1002 Trillium Ct
INSPECTION RECORD
' C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
f Eagan, Minnesota 55122-1897 Date Issued:
(612) 6$1-4675 .
SITE ADDRESS: I `j 11 " 1 " " ' APPLICANT'
•
1.U i- t; tiI ut F. . ~
~ I{: ( t 1 i llkq 1' 7 111 1 Y31 f1f•: t r111 (
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A ~
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Pemik No. Pertnlt Holder date Telephone #
ELECTRIC uR8I
. PLUMBIN
HVAC ~ 9 ~ y 5 9w-45a
Inap~ctlon DaLt In . Comments
F0O71NGS mn/,
FOUND
FRAMING ~ zzx~ zt
ROOF(NG
ROUGH
PLUMBING 10 ~
PLBG -713
AIR TEST
ROUGH ~
HEATING
GAS SVC
TEST
INSUL
Y
GYPBOARO
FIREPLACE 6
z
FIREPLACE
AIR TEST
FINAL PLBG JOa3
Ql~c
FlNALHTG
ORSAT
TEST
eLnG FINnL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
.
y
~e~ti~icate o~ cccupano
~it~ of ~agan
This Ceniftcate issued purstrant to the reqvirements of the Uni}'orm Building Code
cerrifying tlwt at the tintt of issuanct this stnrcturr was in compliance with the various
orr[inances of tlu City rrgulating buildiRg construclion or use. For the follawing:
use swg. ata Na. 26 IC#4
O-WO-7 TYPe F#' u I Zoaing Distria PD/Ri Type Coas1. VN
Oweer of 8ui{diob BM DC Adbess4 WEDgAM DRs EACM
Buildina Addieas 1002 TRIUMJM Cr l..h4hs B 1 s ~s IOTH
i
°ue.
!
~ ~ ;P,
POST IN A CONSPFCllOl15 PLACE
Address 100 rRnTnma crxmr Zip 5512 3
Cor ''6 Blk I Sub LMAUTO'r xOIxtE ioIB '
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 10 /!p 94' Yes No Inspector. lv
Final grade (6" from siding)
Permanent steps (garage) ~
Permanen[ 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 and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ~
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
0 - R 819 ~3 o9
Repue Date Fuo N. R ugh-ln I pnclion Reqmred Inspectan Olher Th n R ghln
f _ (YO u all Inspemor wnen reudy) C3 Reaay Now n Naity inspeaw
~(1 Ves ? N. pala Reatl
I licensed contractor ? owner hereby request inspechon of above electrical work at
Job Atltlress (Street, Box or aula No J Gty
sechnaNd, . TownsM1ip Name w No qange No. Count
Oc panl (PRINT) p
alill (a 2~ < N M q ~o ' 0(r ~
Power Su pber Atltlre
1
Electnc. nVec~or (COmpany Name) I ConVaciors L¢e2se No.
Q o qg(
Meiling A tlress (COnhaclo Owner M~
Aut orrzetl Siqrulure (Con mcrodOwnei Making Instellation) P e Number
MINNES TA TATE B)I1R0 OF ELECTflICITV TIiIS INSPEGTIDN REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room S128 II (I I I I I I I I I I I I I II . II BE ACCEPTEp BY THE STATE 80ARD
1821 UnlveraHy qve., SI. Peul, MN 55104 II UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 642-O800 ~ ENCLOSED
O~/(Ia~ ~i/C~ REQUEST FOR ELECTRICAL INSPECTION EB-0n0001-04
pol See inshuctions br compleung this lorm on Eack of yellow copy. ~~~s
"X" Below VYork Covered by This Request
e Atld Rep. 7ype ot Building ilppliancSs Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
ApL Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm ir Conditioner
Other (sponly) Contraclar
w~ ._.L-
Compute lnspection Fee Below: ~ v
N Other Fee Jf Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 Amps Above 100 -Am s
Signs iospeciors use oniy. TOTAL
Irri ation Booms
Special Inspection ~ 77~` ~
AIarMCommunication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS
I, Ihe Electrical Inspector, hereby Rou9n-i„ oana
xi
certify that the above inspection has oate
been made.
OFFICE USE ONLV
This request voitl 18 monlM1S Imm
~25Z / PLUMBING (RESIDENTIAL)
Permit Application /
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when perntits are required for each unit
Date-L//iJ /d
Site Address 100-, -r~ L~T
Unit #
Property Owner Telephone # (w) ~
Contractor
PIPEWORKS
Address 3670 DODD ROAD Citv
~EA ,
State (651) 365 1340 Zip Telephone # ( )
The Applicant is Owner Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC hcense $ 100.00
InGudes County fee Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiutures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water sott ner X Water heater $ 15.00
replacement _ additional
State Surcharge ~ 50
v
Total J~~ DEC 3 2 2003 J,~S
Liu
I hereby apply for a Residential Plumbing Permit and acknowledge that the mformation is complete and accura e; that the work will
be in conformance with [he ordinances and codes of the City of Eagan and with thVl?lumliing Godes•, that I"nnberstand this is not a
peani[, 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 m the case o work which requires a review and approval of plans.
D~~ -k~rclivvk 1- ~ ea~
ApplicanYs Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION n
(~I CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Renuiremenh RemodellReoair Reouirements
• 3 registe(ed stle surveys showmg sq. ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan
(20%marimum lot cove2ge allowed) • 1 sel of Eneyy Calculalions for heated addNons
. 2 copies of plan shomng beam 8 window s¢es; pouretl found design, etc.) . 1 site survey for extenor a0ditions & decks
. 1 set of Eneryy Calculations . Indicate if home served by sepGc system for additions
• 3 wpies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joist Detail Op6ons selec(ion sheet (hltlgs wiU 3 or less unifs)
DATE 7'Z VALUATION
SITE ADDRESS /C>C~ e9- MULiI-FAMILY BLDG _ Y
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~
STREET ADDRESS 572-5 CITY C- STATE /711ZIP :~Yz ~
TELEPHONE #J~3 -5357._S~CELL PHONE # 612-FAX # 265-'354~,Z2%f
~
PROPERTYOWNERI ( TELEPHONE# `2154~~5 '
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO"1'A RliI.LS 7670 G\"fL'GORY I N[INNGS017\ RULL•'S 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheel Submitted
• Energy Envelope Calculations Submitted
I
Plumbing Contractor: Pfionc # D OZ _
PlumUing system includes: _ Water Softcner 1-1wn Sprinl:ler Nee: S9 .
Water Heater No. ol' R.I. 13adi
- No. ol' 13atlis BY
Mechanical Conhactor: Phone #
V[cch.uiic:il systcln includcs: Air Condilioning Pec: $70.00
_ Hcat Rccovcry Systcm
Sewer/Wafer Conhactor. Phone #
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
--T--
OFFICE USE ONL ~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
PERMIT e~.~
CIT'Y OF EAGAN g'8~95
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: B U I L D I N G
Eagan, Minnesota 55122-t 897 0 2 619 4
(612) 681-4675 Date Issued: 0 8/ 0 7/ 9 5
SITE ADDRESS:
1002 TRILLIUM CT
LOT: 6 BLOCK: 1
LEXINGTON POINTE 10TH
P.I.N.: 10-45094-060-01
DESCRIPTION:
Building~P,ermit Type SF DWG
Buildang Work Type NEW
'UBC Occupancy~~- R-3 U-1 ~
' Construction Type V-N
2oning PD R-1
~ Building Length , 49
Building Width ~ q4
Bu,ilding stories 4
~ Squ"ar.e Feet , 1,631
~
,
. .
. . ~ ~ ' .
REMARKS:
S& W PLBR - RAY HAEG PLBG
FEE SUMMARY:
VALUA7ION $112,000
Base Fee $947.25 MISCELLANEOUS $1.892.50
Plan Review $331.54 Total Fee $4,077.29
Surcharge $56.00
SAC $850.00
3AC ~ 100
SAG Units 1
Subtotal $2,184.79
CONTRACTOR: - qpplicant - s7. ~IC. OWNER:
THORSON HOMES BRIAN L 14540644 0001317 THORSON HOMES INC
4466 WEDGW000 DR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 454-0644 (612)954-@844
S hereby acknowledge that S heve read this application and state that the
information is correct and agree to compl,y with a11 applicable State of Mn.
~ 5tatutes and City of Eagan Ordinances. ~
A~ MITEE SIGNATURE IS~ED B SIG~I~E I~
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: euzLpzNG
3830 Pilot Knob Road Permit Number: 026194
Eagan, Minnesota 55122-1897 Date Issued: 0 8/ 0 7/ 95
(612) 681-4675
SITEADDRESS:P'I•N.: 10-45094-060-01 APPLICANT:
LOT: 6 BLOCK: 1
1002 TRZLLIUM CT THORSON HOMES BRZAN L
LEXINGTON POINTE 10TH (612) 454-0644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTIONTYPE D. . .
FOOTINGS FOUNDATION
FRAMING ROOFIMG
NSULATION FIREPLACE
OUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARK3: S& W PLBR - RAY HAEG PLBG
F ~
L
J
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT ApPLICATION (REStDENTIQL)
681-4675
New Construdion Reauirements RemodeVReoair Reouirertrents
? 3 registered ske surveys ? 2 copiea of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additlons 8 decks)
? 1 energy calculations ? 1 errergy calculations lor heated adtlitions
? 3 copies of tree preservation plan 'rf lot platted after 711/93
required: _ Yes _ No
DATE: 7-- / -c/ ~ CONSTRUCTION COST:
DESCRiPTION OF WORK: - A,/'(W
STREET ADDRESS: /001--
LOT ~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: ! ~avf~ ~ZdA)i Phone
OWNER I.s*
Street Address~ t-JeWsc^~./
City: ~ti f R~ State: Lt/ Zip:
~
CON7RACTOR Company: Phone
Street Address: License r! 7
City: State: Zip•
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #Street Address,
City: State: Zip:
Sewer & water licensed plumber: Lti 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 infortnation is correct and agree to comply with all
appliqble State ot Minnesota Statutes and City of Eagan Ordinances. ii
Signature of Applicant:
OFFICE USE ONLY RECENED
Certificates of Survey Received Yes /1Vo AUG 0 2 1995
Tree Preservation Plan Received _ Yes_ No - - - - - - - - - - - - - - -
OFFICE USE ONLY T
4, BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
4e'02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-piex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
CpZ31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 2533 MCNVS System ~
(Allowable) ~ Main level sq. ft. /0 7( City Water CL
UBC Occupancy ~°'~~q. ft. 1n99 Fire Sprinklered
sq. ft. PRV
Zoning e 79
# of Stories vCLsq. ft. Booster Pump
Length sq. ft. Census Code.
Depth 5's• r Footprint sq. ft. 91 SAC Code oi
. Census Bldg /
Census Unit
APPROVALS '~'I
Planning Building Engineering Variance
Permit Fee Valuation: $ ~/z,i 000
Surcharge
Plan Review Ltv«s
License 4R.
MCNVS SAC ~ 3-~ R 5,~~ ~yt~)
City SAC 2/.5-,~vy -
Water Conn. y, s X~ 33 g i~Y 2~ x 7~. s= ST 3 Xlr
Water Meter
ACCt. Deposit Z" s"" ~t 7 99~
S/W Pertnit /07~ kSY =
S/W Surcharge
Treatment PL ' s7, ~ 1 y
Road Unit
Park Ded. 23. G7 = SL(
Trails Ded. -2 Z x ~s~•s- " r
Other Cpies 2Y~ xz5~ ` (n ~ SL 0X/6'
y ~ is.f - 2
~ '{Yfl
rotal:
% sac ~ 7, ~ y~ 1
SAC Units 0
2422 Enterprise Drive
MendoEo Heights, MN 55720
PIONEER uwo suRVeroas • civa acirreees (612) 681-1914 FAX:681-9488
* eng neerln0 LMlD PLANNERS• lRNDSCAPE ARCHITECIS 625 Highway 10 N.E.
Bloin=, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of 5urvey for: _THORSON HUMES. INC.
( p 0 Z iRILLIUM COURT
TRILLIUM COURT
~
9~
N 978,8 978.7 ~
S89°06 23 W
~10
979,2 ~
, ~ o cq79.o) I
15 00 w
l
.4
979 PROPdSED
9799 DRIVEWAY J I
° o " ' ~ J Ml
!q rn j_ BENCH PdARK
~ ~ SERVIGE 981.7 8~2 ~ TOF OF PiPE
IN
~~,p7 V.=969.3 x p
_ ----t------- o (R 24,00) 1 0 ELEV.=
981.9
BENCH M.4RK 51 i N~ ~ i} cn
ELEV.OF PIPE ~ 1I i 982•1 5.33 "GARAGEN I cD ~
e I ~ 3fl
19.67 ~/5,p0 xl m =
~
PROPO ED~ vi~ 5
7
00
~ c6 ~ HOUSE' ~ f n z
983.7 n'
N YI A5.00 x 9 1. /4 0 981.4981.9 EA G A N
N ~~Zl.is (R{~3,4} r4gz.s) ~ 7~ 0 R E V 1 E N E D
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~I x ~"(98y.a~982.1 ~ O
f983, o}
4 ~ 9et.s I ~ BY
r ~ 6 i l ]ATE ys ~
'--DRAWAGE & UTILITY ~
5~ EASEMENT PER PLAT-,-` ~
L---------,-J5
~ 985.7 0 589006'Z3NW 82.00 ,o 98g D
(rygS,1~ ~ S.S
&
~''AGAN ENG ' ' PLINQr D14':
NOIf: FP.OPOSEO CP.PDES SHpqN PFF GP,ADINC PLAN 9Y; TrzILaND PROPOSED HO E ELEvATION
NOTE: PUiLD;NC OIUENSIONS SHOR'N ARE FOR NURIZONTAI ANU VERnCnI LOCAnON
UF STnU,iUF,ES 6NLY SEE P.RCHI7ECPJAL PLqNS FOR BUIIDINC AND LO'NE5T FLOOR ELEVATION: 914r S
FOIINOq71Qy OIMENSIONi
TOP OF BLOCK ELEVATION:
NnTENO SFEGIFir, SpILS INVESTIG0.TION HAS BEEN COMPLETED ON THIS L07 pY THE
SUFYEYOk. THE SVI7aBiLITY OF SOILS TO SUPPORT THE SPECIFIC HOlISE I GARACE SLAB ELEVATION. PZ
FROFOSEp I$ NOT THE RESPONSI6ILITY OF 7}iE SURVEYOR, ,
NOT• TH15 CERTIFiCnIf DrES NO7 PURPpRT Tp SHUW EASEMENT5 UTHF-R THAN % 000 00 OENOTES EI(ISTINC ELEVATION
TH056 SHOwN 04 THE REC040ED PLAT ( 000.00 ) DENOTES PROPOSfD ELEVATION
NOtE• CONTRACiOR MUST yERiFY DRIVEVfaY pESIGN. . DENO7E5 DRAINAGE ANO U7iLiTr EASEMENT
DENOTES DRAINA,E FLOW GIRECTIGN
IJOTE: BEARINGS 'aNOYM AFE BASEO ON API A$SUNEO DANN --t- DEN07E5 MOMUMEN7
- R-- Of.P10TE5 OFFSET HUB
N'E HEREBY CERTIFY TO THOP,SON HOMES, INC THAT THIS IS A' TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE B(JUNDA.RIES OF;
LOT 6, BLOCK 1, LEXINGTON POINTE TENTH ADDITION
?AK07A COUNTY, MINNESOTA
IT DOES NOT FURPORT TO SHOW IMPROVEI.9ENT5 OR ENCHROACHMEN7S, EXCEPT AS SHOUiN, A.S SURVEYEO BY ME OR
VPJDER IAY OIRECT SVPERVISION 7HIS 25{h DAV OF JULY, 1995.
/SIGNEgPIONEfR fENGINEERING„/P.A.
5CALE : 1 INCH = 30 FEE7
0_54 94128.11 SWK REVISEO HOUSE LQCA710N 8-2-95 John C. Larson, L.S. Reg. No. 19828
T Gl • d
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• ~ a BUIL ING PERMIT APPLICATION
W W •
F
PROPERTYLEGAL:
W U
6 ~ m DATE OF SUR EY:
LATEST REVISION: 2=
6 Z Z ,
DOCUMENT STANDARDS
~ 0 • Registered Land Surveyor signature and company
0 • Building PermitApplicant
0 13 • Legaldescriptlon
a ~ • Address
• North aROw and scale
EK~/o 0 • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
R"/ 0 ~ • Directlonal dreinage arrows with slope/gradient %
l8" O O • Proposed/ebsting sewer and water services & invert elevatlon
0 • . Streetname
~O ? • Driveway -
ELEVATIONS
Existlna
o • Sewer service
aa" / 0 ~ • Property corners
m" 0 o • Top of curb at the driveway
gr' E3 13 • Eievatlons of any wdsting adJacent homes
ro s
&r'o [3 • Garage floor
M~' 13 13 • Flrst floor
e--'13 0 • Lowest expased elevatlon (walkout/window)
2~' C C • Properly comers
Er" 13 13 • Front and rear of home at the foundation
PONDING AREA (f aoolicahla)
C3 2'~ 0 • Easement line
• IT' 13 • NWL
• S' 13 • HWL
13 Mr~' 0 • Pond # designatlon
13 2**~o • Emergency Overflow Elevation
pIMENSIONS
~ 0 13 • Lot IinesBearings 8 dimensions
al-~ 13 13 • Right-of-way and street width (to back of curb) •
GK~13 13 • Proposed home dimensions including an
y proposed decks, overhangs greater than 7,
~ parches, etc. Q.e, all struccures requiring permanent footings)
13 • Show all easements of record and any City utilfies within those easements
:>P0 o • Setbacks of proposed structure and sideyard setback of adjacent epsting structures
0 M`~o • Retaining wall requirements,jLaw
Reviewed:
~
Na e / Da
Juy 1995
~J~"_~~r..~.~.:~~:~~
. 1iAR'C:Pl vY!"'r6:. r.4~v
~..i
J~iAfY OF LTILITY LQGa710i11S"~
Ft -EIEVATI NS. THIS DAiA" v rOR
~ tl'~t19'4ATfOPd P RPOSES Ot~~LY AiVD • : _ ~
' STA 4+45 )ERSOt~S USIfiIG T SHOULD lfEFi! THE ~ STA I+~
" STA 4+77 . \ W-979.63 NFORMATION ON HE SITE. • ~ w-977.:
S 969.28
W-y79.f 55.60 S-966~
12 13 14
S-9n9.7
/r j 1 = a7zo ~s2.as 73.40 1~J
I _ 56.~0 117.80 153.55 81.70 100.00 ~\i
10 51EO CEN. SAC. 1= ~ \ ~ - ~ 6"x6„ ?.t.
` C5.95~f STA 3«68~ - STA 2+9 ~WT97,a 488 w/ 11' 6°i
~W-y/y.i \ W-978.70 ~
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W-979.80 -AL-a-a-r-~ TNH E1N92263
S-9710.0 47.30
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9 `N / 30' 6"D.I.P.
CL-52 S?A 5+0 • ~ -
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4a.9o g_9g 1L TA 3*07
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5-968.10 26 ~ / STA f+98
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~ E12-474-0677 L4T°1RhJ EXCELSIOR `i'ARD 422 F•01
' - JUH 18' 92 17: 47
: \~MH~~V1/~ ~~1~~v M•M.V• ~ u VV4VY~~M~
• f~ , ~a9~ BA5E av r, „ rca ~or r
! ' t10 ERGY OD DL2ION_.„_~~`
edop:lvn Etf~etlv? ~(1/ 4
.
r,
Por_ - . f
)wner - Phqne
~ . 1
;~te Address
:ontracCOr_~_c~' ?hone
;uitding Classlflcaiion: Type A1 (Singie Faasily 6 Ouplex) V Type AZ (Resideniial~
' (3 starfes or ess
(Other) (qver ] staries)
;ENERAL INFORHATIOH I. Bullding Perimater ft:
- SC~k 9 - sc~l
11a11 height (gr^oynd to eave)_ vor~Q~ ft,
z
3. 1. x 2. (abova) gross wall dpsA \ CmC~> ft.
s , euilding dimensions (L} x(N) ft.~ roof y floar area
S. 5quare fcot arca of rim joist - F1oar joist site (2 x lo ? ) z
l~ a Pertmeter • Aim o st area U~t
6. Doors - Area
7hic ness n, acter_0"g_
Typ• of Construct on ,Perimeter ),Z~~, ft•
1. Tatal door'f perlmeter ft -
3. W1ndows; Nanufacturer~r $tate approved ML~
U fictor_ _ „ -4"7
TYPE SIIE ARER (F:,2) !1UMBER aF tOTAL FEE7 z
EnCH UNITS
Z, o -n,~ `i . o
-z..c -A o 9
'z a X.. -~7
o ~5:0 t 0,8 C3 Ck
XS',_,r,. _ A1_, tl~
a!E_~(y 1 .d.r
j~(
~th.r
9,iotal ft.2 Glass ~_a~,I-A
06 Pireplace area; width x height ~ x _qn~y- - Ft,2
-
1. Exposed foundatian: Neight x"Ptrimeter x (A~ • '1~l p Ft.Z
MFLETIOfi Of T1II5 FOitt1 fS REqUTAED fOR AlL N6u COtIS7RUCTION, hUtJOR REt10DELItIG AIIp DUIIDINGS QEli
;yE01IHERf. FNFRGY. f77NFR THIIN TNF. MINtHqI rnnc Aiiowtrirc. fc iiCCn.
612-474-0677 LYMAN EXCELSIOR 1'RRD 422 P02 JUN 18192 17:48
' FtaAing area • 10Y of gross xall araa. ~
Gross wall area Q f`•`~ ,
y{ndow area A Z~\„ \q ft.z 4 windows !J x p- .
Rim joisC area A u rim jotst •o"dr U x A•
~ •
poor area A `1 ft.~ ' :J door area + r 0C-_~ U x• A * 7P
Ftreplnte area A f-.z Ufireplace > U xA ¦ -Ea._
,
Exposed foundation A 3 .O Pt.' U foundatian - U Y. A• ~,03
framing area A_ ,'21 ~c. ft.2 J frantng area C7 U x A¦ \q _~'4
fvet rall drea a (-~-qp„'z~!t. '.f wall ~ ^ta 7a U x:. - Oq
(179i -:,;AL . . . . . . . . . . U x A • O
Gross watl area x 0.11 (A-1 sinqie famtiy x du;.;=x ~ allowable U.c A/Code
(13. above) ~
x 0.23 fA-2 other resiCentis;;
x .23 OCher building;;
ic .2E (Over 3 storte;)
;!ust be larger than
d x l' e. 138 abave
Celling framing area (Af) aquals 10.". 0 c4;ting aren or the same ds)
. Gross ce11 ing area ~(l) x(~ ft. 2
JoSst area .(Af) ¦ 10': ceil{ng area A~_ _ 13 ft.Z
, Ne: cetitno area (.4C) (l5A » 158) ¦ 71 :!q ft.Z
U ceilfn9 :S A Gu . x- " ~
.
U frami rtg x A f+ * pZ,_ G4. 01~ x_, ~741(~,
. '.'OTAI U x A
Ceilinq area (15A) x 0.026 (A-1 single `amity S duplex - code allo:+able U x A
x 0.033 (A-2 other resid2^Lial)
x 0.06 , (other)
BTUH Must be iar9er than 150 (above)
A (15a) l~ O x jLjcodg)- ff:p-e~_L OF (or the Same as)
r-
i
NOTE: Use U and A values obtained f,•om ops 1, 3 and 4.
CITY USE ONLY
L Co BL RECEIPT
SUBD -t DATE: 9/-1/~S
7995 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
Water Closet 3.00 x ~ = f~!
Bath Tub 3.00 x p-
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 1 =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x I = ~
Gas Piping Outlet * minimum - t 3.00 x 1 = ~
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. license 20.00 =
U.G. Spfinkler ' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: /00o2- OWNER NAME:
INSTALLER NAME: Lje=~ L2zs~ ~L~--
STREET ADDRESS: ZJ-~
CITY: STATE:~.~ ZIP: ~2120
PHONE (41-L)
5 f(~"RATQKE"w- VEKNII1T
/ CITY USE ONLY
L BL ~ RECEIPT #:'_%~s~ r r~
SU". CJ"L. 1C74j, DATE: _9z/ln
1995 MECHANICaL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
~ townhomes and condos when permits are required for each unit
~ New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 0 - Zq - q 'rJ
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ('P - cc
? State Surcharge .50
TOTAL 30 • 5()
-rn --Lphnrno (nZ0Q3E- -75 ~~fN~na Il.a['Q d-
Ue.nXir~ Z ~-an s .
SITE ADDRESS: IOOZ Tr~ I Iil.i.YYI COv.Yt
OWNER NAME: T-~1'IC1.Y1 -VI'IOY-,)LII') H71fY12.S PHONE
INSTALLER NAME: KIP~/P, I"I"eQtYla .4 F1 r
STREET ADDRESS: I,~7~ ~~OI`LQO f~ I rCU~
CITY: ao' 1Pra1"LL STATE: M' V ZIP: U~
PHONE ((~pI2.) qLI I-q 2-1I "~TOF~~~ZSI~
CityofEaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 CO
Permit Fee:
Date Received: 1 t)l g /
Staff:
L
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /0 f / 1 Site Address: AAD /r'!i[/t...." Ott Unit #:
.4.614-es0/t
Address / City / Zip: A/ P.'Tr/W.44"Gig:
Reel
Owner
Name:
Phone: 4'si) 'Iv- 09�
Applicant is: Owner / Contractor
Description of work: �-C�f1 d -rqp c
OG
Construction Cost: Multi -Family Building: (Yes / No
Company: /14terkrLik. if' £k�fjbrS
Contact:
Star eLey-t"
Address: S To e. . Ft. 44, City: Acict4..,
State: .12— Zip: 0,07V -
License #:
Phone: ('K' gpy-6vy0
Lead Certificate #: *ATS' Vd P6/- /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE 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:
NOTE: Plans and pportIng document 'tfiat you submit are considered to b, p
the information may be classified as non-public if you provide specific rsons. that: would pmt tl a Clty to=°!
conclude that they are trade secrets.
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. www.clopherstateonecall.org
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.
x_e
Applicant's Printed Name
Ap icant's St
ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
— Accessory Building
WORK TYPES
New
Addition
Alteration
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
— Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
_ Move Building
Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
#of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings ^Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r-----------------
For Office Use
I I
I x~
City of Ea an I Permit I
I I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I I
I Date Received: 6 I
Phone: (651) 675-5675 r~
Fax: (651) 675-5694 Staff: } I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 47 Site Address: By ; ''rl'a'k K• Unit
Name:
Ao" 40^
Qf
Phone: A%
Resident/ s 7
Owner f Address / City / Zip: 19940 #Z
x x Applicant is: Owner / Contractor
Description of work: -o-w ic
Type of Work
ea
Construction Cost: y Multi-Family Building: (Yes /No Company: GrAt%PT ~Je Aerj b r$ Contact: i re,& 64e4,lil
Address: 46. /%V,^ cit
Contractor = Y
e State:
..~_Zip: 4 CAV 7~ Phone:
(y tc) xpey-,gy w
d License _el l olof Lead Certificate _ A14 r- 9/4 R6
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE 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:
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 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. www.aopherstateonecall.orci
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.
X iCJ Eli[-- x ,
Applicant's Printed Name Ap [cant's S' nature
Page 1 of 3
rFor Office Use � (j��
s r e r r / O
� t r
EAGAN Permit*:
r
Permit Fee:
I71-del
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-58751 TDD:(651)454-8535 I FAX:(651)675-5694 APR 2 2 2019
buildinoinspections@2cityofeaoan.com staff:
..J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: April 22, 2019 site Address: 1002 Trillium Court Unit*:
n
Sandy Anderson
And
Name: Phone:
m .z Addtess/city/Zip: 1002 Trillium Court, Eagan MN 55123
Applicant is: Owner t, Contractor
* Description of work:
Construction Cost: Multi-Family Building: (Yes /No
Com anMetro Siding, Inc
Contact: Kari Arens
P Y
fiz, 17258 Ulysses St NW Elk River
Address. Y City..
MN 55330 763-557-18 kari@metrosiding.com
,, , . State: Zip: Phone: Email:
BC004861 NAT-118788-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE 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:
Fire Suppression Contractor. Phone:
NO' r•
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comfsubscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher Stet*One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 riot to start without a permit;that the work will be in
acco ante with the approved plan in the case of work which requires a review and approv f plans.
x Qtr APeft.5 x
App cant's Printed Name Applicant's Signature