3978 Trotters Ct
SEWER b WATER r ERUR oFFIcE use oNLY
CITY OF EAGiAN MEfER #~~-~.~r PERMIT DATE 04/ 2:3 J9i
3830 Pitot Kriob Rd.
Eegen, MN 502-1897 CHIP # 3 3 PERMIT # 11937
~ METER SIZE fr~sB.P. RECEIPT # C 13CL4
DATE _ APR 1 I, 1991 ISSUE DATE - B.P. RECEIPT DATE 04 23 9]
- PRV - BOOSTER PUMP
SITE ADDRESS 3978 TROTTERS CT PERMIT REDUESTED
LOT t9 BLOCK 2 SEC/SUB BRIDLE RIDGE 2ND
x SEWER X WATER _ TAPS
APPLICAtVT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
" ~ PLUlS$ING Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRES6: 1 8 MO D PRI NGS TERR Credit WILL NOT be givert for Dgduct Meters.
ClTY, STATE LOOHIN NMN ZIP 55420 Z11_~'
PHONE: 884-4I49
- -
I AGR TO NPLY tTY OF
OWNER: LL-OYD `a `{iELLE & ASSOC INC EAGAN ORDIN/kNCE
ADDRESS: 14530 PENNUCK AVE
CITY, STATE APPLE VALLEY MN Zip 55124
pHONg: 43 2-- 2 7:: ? N RE N IIAETER ISSUED
rL~- - r
PLE~LI,CLOW TWO Y~IOhkING DAYSs'~oR i
PROC L F
. CALL 4 220 FOR INSPECTIONS. FOR STORM
SEYYER PERMITS, CONTACT ENGINEERINO DEPT.
~
\
SE{lYER d~ ~,VAI en OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 04/23/91
3830 Pilot Knop Rd. 11937
Eagan, MN 55122-1897 CHIP # PERMIT #E
METER SIZE B.P. RECEIPT # C' 13024
DATE faFk 11. 1991 ISSUE DATE B.P. RECEIPT DATE 04 / 2.3 91
- PRV _ BOOSTER PUMP
SITE AQDRESS 3" 7•°• TRO'i'TLRS ti;T PERMIT REDUESTED
LOT 12 BLOCK 2 SEC/SUB BKII:LE. RIDCE 2ND
X SEWER _ WATER - TAPS
APPLICANT: _ COMM/IND x RESIDENTIAL
AQDRESS:
CITY, STATE ZIP Y NEW - EXISTING
PHONE:
Lawn S nnkler Meters are to be Instalied
PLUMBER: -ST-°?R pLU"IiitiG Ahead of Domestic Meters on Water Line.
ADDRESS: 11018 HdUN1) SPRINGS TERR Credit WILL NOT be given far Deduct Meters.
CITY, STATE ~IINGTLN HiN ZlP 55420 , j
PHQNE: 884-4149 I AGREE TO COMPLY WITH CITY OF
OWNER: LLOYD B'~JEI,LE & ASSQC INi, - EAGAN OROINANCES
ADDRESS: 14530 PE"Nt4CK AVE
CITY, STATE APl'1,F, '~ALLEY MN ZiP ;5124
PHONE: ~+32-1737 SIGNATURE WHEN METER 15SUED
' PLEASE ALLOW TVIIO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM i
SEWER PERMII"S, CONTACT ENGINEERING DEPT. ~
~/S/Q , .
, ID_ S ° > CITY OF EAGAN i ~ 5" 16878
3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for S! DliC/GA1t Est. value s15l'000 pate APR 11 1991
SItB A19VS OFFICE USE ONLY
Lot Block Sec/Sub. 1-3 M-1
Parcel No. occuaancr po ~ FEES
LLM c s.iE= a Assoc inc Z°""g
W Name (ncnuaq const ~p Bldg. Permit
I Addre (IUlowable) - 7 S • Sd
Surcharge
City Phone 432-F737--
r ot Scories ~a Plan Review 532,00
length
j Name ~
s~M P~ SAC, City
U'J Address S.F. Total - gqC, MCWCC
~ City Phone S.F. Footprints _
F On Site Sewage _ Water Conn
W W Name on Siie weu wa?er Me?er
W
Address Mwcc Syscem ~ 30.00
u _ ~C acct. Deposn
<W City Phone c+cy water - 30.00
¢
PiiV Required _ SAN Permil
I herehy acknowlege that I have read this application and state that the Booster Pump -
S/W Surcharge
infortnation is correct and agree to comply with all applicable Stale of 27 ~Oo
Minnesota Statutes and City ol Eag8n Ordinances: Treatment PI
t. _
Signature M Permitee A 1 1. 1 . , ' APPROVALS Road Unit
LII(~YD D ~.TEI.1.$ 6 ASSOCr Planner
A Building Permit is issued to: - Park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil -
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ CoPies yl-gw. -00
Building Official Variance - TOTAL
' POmlt No. PKn?N Holdsr DOM T~hphorw A~
WATER / ~
SEYVER
PLUM9ING ~Q ~ 'r'S~7' S? 7,~
I/A ~~t• i
M.vAc. v 5 i 9/ 7&~-.~Gf~~
ELEcTRnc a ~ 8 9 / °D
ti.p.euae o.a rap. conwt.nts
Footk I
Foa+dsuon
fnnr^9 S -
Roofn9
Raot+Pba-
A-ah ?+qa - ! s ~ T
IwA. ,s y 1~ ~ '
FmW~ e h~ r
FmW MV.
cora+.mew Ms. kmpecw - rwah Pk,mca.
EWA4w
Bldg- FwW u1
oeO Pg. LW92-
Dea FoW
wo
v.. oisp-
07 f Grfrt
' mocnVAIE PS! QxX-PiM REVIMM 6/5/42
mmm14 6i~-0Q 1 I
k' •
~
(gtrtt#tra#r nf (Oxrupanry
- Citp of Cagan f
~e~rhurt~ of lobim 3wrrtimt
TMs Ca~iJ'+aare tssued pursrrairt to llre raqubmew of Saxion 306 oJlJu unlform Building
Code oatifyft that at 1he &w of i.uumroe lhis struclune wrrs fn oompl"tmu~e wd!!i !ht uzrious
or&nenaa vl the CYty regubft bufld'uV coamramioa or w- %r,Irelollow*,g: _
/ra sw~. ra l~t7ft
ooo.o~ ~fr~ AM I y,;mumw pn/B!t ,ya~ c„~ tlrt
o,.-dew's-c Ae&-
e.Ia'ac Aaem. -3 Lo=rq L 82,.1181P...RTnr-R .281-
~ Doi= a/ 3/o1
POST IH A CONSPICUOUS PLACE ~
~
%
. ~ . . . _ . ' 1 . . . .
Address: 3978 TROTTERS RIDGELot 19Blk z Sec/Sub BRIDLE RIDGE 2ND
These items were/were not complete at the time of the flnal inspection.
Dace, 7 3 91 Yes No TnqnPctnr: ,
Final grade (6" from siding) 1,/
Permanent steps - garage ~
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement Pinish
Deck ?
Please veri£y vith the builder the removal of roof test caps £rom the plumbing
system and the shut-off o£ water supply to the outside lavn £aucet before
freeze potential exists. t~
uoaeuru~x
Whi[e - City copy Yellow - Resident copy Pink - Contractor copy
I CITY OF EAGAN NO ' 8875
A • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt a C-~ 3 L
Tobeusedlor SF DWG/GAR Est Value $151,000 Date APR 11 , 199j
Site Address 3978 TROTTERS CT
19 Block 2 Sec/Sub.BRIDLE RIDGE 2ND OFFICE USE ONIv
Lot
Parcel No. o«upancy R-3 1L-1 FEES
2oning PD R=1
w Name LLOYD D HJELLE & ASSOC INC (ACIVa1) COnsl V-N BIdg.Permit 818.00
AddreSS 14530 PENNOCK AVE (Allowable) V=N Surcharge 75.50
0 City APPLE VALLEY Phone 432-1737 solstories
Length 721 Plan Review 532.00
o Name same oaPm 321 snc,ciry 100.00
00Address s.F.TOtal - 650.00
u< SAC,MCWCC
m
City Phone S F. Footprmts -
On Srte Sewage _ H'ater Conn 660. 00
ua
ww Name OnSilaWell - WaterMeler 95.00
AddfBSS MWCCSyslem X qccl Oeposii 30.00
iw City PhOne Qiy Waiar x
PRV Fequiretl - S/W Parmil 30.00
I hereby acknowlege Ihat I have read this applicalion and slate that Ihe eoosler Pump - SM/ Surcharge .50
intormation is correct and agree to comply with all applicable State of
Minnesota Stamtes antl Cit~y o?f /EN /an Orainances Treatment PI 276 .00
_
Siqnature of Permitee APVROVALS
- Road Unii 370.00
A Bwlding Permn is ~ed to/: L%LO/YD ji/JELLE & ASSOC Planner - park Ded
on the ezpress con i ion thal all work shall be done in accordance wrth all Counai
apphcable State of Minnesota StaWles antl City ol Eagan Ordinances. 8Idg.01L _ Copies
0
BwldingOlhcial41miqvariance - 707AL 3,637.0
2007 RESIDENTIAL BUILDING PERM[T APPLICATION
City OfEagan
, 3830 Pilot Knob Roud, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reouirements RemodeUReoair Reouirements Office Use OnN
3 registered sile surveys showing sq. R. ol lot, sq tt. of house; aM a0 woled areas 2 copies of plan showing footligs, beams, joists Cert of Survey Recd Y_ N
(20%maximumlotcweragealloweG) lserofEnergyCalculaGonsforheatedaddifions SalsRepat _Y _N
1 Soils RepoAif proposed building is to be placetl on disWrbetl soil 1 site survey for additions & decks Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes, poured foun0 design, etc. Add6'on - indicate il on~ste sepfic sysfem Tree Pres Required Y* N
lselolEnergyCalalafions On-site5eptlcSystem _V _N
3 wpies M Tree Preserva6on Plan if lot platled after 711193
Rim Joist Defail Options selectlon sheet (buildings with 3 or less units) Minnegasco mechanical venUla6on form
Plans are considered ubiic information unless ou state the are trade secret and the reason.
Date O ~ Construction Cost
SiteAddress 397 W -Ifo"H'-a,,.n lnurT UniVSte #
Description of Work _~{~^nn.~ /70t~ 5 c l~- Fi"A.PA,C~ Mul[i•Family Bldg _ Y YN Fireplncc(s) _ 0 _ 1 _ 2
Property Owner npnlS Q 1"I 0~~i, y 'S-1 Telephone )
LAKEWOODS REMODELING,INC. i
Contractor - i 9001 E. Btoomington Freeway !
Address Suite 144 ~ City
Bloomington, MN 55420 _
State
Telephone # v
f.~) go ~'S5S O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
(J submission type) • Residential Ventilahon Category 1 Worksheet . New Energy Cotle Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan basetl on a master plan2
_ Y _ N If yes, date ond address of masfer plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/WaterConfractor Telephone#~ )
I hereby apply for a Residential Building 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 State of MN
Statutes; 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 lan in the case of work which requires a review and
approval of plans.
sharnrl /2Ar4vr 2e_zzdo~
Applicant's Printed Name Applicant's Signa ire
. l ~ . .
' 1991 BUILAING PERMIT AP ICATION
CITY OF EAGAN
SZNGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation:Date: r-
Site Address OFFICE USE ONLY '
Lot a Block ~ FEES
Occupancy R-3 M-1 Bldg. Permit 81$'00
Zoning 'PD '1Z - 1 Surcharge rlS,SO
Parcel/Sub Ak~dlG Actual Const V-N Plan Review j ~tl
Allowable v-N SAC, City 100.00
Owner it of stories SAC, MWCC 6512,00
Length 72~ Water Conn. A4461 0
~
Address Depth 3 2' Water Meter $ DD
S.F. Total Acct. Deposit ,Op
City/Zip Code Footprint S.F. S/w Permit 5100
S/W Surcharge ~
Phone On site sewage_ Treatment P1.Z ),D O
/ On site well Road Unit 320100
Contractor DL d~ ~ tSpC 4-iWCC System ? Park Ded.
City water ~ Trail Ded.
Address PRV _ Copies
Booster Pump
City/Zip Code yr. SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ~
Arch./Engr. ~ Bldg. Off.
A VaYiance
Address i-Igsisn r (L
City/Zip Code
Phone
~ agrees that all work shall be done in accordance with
(Sig ture C cractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GAtZqGE
3oXay = 'lZo
2- 1- j1= ~7- a)
~98 x I 5 = 104r)~
BsMr,
3s ~ an = /osa
a ~ ?I'i2 23
iz. C_=.
r038 X 14= 1~153Z
PoRCH
' 12X~4s 16~ x 40 = G'120
I sr F'~a,~
~ = I n3s
~ ~a1 = I ~i'1
I ?q9 x 53
ZNO ,-i
05°0
a ~ iIYZ = Z3
z X Ilf'L ~ (23~
I~ 5'~ X 53 = 55 6b`b
lSo~llq a~2 IS~,DOD ~
• '
Gloyd N~e/% ],4650C
OB E T
(i NGI~IEEfllNG ~ PL RN~N6RS ui d~LANU S~URV6YUR3
COMPANY, I(VC.
l IUUU EA9i IABRi BTflEE7, dURN6VIl.LE, MINNEBOTA 66333T PIi 44332'8UU0
Certificate of Survey
Legal Description : LOT 19, ,BLOCK Z, BR/DLE R/GGE ?JVD AOD/T/ON,
DAKOTA C00N7Y, M/NNE50T.4.
DENOTGS EXISTING ELEVATION '
(892.0 ) DENOTES PROPOSED ELEVivfION
INDICATES DIR[CTION OF SURFACE DRqINAGE
; 892.33 = FINISHED GARAGE FLOOR ELEVATION 884.62 = BASEMENT FLOOR ELEVATION
892,66 = TOP OF BLOCK ELEVATION
6CALE t 1' - 30'
1`
30 ' FRONT BU/V~/N6
,y'ETBAG.C~ L /NE
p941N46E .41VD
UT/L/TY Cq, SEMEi1/T
C,
~~DObho 8890 ~ ~`~3
~ ~o, az16°E
~ ~0 ; o • w
X
~ Q ~ / ~ nl ~O o fg84o, ~ ~
_ v / ~ry v N1~ I 10
ro
I /88~;u, l v I
i a l ' ~~l ro 8 500
LI
^ !O
~b'89~Jr 500
10
~ 208.00
(NTS - n
16"~- ; - , - ~
. , ~
. EA~=~5~
I lieraby aerlffy Ihol thls Is a true ond aorrect represantaUou of u trt~cl ar iaiid D8i' w„
and dasoflbed h*roon. As ryleparaJ I~y'ina on thls'8 vay ot ._MARLH ,i92L.
PNILLIYJ YLRr+ 0cnvwl- .
7g3p A51n 91rea1 , .
- Pa,y,:nn aa+za EXTERIOR ENVELOPE kVERAGE "U" COMPUTATION
041NER -
SITE ADDRESS ~o~ iq ~/,~,~_/G L ,f3ri a~l~ ~i dd,~, ~s2~! ~Addv~ •
CONTRACTOR DATE qr PNONE -13Z-1737 _
Determine working square footage of each.
1. Total exposed wall area ZI..Zq sq. ft. x •11 = ,co
2. Total roof/celling area /03C,, sq. ft. x •021,= ~
Total exposed wa11 area a6ove floor = ZZ~D6
a. Total wall window area 7 oo,y
b. Total doar area 3L& '
c. Total sliding glassdoor area . Z~
d: Total fireplace wall area...........
e. Total wall framing area (average 10%)...:........ 7-Zg,g
f. Total net wall area above floor
g. Total rim joist area Z37
Total exposed foundation area = 99
h. Total foundation window area ~
i. Toal net foundation area a6ove grade 91
Oetermine "U" value of each wall segment.
a. Zcc-, 41 g'full .3's = lo(a, i3
b. 3cm x Ilull lof
c. Z~ g l.u., ,5F
d. - X "U"
e._ ZZ~.~ g liu„ lo
f. 179~•,E x UU.1
9• 7- 3'7 x fluff .0~4 =
h. 6 x lou.1
. 4i X fluff n?
3 Total = 9
.
If item #3 is tha same as, or less than item N1, you have met the intent
of SBC,6006(c)2.
• .
~ Total exposed roof/ceiling area = l b~
' Total gross roof/ceiling area
j. Total skylight area -
k. Total roof/ceiling framing area io
1. Total net insulated roof/ceiling area....... 932,y
Detennine "U" value for eacli roof/ceiling segment.
J- - g 'lull
k. Ib3,l, X ~~~~l -LIq = Z.I10
1. 93z. y Xtrull , 0z = I 8,lau
4 Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(c)1.
To utilized t}ie total envelope system method, tfie values established 6y the
sum of items N3 and #4 sliall not be greater tiian the sum of itens #i and #2.
1. + 2. _
3. + 4. _
MATERIALS 'Plierm. Resistatice "R"
' Gxterior Air
Siding Material ,
Sheathing
Insulation
Sheetrock
Znterior Air '
stxae
Rim
Conc. Blks.
. ~
PERMIT # CITY OF EAGAN I
1992 BUILDING PERMIT APPLICATION
I ~ 681-0675 RfCD
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.3 structural plans, 1 set of
specifications, 1 copy of energy calcs._
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Yaluation of work
Site Address: '7~ 5- L?i ~AGA'?
STREET STE Y
Tenant Name: (cortmercial only)
LOT BLOCK SUBD. lyi . p Un rC~,~„ `Z V.1.D. M
rr~ ~ ~
Descri tion of work: Dv»o~J %o Z~ 1snA-v
The applicant is: ? Owner ? Contractor [3 Other (Describe) •
Name .sw•9"?a4 11711C'"E Phone laB6 -D `~93
Property LAST FIRST
Owner Address
STREET STE N
City ,_'4_,46AJ State Zip 53723
Company ~~a~~o~u~s v~,•~~S Phone 1666
Contractor Address g6~' 7-en~ss 0104F t&). License #~o3sZ Exp. 93
City ~4~/,G? State Zip .SS/2-3
Company /V~ Phone
Architect/
Engineer Name Registration N
Addre'ss •
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatian and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appl icant:
sSOc. '~E
T I
NGINCEflING C P RNL N6flS ui dOItANU S,
PE. UfiVeYU~
COMPANM, INC.
, K432-3UUO
IUUU EA9f Ih8111 HTflEET, dURNfiYIILE, MINNE601A 6633T Certiiicate of Survey
I=ega1 DeSCription : LOT 19, BLOGK Z, QR/OLE 9106E ?JVD AOD/T/ON,
DAKOTA COC/rVTY, M/NNE907-<F.
DENOTES EXISTING ELEVATION '
(892.0 ) DENUTES PNOPOSED ELEVAI'IDN
INDICATES DIRHCTION OF SURFACE DRqiNAGE
, 892-33 = FINISHED GARAGE FLOOR ELEVATION
884.62 = BASEMENT FLOOR ELEVATION
892~66 = TOP OF BLOCK ELEVATION
SCALE t 1' - 30'
i
~ ~
'1 1
30 ' GRONT BU/LD/N6 ~
5'E76ACK L /NE 0R41NA6E <FND I
UT/L/Ty 695EMENT ~
A188o
B ~ s aZ°~-,6~E~ ;
X~~
\
CN
~
10
a
q O ~ / a
'O
,33
Scb ~J
t`
r 2.08.00 6N 10
)Z i ~ , ~6 :,E ; , ~ y x ~y" r, • ~ . , ~
zi'~, ;A), u
.
. r.'.s,.._l.ii ~ ;~~f
,
I heraby aerlfly llinl Ih{s Is a itua und aorrec{ rep1osontallon ol o liacl of lond ass~dwn
~u
and dasorlbSaJ honon. As piopateJ I~y ~t~a on tlds' 28 dey ul MARGH ,192L,
16085
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, 2fN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
14£GHANICP.Ti`.YERM~T DATE: v`a `l
RESIDEN3'IAI..:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: OF 1 PER PERMIT
, .
SUBTOTAL:
SITE ADDRESS:__ STATE SURCHARGE: .50
LOT:BIACK aZ SUBD. 09 TOTAL: j $~~ZSG
INSTALLER: ~AR VALLEY HEATING //l
U
ADDRESS: 8415 CEN7ER DRIVE IGNATURE OF PE TTEE
CITY: ZIP:
PHONE st; / /,5~ 12
GOMMERCYAI:lTZVDU5,TRTAT:; PLEASE COMPLETE THZS PORTION FOR ALL COMMERCTAL/INDUSTRIAL BUILDINGS,
APARTP:ENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
panCFCGEn D7PTNf: - C25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #===7L"7`-`~-
PI~U~BING,;~PBILHZT DATE: S
RESIDENTIAT,.:., PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINCS 6
TOWNHOHES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON _ I SHOWER 3.00 ?•00
REPAIR _ 3 WATER CLOSET 3.00 y.oU
1 BATH TUB 3.00 _3.00
IAVATORY 3.00 q.OD
OWNER NAME• s~= I KITCHEN SINK 3.00 3.0°
a9 Q F LAUNDRY TRAY 3.00 3-oD
SITE ADDRESS: J _ 7 !l '_T_Y a~ai' ~L HOT TUB/SPA 3.00
' h I WATER HEATER 3.00 3.cn
LOT: I~ BLOCK ~ SUBD. pi / FLOOR DRAIN 3.00 a.oo
c GAS PIPING OUT.
INSTALLER: 46 i 7NI 1 (MINIMUM - 1) 3.00 3,ao
.1 ROUGH OPENINGS 1.50 N, S'0
ADDRESS: 4600 4"J1~~ OTHER
CITY: 1"P 1 O~F L.A1m~ - WATER SOFTENER 5.00
ZIP: SS ~7 Z PRIVATE DISP. 15.00
.
PHONE ~A7 'C, 74 _ U.G. SPRINKLER 3.00
y
SUBTOTAL ' L •S~
ST. SURCHARGE .50
40 • GNA RE 0 TT E
TOTA; $
'
COMMEFICIAL/INDiTSTRIAI.:. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
° °
CONTRACT PRICE: FEES
GWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER:_ CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
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'41° City of Ea�all
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
O
Name: l l,r-NN�e.._.- SI `-C b t(\ Phone:
-MO
Address / City / Zip: J
`' v 5
Applicant is: Owner X Contractor
Type �� ��
c
Description of work: (\_(2_— G-kf S t G t Y\t C_k s e_--
c
Construction Cost: - .5 cr) . Qc' Multi -Family Building: (Yes / No )
. �
CO�1ft1'aet
t
Company: ( 'i . Cc cf\\ t ±' on Contact: C_Q
) �(Q.�� �\ V� �� . City:Y)
Address: F �� �'
Stdte`. ' Zip: 'J37 r Phone: �°3 ' 2E b n
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the Citi of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
N TE lens and supporting documents, that you submit are considered to b public r fo : on Portions of
the information may b classified as non-public if ou provide sp - f"c reason hat woul ®• �� he •
cork/uetlatiey are trades s <. t : ...
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil.' g o: - ust be completed within 180
days of permit issuance.
x Gass( 0'
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176089
Date Issued:04/29/2022
Permit Category:ePermit
Site Address: 3978 Trotters Ct
Lot:19 Block: 2 Addition: Bridle Ridge 2nd
PID:10-14997-02-190
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 -
Denise M Simon
3978 Trotters Ct
Saint Paul MN 55123--251
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177021
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 3978 Trotters Ct
Lot:19 Block: 2 Addition: Bridle Ridge 2nd
PID:10-14997-02-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Denise M Simon
3978 Trotters Ct
Saint Paul MN 55123--251
(651) 395-9253
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature