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3885 Canter Glen Lane Use BLUE or BLACK Ink r For Office Us I I I I Permit I City of Ea a~ I Permit Fee:,?O (2 T I 3830 Pilot Knob Road Eagan MN 55122 ` Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I CRESIDENTIAL BUILDING PERMIT APPLICATION Date: ) r Z2 Z 2 a 16 Site Address: ~S ~4 ; f ` ~lE ti h Tenant: Suite RESIDENT / OWNER Name: E T 6f~ s Q'4 Phone: Gg~ > °iT - 2 3 S'~ Address/ City/ Zip: 3!9&J_ ti ~F 4~/ F L 4 y lyf Applicant is: Owner k Contractor TYPE OF WORK Description of work: J 5 rs 7 ~h f 5 b s f E Construction Cost: Multi-Family Building: (Yes / Ne~_ ) CONTRACTOR Name: Jg2~F1- T S yl f s, O yk ti -,p4GLicense Z,. 91Z!9 V4 Address: l ~j'SS` ~GOa'w f~ u City: d/ ` S~~ ti S State: I VIII Zip: 5 g" o 3 3 Phone: 3 l ~ Contact: Email: 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 specific 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.gopherstateonecall.org 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 x t- Cr E-b /tc / x ~ h5 Applicant's Printed Name Ap scan ' i re Page 1 of 2 i t DO NOT WRITE BELOW THIS LINE Q SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation - Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation U,000 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%4) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width ~Vr REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition)C Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows -4 Insulation Retaining Wall: _ Footings Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: 1 L , Building Inspector RESIDENTIAL FEES W1~G Base Fee Surcharge ~V0 f7/~ Plan Review 60 MCES SAC City SAC Utility Connection Charge 30 0 VC90 S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink r For Office Use C ing ~ , Permit , City of EaVz- I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 2 v O G Site Address: 3 le- Tenant: d ~7 Suite RESIDENT/ OWNER Name: s d/k Phone: 4~.S/ Address / City / Zip: le- s Ch~ Applicant is: Owner Contractor TYPE OF WORK Description of work: !/L EL, ~u 6- t n dG s 2 o~sf l~ f ,ai L4 Af° 7! Construction Cost: G G a. GC Multi-Family Building: (Yes / No ) CONTRACTOR Name: 0/> F~ 1r S ?FS o✓c, ~a h s T h C License .2 Address:& S ~c> c~ 1.~ < v E City: 10S S State: IVI&Zip: lr 3 0 3 3 Phone: y 3> - i~ 3 Contact: If d Z2 Email: 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 specific 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.gol)herstateoneGall.org 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. x If 'T ti p s F ~~I' x Applicant's Prin d Name A icant g e Page 1 of 2 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090738 Eagan, MN 55122 . Date Issued: 08/19/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3885 Canter Glen Lane Lot: 5 Block: 16 Addition: Bridle Ridge 1st PID 10-14996-050-16 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Hearth and Home Technologies Seth N Tesdall 2700 N. Fairview Ave 3885 Canter Glen Lane Roseville MN 55113 Eagan MN 55123 (651) 633-2561 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. Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: rd AN K i 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i ;..Y . - - - - - - - - - - - - - - I Permit No. Permit Holder Date Telephone # S/W I PLUMBING I I HVAC ELECT CPO ELECTRIC Inspection Date Insp. Comments Footings i Foundation Framing] }l Roofing Rough Plbg. J Rough Htg. Isul. ~~q" Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan I / -a Deck Ftg. Deck Final Well Pr. Disp. CITY OP EAGAN Permit No. Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Site Address: 6 ± .c;A T'?df;e ' Plumber. Conn. Chg: 55') • G~3 Zoning: Acct. Dep: 15.t?vr~i'_ No. of Units: - Permit Fee: t] •?g~.'1 Surcharge: • SCcI i agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY Of ffAGAN Permit No: t 0085 Date: ~-AR 1 3830 Plot Knob Road B/P No: R5493 Date: P.Oi°'Box 21199 Eagan, MN 551RI T Ji A3 Owner. Site Address: ' !IW ; Cantler 211-in s arfe L5 • i, 39,-id le P.± Plumber: I61-ef Side ~.l.,r.. ~~,[It1 City Chg: 100 No. of Units: Acct. p ? ,00 d ~0.Old I agree to comply with the City of Eagan Permit t Fee: Ordinances. ; Surcharge: G Misc.: BY SEWER SERVICE PERMIT ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value t r ('s } Date 19 Site Address 5 LATq OFFICE USE ONLY 1 ( r C 1 ? 7 ; On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const ;1 j oc Nagle ?c,; .10m ",r ANC. City Water (Allowable)..n} z Address 553.6 180th ST. E » PRV Required # of Stories c n ^ R Booster Pump Length A0 City "•x 'Phone 0-7776 Depth 3 7 s Name S.F. Total .o 0 c Address Footprint S.F. City Phone APPROVALS FEES W Engr./Assess. Permit =z Address Planner Surcharge 4 G • fi a w City Phone Council Plan Review( Bldg. Off_ SAC, City 7 n 0 » C i is I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. 1; 50 - f) Minnesota Statutes and Cltyof Eagan Ordinances. Water Meter ? _ ; j ` Signature of Permittee - Road Unit A Building Permit is issued to:_ Treatment P1 ? j on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f' PHO N E: 454-8100 BUILDIN,G'PERMIT Receipt # To be used for Est. Value ' , Date ' 19 Site Address OFFICE USE ONLY Lot Block See/Sub. On Site Sewage Occupancy F MWCC System Zoning Parcel No. On Site Well (Actual) Const ar„. ¢ Name City Water (Allowable) W PRV Required # of Stories 3 Address ° City Phone Boaster Pump Length Depth ¢ Name S.F.Total .o 0 a Address Footprint S.F. City Phone APPROVALS FEES c~i w Engr./Assess. Permit Name W W ~ Planner Surcharge Address u Z Council Plan Review 't l Q W City Phone l : O Bldg. Off. SAC, City Variance SAC, MWCC 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 Water Conn. ` f Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL - 1 Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric , 71-7 av s ~g8✓ Softener Inspection Date Insp. Comments Footings 1 7, Footings II Foundation yy~~ Framing i7~~ V_ y,~' /~-K,,Qf,. Q,~•:f Roofing Rough Plbg. Rough Htg. Isul. psi Fireplace Final Mg. Final Pibg. Bldg. Final SS S Cert.Occ. S8 Temp. LP Deck Ftg. Deck Final Well Pr. Disp. q PERMIT # + MECHANICAL PERMIT RECEIPT #__,~C L ' 127 y CITY OF EAGAN i DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block f Sec/Sub Res. New Name Mult Add-on r a gf'/ ,r.r; srr. r~" I~ Irv 't? .a'. Address COMM- Repair c City J-3 1 8 Phone y Other FEES Name r' s /jar ' a'.y l RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW O City Phone -'V" ! c` / a CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU `r/ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other f ; t FEE: 5. SIGNATURE OF PERMITTEE SIC: TOTAL: r"' FOR: CITY OF EAGAN CITYOF EAGAN Permit No: 42 Date: 3830 Pilpt'Knob Road Meter No: qO / -6-6 7 size: S,/~ /Qoc ~ P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Site Address: j Cani:er C-A.oin Lane L.5 11ri.dle fRici-e Plumber. T.r ke S:ij,. `~T-_-ni'AnIz f Conn. Chg: c 1.() flG Zoning: Acct Dep: 15 00p~ No. of Units: 1 Permit Fee: 16.Onnrl Surcharge: nA I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. • '_''J i1 .1Ir J~~ Misc.: WATER SERVICE PERK BLDG. PERMIT NO. 5 I 1 01-3210 Bldg. Permit 541 !Z90) 01-3422 Plan Check d1 J 01-3445 Surch./Adm. 01-3446 SAC/Adm. 50 _ 01-2155 Surcharge 4 S Oz Vr 75-3860 Road Unit a5 CCU 20-2275 SAC 20-3865 Water Conn. OU 20-3868 Water Trmt. O Gb 20-3716 Water Meter CV-1 00 20-2252 Acct. Dep. no 20-3713 Water Permit h7 20-3743 Sewer Permit 79-3866 Sewer Conn. C7 28-3855 Park Ded. TOTAL s CITY OF EAGAN N°- 15 319 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 2 BUILDING PERMIT PHONE: 454-8100 gc cT Receipt cT To be used for SF DWG Est. Value $92,000 Date JULY 11 ig 88 Site Address 3885 CANTER GLEN LANE OFFICE USE ONLY 5 16 BRIDLE RIDGE 1 th-Stesewage Occupancy M- Lot__810ck Sec/Sub. MWCCsystem X Zoning PD R-1 Parcel No. On Site Well (Actual) Const V-N a Name RSM HOMES. INC. City Water X (Allowable) V-N 3 Address 5516 180th ST. E. PRVRequired xofStoriea c City_PRIOR LAKEPhone 440-7776 Booster Pump Length 60 Depth 37 p Name S.F. Total u< Address Footprint S.F. City Phone APPROVALS FEES Engr./Assess. Permit $549-00 uw Name ~i Planner Surcharge 46_00 Address aw City Phone Council Plan Review 771 _OQ Bldg. Off. SAC, City _1.00,_00 I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC -550--0-0 information is correct and agree to comply with all applicable S to of water Conn. _-x.50...1.)0 Minnesota Statutes and.Qityfof agan Ortlmances. Water meter 6]Q.Q Signature of Permittee Road Unit -3 2.5.-80 A Budding Permit is issued to RSM HOMES, IN Treatment P1 _ 204.00 on the express condition that all work shall be done in accordance with all applicable State of sota Statut and City of Eagan Ordinances. Parks Building Official- -(-d,-~fJ/J I TOTAL ~2c?0 This request void (1 ~t/_~Ln 1 18 months Iroto E 211 ~'3 5 /3~ d~ Pequesl_Date Fire No. RouPh-in I ectron Requ nail? ❑ OReatly Now Il~.'Wrll Notify Insoer- es No for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City 38SS Gce,,~✓, Glyn G Section No. Township Name or No. Range No. Cou t4Y Occ 7,1 IPHINT) / ~e~ Phone No. Pow Supp0er Address /ner Q/ ' 0--~ /G J /vt G TGrr~ Electrical Contractor (Company Name) Contractor s License No. /~S✓~~/l ~l~c t nc. 6WqSS-3 Mailing Address (Contractor or Owner Making Instailauonl Autho red Signature fContractor Owner MaO g Installation Phone N tuber "6-0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phnno 19121942-MOD ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB S~ -00001 os r~, q ~f ~ See instructions for completing this farm on back of yellow cape. n~~9 E ^L ~l L 3 "X' Below Work Covered by lhls Request NevilAddl Rep. Type of Sutlmng Appliances Wired EquiVment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt, Building Dryer Electric Heating Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecify Other sp,i yi -n-AF,,(v Other Other ompute Inspection Fee below s Fee Service Entrance Size a Fee FBedarsrSabfaaders a Fee Crrcwts IZ..rrJ 0 to 200 Amps 0 to 30 Amps Z lob 0 to 30 Amts Above 200 Amps 31 to 100 Amps 31 to 1 UO Am Swimming of Above 100_Amos Above I00_Am~s Transformers Irrigation Booms r~ Partial.'Other Fee Signs Special Inspection Remarks Sqb/'S© T AL Hough-in Dat .cal r, hereby ca if y that the above Final t U•'~f'. ~Ar ape has be9n made- . This request void 18 months from Request Date Fee No R,xii InprIon Re and Inspection Other Than Rough-ln (You must ca0 irep% when ready) Ready :2 1`~rl' a(~of~~•u Ins ector 1/2-15-94 ~ Yea ❑ No DaleRee~` t- } p I L~ficensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address [Street Box or C! 6je.,61 3885 Car.x Glen Lane Egan Section No Township Name or No Range No. Co Occupant (PRINT) Phone No Mark Lasswell 688-8093 Power Supplier Address n/a. Electrical Contractor (Company Name) Contractors License No. Ben Johnson Electric Inc. CA00949 Mating Address (,Cra for or Owner Making Installation) 5409 M' or Lks Dr,, di a 55436 Authorrzeo S ure CdntractonOwner mg allaeonl Phone Number / , 929-5253 "NE TA STATE BOARD OF ELEC CITY THIS INSPECTION REQUEST WILL NOT r Grlgge-Mldwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN $5104 UNLESS PROPER INSPECTION FEE IS Pitons (612) 6424800 ENCLOSED. Iiiii~~ REQUEST FOR ELECTRICAL INSPECTION f. a f ES ooom~.og I~~ ( ~j, ► Sea insiru0ions for completing this form on back of yellow copy TSS~T M 1-7268 O "X" Below Work Covered by This Request , New Add Rep. Typeot Building ApphancesWlred EgwpmentWlred X Home Range Temporary Service Duplex water Heater Electric Heating Apt. Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Farm Air Conditioner Other (speafy) Contractors Remarks. finish 1 room lower level Compute Inspection Fee Below: # Other Fee # Serve Entrance Size Fee # Clrcuds/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's use Only - TOT~o..-.rte Irrigation Booms 1W ~D ~JV Special Inspection yb Alarm/Communication THIS INSTALLATIO BE ORD R=n DISCONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Rough-in , Dare l y~ /i;,, certify that the above inspection has Final Date been made. f ~3 Q OFFICE USE ONLY This request wid 18 months from request vo 18imon hs_ from E 271,52 5 ~iA~byx~ul Request Date Fire No. Rough-in I ecuon Rego, red? Ready Nuw Q'Will Notify Inspec- Yes ❑No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Be. or Route No. City ecuon No. Township Name or No. Range No. Cm`; Q GYTC{ Occup t (PRINT) Phone No. Power Supplier Address y ,bAK671q C~~T r-t"', Electrical Contractor (Company Name) / Cgntractor s License No. As loon /7 4c:7 2 -c ~//~c• ~~(~i 85-3 Mailing Address (Contractor or Owner Making Installation) . 7 tt) i /3 - 90 Auth riz ed Signature (Conuactor Ilymer Making installation) Phone Number zBAG-~3~5f MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD MN 55106 UNLESS PROPER INSPECTION FEE IS '921 University Ave.. St. Paul. ENCLOSED. • REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 See instructions for completing this form on back of yellow copy. ~3 7 E `2-715 2 •"X" Below Work Covered by This Request Add Rev. Type of Building Appliances Wired Equipment Wi,ad Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pere y Other ISpeufy) t P.r UCCify 1her Other ompute Inspection Fee Below g Fee Service Entrance Size b Fee Feeders/Subfeeders ft Fee Cucurts 0 to 200 Am 2s 0to 30 Amps 0t2 30 An,ris 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 150-Amps Transformers Irrigation Booms Partial•'Oth e Signs Special Inspection ) 7 •S G TOTA Renw rks $ { Rough-in / Date I, the E ctr In5peC1h ereby rtrfy that the above Final e inspection has been v L-q .4 made. This requiter void 18 months from PERMIT CITY OFEAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 024978 (612) 681-4675 Date Issued: 12/20/94 SITE ADDRESS: 3885 CANTER GLEN LANE LOT: 5 BLOCK: 16 BRIDLE RIDGE P.I.N.: 10-14996-050-16 DESCRIPTION: LOWER LEVEL DEN ru lding,.Permit Type BASEMENT FINISH 1ding -0'0,rkK Type ALTERATION p r- trj/ 0~ augur REMARKS: FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - LASSWELL MARK 3885 CANTER GLEN LANE EAGAN MN (612)688-8093 I hereby, acknowledge that I Inave'road this `appiiicati n• 4bd state,Chat thEe information is correct and agree to comply tditf all applicable State of Mn.' Statutes and City of Eagan Drditvances. ! APP ICANT/PERMITEE SIGNATURE ISS BY. SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024978 Eagan, Minnesota 55123 Date Issued: 12/20/94 (612) 681-4675 SITE ADDRESS: LOT: 5 BLOCK: 16 APPLICANT: 3885 CANTER GLEN LANE LASSWELL MARK BRIDLE RIDGE (612) 688-8093 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION DESCRIPTION LOWER LEVEL DEN INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL s II CITY OF EAGAN 7 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s ~energy calcs. DEC 19 1994 COMMERCIAL 2 sets of architectural & structur 1 plans, 1 set of specifications, 1 copy of energy c Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: 3g8S) a t Q-evi Let k~- STREET SUITE # Tenant Name: (commercial only) LOT 7 BLOCK SUBD. P.I.D. # Description of work: The applicant is: JR-Nner ti-Contractor ❑ Other (Describe) h- Name LQ~-~ V ryIGU A /f VlVk OP , `ione &y?-(?0G3 Property LAST FIRST Owner 3885 CaA+e~ G Cevt La k] C- ~cu1(017 - 53 Address STREET 1 STE # City C114-ix State MAI zip Company C71~t1 klt- Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 Applicant: Q.j~/iv OFFICE USE ONLY BUILDING PERMIT TYPE ❑ Ol Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging X16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. '3 DT Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-flex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ~ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing /Framing aR~IInsulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee Vahotion: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units i MEAT L033 CALCULATION ° TEMP. DIFF. Cwtae. Naew ~✓lJ ~ioJ f?. ?5 ~NB~ X ~ ~ o ~i1v _ Tr00 cpR.roeliott 7~ r4 c 3/, S 6 0 Dmr window Stann earl _ wapa INa. Clty _ L Fleur Isla V FI.I ASV Room I Length NO Wid11i W+ t Z I.I Roamll avian Wrnpowa and Dcowl -Crackap and Arm window! and Doars-tilde wa w.Nw 'HAM. we N l..r H. Arai ap and Arm w.r s1 nxH H N enn N nR ".NN M.M. wa N 6~ N. • N qMip aj- _ iv Z 1.. CnN. Btu cod. Btu -T- EAE Infiltration IrllixrNi011 Z Glass Glala %0 O /000 Eap wall Eap, wax Not !ao wall No lap. wall Int "I IM..waN Ceiling Fleur CailinB •3 Floor j Total Btu Tom Btu. - % jikFf.l iA RoomlLorwh 4 Width Nt t ,l • RoaelLan A 17 wwth Windows and Duet s-CraeYga and Are Window! and Doors-Gadtap atd Arm rN w M er~wn~ Ha N 11w~1 N. Arwa Ha aM.aN MNMr Nw N lurN w. All L. N.rara H 2 L.L 3 2 5? 3 Z 2n 1 344 ' 22 39r CON' ow Cod. Btu Intatralian G4aa ~ 111/eltratiola 3 S Gla. Eap. Wait Eap. ws" -4k zysm Ng 8x0 well Nat dap. wax 3 In/ wall Int. wax Catiwq y _MSE Collins 22 } / lam Floor Tntal Btu. Total Btu. ZFlIb/ Rooml Lars o Width I "SOON I FI.1 gp-n RItogaggilLansth JA Width Ila WwwkwA ant Doors-Crack ap and Arm Windom Witt Ooors-Crat*ap aril Arm fte U~ AM nr nww L N..r N ww a'Inw r 'M'r r.a N LiMi N. AwN. 14 0 L Z 2 CAW. Btu . Btu Intalrahon 317 )200 slaw d Gla.a 2• 10 _ Ghat Exp. wall Eap, wax NA asp. wall -154 Nat dap. trail Int well IM. wax Flew Floor Total Btu. Toth Btu. Z bED CtIrEL HEAT LOSS CALCULATION ° TEMP. DIFF. 4CAV WiStone SWf1 Walt Ina. Ina Flow " FI. t IG oamil h Width FI.1 RoatrlllarWh Width NOW" Wirybws and Door •Crackya and Ma Windows arrd Doors-Crack and Aron M Mq.w ws.M. Ma o1 1 4M.1It bma wsra ""M "ewe 4MM M. as N L N n.. h Na. 1 N Cool. SW Coal. Stu IlNdtrat,on - Infiltration War Glass Esp, wall Exp. wWl Net amp wait No esp. won Inc. Weil IM. web Cooling Cwilirq Floor Floor Tow Stu. _ 2 Total Stu. J Ft.l ROOMILOngth Width Ngo t Fl.l llodmlLength WIN memos windows and Orion-Craekap and AIas Windows and Doors-Crack and AM M w ti w..^r M N : ~N. • „ Wiens nM rM N L~N. Coal. enI C40. Htl Infltration - Irrlihntion Glass f Gift E ao. wall END. VAN 41 ltvkL Z 7 Nei amp. wall S 3 llra rap. ddb 3 ttykr 7 Inc woo Int. well Cadug 3 IV CWleq tr l Z flow Floor Total Stu, _ Total Stu. ' • '~FII RoomlLor h Widllr NOW FQ Raornlla h WWIh No a Wnrkrwrs aref Doors-Ci ack ga and Area Windows and Door-Crachap WW A/r M.. M•w.w n.y.. •e .1 L~N A.r www IN N LMNIM11h. area e... m n.... L d .rsra oppoo, N L N. oolonees ZI Coat. Stu C~• Infiltration 211 !Yh1 rev Infiltration 411"s Q Glass Eeo. web Eno. wall Net Mo. WWI 1009 No mo. dab Inc wall IM. WW1 Crrirnq 13i sey Ceiihoy Flores Floor Tow Stu. TOW SLY. APPLICATION FOR PERMIT' _ NOTE: PAW 4W OF FEE AT TIME OF ; APPLICATION DOES NOT CON- M= APPWOL OF PUMT. INSPecIZON of sEwEE APD/OR wATEx SEWER AND/OR WATER CONNECTION : INSTALLATIONS WIM NOT BE SCMMM 'x N SE@I APPROVED. EL PIIIIT HAS + Yii**Yii*Y*#***ff##+ii#i###*YYif*fifi+fi+ ity o_F eagan (PLEASE PRINT / 1) PROPERTY ADDRESS: LEGAL DESCRIPTION; (Lot/Block-/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE 1 SINGLE FAMILY Q INDUSTRIAL I~ R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: i ADDRESS: 426!:4f CITY, STATE, ZIP: PHONE: O O For City Use 3) NAME: SAS Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: iiJ Not recorded PHONE: MASTER LICENSE #60.1-q Z? /17 O St a £ it 4) NAME: ADDRESS: CITY, STATE, ZIP: Pte/ r G,g ~c fof22 _ ,~v~~7~ PHONE: 5) s . i ~e dEi49" •-CITY SEWER ECTION TO CITY WATER E] OTHER 6) Ta7 e Y 7-10 -2lTr * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEO[E FROM THE CITY WILL CONTACT YOU IF THERE x * ARE ANY PROBLEMS. + FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /Y> -S-0 SEWER PERMIT (INCLUDE SURCHARGE) $ $ © WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S SS Z~ ` $ WAC $~SfD $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ v2 U ero $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /Y $ TOTAL S2 5g/ 3 CZ ~7 ~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q 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: 1_t ~ TITLE: DATE: 2- / j9F t~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~U .S~ JS a O 3830 PILOT KNOB RD - 55122 651.681-4675 _ (S 1 14 New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. H. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for healed additions > 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ! 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: Z/-/sj? n( CONSTRUCTION COST: DESCRIPTION OF WORK: +7( f2 QG C?D C~>4Q 0600 STREET ADDRESS: 3$g Lac LOT: 5 BLOCK: SUBD./P.I.D. S Name: Clu lit=t~o~ pj / / Lk ~SI ~7-I7 ~PZ PROPERTY Last 'First li OWNER Street Address: ~6 s C rR ~~rJ Unit? City _ State: MA Zip: 55-1Z 3 i Company: A)44 Phone (area code) CONTRACTOR Street Address: SGI License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: i Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction aniv): Penalty applies when address change and lot change Is requested once permit is Issued. 'hereby acknowledge that I have read this application, state that the informal Isis conect, and agree to comply with all applicable late of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received - Yes No Not Required 8orlower Gullekson Pro erryAddless 3885 Canter Glen Lane______ _ CitIr Eagan CountIr Dakota State MN Zip Code 55123'~~' 3 ~ tender American Home Mortgage "cote 461"afor ka SURVEY FOR: R.5.K, Homes Inc. 5, Bloc!: IF, BRIDLE ^IC(L 1ST .4I1DIT[CtJ City or Eagton Dakota DESCRIBED AS Lot . ' County, l:innesota and rese:-jing easelnent~ oC reco.cl. 111 : SO 1 CANTER )<`y`.-g5 GLEN LANE ti$5.2 sY. xh ~S l ra ' \ a t ~ e ~ ,QO y/ i .h r Ib e, p 3 y h*r `0 %0,0 q~ v Q \I, ve Y ry0 rb.c #a i 1 i 1 t,` abt ,5 t,a El Fly- Date""-`--~=--f "CAN L1~iGIiiL~ I TIC D£; ! Yom' , Stoll AOOmisals (61219170083 E 1 ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN /53 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS l# OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS j(jtj 2 8 Oft AN a To Be Used For: ~~zValuation: Date: * 2 pg Site AddressQ p~ 9~ AQ-r- I C. v% L a OFFICE USE ONLY 1/- 92000 11 Lot Block On site sewage_ Occupancy - M-i MCC system _Z Zoning f PD R-1 Parcel/Sub }~C q0. ~`Qa On site well Actual Const V-N City water Allowable V N Owner S O Zy\,z-, PRV required # of stories ~ Booster Pump Length I __9¢= Address Depth S.F. Total City/Zip Code ~f \dr [ q ~~J Footprint S.F. Phone APPROVALS FEES Contractor 7 Engr/Assess Permit Sy ,DD Planner Surcharge '414'0 Address ~ - cc) r( o o Council Plan Review 00 Bldg. Off. 5g 7/1 SAC, City Ott City/Zip Code Variance SAC, MWCC a-0, 00 Water Conn 5SO,00 Phone + Water Meter (&9.00 Road Unit 3 Z.S, 00 Arch. /Engr. Treatment Pl 7-0q, 00 Parks II Address Copies;; City/21p Code TOTAL Phone # GR^ RACAL f 00 ~m T^ 598 378 X 13 = 1991y - Z X ! z ou+ 13ti 0 k y~ = 6 ~i~o 271 slareltorfs ecraficate SURVEY FOR: R.S.M. Homes Inc. DESCRIBED AS' Lot 5, Block H., BRIDLE 2 DCE 1ST ADDITION, City of Eagan, Dakota County, Pdinnesota and reserving easements of reco.d. CANTER GLEN LANE • gas? 0 8B+'3 1 Imo- ~~O c ~ S off, Ib ~ ~ \ py bar• i o~p \ ~ VJJI 110 b0 / ~ Fro / / ~ ~ i Ipb~~ 1S ~ LIsO r5 I / / ~ Io• `,t .C R I fk-- LSD Date AGAN ENGIiv:ERING DEPT PROPOSED ELEVATIONS BENCHMARK Top of Foundation . 6W,2 Garage Floor •887.11 Basement Floor-- i asssb Approx. Sower Service Elev.. 0--" MIN. SETBACK REOIREMENTS Proposed Elevations 4 p Existing Elevations . Front - 30 House Side -10 m Drainage Directions '.-W Reor -15' Garoge$We-'~ p Denotes Offset Stake M SCALE: I Inch a 30 Feet % OF) Do I hereby certify that thle survey, plan or report was prepared by me JOB NO.: 76 HEDLUND Ladder my direst sbn and that 7 am duly Registered . 181 _ Land Surveyor under r the Ma lore of the 81o1e of f Minnesota. °Q BOOK' Planning Engineering Surveying elel EMI elmniMaw rpw0, e1mMNM 10wtl~ Mrm i rN.W~+d~d Erl aaeE Bete: 4 , It , 8V PAGE: p - zc- ea Jeffr G do red, LIcMU to Id378 Nru ~Vesa plan K LXTGRIOR ENVE1.0111: AVERAGE "U" COMPUTA-moN OWNER -J S_U' d Mes S1Tl: AUDRISS O _c0.` r (C`~ 1'~ a CONTRACTOR/,,eS/I-J. DATE P11014L Determine working square footage of cacti. 1. 'total exposed will area /760.0 sq. ft. x .11 = j'(o 2. Total roof,ceiling area ......./338.0 sq. ft. x .025 = Total exposed wall area above floor = 1"1740,0 • a. Total wall window area /Of• b. Total door area G c. Total sliding glass door'area ~2. 2- d. Total fireplace wall area O c.' Total wall framing area (average 10e) 176. 0 f. Total net wall area above floor /yoy,40 g. Total rim joist area 2gje Total exposed foundation area = /O>•4 h. Total foundation window area p i. Total net foundation area above grade L09.G Determine "•U" value of each wall segment. b. V,;? L X U.. , OJ6 ' y 7 C. 52. 2, X "U.. SS ~ /.7 a = a d. 0 X u.s X "U.. 3J - - ~i 3 ......................................Total If item h3 is the same as, or le:!; than item hl, you Iave mot the intent of sue 6006(c) 2. S(p„ of y ~js. _A) e- ^ -w/ (93 bJ N °4114 Total exposed roof/ceiling area /33g• j. Total skylight area l7 _ Y.. Total roof/ceiling framing area (average 10'x • • /33•x' 1. Total net insulated roof/ceiling area 'a •2 Determine "U" value for each roof/ceiling segment.. j O X U.. v k. X ..U.. DJyr = 3.Y 1._/'q /L X "U.. C9151. 3 4 ......Total = :~~•J If total of N4 is the same as, or less than #2, you have met the intent of sue 6006 (c)1. cq,&,,, VO y ('e 0. 7) L c X ~~3•S-) "7""fPcA'` 6 ~ s9< ovt<<J/ Alternate Building Envelope Design To utilize the total envelope system method, the values establish-id by the sum of items 93 and h4 shall not be greater than the sum of items kl and 92. 3. /2S. Z + 4. L8.7 = o~ a 3 5 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemodellReoair Reoulrements 3 registered site surreys shaving sq. ff. of lot sq. it. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks 1 set of Energy Calculations AddNm - Indicate if onsffe septic system 3 copies of Tree Preservation Plan t lot plated after 7N/93 Rim Joist Detail options selection street (bldgs with 3 or less units a, Date 71 Construction Cost g0oo Site Address 3 s-&5 e A- 4,t t ~i? J Lj UniUSte # Description of Work 4CV IP,-C Y b r~ $Rm~ A S Multi-Family Bldg _ Y \~rN Fireplace(s) / 0 - 1 - 2 Property Owner to f t r - ((C w 11,5-~2 S Telephone # (0,S) )5'53 ~v Z 7 Contractor Address City ( ) State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so. 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information 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 cas of work which requires a review and approval of plans. ll~~~s A pli ant' Printed Name Applic s Signature ----------------i EaRa For Office Use Clt on i Permit#: Y Ol VIED r`Pa 5a I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 I I 1 Dale Received: Phone: (651) 675-5675 f I 1 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - - J / 008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date ` l Site Address:~n -C -(9th In fX./U 5,01 a Tenant: 4h '~seiGE u- Suite RESIDENT / OWNER Name: Phone:(? I "~y_7"~.s7 Address / City / ZiplffK ze/ 'W PE CONTRACTOR Name: 1:*w(_ 6 License 1006V ~e. Address: =f~- - - City: ~.l -SO A) State: Zip: Phone: Contact Person: TYPE OF WORK - New I Replacement _ Repair Rebuild Modify Space Work in R.U.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main Lower Level) _ Septic System Water Turnaround 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 $~7 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 ac ordance wil he approved plan in the case of work which requires a review and appro7ons. x x Applicant's Printed Name App ' ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In -Air Test -Gas Test -Final Use BLUE or BLACK Ink For Office Use I I City of Ea Permit 1 I 3830 Pilot Knob Road Permit Fee: - , Eagan MN 55122 a~ Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: al ~~0 Site Address: 363 $ c k4- 4 ~N Tenant: Suite RESIDENT /OWNER Name: A_;e it Phone: 16/- 292 _11?:S ~ Address/ City /Zip: ' ,atidCi' ~t Z^) ' wJ ,2_ CONTRACTOR Name: /~Ol~r®<,'.ay ,~-Goalr~ License Address: + ~ur-~ ~°aae ~ city: Stater Zip: Phone: S"/- Y-dS'' .3 Contact: AW Email: riti A4Jz;qj of Cu TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: + NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed - Air Exchanger Gas _ Exterior HVAC Unit - Heat Pump _ Under / Above ground Tank Install / _ Remove) Other when installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.org 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. x ©/1r1 fst0/II~ri1 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough in Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA164253 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 3885 Canter Glen Lane Lot:5 Block: 16 Addition: Bridle Ridge 1st PID:10-14996-16-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Mark L Spurbeck 3885 Canter Glen Lane Eagan MN 55123 (612) 581-5885 Northface Construction Llc 657 Main St NW, Suite 90 Elf River MN 55330 (763) 433-2269 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177133 Date Issued:06/16/2022 Permit Category:ePermit Site Address: 3885 Canter Glen Lane Lot:5 Block: 16 Addition: Bridle Ridge 1st PID:10-14996-16-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Mark L & Rebecca C Spurbeck 3885 Canter Glen Ln Eagan MN 55123 (651) 341-6643 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (952) 930-3777 Applicant/Permitee: Signature Issued By: Signature