3919 Canter Glen DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3919 Canter Glen Dr
Lot: 2 Block: 18 Addition: Bridle Ridge 1st
PID:10- 14996 - 020 -18
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
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 by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Occupancy:
$88.50
$1.50
Total: $90.00
Owner:
Steven M Smith
3919 Canter Glen Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA091643
10/16/2009
ePermit
---?
.?r - r? ? s?` a•:? ;;:r
' (Jlrxttf irate uf Orrupanry
Citp of eagan
Erpar#mrnf of luilMng ImWeriimt
This Cerlifrc¢te issued pursuani ta the requirements of Section 346 of the Uniform Building
Code certifying thar at the time of issuance this structure wus in compliance with the various
ordinances of the City regulating building construction or use. For the foRowing:
U. Cla?fication ,)?' ?1lai?.tt?T; Bldg. PBrmit No. I
Otcupancy Type J 1-- 2oning District Type Consl
t,'x?f_`;.fi; B`VA.i:?.i: B°iJiI.I.:C
Owner of Building Address ?
TCS ,?,t?? f ? i c^?
??ti .I?-',
Bwlding Addresc '-.cy .?f N?tiTixR: 7 , Si:?l
3.at7 :?[v.?L?C 5.r.,'_:J1j Localiry
Dat::
Building Official
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No: =•' - Date:
38V Pflat Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owr
Site
Plun
? Conn. Chg: S540.aOric
Acct Dep: } '; ',''211a
Permii Fee: L-, Q*-d
Surcharge:
Tr. Plant_
Meter. ? y
Misc.;
Zoning:
tVo. at Units: ?-
( agree to comply with lhe Clty of Eagan
Ordinances.
ey
WATER SERVICE PERMIT
CITY OF EAGAN
3830Piloi Knob Road
P.O: Box 21199 ,
Eagan, MN 55121
Site Address: -19
Permit No: 11,1974 Date: -
B/P No: Date: ? p?
_-i Glen Ds2ve ?2 ?; ? g Hr id J. e
Plumber: ?snerican S 4?VlJ C 'AK e.cnz3-aicY:s_ _
MWCC: 51 ••00V6
Ciry Ghg: 100.70pu
Acct. Dep: oon'll
Permit Fee:
Surcharge;
Misc- .
Zoning•
No. of Units:
I agree to comply wiih the City of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
CITY OF EAGAN ? ;; i :°: •'?
3830 Pilot Knob Road, P.Q. Box 21 •199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT ? Receipt # -
To be used for Est, Value `ol) Date JULY ?-;l ,19 <}b
SiteAddress '???????? R CLEN rik OFFICE USE ONLY
?."!?)L?; "f-t%t'i.
Lot ' Block SeC/Sub OnSiteSewage Occupancy
. MWGC Syatem Zoning
Parcel No, ?,?
"'
On S+ts Well (Actual) Const y
¢
Name f1.13dD ;:(>h?i ? City Water (Allowable) V"'?'Y
z
Address 14450 BUhN?VILLr' PUY
PRV Required
# of 5tories ?
o City ?+J ''IS?' IL+i,} Phone E>9?+-?-2636 Booster Pump Length
Depth
p. Name S:"`. `; S.F. Total
,
? Q. Address
Pootprint S.F.
?' City Phone AppROVALS FEES
f- Q
Engr./Assess.
Permit
00
W W Name ? 54)
3fi
Planner Surcharge .
?= Address
?
Council
PlanRevlew
23?'•00
w
¢
a Phone
City
Bldg. Off.
SAC, City
100 , 00
I hereby acknowledge that I have read this application and state that the
Variance
SAC, MWCC
550•00
information is correct and agree ta comply with all applicable State of WaterConn. 55d•00
Minnesota Statutes and Ciry of Eagan Ordinances.
Water Meter ?j7 ??? "
Signature of Permittee Road Unlt 32 5.00
,
A,BuildingPermitisissuedto: TreatmentPl `3?-y?"•?'
on the express condition that all work shall be done in accordance with all Parks
applirsable State of Minnesota Statutes and City of Eagan Ordinances.
t r,.
???
???
TOTAL "'
'
Building Official
:
CITY 4F EAGAN 1819i?
?
? 3830 Pilot Knob Raad, P.O. Box 2 1-199, Eagan, MM 55`i21
`? ?
PMONE: 454-8100 ??
BUILDING PZ-RMIT Re.ceipt #
?? 10W JULY 2
To be used for Est. Value Date , 19
L
Site Adiress
• ?
O?FICE llSE aNLY ;
Lat Block Sec/Sub.
Parcel No, Occupancy ? FEES a
? Zonin9 - ? 25.00 ?
. Na171B ? (Actual) Const ? Bldg. Permit
3:
p Addl'2SS (AIIOWabie) ------ gurcharge
City Phane # of Srories
Plan Review
Length ?
n Name Depth SAC, City ?
• OU
caa. Acldress S.F. 7otai
SRC, twPGWCC
: f ? Clty Phone S.F. Paotprints -
?
w Water Conn
On Site Se
age -
W W N3me On Sile well - Water Meter J
~=
??
Address - MWCC 5ystam ?
- Acct. beposit
.
c W. Ctty. PhQtl6 City Water ,
S/W Permit
PRV Required -
I hereby acknowlege that I have read this application and state that the BooSter Pump -.- g1W Surcharge p
information is correct and agree to comply with all applioable State of
i
f E
S
O
Minnesota
tatutes and C
ty?
agan
rdinan0s. ? Treatment PI
Sigrtature of F'ermitee ?
? APPROVALS
Road Unit
A Building Permit is issued to: Planner - park Ded
on the express condition that all work shall be done in accordance with ail Cnuncil
applicable State of Minnesota Statui?rand City ol Eagap, OrdirSaees.
?
gldy. pff_ Co es
? P ?
'
Building Official Variance ToTAL
. .. . . .b. :?.. n- .;> . ? .,_..?- ?-'. •- ,
.-=y. ?,._.. , ? - , .,. .,.. : :
._?,?...,;?..?..._. - .? ? .,
Permit No_ Perm[t Holder Oate Tetephone #
WATER
SEWER ,r
PLUMBING
H.V.A.C.
ELECTRIC
lnspection Date 1nsp. Commenis
Foolings 1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg.
Final Plbg.
Const_ Meter PI6g_ Inspector - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
4Vell
Pr. Disp.
CIl
3830 Pilot Knob Road,
•w PF
BUILDING PERMIT
j?!1SIMEti'p FIHIfiH ?_.
To be used (ar
Site AdI ess 3919 1
Lot Block
Parcel No.
Name KitvIH
Address 3919 1
? City EiA('sAAT
434'"91
Phone
Oc Name SAMB
C) Address
;? Ciry
iBC/$Ub, ifKL UtalS K1LALi$i L ti
BQCK
MR CLEN DR
Zip 55123
?rp
I hereby acknowlege that I have read this application and state that the
infoRnation is correct and agree to comply with all applica6le State ot
Minnesota Statutes and City,of Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: KEVYN'? WCN`
on the express condition that all work shall be done in accordance with ali
applicable State o1 Minnasota Statutes and City of Eagan Ordinances.
Building Officiai
,,.
Eagan, MN 55121
. ?. .
?? ?
9 9ry r
s„a
?
DaRa MG ! , 19 vZ
OFFICE USE ONLY
FEES
Occupancy -
Bld
P
i 35.?
Zoning erm
g,
t
(ACtual) Const ._ Surcharge .50.
(Allowable) - Plan Review "
# or Stories -
length ??
Dapth _ SAC. City ?
S.F. Total - gAG, MCWCC
?
S.F. Footprints - ?
On Site Sewage _ Water Conn
•
On Site Well - Water Meter 35
MWCC System - ?
Acct. Deposit
Cily Water - '?
PRV Required _ S!W Permit
Booster Pump
- SMl SurCharge ?
Treatment PI
APPROVALS Road Unit ?
Planner - Park Ded. . " '
Council
BIdg.Off. _ Copies"i '
3?' ?
Variance - TOTAL -
Permit No. Permit Holder Date Telephone #
S/W
PWMBING ?
HVAC
ELEG'TRIC
ELECTFiIC
inspection Qate tnsp. CommeMs
Footings I
Foundation
Framing
Roofing
flough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Orsat Tesi
Final Plbg. Plbg. Inspecior - Noiify Plumber
Const. Meter
EngrJPlan
Bidg. Final ? ?
Dedc Ftg.
Oeck Final
Well
Pr. Disp.
CiTY OF EAGAN
"'"`??"'?; '• ?3830 Pilat Kncb Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
F{M
MWCC System A Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # af Storfes
Booster Pump Length
Depth
S.F. Total
BUILDING'-?.,? IT Receipt
,.
Toheusedfior :,;•iJjt?,'.t; Est.Value .??3yasCi`i Date ,19
SiteAddress? ??1L`' 4? "'?•, s`-Li=?'? DR OFFICE USE O
Lot ? Block Sec/Sub. ?`FJ?LF !llL'i]4. z 5"!" On Site Sewage 0ccupE
Parcel No.
ac Name
z Addre
0
C ity `
°Co Name
.
U Q Address
P City Phone
Name
Addrass
City Phone
f 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 5tatutes and City of Eagan Ordinances.
Signature of Permittee
A Buiiding Permit is issued ta
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City af Eagan Ordinances.
Building Official
ms....._ _r.v.;..,..;, _.,,? ,._ '-.ue„s:t; r :_. ,•, ..?;?..t,_?..,?..,...??..,? ._?_ ._,..._ , ?:,._,._ a.a.,:
15 3 6 1?
R-3jR,--1
PD
W-;.
V -::
1
42'
47`
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ?? "• ?j'' . i ',.
Planner Surcharge
Council Plan Review
eldg_ Off. SAC, City '
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
.
Treatmeqt P1 .` ?_ : .
Parks
..?.?x.,
"
" "
TOTAL ?
• Permit Na. Permit Holcler Datg Telephone #
Plumbing
E lectric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. la
Rough Htg. ?
IsuL
Firepiace
Final Htg. ?
Final Plbg_
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Ffnal
mDisp.
.? .?- , . , ?....? , • :
PERMIT #^,
' • PLUMBING PERMIT RECEIPT #
° CITY OF EAGAN ,-? 1X
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTRACT PRICE: PHONE: 454-8100
City Phone
Name KSv '.. _ , ° ti-1 , ,
. 1 •i?s N .. ?.?....._? „; Ek r i -._ _„u
City ?;? ";. = - '." z Phone
IM/IND FEE - 1% OF CONTRACT FEE
BLDGS - COMM RATE APPLIES
'NHOUSE & CONDO - RES. RATE APPUES
MUM - RESIOENTIAI FEE - $12.00
MUM - GOMM/IND FEE - $20.00
TE SURCNARGE PER PERMIT - .50
i$.50 S/C IF PERMIT PRICE GOES
r%nin 2-i nnnnrn
_. i'1: "'.'--'L- - _ \. J ?-?•' ?
C J .-
51GNATURE OF PERMITTEE
i Bath Tubs - $3.00 ?-Lavator
00
- $3
.
y
Shower - $3.00
? Kitchen Sink - $100 -
Urinal/Bidet - $3
00
.
`_f Laundry Tray - $3.00
T Floor Drains - $1.50
1 Water Heater - $1 .50 •
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
' '(MIWIMUM - 1 PER PERMIT)
Soften'er - $5.00
Weli - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 '
FEE:
STATE 5/C:
CITY OF EAGAN
. . . _ , ... ... . .., ?. ?.??
. .
.. . . . . ._ - Y ,. _, . ? .
,:.
. . _. . '
. . ,. . ,. ,.. ._ r . . ....:: ,,.. . _, _. , , .. : ,f
1 - '-..' ..
;
PERMIT # •'? ?? ?`'
, , •' MECHANI CAL pERMIT "/`,`?' j
I
3830 RECEIPT #
CITY QF EAGAN ?
PILOT KNOB ROqD,:EAGAN, MN 55122 DATE;
CONTRACT PRICE: PHONE: 454-8100
5ite Address
BLDG. TYPE WaRK DESCRIPTIQN
?S
?. Lot.?..:?- : Blqek-? Sec/Sub - "
,Res. New
MuR. Add-on
? Name F 5j
ss ? ? ?01 ?SU d ?t4?
Addr d E?o .+t . '?ra??} Comm. Repair r:
? %
f'{.. ?
? "
? t??'7' t?ther z
c n.
.?..
City r 7
Phone
Name FEES
RES. HVAC 4-100 M BTU -$24.04
;
c Address
? i
`
.
y ADDITIONAL 50 M BTU - 6.00
HVAG INCLUDES A/C ON NEW
(RES j
0 Cjty 211J 4 Phone+'' •,
-„
a
'
/ .
CONSTRUCTIDN)
GAS DUTLETS (MINIMUM -1 PER PEFtMIn - 1.50 E A. ;
' TYPE OF WORK COMM/IND FEE - 1% QF CONTRACT FEE
IE '.
Forced Air ?? M BTU x* ' S
APT. BLDGS. - COMM. RATE APPL _
TaWNHDUSE & CONDOS - RES, RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-4N &
Unit Heater M BTU $ REMODELS - 12,00
Air Cand. M BTU $ MINIMUM COMMERCIAL FEE - 24.00
50
RCHARGE PER PERMIT
STATE S
?
Vent CFM ? - .
U
54 SJC IF PERMIT PRICE GOES
(ADD $
Gas Piprng Outlets # .
BEYaND $1;000) *
Other
FEE: ?'',;i
S/C: 3v 51GNATURE OF PERMITTEE
A
TOTAL:
;.
.
.
FOR: CITY OF EAGAN
:
,
CITY,OF EAGAN Permit No; ?'-'? ? Date:
3830 Piloi Knob Raad Meter No: Ald 711/10 a- x? Size:
P.O. 8ox 21199 Reader No: a?$ Date:
Eagan, MN 55121
Owr
Site
Plur
Conn. Chg
Acct. Dep: 1 S_ nQn i
Permit Fee: 1 0 - nnnrt
Surcharge: _ S?nri
s
Tr. Plant ?.
Meter. ?
Misc._ FRU R N(3T?T , v i'.
Zoning: _
No. of Units:
1 agree to comply with the City af Eagan
Urdina es. ?
f
ey
WATER SERVICE PERMIT
BLDG
PERMIT NO
r? /
. . 5(
c-, C4C 17
01-3210 . Bidg. Permit
' 07-3422 Plan Check a ?3 OD
01-3445 Surch./Adm. -7?
01-3446 SAC/Adm. 50
2155
01 S
h -7
?
- urc
arge
? /
,
?u
75-3860 Road Unit
? 20-2275 SAC `t 0
20-3865 Water Conn. ? Co
? 20-3868 Water Trmt. C;?-t ?d
?i 20-3716 Water Meter Lo--) CIO
U 20-2252 Acct. Dep.
i 20-3713 Water Permit
? 20-3743 Sewer Permit
? 79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL C??, 5
q
BUILDING FjLRMIT
To be used for DECK
N° 18192
19 90
3919 CANTER GLEN DRIVE
Site Address OFFICE USe oN?v
Lot Z Block 18 Sec/Sub. $xIDLE RIDGE AD .
Parcel No occuvancy ' - FEEs
.
Zonmg - $ 25.00
Name ?VIN BOCK (Aqual) Const _ Bldg. Permit
w
? AddfB55 $AME (Allowahle) ' - Surcharge .5?
Cit Phone 454-9496
Y x oi scories
141 Plan Rewew
Lenglh
p Name SAME Deplh ?' SAC, City
,
?a AddfBSS SF.Total - SAC
MCWCC
? City Phone S.F Footpnnls ,
-
i
S Water Conn
ewaga
On S
le _
?
W w
Name
On S1e Well
- Water Metar
s
?
Address MWCC SYstem -
= Acct. Deposn
aw City Phone atywacer -
R
d S/W Permil
equue
PRV
. -
I hereby acknowlege thal I have read fhis apphcaiion and stale that the Booster Pump - 5/W Surcharge
mlormalion is correct and aqree to comply with all apphcable State ot
Mmnesota Statutes and CnI Eagan Ordinan s. Treatment PI
Sgnature ol Permdee APPROVALS Roatl Urnt
A Building Permit is issued to: KEVIN BOCK Plannar - Park Ded.
on the express condihon that all work shall be done in accordance with all Cauncil
C?iy'I Eagan rdrt?n s
applicable State ol Mmnesota Statute and gld9, 011, _ Coptes $
25.50
? '
Buildin
Offiaal Vaziance - TOTAL
s
q
S
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100 ??MJ
Receipt # ?
Est.Value $1,000 Date JULY 24
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21•799, Eagan, MN
55121
Na 19930
PHONE: 681-4675 c Q II, a
BUILDING PERMIT Receipt#
To be used for Ys?SEMENT FINISH Est. Value Date DEC 2 ,?g 91
Site Address 3919 CANTER GLEN DR
2 18 BRIDLE RIDGE 1ST
Lot Block Sec/Sub. OFFICE USE ONLV
Fees
Parcel No. occupancy -
i
Z &d9. Pertnit 3 S _ (lfl
on
ng _
Narne KEvIN J BOCK (ncwap coo:t - surcharga .50
W qddress 3919 CANTER GLEN DR 1AJ10'"ab1e> - alan Revie„
? Cjry EAGAN MN Zjp 55123 h,ories
Len = ??
y
Phone 454-9496 Depth - SAQ City
ir Name SAIE S.F.Total - SAC,MCWCC
0 S.F. Footprinis -
Add« On Sile Sewa
e Water Conn
? g _
G4 zjp On Site well Water Mater
?
Phpf1@ MWCC Syslem =
Acct. Deposl
? Ciry Water _
VcenSB # PRV Required - SNJ Permit
I hereby acknowlege that I have read this apphca4on and state thal the Bonster Pump - SM' Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ol Eagan Ordinan s
. Treatment PI
f
??
Signature ot Permrtee A??-^? APPROVALS RoaC Umt
A Building Permil is issued to: KEVIN J BOCK Planner - Park Ded.
on ihe express condillon that all work shall be done in accordance with all Counctl
applicable State of Minnesota Statules and City of Eagan Ordinances. gldy, pff, _ Copies
tA R.QJf ,v
Building OHicial
Variance
- TOTAL 35.50
_ CITY OF EAGAN N2 9 5 3 6 9
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127
BUILDING PERMIT ' PHONE:454-8100 Receipt # ?' cJ ? 3c?
C?? ?
To be used for ` SF DWG/GAR Est. Value $73,000 Date NLY 20 ,1 g 88
SiteAddress 3919 CANTER GLEN DR
Lot z Block 18 Sec/Sub. BRIDLE RIDGE 15T
Parcel No
, Name KEYLAND HOMES
= Address 14450 BIIRNSVILLE PKWY
° City BURNSVILLE phone 894-2636
p Name_
0 Q Address
? Cify_
a
W Name_
= Address
a
w CitY-
I hereDy acknowledg¢ 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 C!??iy-pt /E?aa,n? O,,r,di?n?n? FlesJ. 1?r7 ?
Signature of Permittee /v???'T'
KEYLANU HOMES
A 8wlding Permit is issued to:
on the express condition that all work shall be tlone in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances
Building OHicial--A&4-? W.
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem 3C Zoning PD
On Site Well - (ACtueq Const V-N
City Water % (Alloweble) V-N
PRV Required ? x- # of Stories 1
Booater Pump _ Length 42 t
Depth 47'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 466.00
Planner Surcharge 36.50
council Plan Review 233.00
BIdg.Off SAQCity 100.00
va.iance snc, Mwcc 550.00
Water Conn. 550.00
Water Meter 67.00
RoadUnit 325.00
7reatment Pt 204.00
Parks
TOTAL 2,531.50
?'3 ' 0oi&
1 4 424 C,,) 8 ? X O°°
Repuest Dal¢ ? ire No
f /s? Rough-in tl? Ins ion
Re rte
G Reatly Now ' Will Nobfy Inspeclor
Ves No
G
'?'hen Featly+
I : hcensed contractor Xowner hereby request inspection of a6ove electncal work at.
Joo Atltlress (SVeet or ROUte Na )
39/9 At r ( ?n ?r? OE Qty
Sedion No Township Name or No Range No County
Occu am IPpINT,
K
? Phone Na
oc
Fvin
Power Su001ier Atldress
Eiecmcal Conhactor (Company Name) ConVadorS License No
mF-oW nE K
Matling Aaaress iCOnuaclor or Owner Making InstaueUOn7
boJ g,
numonzea gna ure iconvacto-'Bwner Makinyg.y?p's?lallaeon,
? `O=/4? Pnone Numbar Q
T
MINNESOTA STATE BOAflO OF ELECTHICIT/ THIS INSPECTION REOL/EST WILL NOT
Griggs-Mitlwey BIEg. - Foom 5-173 ` BE ACCEPTED BV THE STATE BOARD -
1821 Unlverslty Ave. St paul. MN 55104 . . UNLESS PROPEF INSPECTION FEE IS
Phone(611) 8424800 ENCLOSED
q/ REQUEST FOR ELECTRICAL INSPECTION ?""'?? Ee-ooom.oe
1. See insimcLOns lor mmpleting Ihis torm on back ot yellow copy
424 - i X" Below Work Covered by 7his Requesf ??•'?
l4, I
ew Add Rep. TypeolBwltling AppliancesWned EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heahng
Apt Building Dryer Other (Speafy)
CommJlndustnal Furnace
Farm Air Conditioner
OrrierlsVe,,ryl Contracmr's Rem ?
sM-G n??s
Compufe Inspechon Fee Below.
# Other Fee # ServiceEniranceSrze Fee # CircuRS/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps _ Amps
Signs Inspectorsuuonry:
?U T07?L?.?
IrrigaLOn Booms ?? a;J
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 N
I, the Electncal Inspector, hereby Ro"qn°" oaie ^p.
certify that the above mspection has
been made. FinB1 • Dat
OFFICE USE 3NLY
This reQuest voitl t8 manlhs irom
Tn,s rea.esc ?md rj //?y? pn?. pr7
18 monihs trom 7
E 2 0 7 5,t,;;PA9
Request Date ? IFire No. NouPh-i ection
Repu d7 ?Ready Nnw . II Nottly InsOec-
' Ves ?NO ?or Wh¢n Headv
L,censed Electncal Convactor I hereby reqvestinsoection otebove
? Owner elBCtricel wwk instelled at:
Street AdAress, Box or R ute No. Qry
ecl?o?? o. To nshiD Nama or No. Range o. nly
OccuPen IMi1NT1 - Phone No.
Pow¢ upDb AOdress
J wal Cont ctor (Com
pe
ny Nam0
lep
E 4 Cnniractor's i ense Nn.
?
/J
{
?? 1
Mailing Address ICOnvaclor or Owner MakinB Instailatmn)
C
ut?onzed 5 at nlrac r/0 MakinB I??stallab 1 hona Number
E 1?9v-
MINNESOTA STA BOAND OF ELECTRICITV TMIS INSPECTION REQUEST WILI NOT
Griggs-Midway Bldv. - Room N-191 BE ACGEPTEO BV THE STATE BOAND
1821 Univerartv Ave.. SL Paul, MN 55700 UNlESS PflOPEfl INSPECTION FEE IS
ENCLOSED.
Pn...a fe121 eas-osoo
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
a-?-' -? , Sae instructions tor complehn9 this torm on hack ot yellow copy. ~ oQ,?nr-?7
q
E 20 I 1 5 - 'X" Below Work Covered by lhis Request
Now add 'xeo. Tvoe ol euiieine Aocliencea wvad Enuwmeni wi.en
Home Range Teniporary Service
Duplex Water Heater Lightiny Fixlures
Apt. Bwldmg Dryer Electnc Heaun
Commercial Bldg. Fumace Silv Unloader
Industnal 81Ag Air CorWrtmner Bulk Milk Tank
Farm ONxr peci y 1n, (Specily)
1 P.f $yCG1(y 1 CI nthL'f
Comntite MspecLOn Fee Below
p Fee ServiceEninanee5ixe k Fee Faeders/Subieetlers ? Fnw Cvcurts
/ /pU 0 to200Ams Oto30Ams ?j J.7"OU Oto30Am
A6ove 200 qmpg 31 ta 100 Amps 31 to 100 q
Swimming Pool Above 100_Amps Above 100_Amp+
Transiormers Irrigation 8oort?s Partial- Other
Signs Special Inspectfon S`
SO
TOTAL F
emarks
f Z ?
?
RoupM1-in ?
7
tha Electncal
Ins c1or, hemby
rtify thet the above
iinsl
rv,
?e
j.V fila-3i
inspection hes been
nuda.
Tltln repueat miC 18 monthe from
6 b W
G'S'o !'JH 9, s1.,2 33 `o
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
?
?
o a?9F7
Date O4
SiteAddress -t-g/Z Unit#
Property Owner
5 ?v? ,
Telephone # (*{'oJ 2) 20
Contractor
StreetAddress ?Ja!{ ll /J,12o4 J->e41 57? /`rC' City ? &VM
Sta[e /)7/? Z,ip 5600!y Telephone# (`74,3 ) 43 4- 7747
Bond #• Eapires:
The Applicanf is _ Owner ? Contractor _ Other
Add-on or altera[ion to eaisting dwelling unit $ 30.00
? fumace _Additional X Replacement
air exchanger
? airconditioner _New ?Replacement
other
D?
00- $ .50
State Surcharge 2
s
9y `
1po
Total s _.oeLU
I hereby apply for a Residential Mechanical Pernut and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tLis is not a
permit, but only an application for a pernvt, and work is not to start wrthout a pernrit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
? ?' ..
1998 BIIILD NG PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SETS OF PLANS, 3 CEATIFICASES OF SUAVE;Yt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/80MEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLDWED ONCE BUILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE IINIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIDNS
To Be Used For: '? ?Va tion: Date:
Site Address _30cc USE ONLY
Lot ? Block l On site sewage Oceupancy
b??{ n ??O N&ICC system Zoning
Parcel/5 ?'?yOn site well _ Aetual Const V?
?? //? City water Allowable V,1/
Owner dJ PRV required # of stories /
Booster Pump _ Length
Address VVA. Depth ?
/J S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVAL3 FEES
Contraetor Engr/Assess Permit e,
Planner Surcharge 3 6„So
Address Council Plan Review 233
Bldg. OPf. ?7/7SAC, City !oo
City/Zip Code Varisnee 'a• SAC„ MWCC S.5'°O
Water Conn
Phone Water Meter , 6 ?
Boad Unit 2 2 S
9rch./Engr. Treatment P1 2
Parks
Address ? Copies
? eSn
City/Zip Code TOTAL ?53 1
O 7--5
Phone 6 a j? -/
?V1<;,. ?cve1
436
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SURVEYOR'S CERTIFICATE
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REVISED 6-7 -88 TO SHOW PROPOSED HOUSE
BY KEYLAND HOMES
P.R.V. REOUIRED REVBED 6-20-88
/
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io.ea
W .`J i-;--- 622.33? `29.00 --
M
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862.6
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ad ?`v1G_?
Ea'Ga111tI c;ItiIG1NEL: 'C Ligk2 I
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( 836.0)
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XeLOT
SIENNA CORPORATION
o ?
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i
? ?29.00
? ---'
bs
's
)2 ee,.ex
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?a DRAINAGE 6 UT7LITY .? 5
5L EASEMENT P£R P?r ?
- 1 0
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-85.14 S
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REVIEWED
eY ? S
DATE /-G'eP
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
Y DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - S63,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - es0.5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 863.1 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Block 18. BRIDLE R1DGE I ST ADOITION, according to ihe recorded
piaf ihereof, Dakota County, Minn esota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z! S DAY OF JANk"ftY , 1988.
APPROVED FOR SIENNA SIGNED: JAMES R/141rL C. ??
CORPORA710N •-
RV•
[iY
DATED,
m t?i? ? N 00 ?o 0
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HAROLD C. PETERSON, LAND SUFiVE'
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. 0 BLOOMINGTON, MN. 55431 • 612-884-3029
EXTERIOR ENVELOPE AVERAGE "UCOMPUTATION
t .
OWNER: ` nnrr : .3-4-Sg
SITE ADDRE55: PHONE:
CONTRACTOR: ?C.,E?YLA?JD PIAN # JE-- 3 471
Determine working square foota9e of each
1. Total exposed wa11 area..... (882.ZS sq. ft. x.11 = Z07. 511
2_ Total roof/ceiling area..... q S sq. ft. x.026 =
Total exposed wall area above,floor=__/&5S
a. Total watl window area ........................................... /!q. S
b.' Total door area .................................................. 32
c. Total sliding glass door area .................................... 40
d. Total fireplace wall area ........................................ -
-
e. Total wall framing area (average 10%) ............................ J¢?
f. Total rim joist area ............................................. /5"S. S .
g. net wall area above floor ..................................... 1 31Z?: 8
h. wall area above floor .....................................
i. wall area above floor .....................................
j. frame wall area at foundation.....
Total exposed foundation area= 76-•75
k. Total foundation window area ....................... -
1. Total net foundation area above grade .............. rI5.7
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section) ,
a. /!9•S? X .,U.,
e. 37 x „U11.32
c. 40 X llul. .49
_ /9• (p
d. - X liuli
e. 145(os X llutt Olo9 = lD•64 '
t. x 1,u„ , 04 _ 49 1 3q. - :
g. / 310,9? X liuii . 04 = Sz?`F3
h. X [lull
i
J-
k
X tt u 11
X 1. u 1. _ ---
X "U"
? . '1575 x °u" . 082 = •?
3 . .................................Total = /02 1 !0 2
If item #3 is the same
as, or less than item
11, you have met the-'
intent of SBC 6006 (c;
- :r.--
. , ,: . ,
Extrrior Envelope Averaqe "U" Computation
.
Total exposed roof/ceiling area = ll9 S
m. 7bta1 skylight area ...............
n. Total roof/ceiling framing area (avcraye 108)...
o. Total net insulated roof/ceiling .area...........
Determine "U" value for each roof/ceiling segment
M. ? g
? _._.
n. ?j q• S k "U" GZf_ _
o. /G?<.S x "u" . 02 =
4 ........................... 7btal =
a.$?
a4. 37
Page 2 of 4
=f tota7, cf n4 is the same as, or less than #2, you have met the intent of
SBC 5006 (c) 1.
Alternate Buildin Envelope Design
To utiliza the total envelope system method, the values established by the s•.un of
items 't`r3 and #4 shall not be greatex than the sum of items $1 and #2.
1• p'W2•S1 + 2. S1.0'I _ ,2 38•Wo
3• _ i(V2.&2 +4. a437 - 186•99
?
?
?
rr.Arr # 1 /2 347'(
* LUXAL t-Eer EXPosm WALa.
BLDCK,- 36??4vt-14?5 S+?.s+ 8+ ?S. S+ 2%
mm: /5+%+2(o='17
w.o.. NA
?vr.t.l: `,3(ot4+4o-F-14+5,5+6.5+4+25?-4.5+?S.St26 =/sg.S
£ULL 2:
FIREPIACE:
RIM: ?5'8 • ?
* SQUARE FEEf EXPOSID WALL AREA
BIACK: /Sl.'S'x .5 = r75:7 S?
KNEE: 77 x 5 =
W.O.: x 8 = ??053
FIJLL 1: /S$ • sx 8= l'? (ofj
FULL 2: X 8 _
FIREPLACE: x =
RIM: 158 S
TOTAL
188? . 25'
? SQUARE FEET FXPOSED CEILING
36t 19?+ S/ t 12= //9S
Stie-??c4?8-J? -!co * moRS 3$ I- Zo
z -?`?
5ne-zA?4o-I - 13•3 3"]
/9XJ'?i-3 -1 - Z3.3 ? PATIO DOORS
(o °- I - 40
I S4C4-1 - 11 - q •7
.5 5)c4-7 - I - I1,4
l9,C35-3-f -13.8
5M'Z4-?3?6-I - 12
sm-Z0936 -1 f
r?9.S
* BASIIMEN'P UNTTS
i ,
• VIAT.6 SGr.7';ON;
llpr ?yt of rtlafiu4 w,tll nren for
(tiw: r.ont;trocl lun
--O
ic -=' -----`--?C?
).?TICII
•
r,IIi0 iI;ll
in
tinr.?
l
n
Can:i 1;_v,,lwt
-
_
Y
? .
1. lUlt•1'.:?i a1 r_ I i lm .. ...... ._ ll.??:??
.
2
?!t--
3.
_... '
-_
4
.
o
6. Er.lenk,r nh (ilin
',t>I,,I R. 1'4.33
INISUL .
1. rnC(Ir1(,r il ir '.iln, 1) .611
3. -------.lr,Q
a.
i
--
" •
?
-----.-.- .'"
6. ir air Cil
a
Ex'cr ci 0
1
?
-?-?----?- ;rut:;i R=
?z,ot
V t ,04
Z.
3.
4.
5.
6.
1.
2.
l.
4.
5.
G.
(Llir^.
7 t?ti.o[ n r'fiLn
L?•`I
&Zf- sl6
?
}:xtr,rlor nir (ilm
.
.? •--•--0.1.'1
.
-------- ,eota i ?:.'zJ4.4
US .p4o
BI..K •
Inta!c a tr Cil?•i (?.C?
-
---,r----
_..I.'2._`--St+t?....?Clt.. .. ---?•-G.3$
- •?------------ -----?-------•----
l::clurinC nir :ilr? 0_1'7
/2,13
l?a . d82
st,n[+ Ort (:iNUu
/
. '?
= irr-- . . •
r?r ? • .
? d
INI
r-
! i
/Il
Iil
??? 0! r
Iiu'PC: Indlcatc tynd „k" valuc:, denth t+nci
' placenunt oC in:ulation.
?-
G. 13
V •, , b
ROOF-CEILING
CONSTRUCfION
' R-VALxJE
-
1. INPERIOR AIR FIIM 0.6S
2. 578"
3. 4.
VENr ? U = .02
--
FRAME
VEN'I.ID fiEAT FUO?d 1. INTERIOR AIR FILM 0.61
UP , z.
3.
4.
FIG. #5 U = 0.024
CANSTRUCTIOM
?HFAT FIAW UP
Nt1N-VENTED
HFAT FLAW
UP
VENTED
1. Ii3SIDE AIR FZtlt 0.61
2.
3.
4.
5.
FRA
1.
ME
INSIDE AIR FILM TOTAL
U =
•
.61
2.
5.
INSIDE AIR FTLM MTAL
U ?
. ..
0.61
2.
3.
4.
5. 0.17
TOTAL
U =
NOTE: USE A?DITIONAL SHEETS I£ MRE SPACE IS
NEEDED FOR DETAILS AND CALCIILATIONS.
FIG. #7
FIG. #6 ?
RESIDENTIAL
BUiLDING PERMIT APPLICATION
? CI7Y OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NawConstruetion ReaufremeMa 1RemodeVRamir Raouirements
. 3 registered sde surveys showing sq. ft. W lot, sq. N. of house: and lifl raafed a2as . 2 capies of plen
(20% maximum lot coverage allowed) . 1 set of Energy Calculatiam fw heated addAiuns
. 2 copies at pan showing beam & window sizes; poured found design, etc ) • 1 stte survey iw ezterior addiqons 8 decks
. 1 set of Energy Calculahons • Indicale rf home served 6y septic syslem for additlons
• 3 copies ot Tree Preservation Plan'rf lot plaHed atter 711193
. Rim Joist Defzil Options selecUon sheat (61dgs wNh 3 w less unils)
11
DATE ?' 1y_C7,;L VALUATION
00
86Do -
/5 7 . LS
?
SITE ADDRESS 3911 Cv4nTCr' 6IGn DtZ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK Re- ( & FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS I??I?(oZZ ?U2-v (?I CITY ?tUSTATE
TELEPHONE #
CELL PHONE # (USI FAX #
PROPERTYOWNER vL _TELEPHONE#
----------------- -----------------------------------------°--°-------------------------------
COMPLETE THIS SECTION FOR KNEW" RE5IDENTIAL BUILDINGS ONLY
? 9 ?_ p T ?
Energy Code Category _ MINNLSOTA RULES 7670 CATEGORY 1
(J submission type) • Residentlal Ventilation Category 7 Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Conhactor: -_
Plumbing system includes:
Mechanical Contractor:
Mcc}ulnical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone lk
Fcc: $70.00
----------------------------°-°-------°-----•-----•------------°-------------°------°---------------------°------°
I hereby acknowledge That I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant Q 0[1 <
OFFICF. USF. UNLY
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 4/02
Phone #
^ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. oF Baths
Fee: $90.00
PERMIT# REGEIPTDATE: 'OZ--
,.?
8008 i?S1DEftT1?kL tLUM$IAa 2-zkiiM1T A?LICtkTION ' C1TY OF EABRA
S$SO PILOT KR08 {iD D
En?sM, buv 5gias
651-681-4675
Il
Please complete for: % single family dwellings, townhomes and condos when permits are required for
backflow preventerforirrigatlon system
SITE ADDRESS:
C'
AP`R
.,
unit,..'„i?:'.: f?
OWNER NAME: : 60-No 5ML-1h. TELEPHONE
INSTALLER NAME:
q
-
TELEPHONE: ?q
(AREA COD ) ? . .
3Tr2EETAC'iDRESS: a(?fl7`? CJ IQ/1V1 ' uV(L
CITY: STATE: ZIP:• ?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g' ?p0.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLWG UNIT, INCLUDING:
-+
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5!8" meter if needed -$118)
Other.
_ RPZ: new installation/repair/rebuild 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater ;,$ ? 1-5.00
State Surcharge :50
.
?. .
. -!'$ 45
TOtal
I herebyadcnawledge thal I have read this appliptlon, state thatthe inPormation is cortect, and agree to comptywith all applica6le City:bfEagan oidinances. It
is the applicanPs responsibility to notifythe property owner that the City of Eagan assumes no ' bility for any damagea caused by Ne Eiry:diUring its no'rmal
operatianai and maintenance ac[ivities to the fadlitles construc[ed under ihis permit within C ro e /'" ht-of-way, ement. SIGNAT E OF PE 7EE 1102 ,' •, '
w
APFLICATION FOR PERMIT
1) PROPERTY ADDRFSS:
SEWER AND/OR WATER CONNECTIQN
oF ecagan
..................
,
? N7fE: PA7QMM?f OF FFF:E AT TIML' OF
?
; ArMcaTTaa DOEs rnr eoN-
? STI1SIlE APPR(TJAL OF PII7MIT. :
4
; iUSeecriau oF saUM nrn/CR wnTm •
;
? IL1SfNd.ATIQIS WILL NDT BE SCm1II.ED ?
i[RdlIL PFIRPIIT fiAS EIIN APPRCNID. '
•r++r??eta:ar,?Rw:?ttifs??ttir:?w?ww++r?i
LEIGAL DESCRIPTION;
Lot Bloc S vision or Tax Parce ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAI, BUILDIfIG PERMIT ISSOANCE:
Mnt Year
PRESIIVT 7A[VING/PROPOSID C?SE:
Q CONIImERCIAL/RETAIL/OFFICE
Q IAIDL?STRIAL
Q INSTI'IUTIONAL/GOVEE2IZlE.TPi'
' J R-1 SZNGLE FAMILY
r_-_-] R-2 DT-IPLEX (3WO L'nits)
Q R-3 TOWN[IOUSE (Three + Units)
a R-4 APARTMENT/COAIDOMINiOM
( Units)
( [!nits )
2) NAME: --
4
ADoxESS: q`
CITY. STATE, ZIP: 155
Kl?aw
PHONE:
3) NAME: rtl .
For City Use
Pl reum License:
ADDRESS: . Q-fh. Active
Expired
CITY, STATE, ZIP:
S?
Not recorded
PHONE: MASTER LICENSE # St?
4) ? • '• ? L??
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ??•?l 11?w?HiT9u6 ??-. 5117g7a
11V CON[?CTION TO CITY SEN7ER , CON[?CTION TO CITY WATER M OTI-IER
???
6)
d'
*********«*,e*+++*?*******+*?*+?**?***?**++**??r*******,r*+??**********?****?*+**,4**?*********,t,t?****k
* THE GOID COPY OF THE PII2NIIT WII,L BE SIIW DIRDCIZY TO PUBLIC NARKS 7O FACILITATE METIIt PICK-DP. i'
.*k PLEASE ALLIJW TWO WORKING DAYS FOR PROCFSSING. SOfg7DNE F1tOM 7M CITY WILL CONi'ACP YOU IF 7€ME *
* ARE ANY PROSLEMS. ;
FOR CITY USE ONLY
PERMIT # ISSL'ED .
Pd w/Bldg. Permit FEES:
$ $ ?D •SZ? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ 4a `o-Zn ACCOUNT DEPOSIT - SEWER
$ $ /_57,Lr 6 ACCOONT DEPOSIT - WATER
$ $ wAc
$ ?.S-to -cq-? $ sAc
$ $ TRC'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENSFIT/TRL'NK WATER
$ O-Z) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$l `f / -,4 TOTAL
1-5`Y 3 j
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
IVO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?.
? o
.1991 BIIILDIN IT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTIPLS DFiELLINGS
r
COMII4ERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALS UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICRED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER @ WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 3?'60"OVI-T't4f?-N Valuation: Date: 0- Z 7-1 t
? Site Address 3919 Cl1NTER GLEN DRIVE
Lot -t Block 14
Parcel/Sub
4Owner KEVIN J. BOCK
Address 3919 CANTER GLEN DRIVE
City/Zip Code EAGAN 55123
Phone 612-454-9496
Contractor SELF
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
IISE ONLY
FEES 3,5; vo
Occupancy Bldg. Permit ,
Zoning Surcharge S-b
Actual Const Plan Review
Allowable SAC, City
it of stories SAC, MWCC
iength Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1:
On site well _ Road Unit
MWCC Syatem _ Park Ded. ,
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner Lot Change -
Council TOTAL ?
Bldg. Off.
Variance
Sewer/Water Licensed Contr.
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of llinnesota Statutes and City of Eagan Ordinances.
?-
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
?
k
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS RECUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MtIST DESIGNATE WHICH ADDRES5 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ?
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
JUC 2 S RECD
?
To Be Used For: Valuation: I omn' Date:?
Site Address 3q?'t GIQj4't,??
Lot ?• Block ?
Parcel/Sub
,
Owner '?U)?I? ??,
Address J "1 ?q CAA'r.EQ,
City/Zip Code(:-::??G`Q?k
Phone ? 54 ?94q4
Contractor 5(?LIE
Address 'SW,5;? ,??&-i?
City/Zip Code ,J
l?
Phone
Arch./Engr.
Address
CityjZip Code
Phone # ,
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit
Allowable Surcharge
# of stories P1an Review
Length /y ? SAC, Gity
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Boaster Pump _ Copies
SUBTOTAL,
APPROVALS Penalty
Planner TOTAL ? Q
Council
Bldg. Off.
Variance
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W
Ge1iDE j
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. ` 2007 RESIDENTIAL BLTILDING rExMT nrrLICnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
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arimumlotcover?ditlons SdISReporE '
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of plan shmuing beaFree Res Required -Y -N
nergyCalculahans On-5it9S?6a&Yalam _Y _N
of Tree Preservahon l ?elad Op6ons selesco mechanical venhs are considered ublic infor the are trade secret and the reason.
Date 7 ?! O ? SLL Construction Cost
Site Address UniUSte #
Description of Work ,?XZST????
Multi-Famity Bldg _ Y x N Ftireplace(s) K 0 2
(rp??) zr? 1s7?
Property Owner '57???? ? c? /?'/"?? Telephone # ??
?-?
Contractor
Address
State
COMP4ETE THIS AREA ONLY IF CONSTRUCTING A NEVY BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Categorv 1 - ,?y? Energy Code WorksheeY
Energy Code Category . Residentlal Ventilation Category 1 Worksheet
(V submission type) Submitted Submittad
. Energy Envelope Calcula6ons Submitted
In ihe last 12 monihs, has the City of Eagan issued a permii for a similar plan based on a ma5ter planZ
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Controctor
Sewer/water Contractor
a
Telephone #(
Telephone #(
Telephone # (
Building Permit and acknowledge that the information is complete and accurai
_ e__ _c ?t.. ?:t., ..f Foo-sn anti ThP. State of M
that the work will be ln contormance wnn ulu ulu«la.- .1u ?--. -- --- ---,
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the? ase of work which requires a review and
approval of plans.
ZiP Telephone # (
CiTy
IZ17_
ApplicanPs Printed Name Applicant's Signa e
DO NOT WRITE BELOW THIS LINE
Sub Tvues
? 01 Foundation ? 07 05-plex ? 13 16-plex ? ZO Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Ak - Multi
? 03 01of_plex ? 09 07-plex ? 17. Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck. ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 'Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
7?1 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' d 43 Reroof ? 46 WindowslDaors
? 34 Replacement *Demalition (Entire Bldg) - Gi ve PCA handoutto applicant
D@SGflpflOll: Water Damage _ Yes
Valuation { i Fl?'fJ Occupancy MCES System
7TV'-
Plan Review ?100% or _ 25%
Census Code ? 2oning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
?C Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
' Roof Ice & Water Final
_ Framing ?
_ Fireplace _ R.I. _ Air Test _ Final
Insuladon
Approved By: ?, Building Inspectar
Base Fee ?
-
Surcharge
Plan Review v
Y V
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant '
License Search
Copies
Other
Total
REQUIltED INSPECTIONS
_ Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
5`1 C ER T! F l C A T E , SIENNA CORPORATION
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? REVISED 6-7 -99 70 SHOW PROPOSED HOUSE
BY KEYI.AND HOMES
REVfSED 6.20-98
_ REVISED 7-14-88
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165027
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 3919 Canter Glen Dr
Lot:2 Block: 18 Addition: Bridle Ridge 1st
PID:10-14996-18-020
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 -
Simon & Stephanie Anaya Kurt
3919 Canter Glen Dr
Eagan MN 55123
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175650
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 3919 Canter Glen Dr
Lot:2 Block: 18 Addition: Bridle Ridge 1st
PID:10-14996-18-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Simon & Stephanie Anaya Kurt
3919 Canter Glen Dr
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178241
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 3919 Canter Glen Dr
Lot:2 Block: 18 Addition: Bridle Ridge 1st
PID:10-14996-18-020
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Simon & Stephanie Anaya Kurt
3919 Canter Glen Dr
Eagan MN 55123
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature