973 Trillium Ct
INSFECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
ItJSPECTION D. .
: }~r•:1t) 1 1 rll,
i.d t~l t1N I/lt.t illt 4 I isi, '
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J
Pormk No. Pumit Holder Dste Telephone N
,
ELECTRIC
' PLUMBING ~ ~ ~ N ~ lrG00
HVAC 2 4,
InspecNon Wb Insp. Comments
FOOTINGS 5 f -
FOUND ~
FRAMIN(i /rflf?
ROOFlNG
PRWMBING 0
PLBG . ~ ~
AIR TEST
MEA NG u
GAS SVC
TEST
INSUL Zy ~ ~2 z
GYP BOARD , .
70
FIREPLACE - ~
FIREPtACE
AIR TEST
FINAL PLBG J ~
FlNAL HTG ~
pRSAT
TEST
BLDG FINAL
J
BSUT R.I.
BSM'f flNAL
DECK FTG
v~
DECK FlNAL D
- - - - --A
I y ~
1
1 ~ ~ I
I
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W'er*fica#e vf cccoanc4
~it~j of ~agan I
4~t}~rt~cKt oF ~~i~ ~x~ctiux ,I
This Certificate issricd pursuant to the rieqairrments oJ the Uniform Buildirrg Code
ctrtifying thct at tht tinu of issuanct tliis stnuctuir was in compliance with rhe various d
i ~
~ ordinances of the City negulattng building construction or use. For the following: ~
use c1129ir~ SF NC awa- PervWt No. 25243 ~
0.9..-y ~ R3/14I z,a,;vg Diso PD/R 1 Tyr., ca.u. VN
o.w of 8mmm PARI9H t+IPMING Ad6... 379q BRIAWXD IANE, F1yL'~1N
ei,;,d* Add,ar Q73 TRIII,I[M M[1f{T L-DWY 12. ffi. IElCIIGIUN POIlVIE 10IH
&rarg omcd .
P06T IN A CONSPlCl10US PIJICE
,
~~'7/
0 ~.2~4~-562
~ 8~
Re uesl Dale Fire No Roug -n Insp chon Reqmratl InsOeciion Olher Than Roughln
(YOU usl call inspetlor wben reatly) ~ Reatly Now AWill NoWy Inspector
- ~ Ves ? No Dale Reatl
IKlicensed contractor ?owner hereby request inspection of a6ove electrical work at.
Jab Atldr s(Slreet. 6ax or Paute NoJ Qty
I 1 /
~ elA L
Sedion No Tauvnship Name or No Range No, Goun L~
L
Occupa (PRINT) ^ Phone No
Y hX !
Paw r S liel ~e~ Atldress
MEleclncal Con~ c~or (Company Name) Contra o' Lmense No
~ ~O 9
Malling Atltlress jCont ctor or Owner Making Installanan)
- '
/
qulhorizetl Sign ure (COnlracloqOwner Making Installa[ian) Phone Number
a -Co3~
MINNESOTA STATE BOPFD OF ELECTRICITV THIS INSPECTION REOUEST YWLL NOT
GrIggs-Mitlway Bldg - Poom 5418 I I I I I I I I I I II II 6E ACCEPTED BY THE STATE 90APD
1821 University Ave., SL Paul, MN 55104 ?NLES$ PROPEF INSPECTION FEE IS
Phone(612) 662-0900 ENGLOSED.
REDUEST FOR ELECTRICAL INSPECTION 6M"''a
_ V- ~dEB-0/0~00/7-09
~ See Inslruclions IOr completing Ih¢ brm on back ol yellow capy. /
~9pC
"X" Below lh'ork Covered by This Request I
Ne Add Rep. ' Type ot Building Appliances Wired Equipment Wired
I'liC Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Contlrtioner
Other(specJy) Conlraclor's Femerks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee il Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps '
Transformers Above 200_Amps Above 100 _Amps
Si ns Inspecmr's Use Only TOTAL
Irriqation Booms gs
S ecial Ins ection
Alarm/Communication THIS INSTAI.LATION MAY BE ORDER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Aoughln Da~e
certdy that the abova inspection has Finej oate
been matle.
OFFICE USE ONLY
This request vatl 18 manlhs from
Address 973 1RlLr.ILm cpUttT Zip 55123_
I.ot 2 Blk 2 Sub t.UtrNr;rcmr Po xrF lont
THHSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: %~p Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with Ihe 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.
Contact engineering division at 6814645 beforo working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Residem Copy Pink - Contractor Copy ~
r7T711 /s, sD
2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 _
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 1 / (D 1 o
Site Street Address CI `7 3 ~ri iu h'1 u~ . Unit #
PropertyOwner Telephone# ((1)
Contractor CHAMPION WATER SERVtCES Telephone #(~i( ) 36S-V3q1)
_
. ver ge ir
Address BumsvlnP nnni F53v City State Zip
The Applicant is: _ Owner L,52ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing' fixtures. 7his fee includes installation of a water softener and/or water
~ heater at the same time. If you are installing an a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ~ /`-Water Heater $ 15.00
_ new -r~placement
Lawn Irrigation _RPZ _PVB _new _repair _rebufld $ 30,00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, ~work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
.,fcnr-t-uo _
Applicant's Printed Name ApplicanYs Signature D
D
JUL 1 l 2007
~ca~~
(,(.0& ieo 30 -SZ~
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date /0_ I 7 1 O`1
Site Street Address 973 if2ic.Civr) Cou,Zi Unit#
PropertyOwner i4"^') 1*~'4 13iLY Telephone#(65i) 6 Y6-') oZ
Contrector ~1./C. Telephone# (63-1) tisZ-iSSS'
Address I7i Ac.~x~?Jf~ rZO City I~JGRJ State M-) Zip 55o:7/Zj
The Applicant is: _ Owner ~C Contractor _Other
Altelations to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5!8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_Z new _ repair build $ 30.00
II 1~J I~ ,
, State Surcharge S Z004 $ 50
Total $ 3O 50
I hereby apply for a Residential Plumbing Permit 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. ~
ApplicanYs Printed Name plican 's Signature
, WENZEL 651-452-1565
PLUMaa•„EffrM •COOLM FAX 651-452-0367
1710 Alexander Road • Eagan, MN 55121
RPZ TEST / REBUILD REPORT
Address 973- r.'r~~"~ ~j ou Y t-
Service Name M ~6 r y
Contact Person ~M ^j
Telephone
Clty ~ .E~ a.?
State ~
Zip Code
Device Location
Device Serves What System
Serial Number ys s TestYear
Make ~?.~~r,~ o I s`
? 2nd
Model X ( ? 3rd
? 4th
.SIZe ~ X Sth/Rebuild
Install Date if/oH/--/ ? Newlnstall
Check Valve 10 LEAKED Test Date 9 i7•oY
,2( CLOSED
Check Valve 2 O LEAKED
X CLOSED
Press. Diff Across 1 PSI
Press. Diff Across 2 OA ~z PSI
Press Diff Relief Open - G PSI
Describe Repair:
I HEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS FUNCTIONING
WITHINTHE LIMITS OF7HE STANDARDS
FIRM NAME: WENZEL PLUMBING AND HEATING, INC. ADDRESS: 7710 ALEXANDER RD, EAGAN, MN 55121
BY: ~~,v CERTiI 7%'f7O~-7
' PERMIT
CITY OF EAGAN 3-I -:j- -45
3830 Pilot Knob Road PERMIT TYPE: B u i ~ o z N s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 2 0 3
(612) 681-4675 Date Issued: 0 3/ 13 / 9 5
SITE ADDRESS:
973 TRILLIUM CT
LOT: 2 BLOCK: 2
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-020-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
Zoning PD R-1
6uilding Length _ 60
Building Width ~ 50
Building stories , 4
Square Feet , 1,972
REMARKS:
5& W PLBR - LAKESIDE PLBG
FEE SUMMARY:
VALUA7ION $131,000
Bas.e Fee $748.00 MZSCELLANEOUS $1,892.50
Plan Review $486.20 Total Fee $4,042.20
Surcharge $65.50
SAC $850.00
SAC $ 100
SAC Units 1
Subtotal $2,149.70
CONTRACTOR: _ qpplicant - sT. Lzc. OWNER:
PARISH MKTG & DEVEL CORP 14526644 0001054 PARISH MKTG & DEV CORP
3799 BRIARWOOD LN 3799 BRIARWOOD LN
EAGAN MN 55123 EAGAN MN 55123
(612) 452-6694 (612)452-6644
Z hereby acknowledge that I have read this application and state that the
information is correct and agree to comply w3th all applicable State of Mn.
L Statutes and Cit,y of Eagan Ordinances. J
a(n.!0~,
APPLICANi/PERMITEE SIGNATURE i ISSl7ED'9(: SICkNA TUR
)9143 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~4~
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConshuGion Reauiremants RemodaVReoair Reauirements
? 3 registerod site surveys ? 2 copies ot plan
? 2 copies of plens (includa beam & window sizes; poured fid. design; etc.) ? 2 aite surveys (ezterior add'Riona 8 Ceeks)
? t energy calculations ? 1 energy plculations for heated addRions
? 3 COpies ol tree preservation plan if lot platted aRer 7/1l93
required: _ Yas _ No
DATE: 3-6-94 CONSTRUCTION COST: fi° ~~5~ ('IOD
DESCRIPTION OF WORK: SinQle Familv HOme
STREET ADDRESS: 973 Trillium Court
LOT BLOCK ~j SUBD./P.I.D. t.avingtnn nninta 1f)rh
PROPERTY Name: PARISH MARKETING & DEVEIAPMENT CORP. phone 452-6644
OWNER * 'I°°•
Street Address' 3799 Briarwood Lane
City: Eagan St8t2: Minn. ZiP: 55123
CONTRACTOR Company: same as above Phone
Street Address: License 1054
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Lakeside PlumbinQ - 894-7600 penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct andee to comply with all
applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. • ~
Signature of Applicant:
OFFICE USE ONLY RECEd~~Q~
Certifiqtes of Survey Received Yes No NAR 0 6 19qF
Tree Preservation Plan Received Yes V No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
cfG 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
(K- 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) f-1111 Basement sq. ft. S~'s MC/WS System
(Allowable) 11-N Main Ievel sq. ft. 31G City Water
UBC Occupancy •J n~•i RAPE sq. ft. 7 ~o Fire Sprinklered
Zoning P-~/a-i sq. ft. PRV
# of Stories L,~s. r sq. ft. Booster Pump
Length mo sq. ft. Census Code. io/
Depth So Footprint sq. ft. 4 72 SAC Code o/
P y¢ Census Bldg /
yre-' Census Unit /
APPROVALS
Planning Building Engineering Variance
c3.
Permit Fee Valuation: o 0 0
Surcharge
Plan Review //IpqAIN CLVGL psM.~
License 0 5-r 4 z~~ka~ Z~ x ZZ f- s~srf.r=
MCNVS SAC
City SAC z x-7 Y~T~,
Water Conn. z&F
Water Meter ,o
Acct. Deposit yx zy - s11 z"~Y = zK
S/W Pertnit / 31ty r
S/W Surcharge ~ z x z z' yy
Treatment PI. 6t~•• (~yx „ie, _
Road Unit
Park Ded. ~ 5
Trails Ded. 3~• 83 x 2 y ` 7`1o zsy
Other
Copies
TotaL• op f(y7
SAC p~L I
SAC Units -
2422 Enterprise Urive
* * Mendola Naighta, MN 55120
LMo swKmrts • qHL "H[Eas (612) 681-7 814 FAX: 681 ^94$8
* 0n neer LAN0 pIANMpi3• LANDSGMf ARON7ECi$. 625 FIIgIIWOy 10 N.E.
* * * 61o;ne. MN 55434
* (612) 783-1880 F'AX:763-1883
Certificate of Survey for: PARISH MARKETING
973 TRILLIUM COURT
s89006'z3"w (~~75) -
see.z~, 73.00 ~ ~ `sez5
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1
5 SEMENTpER aLATy~
By EA
~ I
Da ,S-
EAGAN E1VG ~ ER~ATG DE~ W
I c
W 981.3 9807x I ~
~ I c9Bp,-~)r- (q.gr,~ b
U)
979.8 9~eax
I ~ -980.68 ~
979.32" 46.0
j
O
M
~I p PROP03E K+ ~
~ N HOUSE e~v ~ 7 ~
~
1. 7
M~ 979.4 \ \
Nu~, 14.0 --6'~ 979.8x N~
o m (qel•Ll
1
~ ~GARAGE
Q I
9 \ o i,
A 9~67 q N
BENCH MAkK cv 3 y7$5 BENCH MARK
E~LEV 979.PIE 79.1 q8O,5~ TOP OF PIPE N .
; ELEV.= 979.89
~ PROPOSED
0 5 DRIVEWAY ~5 0
EA~~Iy (~7,.3~`,~, ~ ° !b)
W~p 97T.3. ~ o 73.00 ~s~aJ~c~ e'zs
~~VS£ ...C.9~N976.9 1 Pa8=~.2311E
d~ rw. TRILLIUM77.O 9M N
COURT
o.~~.~...
P"V`'m cnAM sHOwi vrat WUDW Kw gy, T R 1-L 4 N 0
HoiB: BN~c 00rEf78qNS savN Af7E ?a NatM20NrAL ANO W71C.Y.
IOCATIpI OF s1qUC7lYAFS nNll'. SEI AR4111CC/UAL PlAN8 1Rt BURDMO 7N5 cEA7F7CA1E bOfS NOi WRPORi TD 9WW F.ASF1F11T9 AND FDUMICAlIOp pMD180N3 Ollrit TNAN 7110X Of10Mi ON 1!E REOOfIDED PIAT.
NO7F.t C01lTRAC7CR MUST VEIWY PlslWAY OE.90N.
Noh, ip sPEvFlC sOs MvEsnw,npi wa Win CaMpLE7W ON no SCALE : 1 INCH = 30 FEET
LOT BY iHC SURVEYON. 7ME 9JITAb16f1Y OF SOILS TO SUPPORT IME 86APRl65 910W1 ARE ASSVIIFD
S'EpF1C HOUSE PRaPO5EA IS XOT 7MC PE9+Rf9M7Y OP 7!E 91RWYOR.
x aoo.oo Denotse Exleting Elevatlon _ PROPO= HOLSE K~~ATI^N
( oac.oo ) Denotes Proposed Elevatlon Lowsst Floor E{ewtfon: y 74,5
- Denotea Dralnaqe & Utiltty Eaeament /
Denotas dralnage Flow Diroctton Top of BIoCk Elewtlon; q04,6
-i-~. Denotea Monument
=8- Denotea OHset Hub Goraqe Slob Elew4lon; ~ PARISH
MARK CETATIORTIFY
r A SURVEY OF T}IEEg'WNDARIES p~'; THAT THIS 15 A TRUE AND CORRECT
LOT 2, BLOCK 2, LEXINOTON POINTE TENTH ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS
SURVEYEO BY ME OR UNDER MY DIRECT SUpE'RyI$ION THIS 2BTH DAY OF FEB.
CNED % PIONEER ENqN INC. A.
_
John C. onpn, L5. R. No. 19828
1054 saias.oe
LOT BIIRVEY CBECRLIST FOA RESIDENTIAL
~ BDILDINRMIT ]1PPLICATI N
BROPERTY LE6AL= ;2
~ Date of Burvey
DOCIIMENT BTANDARDS
D-13 0 • Registered Lnnd Surveyor siqnature and company
Q-~13 0 • Buildinq Permit Applicant
W,0 D • Legal description
D~ 0 0 • Address
f~ 0 • North nrrow nnd4af ecale
9-D 0 • House type (rambler, walkout, cplit v/o, split entry,
lookout, etc.)
~ 0 0 • Directional dreinage"arrows with slope/qradient t.
V0 0 •Proposed/existing aewer and water services
@~~~0 0 • Street name
ID' O 0 • Drivevay '
ELEVATZONB
Eaiatina
~ 0 0 • Sewer service .
&'*~0 0 • Lot oorners .
~ 0 • Top of curb at,the driveway
0 • Elevations of 'any existing adjacent homes
BropoeeC
L9~~0 0 • Garage floor
B',LI 0 • First floor
CJ~ 0 0 • Lowest exposed elevation (walkout/window)
0 0 • Property corners
M--10 0 • Front and rear of home at the foundation
p4NDIN6 11REA8 (if avpllaabls)
0 G?0 • Easement •line .
0 ~0 •
n m~A • x~wi
0 O~,r • Pond N designation
D m/ 0 • Emergency Overflov Elevation
DIMEN8201Q8
E~0 0 • Lot lines
0 0 • Right-of-way nnd street width (to back of curb)
V0 0 • Propoaed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requizing permanent footings)
L9~0 D • Show all easements of record nnd any City utilities within
those easements
G113 0 • Setbacks of proposed structure and setback of adjacent
existing homes
a
Retnining wa require ents, if any
Revieved: ~ .5--
Nam / ate
October 1992
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~ ~ A D/OR ELEV,ATIO !S. THI~ 4ATA I, FOl~~
I ~ JI~~ FORMATIO~~ ! P RPOSES~ ONLY ANh`,
I P=RSOf~S U~ING I SHOULD V,_R'~ I THE
Hnnp Ia~J ON T E SITE. ~
~ \ CONSTRUCTION LIr~1ITS /
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YWE CITY OF EAGAN DOES NOT GU
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THE ACCURACY OF UTILI'fY LOCATIONS
Af~D/OA...ELEVATIUNS.....TF~lS DATA...IS FOid
INFORMATION PURPOSES :OfULY ANp
- PERSOIVS USIWG (T SNOULD VERIFY THE
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: Detecmine vorking squarc EooWgc o[ cach.
. . ~ , . , ~ ~ .
1. Total exposed •.+all area g_%pk,o sy. ft: x •<<~ ~_~.53•y <
2. Total coof.ceilinq area /3j~G •O sq. ft. x •025 23.7
i
Total exposed wall area above Eloor
• a. Total wall vindoa area j0.1~
' b. Total door arca S~Z• 8
c. Total sliding glass door'area 378• 8
d. To[al fireplace vall area 49 -C'GJZe•
e. Tota1 vall Eraming area (averaqe 10E) z3 n.'/
~ f. Total net va11 area above floor ,
. 9. Total rim joist arca ,33, 3
Total exposed foundation area = /OG•G
h. Total foundation window arca 40
i. Tota1 net foundation area above grade..................... 10G•6
Determine "U" value of cach wall segment. ~
a. X.. U.. . SS 8~, 8
b. y2•8 x U. 33 .
c. 38,B x..U. s--I'
d. O % "u"
. e. .2 3o.li x ^u^
f. ies~r,6 x ..U.. , oyl^
133.3 X ..L,.. , o~~ G 3
D •~r~ o • o
. . /~G. G • a83 8• B
. sr, c Ro,;r rf- .
3 .............._...Total
IC item q) is the samc as, or Les:: than itum pt, you liovA• et t:hc tntunt
o[ SuC 6006(c)2. *tq $3 Z z, y~ e 90?•,•'~~ 5 ~i• f~,
L
. ylu,f %t,66 --e~..~'~ S/5 C G o c G CeJ
Total exnosed roof/ccilin ~rca 3 ye• O_
O .
j. T4ta1 skylighe arca
Y,. Total rool/cciliny framiny area (avcraye 1R'+.) G
1. ToW 1 net insulatcd roof/cuilinq arca..................... /J' 'i
Determine "U" value for cach roof/ceilinq scyment.
,
j. d x.U., p ~ p
k. /3y 6 x••u,. • o z. 3 3. /
i7-11.~ X••U.• oZ/7 = a6.3
4 . ......Total = ~9 S~
If total oE q4 is the same as, or less than N2, you h/a've mc[ tlic intent oF
SBC 6006 (c)1. (lO.w 0 S6 ~y y~ CO""' r' Z~3.7j ~
4..~
Alternatc Building Envelope Design
To utilize tlie total envelope system meth«l, tlic valucs establish•:d by [hc
sum of items N3 and N4 shall not be greatcr than Clie sum o: items pl and 92.
. ' . , .
1. zs3:y + 2: ~3•~
2z7f/ «a. ..z9,5~ _ zs6•8
, .
. CR-ee,,4 \Z87 yr .
G~.~-4•,P ~S4 ~ 8, ~ ~ :
~y T ,
L BL ciTr use oNLv RECEIPT #:3911---
SUBD. 6 DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additionai 50 M BTU 6.00 1
? Gas Outlets (minimum of 1 required @$3.00 each) 3•GO/
~ State Surcharge .50
TOTAL c ,w
SITE ADDRESS:
OWNER NAME: ~Sh ,~ClQ PHONE #:°)Lcb4
INSTALLER NAME: A 'h\ `b ~~LG-
r
STREET ADDRESS: v` 11 "
CITY: a ~ STATE: UU~1 ZIP:
PHONE
I
• ' ~ L BL cirr use oNLv RECEIPT -393I-T-
SUBD. IO 7"~ DATE: ~
1995 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 NO. TOTAL
Shower 3.00 x .j.c-
Water Closet 3.00 x 3 = ..-Bath Tub 3.00 x ~ = 3•~
Lavatory 3.00 x 3
Kitchen Sink 3.00 x .
Laundry Tray 3.00 x .
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x / _ .
Floor Drain 3.00 x 3•-0
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler' home underconst. 3.00 =
Alterations ` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 3 5 -~v
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: ~~,~d i ~~i?~~ A~~ 'sv
CITY: ~j./fjew STATE: ZIp: 33~'37~
PHONE ( d/a ev
sr I-- PERMrrT
L 2- CITY USE ONLY
BL ~ RECEIPT
SUBD. RECEIPT DATE:
PERMIT #
1999 PLUMSIx6 PER14tIT QRESIDEN'ctiRW
crrY of EAs,ax
9$90 PILOT KNOB ftD
EAtfiAN, MN 55122
(651) 691-4675
Please complete for: : single family dwellings
> townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = S
Floor drain 3.00 x = $
Gas i in outlet " minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = s
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = S
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = S
Under round s rinkler if existin dwellin 30.00 x
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
Total $
30. v
Reminder: Calt for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the mformahon is correct, and agree to comply with-all appli-cable-Ciry--of E-agan ordmznces.
It is ihe applicanfs responsibiliry to nohfy ihe property owner thal the City of Eagan assumes no liability (or any damages caused by the Crty during its
normal operational and maintenance actiwties to the facilities wnstructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: _q~~ ~/~I I I I l~t rt~ Gr
OWNERNAME:: T)aUI l.k 'tl- l G?-)q6+2~/ TELEPHONE#: 4'-eiaS
(AREA CODE)
INSTALLER NAME: TELEPHONE
' (AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
~
SIGNATURE OF #RMITTEE
RESIDENT OWNER
Name: Phone:
Address City Zip: 9 I �m
CONTRACTOR
Name: V V &rJ2& P I w �V P100 License D /i1 5 7"A
Address: I7/ AI
City: State: i4 /V Zip: ec::7l
Phone: (6' N 6 Contact Person:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawnation Add Plumbing Fixtures
PZ PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
$30.50 Law Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
Date:
Tenant:
x
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
.bn
Applicants Print d Name
OCT 0 1 2009
Permit
Permit Fee:
Date Received:
Staff:
009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: !3 -ryI II e�T
Suite
I hereby acknowledge that this information is complete and accurate; that the work will be in con with the ordinances and codes of the C 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.
411 AA?
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Use BLUE or BLACK Ink
---------i
For Office Use ,
Permit
City l,of Eap (00.
3830 Pilot', Knob Road! Permit Fee: WO
Eagan MN 55122 I a
Phone: (651) 675-5675 , Date Received: 0 ° 13 I
I
Fax: (651)' 675-5694 ~ Staff: I
- - - - - - - - - - - - - - - -
2013 MECHANICAL PERMIT APPLICATION
❑ Please submjit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite
s
Resident/Owner Name: Phone: 01
Address / City / Zip: 9 / 32; 11
i i
Na Ime: A License
Contractor Adpress:1 J.~~z city: SS~
E Staltej~ Zip: Phone: L~
I Contact: Email:
New eplacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
I RESIDENTIAL COMMERCIAL
_'3 ~rnace _ New Construction _ Interior Improvement
Air Conditioner Install Piping Processed
Permit Type -
_Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank L- Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Undergrou d tank ins allation/removal = $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value i GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over,$1 million, please call for Surcharge = $ TOTAL FEE
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 1 understand this is not 4 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 case of work which requires a review and approval of plans.
"i
x
4/0' wc"
icant's Printed a plicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116852
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 973 Trillium Ct
Lot:2 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
David L Fabry
973 Trillium Ct
Eagan MN 55123
(612) 202-4991
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141291
Date Issued:03/03/2017
Permit Category:ePermit
Site Address: 973 Trillium Ct
Lot:2 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
David L Fabry
973 Trillium Ct
Eagan MN 55123
(612) 202-4991
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166077
Date Issued:12/10/2020
Permit Category:ePermit
Site Address: 973 Trillium Ct
Lot:2 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
David L & Tammy J Fabry
973 Trillium Ct
Eagan MN 55123--399
(612) 202-4991
Mn Plumbing & Home Services Inc
12040 Riverwood Cir
Burnsville MN 55337
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171062
Date Issued:07/29/2021
Permit Category:ePermit
Site Address: 973 Trillium Ct
Lot:2 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-020
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 -
David L & Tammy J Fabry
973 Trillium Ct
Eagan MN 55123--399
(612) 202-4991
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature