4595 Cantebury Cir4!°°)
City of Eaall
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 Fee: ge ' 0
Date Received:
Staff:
Permit #:
j 2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /,/291 /
Site Address: "T' S /' a4/ 4 Ge.A` Unit #:
RESIDENT
OWI ER
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Name: L ei
CSPhone:
_
Address / City / Zip: 41S-9 �4,-? e lo -v,_(12, ✓l' J
Applicant is: Owner y Contractor
Description of work: CSS Sa d , 02 l�U,.�Od v
TYPE OF WORK
Construction Cost: if -c992_) m- Multi -Family Building: (Yes )6 / No )
CONTRACTOR
6" ,— G- 11%!r' -7.-P�
Company: Contact:
Address: 11)- () , Z o Y `� / City: Zai... -_c iv/ &: / !%: , i,,_
State: // iii " Zip: �` ! Phone: K ' .
ti
License #: /.1')) 44 3 6 "Lead Certificate #: J - l a 387-51 ' /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE Plans and supporting documents that you submit are considered to.be public in`formelon. Portions of
the information maybe classified as non public,if you provide specific reasons at would permit the City.to� j
;conclude,that the ;are. trade secretss
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 Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA102475
Date Issued: 12/19/2011
Permit Category: ePermit
Site Address: 4595 Cantebury Cir
Lot: 15 Block: 02 Addition: Ches Mar East 1st
PID: 10-17150-02-150
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary:
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
- Applicant -
Owner:
Lee J Eickhoff
4595 Cantebury Cir
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
Date:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 0 5 2012
r
Use BLUE or BLACK Ink
For Office Use i
Permit #: 102-1 11
Permit Fee:
Date Receive
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Name: *og-e
Address / City / Zip: ele 9g— -geoglagii24.4 Arde
Applicant is: Owner
Contractor
Phone:
Unit #:
CgivTitse,& y
Description of work: /t1eW 0- is DS, kW CM -0i 2 �"Vs—'
Construction Cost: 107,00e107,00ei(
0 Multi -Family Building: (Yes / No )
./ 47-6
Company: 'L -'
Address:
lDo %7
Contact: cD,/,e) infriZ54
State: /(", Zip:0 f Phone:
License #: ge.'1362 697.
City: La -4 (///
f �-Z - 2-/ 2 — 3 7/3'
Lead Certificate #: l � 3)-5--41 — c' /17' %
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:
Phone:
Sewer & Water Contractor:
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.gooherstateonecall.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 Minnesot ate Building Code must be completed within 180
days of permit issuance.
x
Applicant's Printed Name
App'trcant Signature
f
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
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Interior Improvement
Move Building
Fire Repair
Repair
(25% 100% y )
Census Code
# of Units
# of Buildings
Type of Construction
v'3
REQUIRED INSPECTIONS
Footings (New Building)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
72
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
j4 )-«)) 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
Siding: _Stucco Lath Stone Lath _
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
0194
a 612A
ottm
5,, 4 `3 C
Page 2 of 3
°1
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onetruction
13015 Cedar Ave. So.
Apple Valley, Mn. 55124
1
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'Xi 38/51
DELMAR H. SCHWANZ
LAND SURVEYOR
Registered Under Laws of The State of Minnesota
2978 — 146TH STREET W. — BOX M ROSEMOUNT, MINNESOTA 66068
1
76
SURVEYOR'S CERTIFICATE
CA"f6g/4,y
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Drainage &
y1 utility easement
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3-Zl- d 4` 3CI. 39
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PHONE 612 423-1716
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SCALE: 1 inch - 40 feet
c Denotes set wood hub
Elevions shown are
existing
Proposed garage loon
elevation
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Peckeosek FuE 'T %ova
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I hereby certify that this is a true and correct representation of
Lots 15 and 16, Block 2, CHES MAR EASTFIRST ADDITION, according to
the recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: November 4, 1980
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gos-11--eht/7- 6ife-le -
12,,epwl A 10- to 223b
WALKING '3Ulti ACES GREATER THEN 30"
ABOVE Ai(EA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
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tread:
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TREATED WOOD MAy REQUIRE SPECIAC
SUPPLIER FOR MORE INFORMATION.
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SeECIFIC
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DNISION
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE.
Zoning: No. of Units:
Owner:
Address:
Site Address.
Plumber.
Meter No.: Connection Charge:
Size: Account Deposit:
Permit Fee•
WATER SERVICE PERMIT
Reader No.:
1 agree to comply with the City of Eagan Surcharge -
Ordinances. Misc. Charges:
Total
By 2-3.-�
Date of Insp.:
Date Paid•
Insp •
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road
Eagan, MN 55122 PERMIT NO.:
DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit: _
Permit Fee:
By Surcharge:
Date of Ins Misc. Charges:
p" Total:
Insp.: Dote Paid:
Cityor Eaall
3830 Pilot Knob Road
Eagan MN 53122
Phone: (051) 075-075
Fax: (651) 675-5694 •
Use BLUE or BLACK Ink
arida Ilrrfllltlp,
Permit it
t02P y
Permit Fee:
Date Received:
Staff:
(e):0
(ice 1 13
i
2011
2011 RESIDENTIAL PLUMING PERMITAPPLICATION
�
Date: ��- 1 -115 iteAddner � cr S � pZ
Tenant: < )tt-Ai A(L. 1- 1 / V
RESIDENT OWNER
r
CONTRACTOR
Narne: 130
Addreee/City /Zip: iStig
Suite ti:
Phone: aD-o -. 10 13l0
.53 -133
Narrte:,MILBERT COMPANY INC.dba GAN W_A TER
Address: 1801 SOT" ST EAST
State: • MN • Zlp: 55°77. Phone:
Contact • BILL.MILB 1 j . Emelt
city: INVER GROVE: :HMS
65.: ;;451 2241 •
TYPE OF WORK LNe4 _Replacement _Repair _Rebuild _Modify Space _Worktn.R.O.W.
DescrlptlOn of Wor1:,
PERMIT TYPE
•
RESIDENTIAL•
Water Heater
Lawn hrlga8gn (_ RPZ /_ PV8)
___+, Septic Systeln •
.
• _New •
.__.Abandonment
.
,[Water Softener
Add Plumbing Fixtures Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
555.00 MinlmumWater Hater Water Softener, or Water Heater la Softener (includes 55.00 State Surcharge) •
$35.00.Lawn Inigatlon (Inclddes 55.00 State Surcharge)
555.00 Add Plumbing FIxtutes, Septic System Abandonment Water Turnaround* (Includes 55.00 State,Surcharge)
•WaterTurnaround (add 5166.001f a 5/6• meter Is required) • •
5105.00 Septic System
• p yst L 4((510.00 per as built) (Induces County fee inti $3.00 Stats Surcharge)
535.00 Fire Repair (replace burned out appllances, ductwork, etc.) (Includes 55.00 State Surcharge)
TOTAL. FEES
i •
CALL BEFORE YOU Did. Call Gopher State One Call at; (051) 454-0002 for protection against underground utility damage.
Call 48 hours before you Intent to dig to redetvd locates of underground utIfltles. www.000herstateonecatl.orn
I hereby acknowledge that this th t radon Is complete and accurate, tat do wort w l be In c mft manes with the ordinances and codes of the City of
Eagan; that I understand Nle le rot a p.m*. but ony an appllcitlon Tor a pernit, and wench not Os stout a mat that the work wIA be In
acfordance with approved plan M the case work which requires ',Wow and approval of plane.
:' tc tgi./ Irk". k .111•
A 1�
Applicant's Prlrntad Name
•
pfent's,Slgnature
�-� l . ;ul.e r� � /•'� r n �iu'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157052
Date Issued:08/01/2019
Permit Category:ePermit
Site Address: 4595 Cantebury Cir
Lot:15 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-150
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Barbara E Tietz
4595 Cantebury Cir
Eagan MN 55123
(651) 214-8104
Twin Cities Contracting Services
140 W 98th St, Suite 202
Bloomington MN 55420
(952) 405-6201
Applicant/Permitee: Signature Issued By: Signature