
Clty $AC 1 Q ~y3n z ~90,10
Water Conn. ~ o~'~• b o
Water Meter
Acct. Deposit l~~y~~~~s ~
S/W Permit
S/W Surcharge /Q33, ~aC~
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other Total:
SAC %
SAC Units
' 2422 Ent9rprl8E DtIVR •°'...~"'r~ !,.1~^":
. '~c'* Mlndolo HeighlE, MN $5120 • ' * pIonisOA (e12) eei-1014 F~x:se1~e~ ~
w+o eunKVan • a~~ amrrcm~ .
ene nsrr ng uue xZuupe. LMoMAn Mauacle , 628 Highway 10 N,E. '
Blaine. !AN $5434 '
783-1b90 FAX:78.'f=1863
Certificate of Survey for: PARISH MARKETING
j 961 TRILUUM COURT (q~
~ 9887 x'' 76.00 S89°06'23"W e,s._
~ o a ~
~ - '
5'" EASEMEdNT P~ER PLIATT~ s
I ~.4
g
saz.s „ I
3 I M ~
4 K981.7 3 ~^.x981,4 I ~ 6
M \
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981.3 9819, O
(78
961.06~ I-- x 2
G~ Z i I 4.~0. .0 1~~ IggI.Y3
~"~'~•O+ ~ P HoU3E N
D ~
N 981.2
12.0 I ~
i • ~ ' 81 3
d
~
~n~I IA.93N 4 GARAGFjN
N
~ r A 961.1 ~ 0 ~ II. 7~~~ '
iCN MARK / x cr~l8
TOP 0r MUB ~BI.O 8110 i' ~gENCN MARK
EIEV.1981,13--~ p TOP OF ~IIU
o aROPOBED ~ ELaV.,
9
.ib
DRIVEWAY 5 @
; ~ 5~
M ti)
(97d.~r)"\ ~ ° ; ~
SERVICE 76.00 N89006 23 E-~ sre.5
INV.•9682
-""7 I 97g.3 ;
uf ,
4~ ~ ~ N~ 978.4 N,
'o TRILLIUM COURT' 6~
~
a¢ PROPOSED GRADES SHONN PER GRADING PLAN BY: YRhLAND GfNE-,UgW DuPy,
NOTE: BUILUINC DIFIENSIONS SHOWN FRE FOR HORIZONTI.L AND vEpTICAL
LOCAlION OF BTRUCNRES ONIY. SEQ IUlCHITFCNA6 GUNS F011 EURDINO sN0 F[UNDA710N OIUENSIONS. '
N01E: CONIAACTOti AIU4T VERi1Y DRIV[WAY DQS~GN. 7N13 CER~CICAf6 DOlS N0t PURPIXtY 10 SHOW EA9EMEN15
oTMex TMum niosc sH004 a+ n+e aecoaoeo our.
NOTE: NO SOEdtIC 3d15 iNVCSTIOAnON HAS BEEN COMPLETED ON 1M18
LOT BY 7HE 4UFVEYOR. MC SUItAliUiY OF ShcS TO SUPPOR7 TIE , BEARINOS SHONN ARE A9SUMED .
9PECIiIC HOUS£ PNOCOSEO IS N01 iM! ACSPONSI9Il1tN 0? TNC 9URKY011.
pROPOSEb HOUSE ELEY~?tQCI„
x 000.00 Denotes Existing Elevation ' 000.00 ) Oenofes Propoaed Elevotion Loweat Nen Elevbllon: I I
; _ - Uenofea Drainoge & UtlNty Easemen!
Oenotes Dralnage Flow Dlrection Top of Block' 6levallon:
; Denotes Monument
~ Denotee Offeet Hub Goreg6 Slob Elev6tl6n: i . . . , . _ . „
LEXINGTON 06INtE"7ENTN ~.AI~UITION
' LOT 5 , BLOCK
~ DAKOTA COUNTY, MINNESOTA . ~
~
Ny henty c6rldy mci inlo airvny, plan or repor! waf n ond 6y ms er unda my dlnol fupvdd4 E lhok I an+ duly Npiker~dond SWv~
PifH JULY A.o. +
ttio iawo nt thp SMle of urneyvlo. Dotod Hde day ef ~
~ SICN : I0 NEEI2 ENGIN fRING, P
_.f•,-:-:"'
` Scale: 1 inch = 30 feet ~
t John C. Lareon, L.S. Reg. No. 198Y8
{ io a saias.oa ~
• .
. LOT BIIRVEY CHECRLIST FOR RE6IDENTSAL
. BIIZLDING BERMIT APPLICATION
PROPERTY LEGAL:
< ~ Date of Survey: _
~ -71111221
~ DOCLTMENT BTANDARDB /
0 • Registered Land Surveyor signature and company
~ O 0 • Bullding Permit Applicant
0--o 0 • Legal description
p • Address
Q~ 0 • North arrow and ba~ scale
p 13 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
8-'0 0 • Directional drainage arrows with slope/gradient
0p 0 • Proposed/existing Bewer and water services
- 0 • Street name \
GYb 13 • Driveway
ELEVATION9
Exietina
po 0 • Sewer service
0 • Lot corners
? Top of curb at the driveway
0'0 D • Elevations of any existing adjacent homes
Prooosed
D : Garage floor
? First floor
0 • Lowest exposed elevation (walkout/window)
0 • Property corners
0 0 • Front and rear of home at the foundation
40NDI1JG AREAS lif aoolicablel '
0 D"~0 • Easement line
0 [i' 0 • NwL
D C'f 0 • xwL
0 Q~~~ • pond N desiqnation
0 0~ 0 • Emerqency Overflow Elevation
aixsxszoxa
0~~0 0 • Lot lines
~ 0 • Right-of-way and street width (to back of curb)
0 0 • Pzoposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
D~0 0 • Show all easements of record nnd any City utilities within
those easements
~D 0 • Setbacks of proposed structure and setback of adjacent
D _ / existinq homes
,a" o 0 Retaining wall r irements, if any
Reviewed:
Name / ate
Ootober 1992
INSTALL 6(J LF OF 6" UIP 'NAT FRF.irAIFI
RFMOVF_I'I_iir: ~
MIJST Ih1STALL 50 lF OF 8" rvC `:UR 35 Uhlhlr-r. r r~,
UNE. [il 0.4% Sl_OFF WI"T'H IU' UIJTSIUF
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-~•~WOR ELEVATI fUS. THIS DATA S FCR 97B.'?`,-
i I Z~Ri.?,UL)ON URPOSES OIVLV AfUf3'''
'ERSOiVS U511UG IT SHOULD VERI(VY THE p-"-' '
~ D%:=0RiN1Fj.TIafV ON HE QITE. ; _ - - ~ _
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MINNESOTA STATE ENERGY CODE CALCULATIONG
BASED ON CHAPTER 5 OF THE ~
MODEL ENBgGY CODE - 1983 EDITrnN
Adoption Effective
Owner Phone Date
Site Address
Contractor 7 Ph' ne
Building Clasaificatlon: Type A1 (Single Family & Duplex)
Type A2 (Residential, 3 stories or less)_(OVer 3 stories) (other)
NoTR• Complgt e p,flges 3 and 4 first. GEHFBBLINFORMATION
~uR~LSF~~~T
1. Building Perimeter ft.
2. Wall height (ground to eave) « ft.
3. 1. X 2. (above) gross wall area Z~ -7/ sq,ft.
4. Building dimensions (L) ~ X(W) ~ _~0sq.ft.roof 6 floor area .
5. Sq, foot area of rim joist - Floor joist size (2 X
_.[L- X 1Zdj_(Perimeter) = Z[~aq.ft.
5 12
6. Doors - Area
Thickn ss in U. factor-dY,17
Type of Constructioh Perimeter ft.
Manufacturer
7. Total door'e perimet'er ft.
i
8. Windows: Manufp cturer/kSUL 3tate approved
U factor 17-)o
TYPE SIZE AREA (Sq,Ft.) N[1MBER OF TOTAL
EACfi UNITS SQ FEET
9. Total sq.ft. Glasa
10. Fireplace area: Width X Height = X = sq.ft. _
11. Exposed Eoundation: }leight X Perimeter rb7 X121=1A_sq,ft.
COt7PLETION OF TIlIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJ0R
REPiODELING At7D BUILDINGS BEING MOVED WIIERE ENERGY, OTHER TfiAN Tf1E MINIMAL
CODE ALLOWANCE, IS USED.
-1- _
32. Framing arep = 10% of groae wall ares.
13. Grosa wall area Z~7-/ sq.ft. .
Window area A . sq.ft. U windows ~o ~7V UxA
Rim joist area A 2i9 sq.ft, U rim joist=Of UxA
Door area A CT sq,ft. U door acea= il~ UxA =
~
Other doors area A40 eq.ft. U other doore=,4 7 UxA
Exposed fndn A--[~_aq.ft. U foundetion=,D7 6 UxA
Framing aren A M sq,Pt. U framing area=~ S UxA
Net wall aroa A~ ~ I sq.ft, U wall~ .n.4zz_ UxA =~7
(130) TOTAL . . . . . . . . . UxA =
14. Gross wall area x 0.11 (A-1 eingle femily 6 duplex) = allowable UxA/COde
(13. above)
x 0.23 (A-2 other residential)
x .23 (other bulldings)
x .2e (over 3 etories)
~ 17 ~j ~BTUl1 must be larger than or same
A x U Code . .°F. ae 13B above
15. Ceiling framing area (Af) equele lo} of ceiling area
15A. Grose ceiling area =(L) - x(W) _-~02~_sq.ft.
158. Joiet area (Af) = 10$ ceiling oreq -I b-27, 4 e9•ft.
15C. Net ceiling area (Ac) (15A - 15B) _ eq.ft.
U ceiling x Ac _ 47060 x~Z2 o~
O framing x A f = Ib-12.4 x 1(~Z•~
15D. TOTAL U x A
~
16. Ceiling aren (15A) x 0.026 (A-1 eingle family 6 duplex)
= allowable UxA/(jode
x 0.033 (A-2 other residential)
x 0.06 (other)
BTUti must be larger than or eame
A(15A) ~~_x U Code ~0-eO = ,Z" °F, as 15D above
NoTE: Use U arnl A values obtained from pages 11 3 end 4.
CEIITIPI-QBTL2ti: I hereby certify thet I have calculeted the "U" factore and
"R'I valuea hereln and that the building here described meeta or exceede the
State of Minriesota Eiierqy Conservntion Act.
Date 9lgnature
_ 2.,
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CI'TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FiREPLACE INSERT
DATE 0 1"
' FEES
HVAC: 0-100 M BT'U $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) ~I 00
ADD-ON/REMODEL (ExISTING CoNSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL 3T `JO
SITE ADDRESS: ~(U I TV'~ I I I I~.~~,~
OWNER NAME: TELEPHCNE _`fl~~ ~(1J</JY ~
INSTALLER: 7~JrS °I r oo'f
ADDRESS: S <
CTTY: ~ STATE: lA n ZIP CODE: E-br J 0
TELEPHONE " J
SIGNATURE OF P MI EE
CITY USE ONLY
L S L ~ RECEIPT
SUBD. DATE:
710,5195
a, 1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exr,hanger; i.e. Vanee system; Ptc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU ~ 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL SU
SITE ADDRESS: ~~n~ ~~~~~u~1• J~~ OWNER NAME: LAJ PHONE
INSTALLER NAME-
Preferred Mechanical Services, Inc.
STREET ADDRESS:7643 Logan Avenue South
Richfield, MN 55423
CITY: Bus:866-7611 Fax:866-O125 L ZIp;
PHONE ( )
biLiNA] URE 0712~RMIrr_
~7 k 2S¢ ~M"'
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr ConsWCtion Reauirements RemodelrRe air Re uirements Office Use ONv
3 registe2d sRe surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copies of plan shaxing footings, heams, joists Cert af SupieyReod': ` ~j'_ Y?_ N
(20% mazimum Wt coverage allowed) 1 setoi Energy Calculations for heated addi0ons Tiee Pies Plan Reaj= Y,' -N
2 copies of plan showing beam 8window s¢es, poured tound design, etc. -J1 sRe survey for addNons & decks ;Tree.Pres Required =Y;. ~ N
lsetofEnergyCalcula6ons AddRion - indicatedon-sifesepticsystem On-ske,S'epUcSystem`„.~;,~,_Y,;,_N
3 copies of Tree Preserva6on Plan if lot platted after 7/1193
Rim Joist Detail Options selecEon sheet (buildings wiN 3 or less unils)
Minnegasco mechanicalven6lalionfortn
Date 6 /30/0(o Construction Co,~ 5. S(~(~
Site Address i t ) Unit/Ste #
Description of Work {n ) (-JC)-&-
Multi-Family Bldg _ Y'& N Fireplace(s) _ 0 _ 1 _ 2
Property Owner -7-0 yY~ a. Ca ` C~ 1 ~ 4 Y1 Cc Telephone # SI
Contractor T f' ~U~l~'~frY ~"~UI~ i?~L.
Address J Ul J~ r) City
State n j2 ~n 4~-,- Zip Telephone N (~,rjl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category Residen[ial Ventilafion Category 1 Worksheet • Ne ~ rg
~ y Code.VK.o sheet
(J submission rype)
Submitted Submitted' nrt ~
. Energy Envelope Calculations Submitted . U ~
~
MAY30
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master- lan? 006
_ Y _ N If yes, date and address of master plan: f
dy -
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved p kne case of work which requires a review and
approval of plans.
Applicant's Printed Name Appli Signature
DO NOT WRITE BELOW THIS LINE '
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex A 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 32 Addition ? 36 Move Building ? 42 Demolish Foundation Q 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitton (Entire Bldg) - Give PCA handout to appiicant
DesCriptiOn: WaterDamage_Yes
Valuation !~ew Occupancy /i J MCES System
Plan Review /t/ 100% or _ 25% _
Census Code ~Zoning p~ City Water
SAC Units - Stories ~ Booster Pump
# of Units - Sq. Ft. PRV -
# of Bldgs - Length Fire Sprinklered
Type of Const ~ Width ~
REQUIRED INSPECTIONS
Footings(new bldg) _ Sheetrock
~ Footings(deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
Fouudation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco Lath _ S[one Lath _Brick
_ Fireplace _ R.I. _ Au Test _ Final _ Windows
_ Insulation _ Retaining Wall Approved By: , Building Inspector
~ n -
Base Fee ,
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Certificate of Survey for: PARISH MARKETING
~
961 7RILLIUM COURT
(q
98e.-? x 76.00 S89006'23"W eSL- `
0 4 ~
1 ~
5~ DRAINAO E 9 UTIUT~T ~ 5
EASEMEN7 PER PLQT
I 5 982.4
982.6 x (
. 3 I M
4 ~ ?sei.~ `x9e14 I U) 6
O
432 98.3 1,9 9815 0
961.06 O I-. 4.~ 0.0 ~
Z 1 1 ~ o T~ '1981.7-A
°o vROaoseo ~
r+ouse N I
. 5_ ~ ~
• `"~'~1~"#'. M ~ ~ 981.2 ~i
12.0 I vNi
N
1 x: .
d~ zA.33o Q GARAGfijn~i r~
N
I i 981.1 ~20 ~ 11.67
dCN MARK 971 ~ x J01P 1 `
TOP OF NUB r~-- ~ 81.0 98`1,0 i '~-~BENCH MARK
EIEV,0981.13o ~ PROPOSEO y o ~~CV~9p I.~y
.
~ 5I 1 ORIVEWdY ~ 5 ~
' M
CC+7~~;•`T/+\ 0 O ~ / IQJ~
SERViGE 76.00 N89006 23 E-- 97A.5
INV•968.2 A y7dl 978._,_~ ~
~ N 978. 4 N
IV
T TRILLIUM COURT
~a 9EYtEWED
a .
' PROPOSED GRAOES SHOWN PER CRADINC PIAN BY: TRI-LAND
„ni DEP'j;
NOTE: BUILDINC DIAIENSIONS SHOVM ARE FOR HORiIONTAL AN0 VEpPCAI LOCATION OF BTRUCNRES ONIY, SEf MCHi7ECNAl VlANS FOR BUItDINO .
sNp iCUNDATION OIIIENSIONS.
' NOTE: CONTRACTOR MUST VERIfY ORIV[WAY pfSiGN. THIS CERTIFlCAtf OOCS NOf PURPORY ?0 SMOW EASEMENTS
. OTXER THIN iH09E 9HOWN ON THE FECONOfO V6At.
N07E: NO 59EqYiC Shcs 1NVCSTIOA717N HAS BEEN COMPLETED ON 1NI8 LOT BY 7HE SURVEYoR. 111C SUItAlNTY 0F SOILS TO SUPPORT TIE BEAqIN04 SHONN ARE A95VMED
SPECIFIC HOUSE PROFOSED IS N07 iHL RCSPON3IBIlJ?Y 0r iMC 3UR4'IOR. .
PROPOSEn H0U5E ELEVA7LOti
x 000.00 Oenotes Exlsting Elevotlon 7
( 000.00 ) Oenotea Proposed Elevotlon LowAat Plooe Llevcllon:
Denotes Dralnoge k Utllily Eosemenk
- Denofes Dratnage Flow Directlon Top of Block Elevotlon: 1=
Denotes Monument
-9. Denotes Offeet Hub Garage Slab Elevotfon:
LOT 5 ~ BLOCK Z LFXINGTON POINTF JEN7H.ADDITION
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 961 Trillium Ct
Lot: 5 Block: 2 Addition: Lexington Pointe 10th
PID:10- 45094- 050 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684 -4647
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
3/12/09 Homeowner canceled the job, so contractor is requesting reimbursement for the perm
contractor for the base fee only and not the State surcharge. pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Owner:
Tamara K Callanan
961 Trillium Ct
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA087955
01/12/2009
ePermit
We will reimburse the
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 961 Trillium Ct
Lot: 5 Block: 2 Addition: Lexington Pointe 10th
PID:10- 45094- 050 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Heater
New
Water Heater
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Tamara K Callanan
961 Trillium Ct
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA091215
09/21/2009
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126036
Date Issued:08/12/2014
Permit Category:ePermit
Site Address: 961 Trillium Ct
Lot:5 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-050
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Tamara K Callanan
961 Trillium Ct
Eagan MN 55123
A Detomaso Construction Llc
486 East Winona
St Paul MN 55107
(651) 789-3100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139910
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 961 Trillium Ct
Lot:5 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Tamara K Callanan
961 Trillium Ct
Eagan MN 55123
(612) 418-7497
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:EA154184
Date Issued:02/26/2019
Permit Category:ePermit
Site Address: 961 Trillium Ct
Lot:5 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-050
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 -
Jason S Raether
961 Trillium Ct
Eagan MN 55123
Airic's Heating & Air Conditioning Inc
9124 Grand Ave
Bloomington MN 55420
(952) 345-0032
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167061
Date Issued:02/22/2021
Permit Category:ePermit
Site Address: 961 Trillium Ct
Lot:5 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jason S & Julie A Raether
961 Trillium Ct
Eagan MN 55123
(612) 418-7497
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170215
Date Issued:06/23/2021
Permit Category:ePermit
Site Address: 961 Trillium Ct
Lot:5 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Jason S & Julie A Raether
961 Trillium Ct
Eagan MN 55123
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature