969 Trillium Ct
INSPECTIQN RECORD ;
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ~ ~ - ~ ~ • ~
Eagan, Minnesota 55 1 22-1 897 Date Issued:
(612) 681-4675
SITE ADDRESS: 0 4T,0'1 n - , APPLICANT:
ti nviw
I; . f td~. I~rW 1~~ i ii 1' l~# 1`I ( t• I.' 1 I ,
PERMIT SUBTYPE: TYPE OF WORK:
I i I I~~r~ , ~ i•~ r7 ; ~ ; ri . I ,~.~~~i ,
INSPECTION ON TYPE D.
r) M I N 1, i:I i tii,ii I h! ! I II'.
1'!~li~rll .i 1~ Ff I i, 1 I h/11i
, ~ . . . . iIV I'I Uh1BiNU 014 1 1 t 1 11,14 Al IIM:t
I
Pertnit No. PwnR Mdder Data Telephone N
ELECTRIC ,9
PLUMBING
HVAC
Iopoctfon Deb kup. Cormmnts
FOOTINGS
FOUND
FRAMINCi
s-r
RooFING
ROUC3H
PLUM&NG
PLBG
AIR TEST
ROUGH
MEATIN(3 _I 6
~SVC
' INSUL
~ (iYP BOARD
I` FIREPLACE
I
FIREPLACE
AIR TEST
FINAL PLBG _
~tiP
I
F1NAL HTCi
ORSAT
TEST
BLD(3 FlMAL
BSMT R.I.
BSMT FlNAL
DEpC FT(3
DECK FINAL
~ -
INSPECTI4N RECORD
` CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
,
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , t;, . APPLICANT: ~
I t Is I i ilPi , 1 tfiiMi . 1:1 fotl I
! 1 I I'. il I '..i ! I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A • •A
c;,,r•1 i r,~, t 1 r4f.
+~Illrll 1 PI 1 I 1'i, ! i~~~7r~1 !N II I ii
~ 1{1il ! I t,~. 1 I 14 11t
l~ J
, PWmR No. Permk Holder Dste Telephone M
. S/1N
PLUMBING
r
- HVAC II ~f J q~- SL~
ELECTRIC
ELECTRIC
Inspectlon Deb Nnsp. Comnronft
Fooungs I
Foundauon
Freming
RoORng
Rough Plbc-
R°"°f' ?+tg• f/-3c-9 ,~i9
lad.
Fireplace
A,°'
Orsat TeBt
Rnel Pbg. Plbg. Inspec9or - Notify Plumber I
Conat. Meler
EngrJPlan I
Bldg. Final
DeCk Ftg.
I
Deck Final I
Well I
~ ~Disp ~
~ _
_.,.,,j,.''-
~ -
~
Wertificate of cccupanc~
4FU4 of W-agan
Tltes Certificate issucd pursuant to tlu requirentents of the Unrform Building Code
cerrifyiRg tliat at t!u tinu ojissuance this structura was in cornpliance with the various
ondinances ojthe City rcgulating building constntction or use. For the followrng:
use cisaficat;om: SF T7nK; slag. Pnmit Wo. 24624
0-w-Y 7~w RI/Mi Zaning Diwiet PDIR I _ 7ype Const.
Owner d Buildiog IHOR.9CN FY1YES IlM A&wm 44b6 GiEDaMM M, EA[',AN
BwMa Addmu 969 Uli? ILM rXUFtT L=Wih
~
~~--~t..~. 44 ~ y S
POST IN A OONSPICUOUS PLACE
C>'~''Y°'~SE O~ti..1'. . . . . .
~ ~L .
. : .
;
. . . : .
~ . .
:
, s~ : : • . ; : :
1994 PLUMBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUII2ED FOR EACH UNIT.
- - - -
NO. FIXTURES EACH TOTAL
I SupwgR 3.rJ0 ~
~ WAT'ER CLOSET 3.00
_og- BATH TUB 3.00 ~
.3_ LAVATORY 3.00
l KITCHEN SINK 3.00
1 LAUNDRY TRAY 3.00 3. -
HOT TUB/SPA 3.00
t WATER HEATER 3.00 3 ~ -
1 FLOOR DRAIN 3.00 -
-1 GAS PIPING OUTLET • minimum - t 3.00
ROUGH OPENINGS 1.50 .7i SU
WATER SOFTENER 5.00
PRIVATE DISP. • nak.ay. fic. 20.00
U.G. SPRINKLER • home und« const. 3.00
ALTERATIONS • to ousting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: P44'%
STTE ADDRESS: Q (o 01 bLt
OWNER NAME: f~ 4+yyL-e_j
INSTALLER: Otj?s J-Vw
ADDRESS:_ A/ , SO
CITY: STATE: ZIP CODE: S!;FZ3
PHONE ((P( 7~ f3 (o Lo -(o 09 Z.
SIGNATURE F PERMITTEE
o;
'A
7J:00 3 ~
Req sl Det Fra No. Rou61bdn Inspe lion Repmretl Inspection OlM1er Tha Rough-ln
(VOU m st rall inspeclor when rea0y) ~ ReaCy Now WII Notdy Inspector
17 9 Ves ? N. Date Rea
I? licensed conhactor krowner hereby request inspechon ot above elecmcal work at
Jab Atltlress (Shea6 Box or FOUIe Na.) Qry
'I I m C t f A A J
Seclion No. Township Name ar No Renqe No. Counry
~kKo~
Occupanl'PRINT) Phone No
tav'
i~
Power Supplier Atldress
/i c~ 4. G., U
Eleclncal ConVactor (ComOany Name) Contrectofs License No
Maiiing Atltlress (COnlraclor or Owner Making Inslallalion)
Aulhonzea SignaWre (COntmclorlpwner Making Installalion) Plrone Number
~ s. 6 8(- 9 z4-3
MINNESOTA STATE BOAPD OF ELEGTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlway BIEg - Room 5.118 9E ACCEPTED BY THE STATE BOARD
1821 Unlv¢rsity Ave., St. Paul, MN 55104 II UNLESS PROPER INSPECTION FEE IS
Phonef6t416aY-O800 1111 ENCLOSED.
LJ -(~G ~ REQUEST FOR ELECTRICAL INSPECTION w~ee-ooooi-os
10- See inslmcuons lor completmg this form on back ol yellow copy.
"X" Be/ow Work CoverZd by This Request
Ne Add Rep. Type of Builtling Appliances Wired Equipment Wved
Home Range Temporary Service
Duplex Water Heater Electric Heating
' ApL Building Dryer Load Management
Comm./Intlusirial Furnace Other Specif )
- Farm Air Conditioner
Olher (specily) Conttaclor's RemaBS'
Compute Inspection Fee Below:
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100-Amps
Si ns Inwac+ors uu oniy: r4ac~ TOTAL
Irrigation Booms tin
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE OqDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT ~
I, Ihe Elecincal Inspector, hereby Roupn,m oa~e
certify Ihat the above inspection has F~rwi , oate
been made. f
OFFICE USE ONLY
This request voitl 18 months Irom
~ u d~5 y
038 39 "lg~
Raquest Dete Fir No. ouqh-ln Iirepacu4n Requiratl Inlon Other Than RouBh-In
(Vau u call Inspactor whan reetly) RaaOy Now ~ WIII Nalily Inspector
Ves ? NO Oate Reetl
I(~llcansed contractor ?owner hereby request inspection of above electrical work at:
JoE A ar05Streel, Boa r qoWO No.) a Clry
8
Secmn No. Township Namo or No. Renge No, Count
Oc pant (PRINn ~ Plhol_. re % q O
_ (o (`I iii_( '
Power Supplier Adtlre -
Elecv¢ Comractor COmpany Nertre) Comracmr9 Llcense No
9
MeiLng Atltlrass (CaMraclor Owner Making Instellelion)
u. y0
AuthonzeC SignaWre (COnirectoqOwner Meking Inslalletion) Pho umGer
ss L -W
MINNESOTA STATE BOARD OF ELECTPIGRY THI$ INSPECTION FEOUEST WILL NOT
Gdggs-MlEway eltlg. - Naam 5428 BE ACCEPTED BV THE STATE BOARD
1821 Unlwralty Ave., St. Paul, MN 55106 UNLESS PROPEP INSPECTION FEE IS
Phona (612) 642-0800 ENCLOSEO.
c~?'~ ~f~ REQUEST FOR ELECTRICAL INSPECTION EB-00001 .09
0038239 ? Sae Instmcirons for wmpleling tNS form on beck oi yellow copy.
"X" Below Work Covered by This Request ~ii
a Ad- Ff,ep. Type of Building Appliances Wired Equipment Wired
Home Range 7emporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryar Loatl Management
Comm.Andustrial Furnace Other (Specify)
Fartn Air Conditioner
Otnae (spetlry) Comrectols aemerka
Compute Inspection Fee Below:
# Olher Fee # Service Entrance Siza Fee # Cvcults/Feeders Fee
Swimmin Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Amps Above 100 -Am s
Si ns insPwors use omy; TOTAL G~
Irrigation Booms V ~
S ecial Ins tion Z?7i AIarMCommunication THIS INSTALLATION MAY B pISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 NqIVHS. ~
I, ihe Elecirical Inspector, hereby Rouan-in , i~!! ~
certih/ ihat the above inspeclion has V
been made. Fmei oeie
OFFICE USE ONLY ~ • ~
lhis requesl witl 18 monlhs Im.
Address 96e ran.r.nmr CrnmT Zip 5512 3
L'or , -3 Blk 2 Sub LEXINGrON POEM 10TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 11,3 9 Yes No Inspector.
Fina1 grade (6" from siding)
Permanent steps (garage)
Permanen[ steps (main entry) ~
Permanent driveway V"'
Permanent gas
Sod/Seeded grass
TraiVwrb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the piumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system.
White • City Copy Yellow - Resident Copy Pink - Contractor Copy ~
PERMIT 002, (c o
~ CITY OF, EAGAN PERMITTYPE: ~ 3/~/
3830 Filot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 6 2 9
(612) 681-4675 Date Issued: 10 / 11 / 9 4
SITE ADDRESS:
969 TRILLIUM CT
LOT: 3 BIOCK: 2
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-030-02
DESCRIPTION:
Building'_Permit Type SF DWG
Building W6rk Type NEW
,~UBC Occupancy \ R-3 M-1
Construction Type V-N
Zoning ~ PD R-1
Building Length 58
/ Building Width ~ 51
~Building stories ~ 2
' ~Square Feet ~ 2,841
uL~~~
REMARKS:
S& W PLBR - RAY HAEG PLBG
FEE SUMMARY:
VALUATION $135,000
Base Fee $762.00 MTSCELLANEOUS $1,828.50
Plan Review $495.30 Total Fee $3,953.30
Surcharge $67.50
SflC $800.00
SAC 8 100
SAC Units 1
Subtotal $2,124.80
CONTRACTOR: - Flpplicant - ST. LIC. OWNER:
THORSON HOMES BRIAN L 14540644 0001317 THORSON HOMES INC
4466 WEDGWOOD DR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 954-0644 (612)454-0644
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 of Eagan Ordinances.
APPLICANUPERMITEE SIGNATURE ISSOED BV:JIG NA RE
~
~
L 1994 BUILDING ERMIT APPLICATION '~~j~•-50
681-4675
14
ril, A "l 4 -1
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site v~ (D Wmn rgy
calcs. s
SE° 2 3 1994
COMMERCIAL 2 sets of architectural & structural lans, 1 set of
specifications, 1 copy of energy calc
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 Val uati on of work
Site Address: 6?41 L
STREET SUITE H
Tenant Name: (commercial only)
LOT ~ BLOCK -2- SUBD. P.I.D. #
Descri tion of work: W2cJ
The applicant is: ? Owner IET`Eontractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner qddress
STREET STE #
City State Zip
Company Phone
~
Contractor Address License # G~"o431 7 Exp.
City State Z i p J
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber """~2 Z~Processing time for
sewer & water permits is two days o'e area h's 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
Ea9an Ordinances.
Signature of Applicant: gt~~
~
OFFICE USE ONLY
~ * .
r ~ • ~ ~n
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging Y? 16 Basement Finish
N 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) d Basement sq. ft. MWCC System X_
(Allowable) lst Fl. sq. ft. Y City Water
UBC Occupancy lvtm i 2nd F1. sq. ft. qqF PRV Required
#o of nStories PZsro,~VLrw/Q*Q..,1Footprint~Sq1 ft. w~~°~F~retSprPnkler
Length On-site well Ls~'~`~~ Census Code _/_0T
Depth On-site sewage SAC Code
Census Bldg ~
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site [B Footing F~ Framing ~ Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee vaimc;m: g 13~ooa
Surcharge
Plan Review I4 Flooe- d9y, /~a 7
20 - .!-20
MWCCnSAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit 1,5-)( 6
S/W Surcharge /yX /0
Treatment Pl. i39~,a5
Road Unit
Park Ded.
Trails Ded. ~fj Z~~R a~XZO = S~$0
Copies
Other 32XZy= ~~b' •33 ~Z = ~
Total : , rx// 66x1 =
sac q 77s. s-x s"5'= 7a 9/
SAC Units / 76 9
~ i a>a i 134 1
. ` P_01
2422 MenCoEalecpghtspMN 55120
(812) 881-1914 FAX:881--948&
* PIONLER cMt Er+dNEEKS
eng Reer ndu"° °"~n's• `"'m`a""` ""°~iceta 625 Highwvy 10 N.E.
* BIo1~e, MN 5543d
(612) Mr-teeo Fnx:783-Isa3
Cer tificate of 5urvey for: THORSON HOMES
969 TRILLIVM COUR7
65 6)
,73.00 S89opg~3"W ~ se5.a
Q
F-- g 4 fi
987.6 5 w~•EA'SF7ErEff PER PL~i' D
I 3 ~ ~
I
98~1.0
w X G~J GINEEE;,YNG DE~
M '1
x980.0 satl.s K UM 0
e (9 P.7 e9'a7~ p
2 ~ 9B0.1 ~C87G ~BI-zaeaaso.is 4
979.60r 0 440
EACAIN I rl io.o '
~ a~.,/ PROPQ4£D
R E V I E ~E D f E~N~ ~ N
M a`
BY ~ m 1 I9 9.9 A ,&0 0.•6.0 ,"-~0901.1
i /
-/S u1( (9°zG~ o/ zw
OA7E ! Z 7 ~ un I~ a GA R~ ~U,
BFNCH MARK
BENCH MMK 980 x 901.1 TOP OF PIPE
~ N
TOP OF HUB ELEU•98006
ELEV.=9B0.14-~~ ~
PROP °
0 5L _ RIVEWAY _I 5 0
M '
6)°- ~ ' ~(q78.C7)
977.5 x- 73.00 N99006'23"W g~7~~-SFRVICE
977.3 IN V.- 96&4
977.5 977.7 <v
N
TRIL.LIUM ~ COURT
PiifWO5E0 GRADES SHOWN PER GR4DiNG PLAN BY!_, TRI-IAND
NoiE- CONiFtACTOR MUSr VEmF'1' ALL hMEN510N ANU ORivE'NAY OESIGN, iN15 CERIIFlCAIE OOES Not i'URPOFti T0 $IIOW EASEMENT$ i
NOTE: NO SPECIFlG 501L5 INIRSPGAl10N HAS 6EFN COMPLEIED CN 114I5 pT}{ER TryAry 7NO5E SAJ6NN ON 1HE REr,prttlf0 1`LAT.
LoT BY 7HE SURYEYOA. PIE SUITABILI7Y OF SOILS TD SIICPORT TFiE BEMRlGS SHONN AFE h55UME0 I
SPECIFIC HOUSL Pft0oo5FD IS NOT 1HE RESpONSlrylllri OF iHE SURWY01t.
i
~
x o00.0o Denotes Exlstlrig Elevatlon ROPO VAT. 16N. _ i
( 000.00 ) Denotes Propased Elevation Lawest Fioor Elevollun:
Denotes Droinage & Utility Eosement
Oenofes Draindqe Plow Oirection Top of Block Elevaflon:
Denotea Monumenl ~~g~ ~y
Denates D(fset Hub Gara9e Slob Elevatian:
LOT 3 ~ BLOCK 2 LEXINGTnN POINTE TENTN ADDITION
DAKOTA COUNiY, MItdNESOTA
.~i1•; .,0h0r 11"n1 114r plyn .n rvpmI nnv piq.... nJ 6r me t;~ unJcr rify diml ~upo~.iri~m Ir d I pn dalr iaga4v~•d 1 an~' ui.+, ~
i.,.. ~,d. ia~r,.~~,.,ni,. ~x~b+~ Ir•:p 19TH .trry ni SEPT. ,,n i9 94 _ i
SI LIOMEER ENGW ~RJNC~.
Scale: 1 inch = 3o feet °Y`
Jvhn C. Larson L.S. , Reg, Nn_ 19828
VOB 9A129.04 R=96'6 ' 09-26-94 01 :3AFld F001 }l14
LOT BIIRVEY CHECRLI6T FOR RESIDENT2AL
BIIZLDING PERMIT 71PP ICATION
~ pROPERTY LEGAL:
9'Y
Dat• of Survey: !ir/q7'
DOCIIMENT BTANDA 8
HI3 0 • Registered Land Surveyor siqnature and company
I~0 0 • Buildinq Permit Applicant
CY~ 0 • Legal description
L)' 0 D • Address
D 0 • North arrow nnd bar scale
0 El • Souse type (rambler, valkout, cplit w/o, split entry,
lookout, etc.)
~D 0 • Directional drainage arrows with slope/qradient t.
0~0 D • Proposed/existing aewer and water services
0K 0 0 • Street name
V0 0 • Drivevay
LI.EVATI0N8
Exietina
0 • Sewer serviee
00 • Lot corners
? • Top of curb at the driveway
L1 O 0 • Elevations of any existing adjacent homes
Prooosed
~ 0 0 • Garage floor
0 0 • First floor
Q~ 0 0 • Lowest exposed elevation (walkout/window)
0 0 D • Property corners
~ D 0 • Front an8 rear of home at the foundation
PONDING 71REA8 (if aRolicablel
• Easement 2ine
D 6~ 0 • xwL
0 8' 0 • HwL
0 0, 0 • Pond N desiqnation
D 01~0 • Emergency Overflow Elevation
DIKENBIOIQB
• Lot lines
D~ 0 0 • Riqht-of-way and street width (to back of curb)
Q' 0 0 • Propoaed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
Zrstructures requiring permanent footings)
0 D • Show all easemente of record end any City utilities vithin
those easementa
~ D 0 • Setbacks of proposed structure and setback of adjacent
existing hom
a.~ O • Retain e irements, if any
Reviewed: ~
me / ate
Oetober 1992 N
Yr;;: Clzti° QF EAGAh! DO[S NO i GUARAN7 =E %ioTE:
1rTE l;,GGU~RACY--OF UTILIT`l~LOCATIOUS ALL SERVICES WITH RISERS ~tUST
v Gal~?/Oi9 ~L~VATIOf~S. THIS DC~~M IS i 0'ra HAVE A CLEANOUT @ PROP. LINE. IN57
t2FOR;fAi(ON PURPOSES ONLY AidD SEE DETAIL PLATE n 310 AT c
v'ERSONS USIfVG IT SHOULD VER;FY THE DROF
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PURPOSES OiVLY AR1D
USIiUG IT SHOULD VEFIFY THE
. .
;,:,,..:,;•.TIOiU ON THE SITE.
rr!-~ r_ ' M!-i ~ 6.97.OC
9.33.0C SI!' (26 VdEST 0F (L (:E>: Rk=i-4.;.-
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612-474-OG7; LYHAH EXCELSIUP. 'rARD 422 F-01 JLihl 1e.•92 17:4'?
,
nt n N L~ U A q .1 ~ I~ 1 Y r. r M• .r • r . I~ V 4 V Y n~ ~ V~+
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„ Adop:lua 6(f11etlv4k 1!1/ 4
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.ner -
Ite Address
IntracCOr~: e.c~~~'~,•~,~-.aa~i-.-c~~ ~~~c , '-?hOne
iildtng Classlflcation: Type A1 (Single Family 6 Duplex) V Type AZ (Rcsidentlal~
• (3 stortes or ess
(Other) (qver ] stories)
:NEaAI [NFOHNATIQN ,
Butlding Perimeter ~4(. ft:
SG,k 9 5cr~l
uall hei9ht (ground to eave) ft,
. z . . . .
i. x 2. (above) gross wall drpo \CoO ft. C_
Building dlmenstons (l) x(H)~~~ ft.~ roof floor area
Square fcot area of rim joist - Floor Sotst 51ze (2 x l0 7 ) Z
1~~ x Perlmeter • Rim o st area ~zft
. Doors - Are• Z`(
Th1c n~es 3 n, actorO~.g
Type of Canstruct on `Terimater i-LI+. ei g, ft.
Manutacwrer VK
, Total door's perimeter ft -
Windoxs: Manufacturer lz State approve7 ~N) _
U faCtor w L/
TrPE SIZE AREA (F:.z) "IUHBER OF TOTAL FEE7 z
EACH UNITS 4~-
C&L (~-z. 1 O q ~o _ ZO
-z
tik . 16. - --7-
[c) - o '8 ck
~i 'N~ . A~.a
iotal ft.Z Gless
Flreplace area: Wtdih x heiaht • C-22:~- x -<En.- - Ft.Z
. Exposed foundaNon; Helght.x Per,imeter__ ~ x G Ft.z
rLETIOn oF TiiiS i'ORr1 IS 11EQUIRED FOR ALL NE4 COtiS7AULTION, r1AJOR REf10DELIK 11tID DUIlD1'1G5 BEII
ED srtiERE (NERGY, OTt1ER TIU1y THE. MININAI CODE ALLOHaNLE. I.S. USEO.
612-474-O677 LYh1Rh! EY,CELS I OR Y'RRD 422 P02 JUN 18192 17: 48
' Framin3 area - lOx of gross wall area. `
Gross wall area
2
Wndo++ area A I; windaw5 ¦~4~_'J x A¦
pin,)oist area A \-71\ _rtt.Z U rim Jo1st • « O-~ U x A+
,
Door area A__ _ft.J door aree ROU x•A ¦
Ftreplace area A f-.z U iireplace ~ -C~)- U xA -
Exposea foundatlon A 7 -14 _o f*..2 U foundation - \ U r A• ~.C)3
Framing area A "'Z, ft.2 J franinq area Q U x A~,.T \~;44
Net wall area A qt. 'J wall - -pA'~ U xA= Og
(!'!s; ':j;!L . . . . . . . . . . U x a = O
r---
Gross wall area x 0.11 (A-1 single famiTy S pL.;,;=x ~ alloNable U.c A/Codp
(]J. above)
x 0.23 (A-2 other resleentia:;
x .23 ;Other building;;
~c .Z8 (Over 3 sto~•~es) ,
Must be 18rqer than
A x U CCO e...__ • 138 abdve
Ceiling framing area (Af) aquals 10.'. af cs;iino erea \ or thc same as)
Gross ceiling area a (~l x(W C 16: 2
Z 9_-- - \ -zz, (c, O ft.
Joist dred (Af) ¦ 10^, ce111ng area {t,2
yet ceillno area (.4C) (15A » 156) •ft.Z
U ceiling r A c4 . x 7~k_
U framing x A f+ fi O7Zr. 6 -1 x_~~
rerAL u x a......... S
. o
Ceilin9 area (15A) x 0.026 (A-1 single `amily S duplex - code allo-aable U x A
x 0.033 (A-Z Other reSid2^':ial)
x O.C6 (other) , .
Bo H"iust be larger than 15D (aCove)
A(15a) O x ~fco 0 P (or Che Same as)
r----
Ci
!IOTE: Use U and a values oDtained f~•om nps 1, 3 and 4.
PERMIT CW'53no
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u i Lo r nt e
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 9 6 4
(612) 681-4675 Date Issued: 0 2/ 13 / 9 6
SITE ADDRESS:
969 TRILLIUM CT
LOT: 3 BLOCK: 2
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-030-02
DESCRIPTION:
(BEDRM/BATH/LAUNDRY)
Building.Permit Type SF (MISC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
~
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $3.000
Base Fee $74.75
Surcharge $1.50
Total Fee $76.25
CONTRACTOR: OWNER: - npplicant -
80STROM KEAVIN
969 TRILLIUM CT
EAGAN MN 55123
(612)681-9263
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 of Eagan Ordinances.
~ J
Jrw
APPLICANT/PERMITEE SIGNATURE ISSU D B. SI ATUfl
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob fload Permit Number: 0 2 6 9 6 4
Eagan, Minnesota 55122-1897 Date Issued: 0 2/ 13 / 9 6
(612) 681-4675
SITE ADDRESS: P' i• N. : 10-45094-030-02 APPLICANT:
LOT: 3 BLOCK: 2
969 TRILLIUM CT BOSTROM KEAVIN
LEXINGTON POINTE 10TH (612) 681-9263
PERMIT SUBTYPE: TYPE OF WORK:
$F (MISC.) pLTERRTION
DESCRZPTZON (BEDRM/BATH/LAUNORY'
INSPECTION D. . D.
FRAMING ROU6H IN PLBG
ROUGH IN HTG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F-
L
~
CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
IOL4
681-4675 t ~
New Construdion Reouirements Remodel/Reoair Reauirements
? 3 regislered sita eurveys ? 2 copies of plan
? 2 eopies of plana (include beam 8 w(ndow sizes; poured tnd. design; elc.) ? 2 site surveys (exterior additions 8 decks)
? 1 anergy ealculalions ? 1 energy calculations for healed addilions
? 3 copies of tree preservation plan if lot platted afler 7/1/93 .
iaquired: _ Yes _ No -
DATE: + f/1/7 CONSTRUCTION COST: s a5~'a
DESCRIPTION OF WORK: /J;" F4x'r
STREETADDRESS: %~°9 Tri ll~u~ c~-
LOT dL BLOCK ~ SUBD./P.I.D. Av -~ff&
PROPERTY Name: V.av~'~ Phone
OWNER
StreetAddress:
City: F-S^^j State: 71V Zip: 55? Z S
CoN7rucTOrt %et y: Phone
ddress:License
City: State: Zip:
- ARCHITECTf Co pany: Phone
ENGINEER
Na Registration
tre t Address•
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with ail
applicable Sfate of Minnesota Statutes and City ot Eagan Ordinances. e ~
Signature of Applicant:
OFFICE USE ONLY RF-CEOM I~ ~D
Certificates of Survey Received _ Yes No J AN 1 9 1996
Tree Preservation Plan Received Yes No
,
;t
:L! .
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i...w............ A..... .a.....w....:'.:~'....:3. .~:h~. .a.~.......i .:..:...::..Y.i_..i"'.`:.£:j+:s`f {'3r~•~~~[.' c~~.. , a.5.;.:
~~+:'~4~~~..~~..'.~~.'~F~~~ u . L.a,x,...,....•~:t:i.:iS:icis::.~a...wwid.u...~aw<.....~e.tw~...~a~a3a~.~.....~<.~,~~"yGw~~~ af:z.`wu~ <^~~..~.~...w,.~
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUC_rlnN
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DAT'E NbVember
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) (n•oo
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 20.00
STAT'E SURCHARGE .50
TOTAL
Ci'T'F 4T1T1RFCC; CJ' (p Cf T; 1 I~ um C'ou rt-
OWNER NAME: Sr, ~ a Y) sn n TELEPHONE
INSTALLER:_ }~i ~ e y P_ F-E Pa -F-i nG ~ A~G
ADDRFSS: L3~'] ~Ro n e e r
CTTY: Eden prr. ~(`jP- STATE: Minneso~a ZIP CODE: 5-53`
TELEPHONE #:rr~ra~ ~yi- vail
~
SIG A'I'[J E OF PERMITTEE
L -X BL CITY USE ONLY RECEIPT S.303,0
SUBD.(~. DATE:
1996 PLUMBING 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
FIXTURES EACH rLQ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 _
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 _
Floor Drain 3.00 _
Gas Piping Outlet ` minlmum - 1 3.00 ;c =
Rough Openings 1.50 ;c =
Water Softener 5.00 x =
Private Disposal ' Dekota Cty. license 65.00 =
(new and refurbished systems)
U.G. Spdnkler ' home under const. 3.00 -
Alterations ' to existing "20:0
Q~ _ ~O•
Water Turn Around C-20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: ?6 ~ 1 c-4 , ft'e~ -
OWNER NAME: <e a u. I.! 2 o cIv,
INSTALLER NAME: bw^}-,~ ~
STREET ADDRESS:
CIN: STATE: ZIP:
PHONE (~z ) Wi _ )76~3
~ ~
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: w all commerciaUindustrial buildings.
. multi-family buildings when separate permits are pg1 required for each dwelling
unit.
DATE: 4ZI3 /4 CONTRACT PRICE: _
WORK TYPE: _ NEW CONSTRUCTION ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES/~L-NO. IF SO, PLEASE PROVIDE THE FOILOWING:
WATER FLOW: GPM. ARE FLUSHOMETER;i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINiCLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on ail permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI7y; STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SI2E: " DATE: INSPECTOR:
iOT - BLOCK SUBD.~)4•
RECEIPT ft rf~ DATE
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOl2 BACKFLOW PREVENTER)
COM4IERCIAL 1NSTAL! k?!L`NS: FGRBA ili;ST BE COMri.'eTED BY LIGENSEG PLUMBF-K
Date: ~I I r~5 I4 S (;ommercial GPM
f;esidential (boulevards) GPM
Existing residential
Area/address to be irrigated~ q~ 1 Lk, Ci-e
Installer: ~ a,s &s~, OwnerU"~ Plumber ?
Street addres~- 9(e~ Tr' 11 ~ u^- Ci-
City, state & zip code: 1~°.'Slu' )'s 5~~ 3 Phone 60Y/ - 9 2( 3
Owner Name• 4/0-a "'''3 ° °iq,
Streetaddress• 96 ~ Tri//iw^- C-1-
City, state & zip code: phone
Irrigation contractor, if dittereni i;,an iiibiSll°r:- ~
Telephone
I hereby acknowledge that I have read this appiication, state that the Information is correct, and agree
to comply with all applicable City of Eagan ordfriances. It Is the appltcanYs responsibflity to notify
the property owner that the City of Eagan assumes no liabtlity for any damages caused by the City
during Its normal operational and malntenance activitfes to the facilities constructetl untler tnis
permit within Ctty propertylright-of-way/easement.
, 4~.
ApplicanYs signature Title
Approved by: _ Date:
PRV ? Yes ? No New service ? Yes j No
Meter Size & Cast N~i9
Fees due: Calculated bv: Ll/.uerw.~rr~
PROCEDURE FOR IRRIC;ATION SYSTEMS - 1995
A:1 ITri{'au'vnr2riii a lli requErec - piease contact Pratective !rs;.FC3fons a! 481-4675.
Fees
Commercial proJect: $25.50 irrigation pertnit to cover installation of backflow preventer.
$50.50 water permit feE: onlv if new service is installed.
$300.00 per tap if insta,led by City.
Res(dential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fec: if new service is installed.
$750.00 per connectior, - WAC.
.
.paic.vv Nci GJiucGii"vf
Exfsting residence: $20.50 irrigation perrrit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute ans less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water ; spections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department iTiay be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170601
Date Issued:07/12/2021
Permit Category:ePermit
Site Address: 969 Trillium Ct
Lot:3 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Siegfried K Herold
969 Trillium Ct
Saint Paul MN 55123--399
(651) 815-9026
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171001
Date Issued:07/27/2021
Permit Category:ePermit
Site Address: 969 Trillium Ct
Lot:3 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Siegfried K Herold
969 Trillium Ct
Saint Paul MN 55123--399
(651) 815-9026
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature