968 Trillium Ct
~ , ~ , . . _ rCM USE'ONLY
L BL
su$n~~~~..H:....~'~......:., :...:...s a ~.n~~
1994 PLUMBING PERMTT (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 PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACFI TOTAL
Iz SHOWER 3.00 G.
13 WATER CLOSET 3.00
~ BATH TUB 3.00
~ LAVATORY 3.00 i~ . 1W
/ KTTCHEN SINK 3.00 d. •v
LAUNDRY TRAY 3.00 ,i . w
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 3..a
FLOOR DRAIN 3.00 J .u
~ GAS PIPING OUTLET • minimum - 1 3.00 3, cu
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • DakCry.lic. 20.00
U.G. SPRINKLER • nome under consi. 3.00
ALTERATIONS • to uisting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
3ITE ADDRESS:_ /1'wa"'q
OWNER NAME: AX2 ,U/
INSTALLER: e~'e,S r~.~ 9 6 a J~
ADDRESS:_ _ 20y655 aA^~i? .9?C- ,i J
CITY: STATE: ZIP CODE: zz_y-
PHONE (dld ) __~'fY~,l~y
SIGN URE OF PERMITTEE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit Number: ~ -
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I t~ t t 4 t~~~ ~
I i1~~ f i~f! 1'~' I:! I I I, i •'1' f PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
1 irltFll tJ~~ ! s:,il 11J~~
i '
i i r4•~iii r, ~ J.I I i t,~ ,
~ S ~~~:li~~ ' 1~ r 11li.111
Ir-! ~!1 + ! Ilr I I'I I;i~ , ~ ~Irl~
~ ~
~ Permk No. Permit Holder Date Telephone 1
. SJIN
• • PLUMBINC3 '7Wv
Hvnc C*04A/ -0 D o
ELECTRI
ELECTRIC
Inspectlon Dats Insp. Camm"
Footings I
!
Found8tion /
(i
FramnV
Roofi+o
Ro"gr' wbg. ~
R°uyh H1g'
Isul.
Firepleca
Final Htg. 1-17 ~
Orsat Test
Flnal Plbg. Plbg. Inspector - NotNy Plumber
COnst. Meter
EngrlPlan
B{dg_ Fktel
!
Deck Ftg.
Deck Final
VYeN
Pr. Disp.
~
ar ~ • • ~
- - . ;
6;anficate of cccuvanc~
aft4 of Cfagaa
Tkis Certificatt issrrtd pursuant to the nquirements of the Unrform Building Code
certifying that at 1ht tinu of issuance this stnrcture was in compliance wrth the various
'ordinances ojdre City regulatirtg building const?uction or use. For tiie follawing:
~Cbmgfmmm: sF nc BWg. Pe=1 No. 2.3777
oa,p.wy Tym x3/Ml Zo,;nS aw;a PD T,K conu. lvrl
owee. ot smW,xARIgi Mm & ILVQ.. Ad&ng 37qg ARiAIaJOM IN, EAM
sknum Aae=q68 IMLLM M0RT i.«a,;qL14, S2, IFX1tGIQd PDIM IQiH
Doe-
POST IN A (',ONSPICUOUS PLACE
7 S ~~f ~4~ goDS`
3 637 ~~'S
R¢quy5t Oale ne No Rouph-ln Inpsectian Repwr¢E InsO~lion Olher TnanOuOhln
(YOU ust ca9 mspadm when reatly) 0 qeaay No WAI Notity Inspectar
ves ? No DeteReaa w
Ii licensed contractor ? owner hereby request inspection of above elecincal work at:
Jae Aadress ISVeeL Box or Roma No I Qy
Secuon No. TownsM1iO Name or No Ranga No. Coun
i
Occup (PRMT) Phona No,
~ N
T
PowB! Su L¢r A(1tlfB55 .
Electn ICOntractorlCompany Name) ~ Gontraclo lKense No
OD
Maiung Atltlress (CanU cmr or Owner IAaiing InsW twn~
Author¢ed 5 naWre ILOnVactonOn'ner Makmg Installalion / P~ona Numbar
0-(03
MiNNE50TA STATE BOAHD OF ELECTRICITY THIS INSPECt10N REOUEST WILL N T
Griggs-MiUwey BICp. - Roam 5413 BE ACCEPTEO BY TNE STATE BOARO
18I1 llnrvpr61[y AvB., St. Plul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 642-0800 ENGLOSEO
REQUEST FOR ELECTRICAL INSPECTION +~-~~a EB-OOOOLOe ,
c ? Sea inslmcLOns br comple4ng this lorm on Eac+ ol yellow <opy ~cr 4O L.~
~ 3 3 v 3 7 "X" Be/ow Work Covered by fhis Requesf
ew A,4d Fep. - TypeoBuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Dupiex Water Heater Eleclric Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
O:nar (syxiN) ConVactor's RemeMr
Compute Inspecfion Fee Below# Other Fee # ServiceEnlranceSrze Fee # CvcuitSiFeetlers Fee
Swimming Pool 0 to 200 Amps Q~ 0 to 100 Amps -
Transformers Above 200 _ AmpS ~ Above-70p Amps
Si 9ns . tnspecmr's use ony. ~ C~ TOTAL
' Irn auon Booms ~
~
Special Inspec6on
lAlarm/Communication ~ THIS INSTALLATION MAY BE OR eoED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn,in oete
certdy Ihat ihe above inspection has F,• o e
Deen made. -
OFFICE USE ONLY
Tnis repuest voa t0 montM1S Irom
Address. 968 1RiUIW r:cxTRT Zip 5512 3
L.ot 14 Blk 2 Sub LEXI:Ncl'oN PoINTE Io1A
THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIMC OF THE FINAL INSPECI'ION.
Date: Yes No Inspector.
Fina( grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system anJ the shut-off of water supply ro
the outside lawn faucet before freeze potential exists.
Contact enginccring division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracmr Copy ~
j . . 2~( ~ f I 6'a"r`Offce~Use
Pennit #
~ Permit Fee:
3830 Pilot Knob Road I ~
E2gan MN 55122 ~ Date Received: i
Phone: (651) 675-5675 ~
Fax: (651) 675-5694 I StaFt: ~
L
2008 RESIDENTIAL PLUMBING PERMIT APPLICAT O~~
Jate: "CJ-d siteAddress: D _ D
enant: v~ AUG 1 2 2008
Suite
2ESIDENT I OWNER Name: Phone: B
Address ! City/ Zip: SniYr'e c,s ~
'CONTRACTOR Name: License ( f/ / 7 -70 2// 1 ~
einlarnpion Address: 651-365-1340
36 i o
City: Eaqan, [ViN 55123-1339 State: Zip:
Phone: Contact Person: rl
. TYPE OF WORK _ New \/Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE RESlDENTlAL '
~ Water Heater _VJater Softener
Lawn Irngation Add Plumbing Fixtures
~ RPZ PVB) ~ Mam _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
?ESIDENTL4L FEES:
50.50 Minimum Wafer Heater, Water Soflener, or Water Heater and Softener (includes $.50 State Surcharge)
~
30.50 Lawn Irrigation (includes $.50 Stale Surcharge) ~
50.50 Add Plumbing Fixtures, Septic System Abandunment, Water Turnaround' (includes $.50 State Surcharge)
' 'Water Turnaround (add $136.00 if a 5/8" meter is required)
100.50 SBptic SyStefn New ($10.00 per as butlt) (includes County fee and $.50 State Surcharge)
90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) j
TOTAL FEES $ ~
her°by acknowletlge thaL Ihis information is complete and accurafe; thal Ihe work will be in wnformance with the ordinances and cotles of the City o(
apan; thal I understand this is not a permd, but only an applicalion for a permil, and work is not lo start withoul a permil; lhat the work will be in
:corda e v+ith the approv d plan in the case of ork which reqmres a review and approval of plans.
e x
pplicanYs Printed Name Ap;pliwnt's;S" ature .
jp•.:n
OP OFFICE USE Revlewed By r` -Date'~-`'~
P.~i°,4~rl~r Y~~ i t , j~~~rc~'~1 ~3 i21 ~ ~k ~ ~y~ J~u •
equiied Inspectiona:~; -Under Ground; ~1 Rough In ~ Au~„7est ~;`-T ,Gas~Cest , Final -~,-wF : . r,,e
~ .1~~1~ _ai ;.c.F .s.>Y.r.-6kb. o-f!{,r y.v.,a, ti.•~ii~z~ tL •1.,.1+ ,t
l
RESIDENTIAL
BUILDING PERMIT APPLICATION CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Renuuements RemodeURepair Requiremenb
. 5 registered site surveys showing sq, ft. of lot, sq ft of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculauons for heateE atlditians
. 2 copies of plan showing beam 8 window srzes, poured found desgn, etc ) . 1 site survey (or exterior additions 8 decks
. 1 se[ of Energy CalalaGOns . Indmate if home served by septic system foradditions
. 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selection sheet (hldgs with 3 or less unrts)
DATE cola's i oa VALUATION GYt)QO()
SITE ADDRESS q~~ 1 r~ I1 fl'~ MULTI-FAMILY BLDG Y V N
iYPE OF WORK I 6 QC-(Q FIREPLACE(S) _ 0_ i_ 2
r~rn6~ ~^.~ra ~
APPLICANT ~X. Ol3`Zn ,,cy~
STREETADDRESS ~In~ K~l~.`u-~ CITYa.31 STATEt~~ ZIP
TELEPHONE #W"b&'~60CELL PHONE # FAX #L~- y 2 ~ 09 OS
PROPERTYOWNER 4Ja.n* 6" TELEPHONE#66V-Inc~~~ qqb~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ v[IYtiE50"CA RULGS 7670 CA"1'EGORF I MINVCSOTA RULLS 7672
(d submission Type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submrtted
Plumbing Contractor: Phone
Plumbing system includes: Water Softener Lawn Sprinl:ler Fee: $90.00
Water Hea[cr No. of R.I. Baths
No. of Badis
Mechanical Contractor: Phone #
cchaiical systctn includcs: 1ir Condilioning Pec: $70 0
M
- Hcat Rccovcrv Svslcm
lU~
Sewer/Water Contractor: Phone #
I hereby acknowledge thai I have read this application, state that the information is corr gres.tuc~
- -
with all applicable State of Minnesota Statutes and City of Eaga rdinances. I
Signature of Applican
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
' CIT.Y__OF EAGAN PERMIT 0e1~~10ce &3 9 y
3830PilotKnobRoad PERMITTYPE: eurLozNG
Eagan, Minnesota 55123 Permit Number: 0 2 3 7 7 7
(612) 681-4675 Date Issued: 0 6/ 0 3/ 9 4
SITE ADDRESS:
968 TRILLIUM CT
LOT: 14 BLOCK: 2
LEXINGTON POINTE 10TH
DESCRIPTION:
Buil.ding-Permit Type SF DWG
Building Wo.rk Type NEW
UBC Occupancy~- R-3 M-1
Construction Type V-N
j Zoning ~ PD
Building Length 62
Building Width ~ 52
Building stories 2
i
~ J
REMARKS:
S 6 W PLBR - LAKESIDE PLBG
FEE SUMMARY:
VALUflTION $148,000
Base Fee $807.50 MISCELLANEOUS $1,828.50
Plan Review $524.86 Total Fee $4,034.88
Surcharge $74.00
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $2,206.38
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
PARZSH MKTG & DEVEL CORP 14526644 0001054 PARISH MKTG & DEV CORP
3799 BRIARWOOD LN 3799 BRIARW000 LN
EAGAN MN 55123 EAGAN MN 55044
(612) 452-6644 (612)452-6644
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANT/PERMITEE SIGNATU E ISS D BY' SIGNATUqE
` CITY OF EAGAN
1994 BUIL VT.~ LICATION ,$q,
NiAY 2 7 1994
SINGLE & MULTI-FAMILY 2 sets o site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 5-27-94 Valuation of work
Site Address: 968 Trillium Court
STREET SUITE M
Tenant Name: (commercial only)
LOT 14 BLOCK 2 SUBD. Lexiilgtocl Pqinte P.I.D. iF
Tenth Addition
Descri tion of work: Sin le Famil Home
The applicant is: ? Owner B Contractor ? Other (oeser;be)
Name PARISH MARKETING & DEVEIAPMENT CARP. Phone 452-6644
Property IAST F,RST
Owner Address 3799 Briarwood Lane
STREET STE p
City Eagan State Minn. ZjP 55044
Company cama as ahrnva Phone
C011tY8CtOr Address License # 1054 EXP, 3-31-95
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Lakeside Mbin~- 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 S te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
. OFFICE USE ONLY
BUILDING PERMIT TYPE
<< ;
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 9 16'Basement'F9fi`sh~
0 02 SF Owg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Paol
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex O 14 Fireplace 0 19 Comm./Ind. Misc.
11 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
11 21 Miscellaneous
WORK TYPE
,0 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) VN Basement sq. ft. MWCC System ~
(Allowable) V* lst Fl. sq. ft. 777T City Water rr-
UBC Occupancy ti3 in 2nd F1. sq. ft. PRV Required
Zoning FL Sq. Ft. total Booster PumP
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length ~a On-site well Census Code
Oepth 3z On-site sewage SAC Code o~
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site El Footing 15' Framing 12 Insulation
11 Wallboard ED Final ? Draintile ? Fireplace
Permit Fee veimcia,: g/`/G aoCf>
Surcharge
Plan Review Qs..A-
701 3 z - G'in
License ~ Z,
MWCC SAC
City SAC i- - 3Z
Water Conn. /
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl. z3 30 =
Road Unit s
Park Ded.
Trails Ded.
CoPi es
Other ~
Total: 7P
sac % y=
sac un;ts
P_02
2422 Enterprise Drive
~c * * Mendota Fleighls, MN 56120
* PION66R UNo (612) 6e1-1914 FAx:s81--9488
* .
* anp near ng ^~XQ°• ~0"PE ""°0~01' 625 Fiighway 10 N.E.
* * * Blaine, MN 55434
~ 1($12) 783-1880 FAX:783-1883
Certificate of Survey for: PARISH MARKETING
968 7F4LIUM OOURT
TRILLIUM COURT
_ -
97~7~7
- ~ --+~J--- Y 977 S _
~ (477.7~ Id89606'230E 73.00 q77.4~ i
~ 977.7x o o x97e•3
~ ERVIC£
6[~0 5~ 1R~PJ87- -15 g
a~ P dPOSED ia M
DRIVEWAYr N
$E/JCH P'1ARK ~ 6E~x.x mAR.~
YnPoF Mo8 1h) ,22.33 ToPOF Hu3
9.s o N i E4ev.=
Ec~v.- 9sa, ~9 . o/
Q w/ 4sos~ Q
Cal¢~ ~
16.00 8.33 14.¢3 ~
x o6.84°/ N
Ln
O0 PRO'POSED r~•
0
HOUSE
v~,s n z~/ 0/5o E A G P? N
M 21 9ac'e:~- N~ I~ ~ RE~IIEWEb
,~i ~
+r) uii (ggi.7) 16.00
o I 98o.v ~ o By S.
LOT
I DRAINAGE AND UTILITY, - -
51 EA5EMENT PER PIAT,', I5
/
(9ea,3 L - - - -
; 5)
S89°U6'23 W 73.OQ
! rv~n i~~'r/~A ! r)/lIA ITf- f'1/11 i r n ~
L__.,h v~, r v1 v; vn v r ~.1vr r
1'Rtl°OSEO WAOlS 3f10WN VCR GRApING VWI OY: iRl-LAND /
N0TE: CONIRACTCR NUSi YEHIFY ALL DINENSIq! AND ORIYEWAY DESICN. r P
~''t~L~9~~CERIIFlCAIE OOES NOT PURPORT-TO SHOW eASEMENSS
NOTE: HO 5PEpifC SOIL5 tHVESTIGATKKV HAS BEEN fAMPLEIED ON iH6 OIHFIi TiAN 11105[ SNOMN ON THE RECORDtU PU7.
LOT BY THE SURVEYOR. 7HE SUITABIIITY OF SOILS TO SUPPoRT THE , BEMtMGS SHpVM AJtE AS%NED
SPEpFlC HOU,g PROP0.5ED IS NOT THE RESPONSIBILI7Y OF THE SURVEI'OR,
x ao0.oo Oenates Existing Elewtian PROPOSED HElevat 'V 11
( aoo.oo ) Oenates Proposed Eleva[lon Lowest Floor lon: 73,rr
Oenate5 Droinaqe & Utility Easement 9 PZ.4
~ Denoiee Orainage Flow Direction Tap of Block Elevation:
---~----Denotes Monument
9 DenOt69 Off98t Hub Garage Slab Elewtion: gB/xj
LO7 14, BLOCK 2, LEXINGTON POINTE 1'EN7H ADDITION
DAKOTA COUNTY, AIINNESOTA
w'o bclcby cuti#y Nal fhl. pi- or ..pei+ ..n. p..pa..d by m. o. vnds my dlncI avpw~~ o~ mtl t a! i om doly rogia(e.d Sw ~
under [be lane ol Ne Staie ot M4vinot0. OOIEC UJ* Zp1H OOy Of NAY 0.0. 1994.
SIGNE IDNEER ENCI EERI ,A.
Scale: 1 inch = 30 feet
John C, Larson, I.,S. Reg. No. 19828
1054941+9,00
~
R=935' 06-02-94 09:12AM P002 #~20
ci •
U LOT BURVEY CHECRLIST FOR RE&IDENTIAL
w
m ' HUILDZNG ERMIT APPLICATION
o J ~ PROPERTY LEGAL:
~ < m Date of Survey: ~Z~ y7
?
< S 2
DOCUMENT STANDARDS
,8' ? 0 • Registered Land Surveyor signature and company
4r ? 0 • Building Permit Applicant
B'~ ? 0 • Legal description
8-? 0 • Address
0-~ 0 • North arrow and bnr scale
Q~'0 ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
[~0 ? • Directional drainage arrows with slope/gradient
Q,-?? • Proposed/existing sewer and water services
CY 0 ? • Street name
0i0 0 • Driveway
ELEVATIONB
Existing
C~ ? 0 • Sewer service
pe~? ? • Lot corners
D~?~] : Top of curb at the driveway
4rY ? Elevations of any existing adjacent homes
,
Pronosed
Z~'0 ? • Garage floor
B' ? ? • First floor
B~ ? 0 • Lowest exposed elevation (walkout/window)
? ? • Property corners
a/ • Front and rear of home at the foundation
PONDING AREAB (if applicable)
? ~ ? • Easement line
? ~ ? • NWL
? q. 0 • HWL
? f]' • Pond # designation
? ~ • Emergency Overflow Elevation
DIMENSIONS
0~0 ? • Lot lines
C!~ • Right-of-way and street width (to back of curb)
0~ 0? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Cr 0? • Show all easements of record and any City utilities within
those easements
C~ • Setbacks of proposed structure and setback of adjacent
existing homes
0 Oe,-fJ • Retaining w quire ts, if any
Reviewed• G
Nam / te
October 1992 .
'I C:UNSTRUCTION LIMITS I I ~
9+13 1 CENTERUNE o+1n.nn 18".x6" TFE 8 HYDI I STA 5+83
6.90 • = CENTERLINE 8+75 W/ II' 6"D.I.P.
6.00. I I ~CL-52 STA 6.71 ~ I S_~96789.50
8"x6" TEE 2O
- -~1----
;viH 4 a
iu~ 3
- nfouWraerF coNrtfrr7F c..uc. MH 3 N
ST 8+2g ~ I
I STA 7+12 I STA 6+81 ~
S-966.00 S-966.34 I S-96/ UU I STA 5+66 ~
W-977.30 I I W-987.10 ~ S-967.34 ~
W-977.90 I I W-978.70 I 2
I 8" GATEVALVE ~ I 10' MIN I I
(TYFJ i 29 i S
I a ~
° 32 y i 30 W
F-
I F~ vl I I U ~ F-~
_
\ CONSTRUCTION LIMITS
I ~ (
SEE SHEET 4
TRILIUM COURT
~7
~~~C C=1 i Y OF EAGI ! DQES NO~i ia HN ;
THE ACCIJAACY OF UTII:ITY; LOCATIOM; : .
S Tl!
.
A ~!~It3R ELEVAl'I NS. THl~MNPTA iS F06:1
A~!I) ! 2 851
, ,
0.
iil"FOF,~lIAYION URPOSESsiA 4+a4:.72'~:- 'rC 98
~
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' MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION :~04-
. Adoption Effective
Owner ~vWA Phone Date
Site Address
contractor Phone
Buildlnq Classification: Type A1 (Sinqle Family & Duplex)
~
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NOTE: Comalete_paaes 3 and 4 first.
GENERAL• INFORMATTON
1. Building Perimeter ft.
2. Wall height (ground to eave) ft.
3. 1. X 2. (above) gross wall area 46 sq.ft.
4. Buildinq dimensions (L) " X(W) ~ sq.ft.roof & floor area
5. Sq, foot area of rim joist - Floor joist ize (2 X
lO X Perimeter) = 344 aq, ft.
12 _
6. Doors - Area
Thickness in U. factor.
Type of Construction Perimeter ft.
Mahufacturer
7. Total door's perimeter ft.
8. Windows: Manufacturer10~!Jt, L'C7AA ~T state approved
U factor 117l0
TYPE SIZE AI2EA (Sq.Ft.) NUMBER OF TOTAL
"7 Pi 6 tr EACH UNIT3 SQ FEET
W
9. Total sq.ft. Glass J~ Z--
10. Fireplace area: Width X Heigrit = X sq.ft. ,
11. Exposed foundation: Heiqht X Perimater C~ / X
T=~sq.ft.
COMPLETION OF THIS FORM IS REQUIREp FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED Wt1ERE ENERGY, OTHER Tf1AN Tf1E MINIMAL
CODE ALLOWANCE, IS USED.
-1- .
12: Framing area = 10% of grosa wall area.
13. Gross wall area Ii1 11~ sq.ft.
Window area A 3D2 sq.ft. U windows UxA = ID]_
Rim joist area A 2 44 sq.ft. U rim joist= UxA =o_
~ ~Y~.~~
Door area A ~ sq,ft. U door area= 111 UxA =
Other doors area Q-72-eq.ft. U other doors= .`Y 7 UxA
Exposed fndn A 121 aq.ft. U foUndation= O7o UxA
Framinq area A1i I.7J eq.ft. U framinq area=, UxA = Z
Net wall area A 0-7/ sq.ft. U wall= J % UxA = 7 Z
(13H) TOTAL . . . . . . . . . UxA = Z(O~
14. Gross wall area x 0.11 (A-1 single family 6 duplex) = allowable UxA/Code
(13. above )
x 0.23 (A-2 ather residential)
x .23 (other buildinqe)
x .28 (over 9 etories)
Z`l~ .IT -J~BTUtI must be larqer than or same
A x U Code ~ °F. as 13B above
15. Ceiling framing area (Af) equele lot oP ceilinq area
15A. Grose ceiling area =(L) x(W) _-ISqU sq.ft.
158. Joist area (Af) = 10$ ceiling area ~`6 sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) sq.ft.
U ceiling x Ac _ '1J I 2 X.QZ Q ~jZ
? framing x A f = ~ , x • %~1,
15D. TOTAL U x A
16. ceiling area (15A) x 0.026 (A-1 single family 6 duplex)
= allowable UxA/~ode
x 0.033 (A-2 other residentiel)
x 0.06 (other)
/ BTUH must be larqer than or same
A(15A)I~~ x U Code rnZ =.41,- oF. as 15D above
NOTE: Use U anil A values obtained from pages 1, 3 and 4.
CEBTIFICATI_oti: I hereby certify that Z have calculated the "U'l factors and
"R" values here.ln and that the buildinq here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date 9lgnature
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CTTY OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(6I2) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - -
~ NEW CONSTRUCIiON ~
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE _CYD
FEES
HVAC: 0-100 M BTU $ 24.00 .
ADDITIONAL 50 M BTU 6.00
GAS OliTLETS (MINIMtiM 1@ 53.00 EACH) . DD
ADD-ON/REMODEL (EXISTING COhSTxUCrION) $ 20.00
STATE SURCHARGE .50
TOTAL 60
SITE ADDRESS: `'I 10~ -Tr~i I 1U6 c:~-
OWNER NAME: q3x 1-qL Iv`(1 f K -~i 1`\2~ TELEPHOhB -(p(p
ItiSTALLER
ADDRESS:I I de 17SIXIld . S6L:ZZ
CITY: STATE: M/Y 1 ZIP CODE:
TELEPHONE
SIG URE 0
F R I. TEE
gDa ~ ~ So. so
2007 RESIDENTIAL MECHA1vICAL rEUn-nT nrri,icATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephooe # 651-675-5675
Please complete for single family dwellings & townhomes/condos when permits are requimd for each mit
oefe
Site Address [ go ~f 1 I / u Y/ ~ Unit #
F
Property Owner r a
Plephone N( bsI ) 6w1~~'50
Contractor
I
Streetwddress 4
MiNNEAPOU 10 WEST LAKE STREET Cm,
State 612$24~2656 Zip Telephooe# ( )
Bond N• Expires:
The Applicant is _ Owner ~ Contractor _ Other
Fire repair (replace bamed out appliances, daclwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Addon or alteretion to existing dwelling auit S 50.00
furnace _Additional Replacement New
X airexchanger
air condilioner
heat pump
other
p is~ uvis~n~
State Surcharge II )I $ .50
OCf R 4 2007 ~
Total $ d ~ S
I hereby apply for a Residential Mechanical Permit and aclmowledge Ihat the information is complete and accurafe• thaz the work will
be in conformance with [he ordinances and codes of the City of and with the Mechanical Codes; d this is not a
permit, bu only an application for a perni d work is not [o tar[ without a 1 work II in a ce wi[h the
approv an in the case of wprk whic eq i a review and roval of plans
n -
/ V~~
Applica 's Printed Name ApplicanYs Signa
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 968 Trillium Ct
Lot: 14 Block: 2 Addition: Lexington Pointe 10th
PID:10- 45094- 140 -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:
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA079647
09/06/2007
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
$88.50 0801.4085
Owner:
Kathryn D Stang - Fakkeldij
968 Trillium Ct
Eagan MN 55123
$1.50 9001.2195
- Applicant -
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: 968 Trillium Ct
Lot: 14 Block: 2 Addition: Lexington Pointe 10th
PID:10- 45094- 140 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
Applicant/Permitee: Signature
PERMIT
City of Eaan
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50
$1.50
$90.00
Owner:
Kathryn D Stang - Fakkeldij
968 Trillium Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA092008
11/12/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: /d -
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
RAP'
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
-45 Site Address: l' l"/ '/.7/(//' 2
Resl dent/
Owner
f
,� / -y� � - ,,/
Name: " 1-�%1 `�/n at.-,�"�, cam! / iJlr L 4/, Phone: �-� - �;G-j/ /33aa
a �- c� /� /
Address / City / Zip: 7'17 / ✓ �,j/,/:-7° -71--- C4 c1 �y -) A f4 , ,-
,/c'��.J
Applicant is: Owner Contractor LJ
Type of Work.
Description of work: /16c-5 `/4.3 9:- Sj ',
Construction Cost:,\ --(5, .) Multi -Family Building: (Yes / No : `..-
.-Company:.
Contractor
Company: .fir" V 1._)."20_(-,,,-/j),..9 i-17 r.._r7- �Xontact: v `'dji
Address:5c�Z r �� City: w49 � 7C 7 �q �ea
State: /1,/V Zip: (`Z'S //d Phone:
License #: .1.3C-r0/3(51gLead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are'trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be c. pleted within 180
days of permit issuance.
x h ct T1 (.i 114 ��c r
Applicant's Prin.' ✓ted Name
x
if/7
Applicant's Signature
Page 1 of 3
r;
(
�
Peter and Kathryn Fa1�keldij
�b8 Trilliurn��.
Eagan,MN �51Z�'
Phone. �5�.-621-33{��
fpkfakkeldij�u yahot�,cc�m
j�tbir�m�;���
Sep�ember i1,2t115
Derel�Q�t�ll+�
� Ea�an City Building Inspector
I
i;
� Subj�ct: Roo�ngJSStling Permit#�A11.6934
� Uear Mr.Qua11e,
'' Foster Hacl€ett of Advanced llesig�Cc��atracting pulled,the subjeet per�nit,;His
company put the new ro�f c�n c�ur home itr �ctober Z03,�.Since that time,w+e ha�e
had prablems with him and in August 2�14,we ended,our business�etati�nship.We
hav�sfnce hired Sela Ra��ing�r�d Rernodeling to install�ie siding and windows,
which will be dt�ne this (}�tc�ber,
There rema�ns the iss�:�c�f adding a vent on our garag�roaf because of biuilding
code.Because v�the prob�ems and strained relations with Advanc�d De�sign
Cr�ntraetir�g,w�wwzll be having Sela Roofing and Remr�deling add a vent to au�r
garage r�of.
�I
f
Respectfully.
� -
, .� _.�. ,��`w�,._.. �� �
<.�� �
,_. � `��
Petrus (Peter) Fakkeldij
Kathryn Fakke�dij
I
i
�
i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132770
Date Issued:09/02/2015
Permit Category:ePermit
Site Address: 968 Trillium Ct
Lot:14 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathryn D Stang-fakkeldij
968 Trillium Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132771
Date Issued:09/02/2015
Permit Category:ePermit
Site Address: 968 Trillium Ct
Lot:14 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Includes 1 roof vent from previous roofing permit
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathryn D Stang-fakkeldij
968 Trillium Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature