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3679 Canary Way? CITY QF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: . (612) 681-4675 ? SITEADDRESS: ;. r:?.? ?e?.....?,-?a;?.+??.?f.? p+N ? wrti`y IRPO?.RV. .1r'; ,r APPLICANT: ? s?r r: ?:i ? r.r r= r_- ? k rt ?: M r r? { t r4 1:' 1 (? '?i :3 -• ?' ?i t i i . ? PERMIT SUBTYPE: ? ??d1iiFiwd•-7? TYPE OF WORK: rd s ?a FT N+`h I ? . , ,., .. ? I - - - - - - - - - - - - - - - Permtt No. Rertnit Holder Date Telephone # ELEGTRIC PLUMBING HYAC Inspection Date Insp. Comments FOpTINGS FOUND FRAMING ROOFING RQUGH PLUMBING PLBG AIR TEST ROUGH HEATING UAS SVC TEST I ' INSUL ' GYP BUARD FIREPLACE fr • FIREPLACE AIR TEST ?? FINAL PLBG FINAL HTG ORSAT TE5T BLDG FINAI BSMT R.I. BSMT FINAL DEGK FTG DECK FINAI ? ? CITY OF EAGAN WpjER SERYICE PERMIT 3830 Pilot Knob Road ? P. O: Bax 21199 PERMIT N4.: ? Eagan, ISAN 55121 DATE: E ZonfnD: No. of Unlts: Owner: - - - ? i Address: 5ite Addfl3f: ' PlumbEr: Mater No.: Connection Chorpe: ' Size: /1ccoownt Qepaait: ' Readsr No.: Permit Fee: 1 MrN !e ewply wifh !IM Cil7r ef Envw Surcharge: Or4iN0om Misc. ChorQea: Totol: - = ?- ? By QoM Paid: Oote of Ir?sp.: Irup.: CITY OF EAGAN SEWER SERVECE PERMIT 3830 pilot K,nob Road 0 11 P. 0.3ox 21199 PERMIT NO.: Eagan, MN 55121 DAl'E: Zoninp: No. of Units: ? Owrmr. Address: SItQ AddfE5c _ 30 9 7-- Plumber: I pra fo ewuplq whb flN pfy ef fpoS Connwcilon Choroe: 4 7 5-C)' )rtd OrdiwwseM. Accaunt Dsposif: 1` i'l+:°•:?r" ParmM Fee: Surr,haros: - "' By Misc. Chorpss: Dcte of Imp.: Tcrtol: Irup.: Doft Paid: . ?. __. _. ?.?,.: .. . ..,?,,. e * CITY OF 3830 Pilot Knob Raad, P.O. B PHONE:, BUILDING PERMIT To be used tor S? ??,IGIGAR Est. value $ Site Address - Lot5 Block Parcel No. ¢ Name ? W 3 Address _ Address Address ?,..¢... ?a....?.r-M- -.. ?.. . :AGAN A K21-199, Eagan, MN 55121 12VI i4-$100 Receipt # 1i000 nflfa a7UNE 26 tio $6 ? 9 CANARY WA'Y Erect 13C Occupancy R3 .1-Sec/Sub. WES'Y`$RC)l7K IST Remodel ? Zoning R1 Repair ? Type of Const. ?.In Addition ? No. Stories 44U OAK5 DEVF',I,QPMENT CO Move ? Length 40 SUNRISk: CT ?l Demolish ? Depth 48 , ? Phone 4`? ?'? ? 3? Int Impr. Install ? ? Sq. Ft Phone i W ' Ciry Phone _ I hereby acknowledge that I have information is correct and agree Minnesota Statutes and City pf E Signature of Permittee? ? A Building Permit is issued to: - all work shall be done in accordanc Building Offlcial Assessment Water 8 Sew. Police Fire Eng. Planner BIdg.Off. c Permlt ? 316.00 Surcharge 30 • so Plan Review 158.00 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 Road Unit 2 9 Q • d 0 ' Tr. PI. 156.30 an ,?Fomances. ?`lI Var. Date Copies 2,059.00 Total GRAND OAIC$ llEVEFfOPMEirl"F' t:0 on the express condition that vith all applicable Stete of Minnesota Statutes and Ciry of Eagan Ordinances. J Permk No. Permit Hddar Date Telephone # Plumbing 9,,2. H.V.A.C. Elecfflc ' Soltener Inspactlon Da1e Insp. CommeMs Footinga I Footings 11 Foundallon Pramfng Roofing Rough Plbg. ' Rough Htq. InsuL , ?- IV , D ? Fireplace Flnal Htg. Flnal Plby. Bidg. Final /? ?Qr?' .??,C?LK.C'?L?? • Cert. OeC. Detk Ftq. Deck Frmg. weu DescHbe Locatlan: Pr. Dlsp. e ? • - • A -4&a? •+ r . CONTRACT PRICE i ? Block _I , .1` .. , ' . : . .. _ • ' ? ?p'' 6 F . , ? ?. ? ?tM PERMIT # MECHANICAL PERMIT RECEIPT # (?D CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 BLDG.TYPE Other WORK DESCRIPTION Res. ?l Mult Comm. .?- y New -" Add-on Repair Name Address ? Ciiy Phone ?•- ?, , ? Name L c Address ? 1 - p City Phone TYPE OF WORK Forced Air r' M BTU $? Boller M BTU ? Unlt Heater M BTU $` Air Cond. M BTU ? Vent CFM $? Gas Piping Oudets # Other $? FEES RES. H1fAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FEE: S/C: TQTAL: ` tk: [ CITY . • w., .. ? n ,•:, :: i .......v ; n. .,:: , ., I '. ,, , ': . : - viu, . 1 m,yx- - ,'• '^" .,"Y . i >l ..,;.. .?, ...?. .. ....,'. . ., . . d. . # PERMIT ? PLUMBING PERMIT RECEIPT # CITY OF EAGAN ,;.$40 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' CONTRACT PRICE: -- °y ,?? •<-- PHONE: 454-8700 Site Address BLDG.TYPE WORK DESCRIPTION I Lot Block . V ... ;,? Res. ,?(New ? t y Name a4Z!' ` Mult Add-on ` ? Address Comm. Repair c City Phone Other . TOTAL ? Narne ` N0. FIXTURES Water Closet - $3 00 ? ? Address . . _ 4-Bath Tubs - $3.00 p City Phone ?-LavetOry - $3.00 r' ? ?Shower - $3.00 Kitchen Sink - $3A0 FEES UrinallBidet - $3.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE MINIMUM RESIDENTIAL FEE - $10 00 Laundry Tray -$3.00 1 - IM IND FEE M COM . 20 ?-Floor Drains -$1.50 MIN U - M/ _ ,00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - ,50 1/Vhirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outiets -$1.50 BEYOND $1,000.00) =oftener - $5.00 Well - $70.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: f ` FOR: CITY OF EAGAN _ GRAND TOTAL: ,?'?• ? • ... _ ,. , _ .•:, ? ;-: _.: . _- , •r-: :. ? # ''?? PERMIT I Q? ` ??.,?0%J? ? /0?7? MECHANICAL PERMIT 9 ? 7 • ? RECEIPT # ' P ; r ? ?; CITY OF EAGAR! r P r_ f . 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE; - 417- j? ! CONTRACT PRICE: azds '' PHONE: 454-8100 ' Site Address j ; Lot? Plock ? Sec/Sub BLDG. TYPE WORK DESCRIPTION ; ? • k ` ,....,._ ?, Res. ? New • Name D GWICK HTG. & AIR CON L). • Mult. Add-on m Address 8910 WENTWOR • SC). Comm. Repair F ? C;?, MINNEAr e Other ?i - 1 • FEES ? Name RES HVAC 0-100 M BTU $24 00 . - . c Addre55 ADDITIONAL 50 M BTU - 6.00 ; p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 5 EA ' ( - ) - . . 0 TYPE OF WORK COMMIIMD FEE - 1% OF GONTRACT FEE Forced Air JW_ M BTU APT, BLDGS, - COMM. RATE APPLIE5 Boiler M BTU $ TQWNHOUSE & CONDOS - RES. RATE APPLIES ' MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMaDELS - 12.40 Air Cond. j q M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 y . Gas Piping Outlets # (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) •? Other FEE: ; S/C: ? SIGN E F Tj ? ' h" J ' ? . t;. TOTAL: ?d •?O ? 3 S? ?? FOR: CITY OF EAGAN ?_. - __. •v?? --_-__._?_. ? .:?... w..,.__:?.__ w..,::_ _ ...: J CITY Qf EAGAN 3830 Pilo# Knab Road P. U. llox 21149 Eegan, MN 55121 • Zoninp: '2 Owner: (-,rand Addran: Sfte Address: 3679 _ Plumber: ,'alle Meter No Size: 61"/Qoc!Y P I - 0fM M OOrphr Mrkb the ??????UR?70f?C: • -J`_•iJu Ordieae?. Mist. Choryas: t). OC pC- TOt01: o- . )0pC1 i.^.L't£?r By Dote Poid: Dote of Insp,: Insp,; WATER SERVICE PERMIT PERMIT NQ.: DATE: i Na. of Units: SEDGWICK HEATING & AIR CONDITIONING CO. HeariNC JoBNO s'oas-9 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS 3-C -7 9 CANrQry Wf4y OGCUPAM- MG CI4NvI SOLD BY ?. ?'Y1GN?+c"' MAKE LQhHOk SERIAL NO. 'sG?O ? n 33 L) THERMOSTAT. VAWE LIMITI? LIMIT SETTINC FAN SETTING CITV C'A?7 N OWNER INSTALLEnav d ?? r )GJ(//J?7'1 MODEL Gs1mp-,3s6-o70 7O 0 ov INPUT (l. ? VENT SIZE TVPEOFLWFR LINER SIZE FILTERS: SIZE 1(a ?'C)J NUMBER IO/??/-.. V 1 F WIRING PILOTNPE ??- IGNITIONMODEL PILOTTIMING ?C LO r i t PRESSURE 3 INPUT CFH -? S7ACKTEMP. PERCENTCOz a PERCENT Oz 64 ) PERCENTCO `? FORM 235 (flEV, 11/B9) TEST TAG LIGHTING INST. / ? 6? 7 DATETESTED COMPANVTESTING NAME OF TES7ER FOFMDISTRI6UTION: HITECOPV - JOBFILE VELIOWCOPY - CRY Thig reauesl vond 18 months from C- 4 3.0,01 a; ,/???-??-?-? Nepues7 e 1 9 Fve No. HRooBh-in? Inspecbon equ?retl CIReady Now?ill NolitY ??sPer ? ? Yes ? No lor When peatlV Licensetl Elec[rical Coniractor I hereby requesf insDaclion ot eEova Owner electricel work installad at 5[raet AdOress, Box floute No. ? C? 3 / l1v/ !Q {? ? ? ecuon o. Township Name or o. anee No. County Ogant (PPINl ? PhonJ9 No. -89 s c , 3 - Sa rpu r Su plier ` Adtlress e rical Contrector mpyny Name) C trartor's License No. I ? MaihnB Address I onVactor or Owner Making Instailationl ?Z,2U Authoriz d S namra 1 n ctor O er king Insta aLOn) Phone Number 9a6 136 MINNESOTA STATE BOAPD OF ELECTPICITY THIS INSPECTION pEQUEtT WILL NOT Grigga•Midway 81dg. - Room N-191 BE ACCEPTED BY TME STqTE BOARD 1621 UniverailY Ave., St. Paul, MN 55104 UNLESS PflOPEP INSPECTION FEE IS Ph- 16121297.2111 E NC LOSED. REQUEST FOR ELECTRICAL INSPECTION df% ee-oapi.na ji? Sea instructiens for comaletirg this form on baek oi yellow copy. ?- 4 .`,?.n n 1 "X" Below Work Covered by 7his Hequest ice p Fee ServiceEnheneeSize p Fee Feeders/Subfeaders N Fee , Cvcurts Mz) 0 to 200 qm s 0 to 30 Am s 0 trn 30 Am s Above 20 _qm n ' 31 to 100 Amps 31 to 100 A Swimmin Pool Above 700-.qm s ' Above 100_Amps Transformers Irn ation 13ooms Partial."Ot ee J Signs I I 'Special Inspection ' ? Nert?arks SG?? TOTA FEF,A,? i./X ? r ` ? rinal ? ?'? g'? the cbi Inspeebr, e?ab certdy thet tha bove inSPeeLOn hos been ? / / w ?? mBtla. This request voitl p O -2 >/ 18 months fmm ? X D 6 613 2 /,q&s Request Date Fire No. Rouph-,n Insoer,uon FeqmreA7 19Neady Now QWill Notdy Inspec- Wes ?No Inr When fleatlV El Licensed Electnc2l Contrec[or I hereby raquesl mspecnon ol ebove Cff Owner electrical work instellad ar Street AddreSS, Box or Nwte No. 367? CANA2Y WAY Crty - ?Al?AN ection o. Township Name or N o. Range No. Couiity qKpTA Occupan[ IPflINTI Phone No. SM H Power Suoolier Atltlress AKOTA ELFG, ASbOG. Eleoncal Convactor ICompeny Nxmel Cnntracmr's L?c?nse No. MadinB AdJress ICon[ractm or Owner Making InstailaUON ` " ? 56/ 3(0 7 7 CANAi2Y WAY E,4(2AN 1 lJE?SOTA z3 Authoraed $iBnature (Co tra or ,? wner MakinB nsWllauonl Phnnu Number 68/-06 5 MINNESOTA STATE 80APD OF ELECTqICITY THIS INSPECTION NEQUEST WILL NOT Griges-Midwey Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOAND UNLESS PNOPEP INSPECTION FEE IS 1821 Univerertv Ave.. St. Pnul. MN 55104 Ohnna I9191 662-01400 ENCLOSED. ???/g? ; SQUEST VFOR E LECTR ?I CA? INSPECT D O ?ek ot veuow coov. E? 0001-06 r? 2 7 D-- 6613 2- X' 94e/ow Work Covered by This Request Pdd Neo. Type ol Bwldmn Avolinncee Wued EquiVmenl Wlred al Electric p Fee ServiceEnhanceS?ze 11 Fea Fexders/Subteaders N Fne Grcurts U to 200 Am s 0 to 30 qm s 6b 0 in 30 An Above 200 q?n ?s 31 to 700 Amps 31 to 100 qm s Swimming Pool Above 100-Am s Above 100_Am 5 Transformers Irrigation Booms Partial.'Other Fee Signs ppecial ir`spection ?S?yp0 ITOTAI%i ?F- m the rLty thet the nbove 3 msoection nas eeen mede. Final mb rapuest vola 18 vest voitl /?( /? - 7S 18 months irom ?d7 D 30156 L6,7 0i0 Neques{ Uata Fire No. Rouph-in Insper,bon /?p/p He qu?reA? ?Feady Now [] Will NoufY InSDec- 7 ? ? o o ? Ves ONO ior When Peadv ? Ltcensetl Elecvical Catlractor 1 hereby repuest inspatUOn af ebove ? Owner elacrticel work mstalled ar. Straet /lddress, Box or Pouce No. CitY 36 n Calv,?,ey GrsRy F ,6,4.V ectron o. Townshio Name or No. Range No. Cnvnty TA ? K c ? o Occupdnt(PPlNi) Phon N e o. /n ( ?1 / /7 ? { O / (!JO ? ? 06115- Power Supplier Atldrass Electncal CnnVactor. ICampanY Namel Con[rar.tor's License No. Harrison Electric Inc. 421867 Maihnp Address (GonVactor or Owner MakinB InslailaLOn) 3640 Morgan Ave No. Mpls. MN 55412 Author¢ed SiOnature ICOntractor/Owner Making Installatiunl Phone Number 1 521-0520 MINNESOTA STpTE BOARD OF ELECTPICITY THIS INSPECTION REQUEST WILI NOT Gir.BBS-Mitlway Blde. - Room N•197 ? UNnIESSEPROPERYINSPECTION FEEpS 1821 Universitv Ave.. 51. Peul. MN 56104 .a?Q ENCLOSED. Phona (612) e42-0800 71? ; SQUEST POH EL?EC?TR?ICA g INSPECT?IONck or vauow Caav. ? S S/ S D 30156 - "x" Below Work Covered by 7his Requesl nna aeo. rvua ot einim.e Aooimncen wirea EquiVmenc Wiretl x Home Range Temporary Service Duplex Water Heater Lighhny Fix[ures Apt. Bmldmg Dryer Elec[nc HeaLn Commerual Bldy Fumace Silo Unluad[:r Industnal Bldg Air Condinoner Bulk Milk T&nk Farm 01ne. neu v Tther ISDCr.?tyl i .r Succilv ,her Othcr nmpute /nspection fee Below M Fee ServiceEntrenceSae N Fenders/SUbleaders b Fea Grcwts U ro 200 qm s ro 30 Am s 0 to 30 F?m s Above 20? qmps 1 to 100 qmps 31 to 100 Am s Swinuning Pool ; 100Am s [Above Abave 700_Amps Transiormers rigation Booms ertiab"Other Fee Signs peciaiinspection TOTAL F? emarks . Pouph-in Du[e I, the Ele ' InsDector, heFoby Final /? ? ?/) insoecUOn hes Oeen ? _ // rw% 0 / meee. o I Thle recuest volU 18 monlhs irom . PERMIT ??, ?o z? I CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u i Lo r N G Eagan, MinneSOta 55122-1897 Permit Number: 030713 (612) 681-4675 Date Issued: 0$/2 y /y 7 SITE ADDRESS: 3679 CANARY WAY LOT: 5 BIOCK: 1 WESTBROOK 1ST P.I.N.: 10-83625-050-01 DESCRIPTION: (Gas) auiYdinq` ?,ermit Type ilding. Wp'wa? TYPe ." CenSUS C6'd`e° p 2, FIREPLACE NEW 434 AL7. RESIDENTIAL ?v? REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - S7. LIC OWNER: FIRESIDE CORNER'INC 16332561 2009091 MCCANN MIKE 2700 N FAIRVIEW AVE 3679 CANARY WAV ROSEVILLE MN 55113-0847 EA6AN MN 55123 (612) 633-2561 (612)405-8790 I.hereb,yyacknoaledge,tha-t• i h4ve a?ppk3o?a?C'fBt} 6t4 te tha, tbe.?. . f ? ? ?4 m ?w`ith,.a?.?: ap?l'iaa?Se ?tate?af ?In . • ? infor?ma`C`ion is correqC a'n?l a9 ,. ee,.? to Rl y , ' Statute? s?nd-G.ity of Eagan Orc?inaroees U- .?_ , .a APPLICANT/PERMITEE SIGNATURE -??!?bid A ?! ?- 301 DnTE: 8 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1997 FIItEPLACE PERNIIT APPLICATION 681-4675 DESCRIPTION OF WORK: ? CONSTRUCT (fykS NM FIREPLACE INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: $A.6o PERMIT FEE: $50.50 _ ALTERATIONS TO EXISTTNG STREET ADDRESS: 3 6 ? ? (2'`' ? ?? I ai-A q LOT BLOCK SUBD./P.I.D. #: 19-"B? APPLICANT: (cirole one only) OWNER C NTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: O!4 A3?J ? Signature: yt/1ttCC4 40TC Phone#:42S-87 9,o Street Address: 3 (° 7/ e A kJ A(K 4 City: ?AAA N State: 633 -aeZ Company: 3?/D ? 4;a??ey- Phone #: Signature: `•`'v- U. Street dress:3$ ?? - r-t/ G&Z ? L3 State: °j Company• Name: Signature: Street Adc City: - License #: ZC' ,?° 911 ziP: ?"3'?.3 37 Phnne #- State: Zip: ? CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12181 PHONE: 454-8100 ? rJ ,_, ,/J BUILDING PERMIT Receipt p l ? ?!3 - 7obeuaedfor SF DWG/GAR Est.Value $61,000 Date JUNE 26 19 86 3679 CANARY SiteAddress WAY Erect ? Occupancy R3 Wt5-Block 1 Sec/Sub WESTBROOK 1ST Remodel ? Zoning Rl . Parcel No Repair ? Type of Consl. ???- . Addition ? No. Stories = Name GRAND OAKS D EVELOPMENT CO Move ? Length dn Demolish ? Depth 48 3 Address 1881 SUNRISE CT 0 S F ° EAGAN City Phone 452-8934 Int.lmpr. Install ? t q. o I Neme SAME 0 < Address : " City Phone 1- Q F W Name ? ? Address a W Ciry Phone Assessment _ Water & Sew. Police - Fire Planner Council Permit S 316.OC Surcharge 30.51] Plan Review 158. OC Snc 575.OC Water Conn. 5 0 0. 0( WaterMeter 63.5( Road Unit 290.0( Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gId9.01f. 6/26/86I Tr.PI. 156.0( information is correct and agree to comply with all applicable State of Mmnesora Statutes and (.y'%of Eagan gfqiiances. / APC Parks g Var. Date I Top;es? Si nature oi Permittee $2,089.0( A euilding Permit is issued to: RAND OA" DEVE0PMENT CO on the express condition that all work shall be done in accordance with all ppl' abl ate of Minnes STat es nd CiTy of Eagan Ordinances. Buddmg OHicial ? . .. ?, c /f/ 7986 BOII,DING PERlIIT APPLICATIOg - CITY OF'fiAGAN BOYE: ALL CAIIRRACSORS MOST BB LICBIiSSD WITH THB CITY OF EAG9N 3IHGLE FAlIILY DWRr.t_nM ._ . , INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS !lOI3IPLS DWELLING3 - RffiIDHNTIAL HENT9L DNITS FOR 3ALS DNITS INCLUDE 2 SETS OF PLANS, CSATIFICATB OF SDRVSY - CHEf$ WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAI: INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Site Address 3 ? ?? ? ZI Lot ? Block I `}- Pareel/Sub Ocaner _ ?l.G-?-F?' l_i?.e,?"? Address City/Zip Code Phone _ Contraetor Addres City/2 Phone Areh./Engr. _ Address City/Zip Code Phone # Erect z:L Remodel _ Repair ? Addition ? Move _ Demolish Int.Itnpr. ? Install _ 9PPROVALS Date: ?' -- '-t 5 ' f-b Oecupancy Zoning / Type of Const S of Stories Length ? Depth, Sq Ft kgw Assessments Permit ? WaterlSewer Sureharge Police Plan RevieW :? Fire SAC 125"=_ Engr Water Conn '-SL?y Planner Water Meter ?_ Couneil Road Unit 290 Bldg Off -2 - Treatment P1 APC Parks Varianee Copies ?OTEL BpTE: ADDEESSES FOR CORNEE LOTS - CONTE9CYOR/HOMEOiiNSB lIDST DESIGNATSfiHICH ADDRSSS IS DESIRED. 80 CHANGS3 fiILL BS ALLOiiSD OHCE BDILDIAG PERMIi I3 ISSQED. l P. . EXTERIOR ENVELOPE AVERAbE ' U' CI]MPUT ATYON GRAND OAKS 4EVELOPMENT CtlMPANY MODEL Q.- .. ' AREA., t U_ U % AREA ? . . FtEQUIFED i. TOTAL WALL AREA 1800 X .11 19e 2. TOTAL ROOF`ARF.A 1196 X. 026 31.096 ACHIEVED " ' • AREA U U X AREA A. WIIVDOW AREA 196.66 . .5 93.3.: B. DOOR AREA 39.8 •077 =•0646 C. SLIllE GLASS AREA 13.44 .4£3 6.451; D. FIFtEPLACE AREA '• 4 v 0 G. WALL FRAME AREA 180 .041 7.38 , F. NET WALL AREA 1164.1 .049 57•04C?9 G. RIM JDIST AREA 119.52 .0436 5.211072 H. FOUND WIIVDOW AREA d 0 1. FOUND APOVE GRADE 96.48 .135 13.0:4E3 3. TOTAL WALL AREA 1800 105.5026 J. SKYI.ITE " 4 0 C) I:. ROOF FkAME 119.6 .032 3.0272 L. NET ROOF AREA 1076.4 .025 26.91 4. TOTAL Ft00F AREA 1146 30.7372 SUM 1.+2. SUM 3.+4. 229.696 216.2398 It-_ - 3UR`VEYOR'S CERTIF.ICAT i L_ lJ , ?r. 1 ? I 25 IN ?? . . 9tc.5 q1Y.° N --a---- DENOTES 'PROPOSED SURFACE DRAINAGE SCALE: 1 INCIi ¦ 30 FEET O DENOTES UENOTES IRON MONUMENT SET IAON MONUMENT FOUND o FEET FEET • .X000.0 DENOTES EXISTING ELEVATION pROPOSED LOWEST PROPOSED TOP OF FLOOR BLOCK ?9t5- • 9i8.2 FEET (000.0) DENOT?S PROPOSED ELEVATION THA7 THIS IS A O DEVELOPMENT O S FT TRUE AND CORRECT REPRESENTATION OF BOUNUARIES THE OF A SURYEY OF . Lot 5, Block 1, WESTBROOK FIRST ADDITIOPI ' , according to the rec orded plat thereof, Dakota County, Minnesota. OR SUPERVISION, pENCR0AC11MENTSo ?IF ANY,PTNEREUN.gUAS?SURYEYED BYEMEN?ORPUNDERTMY ? DISHOW RECTI TIIIS 24" DAY OF Junj , 198G. . NOTE: SIGNED: JAME ILL, INC. PROPOSED GRADES 41ERE TAKEIJ FROP1 THE GRADING AND DEVELOPMENT PLAN FOR WESTBROOK FIRST ADDI7'ION, PREPARED BY; li BY DELMAR H. SCHWANZ, LANL SURUEYORS HARaLD C. PE7ERSUN, LAND SUliVEYOR INC., DATED NOVEMBER 14, 1985. PIINNE50TA LICENSE N0: 12294 bflOJECT NO. BOOK / PAQF. JAMES R. M1LL, tNC. 86763 1y61y6 planners / E•ng(neers / Surveyors FILE N0. 8200 Humboldt Avenue eouth ' FOLDER 13loolnln8ton,Mn. 65431 e12-ee4-302e GMND OAKS UEVELOPMEN'f CU. .. I . r°-oc? p v CITY OF EAGAN APPUCATIOPI FOR PERMIT SEWER AND/OR WATER CONNECTION xRx ,.xwxxww,....?.....,...wx,.,.,.x=. ?`10T5: PAYMENi' OF FM AT TIIM OF ArPLxcATIoN DOEs Nar oorsTzTUTE r,PrROVAw oF PEaMsr. INSPF7GTION OF SE.WII2 AN]/OR WATFR .L LVI.ATIONS WIIS. NOT SE SQHED- ULID CT@TPII, PERNIIT AAS BEEN APPROVID. _______° -. - - --- - - P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRL'CIL'RE, DATE OF ORIGINAL &!ILDING PERMIT ISSL`ANCE: ." - ? (Nbn ear P12FSENf ZONING/PROPOSID USE: [] M%PMRCIAL/REPAIL/OFFICE _ F7 INIDC.'S"TRIAL rl INSTI7.[.'TIONAL/GOVfRNMENT ? R-1 SINGLE FAMILY q R-2 DL'PLEX (74,o Onits) R-3 1OWNiOL?SE (Three + Units) ( L?nits) q R-4 APARTMEN!I`/CODIDOMINIOM ( . Uni.ts ) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) • ?,: ?• / For City Lse ?"????? Plumbers License: , ADDRESS: 610 ? Active ? CITY, STATE, 2IP: E?cpired Not recorded PHONE: . MASTII2 LICETISE# 02107 /0 ?O Sta?f Initial 4) ??a ? o ia?• NAt+E: ADDRFSS'' CITT, STATE, ZIP: PHOfIE: ?$) ?.? v , t e?• • 71? : pt • a• :r. ai ? OONMECTIoN 70 CITY SEWER CONNFX.TION' TO CITY WP,TER ? OTHEa ? . ---? ? 6) PLFA.SE HOLD APPROVFD PE[tPIIT FOR PICK-UP BY 0NE OF ABOVE --- •-' - ? Q PLF.FI,SE MAIL APPRWED PIItMTT TO 1, 2, 3, 4, AHOyE (Circle one) ' nA .,, o':SZS7sa • t ---- 7 FOR CITY l9SE ONLV PERMIT # ISSCED e s- ? Pd w/Bldg. Permit $ ? $ FEES: $ ' 10, S--o _ s'- s $ •-- SEWER PERMIT.(INCLPDE SC'RCHARGE) WATER PERMbT (INCLODE SL'RCHARGE) . WATER METER/COPPERHORN/OC'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ IS• ? $ ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ 6--o O , &--a S WAC • $ S7v`? O? $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ S LATERAL BENEFIT/TRC'NK WATER $-- 15-4'?? $ WATER TREATMENT PLANT SURCHARGE $ S OTHER: $ ;2- 0'0 TOTAL RECEIPT RECEIPT DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGZNEERING NO DIVISION. LIST AS A CO[VDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?.53 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55722 651-681-4675 NewConstrudion Reauirementa • 3 registered sRe surveys showing sq. R of lot, sq. ft. of tause; and all raofed areas (20% mazimum lol coverege allowed) • 2 copies of plan showing beam & window sizes; poured (ound design, etc.) • 1 sel of Eneyy CalcNations • 3 copies of Tree Preservalion Plan'rf lot platted after 711/93 • Rim Joist DelalOptions selectian sheet (61dgs witli 3 or less units) DATE Jr?IUL62- SITE ADDRESS MULTI-FAMILY BLDG _Y ?N T E OF WORK(?o? 1-/.uiilC?Ds??S-C/ ??CrY1b FIREPLACE(S) _ 0_ 1_ 2 ,?oz,o APPLICANT WINDUW LITE Home Improvements usiness r. STREET ADDRESS Suite qAye NA CITY STATE_ZIP TELEPHONE # Brooklyn Park?(y 4WD#7 3 q/- L? FAX # &rn,i GY((Ya PROPERTY OWNER /h)6 %J')L° eGCrYl TELEPHONE# 9'?5-' --------------------------------------°------°--------°------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTR RULES 7672 (4 submission type) • Residenllat VentilaUon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ P1umUing system includes: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor: _ Air Condibonuig _ Heat Recovery System Phone # Phone # ree: $90.00 Fec: $70.00 ----°-----------------------°°----------°------------------------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga inances. . Signaiure of Applicard OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinklcr No. of R.I. Batlis crrpzZ 'S/462- RemodeVReoalr Reauirements . 2 copies of plan • 1 set of Energy CalculaGoiq for heated additions • lsitesurveyfarexterioradditions&decks • Indicate'rf home served by septic syslem for addilions VALUATION 4/01?? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121849 Date Issued:04/16/2014 Permit Category:ePermit Site Address: 3679 Canary Way Lot:005 Block: 001 Addition: Westbrook 1st PID:10-83625-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Dan Neubauer 41531 237th Ave Lecenter, MN 56057 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth M Startup 3679 Canary Way Eagan MN 55123 Blue Sky Mechanical Llc 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145419 Date Issued:09/08/2017 Permit Category:ePermit Site Address: 3679 Canary Way Lot:005 Block: 001 Addition: Westbrook 1st PID:10-83625-01-050 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Robert E Pascaly 3679 Canary Way Eagan MN 55123 (262) 385-1958 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature