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