977 Trillium CtUse BLUE or BLACK Ink)
1
City4111TP° Cy of Eag,au
Permit Fee: , 6v
3830 Pilot Knob Road
Eagan MN 55122
Date Received:
Phone: (651) 675-5675 cnr:IVED
Staff:
Fax: (651) 675-5694
JAN 1 0 2011
2010 RESIDENTIAL PLUMBING PEFZMIT
Date: i lit; lit ' Site Address: 1411 fy I i i ,l..r ' Cr
AP/P�L.-I,C,A/�TION
a
!/► 4 Sl Z ?}
Tenant:1.(curvin ER1-21 Dr)
Suite #:
RESIDENT / OWNER
Name:
.LC a
Iia
Phone: us211-(0)5(5
I
Address /City / .:
( �('t
r
f I
��,.M.
CONTRACTOR
, ,
1
Name: kik_Vait
C-(i()Ci►
! License #:
Address:
/
Oki
City:
)
State: WI s Zip:
it(' Phone: )L
(Q SU ('
Contact: t *( i r `t .T t)
Email:
TYPE OF WORK
_ New Replacement
Description of work:
— Repair Rebuild
—
Modify Space
Work in R.O.W.
PERMIT TYPE
RESIDENTIAL
Water
Softener
Water Heater
Add
Plumbing Fixtures (— Main / Lower Level)
Lawn Irrigation ( RPZ ! PVB)
—
Water
Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
)
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround*
(includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.011
State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) -- C/n
TOTAL FEES $ , ).
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. .gooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 wor is not o 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 o plan f
X J CU 9.. 0 x / idi U/.f�
Applicant's Printed Name Appli ' - n
's Signature
FOR OFFIC USE Reviewed By
Bate
Required Ins'Oections: Under' Ground =Rou h Ir►�
g AIr Test-
Ga Test .....;_Final •,
� x
_-_
I
1
• ~ ~ INSPECTION REC4RD ~
' ClTlf OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: t+ ~ ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• ' i r'1 APPLICANT'
•
~ i l+ i. - I
t !1 1 1 ~I il~q t" 1 :,1 ~ < I~; ' ~ ~ ~ ~ I i' 1 ' ~i~. , ( i ' i . . i 1 1 i ' ~ . ~ .f ;1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
I:!' tll il I~ t~ld I I:• e! I 1'tt {
~_L ~
Pertnit No. Pertnk Holder Date Telephone li
ELECTRIC
L _ PWMBING GYbg ~ kk~, 11291f.7 0V(W
HVAC
Inspocdon Dabe Insp. L-i Commente
FOOTINGS
FOUND
tOL?
FRAMING / S ~J)(~
~Y[ ~
ROOFING
ROUGH AL
PLUMBING ~f
PLBG
~I RIR TEST
I HE°nUriNC a~ d G1' f 3 f de-
' GAS SYC
rESr % IS
INSUL
<
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST '
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG F1NAL v
BSMT R.I.
BSIr1T FINAL
I
DECK FTG
DECK FINAL
L - - - - ~
~ • • ~
_ W"titica#e of cccupanc~
(W4 Of W"IM
0-H~t
T7ers Certicate essued petrsuant to the neqrinenunts oj tAe Uniform Buildrng Code
certifying that at tht time of issrrairce this structua was in compliance witlt the various
ordinances of the Ciry ngulating bwldiRg ca+rstnrctiae or use. For tiu follawing:
~
u,o CW=Wkmio.: SF ewe- PemmtNo. ZgoA4
O-UP-Cr Type R3QL1-_ Zoos om+n _PO/81 Type cORu• VDl
ow.aareWaism PARI9i M= & ILY aTM Addm= 1794 HRTAia[rnTANE,EAGAN
em~ AM- 477 IRns m?r Lo-a
- / /~t / , n.e:
X-/
a:kfift offo.i
POST IN A CONSPIG10l1S PIACE
~
D IJ~ ~REQUEST FOR ELECTRICAL INSPECTION Sa
ee-aoooa/-o~s
9~ See instmc(wns for ~mpleting this form on back of yellow copy /~~Q
~ "X" 8elow Work Covered by This Request ~
Ne Add Rep Type of Building Appliances Wired Equipment Wired
Home +Air ange Temporary Serwce
Duplex ater Heater Electric Heating
ApL Building yer Load Management
Comm./Industrial rnace Other (Specify)
Farm Condifioner
Olher (specily) Contractors RemaBs
Compute lnspection Fee Below.
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ' 0 to 100 Am s 661-05-
- Transformers Above 200 Amps Above 100 _Amps
Signs inspecmr's Use oniy: TOTAL
Irngalion Booms F SSD
.
Special Inspection
AlarmlCommunication THIS INSTALLA710N MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electnral Inspector, hereby Rou9n-in oa~y ~G.~l
certity that ihe above inspection has ~
rThi en made. F'"a~ oaie
FICE USE ONLV (y~
s requ esl vaitl 18 monihs Irom
~ ~~~J
~8 060
a
ReQUO Dale Fre o ough-In Inspection ReQUiretl Inspoclmn Olher Th n ough-In
(VOU Yeasl inspector?wh NOreatly) paO RReady eatl Now WII Notify Inspector
(
Ilicensed contrecror ? owner hereby request inspechon of above electrical work at
Job Atltlress (Sirael Box or RoulaNo.)~r gi ' Q~
/
Section No. Township Name or Na Range No C unly
Occupa PRINT) P~one No
7
9/21S mi'~ l~C~o .
Power Supplie.
J% ] ~CiIV~ ~ ~ ~~70N
Elecvual Con cbr (CompenY Name) Conlractor's License No
5%'nJ
MaAing Adtlress (COnVacror or Owner Making ' InsWllation)
~
19 AulhonEed Si aNre (ConlradortOwner Making Inslallal on Phone Number
~
~
1c~~~ 9~~-0 3
MI ESOTA STATE BOAHD OF ELECTqICRV NI1 THIS INSPECTION FEOUEST WILL NOT
Grigqs-MlEway Bltlg - Hoom 54Y8 III ' I~ I I I~ II II I I II I I I BE ACCEPTED BV THE STqTE BOARD
1821 Oniverstly Avc., 51. Gaul, MN 55104 II IINLESS PROPER INSPECTION FEE IS
Phom (612) 6C2-0800 II ~ ENCLOSED
Address 977 1RIIa.RM OD1[tr Zip 5512 3
Lot t' Blk 2 Sub =rtc,nRr PoiNrE lottt
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ~
Basemen[ finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in right-of-way or installing undcrground sprinkler system. ~
White - City Copy Yellaw • ResideN Copy Pink - Conlractor Copy
RESIDENTIAL
-D- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenb RemodeURewir Reauiremenls
• 3 registered site surveys showing sq. fl. of lot, sq. R. of house; and all rooled areas • 2 copies of plan
(20% maximum lot cove2ge allowed) . 1 set o( Eneyy Calculations for heated addihons
• 2 wpies of plan showirg beam 8 vnndow s¢es; poured found design, etc.) . 1 site survey for eztenor a0ditions 8 decks
• 1 set of Energy Calculations • IiMicate it home served by septic system for addaions
• 3 copies of Tree Preservation Plan if lot platled after 711/93
• Rim Joist Detail 001ions selection sheel (tldgs wiN 3 or less umts)
DATE VALUATION
SITE ADDRE55 / MULTI-FAMILY BLDG Y VIN
TYPE OF WORK 7 r2r ,9YY ~ lc °1.4ILIt°i FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS I29~ 0 /VI6DIIC-/'-/9?G,3b CITY /JI/msVllle STATEIRAI ZIP S~SJ.7 7
TELEPHONE #qJ`A"/-W- 69MCELL PHONE # FAX # IJ,Z '9D9` MD
PROPERTYOWNER_ 9rlG11 Cn7~ioi]I TELEPHONE#6lI~J'6~6"y~6~I
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNEtiOTA RULLS 7670 C:\'I'I:GORY 1 MINNESO'1'A 12ULES 7672
(J submission rype) . Residential Ventilation Category 1 Worksheet Submitled • New Energy Code Worksheet Submittetl
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phonc IIi
I'lumbiug system includes: Water Softencr _ Lawn Sprinkicr Pec: $90.00
Watcr Heatcr No. of R.I. 13adis
No. of Badis
~ _
~ ,
Mechanical Contractor: Phone #
Mccli:mic.d system includcs: Air Conditioning Pcc: ?~70.00
_ EIcatRccovcrySyslcm ~Sewer/Water Contractor: Phone # 1
I hereby acknowledge that I have read this application, state ihat ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.(~
Signature of Applicant
--°----.....°----------------__m......_----°-------------_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
~ RESIDENTIAL
S5 ~ 3~p BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ' a~651 •681-4675
New Conetruction Heauhemema RemotleVRecalr Reaulremenb
• 3 reglsfered sde surveys showing sq. ft. of bt, sq, tt. ol housa; and~ll rootetl areas • 2 copies ot plan
(20M maximum bt coverage allowed) . 1 set of Energy Calculations for hea(eA addttions
. 2 coplesof Dlan showing beam & wintlow sizes; poured touM Uesign, e1c.) . 1 sAe surveytor eberbr addAions 8 decks
• 1 set ot Energy Calculatbns . Indicate A home servetl hy septic syslem toratldttbns
• 3 roples M Tree Preservatbn Plan B lot platlaU atter 711/93
• Rim Jolst Detail Options selectbn sheet (61Ugs wdh 3 or less unAS)
~
DATE n "L"W"tD- VALUAiION ~ ~J ri'rI ~ •
,
SITE ADDRESS _97 7 -7~iIlIGriY! (,oUrf MULTI-FAMILY BLDG _ Y i/N
~ r
NPE OF WORK / Y~Lc'+_ V~ i~e1`00 T FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS Iz2~y7 AIr6r,%l~ XvCI SD CIN ~~un STATE,MZIP S`fla3
TELEPHONE # qR '70741M CELL PHONE # FAX # W~Vto
PROPERTYOWNER /?plC/n )~hri/on TELEPHONE#
COMPLETE THIS SECTION FOR %NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitled
Plumbtng Confractar: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge fhat I have read this application, state that the information is correct, and agree to comply
wffh all applicable State of Minnesota Statutes and City of Eagan Ordinanc s. j
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT C2v sa~o
~ CITY QF EAGAN 7/01.9S
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Perm it Number: 0 2 5 9 8 4
(612) 681-4675 Date Issued: 0 7/ 0 7/ 9 5
SITE ADDRESS:
977 TRILLIUM CT
LOT: 1 BLOCK: 2
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-010-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy. R-3 U-1
Construction Type V-N
Zoning ~ PD R-1
Building Length 46
Building Width 46
Building stories 4
5quare Feet ~ 1,738
~
REMARKS:
S& W PLBR - LAKESIDE PLBG
FEE SUMMARY:
VALUATION $123,000
Base Fee $1,002.25 MISCELLANEOUS $1.892.50
Plan Review $350.79 Total Fee $4,157.04
Surcharge $61.50
SAC $850.00
SAC % 100
SAC Units 1
Subtotal $2,269.54
CONTRACTOR: - npplicant - ST. LIC. OWNER:
PARISH MKTG & DEVEL CORP 14526644 0001054 PARISH MKTG & DEV CORP
3799 BRTARWOOD LN 3799 BRIARWOOD LN
EAGAN MN 55123 EAGpN MN 55123
(612) 452-6644 (612)452-6694
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State ofi Mn.
L Statutes and City of Eagan Ordinances.
" APPLIC~NT/~MITEE SIGNATURE ISSUED B: SIA UREI k
-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u z Lo z rv G
3830 Pilot Knob Road Permit Number: 0 2 5 9 8 4
Eagan, Minnesota 55122-1897 Date Issued: 0 7/ 0 7/ 9 5
(612) 681-4675
SITEADDRESS: P'I•N.: 10-45094-010-02 APPLICANT:
LOT: 1 BLOCK: 2
977 TRILLIUM CT pARISH MKTG & DEVEL CORP
LEXINGTON POINTE 10TH (612) 452-6644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. .
FOOTINGS FOUNDHTION
FRAMING ROOFING
INSULATION FIREPLACE ~
ROUGH IN PIBG ROUGH IN HTG
FINAL PIBG FINAL
REMARKS: S S W PLBR - LAKESIDE PLBG
J
L
CITY OF EAGAN 4. I? JI
' 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdian Reauirements RemodeVReoair Reouirements
? 3 registered site suneys ? 2 copies of Dlan
? 2 copies of plans (indude beam 8 window sizes; poured fid. dasign; etc.) ? 2 ske aurveys (exterior atlditions & dedcs)
? i enargy calculations ? 1 energy calalations for heated additions
? 3 copies of tree preservation plan H lot Dlatted after 7I1193
required: _ Yes _ No
DATE: 7-5-95 CONSTRUCTION COST: 110,000
DESCRIPTION OF WORK: SinQle Familv Home
STREET ADDRESS: 977 Trillium Court
LOT 1 BLOCK 2 SUBD./P.I.D. Lexington pointe lOth Add.
PROPERTY Name: PARISH MARKETING & DEVEIAPMENT CORPphone 452_6644
OWNER
Street Addfess' 3799 Briarwood Lane
City: Eagan State: Mn Zip: 55123
CONTRACTOR Company: same Phone
Street Address: License 1054
City: State: Zip•
ARCHITECTI Company: Phone #ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber. Lakesi.de PlLnnbing 894-7600 penalty 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 and ee to comply wi h all
appliqble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY q`(p QS J ECE~~ED
~ ~,9~P7
Certificates of Survey Received Yes Q.~" No J U l C s 1995
Tree Preservation Plan Received Yes ~ No
~
OFFICE USE ONLY ~ 4
• •d,e r• ,
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
c~- 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
CV--31 New o 33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. GZ06 City Water ~
UBC Occupancy 3 u-/ 64N=~- sq. ft. c757 Fire Sprinklered
Zoning G-d -i sq. ft. PRV
# of Stories y~x~« lPllr sq. ft. Booster Pump
Length yb sq. ft. Census Code. /o /
Depth 116 Footprint sq. ft. -77A SAC Code
Census Bldg i
Census Unit !
APPROVALS !f b
Planning Building Engineering Variance
Permit Fee Valuation: $ 3, Ooo ~
Surcharge
Plan Review
License =
MC/WS SAC „
Ci SAC c.... /.sx 7- s ~l tr
tY `bf, yZ ° osz
Water Conn. < I K s. s
Water Meter
Acct. Deposit rr a.t ° y3 y~ L -
S!W Permit
S/W Surcharge ~ ~ r f
Treatment PI.
Road Unit
Park Ded.
- ~3
Trails Ded. S
5„7 L ZCP x Z5% 67 '
Other Z Y
Copies ~ Y ~ ~
S/S X!(o=
Total: S75 r s"`1
Z~~/
% SAC
SAC Units
3-- 7Y7
i
' I 2422 Enterpri:e Orive
MenCOta Helqhts, MN 55120
PIONEEA LKhNO SUNVfirORS 4 CINI [NQNaTRS (612) 681-1914 FAX:681-9488
~ BH neer n0 UNJ iIANYEFt. LA4JSCAPC ARLNITC:TS ~ -
~ 625 HighNay 10 N.E.
* * Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of survey for: PARiSH MARKETING
952 TRILLIUPA COURT
97s.9 S89°Q6'23"W 70.00 se7.2
_ _ T,'l s
5~,'--pRAiNAGE & U71LiTY
I EPSEMENT PER PLA7' I
~ f
3 I ~ I 9b1w
~ I I ^ ~
979.4 979.6 i ~
x o 6
~ • ..~7•~, I °a
OL cn 2
a;~,,;
9797 8.b 979.t ' /979.2t6.Ob xg'79.9 E/qGAN
m -
e7 .a i~--r N R E V I E W E D
PROPGSED ED
I Q HOUSF ~
~ BY
I'
N ~ n y~ 2.~J~n/ ~0.6 J~ Q
1975.
~
e.; ~7. 9ATs
~4.00x I o F~~,/
o.GARAGE.~a p
L w
BENCH MARK 'Y7y ~ K I L~---_ ~ 26.33 N 16.00
TOP OF PIPE B~0 9P0"~
ELEV.=978.88----'-~-~ ~ g 1 978.6i ./1 78.~ `
~ --.---BENCH IAARK
0o I IPROPCSED { o' TOF OF PIFc
EIEV.=973.85
o~ DRIdE4YAY i 5 0
M -
SERVICE~ - - - 0 1 ~ ~
S)
iNV.=9F .o ; K:r977
o g 4$89°06'23°Y1~7-670.00 sii.o
TRiLuuM couRr ~
~
~ ~ ~~G D~
I ~at's
NOTE: PROPGSGO GRqDES G'+CWN FER CRAOMG PLAN BY: TRI-LAND Ri 'y_~i '~L~ '4ATION
NOTE: 2UILDIYG DIASEN51^.NS 91C'+.N ARE FOR MGFIZCNTAL AND yERTICA'_'_OCRT17M
GF STRUCn1P.E5 IXvLY. SEE nRCHITECNAL PLA1:5 FOF. 9UP_DiNG AN7 LGWEST FLOOR ELEVATION:
i
FOUNDATION CIMENSIGNS. TO=' OF BLUCY. ELEVATIOfJ:
NOTE: NO SPEG7flC SCILS 1NYESTICA110U HPS BEEN COKOLETEO UN 1HiS ! OT 6Y 7HE C' pC~ ~
I SURVEY;R. TNE SVITA9P_17Y OF SGi:S TO SJFPORT THE .'PECIF:C MCUSE ,qRAGc SLAB EIEVl~TION: '
I FR,CPOSEO IS NOT 7H_ kr$PON961LIN OF iHE SUP.VEVOR.
NGTE: TMIS CERTIFlCATE 96ES NOT FLRPORT TO SHOW 6ASEMENTS CTHER THAN 1( OOO,CO UENOir$ E%I8T1NG ELEVATION
I iF05°_ St10YlN 0Y THE FECARGEO PLAT. ( 000.00 J OENOTE$ PROF65ED ELEVATION
~ KC7E: C04T3FCTOR MU57 VERIFY DRIb£n'AY DE:J^+N. DEKO*ES 6kniNA9E A0 UfiLIT! EASENEMT
- DENDF$ :RAIN6CE F_ON iU[ECTIJR
i NQTL: &AFIKGS SHOWN A'vE 6ASE0 04 A\ ASS6'1.'ED DATJW DCVCT'eS M0:'=wEn'T
5 tENOTES CFFSET Y•VB
i 4`It HEP,EBY CER7IFY TO PARISH IAP,RKETWG 7'rIAT THIS !5 A TRUE APJD CORRE;;T REPftESE-NTATICh CF A
SUR'JEY OF THE pOUNUP.ftIES OF:
I
I LOT 1, BLOCK 2, LEXINGTON POINTE TENTH ADDI7101V
I DAKOTA COUN7Y, MINNE507A
~ i? GUES NoT PURPf1FT TO SHO'iN I!dPROVEtAENTS CR Enl^,H40ACNUEN7S, EXCE?T aS 5HOV1N, 4S SURVEYED BY M= Ok
~ UNDEP rdY GIReCT SUPERM5iGN THIS 297H UA,Y OF JUNc 19yq
I - $t;!dEOj ~''iUNE[k Et:GME•F!NC,; P.H
`i
SCALE • 1 INCH - 30 FEET ~
~ 1054 9~4749.t0 SWK John C. '~orec:n, L~. Re~j. Uo. 78825 ~
_ ' -
10 '.1
u, t.oT 87RVEY CHECRLZST FOR R£SIDENTZAL
BIIILDING PERMIT ]?PPLSCATION
W ` $
2 S2 ~ PROPERTY .s!r.ar.• c;~.
Dat• o! Burvey: ~if2 q/q`~
~
DOCIIMENT HTfNnaena
H"'~,O 0 • Reqistered Land Surveyor aignature and company
I9~~ ? • Buildinq Permit Applicant ,
ID' ? 0 • Legal description
ID---D • address
ID~~ ? • North arrow aad-Dnr scale
D' D D • House type (rambler, valkout, split w/o, cplit entry,
lookout, etc.)
L'7~] 0 • Directional drninage errovs vith slope/gradient t.
!9'X D Proposed/exicting s¢wer and water cervices
B'1Y D • Street name
i9--0 ? • Drivavay
LLEVATIONB
Lxietiac
IK~M 0 • Sever cervice
~ 0 • Lot corners
D • Top of eurb at the driveway
0? • Elevations of any existing adjacent homes
ProooJed
f~,?0 D • Garaqe floor
~ ? • First floor
,1 0 • Lowest axpoead elevation (walkout/windov)
8_~r3 D • Property corners
0 • Front and rear of home at the foundation
P4NDING 71REAS (i f aeel-icabt
0 @" 0 • Easement line
D '0 • Nxi,
D /0 • HwL
~y" • Pond ~I desiqnation
~ L] • Emergency overflow Elevation
D2?SE1082o1Q8
3-/D 0 - Lot lines
Riqht-of-vay and street vidth (to back of curb)
f+' L? • Proposed home dlmansions includinq any propoaed decks,
overhanqs qreater than 21, porches, etc. (i.s. all
~D p structures requiring permanent lootings)
• Show all easements of record and any City utilities within
those easements
~ • Setbacks of proposed atructure and setback of adjacent
existing homes
~ ~ • Retaining requirements, if any
Rwiewed:
Na e / ate
)Ctobar 1992
-T" t"~. ~<^UY.I1Pt1-~ C' ~ 6.E
,:,Q,~f ~AGAPd DOc~ 4FLOCATI( ~NS .
i- ~
~~,r,CURACY 0 i HI5 DATA IS , 'OFI
110i3 7 ELEVA `fIOP S. a I
.LY ~ .
.,r.,. ;4cf0~~v'ING PU IPSHOULD V-Rt~Y 19
?P -:~n,..~.~~
U•; 20 21
STA 1+50 p 8«93 1•4 ~ 6+
W-977.90 '~G%9t~~ilONO~Ti~SI TE. 7•73
~ 5-566.40 S A~82- STA ~ffs2- STA ~36 STA 6+i
W-97-r.l,U W-977.60 W-977.70 IN-979.Y
62.35 73.40 1 5 1 6 1 7 5-966.00 S-965.84 S-96E.40 S-966.5
c ~c~2
i / 46J0 50,10 ~7.20 '~N_l
~ % 7 , es.eo ez.~o 9~L~~ NSTRUCTION TT ~1oo.ce\ , 7e.0
/ STA 9~~'.r 1 8"~6" TEE 8 HYD
2+58 6"x6" l tE 8 HY STA I+IZ 1` I '
i / CE~~TERLIfJE 0+~n_nr ~ ; aszo 66
3.48 W/ I I,, 6..D.I.P. i W-977.68 I ` I / W/ I I' 6"D.I.P.
~ I W-976.90 ~ I ! = CENTERUNE 8t7 .oor rL-52,STA 6+71
\93/ i1\ C~ 2 S\A'-I+08 1\S-967.1 \ 5-966.00.1 41.8'
/
k afi TEE ~2.e0
~ ~ "
UIF
\ `T ELEV 98085 .riH 4 0
41.20 ~ 4270 / se. MouIVr,aeLE coNnrrErE c.&C'. MH 3
a
• 1 ~ . ' ~ . / ~ " 2a.4o
o 1 56.40 STA 0+52 8+4d'50 es.ac 7+2
ISTA 1+63 J-yG6..1'J0 J ! ez o - ~ST S;TA STA ~f8t 6•
az.so ` ~a'o 5-966.00 I
5-y6 /.uu
-977-966.34
~ S-96743W ~ W-97730
o as:oo W-977.90 ~ J
~-977'.89 ' I
~ `'-978.00
O 3 I 6!.00 35,60 38dC
STA 1+98 i B" GATEVALVE (TYP.)N
5-y66.6U
W-978.10 2 I il a
i ° 32 31 30
m
~
~ I
CONSTRUCTION LIMITS CONSTRUCTION LIMITS
I I i ~ I: ~ I~
• r' SEE SHFET 'o", Z4Z7 V ' T rl I 1 A1 1 w A
T
7.5' tv}fP}: TYP. L
25*..LF 8,
cis
~
_ . . - lQ ' RISERS_........:........
50 l.F 8" PVC 3DR 26.@ 0.4%;-
L i ~ : II
~ , .
f ~ c , a 1I
166.
9
, . .....:c~° t59.~,LF 8" Pb'G 5nR 26 @ Q.4'
IN . Nv ,
V 958 2~
i .
' ` 5a.02
s
C
,t; n`~.+V~E:~~~ Tv
. , . . ; -'•~J : ~^l'L,i`}V 1. ~I' ~J I ~
eLEMt10\5. 7HIS DA7'E: `.i i {=0R
lN:~OR!:I"Ai~lOV PURPOSES 01L1' F,f!D
FERSrJNS USIfVG IT SHOULD V[; ,rY "i HIc
_ IRFORMA7'IOfV ON THE 41TE. . .
MH 4 ~ MF{ 3 6.97.00:
2 _4 9.33.OC STA -9fr.-(26 WEST OF SrA-6-8~99-(EX MH-MH 3)
77.9.0 . . 977.03 .
TC 9~,-~hS WILDF`t;OWER L,4NE) _ TC ~~75'. g77.6~
7.5 NuN i YP. - - 1-~~
-7J - - - - 7.5 MIN TYP.
420± LF 8" D.I.P. CL 52
"PVC SDR:35..@_.3.Q5% M W ,``44 I
L4O
~ - 236 LF 8" VC SDR 35 @ 6;46°f, ;;27-LF P,
50 (LJ.. : .
INV 468:N-~ 959.99
~ STA 0+26 (L) o IhV 957 959.07
STA 2+10.00(R)
:
~
. . . . . . . . . . .
. sT, cROrk it
, .
L:(TEItIUi! I:NVE1QI11: AVI:INCC "U" COti!'U9'ATiO1J
CMNTR
5!'fli ADDItL''SS _
CONTIi/1CCOft~~Q/L/f~.j~ /yl~~~T•t~L % ~uezopm~T' _
DATE PIION6
Determine vorAing yquare footage of cacli.
1. Total exposed wall area .......~z Y,7.0 sq. ft. x - I 1 = 3S•~
2. Total roof.ceilinq arca /09, IJ sy. ft. x •025 = d, ~
Total exposed wall area above floor
• a. Total wall window area......................• /,f'8•~J
b. Total door acca y/. B
c. Total sliding glass door'area
el. Total Cireplace uall area Q- GWLG.
e. Total va11 framing area (average 20t) y Z
~ f. Total net wall area above floor /G 9B•,'r
g. Tota1 rim joist area ....................................../3 9..'s
Total exposed foundation area
h. Total foundation vindow area........~ ~-a-~
i. Total net foundation area above grade
Determine "U" value of cach va11 seqment. ~
a. /S8•'J x ~~U" .SS 1g73
b. y~B X ..U.. ,096 . .32
o. o7g.B X ,.U.. .SS ~ ,Cs;g
d. O x'•u•' p = O
Z X..U.. !/z-
,~yi _r.9G
98•S _ x ..U,. 3~~, - -
/37• S °u° d Y7
.
O p - D
- -g3•3 _ .083 7 7
] ......................................Total
(f item qJ i.^, thc snmc as, or lc.s tlion itcm Nl, you havc mrt 1:I+12 intunt
o[ StfC 6006(c)2.9&V PIl3 ae~~~/S.8> L eZ~ ~62&o, A /CZ33:6,
, r._~ VOv -el~ Sis G G oo b~'c) z-
/
To[al exposed roof/ceiliny arca
.
T4ta1 skyli9ht arca O
Y.. 1'otal root/cciliny Eraminy anoa (avcroyu LO'f.) .
1. Tota1 net in:;ulatcd roof/ccilinq arca Detcrminc "U" valur. for cach roof/ccilinq scymenk.
p X,. U., o = a
i•
k. ,c ..u,.
1• ~87. 3 x..U,. . D.;L/ ~ 2a •7
4 . ......z'otal = 7i 3• 9
IF total of 04 is the same as, or less n 42, you liave met t}ie intent of
SsC 6006 cc, l. a' y~../ ~3- 091&0.,. via t-
/v"J/~_7 s/.3 < G oo L CcJ;
Alternate Building Envelope Design To utilize ttic total envelope system methai, thc valucs establishA by thc
sum of items N3 and 04,shall not be greater than Glie sum of items 11 and 92.
1. Z 3S.G + z. 77 = ZG3.6 _
3. Zis• B . 4. z 3. y = 73F.7
a.?.8~~ ~u 3•~'a''`.d VA-`>
.e~
L~ gL 2, CITY USE ONLY RECEIPT ~q_
SUBD DATE: ~~9 9'S
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
5hower 3.00 x -3~ r°
Water Closet 3.00 x 3• "O
Bath Tub 3.00 x = 3,
Lavatory 3.00 x 3, `O
Kitchen Sink 3.00 x 3. "O
Laundry Tray 3.00 x 3,
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x 3,
Gas Piping Outlet ' minimum - 1 3.00 x f = 3.
Rough Openings 1.50 x 3
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. license 20.00 =
U.G. Sprinkler ' hame under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME:_
INSTALLER NAME:
STREET ADDRESS: 2/!t/i441J 40E So
CITY: 51wt3STATE: IIA) Zlp: ,53~37~5
PHONE ( G/a ) 9~/ ~oo '
L~ gL ~L CITY USE ONLY RECEIPT
dh
SUBC2 W ~ DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
. EAGAN, MN 55122
(612) 687-4675
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 Add-on air exchanger, i.e. Vanee system, etc.
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 1
? Gas Outlets (minimum of 1 required @$3.00 each)ez) 00
~
? State Surcharge .50
TOTAL
~
SITE ADDRESS: qly
OWNER NAME: PHONE
INSTALLER NAME: ci L'
STREET ADDRESS: ' C r ~CITY: STATE:kin ZIP:
PHONE
r
iao7/
C1TY USE ONLY yG ,/p~
L ~ BL ~ - RECEIPT / 0 ~S` O
SUBO. ~D~ RECEIPTDATE: 7 9 9
9997 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 furnace
L`~Add-on air conditioning Addar air exchanger, i.e. V2r.ee sys±em, e#c.
- - - - - - - - -
oate: ° _ ~71997
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge GiED
?
tOTAL aQ
- - - - - - - - - - -
SITE ADDRESS. P71 /,ei LLiam
OWNER NAME: &c?1U C!Z -/2l0 l7 PHONE#:4& -
INSTALLER NAME: ll f~ C.i PHONE - DJ
STREET ADDRESS: ~ 1S
cirv: STATE: ZIP:
~ _ ~ z-z3q-9 7 /,3`~? SI TURE OF PERMITTEE
From:Chuba Homeimprovement 7634415835 03/10/2014 16:32 #840 P.002/002
C!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit ft: 't
Ira
'`dIVI `t'(,,.3b
Permit Fee: - a5(
Date Received: ( `i(it
Staff;
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: ,'\. 4 -� 'U 1—/ O Vl n . � / - O �S /
N /� P���� � . pito e' . � �.S � C"
Retsitlelntl �
osid:n Address / City /zip: '/ % 7 77211 I1 U`� (1 L7 GI/l 7 Q.(;• -a-4,-)
-J
� ;: TypeofWprk;;
Applicant Is: Owner Y Contractor
Description of work: tip,//l(.&?/y1epvt-
Construction Cost:
but vid0GAS 2s-- pa27)a7.S/Cil
Multi -Family Building: (Yes /
The 1.4' '
9 . .
Company: / h e U COMMA Contact:
/4'/_'(r/742 V ��2)I X11 5 city:
AddressMA/
:l /� % � z `yi/ �.�
State: M 1 V Zip:, / 53..1(,.,. Phone: (" - 4/0---1/q
License #: B(� !U ag/.58 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
LCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
E
NOTE:;Plans;and supporting documents that yousubmltare considered to be`:publhc ipformatlon; Portions':of.
the lnformatlon maybe classlfled as non public:lf you provide apeclflc;reasons that would pennit. (ho City to
conclude:that they are bade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call et (051) 454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.aooherstateonecail. rg
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 completed within 180
days of permit Issuance.
CY- x ,..e/iy-a/Lk. el -4 ;4 o-17)
Applicant's Printed Name 7 �,I Applicant's Signature
:0 u as l e_ ' ;l / Z. l t `".•..L l �• Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162966
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 977 Trillium Ct
Lot:1 Block: 2 Addition: Lexington Pointe 10th
PID:10-45094-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michelle A Gilbert
977 Trillium Ct
Eagan MN 55123
(612) 202-1092
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature