4586 Cantebury Cir
CITY OF EAGAN WATER SERVICE PERMIT
3795 PEiot Keob Roed
r PERMIT NO.:
Eognn, MN 55122
DATE: .
Zonin
g:
No. of Units:
Owner: - ?- : ?OII Bu
Address:
Site Address:
!`ii
Plumber: ? T
Meter No.: Connection Chvrge:
Size: Account Deposit:
Reader No.: Permit Fee: ' ' -
1 agree to eomply with !6e City of Eagan Surchnrge:
Ordinoneai. Charges: -
Misc
.
Total:
By Date Paid:
Dete af Insp.: Insp.:
CITY OF $AGAN SEVVER SERVICE PERMIT
874+5 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: 7.
Zoning: No. of Units: ' ?i.6::41 : -
Owner: ? . 71, 1
Address: '
Site Address:
Plumber: ? "-
`( ?', _)(lr{,?t
1 7„"te0V . I
d
1 agree to eomply wifh the C4tp of Eogan Connection Charge: 4 2 {,v F?9
Ordinonees. Account Deposit: I
Permit Fee:
$urtharge:
BY Misc. Chorges: i
Date of Insp.: Total: ?
Insp.: Date Paid: ?
CITY OF EAGAN SEWER SERVICE PERMIT
8745 Pilof Knob Road PERMIT NO.: -
Eagan, MN 55122 DATE:
Zoning: No, of Units' ' {''•u n' 0 ?-?
Qwner: _ _
Addreu:
Site Xddress: '• -f_ ,-' s ?' "nr T
Plumber: ' T
1 agroe to eomplp wiN+ the City of Eagan Connection Chorge:
Y
Qrdinoneas. Account Deposit:
Permit Fee: i
Surcharge:
8y Misc. Charges:
Dote of I nsp.: Total:
Insp.: Dnte Paid:
CiTY OF EAGAN WATER SERVICE PERMIT
3795 Pilo! Keob Road PERMIT NQ.: ?
,. .. :• ,
Eogan, MN 55122 dATE: '
Zoning: Na. of Units: ittp.t_ey
Owner: To?iG:'
Address:
- -Y.
Site Address:
t •?? ? Plumber. - '
Meter?No,: Connection Charge: • ?'"' t"
I Size:
Reader No.:
I agree W eomply with the City of Eagan
Ordinonces.
By
Date of Insp.:
Account Deposit:
Permit Fee: 5urchorge:
Mfsc. Charges: Total:
Dcte Paid:
'.. ? -
BUILDING PERMIT
Te 6a umd iee
CITY OF EAGAN r o 7
'?.'?
3795 Pikt Knob Rco? Eaaan, MN 35122 '
PHONE: 454-8100
Receipt # -- -
` - & Est. Value Dote 19
Sita Address
Lot Block Sec/5ub. .
Parcel .#
ac Name _ ' .
ty
3 Address
°C Nnme
,o
?? Address
1-
Name _
Address
I hereby acknowledge that I have read this applicotion and stote that
the information is correct und ogree to wmply with all applicabla
State of Minnesata 5totutes ond City of Eogon Ordinonces.
$ienature of Permittee
A Building Permit is issued ro:
oli work sholl 6e done in acmrdonCe with oll opplicoble Stote of Mir
Building Officiol
Erect [) pccuponcy
Alter ? Zoning
Repofr ? Fire Zane
Enlorge ? Type of Canst.
Move ? * Stories
Demolish p Length
Grode ? Depth Sq. Ft.
Apprarals Fae•
Assessment
Woter & Sew.
PoliCe - - - -
Fire
Enfl.
Plonner
Council
Bldg. Off.
APC
Permi t
Surcharge
Plan check SAC
Water Conn.
Woter Meter
Road Unit
Total
on the express condition Ihnt
:s ond City of Eagon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ?q3"7
H.V.A.C. ?J $?(p
Wall
Water
Disp.
Sewer
Electric (4? £4 ? ? ??Cc 4Z3 --2;
Inspection Date nsp,
Other
Footings q-t 3-$2.
Found
ation ]
Framinp
Rough Plbp. ? A •
Rouph HVA 297-2 2 &J
Insulation
Final Plbg. . Q. W
Final HVAC ?.
Final
IMeter a ci ibe Location:
Well ?
s
Sewer
Pr. Diip. j
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN -
- . , . Fee
Fill in numbered s,aaces S/C -? 3
Type ar Print legibly ?
Tot. ?
1. Date •' ?'- 2. Installation Cost
;
3. Job Address Lot?Blk. ?-. Tract .-- /13 Tj
.,
4. Owner
5. Contractor ' -.,L74, ?4 Phone
6. Address J v• ``o ?bc' r"
7. City 1i,,ii i State i'? Zip -
8. Building Type: Residential Cb-' Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Reqair O
Descri be
11.
No.
?-- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs SepticTank
?
-° Lavatory
Softner
? Shower WBll
/ Kitchen Sink
Urinal/Bidet Other
f Laundry Tray
Floor Drains
Drinking Ftn.
Slap 5ink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: for ' .° ??'i?Y
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
, - i
Receipt `
?
MECHANICAL PERMIT
CITY OF EAGAN
Fill in num,bered spaces
Type or Prini legibly
Permit No.
Fee - ? ?-
5/C
Tot --' - ti _
1. Date 2. Installation Cost
-, - -
3, Job Address ik. E-?- Tract "
---
4. Owner r-
-? -
5. Contractor Phone -
;.
6. Address
7. City ?,'-?t???x-?..?,;t? State ZiP ?.
r
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe - ? , - Fuel Type = --
,
1 11.
No, EQuinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Nandlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type ot work.
Signed: ? -- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-6100
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BU11-DING PERMIT
' To be used for
Receipt
Est. Value s ? ?oc' Date ` AY 18
? I rn 0
19 ;-"
Lot I ' 81ock 2 Sec/Sub.f'`'`'S ' 'Af`
Parcel No.
o? Name C"CCk "AGEN
z Address "` T fPlTKPWRY Cl.p?
y ?. 2?- . S i;
? Cit "?f`? Phone ' +?
. o Name
. ?., 4
oQ Address :.?,..: :'? rr•:,.?'-,?.??L?' i'°'
City Phone
rQ
W WW
Name
r
Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
information is comect and agree to comply with all applicable State of
Minnesata Statutes and-Eity of Eagan Ordinances.
Signature of Permittee "' --- `??` '' ""
A Building Permit is issued to: .`x(`OI t CAPT
on the express cond ition that al I work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
iST
OFFICE USE ONLY
Qn Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowabla)
PRV Requlred # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
81dg. Off.
Variance
FEES
Permit
Surcharge °
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
TOTAL ?
Permit Na. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg_
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
' ? •d ?
" ?'l?
r?K°G =1 iLG" ' 's JiCj i?yrC.S
Well !-fS e 2 ?.? :<
Pr. Disp.
CITY Qf EAGAN
3795 Pilet Knob Rood Eogen, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To ba uaed for Est. Volue Dote , 19
Site Address
Erect ?
Occupancy
lot Block Sec/Sub. Aiter ? Zoning
Parcel # Repair ? Fire Zone
Enlarfle ? TYpe of Const.
oc
W Name
,
Mova ?
# Stories
z
Address ?
Demolish ?
Length
1
c;t„ ph,,,,. - Grode ? Depth Sq. Ft.
lx Nome j+vvrovols
?U Address Assessment
~ Cit Phone Woter & Sew.
?
?
Pal ice
Nome
WW
F
Fire
?? Address
W Enq.
[
Ci Phone Plonner
Council
1 hereby acknowledge that 1 have read this appiication and state that Bldg. Off,
the inlormotion is correct and ogree to comply with all applica6le
Stote of Minnesota Statutes and City of Eogan Ordinonces. APC
Siynoture of Permittee •
?'r,?" . . .... , ;? . •
Permit
Surcharge
Plan check
SAC
Water Conn.
Weter Meter
Rood Unit
I Totol
A Building Permit fs issued to: on tha express oondition thnr
al) work shall be done in accordance with all applicable 5tate af Minnesotn Stotutes and City of Eagon Ordinances.
Buildinp Officinl
Permit No. Permit Holder Misa Permit No. Holder
Plum6ing ? ???Z` S L7 Z
H.V.A.C.
E ?pQ 'Z f c F •, ?t
wgu
Watar
Disp.
Sewer
elecftic 4-4 la
cqz -S"2.
Inspection Date Inap. Other
Footinga 3. 'j>J?--
Foundation
Framinq
Rough Plby.
Rouqh HVAC
Inwlation ? r
Final Plbp. .
Final HVAC d.?? ?j
Final Cy
Watar Gescri6e Location: -
1Nell -
i
Sewer .
,
,
Pr. Disp.
Receipr --' PLUMBING PERMIT Permit Na. ^?=
CITY OF EAGAN
Fee
fill in numbered spaces S/C - ---
Type ar Print legibly , -
Tot
1. Date 2. Installation Cost ??'t ? f?? ,?U ?_ ,. : "?_•'_-i'-; ? , i ? ??
3. Job Address <-'t-- LotBlk. _ Tract-/%:?-rfr?s<•. ?
4. Owner
5. Contractor r -C/fi2 /?Zr/ Phone
]` .
6. Address / `V c_) . J,) t'
7. City t cufvT State zip
8. Building Type: Residential O Commercial O Institutionat ?
9. Work Description: New V'- Add ? Alter O Repair ?
10. Describe
fVo.
= Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Laundry Tray Other
*
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with alt ordinances and codes governing this type of work.
Signed ; for
Rough Final " Inspections: Date Insp. Date Insp.
This is your permit when numbered and appraved.
Approved CITY OF EAGAN 454-8100
(
Receipt MECHANICAL PERMIT Perrnit Na. ,
CITY OF EAGAN
Fee - ;
Fill in numbered spaces SIC '
Type or Prini legibly
Tot.
1. Date 2. Installation Gost 9
3. Job Address '' `? r' " •? ? tot ? .^ Bik. ? Tract
4. Owner '
5. Contractor
Phone ' L 3 i / -'/
6. Address --r7 ?^A--•--?
7. City State ' -7-°- Zip ?
Building Type: Residential ff Commercial O Institutional ?
9. Work Description: New Q Add ? Alter ? Repair ? ?
?
10. Describe ' -' --?-?-? FuelType -- ?
I11•
No. Equiument 8TU - M. Ea.
Forced Air No. Equioment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9. Other
Air Cond.
Mfg.
Gas, Piping Outfets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type af work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
- r
cowrRar.r aRirF• 3830 PILOT
Bloek
Gity E_??4an Phone
c Address 4?t?X? t•a?,?-?
p CitY
TYPE QF WORK
Forced Air M BTU $_
Boiler M BTU
Unit Heater M BTU $_
Air CORd __ 2-f.QiaM STW $ - ?
_ Vent CFM $
Gas Piping Outieis # $
Other $_
FEE: ?
S/C:
a: TO7AL:
. , t . . .."4:.
PERMIT # "
4L PERMIT
EAGAN ... : ..RECEtP.,T.A, ;
_.:. .
kD, EAGAN, MN 55122 DATE: `i
54-8100
BLQG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on =X_
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES ;
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & =a
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00 ;
STATE SURCHARGE PER PERMIT ` - .50
{ADD $.50 S/C IF PERMIT PRICE GOES '
..,. W , ..,
r--
-
Receipt PLUMBIPIG PERMIT Permit No.
CITY OF EAGAN
Fee -
fill rn numbered spaces SIG --
?:- Type or Print legibly - - -
Tat
.
1. Date 2. Installatian Cos#
l:
-- ---
? .
? BIk.
3. Job Address ?% ` '`!_•' ?' Ln# J2 I _. F
TracL!_
4. 4wner?
F - T=
5. Contractor Phone
C B. Address
? 7. City - : *- - State _ Zip
? S. Building Type: Residential Gl~- Commercial 0 Institutional O
f - -
? 9. Work Descrip#ion: New ? Add ? Alter.::a- Repair ? 3
? 10. Describe -- - . .. ?
11,
No. Fixtures
Water Closet Na. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory = = Softner "
Shower We I I
Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains -
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and cades governing this type of wark.
5igned
for
Rough Final
Inspections: Date Insp. date Insp.
This is your permit when numbered and approved.
Appraved CITY dF EAGAN 454-8900
CITY OF EAGAN Remarks
Addition---?CUS MAR F.AST FTRST AnDN. Lot ll Blk 2 Parcel 10 17150 114 02
i owner Street 4586 Canteliury Circle State Eagan, MN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF. 182 Y 1.0 262..21 786.65 A011875 1-31-83
STREET RESTOR.
' GRADING
SAN SEW TRUNK w 1981 280.00 56 00 5 112.06 A011875 1-31-83
*SEWER LATERAL G 1981 3395.18 1358 . 09 t? rr
WATERMAI N
*WATER LATERAL 1951
WATEFi AREA 198 280 112.00 A411875 1-31-83
STORM SEW TRK p' 1981 351.10 70.22 5 140..44 A011875 1-31-83
;STORM SEW LAT 1981
CURB 8e GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN.
2,0-00
BUILDING PER. 17$
sac 525.00 "
PARK
CITYOFEAGAN Remarks C+,trd Y)9?ss?n 4
Addition Parcel '20 Oa"
Owner Streetrv' !'- State??n??7n L
? ic e i e -
Improvement Date Amount Annual Vears Peyment Receipt Date
STREETSURF. 1982 1311.07 262.21 . A011361 8-18-82
STfiEET RESTOR.
GRADING
SANSEWTRUNK il 1981 280.00 56.00 5 168.00 A011361
- -
I$EWERLATERAL 1981 3395.18 679.04 5 2037.12
WATERMAIN
1NATER LATEFiAL S
WATEF AREA Cj'? 2$(].QQ 56.00 $ 16 .00 A - -
fl
STORMSEWTRK 351,10 70.22 S 2].O. 66 I - -
?ETOFMSEWLAT 19981 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 29591 4-13-82
WATER CONN. 420.00 11 ft
BUILDING PER.
SAC n n
PARK
(9tr#ifittt#t af (Orrixpttnry
_ Citp of eagatt
DQ.jitiTlUiPlit IIf iwbit[g itlH}1P1'tfDil
Tbir CMifirue iuuad funaant to du reqrrircmrrru o/ Seriios 306 oJ tln Uni/orm Buildiag
CoJe tntifyin8 ebat ru tix tinu cf iuuarut tbir nrurtare uaar in corapGaaa witb tbc varioar
erdinaruu of rhe city ngrrlating bralding mnu+aution w ux. For elx /oUowixg:
U"CbM&=tlm 1/2 DUPLEX & GAR BM, P,,,,,,Na 7178
owwa.rha R3 Trrc?me Vn w.s ?NA z?,D? R2
..aM..„ Tollefson Buildera 1655 Norwood Dr.. Fa¢an
mmyA.? 4586 Canterbury L.,y,r Lot 11.Rlerk 2,(:haw 2inr
hab 1 ` ?.d? Circley; Easc i
?&
?akw n,,,, November 16. 1982
.e.. ?. . ?. ..,?.
.e? , . - LI.HW.U_..
?
Address
?
Owner/Agent
Ordinance Nos. and Corrections - Correct By
'a
DATE:
Site Name -
Telephone
For reinspettion
Ea9an Dept. of Inspection
3795 Pilot Knob Rd.
Ea9an, Minnesota 55122
454-8100
CORRECTION NOTICE
Inspector:
Dept.!
(Ipr#i#irtt#e of (Orrupanrij
Citp uf Cagan
Orparlmrttf o# ltttilbing lttapetlimt
Tbit Ccrti(iotc imrred parttwru w tbe reqrusemenu of Sation 306 of the Uniforrrs Buifding
Codr arti jrrng tbat at t5e ti+ac of iirHana tbrt n+udurs was in com pliarur wrtb tbe variwu
ordinarurt of tbe City ngu/ating bnilding tonstnutian w yte. Fa the follmurng:
u. cb.a? 1/2 DUPLEX & GARAGE Md& p,m;I M. 7179
ooww-.rTvw R3 A.v,c? un c?z NA zomno? R2
0 ,,,,,f8ug„j„- Tollrfenn auiidersAa?d Drive. Eacan
e.Ift,Aaan. 4 SSR f an Prharv Ci n?,rT?+*-J2•°? ^^-k ..h s H8T
-? -
?ba_ ?, East lst
a?'?
e.aa wanmr aa Auwst S. 1982
'-
?qf IM A WMM1WdI? R?C[
UTnJix u 5 a
ThM.requeX.id 7/a3
18 Tonths fmm
W 27467'
L I lI P?? C.lti?s /?ta r 3 I O S/
Request Date FIre No. flough-in InsOecbon
tl'
p? F-.."'
?fleatly Nowyirvill Noufy InV er
'?
V? es
?NO ror When Read
KLicensed Electnwl Contractor 1 heraby reauasf inspecnon af ebove ? Owner . electncal work instelled et
MINNESOTA STATE 90ARD OF ELECTIIICITY THIS INSPECTION XEQUEST WILL NOT
GriB9s•Midway Bltl9. - Noom N-187 BE ACCEPTED BY THE STqTE BOARD
UNLESS PflOPER INSPECTION FEE IS
1821 VniversitY Ave., St. Peul. MN 65704
ae,..,e ielv 29]sfit . . ENCLOSEO.
'W REQUEST FOR ELECTRICAL INSPECTION w EB-00001-03
See instrvctions tor completin9 this form on back ot yellow copy. ?
?i27467 t. "
"'X" " Belaw lNr?'avered by This Request u? IO S
ei? Add Nep. TvPe ot 9oildmg Appliancos Wiretl Eqwpment Wued
Home flange ' - Temporary Service
Duplex - Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
rm
Fa
er Peci y
[
Other ($per.ify)
t r Sueci y Other Other
Compute lnspection Fee Below
N Fea SarviceEn[ranceSize # Fee Fanders/Subfeetlers N Fea Cirowts
..? 0 to 0 0 to 30 Am s 0 to 30 Ain -
07 00 { l 31 to 100 Amps 37 to 100 A
b e 0 Above 100-Amps Above 100-AmPs
Tra or RemoteControl Circ. .S Partial'Other
Signs Special Inspection
Remarks
Pough-in Date
f r he Electncal
ector, Aere
by
the ebn v
t
.,r
iftha
Finel ion has baen
pu
d
e.
.
This request void
.W 619?--
0 12 21
-Y
y a,?
Fequest Date
/ti Fne No Req9?? lrspeawn
/ ( fL - Now
?aoY ? WJI Notdy Inspector
?
_Ves y?ao When Reatly?
I= I?i ased contractor ] owner hereby request inspection of above elec
Job Atltlre ss (SVeet Box or Route No
Lil, Gly
Setlion No Township Neme ar No Renge Co
OccupanllPRINT) Phone No
Pow uppLer Aytlress
Eledncal ConVactor ompan Namel Cantrac1or5 Liwnse No
?
M press ilo?orOwn ing In5lallaLOn)
?60 v ?
Aulnoriz ,gn Ire iConvactonOwner Making Inst alion)
?
?v Phone Num er ?-7
MINNESOTA STATE BOAFD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Grigga-MiEway Bltlg: - Room S-173 BE ACCEPTEO BV THE STATE BOARD
1821 Umverairy Ave. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phon¢(61Y)6CY-0B00 ENCLOSED
'_,
ay.
???'(Q/g? REQUEST FOR ELECTRICAL INSPECTION ee-oooai-oa ?
lk? See mstmc,ipns for compleLng this form or back oi yellow copy ?'
S,??a1{b? t/(!/6<
I 1? d? 1 ?X Below Work Covered by This Request
ew A ep., %' Typeof8uilding AppliancesWVetl EqwpmeniWired
Home Ranqe Temporary Service
Duplex Water Heater " Electric Heating
ApL Building Dryer O[her (Spacify)
Comm /Industnal F aCe
Farm Air Condi[ioner
OlherlspecJyl Convacbr's Remarks
Compute Inspechon Fee Below
# Other Fee ;v SermceEntranceSrze Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abova 100 _ Amps
Siqns inspeaor's use Omy 70TAL G _JV
Irngation Booms ? -..J
Speaal Inspechon ?
2
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in
1 oaia
'
certify that the above inspectwn has
been made. F,nai oe
OFFICE ll$E ONLV
This request voitl 18 monihs (rom
7
This re9uest vaid /?j'"7 / Iz, 1 C. l S? 3??0 z
T7e m8 ,5 ?418 ? ? S?' S°
Reques,t Oate 4 Fire No. Rouyh-in InsVecuon
Repuiretl1 yyy
[3ReaAy Now)& ?ll Nnufy InsDe.-
y - -$ ? Ves ?NO «?r When Reatly
?L?censed Electncal ConVactnr I I heraby request insoecfion of above
Owne.r electrieal work mstalled eh.
Screel Atldress, eon or Rou[e No.
4
-
'
cC C,
kis
sg ,
ec[ion u. Tnwnship Name ur No. fla e o. C nty
?
OccuGant (PRINT) Phone No. ?
C
Power Suuplier AtlAress
Q?
ctiQ
E
le icai Cn Iractor I m anY me)
ConUactor's License No.
I (D -
?????9 /? ess ICOnVar.[or or Owner
? akingInst8ion) ? )n
, •
S? ? . -
iV ?CN ?
Authoriz ?Wre ICO uac[or/Owner Makin9 Insiollation) , Phone Num er
MINNESOTA STATE BOAHD OF ELECTIIICITY THIS INSPECTION REQUEST WIIL NOT
Oriyps-Midway Bldp. - Iloom N•191 BE ACCEPTED BY THE STATE BOAND
7021 University Ave., St Peul, MN 56104 ' UNLESS PPOPER INSPECTION FEE IS
o1, ..__ 1a11% Io71111 ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION ? EB-00001-03
See mshuctiuns tur comDletin9 this lorm on back o1 ye?low copy.
T- $ S4180 ?' p.
X'" Below Work Covered by 7hrs Reyuest_ 30 3 p Z
a Ad Fep. Type of Building Ap ces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
i. ' Apt. Building Dryer Bectric HeaLn
Cpmmeraal Bldg. Fumace Silo Unloader
Industrial Bldg. Air COriditioner Bulk Milk Tank
F2rm LY_
O Ot or(Sne..ity)
t er Sue,fy U J_;Ibra??
a Other
Compute /nspection Fee Below [ - - '
p Fee ServiceEntranceSize p Pee Feeders/Subfeeders 11 Fee Circvits
' 0 to 100 Am s 0 to 30 Amps 0 to 30 Am
O' 101fo 200 qmps 31 to 100 Amps .? 31 to 100 Am
Above 200 q Above 100_Amps Above 100_Amps
Transionn A? ! Remote Control Grc. r, Partial%Otl Fee
Sfgn SpeciallnsUecLOn 5 T
t
R?amarks °? OTAL F ?
g.,??
T
Fuugh-in
Final
?
'
? D p
a O
?^?e
`?
3'? , t??a Electncal
oectoq narebv
cerlAy thBt the abova
ins ction has bnen
tle.
This reqvest void
18 nronths fiom
18 Th? rts requesl voitl ?? C, ,Vl •(S?
ronths from (
W 7284
'
acc (o 0 ?
/D , C) C)
Hequest Fire No.
gh-?n Inspec1.on
Rou
Repuiretl7
?Neady Now ?WiII Notify Insuec-
?s ? ?
yes ?NO tor When Feady.
Licented Elattnc31 Contractor 1 hemby request inspecban of ebovei
Own¢r elactrical work inatallad ar i
Sire
e
t Atl
dress 8ox or Ron4e-PlQ.
1
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' 1 J V ?-MJIJ'?-?
ection o. Township Name or No. anBa o. untY
O upunt IPpINTI
NNNN
Phone No. I
Po r Su her - Adtlre s "
n dj i
EI n'cal Convactor ?Comoan Na : omracio?'s License No.
Ve 7.q
Madine Ad
J
ss lCOntractor or Owner Makin Inion) i
re
/
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A
Z 4 l? ? f ?3
Authorized S?g?ature (CO Yractor Owner Making InsiellaUOn1 ' Phone Number
? i I
MINNESO` $TATE §OAND ?ELECTXICITV THIS INSPECTIfSN PEOUEST WILL NOTGrigea• way BIdO. -?om N•791 BE AGCEPFED BY THE STATE BOAND
1821 l/prvereitY Ave., St. Paul, MN 66104 ' UNLESS PROPEN INSPECTION FEE IS
?a, 1.1t ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
4' See inatructions tor completin9 ihis fmm on back of vellow cupy.
k Ceveredfiy,Thrs Request
?.. EB-00001-03
Ne Add Nep. Tyoe ot ewldine Appliancas Wirad ? Quipmant Wiredf
• Home Range Temporary Service
Duplex Water Heater Liphtin Fixtures
Apt. Bwlding Dryer ? El?ctric Heatin
Commercial Bldg. Furnace Silo Unloader
industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Other pecz v ther 15Ppcifvl
t rr peciry Other Other
caf2pute lnspection Fee Be/ow '
p Fea SarviceEnboncaSixe p Fea FeetlarsI5ubteadxrs k Fee f Crteurts
0 to 100 qm s 0 to 30 Am s to 30 Am s
701 to 200 Amps 37 to 700 Amps 1 to 100 Am s
Above 200 Am s Above 100_Am s Above 700_Am s
Transfonners Remote Control Circ. • v' artiak%Oth
Signs Specialln5pection
5 I
6
Renuarks L
) TOTAL F E/6,
flough-in Data
? - ? I, the Electncal
a ' j I ??SOector, hereby
Final
Unte certity that the xbova
??spee4on has baen
?4!' 4, •?y m3de.
This reouxsr vnrd
18 mon(hs irom
??4 0
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
ck.?. 1o
Date)g /)5 / o`r
Site Street Address 56 b Can 1,L1' Unit #
hone# ({fj
r LW- 4en heh'1G
i"1 Tele
Own
P
t
,
p
roper
y
e
Contractor t?lf rloP,?/DI kS Telephone# ((C?51)(CrD L340
Address ?O?d ?? ? City State {Ml?( Zip?a3
/
Contractor _Other
The Applicant is: _ Owner
Alteyations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
?
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener VWater Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ rep ' rebuild $ 30.00
State Surcharge $ .50
Total ? :?
??C $ I5•?
?
,
,? /
I hereby apply for a Residential Plumbing Per `'?, d acknowledge that the information is complete
and accurate; that the work wili be in conform? ce with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
kf j5 01 p-) _ YY I,? owX,
ApplicanYs Printed Name Applicant's Signature
16 -50
Tollefaon Buildere Inc.
d
F. C. JACKSON
LAND BURVEYOR
R[OISTKR[C UHD[R LAWi O? 6TAT8 OF MINN6QOTA
LICtN6[D n' ORGIMANC[ OF CITY OF MIMi[A!'OLIt
7 127-3484
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Sca1Q: 1", 30'
= Iron ?
? 000.0: Bxiat3ng Elev:
- Dratnage & Uttllty
Eagemgnt
Drainage
Or.i1299
183-63A
?
s ...,w I
Propoaed Carage Floor Blev. 102.0
Pzopoaed Firat Floor Hlev. 106.6 l?
? M
Propossd Eaeement Fioor Elev. 98,8
. i Z 16 it,
??RRlGT PIAT OR A SURVfiY OF / ?- p
Lo[e 11 and 12,BLack 2,Cnee Mar Eaet,
Dakote Caunty,Minneaota.
xz? L
As suavcveo ev wc rNis 29th•--owv ov ___!!?xch
N $1UCbtgOC'fi Q?CCI?fI[8tt B
N• ^ - ??---
-----
6 //.
o. 1982
c p
ve0. ? ?'Z-
F. C. JAGKSOfJ, MINNfeo A R601tTftAT10N. NO.? 600
I ?
?!:
`ii- CITY OF EAGAN '
.. • f'a 9795 Pllef Kno6 Road Eagen. MN S5112 N.o 717 S
- ' ? PHONFs 454-8100
BUILDING PERMIT Receipt g
T. r. o..e f. 1/2 DUPtEX & GARet.voi.e $57,000 p,te APril 13 . iq 82
Site Addreu '+Jov
Lot 11 el«k ' 2 See/Sub. Che8 Z4dY' FBSt 1
porcel * 10 17150 110 02
rc Name
£ Add„s, 1655 NDxwood Dr.,
ecine _. /.CL_G474
o Nome _
?
?l Addreas
f n...
Nome _
Addresa
I hereby acknowledge thot I have reod this opplicotion and state thot
the inlormotion is Mrre[t ond ogree to comply with all applicable
State of Minnesota Stotutes and City of Eagon Ordinances.
Sipnoture of Permittea
A 8uilding Permit is issued to: T311
all work ahall be done in accordance w oll
Buildiny Officlol
Erect [Z Occuponcy R 3
R-2
Alter ? Zoning
Repair ? Fire Zone Nmk
Enlarga ? Type of Const. Vn
Move ? # Smries
Demolish ? Length 26
Grade ? Depth 45 Sq. Ft.-
Aoorovals Fees
Assessment
Watef&$ew.
Police Permit 304 6 00
Surcharge 28•50
Plan check1$2•00
? Fi.,
Enp.
Planner
Council snc 525.00
Woter Conr420 •QD-
Wafer Meter?f6??o.aMo
Rood Unit n?[iscv_.
Off
Bld
.
g.
APC Totol $ 750
on the express cordition thnt
Stotutes ond Ciry of Eapon Ordinonces.
C-t'* ? TY OF EA?'>AN Include 2 sets of plans,
site plan w/elevations &
BUILDING PEfdMIT APPLICATION 1 Csret of energy calculations.
? d..i G?al?tion S? a.- ?-' ( Dao te 4`f _
7b Be Used For Z-
Site Address qSV, OFFICE USE ONLY
r.ot t`I siock ;;L sec./sub.cke 9,tii.r?us1- Isrect X oocupancy -
Parcel #: 10 l Z? S CD 110 UAlter Zoning -?
r Repair Fire Zone
owner: `TCA(t (-So ?? Enlarge _ 7ype of Const. / zb.
Address: J (DS`S /Vo:^?CX) ei- Move # Stories
Demlish Front ft.
city/Zip coae: Ja. xti. ?S 1 Graae Depth ¢ ft.
Phone #: O (4 -(P
Contractor•
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Pddress:
City/Zip Code:
Phone #:
Taater/Sewer
Police
Eire
Eng •
Plannar
Council
Bldg. Off.
APC
g Z
PeslcLit y?
Surcharge
Plan Checlc
SAC S2S-M=o.
Water Conn. -!V Z d Sx-
Water Meter G O "
Road Unit 41d?O--5
T7i'AL ? ?7 2?? S?
. i6 "
BUILDING PERMIT
N? 7179
Receipt # cXJ-V/
51te Address 4St Stf (;aLlt2blII V C1Y'Cle Erect (I Occuponcy ' 1-1
Lot -I2 BI«k 2 Set/Sub. Che$ ?bir EaSt 1St Alter p Zoninp R-2
pa?e? # i Q 1n50 120 02 Repoir ? Fire Zone NA
Enlorgs ? Type of Const. Vn
W Name T D11efsOil Bui1deTg Move ? # Stories
Aderess 16 55 Nozwood Dr.. oemoust+ ? Length _ 26
_
? ?- FdQ8I1 5$122 ?___ 454-6873 Grode fl Depth_4ri-Sa. Ft.-
Nama _
Addrca
r:...
Name _
Address
I hereby ackrrowledge thot I have read this appiicotion and state tMt
the informotion is correct ond agree to wmply with all apvlicable
Stote of Minixxsoto Statutes ond City of Eagon Ordinances.
$ipnufurc of PermiMee
A Building Pertnir Is issued ro: TO1
ali work shall be done in acwrdorxe wlth oll
Buildinp Officiol I/
cirr oF E+G?N
7795 Plk? Kneb Roed Eegae, MN 55142
PNONEs 4348100
Assessment _
Water & Sew.
Police ?
Fire
Enp.
Planner -
Council _
Bldg. Off. -
APC -
Petmit ?.vv
Surchorge 28.50
Plan check 152•00
SAC 525.00
Wcter Conn. 420 • 00
Woter Meter 60"00
Rood Unit 70-011
TOtal $17T '19?-Sn .
on the expreu conditlon thni
Statutes ond Ciry of Eopan Ordinances.
yy ^ ??`"l ? CITy OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
? ?/??, •• BUILDIN PFRMIT APPLICATION 1 set of energy calculations.
~' • ?,/ ?` o dCJ
7b Be Used For ? bk???' X{'? Valuation Date q^r- ?2--
Site Address 4S ?$ Cavt?t ?iti r?C. C(vt ((t pFFICE USE ONLY
IAt 1 .2- B10Ck ;- S2C./SUb.ChtS/4([t!'<Fli3T Erect ? pccupancy _
Parcel #: T? l?( SC (,-?D O L Alter Zoning - Y
Repair Fise Zone
Owner: To?l£FSo? B:c?'l?tr-S Enlange _'lype of Const. --
Address: S/Uo f uJou ?.r Nbve # Stories
DEmlish Fmnt ft.
City/Zip Code: L?'??-A.n .?S%Z L Grade Depth 4? ft.
Phone #: ?73 -
APPROVALS FEES
Contractor: ,w? r J W VL'?'Assessnents Permit Q .?
Adclress:
City/Zip Code:
Phone #:
Arch./IIzg. .
Address:
City/Zip Code:
Phone #:
?9ater/Sewer
Police
Fire
ET1CJ •
Planner
Council
Bldg. Off.
APC
Surcharge
Plan Check r
SAC 2
Water Conn. ?`-.'G-?O ?
Water Meter / ?
Road Unit ?p y ??-
1CrPAL
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CITY OF EAGAN N2 15 0 3 7
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERfl111T PHONE:454•8100 qeceipt#S s
To be used for DECK Est. Value $1,000 Da[e MAY 18 ,19 88
Site Address 4586 CANTERSURY CIR
Lot 11 Block 2 Sec/Sub.CHES MAR E iST
Parcel No.
s Name CHUCK HAGEN
? Address 4586 CANTERBURY CIR
? City EAGAN Phone 452-9576
a
o Name SCOTT GARDNER
aa Address 13870 COLENDALE TR
uc
P City SAVAGE Phone 895-9856
f¢
ww Name_
i d Address
Q w City
I hereby acknowledge that I have read this apphcati nd stale at he
information is correct antl agree to comply with all plica6l t e of
Minnesota Statutes an- a9an r_ina
SignaWreofPermittee--,2)_c{q"i'C.i / -1.?
A Building Permrt is issued to: SCOTT GAR?NER
' ontheexpressconditionthataliworkshallhedoneinaccordancewithall
apphcable State o{f ?Mmnesofa Sf1atutes an^d City of Eagan Ordinances.
BuiltlingOfficial Ll
OFFICE U3E ONLY
On Site Sewage _ Occupancy
MWCCSys[em - Zoning
On Site Well _ (ACtuap Const
City Water (Allowable)
PRV Requiretl _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint 5 F.
APPROVALS FEES
Engr./ASSess, Permit 24.00
Planner Surcharge • 50
Council Plan Review
Bldg. Off. SAC, City
Vanance SAC, MWCC
Wafer Conn.
Water Meter
Road Unit
Treatment P1
ftNc£opies 1.50
26.00
TOTAI
1988 BIIILDING PERMIT APPLICATION - CITY OF EAG9N
13 a.?7 ?
SINGLE FAMILY DWELLINGS '
INCLUDE 2 SETS OF PLANSP 3 CERTIFICATES OF SIIAVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COMMEHCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
kluation. To Be Used For: Date:
Site Address OFFICE USE ONLY
?? Block
Parcel/Sub
Owner
City/Zip Code ij6rf''L/
Phone 5+ S 2-9?5 76
Contraetor
Address 13 870
City/Zip Code ?ci ? Gf
Phone 990• pE's-E'
Arch./Engr.
Address
City/Zip Code
On site sewage_
NEaCC system `
On site well _
City water _
PRV required _
Booster Pump _
I SPPAOVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
Oecupancy
Zoning
Aetual Const
Allowable
If of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Rev3ew
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
a c? o-u
?O
750
Phone #
.. - _- ? k,,.? -•---..
„ . 183-63A
• , _ ;. . L,?(• I
?' - -
C.?JACKSON
. - _ ., ' • I/ ' , . U1ND fURVEYOR . ? ? , . . . _ . , i
. ? ? R[61{1iR[D UND[R U1W@ Or K11T9 M MINMftOTA
L1GK"913 MN OwDINAMC[ OF CITY 0/ MINN[A?O{.1O . , • ' ` ? '
a e ..?...:eAsr s rN sT 5417 127-3484 _. .? r
.,., • ? , i °. ?. _ ? . . . .. P?,? i
_ _ ` _ _ ? .? Sucbcpor'g'Qtertificate .. - : --
,•.
.? .?".. ?vi ..._ . ? 60.8? ? " 6 `? 2//.L`?? '?? ? _ -, ? •'. -:. . ?
._'Scale: ,1^s ?30' ?. :' .• ?,,: -?. .
? =
-:
Iran
OOO.O _._.. .. .... , _ _
; '.
- . :
o
i o? ? _:::• . n . " ? Exiating E1ev:
_ Draiaage a Utillty
?
Eaaemgot '. • .
/ ?•
,,,..•? _'?' -t_ Dr??' . ;- -?_ ?zs" Drainage "`%
N
??='.°:'_`'? Lo. .??-o. b?Y• . ''`NS .. . " -`??x'. _ '- .?
Ro'R?s?,'?:,:'' `.. . - ' ; . _.". •?i
'• /?' . pr;,, ?
D.c4K?,;=, .. ?..
f° % ? -\ \?/e e _? 64r ? ' ??'f??A?'? 2 - - 4.' ? . ' ? . • `?
Z, ?9 ....._. 'R'
ti;? •?e? ? - =: -°c+ - ? ro 'q a?°' _ N _ . . w `S - j :.? - . . ,,?}4
2o
2??^•?? , . t'.r?' -
\ - E- `--
.:?%i??'.`?
,Propased Carage Floor Elev: 102.0 ?
Proposed FiraG Fiaor Hlev. 106.6
'' , -" ` • '` _? M
Prapoaed baaeieent Flaor E1ev. gg;g
?i: µ' ? ' , ' . . _ ?• ? . ? ? . ' 4 .. .. : • ''> ? -?.?r`.4 ?'1' x ? ,''
' D
•' +?•1' M[R[CY Ct11TIA' TMAT TN[ ABOV[ 16 A T110[ A?RR[CT RAT OP A$URV[Y OF ?
?:N: ?.s_ _ ' ./ " ^ . . . . ' . _ .. . ? ? ? . _ - ? ?•?• ?• • i '?p ,
:t lf? ? ? _ _ __ •-• ? - _ - - ?/ _
L:;..r:?.....a ?. . .'. ? • . . ' ; i ..? . ?.: '....? '..?
??A:..' ^v,. . .a •
Lots 11 and 12,Slock 2,Cnes Mar?East,
Dakata County,Minneaota.
- EA G-A N
P?F :11 c'\V[ D'...-t...;;,. .. . : + •, ._. ?
q 12Gl1'?A l
? illo . L? c/uTio,u/
?. er.' : . . sho?LO• .tE ELe?4T?d ca'
FA/ u„ _-._ - . - . .. '.
.nA7E l'14AYt7'f! SBu?E ?. o?d
~Af fURV[Y[D sr rc rHis 29[h. „wr r March ..o. 1982 . _ .. , . . _
SiaNe Y ' .. . . ?
.T ...' ? .• ?'?...w.' ? .I?.?. . ?. • _ . . . /
.?.. ..t?.._? . ' _ ., ? . , F. G. JACKSON. M?Nw[ao ? R[o??rrtwTwp. No. 3600 .
?:•:' "" r'". . -'_'' '. ... ? - . . . ? .. :.. ' _: •4? .
?'? ' iq.' .. .. _ - .. ? _ ',• :. .'?..:
.... ..-. i ?. ... . . ' _ ' . ? . -. . ' ' `' ? ,. ' .. . ' . . ,. . .. . r ? .i . _ . , .. • ,
94100? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
arr oF eacaa
3830 PILOT KNOB RD - 55122
? 851-681-4875
I28.2Er
NeW Co„truc«on RmArwme,ati o"
> S reylstered Yro arveys thowinp p. R W bl, sq. tl. ol house
anC gl roofed areas (TOS mmdmian bt Covemae albwetn
? 2 coples ot picros (show beam a wlndow slxes; poured Ind dedpn; efc.)
n 1 set d enerpy oalcWanom
> 3 coples ol free preservallon plan Il lof phtletl arter 7/1/93
DATE: S 4 3/d O
2 coples of ptan
1 set d energy calculallons for heated uddHlora
1 slfe wrvey for exteAor addlMau 3 decW
CONSTRUCTION COST: A4 5 S oO , °a
DESCRIPTION OF WORK: 0 'C
5iREET ADDRESS: ?/- S 8 6, - v- S tcfYS 4f?,I/VT ? ?Ieg CLe?Lc
LOT: ?_ BLOCK: -;L- SUBD./P.I.D. #: C?'LA n V "GL F-Al? 18
Name: ??s?•? ?'4 Phone #:
PROPERiY Lad Pkd
OWNER '
Sheet Addresa:
cryy State: LP:
Company. f? ??L U? ? ?S S aC/(f 7*5Phone t: ig/?- 72i /- Y-)-)- lo
(area code)
CONTRACTOR
ucense #??
-a-?955 exu. 3 31o!
Sd'eef Addresx
p y state: ??J ztp: SS 3 Co
ARCHITECT/
ENGINEER
Company: Name:
' Telephone #: ( )
Sheet Address: Regishatbn ri:
Cny State: LP:
Sewerlwater ticensed plumber pf installina sawarlwater): PhOne #7.
I hereby pcknowledQe Mat I have read Ihis aWtafbn, stafe ttwl Ihe InfortnaHon
of Minnesota Stalutes and CNy of Eayan OrdMancea '
Signalure of Apptlcant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Recelved _ Yes _ No
- Not Required
atl applicable Statf
CITY OF EAGAN
3830 PZIAT &NOB ROAD
EACAN, MN 55122
PHONE: (p612) 454-8100
?
?.<"`u;'v,eu?,e.ffilm
FOR CITY IISE ONLY
PERMIT #
RECEIPT #
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS &
TOWNHOMES/CONDOS fitlEN PERMITS ARE REQUIRED FO& EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR _
OWNER NAME: !!?a?/ CS- e- ')
SITE ADDRESS: 4??4 `? ???•
IAT:?L BIACK _,?- SUBD. Qit ?
INSTALLER:
anDREss: q/1 !r/, 77
ciTx: 4 c./G? ZIP:
PHONE #:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE: .50
TOTAL: $ ???
Zd
? z,??[
SIGNATURE OF PEAITTE
s/s t /9 ?i- g"
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT SIIZLDINGS, AND MIILTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING DNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS: '
CITY:
PAONE #:
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED EIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATORE)
$
$
FOR:
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use ,I
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `'► Site Address: it CD Cii4C✓y �C-1 �/� �c Unit #:
Name: / f - I kin Phone: 6‘i: Lyg! r
Address / City / Zip: L/ J 4 Ch142
Applicant is: Owner ontractor
Type of Work
Contractor
Description of work:
Construction Cost:
et,v-14 4.0Of tdf d oet, //as,44k. S
X13(0
Multi -Family Building: (Yes / No )
Company: 1 S L) )2 Contact: keavlart
Address: j q g. 11%24 4F %CM - City: 14144*e-
State:
/14/1/ Zip: J �d 1-1t"( Phone:
License ;Tea/ �1
Lead Certificate #:
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:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: °Plans and supporting documents tha
le information may be classified as ► on pu
conclu
'oy, submit are consider,
c you provide speci
at they aretrade'secre
Phone:
Phone:
Phone:
public information. Portions' of
vthaf
,permit the. City
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.gopherstateonecall.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.
x J U SZt 4t
Applicant's Printed Name
x
App
l
's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161658
Date Issued:06/08/2020
Permit Category:ePermit
Site Address: 4586 Cantebury Cir
Lot:11 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Gregory J Hakanson
4586 Cantebury Cir
Eagan MN 55123
(651) 592-4417
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature