1753 Canvasback LaneINSPECTION RECaRD
GITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITEADDRESS: j APPLICANT:
PERMIT SUBTYPE:
TYPE QF INORK:
r? r r? ?? ? ?z
INSPECTION . • DATE INSPTR.
F
L
??? ?I n?l? 3t,? _ ? ? h? i?? • ?i ? : J?? I ? id i lu' I
r
i - i' _ ?
Permit Holder Date Telephone #
SEWER/
WATER
PLUM6ING
HVAC
Inspectlon Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
.w
ROUGH
PLUMBING
PLBQ
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
UECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21193
Eagan, MN! 55721
Zonirg:
Owner;
WATER SERVICE PERMfT
PERMIT NO.:
- ,D11TE:
No. of Units:
Address:
'1, , .,. .;
37
Site /tiddross: . .
Plumber. : - 5-,•;?,
Metsr No.. Connection Charpe: ' . ; Size: Accour?t Depasit:
Reoder No.: Pertnit Fee:
1sorM !o eM* wftk tM Gity ef Eova Surcharga:
Aliwnow. Misc. CFaroea: -
Total: 1711E °t c:r
gy Dora Peid:
Dote of Inap.: insp.:
CITV QF EAGAN SEWER SERYICE PERMIT
3830 Pilot Knob Road .
P. O. Box 21198 PERM(T NO.:
Eagan, MN 55121 oATE: _
Zaninp: ? No. of Units:
Owner:
Address:
Site AcMSFCSS:
Plumber: `-=pL-r.e < . ? Mo.c uirij! _
1 pm ta eomPip wilh Nw Ckp of Eaga¦ Connectlon Chorge:
Ordinonses. AccouM Deposit: ,
Permit Fee: ? -
SurcF?arpe: ;a
gY Miu. Chorpes:
Date of Insp.: Totot:
Insp.: Date Poid: _
.i.2o11
7o be used for SF DWG f GAR Est value $83.000 Date
W Name_
a Address
ac
= o S? ?
Name approvF
.??
$ ¢ Address Assessment _
Ciry Phone Water & Sew.
? ¢ Police
w W Name Fire
_ ? Address Eng
U
a W City Phone Plar
Cou
Iherebyacknowledgethatlhave-readthisapplicati,onandstatethatthe gldc
information is correct and agrqe to comply with all applicable Scate of ?
Minnesota Statutes and City of E3gan Or?inances. ; APC
Var.
Signature of Pe,rmittee
A Building Permit is issued'to- ,, STEPH-AN HC)I67x S
all work shall be done in accordance with all applicable 5tate of Minnesota Statt
Building Official f'r~•
1753 C:ANVASBAGK LN Erect
Block 2 Sec/Sub. MALLARD pK 3RDRemodel
Repair
Addition
STEP4I-AN lit3MES Move
Type of
No. Stoi
Fees
Permit 4 ' 00
Surcharge ' 50
Plan Review-200• 00
SAC 575'M
WaterConn. .500.00
Water Meter 63.50
RoadUnit 290,00
T? DI 15V .V5J
$2,229.00
conditian that
Permit No. Pormii Nolder Dats Telephone #
Wng
HV.-A.C.
[
?c
s o?-
ner
Inspecilon Date Inep. Comments
Footinys I
Footinga II
Foundalian
Framing 1162A
RDOling ~
Rough Plby. -
Flough Htg.
Insul.
Fireplace .. ?
Flnal Htg. a?
i
Flnal Pibg.
Bldg. Flnel
Cen. occ. v ?
?
Deck Ftg.
Deck Frmy
Well
Pr. Dlsp.
. , ? .
t ?
II11Fj,CHANICAL PERMIT
'kCITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PRICE:
Biock
L Name
m
Address '' ane?2
? ???Fden Pra ri.e
- 4
Name Wensmann Homc
4- 15 P ot
c Address 1
0 City P.pnle Valley
TYPE OF WORK
Forced Air fr` M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. "TU.
` Vent "1 Ly, ;.? ?: frf i` CF1CI
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL:
PERMIT #
RECEIPT # `? r 1 1 J
DATE: June 25, 1986
LDG. TYPE WORK DESCRIPTION
.
Res. New ?
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIQNAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 8TU - 12.00
ADDITIONAL 6 M BTIJ - 6.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 1°Jo OF CONTRACT FEE
MINIMUM - RESIDENTIAI. FEE - 10.00
MINiMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
r; ???.?• ?
SIGNATURE OF PERMI , Er;
FOR: CITY OF EAGAN
CONTRACT PRICE
Site Address / /
Lot c2 I_ Black
Name _
? Address
c City _
PERMIT # ?? b f)
PLUMBING PERMIT RECEIPT #
CITY OF EA6AN
3830 PIIOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
TYPE WORK DESCRIPTION
Name
3 Address p City _?ZVXPhone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.U0
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
?
l 1
SIGNATURE OF ERMITTEE
Res. New
Mult Add-on
Comm. Repair
Other
FD(TURES TOTAL
?Water Cioset - $3.00 $ Z'• el-c'
?-Bath Tubs - $3.00
Lavatory - $3.00 ?7?. 1'
r . e't
1-Shower - $3.00 ? c- c-
Kitchen Sink - $3.00 3 ? ?-
Urinal/Bidet - $3.00
Z Laundry Tray - $3.00 z
/Floor Drains - $1.50
Z Water Heater - $1.50 L
Whirlpool - $3.00
,3 Gas Piping Outlets - $1.50
"/.'C
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?-
v
Rough Openings - $1.50 •
FEE: 3?,, ov
STATE S/C:
n -.
FOR: CITY OF EAGAN GRAND TOTAL:
BUILDING PERMIT
To be used for DWK
Site A'? c?irss - 1753
Lot Block '
Par.cel No.
W Name TYM 1
o Address 17?3
Clty RAGAI
o Name cow
g Q Address?
Phone
.? Clty Phone -047`1 ;IQ
?
WW Name
Address
q W City Phone
I hereby acknowlege that I have read this application and stale that the
information is correct and agree to comply with II appiicable State of
Minnesota Statutes and City of Eagan Ordinaraces
? t
Signature of Permitee ` ,
A Building Permit is issued to: CE3PRSI4BY I ANflER30Id
on the express condition that all work ?hall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
- F ,
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
G.f %1?1- $1,000 na+p I'AY 31
OFFICE USE ONLY i
Occupancy - FEES
Zoning ?x+? i
(ACtual) Const - Bldg. Permit
(Allowable) - Surcharge . so
# oi Stories
R
? P ?
?
Len th
9 lan
eview :
Oepth SAC, City
j
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Slte Sewage _ Waier Gann
On Site Well - Water Meter
MWCC System -
ACCt. Depasit
Ciry Water -
PRV Required _ S!W Permit
Booster Pump - S/y Surcharge
Treatment PI j
APPROYALS Road Unit
Planner - park Ded.
Ceuncil ?. „sQ
BIdg.Off. _ Copies
26•Oa
Wariance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Da6e lasp. Comments
Fooringsl `
Faundalion
Framing
Roofing
Rough Plbg.
Rough Htg.
IsuL
Fireplace
Final Htg.
Fnal Plbg.
Const. Meler Pibg. Inspector - Notify Piumber
EngrlPlan .
Bidg. Final
Qeck Ftg. 6( ?
Dedc.Final ?/ Qp
well
Pr. Disp.
CITY OF EAGAN
Addition ??ll-ard Park T't,; rd Addi tion Lot 21 eik _
Owner Street 1753 Canvasback Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF./ Im . 1981 2698,43 539.69 5 539.71 A014788 10-25-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 9 1 3412.34 682.47 5 682.50 A014788 10-25-84
WATERMAIN
• WATER LATERAL 1981
WATER AREA
STORM SEW TRK ? 1981 467.74 93.55 5 93.58 A014788 10-25-84
* STORMSEW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR IC
CI7Y OF EAGAN
3830 Pilot Knoh Road
P. O. box 21199
Eagan, MfV 55121
Zoninp:
Owner.
Addross:
Site Address:
Pl1lIt1tlRf: : i P_i t.
Meter No.: 39D /0 ;
Stze: -??,, ',Ro c k
Rcader lao.: 0 31V 116 S
t qree 1+s oanPlp wuh tIN
WATER 5ERVlCE PERMIT
PERMIT NO.: `" 5 `-'
DATE:
. No. af unics:
'somes
aSD3Gx J.x`iP.e 1,41 .o,:.r
10.0
ord?wsna.. Rt(?u 11?wMet. cr,o??es: - t. __ TP
Totalt ^-; . {''?r.cl ^eter
By 6. Date Poid:
Dote of Insp.: Inap.:
7r !i ? r g?
CITY OF EAOAN ?1
3830 PIIM Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N2 1201 y
PHONE: 454•8700
BUILDING PERMIT Receiptp_ UG 1/1
To be used ror SF DWG/GAR Est Velue $$ 9. 000 Date MAY z 7 , t 8 8 6
SlteAddreas 1753 CANVASBACK LN Erect 3 occupency R3
Lot 21 Block 2 Sec/3ub. MALLARD PK 3RD Remodel 11 2oning B1
Peroel No Repelr ? Type of Const Y,,,zly
. Additlon ? No.3torles
STEPH-AN HOMES Move ? Length dR
6 Name
143
40 LO RNOB Demolieh ? Depth 42
? Addrees Int Impr. ? Sq. FS
ciry A.V. Phone 423-1179 Instell ?
Name SAME Approvala
S Addrese Asseasment
? Clty Phone Weter & Sew.
Police
Neme Fire
Addreae Eng.
Phone
I hereby acknowledge that 1 ha
iniormetian is correct and egr?
Minnesota Statutes and City o
Signature of Permittee
A Bullding Permit is issued to: -
all work shall be done in accordai
thlsappli 'onendstetethetthe
? co y wit al epplicable State oi
gen in s
x ?
STEPH-AN HOMES
ice with all aDPiiedblb8leDf Min So1
Planner
Council
Permit $ _400'00
Surcharg 00
Pl
Re
ie
v
an
w
-775
00
SAC •
Water Conn. 500.00
Weter Meter 63 . 50
RoadUnit 290.00
56 00
Bldg. Off. J/ c i /o o Tr. PI. 1
APC I Parks
Var. Date Copies-
Totai $2,229.00
on the express condition that
and CHy of Eagan Ordinances.
Building
CITY OF EAGAN NO ? ?93?
BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121? ?^ l?
PHONE:454-8100 Receipt # ? ?-
-
To be used for DECK Est. Value $1 , 000 Date MAY 31 , 1990
Site Address 1753 GANVASBACK LN
Lot _2 1_ Block 2_ SeclSub. AT. .AR PARK 3R
Parcel No.
W I Name TTM WR7GHT
o Address 1753 CANVASRA(:K TN
Clly FA(:AN Phone 45l-7477
o Name COIIRTNFY T pNDERRON
Address 618 sT7n'u aVF
? CiN NF.WP(1RT Phone 459_7179
I?wI Name I
w
x ; Address
<w City Phone
I hereby acknowlege that I have read this application and state ihat the
inforrnation is corred and agree to comply with f?ipplicable State of
Minnesota Statutes and Ci?sbl E n Ordin ces ?ISignaWre of Permitee
I
A Builtling Permit is issued to: C RTNEY I ANDERSON
on the express condiM1On that all work hall be done in accordanee wilh all
applmable State o( Minnesota Statutes and City of Eagan OrUioances.
Budding Official
Occupancy
2oning
(ACluap Const
(alowebla)
9 of Srories
Lenglh
OeDth
S.F. Total
S.F. Footpnnts
On Site Sewege
on site weii
MWCC System
Crty waier
PRV Required
Booster Pump
APPROVALS
Planner
Countd
81dg Olf.
Variante
OFFICE USE ONLY
15x1$
FEES
Bldg. Permil
Surcharge
Plan Review
sAC, Ciry
SAC.MCWCC
Water Conn
Waler Meter
Acct. oeposit
S/W Permit
SNJ Surcharge
Trealmenl PI
Road Unit
Park oed.
Copies
TOTAL
.50
2e.no
This request voitl ? ? 5 ? ?
18 months(rom 3
C?,?4 &13 l?s--
Requuu??? st Date
? ? ??6 fire No. Roueh-in Inspection
fl q ?retl>
?Ready Nuw ?P/ill Notify Insaec-
( Yes ?NO ror When fleady
? LicensBd Electrical Contrflctor I heraby request inePection ot above
Owner elechical work Installed at:
Sveet Address, Box or Route No. ? C
? ? Grv
' Y V ?V -4
ecLOn o. Townshi0 Name or No. Nanqe No. County
? e?
Occvpant JERINT)
?, ./
S
'
?'
Phone No.
A.^ ?°?'°`C E+
1:?
f1 v?
Power SupOlibr Atltlress
EI?y ical onVaGtor (Company yame?l Convacfor's License No.
/ -GC/1?C?h ?`iI LGJ?fi? ? z
MadinB Address (Convacmr or wner Making Instailatwn) 1
2
Auch etl naWr ?C « to wn r Making Installa po Phon Number
I THIS INSPECTION 0.EQUEST WILL NOT
MINNESOiA STATE BOAND Of ELECTqICITY BE ACCEVTED BY THE STATE BOAND
-.floom N•191 UNLESS PNOPEB INSPECTION FEE IS
- -- _.?„ ENCLOSED.
?....w? rvn [LCW rlII,µL IIVSYtG11UIV ee-uuuot-oa
/ ? Sea instructiore for compleItvp thia form on back of Vellow co0v.
?- r-
-m •Q?q 1? "R" Below Work Covered by 7his Reouest
AAd Reo. TyDe ol BuildinB Apol?anesa WirW EQUiument Wired
? Range Tempoiary Service
Duplex Water Heater Lightmy Fizwres
Apt. BZildmg Dryer Electri
c Heahn
Commercial Bldg. Fumace nl
Silo Uoader.
Industrial Bldg. Air Conditioner 01-Ilk Milk Tank
Parm omer oea v tnE•, (snec?ivj
t qr uo?i/v Iher Oth,r
ompute lnspection fee 8elow
k Fee Servica EntrancaSixa p Fee Feaders/SU4feeders p Fxn C.rwrts
wa 0 to 200 qm s 0 ro 30 qm s
?, S
0» 30 q,
Above ZO _qm ps 37 to 100 qinps /Q v6 37 t
100
o
A
s
Swinming Pool Above 700_Am s Am ,-
Above 700
Transformers rrigation Booms .? b _
Partial'Other Fee
Signs SUecial Inspection
Remarks S TOTA i
? O
floueh-m
' D. lie
?
A
M Eleciric
fV- n
spec reDy
Final 0, e
?} certify that the above
r h napecUOn hea boen
I
T r
Q d meda.
.
arpueatroldi8montlnirom ,
o!,' ?. (_ o`? 1 ?? .e?y
9%9'r'f 0 < _fls?Da[e _ : ?? i - i ??!
_???/j? v-'_d Addrass_'< __" . _ PI n L_
? -s HEAT LOSS CALCULATIONS
,dl HeatS4,ss Bq x,{'?' Total Btu Input I Allwindows&doonaraweatherstripped
.r_+.-? , ?S ?:_- ----- --
? - ??? / ''? Room I L th ? ,• Wtb _ ? • ° Ht FI Room L9th ' '• Wth • " Mt
-'?
-'
r:0. 17 ._
W,nn:
M nlnn ./_ -
n" pnrn __`
Nn.ni
L?ni? _?.
Lwnnlu
m rinck
Anm
v? tt -: .
No,
WitlN
of nene
Hul9h1
ol pnne
No.al
h b .
Llne.ll?,
01 crack
ns
p.lt.
? -T
, i"
_-
M ?
.
moon ltloon
Afoon Coef HTU /doon u?l• 8?11 '
tmWnWmAOw? `? 3 47 / l J71
( J.1 ?- In1J«atmnWintlowc 47
.
nation W/OOpn, 118 _ InLBn??ion W/Dnon 118
vaHOn570oon 71 InlJtretion5lDOOn 71
Wall ?77
d? Exi+ Wall
7 48 1/U J f tau & Doors
?
`
.
?p
E. Wall 9? y I I)Qt?
? Z
4
.
Nat ExP. Wall )
L ?
- .
-
np _? b CadlnO 5 V.I.
rr 7310s Fluur 7708 ':.NGs
ni Btu. 'TUUi 9w ''• ,
I. r Noom ? l9111.-.4 ' "Wih, -FI. Room Lgth. • •• Wth.
J
No. WW?n
ol p?na i?oiph,,
oi nune No.nl
IIPh" Luueelfi
ol cmrF Mco
v? 11.
.
1 Oann Hm9h,
al pena No.ol
II nu Llnqitt.
al crx4 An,
W. h. '
•;' ty
i
,
y
- _ i •I
i?
?tloo•? ?AOOn .
/tloorn Cnr•1. UTU /aoou CoM. BTII
?•ttbnW?Mav.? /Y!
Y]!G 47 ???? InlilvaimnWinJOws - 47
vnion W7Daon
118 - _ _
- "-
IM.IVatiun W!UOOr,
718
?,utlon5/DOOn 71 INJ?rori n°/Duun 71
Wsll E+P Wetl
..6 Ooam r 46 ??[ ?L
? G wss h Oours 48
E?p. Wall
L 7 ????? ? Net EaO. Wail 7
F -
6 _Cn.i nn
-? A/Y 7310 !l IGa F???? _ 3 s ,
bi Blu. G_ . ? 't'?+
Tnml Bm.
-
Room I LOth. ' " Wth. H?t /, "
1.
FI. Room lgth. Wth.
??0. WW,h
nl P.ne N+?pm
of pann Na ol
li nu LumnIIL
ol crucM Aree
w.IL
No. Wi,BO
nl pene Hm4N
of Vene Na.ol
lighri LiouliL
el cht4 Arq
p.f1.
.
. ?
I~?r
.1f
Iaoon 'doon
/tloan Caef. BTU /tloort CoN. BTII.
?qtienWirdow. 47 InLltreBionwinaows 4f
intiw W/Dnon 118 IneJVnuan W/UOOrv ? - 118 ,
vsBen5lOnnn 71 INJirolinn5/Dume 71
. V/ail - -' "'--_ E.V W.rll
: b Otwn 48 Waxs b Ooors 48
E.p. W.tl 7 Nnc [xp Wol 7 .
,np 5 Ceiling B
' 7 3 10 5 Fioor
7 1
a18m. Tovm Mu.
??
/1?
Plan # l!" f?',./8 Date ?? J i?s r ±
HEATLOSSCALCUlAT10kS --??- ?
'?I Heat, Lo6s _ ? es • ?.ie ° °Total Rtu input , All windowt & tloon nre wentherrtADV? .
p
- -„
_" '_ ' ?""' - ' ? --?
"Wth. H[.' PL Room 19N.
-- -- nt N. ul Un4116 Arfa
Y"
.o ? W.n°?h i?niyn?
m N?,.N L.n xn1 lI
_'i .... x Ar.n
w, li. ?
?_ _
JG,_Q ?
,?
.,o,. ._?.
/nnv? Cn??t. OTU
?qtlanwineow. 47 _.0_?_C._
vntion w/DOa6 118
v?tlon S/Oaon 7
?
WMI -0
.
a o ? ae
a«
,.
• ERV.YI?II l ) 7
?
i.._
illrg
-
?pt
?
3 5
7 1 O 14
_
-
No W a1n
nl pene H? U
ol l?nne
11 h?1
OI cncN
q IL
=
--
-- ?
,,,o.,.
- - - c.f. aTU: -
Inlilue?inn WnWOw? _.
'
-- - - V e
Inbhmilon W/[]uorc
71
Inlii.muon 5/Qoon
E+P wa11
Gmcs & Oaors
Not E.p Wall
I Cuihng
Hoor
Tidel Piu.
? PI. eL?S oom ? L9th_I „Wth.? _' FI?'4 _-•? Room L9th. "Wt?. ... H? •
R
NmA?I No.ol 41na?6 Awe
WmW MaYnl No.d Wnmlh Aren No. M pa-r olpen_e lipnta _ 01enc4 q.ll.
Nn.- ??1 nnnu ol pune li hU ef
r
?
,..IilVi?ion WIOOOn
..Jav.rwn>rooo,.
.p. Wdl
?.i,w r, ooo.,
.a E?*u.w.u
Sr1G/q
11? ?
1 MII B1u.
o Q
NQ. 1 oenc
?
?
?nl{liutio? winao+n
Inlikmion W/DOan
Inlihrsvon S/OOOn
Eeo. Wau
Gb?t 6 0-11
-•?----
Ha E.a.w.11
Giivq
Rlour
Two& Bw.
Idoors
Itluon
/tloon
?
Cw1.
BTU
/aoo,s Cuef. OTU s7
47 4
nwinaows
ws
InlOVnuo
-- ?sa Q
118 InliM1mlion WlDoors ?
71 InlJimbonS!DOare 17,
b E.,,.W.,, _
17_ 48
48 [" T Gln.s & Doors
?
7 `a-? __-"'_'_'
Nni[vp._Wall
?. 7
_ ?
' - -- y -
-- _
? 5 ??
S c??w.. 1,
- ?
? ^ 3 `
? =
. r ioo, Q
7 10
•• ?' ' Room I L9th "Wth.
Room I L9th. J• ••Wth. /• Ht. FI.
O
He,ght
NO.oI
Lmedlh.
Araa .
No.a1
I t
Llne ?
Ares °
N W?Ot
ul pone of pana lighu
of «?k
It.
"
"
lip?ta ataack 59.If. O
- ?tloors
Idoors
Coei.
BTU
Coef. 8TU ?d? 47
/EOOrs
tte
116 InLlua?ron W/Dnors
71 ?
71 Inldiranon 5lDaurc
=T [+V Wall O
= 48
7 , 48 GlnssF Ooars
7
7
NrtExn WaII ?
-' 5 / / e°ti Cc?l?ny
Floo,
Total B1u
3 5
) f0
I ?
.. . _ .. _.." _" ........_+..?..•.?. r.,.+?-?+? .,.,[i..
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*10'1'P3: PAYINF'NP' OF FM AT TIIM OF
APPLICA7ZON DOFS WT CMb`FPiV=
APPROVAL OF PERPffT. :
IMPnczzort oF SZM ArID/CR r,mTER
rntt•rnrramrpNS WIM MT gE,SCRE[>-
ULID U1= PII2MIT HAS BM
APPRaVID. .
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P ease Print
? 1) PROPERTY ADDRESS: •-
LEGAL DESCRIpTION:
. ,--"--niounaivision or Tax Parce ID
g'' MSTING STRL'CZi?RE, DATE OF ORIGZNAL E()ILpIb7G.pgRMIT ISSCANCE:
i , , •
PRESEDTP 7ANZNG/pROPOSID L'SE: (?bn Year
[] COM4MERCIAI./RETAIL/QFFICE
Q INDUSiRIAi,
[,] INSTIIS]TIONAL/GOVERNME?;T
2) 1?i,?
? R-1 SINGLE FAMILY
Q R-2 DUPLEX (1t,ip Dnits)
? R-3 2DW[gI005E (Three + Units) ( Onits)'
? R-4 APARTMEN'P/COAIDOMINIOM ( Units )
ADDRESS:
CITY, 5"PATE, ZIP:
PHONE:
3) • i: ?•
NAM0 ?Fni?Ft nnFCHANICAL
ADDRESS: Upp KENNEbEC DFINE, EAGAN, MINN.55122
i CITY, STATE, ZIP: " .
PHOrrE: mAsTEt i,IcENSg# 001445M2
. 4) •• ?
NAME'
. ADDRFSS: CITY. STATE, ZIP: .
PHONE: .
5) n ?• . ?.
. : n • o. ?.
? ODNNE(.`I'ION ZU' CITY SEWE[t ? CpD20TION Tq CxTY WATER
6) ?? • • r
?
ED
Plimibers License:
ACt].tTE . .
Expired
Not recorded
Stat-f" =nitlal
? OTHER_
PLEFSE HOLD ApPROVID PERNIIT FOR PICK-UP BY ONE OF .ABWE
PLEASE MAIL APPROVID PERMIT 7O 1, 2,Q 4, ABOVE
? ' (Circle one)
FOR CITY USE ONLY
PERMIT # ISSUED
7S// ?30
Pd w/Bldg. Permit FEES:
$ $ 1C7• S-6 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLDDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?SO'v ACCOUNT DEPOSIT - SEWER
$ $ 0Y6 ACCOC'NT DEPOSIT - WATER
S $ wAc
$ a 7S o-D $ sac .
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ • LATERAL BENEFIT/TRLIVK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ 70 'lrz $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ '17' r-o TOTAL
7l
RECEIPT RE EIDT #
DOES LTILITY CO[VNECTION REQLIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: ?-C?L,?,J ???/??'z_.rJ??
TITLE:
DATE: ?/3Gl
,
pprp,
_ ` ? • o -
' 1986 BQII.DING PEIiIiIT APPLICASIOH L OF BAGAA
NOTE: Ai.L COATRACfOHS M[IST BE LICENSm NITH THE CITY OF EAG9N
SIlYGLE FAMLY DiiELLIBGS
INCI.UDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLINGS - HESIDEBTIAL RENTAL D9ITS FOS S6LS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHIiC[ fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be IIsed For: Valuation: Date:
Site Address Y=- &J77(/4< A Co-,OFFICS IISH ONLY
Lot ? Bloek ? Erect ?
Pareel/Sub o/.4"?lfi? ? ?r? p R pairl _
Addition _
Owner Move _
Demolish _
Address Int.Impr. _
Install
City/Zip Code
Oeeupaney /?3
Zoning ??L
Type oF Const 'ZV
6 of Stories
Length ?
Depth
Sq Ft
Phone 6PPROVAI.S FESS
Contraetor , } ?/s??%tii /?.?? Assessments Permit 1/00
Water/Sewer Sureharge L/ .
Address -- ??-' Police Plan Review ZOO
,
a ??"'R"?° b ;/ Fire SAC ?
City/Zip Code Engr Water Conn 15*O0
r (/?.La ,?"SJ,? Planner Water Meter 6 ,
Phone Council
Bldg Off Road Onit
Treatment P1
Areh./Engr. APC Parks
Variance Copies
Address iOiAL
City/Zip Code
Phone S
,_
A
HOiE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWHEB lIII3T DESIGNATfi TiHICH ADDHESS
IS D&SIRED. HO CHANGffi WILL BB 9LLOWED ONCE BDILDING PEEMIT IS ISSDID.
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I hereby certify that this survey was prepared by me or
under my c2irect supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: Aa? 7 . ? ?""?
Le oy H. fohlen
Registered i,and Surveyor No. 10795
\
1?
oF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100 DATE: May 8, 1986
BFA BLOM9UIST
Mva
1lIOMAS EC-aVJ
JAMES A SMIfH
NC ELLISON
iF1E000RE WACMER '
CaunN Memben
710AN1$ HEDGES
GN Paminahaia
RICENE VAN OVERBEO
C+n/ deM
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DAKOTA COUNTY ABSTRACT C
1250 HWY 55, P O BOX 456
HASTINGS MN 55033
RE: Mallard Park Third
7At 21 Block 2
1753 Canvasback Iane
Enclosed herein is the search which you requested made on the above described
property.
Kind of Improvement Years Beginning Original Amount Balance Due
NONE
I I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion.
? _ .
Kind of Improvement Approximate Date of Completion Approximate Cost
y,-
WAIVER:
Neither the City of Eagan nor its employees guarantees the aceuracy of the
above in£ormation which was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature xhatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21799, Eagan, MN 55721. -
Very Truly yours,
SPEASS SMENT VISION
THE LO AK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY i
?
:' 1?'43r1
1990 BDILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLZNGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCT[TRAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUZATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - WNTRACTOR/HOMEOWNER MUST DESIGNATE WHICN 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.
MAY 2 9 RECD
To Be Used For:
Site Address
Lot Block 2.
Parcel/Sub _J1nALC A/2D PAh"K JxGI
a,0
Valuation: Date:
l-w n
Ownevz?-
Address
City/Zip Code
Phone ^A
ContractorAddress
City/Zip Code
Phone V-'?9- 71 2' ?? v-
Arch./Engr.C.
Address 44
City/Zip Code
Phone tt e?--1(
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length /OX YZ
Depth 114y2 }( 1S'12
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Sooster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit '5, o 0
Surcharge 5Z
Plan Review
SAC, Gity
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies ,Su
SUBTOTAL
Penalty
TOTAL
aOe•39dd -1d101
f 's
ENROM
NoMhern Natural Gas Ccmpany
Suite 209, 7901 Xerxes Avenua Soufh Minneapolis, Minneswo 55437 (612) 687-1700
Ae .-7o-?-A,eC
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-4?N T
POd Df t6B Enren Group of Enargy Companies
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e
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TNIRD aAbtTto",
04U.arra. eA~rY,
Mim"ccd-ra
I hereby certify that this survey was prepared Dy me or
under iqy @irect supervision and that I am a duly Regietered-
Land Surveyor under the laws of the 5tate of fdinnesota. %
Dater M,T f?p -- ?,r,.e,
Le oy?H.-?-Bohlen
Registered Land Surveyor No, 10795
? . . . . . .... ..- ; h::.•f..
.? CI-rY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMITTYPE: suILoiNG
Permit Number: 0 3 3 S 5 6
Date Issued: 10 J 2 9/ 9 8
SITE ADDRESS:
P.I.N.: 10-47252-210-02
1753 CANVASBflCK LANE
LOT: 21 6LOCK: 2
MALLARD PARK 3RD
DESCRIPTION:
?--? T.O. & REROOF
SU3'ldin' P,ermit Type STORM DAMAGE
B,u.ilding Wd^lk Type REPAIR
£?ensus Code ? 434 FlLT. RESIDEN7IAL
liG
?
r Z ? r_ G-
i..?... a
]".??
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - S7. Lzc. OWNER: MILLS CONSTRUCTION 19255851 20036375 WRIGN7 TIM
4437 ANDOVER ROAD 1753 CANVASSACK LANE
EDTNA MN 55435 EAGAN MN 55122
(612) 925-5851 (651)
I hereby ecknowledge that I have read this application and state that the
intormation is correct and agres Yo compl,y with all applicable State o'f Mn.
Statutes and City of Eagan Ordinances.
I
APPLICANT/PERMITEE SIGNATURE
? -P n
I EO BYSIGNATUR
1998 BUILDING PERMIT APPLICATION (1tESIDENTIAL) 9?
CITY OF EAGAN
3830 PII.OT KN08 RD - 65122
681-4675
New Conshuction Reawrementa
RemodeVRecair Reauirements
? 3 registered sBe surveys • 2 copies ofplan
• 2 copias of plans (inGude Deam 8 window saes; poured fid. Eesign; ete.) ? 2 site surveys (exterior add'Rions S decks)
? t en6rgy WIprlBtiona ? 1 enetgy C6lalations }Or heatl0 addRions
• 3 wpies oT hee prexrvatwn plan 'rf bt plattetl after 7/1193
uired:
r
Ye
N vv\? ?A m
_
eq
a _
o
?
DATE: I 0? o? -`' E ? /0 6
CONSTRUCTION COST;
DESCRIPTION OF WORK: ??-
STREET ADDRESS:
a-
SUBD./P.I.D. #:
LOT: BLOCK:
Name: Phone #:
PROPERTY LasI
OWNER
-
Street Address. 6 g
City State: Zip: ? ?J ?? ?-
Company: Phone
CONTRACTOR ? / ?? .7
`t
Li
#
Street Address: cense
City ?CQ-?iy.o1 State: Zip: ?J^L???.?
ARCHITECT/ e:
ENGINEER Company: Phone #:
Name: Registtation
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once pertnft is issued.
1 hereby acknowledge that I have read this appliption and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
SignaWre of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
Penalry applies wFien address chang
agree to comply with all applipbl
OCT [ 81998
Use BLUE or BLACK Ink
r
For Office Use~j
Permit
City of Ea I S
I Permit Fee:
3830 Pilot Knob Road SJ~3
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner -4contract
Type of Work Description of work: J~/~iza'!t'
r
Construction Cost:D Multi-Family Building: (Yes /No
Company: =s=~ Contact: a
Contractor i Address: City:
State: ip:~ Phone: "2t;~/~ rte/
License 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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.orca
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 Build! Code must be completed within 1180
days of permit issuance.
X X
Applic nt's Printed Name Appl' ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129952
Date Issued:03/26/2015
Permit Category:ePermit
Site Address: 1753 Canvasback Lane
Lot:21 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-210
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Timothy R Wright
1753 Canvasback Lane
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152519
Date Issued:10/18/2018
Permit Category:ePermit
Site Address: 1753 Canvasback Lane
Lot:21 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-210
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 -
Janice E Wright
1753 Canvasback Lane
Eagan MN 55122
(651) 315-5239
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature