3869 Canter Glen LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3869 Canter Glen Lane
Lot: 9 Block: 16 Addition: Bridle Ridge 1st
PID:10- 14996 - 090 -16
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
John W Stone
3869 Canter Glen Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA084672
07/28/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3869 Canter Glen Lane
Lot: 9 Block: 16 Addition: Bridle Ridge 1st
PID:10- 14996 - 090 -16
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
John W Stone
3869 Canter Glen Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091186
09/17/2009
ePermit
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Bi
5sl? f?
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446' SAC/Adm.
01-2I55 5urcharge
1.17-3860 Road Unit
20-2275 SAC
ZO-3865
20-386$
20-371b
20-2252
20-3713
20-3743
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permi
Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAC3AN
3830 Pilot Knob Road
P.O. Bo 21199
Eagan, MN 55121
5ite Addi
Plumber.
Permit No: 929'? Date: ? = - 16--f",7
Meter No: _
Reader No:
Conn. Chg: 525. Qftc?
ACCt. Dep: - 3 •i , 00= rL
Permit Fee: 1 Q - Q{Zpd
Surcharge: _ 4t) .,a
Tr. Plant 1 Ro _ cl? ?.?r?
Size:
Date:
Zoning:
No. af Units:
1 agree to comply with the City of Eagan
Ordinances.
Meter.
Misc.: - gy
. . . __._. ?_ .
WATER SERVICE PERMIT
I Permit No: 122 1043? Date: '
Road B/P No: Date:
P.O. Box'21199
Eagan; MN 55121
Owner.
Site Address:
MWCC: 525.001aCl
CityChg:
Acct. Dep: ' op c
Permit Fee: - Surcharge:
Misc.: ? ?,,• _ , - " -,-
No. of Units:
I agree to comply with the City of Eagan
Ordinances. SEWER SERVICE PERMIT
Thrs Cenifcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cenifying that at the ttme of issuance this structure was in compliance with ihe various
ardinances of the City regulating buildirig construction or use. For the following.•
U. Classification `iF DLIMR Bidg. Rrmit No. i4
OccupancY TYPe R3 znning Disvict :tj 7ype Const %
RS$'S I'U1&S Adaress E5,16 I W113 17, ARTC!R F AM'
Uwner o! Building
110Cn n1- rn-nv r - r il r IF +mrrnTt 'vrvvQz
,.r!
naa:
_
auaaiog 00
;.? _ .
POST IN A CONSPICUOUS PLACE
lf : ew li? •
??',
ap.
-
i'-
? _. . . _..,..-,.. .??w?_ _ _. , . . .,, . : ..n .... . . .. . , . . . .. . ? - . . .i .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# ?
To be used for Est. Value Date ,19
Site Address -"''09 Ck:'n"?"l:c: CLE4?! T.?`J
Lot 1? Block 1" Sec/Sub. BRUi'}; i:.,;:00;),'
Parcel No.
cc Name kS'tq :•1MI;';;
z Address 551f+ lEllr?l E
0 City i',%1011 .L';'a Phane
p N a m e r
oa Address
? Gity Phone
Name
a W I City Phone
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 ofEagan Ordinances. r
Signature of Permittee t?``. ?? ;_` ? • ' ? 71 A Building Permit is issued to:
on the eApress condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage occupancy j?3
MWCC System ° zoning
On Site Wel1 (Actual) Const ?f n
Ciry Water ? (Allowable) un
PRV Required # of Stories
-
?
Booster Pump Length IV2-
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
444' 00
Engr.lAssess. Permit
41 . 50
Planner Surcharge
Council Plan Review ?'22"00
Bldg.Off. SAC,City LW ,00
Variance _ SAC, MWCC 52 5"U0'
Water Conn. 525• 00
Water Meter 67•00
Road Unit 3()5•()U
Treatment P1 160.oo
02,409.50
TOTAL
ClTlf OF EAGAN '
a/'*?
383d Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r PHO N E: 454•8100
BUILDING PEEiMIT ' Receipt#
To be used for Est. Value Date
Site Address " _'i -1 '- ` '' '
Lot Block 1 .0 Sec/Sub.
Parcel No.
b?JDLP.F Ri IX;.i.
x Name ` ? HOFCI'?;
W ,_....? ? '?{?'?:•..?,...k T.
z Address '
° City ..? Phone '
. o Name ,"q a_ ., .
0 Q Address -
? City Phone
Name_
Address
City _
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.
Signature of Permittee
A Building Permit is issued ta
on the express conditlon that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OffiCial_
On Site Sewage Occupancy
X
MWCC System Zoning
On Site Well (Actual) Const
City Water ` (Allowable) ¢' -{i
PRV Required # of Stories
BoosterPump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
?
?
4
'?
???
Engr./Assess. Permit
h 41#'iE??
Planner Surc
arge
Council Pian Review
? ?: ? ?• ?'?`;
Bldg. Off. SAC, City 4
?
Z
?
Variance SAC, MWCC
Water Conn {
"
• 5';
.
Water Meter
RoadUnit
Treatment P1
Facks
r
TOTAL
_ Permit No. Permit Holder Date Telephone #
Plumbing
H.t/.A.C.
(1
Electric h? C (L
?
Softener
Inspection Qate insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. . ? pr
Rough Htg. ; 77 ?
Isul.
Fireplace '
s1a ? f•r .ru. JrJ 1,1/4
Final Htg. R-. A% -
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
; . - ., :",`,r' jy:"'"`S • .. A -
, . PLUP
CI7
I . 3830 PILOT KNOI
CONTRACT PRICE: PHL
Site Address _?- / "' -•, Jr. •
Lot Block Sec/Sub
? Name
a? .
? Address ' - ? c City Phone, Name ? = f ? •
i•
?
3 Address
? p City Phone
?
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
T4WNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMIT #
G PERMIT
: EAGAN RECEIPT # ?72S_ 61 ??T
AD, EAGAN, MN 55122 DATE;
46d-81D0
BLDG. TYPE WORK DESCRIPTION
?Res. --Y' New
`'Mult. Add-on
Comm. Repair
Other
;RES. PLBG. ONLY - COMPLETE THE FOLLOWING: '
I NO. FIXTURES TOTAL
.u._t Water Closet - $3.00 fi
/ Bath Tubs - $3.00 I
':•?;?Lavatory - $3.00 'i
Shower - $3.00 i?
Kitchen Sink - $3.00 '
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
il
/ Water Heater - $1.50
Whirlpaal - $3.00
1 Gas Piping Outlets - $1.50 % •
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Raugh Openings - $1.50
' FEE: STATE S/C: GRAND TOTAL: ''
q uy'..
, SItB
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
DunuF• eae_ninn
m Name LL s^/%7 -' ('_
?c Address / 2-'/ e0'
c City Phone
jL IYp1116 - - - ' " - -
? c Address
? p City Phone
TYPE OF WORK
Forced Air K M BTU ? Z
' Boiler M BTU $_
Unit Heater M BTU $__
Air Cond: M BTU R=?
, Vent " - GFM
, Gas Piping OuNets #
I
' Other $_
FEE:
S/C:
TOTAL: Z
BLDG.TYPE
Res. X
Mult
Comm.
Other
WORK DESCRIPTION
New y_
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUOES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDQS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-aN &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE St3RCHARGE PER_PEE1Mij _;_ -- -== . .60
,000)
EA. ".
<. _ . . , . : .
? PERMIT # ? 9 62 I
MECHANICAL PERMIT
• RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: •??? ?
? CONTRACT PRICE: PHONE: 454-81 00
! Lot
? Name ...;?R.sc
m
?n Address!
c City
<• -f
? Name -'')``- /V'
c Address `
p City
'YPE OF WORK
'orced Air
foiler
Jnit Heater
kir Cond.
fent
aas Piping Outlets #
F
BLDG. TYPE
Se / ?ub Res. X`
` r-
Mult.
Comm. -
Other
M BTU
M BTU
M BTU
72- r M BTU
CFM
FEE:
S/C: .
TOTAL: '?.
FEES
RES. HVAC , 0-140 M BTU
ADDITIONAL - 30 M BTU -- -
(RES. HVAC INCLUDES A/C ON 1
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER I
COMM/IND FEE - 1% OF CONTRA(
APT. BLDGS. - COMM. RATE APPL
TOWNHOUSE & CONDOS - RES. F
MINIMUM RESIDENTIAL FEE - ALL
REI
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE G(
BEYOND $1,000)
FOR: CITY OF EAGAN
?_
)
r
?
-?
- $24.00 ': y'i
. 6.00
IEW
EkAAIT) - 1.50 EA.
T FEE
ES
ATE APPLIES
ADQ-ON &
IOOELS - 12.00 Na
- 20.00
- .50
ES
r?
.
=Y
?
?;
,?;
CITY OF E,.AGAN Permit No: `' •' ?' ? Date: 12-16-07
3830 PP,dt Knob Road Meter N0:3,9a 62? Size: U "1-/
P.O.,Aox 21799 Reader Date:
Eagan, MN 55121
Owner. PSi' Homes
SiteAddress: 3:'u9 Canter Cler,_ Lai:.e L9
Conn. Chg: 525.001)1
_
2 ore igging ??('I?
? ? ive ?
Acck Dep: f
; r?
Permit Fee: 1?n;,, EPHONE - ELECTRfC - GAS LBC.
Surcharge: /?,pg?o ith the City of Eagan
Tr. Plant 1 ;'U ;]cT? ?rd`na c
Metec
Misc: BY
_
WATER SERVICE PERMIT
CITY OF EAGAfV N° 14 2 4 1
383b Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
Receipt #I g.Q3 97
To be used for SF DWG/GAR Est. Value $83,000 Date OCTOSER 1 Iy 87
Site Address _
Lot 9 Block
Parcel No.
16
Sec/Sub. BRIDLE RIDGE
rc Name RSM HOMES (
z Address 5516 180TH E
? City PRIOR LK Phone 432-2440
Name SAME
0
?Q Address
? City phone
a
w Name
W
? Addre
u
w City_
I hereby acknowledge that I have read this application and state ihat the
informatlon is correct and agree to compty with all applicable State of
Minnesota Statutes and City Eag(a?(n' ?Ord?inanc^es?..,? ?,
SiqnatureoFPermittee ?1? I IVINV?"?[/+`A Building Permit is issued to: RSM HOMES
Y
on the ezpress condition ihat all work shall be done in accordance with all
applicable State of Minn tagpc{ Statute?s and ity of Eagan Ordinances.
T i a ':..v
BuildingONicial ?o' /
z
3869 CANTER GLEN LN
OFFICE USE ONLY
On Site Sewage _ Occupency x3
MWCCSystem X Zoning xl
onsitewell _ (Actual) const Vn
Ciry Water x (Allowa6le) Vn
PRV Required _ # of Storiea
53
Boas[er Pump _ Length
42
Depth
S.F. To[al
FOOtprint S.F.
APPROVALS ' FEES
q 444.04
Engr./ASSess. Permit
41.50
Planner surcharge
Council PlanReview 222•OQ
BIdg.Off. SAC,City 100•10Q
Varlance SAC, MWCC 525.00
water Conn. 525.00
WaterMeter 67.00
Road unit 305.00
Treatment P1 180.00
$2,4A9.50
TOTAL
Thns request void
18 months from /
?? 5a5s
X4/?f e??
Request Date
)'?7 Rre No. fiouNh-in InsUecbon
Aeqwred? ?
Iieatly Nuw I Nnufy Insoec-
?? l L'O l Yes When fleady
Licensed Electncal Con[ractor I hereby request inspecbon of ebova
Owner elechical work mstalled at
Slree[ Atldress, Bon or RoutB No.
3s-?-q C-any-e;- City
c?a. )d
ecuon o. Townshio Name or No. Nanee No. Cnun
Occu?P/? IM/iINT?)
?\1J?, 1 iiV'i?U ?lX/1?. Phone No.
Power Supplier
t3ak6
fa Address
??rm?pl tcryl
Ele rical Contracmr (Comunny N.mel
?
d Cnn[re, or's Liconse No.
s /J e fl
vJC_
MailinB A.dJress IConVactor or Own¢r Making Inailalmnl
& 7s . 1?lw i?- )zl ?-? n. PT?
Auth ized SiB?a ure IC ntrgctod0 r Making Installa[wn) Phone Numbar
? ga- 6,
MINNESOTA STqTE 80AND OF ELECTFICITY THIS INSPECTION REQVEST WILL NOT
Grie9s-Midway Bltlg. - Hoom N-791 BE ACCEVTED 6Y THE STATE BOAND
1821 Universitv Ave.. St. Peul. MN 55104 UNlE55 PPOPEN INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED.
REQUEST FOR EIECTRICAL INSPECTION ee-oooot-os
/ Sae instraclwns for complebng this form on back of Yellow copV.
D 6 19 4 2 "X" Below Work Covered by lhls Request
rrii4 A4dj NeD.j j Type oi Bwltlhng APPlmncee Wved Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt 8wldmg Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tnnk
Farm otne. cv,:, v (iiner (sj>rcifv)
t P.! SVCCI Y I('! 01hl:f
omnute lnsoection Fee Below
p Fee Service EntranCeSize H Fee Faxders/5ubiexders N Fee Grcwts
2.cAb 0 to 200 Am s 0 to 30 qm s 17- 0 in 30 An
A6ove 200 Amps 31 ta 100 qmps 31 to 100'qm s
Swimming Pool Above 100_Amps Above 100_AmPs
Transtormer5 Irngatwn Boorns $a PaftiaL"Other
Signs Specialinspeclion
S ? '
TOTALFEE
ABm3rks ??
HouBh,n / ?;?t
l
l the EleclI
pectoq hereby
4
l cerbfy ther the above
Final 1n
? nsoecbon hes been
d
me
a.
m1n IN mnnlM Iro.
This roquesl voitl
18 mpn[hs trom
EPn Fi Fi Fi
0?7`V ?3-'?'
Request D? - ??
? Pire No. ? V qouph-er,n?lns bon
tru
ady Now Q Wdl Nobfy insper
e
Wh
I
?l ?
Yes o
N
.r
en Peady
r
.censed Electncal Convacror I hareby request inspaction ol above
O
wner elecincal work msialled at
Stre t Atldress. Box or Poute No.
N`j Ciol'), .?C C ck,-J e-41n,£. City
F-GR?
ecuon o. TownsMp Name or No. Na No. Counry
77 77 17
0,3lC?
OccopnntlPRINTI Phone No.
1<)14N
Pow¢r $upplier
"c- Address '
EleGncal ConVactor IComuany Name) Contrnr,tou's License No.
GAcan?? EL&-( t?, iric.. ot-?aa?(
Mailinq AtlOress ICOnvactor or Owne aking Installatmnl
g`Z? ? ?.'ICJr? WINtI 'TRY}tii. ?C?A?,J /y1N .S"J I3-,Z
Auth ¢e Sig^ lur I rac Owner Mnking Insta?lalionl Phnne NumDer
?5??.??
, •
MINNESOTA STATE BOAND Of ELECTNICITY
Griggs-Midwey Bltlg. - Hoom N-197
1821 Universitv Ave.. St. Paul, MN 55104
Phona 16121 642-0800
THIS INSPECTION PEOIIEST WILL NOT
BE ACCEPTEO 6Y THE STpTE BOAXO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
? REQUEST POR ELECTRICAL INSPECTION ea-oooot-os
See mstraetmns lor completi y ?? ??
?, ? n9 lhis form on bnck of ellow copY.
?0H_6 "'ft "X" Below Work Covered by This Request
RJeAFdJl peo.l TVDe ot fiwitlme 1 Aoolmneee Wind 1 Enuiymenl Wved I
I I I I Duolex I I Water Heater 1 1 LicihUnu Fixiures I
ilk Tnnk
p Fee ServiceEnVanceSize fl Fee Feetlers/5ubieedem k Fee Circwts
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 A s
Swinvning Pool Above 100_Amps Above 100_Am?n
TranSPormers Irrigation Booms ParUal.?Othe ee
LL
I I iSpeaal Inspection I S
Rem3rks _JSigns TOTAL EE/n
/ kz - S Q
I. the EIe"1uaMr
Inspeetor, hareby
y9rtify that the above
inspection hes been
nuiea.
mre repwst voW
lv (? d 46
2004 RESIDENTIAL BUII.,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
\v
New Cons4uction Reauirements RemodeV(teoa'v Reauirements
3 registered si0a surveys showing sq. ft of l04 sq, ft. af house; end all mofed areas 2 copies of plan an
(20% maximum lot coverage allowe? 1 sel of Energy Cak,ulatlons far heated additions 2 wpies of plan showhg b?m & window sires; poured fauM design, etc. 1 site survey for additlons 6 dedcs
1 set of Eneigy Calculadons Addition - iridicafe Honsite septk sysfem
3 copies o(Tree PresanaUon Plan if IM piatled after 711/93
Rim Joist Detail Options selectlon sheet (Mdgs with 3 or less unb
Date AL / 2-4-/ D-L
Site Address ?Y) IUqS_n? ? Construction Cost ? ?. ?
70 f?,n l.t rIL. UniUSte #
Description oi Work Q? h?n?S 0?L' l
Multi-Fame1cB[de _ Y -N Ftireplace(s) _ 0 _ 1 _ 2 K&s
Property Owner d 0 hrl Q^ d Ma (ZU S-Yo ne Telephone #dp 5 1)`i 5q' Jll Z U
Contractor & Cj
Address I 1
State MN
Zip-?551 2 y C<<Y 1
Telephone #Q52) -
COMPLETE TFIIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
• Residential Ventllation Category t Worksheet
(Jsubmissiontype) Submitted
. Energy Envelope CalculaUOns Su6milted
Have you previously consiructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Pernut and aclrnowledge 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 the State of MN
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 case of work which requires a review and
approval of plans.
G'--
? LM g A 9-Aj < Z?u
ApplicanYs Printed Name Ap 'c 's Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
---- -- ----......._ ............
,
? NO'lE: PASQMffl7f OF FEE AT TIME OF
.
x APPLIGIIOl1 UOES N71' COM- .'?
9PI1STIE APP%NAL OF PIIiPffT. :
•
; nsrtrriaa OF ;ENM ncn/aR vm,M r
:.
; nzsrxLLaxxats KML Nvr ee SCEDULED ;
*s, f!PIlZL PERPIIT HAS ffiEi APPROVID.
citV ta?sitar+ti?frtfr+r+t+????t:rii:?twfw?w,e?
oF eagan
PLEASE PRINT
i) mzoPmTSC AMREss:
r•Fr:nr• DFSCRIPTION:
Lot B oc S vision or Tax Parce ID
IF EXISTING 51RUCT[]RE, DATE OF ORIGINAL B[7ILDING PII2MIT ISSLiANCE:
Mon Year
PRESEPPf 7ANING/PROPOSID USE:
Q COMA'JERCIAL/RETAIL/OFFICE
Q INIDUSTRIAL
Q INSTITVTIONAL/GOVII2NMENT
-1 SINGLE FAMILY
R-2 DLPLEX (Tulo C?nits)
Q R-3 TGWNIIiOUSE (Three + U4its) ( Units)
Q R-4 APARTMENi'/CODIDOMINIUM ( Dnits)
2) NP'P7E' ??C si /RA <SP .sc?.- - s 1iC,+?-+ -
ADDRFSS: 1,24/1C'l 2-
CITY. STATE, 2IP: ??? ?rln/_ ?s'37?
PHONE:
LGc-.
( r .
MASTER LICEP]SE # ?(/vS3SI7/?!)
? Active
Expired
Not recorded
St Initia
3) 1117WuHMM NAME:
ADDRESS: it
CITY, STATE, ZIP:
PFIONE:
4)
NAME:
ADDRFSS:
CITY, STATE. ZIP:
PHONE: ??y G -? jC11 ? ?
5)
(?EONNECTION TO CITY WATII2 a OTF?R
CONNf7CfION TO CITY SE4M
???? ?
6) . y //Cl /z-/S_-
*****??*.****??******?*****?***???**?*?*???***********?**??*********?****??***?************??****???
*
* THE GOLD COPY OF THE PII2MIT WILL BE SENP DII2DCIS,Y TO PUffi.IC WORKS 7O FACILITATE MEPER PICK-UP. *
? PLEASE ALLAW ZSaO WORKING DAYS FDR PROCESSING. SOMEONE FROM Tfm CITY WILL CiONPAGT YOU IF Mm *
* ARE ANY PROSLEFLS. *
?r,e:?«?**«********???*?*********?********?**?*****++??***,r*********,r***x**,rx**********************?*.*?
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit
S
$
$ ? /CJ D
$
$
S
S
$ CI o
$
$
$
$
$
$ ?
$ 10 0
RECEIPT
FEES:
$
lC - S Z
$
$
$
$
$ 15,Ct-0
S / ? C?7J
$
$
$
$
$
$
s
-
RECEIPT
.
SEWER PERMIT (INCLDDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSZT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRPNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL SENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER: `?-?=,ti4'??-y ,?G-+" ?c,-,`Y`- •r-S
TOTAL ?
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: _ /
?
•?"'`"v MEAT IOSS CAICULATION ° 1EMP. DiFF.
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1999 BUILDING PERMIT APPLICATION (RESIDENTtAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conslructton ReauiremeMs
? 3 regislered aHe surveys showing sq. R. of loT, sq. ff. of houae
and all roofed areas (20% maxlmum bt coveraae allowed)
D 2 topies of plans (show beam i window aizes; poured ind. design; Mc.)
? 1 set of energy calculaNons
Y 3 coplea of hee presenaHon pian H fot plalled aMer 7/11/93
DATE: r' - e ( S
DESCRIPTION OF WORK:
STREET ADDRESS:
3869
2aa ?.i \
Remodel/Reoalr Reauiremenis
2 copies of plan
7 eet of energy cakula0ons for heated additlons
7 sXe survey for exteria addiNons t decks
CONSTRUCTIONCOST: `, C, o
C, te ,..[ Lv,?
LOT: 9 BLOCK: ?(o SUBD./P.I.D. M: 4?J
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: -:S-0 L N S F., ?l Phone #: YS?/ - SG Z?'
lasT FUst
StreetAddress: C?a?fAr C') t2r?
1 Zi-3
City C A5 A.J State: ?A 74 Zip: 5-3-
Company: I - ? K- be , J 3 Phone #: (91 Z ? ffg: ' q4 d 4
(aren code)
StreefAddress: f A-u? S• ? Z(( ucense# Zol3? s5 Exp.
ciy 3( vV,, C-) StaFe: voN zip: 55"q 3I
Company:,
Telephone #: area code ( )
Name:
Streel Address: Registratlon #:
City
Sewer & water Iicensed plumber (reauired for new eonalrucNon onNl:
State:
Penally applles when address ehange and lot change is requested onee permN is Izsued.
Zip:
1 hereby acknowledge that I hwe read this applicaNon, state that fhe InformaHon is cortect, and agree to comply wHh all applicabl
StaFe of Minnesota Statutes and CMy W Eagan Ordinances. '
Signature of Applicant:
OFFICE USE ONLY
ke ? `"J 8Certificates of Survey Received _ Yes _ No
L,L1 t_._---
Tree Preservation Plan Received _ Yes _ No _ Not Required I ??
.
i
/ oe, - CITY OF
SINGLE FAMILY DWELLINGS
v Vi
ffiCLQDE 2 SETS OF PLANS, 3 CERTIFICATBS OF SIJRVSY, 1 SST OF ENfiRGY C9LCOLATIONS
ffiOTE: ADDRESSES FOR COflBER LOTS - C04TTRACTOR/HOMEOdiNER MQST DESIGHSTE WHICH ADDRESS
IS DESIRED. NO CHANG$S NILL BS ALLOWED ONCS BiTILDING PERMIT LS ISSOED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL [11fITS FOR SALIi 06iITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQ99EY - CHSCK AITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COPf!ffiRCTAi"
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Valuation: ODd
c42A L,q,rw/ OFFIi
Lot Cl Bloek ?
Parcel/Sub ? 1 y
Owner S? C
Address -SS\b
City/Zip Code
Phone
.?
Contractor
Address
?.
City/Zip Code
?.
Phone
Arch./Engr.
Address
1\
City/Zip Code
.
Date: 9 ^-2- 9 "0 I
On Site Sewage_
MWCC System
On Site Well
City S+later _?/
APPROVALS
AssessmenCs
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off ko i
APC
Variance
Occupancy ?-3
Zoning
Type of Const
(Aetual) -?
(Allowable) V-N
M of Stories
Length ,53
Depth L1a2 I
S.F. Total
Footprint S.F.
FS&S I
Permit qy ,00
Surcharge y/.,Sp
Plan Review Z7.0 o
SAC, City /00,00
SAC, MWCC ,ZS100
Water Conn 52 5, o0
Water Meter 67, o o i
Road Unit b', oo I
Treatment Pl 190,00
Parks
Copies
TOTAL
Q
tl
Phone ll
CS ARM,O
a11 x 24 = S??x ?2= b912 r
13s,..?3-
u Z //SS
/o K Zo = (2oa
l,sx 2?, vz
913 x i?= l?2 `7kZ
Ix F?ab?
?ri'?i k `? z = 11 SS
13K?2= !S&
5x?o- s?
1Z
G X L =
ZYkz? ?
I q37 X Vy= 1,312-e
9 -2- 9 zz
"Codlfind Engineering
(.qad $w"yars Clvll EpOlneas
Services
Land Ptonners
IAWrM sur?ver?Oeertl, f "?cate BooK_
PAGE
JOB NO. 87 R' 447
SUWAY MR: R S h°. Homes
OBSGR19E0 A5: Lot 9, Block 16, BRIDLE P.IDC•E 1ST ADDITICN, City of Eagan,
Dakota County, P?innesota and reserving easements of record.
TOP OF FOUNDATION
GARAGE FLOOR
BASEltENT FLOOR AAc
$EfYER SERVICE ELEV.
'PROFOSED ELEVATIONS
EXISTIHG ELEVATIONS
DRAINAGE DIRECTIONS
DENOTfiS LOT CORNERS
DENOTES OFFSEAK
i '
= eqp.2
- ar?.0
= 881. B
_ WA
: o ?N pPi?%
?
16
?
? ? ? ?. ? • ??. •I ?? v
pN?ti '
?Q??'
w •^
w y?
?
,? ? N 4y A ? ?? 3e ? ?
_y O?1 ?D 6
eza ea.raloamrwron Fr«wwi
1116min9tan. MYuMaoto 66420
PAone; 6B8-0269
111,si
t 25
3 ?1
0
N ?
\
y ? AB?7,g ?
I -'?_`r„r`
, ? ? 88ro.c
? ? O 1iL
IJ l ? \?1 ???+Y
?
L o ??9'_ r .
ee6 6
V
A
u
SERTIFIGOTE OF SUIZVEY tl
I hsnby cenNy thof Mis su?ver.Pion or report wos pnpond by me a undrr my direct ?
supwvidoe anA that Zaan o duly ReqisfertA Land Surveyor undsr the Iaws of tht
Sfots of Mlnnewfo.
Oute: _ 9 / 15187
Licanse
I-.e i
;
. 10,
F QHiJER
.,
a:
?. ?
f-;
r
?.
EXTERTOR EtJY«LC°E AYIRAGro "U'
.. .r? . .o i .
i ' ? : ??r ? •' ?• ' ?, .
.r RSMHOMES.INC''?.`':.' .
9001=4740phly LqICE BLVQ,'';?i
?. PRIOR LqKIL UN. 6637,2
SITE ADpiESS
CQNTRACTOR.?5.,,,?%,4/,r.jrs
.Astermine working square taqGagR pt' 94Co,'
l. Tot?l ?xpo?ed wAll area ... # o.p
M x
2. ToG41 raot/aellin6 area ....,"Z42-,--..$,4? X .b?. ,???•'•,, •,.r.: ,X:
Total exosed wai1 a e
A r a apaYe tloor v 0-0.o ``?? ?
a. Total wall vri nCcw 4rea
b
l r . ? ?, • ? . ?,?„-??,. ?,? `.'
T
' ," '
`,.
.
.
.
ota
door areo . . . . . . . . ?,r
. ,•..
Co ToCOl slidln
B elass area
?
d'o Totai rlreplace wall area
?'`-
..?..
'.
""""""'':: `r'f?:??•:?:';`'x?'•"? '%%`
......??. ?
e. Tot4l Nall Praming area (average ?0??,.•
' +,• ??Y.'.n.,,ir?..'„', '.''
3
. Total net Wall area
abcve t'loor . ? , ? ? ? ? ??'y ,• , , :?:, ...,., .
e?
S, Total rim joist area ...?..?.?,?•???. ?. ?.s :?,-?;;::,,:.:?.? ;
Tcta1 exposed 1'oundatioq srea • •,? ; ` "` " ,`
h. Total foundation rrlndow area . . , ...,,?.
.
l. Total neC foundatlo
a
e
b
'-?'
t
?""'"'""
?
q
r
a 4
ove r
:
4,G?I? ? ?,?? . 1,.
g
.r:. ..
Determine "U' value ef each wall oegmapt.
a.?_
X nUr,
. 1), io•
?
.
...
0. 2.-S.,-..... x nV:l
uVar
D
D x 0:' ,
.?
,
.
g #.Uu 13. 0 31?
o•'/ X u
is
' r. V
N
As+..•?.
x
V
h . c) X ;' u
, S • ? X nU p .0???_? ? :.?..?.y--..e
. i•:.i :.. „?, r r•`
3......... .................................. ? ?Totai . ?3 9 ,:-?, ,.?
if item N9 is the 9ame ps, or less than Il, yqy
inteqt or
OBC 6096 ,pavq,m??
tli
p._
;?.:
• ',
W
(c)2. ;
,
.
,
. .
.; ?
suo,c... ? / ?`,p?' i'/• s;/, F . ,
?C.'c? : ,?i-, cr vr, ..,P?•?.rR r?r.Ks?? • . . . . '
v
E
t
?'.
;?.
i,
?
:.-.
,z.
,
.,
i-
;
t
Tctal exposed roor/celiing krea •,,,?p?
J, Total Bkyli6ht area 1
..................
k. Total rooP/ce111ng PraminQ area (averase
l• Total act insulated roat/ceilin
C areg ?..???•
a,? ..
Aetermine "V value t'or eacT? r9or/Fellipg ae q.
X
I I 11 ..4111
,t,';
,
r?+w??w ?T?IP • ?i. •a -
.. ._,0V .
'
k. i a• x:v„ ?? 3•? `;?.?.:',.?r".::,w`
:
1
... . ? ...... . .... .. . . . . . . ... . ....... ? •... .Tctal . ??'?'{ '.,
? ,,'
yCc+- ? 5? C.?S'. o? L ?„ r,;?. lv4•l ?
'!C
? ,
'
'
G
I
s+ ?C
If total oP My is the ,?,? c, .,
lriP?(c K"
same aa* pr leos Ghan jz4 yQµ h?Yo•
iriLe»t pl S8C 6006(0)1. WCf? t?h,! '•:.
Alternate 8ylldiug Fnvelvpe peg4GA
To uti.lze the.total envelope systera raathod, the valueS'evtab;Uheo
by the sum or items N3
d
an
M4 shall not Ge Creator rhan the. 04-R,ot',,;:,
ltera8 dl 8n3 02. k.
1. + 2
•
??
? . ??'
-
^ y•
?
,
.
.? •
?.
? . . . r-,
. :p? , :yq. , .,'r• "1 •ye ?,,
1 . . ? ! . '
'4. 'b°l?'
!;
•?
. ?p
.,
y.
?'
i.
+a ?'
C1??u??
'?4'%
-?---
,
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y-
y • • - z .? ?,ti,?,?, ,, ?6, . ..
/7 / / ?.
74-77 City of EqdIl
3830 Pilot Knab Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
---------------,
? F500WUSe ?
I Permit#
? I
? Permit Fee: .J? ? I
? L_ i
I Date Recerved: ?
I
i starr. _
2008 RESIDENTIAL PLUMBING PERMIT APPLICAT
Date: t-O?oZ"0D SiteAddress: 3fl0 1 C.?NZe le hN3
7enant: yrOK /'3 '?'Jmp l.?3'C 5uite
T ? T d L'J ?
RESIDENT ! OWNER Name: J Otw STO N%4E Phone: 1 - -
Address/CitylZip:30IO9 LCA"TiEGlfiN L.IJ EPr flN 1%1\? 5-943
CONTRACTOR Name: License #: W GoOd 10.;ii,
Address: 9150 w 86W SEiNICE OWE
City: State: Zip:
Phone: Z b3`oLga'_T7 13 Contact Person: RrOA MCUL\S
TYPE OF WORK _ New XReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work: e-PLPtC.E W 5 ?N E
PERMIT TYPE RESfDENTIAI
Water Heater _Kfflater Softener
Lawn Irrigation Add Plumbing FixRUres
L__ RPZ /_ PVB) Main _ Lower Level)
SepticSystem _WaterTumaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) ?
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ?.
TOTAL FEES $ ?? So• S? ?
i hereby acknowiedge thaf this information is complete and accurale: ihat ihe work wm be m coniormance wim me orainances ana cooes or me Ciry ui
Eagan; that I understand this is not a permit, but only an application for a permit, and w is not to sfart without a permit; ihat lhe work will be in
accordance with the approved plan in ihe case of work which reqwres a review and approv I of ans.
X RoBGa MELtK.s X
Applicant's Printed Name Applican 's Signature
? FOR OF.FICE USE_ ? ? Reviewed ?By: Uate:
? Required Inspections: : _UnderGround ?-. 1019ough-In '_Air?Test,? =Gas.TestFinal
?
?
T?
T
?
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108351
Date Issued:12/03/2012
Permit Category:ePermit
Site Address: 3869 Canter Glen Lane
Lot:9 Block: 16 Addition: Bridle Ridge 1st
PID:10-14996-16-090
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Brandon York
14690 Galaxie Ave
Suite 100
Apple Valley, mn 55124
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John W Stone
3869 Canter Glen Lane
Eagan MN 55123
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
(j A.V wwA N 6
Use BLUE or BLACK Ink
For Office Use I
I Permit I
I ~
I
My of Eap
Permit Fee: a I
3830 Pilot Knob Road I
i
Eagan MN 55122 Date Received: I
I ~
Phone: (651) 675-5675
Fax: (651) 675.5694 I staff. I
L-------------
2013 RESIDEN1TIIjA(~Lj BUILDING
/1PERMIT'
Date: ~ 3 Site Address:Sg / A KCt P_ r t~-/al Ze& K,-.,- Unit
Name: 7;Kdw_ Phone f~r ~T
Resident/
Owner Address / City / Zip: 3 MT vn {-et' 6ka LA-,.F
Applicant is: Owner contractor
Type of Work Description of work: Pa_- f"ovP
Construction Cost:? 0),
Multi-Family Building: (Yes / No y)
Company: 14 S Tc Contact: I. E`i✓L---&Z:>f_
.nom,
Contractor Address: o~I 7TMLLP~r C~ vt 131cr~, ll~ City: -iq ~r\ l IZM'
i State: A1f6 Zip: Phone: &,a_)
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ke G+
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
the information may be classified as non-public if you provide speck reasons that would permit the City to
conclude that the 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.aoaherstateonecall.oro
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 S to Building Code roust be completed within 180
days of permit issuance.
x bar"'. k x
Applicant's Printed Name Ap c i e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164729
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 3869 Canter Glen Lane
Lot:9 Block: 16 Addition: Bridle Ridge 1st
PID:10-14996-16-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Kent E & Tracy L Barry
3869 Canter Glen Ln
Eagan MN 55123
Empire Exteriors Inc
2085 128th Ave NW
Coon Rapids MN 55448
(651) 955-1160
Applicant/Permitee: Signature Issued By: Signature