4577 Cantebury CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4577 Cantebury Cir
Lot: 202 Block: 2 Addition: Ches Mar East 1st
PID:10- 17150- 202 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Permit closed without required inspection(s). Letter sent to applicant on 12/9/09. (pi)
Owner:
Gina Mac Nicholls
4577 Cantebury Cir
Eagan MN 55123- -190
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA089171
05/14/2009
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
CITY OF EAGAN
3830 Pjlot IGnGb Road
P. O. Box 21199
fagan, MN 55121
Zoning: KZ ..
Owner. Bii_?.... ?----
Address: -
Site Address:
Pfumber: ,_._
Meter No.: _
Size:
Reader No.: ,
WATER SERVICE PERMIT
y(;':qs
PERMfT NO.:
DATE:
No. of Units: 'w up @x
1 agrem to oomply whh !he City of Eoqan
Ordinancss.
BY -
Date
of Insp.:
Cannection Chorge: '' { "• ?? r-
Accourrt Depostt: :)` p
0• P
Permit Fee:
Surchnrge: ' 50 F
Misc. Charges: • P mg eT
Total:
Date Patd:
i CITY OF EAGAN
? 3830 Pi1ot lCnob Road
! P. D, Box 27199
II Eagan, MN 55T?2 ,
Zoning:
Owner: _ B ilie Coztet
I Address:
5ite Addi
Plumber:
1 e9rea to complY wilh Uw Cify of Eagoa
Ord'+naneos.
BY
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
NO. of Units: ',+. duF?leX
Connectian Charpe: 425,. 00 pd
Account Depostr: 15. 00 pcl
Permit Fee: 10. 00 pd
Surtharge: - • a0 pd
Misc. Choroes:
7otol:
Date Pald:
CITY OF EAGAN WATER SERVICE PERMIT
3830`Pilof Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan,MN 55'7 DATE:
l
Zoning:
?
'' No. of Unirs: `
ans
?
a31ae
OwneF:
Address:
4517 Site llddress: aa?? uiy rC ? ? ?
Plum6er. ?uC ue ?? ?
Meter No.: Connection Chorge: ?
Size: ACCOUnt Deposit: ? p
Reader No.: Permit Fee: ' P
I agroe M eomply wi!h ths City of Esqan Surcharge: ?
• • ? m? ?r
O?dlnenea. Misc. CFarges:
Totai:
8 Date Paid:
y
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road '
P. O. Box 21199
Eagan, MN 55121
Zoning: ,
Owner: 11.019.1iE: CUtiBt
Address:
Sfte Addi
Piumber.
I ayoes to eanplr w1lh Nha G!y of Eegen
Ordlnenees.
By
Dote of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: 1_. f --f? 4
N0. of tJnits: du2l---'
Connectlon Charpe: 62-5• 0a pd
Account Oeposit: ?(5. D• p .
Pe?mit Fee: ? . 0 n' ?
Surchorge: '.`.
Misc. Chorges:
Total:
Date Putd: _
BUILDING PERMIT
mm
CITY OF EAGAN j•;; ;93,54
3830 Pilot Knob Roed, P.O. Box 27-199, Eagan, MN 55121
PHONE:454-8100 (
Receipt #
DLJP/GAR Est. Value $57f 000 Dare 19
Site Ad
dre?s 4577 CANTEBURY CIR Erect u" ,-,X Oc?pancy R3
Lot 1 Block SeC/Sub. "- - j Remodel ? 2oning -
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name BLILIE CONST Move ? l.enyth X!?2 36
z SUPERIOR CT Demolish ? Depth 4 6
Address 4 54-14 3 8
E c'AN Grade ? Sq. Ft.
City Pnone
? -------?- ?---
i o Name
O? Address
Citv Phone
City
tave reod this upplicotion ond stute that
id ogree to wmply with oll applicoble
ond City of Eogan Ordinances.
Signoture of Permittee
A Building Permit is issued to:
oll work sholl be done in occa
Buildinfl Officinl.
Assessment Permit • 00
Woter & Sew. Surchorge 28.50
Potice Plcn check 152.00
Fire SAC 525.00
Eng. Water Conn. 470•00
Plcnner Woter Meter 63 . 00
Council Rood Unit 260.00
Bldg. Off. Parks
APC Total . , • 0
Var. D,ate
on tha express conditlon thoi
ond Ciry of Eagon Ordinances.
Permit No. Permk Holder Date
PlumBing
H.v.A.c.
Electric
Softenar
Inspettion Date Insp. Other
Footings
Foundation
Framing ?
Rough Plbg. ?
Rough HVAC
Inwl?tion
Final Plbg.
Final HVAC Q. ?
Final
Cert/dcc.
Water ??ibe Location:
NeII
Sewer
Pr. Disp.
Heceipt'! MECHANICAL PERMIT Perrnifi No,
CITY OF EAGAN •
Fee
Fil1 in numbered spaces S1C
` Type or Print legibly -
„
} 1. Date ff ' 2. Installatian Gost
?:_ • `
?
, . , .
E 3. Jab Address ?Lot Blk. ' firacf
4_ Owner
5. Contractor Phone
6. Address
i
( 7. City State Zip
? 8. Building Type: Residential f? Commercial El Institutional 0
9. Work Description: New ? Add ? Alter ? Repair ?
I
? 10. Describe Fuel7ype
11.
I
No.
' Eauinment STU - M. Ea.
Forced Air ' No. Epuipment CFM
Air Handlin
:
f f;?
Mfg. • ? -- - ? " g
Boilers
Mfg. - Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
I Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
, ----
` for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Q (rc???
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN •
L?1 Fee ?
?
Fi!l in numbered spaces S/C
Type ar Print legibly ?
Tot.
N
1. Date 2. Installation Cost ?
j,, /, ..
3. Job Address '7' to??? Blk. Tract ':?-'.?•' :` -
, i
4. Owner
5. Contractor Phone
fi. Address / f ? %` • / ?fr>?r ?
7. GitY State ,???f-'.•: ,-? Zip _ ! 7 ?.,r
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter O Repair ?
No.
, Fixtures
Water Closet No. Fixtures
Cesspool /D rai nfield
f Bath tubs Septic Tank
? Lavatory
5oftner
? Shower
We11
? Kitchen Sink
Urinal/Bidet Qther
! Laundry Tray
Floor Drains
Drinking Ftn.
' Slop Sink
Gas Piping Outlets
12. I hereby certify that the above informatian is true and correct, and I agree to
comply with all ordinances and codes gaverning this type of work.
Signed:<<?/ - 2?-_--_?`?. for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
GITY OF EAGAN 9355
. ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # S .?--
To 6e rud for 1/2 DUP/GAR Est. Volue $57,r 004 Date JULY 30 , 19 ?4
Site Address 4583 CANTEB[1RY CI;' Erect L ?, Occupancy R3
•
Lot 19 Block z Sec/Sub. CI?B!MAIA'L" iST j? Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stori?
5 Name $LILIE CONST Move ? Leneth 46
z 644 SUPERIOR CT Demolish ? Depth
Address 1-- EAGAN 454-1438 Grade ? Sq. Ft.
? Name SAME
6? Address
? City
?W Name
=Z Address
1 hereby ocknowtedge thot I have reod this applicntion and stote that
the informotian is mrrect and agree to camply with nll applicable
State of Minnesata Stotutes and City of Ea9an Ordinances.
Sipnuture of Perrnittee
BLILIE CONST
A Buifding Pertnit Is issued to:
pll work sholl be done in aecorda4e-w .h nll oppliaobla ' t te of Minneaota Statutes ond
f
8ufldirg Official j_C,.- f _' r ' - - _
,
/lssessment
Woter 8 Sew.
Police
fire
Enp.
Planner -
Countil
Bldg. Off.
APC
Var. Date
Permit "'z • v"
Surchorga 28.50
Plon check 152.00
sAC 525.00
Woter Conn. 470.00
Woter Meter 63.00
Rond Unit 260.00
Parks
Total $1, 802-750
ie axpress Coe+dition that
:oyon Ordinances.
Permit No. Pertnit Holder Dete
Piumbing ?4 ? Y ln c?C u k LL,4 I 'G 4
H.vA.c. t. r, S anj ? 1 - r (-q Y ??(? -13 r o
Electric Y Ck Tt • . +-( o
softener
Inspection Date Insp. Other
Faotings o
6 p
Foundation
Framiny
Rough Pibg.
Rough HVAC ?? ? ?
Insulation ?f
Final Plbg.
Final HVAC
Final ?O
33
COrt/Ooc.
Weter Descri6e Location:
Well
Sewer
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
GITY OF EAGAN
Fee
Fil1 in num6ered spaees SIC
, Type or Print /egibly f ;
? r Tot. -? j ?
.?
1. Date --? " !r 2. Installation Cost
3. JobAddress ?`?% ? ?? ?'"• '-? }'` Lo??81k. ?- Tract
4. awner v?.??.?---2.
J
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential (2"" Commercial ? Institutional O
9. Work aescription: New ? Adcl El Alter ? Repair ?
10. Describe '-' y%? 1:•'? Fuel Type,yZ?
No.
-
/ Eauinment 8TU - M. Ea.
?,
Forced Air - '•'?•""'''- -
- -, No.
- Equiqment CFM
Air Nandling:
.,
Mfg.
Bailers ' u
Mfg. Mech. Exha
st
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the abQve information is true and correct, and I agree to
comply with all ordinanQes aqd codes governing this type of work. ,
Signed: for
Rough - Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Recei
t PLUMBING PERMIT s
Permit No
p .
CITY OF EAGAN 3
Fee
fil/ in numbered spaces
Type or Prini legibly S/C ,
Totao ? ?
.
7. Date i S/ ?r 2. Installation Cost • -
t
3. JobAddress <<?-,1LotBlk.
? Tract 1 -61;:
! ? ?/ ' !
4. Owner F
?? • $ a
r
5. Contractor Phone
6. Address Av ,i
7. City State ZiP
8. Building Type: Residential [e? Commercial ? ?
Institutional ? `'?
8. Work Description: New.LJ Add ? Alter ? Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
? Shower -
Wel I
` Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correCt, and I agree to
comply with all ordinances and codes governing this type of work.
n .,
Signed : r: rY._` •;?..:?.. :G:?':
, for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-8100
CITV OF EAGAN
Addition
Owner ?
Lot 20 Blk 2 Parcel 10 17150 200 02
Cantebury Circle State Eagan, MN 55122
? , -
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 262.23 A014805 11-1-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL
WATERMAIN
*WATER LATERAL
WATER AREA --
STORM SEW TRK 5[i --
*STORM SEW LAT 1991
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 470.00 n if
6UILDING PER. ii is
SAC
PARK
CITY QF EAGAN Remarks
/addition T FIRST DN Lot 19 131k Z Parcel lU 17150 190 02
Owner 7.lfX . Street 4591 CantPhi,ry Ci_rcle State Eagan, MN 55122
Improvement Amount Annual Years Payment Receipt Date
STREETSURF. 82 1 1.0 262.21 262.23 A014804 11-1-84
STREET RESTOR. r
GRADING
SAN SEW TRUNK
1981
290-00
56-00
*SEWER LA7ERAL
3395-18
679-04
WATERMAIN
* WATER LATERAL 1981
WATER AREA s-/D --
STORM SEW TRK 1981 351 0 --
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 #45042 7-31-84
WATER CONN. 470.00 11
HUILDING PER. #
9355
SAC 525.00
+?
?s
PARK
i.?
CITY OPKEAGAN
3830 Pitot Knoll Road
P. O. Box 21199
Eagen, MN 55721
Zonir?g: IR I
Owner: 81fl3
Address: ? Site Address:
WATER SERVICE PERMIT
PERMIT NO.:
QATE:
. tdo. of Unirs: d1uP ex
¦
Meter No.: ? tL?E"""- ?nectian Chnrge: `t ' v : vv ?,u
5ite: /r
1 LI.?- ??
Aooount Depnsit:
p
Reo No.: Permit Fee: 10.00 p
I dgree to compgr wilb t6e Citp of Fagon Surcharge: •50 p
Oedinoeeas. Misc. Charges: 63.00 pd met:er
Total:
By 4 Date Paid:
Dcte of tnsp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMlfi
383ii F ?` t [Cnob Road
P. O. Bo'?x 21179 PERMIT NO.:
Eagan, MN 55127 DATE: r' "6`f' 4
Zonin9: R2 - No. of Units: . up ex
Qwner:
• Address:
-
-
to Address: 1, S 7• 0% L' B._ t.,Yle^ .....1Y E ITY
ber:
-
E
eter
r
9
?A(??p?fa?fection Chorge:
?+?rfl• ?Jl?
PCi
R
Size:
,, ' Ac?unt Deposii: 1.5.00 pd
Reoder No.: Permit Fee: 1.0.00 pd
I agne !o wmplp with ehe City of Eagon Surcharge:
U
.5
pd
Ordisaecu. Misc. Charges: 63•0'C) pd raeter
Total:
By Date Paid:
Oote of Insp.: Insp
;
,
This request vaitl
78 mon[hs fmm
Aj G847u"?i.ao Eke, iha.f l,cr-
Request Dat
Firg No. Foagh-in InspecLOn
Re urtedt
?Ready Now dl Notrty Inspeo
= es ?No ?orWh¢nReady
Llceysed Elec[ncal Convactor I hereby requast inspection of above
Owner electncal work inetelled aL
Street Address, eox o oute No. Crv
-?
action o. ownship Name or No. Aange a. Caunly
Occuoa (pBINTI Phone No.
; ? --/ 3
Pow Su lier Address /
!
EI ncal Convact? ompany Name) Cont ctor's License No.
cRA--- t7 3?s-S'
Mailing AdJress ICon ctor or wner Makmg Instailavonl
l cd"y
Auffior' d Sienat r Contractod0 n ki g I stal tion) Phone Number
F'?Q ,3
q-/i•gYr
JVa.5v
61
`?' I /
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION NEUUEST WILL NOT
Grigga-Midway Bldg. - Room N-191 BE ACCEPTED BV THE STAiE eOARD
1827 University Ava., St Paul, MN 55704 UNLESS PflOPER INSPEGTION fEE IS
Phone (612) 297$111 ENCLOSED.
3?8?9 U 90.;a `J
F 14 7 60
Requast ?afa
?? ??? F No Rough-in inspection
Requiretl?
Ready Now ? WAI Nohy Inapector
Wl
R
d
7
? Ves ? No ian
ea
y
10 licensed contrador ? owner hereby request inspaction of above electrical work at:
Jati AdOrees (Sshe?et?? 7Box a No
<! Gb p
G
SBMron N. TownsMp Name or No J Range No Courity
Plq No.
POW¢fS IBf ? /14tlIB55
Ele ' ontrector Compayy?am9) Cpnracirn5 License No.
1
M1elling Address (COntractor ner Meldn9 Irefa n) ?
3 S? ?
Au"zed naN ( traclpqQvnetM ' IB1 Plione Number
O
MINNES TE BOARD OF ELEC'fNICRY THIS INSPECTION REQUEST WIIL NOT
GrlggtrNidway Bklp. - Room S173 BE ACCEPTED BV TNE STFTE BOARD
1821 Unlvpgity Aw., St. Pauy MN 55104 UNLESS PROPER INSPECTIM FEE IS
Phone (612) 662-0800 ENCLOSED.
31
8/50
F -14 6 0
REQUEST FOR ELECTRICAL INSPECTION
? See 4ssUUChorts Ior cempleunB Mis torm an back oi yellow mpy.
JC°Below Work Covered by This Request
N- E/B-00001-07
9" o, -?, 3-
e Atld Rep. TypeofBuildirg AppliancesWired EquipmeirtWired
Home Range Temporary Service
Duplex ater Heater Elechic Heating
Apt Building Dryer Other (Specify)
Comm./lndustrial I-arnace
Farm Air Conditloner
Other (apedty) CoMraciak Remarks:
Compute Inspection Fee Belaw:
# O[her Fee # ServiceErrtranceSize Fee # Circuiis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Amps
Signs irepectora use any: ?, 70TAL s
Irngation Booms ?_
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby RoU9n," oe?a
certify Mat the above inspeclion has
been made.
?
-?
OFFICE USE ONLV
Thm repuesY Wid 18 monlhs imm
??5
Request Date
'. ire No. Rough-? InapeGion
Required.
? Yes ? No
eady Now ? Will Nopfy Inspecia
1Mien Ready7
10 licensed cronVactor ? owner hereby request inspection of above electrical work at:
Job Adtlr Slre¢t, Box wte No.) ?-" "`r -` Crty
SecYOn No. TowrrsMp Name or Na. Range No. Caunry
Occupent(P T) ? ? Pho. _IV3
Power her Adtlress
Elec4ica hacto (Cpnpeny,Wawe}?
' .?" ?^.?.
W ?"?? aclor§ Lwen/se ?No.
l1J ? I
Mlaiin AdMeas ( Vactrn or Owrrer Malu
I l?Zo Inalellalion)
8?'
s3 33 7
' Authmfetl 5 ( niractar/Ownar Meking I
' Phone NumCer
No -31
MINNESVFAIINTE BOAPD OP ELECIPoCfFY THIS INSPECTION NEQUEST WILL NOT
Grigga-Mitlway BIAg. - Poom S1T3 BE ACCEPTED BY THE STATE BOARD
18R7 Unhersity Aw., SL Paul, MN 55104 UNLESS PROPER INSPECfION FEE IS
Plwne (812) 862-0800 ENCLOSED.
3/8/Sa
F_14Z61
REQUEST FOR ELECTRICAL INSPECTION
k? See instrucnona far completlng this lofm on badc W yelbw copy.
X"Below Work Covered by Tflis Request
E&00001-0]
~ c//v
w Add Rap. TypeofBuiltling AppliancesWiretl EquipmerrtWired
Home Range Temporary Service
Duplex )PIater Heater Electric Heahng
Apt. Bwlding Dryar Other (Specify)
Comm.Mdustrial Furnace
Farm Air Gonditioner
OnMr (specM) Contractor§ Remeft.
Compute fnspection Fee 8elow:
# Other Fee # ServiceEMranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 m 100 Amps
Transformers Above 200 _ Amps A Amps
8igns Inspector5 use onry:
Irrigation Booms
Special Inspection ?
Alarm/Communication
O[her Fee
I, ihe Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn.n
Final owe
oare
/
OFFICE USE ONLY
This request wb 18 momhs Irom
ThisrevuesI void U?^I'60 76 mon [hs trom -t.Y`\' K. lcl.UO
7 V l,, I /? ry ?.r /?
/? 41,:1.?1'rl 1 I??s/? C... `.fA 'C t?S.J2
ra
Repuest te Fire Na. Hough-in
fleaw ed? InsPection
?Reatly
Now W-II NnUty InsPec-
'? ? L/?? es ?NO r WRen Reddy
.;n< icensed Eleclncal Contractor 1 hareby request insDeccion ot ebova
? Owner electrical work instelled at:
Streeess
. Box 95 Route No.
/?
.?
Cnv ?
3 ?
?%K/A. `
ecbon o. Township Name or No. ange No. CdLLty
Pt
Occupant (PflIN 1 ? Phone o.
-1 3
er Su lier Ad ress /
a
Elach ontre tor (Com?wy..C?amel Cont,tor's License No.
O ,3 ?i 3
Mading Address (Contr or or Owner Makiid Instailation)
ss?3
AWhor ed Sie mre C ntractor O aki g 1 stallation) Phone
be
C ? ?
-3/? ?
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOAXD OF ELECTRICITY
Grigge-Midwey Bltlg. - Noom N•191 BE ACCEGTED BY THE STATE BOAFlD
7821 University Ave., St. Peul, MN 55704 UNLESS PpOPEN INSPECTION FEE IS
Ph...n 16121297-2711 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION " EB-OOOOIAA
yellow copy.
' See instructiens for completim Ihis torm on hack of q-ft
qtj( 0
A???_?-?? "R"" Below Wnrk CovEred by This Request
?AAd Ne of 8uild Aooliancas Wired EquiWmenl Wired '
Electn
Bul
k Fea ServiceEntraneeSize q Fee FaedersBubfeetlere b Fee Cvcurts
U to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qm ps 37 to 100 P. 31 to 100 Amps
Swimmin Pool Above 100_Am s Abo e 700_AmPs
Trensiormers Irrigation Booms S-0 Fa tial.'Other Fee
ia l
_ -}?/y I 7' 1 J"w IlInspector, heraby
G??-1?"??7-? ? yeyt ity thet the above
Final Z. 0?te i _ 'Woec[ian hasbenn
FLOT PLAN
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ddust show Incotwn of straets, lot and proposed buildings, give lot dimensions. (Lot comrrc ^
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?`. CITY OP EAGAN N9 9354
? - i 3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan, MN 55121
' -4 PHONE: 454•8100
BU ILbING PERMIT Recelpt # 7"
Te 6a wad Fer 1/2 DUP/GAR Fst. Value $57,000 pate JULY 30 _ 19 84
SiteAddress 4577 CANTEBURY CIR Erect ?x Occupency R3
Lot 20 Block Z Sec/Sub. CHESMAR E 1ST Remodel ? Zoning R2 -
Parcal No. flepeir ? Type of Const. V
Enlarge ? No. Stories
W Neme BI%ILIE CONST Move ? Length= 36
=
r?g 644 SUPERIOR CT Demolish ? oepth ?_
? CaY -EAGAN phony 454-1438 Grade ? Sq. Ft.
? SAME Approvolt Faet
z? Name
Asseument
Pertnit
304.00
.V? Address
Wofer & Sew.
SurcMrge
28.50
City Phone k 152
00
GW
?uZ ; Name Police
Firo Plon chec
$AC .
525. 00
.
H Addrass Erg. Wofer Conn. 470.00
W' City Phone Plonner Wofer Meter 63.00
.(
1 hereby acknowledge that I hove read this applicotion ond stote that
the inlorinotian is wrrect ond ugree to comply wirh ali applicoble
Stote of Minnesoro' Stotutes and Ciry of Eagan Ordinoncea.
Signaturo of Pertnittee '
Cauncil
Bldg. Off.
APC
Var. Date
Road Unit 26f) - 00
Parks
Total
A Bullding Permit is iaued to: BLILIE CONST on the expreys cond;tlon tha,
GII work sFwll be done in accorda wi II aDDlito le St of Minnesota $totutes ond Ciry of Engan Ordironcas.
Buildinp Off ftial,. p0 _G .e.e-0.m1?
?
o . .
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
' //? f G?? INCLUDE Q SETS OF PLANS,
Upt ? y 0 CERTIFICATES OF SURVEY
?Up,P- 11 SET OF ENERGY CALCULATIONS
To Be Used For: ?
Valuation: S1,000--
Site Address: 4-rj17 flr?ZEI Q? Q?CQ.? I
f
Z
Lot:?O. Block: Sect/Sub: ?(i,Erect: x
Parcel #: &; .r-sr
Owner:
Address:
City/Zip Code:
Phone #:
Contractor: ri I i e (?-a ,,o
Address: (,e44_ ?y?
?
City/Zip Code: ?'M
Phone #: !f'S q- j
Arch./Eng:
Address:
City/Zip Code:
Phone#:
Remodel:
Repair:
Enlarge:
Move:
Demolish:
Grade:
nate: 'J-y,(D Q`1
Occupancy: ? -3
Zoning: 12-2
Type Of Const: ::Z
$ 5tories:
Length: ? Z
Depth: q ?
Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit: ?604
Surcharge: ZS.S`
Plan Rev.:
SAC:
Water Conn:
Water Meter (03
Road Unit: 2fmo,
Parks:
? ?? ??a' S a
1 c? x 20 = 3 2o x 4( = I 3120
14?x 30 = 4zo ?cs4= Zz??o
Z9 4- x 54 - I 5 g 7 C?
Zo x 22- -
q-4,0 X II - 4-8 Qc,
7
$?'?_. ? • '/i?? . . . , .
. . ? . Ol•1NER
SITE ADDRESS
COIVTR/iCl'OR _
1-
? 1
2
Detcrnine "U" value cf each wall segment.
a. .12-3y X liull •t?7 = I49.9??
b. x "U„
C. •X l.ul, 3440
? d. - x iluli
° e. X DIU,, , O?s
' f. z °ul. , 05' = 7y?z7
x „?„ , Qy = S-?o
h. ` X Hull _
? ;. /6b x „u„
s? 3........ ...................... ....... Total = . Z
If item n3 is the same as, or less than item fl, you have met tfie intent
of SBC 6006(c)2. .
-- ??
. ' . , ' . - . ..4?
u EXTERIO: F.pYELOPE AVEP.ACrE "U" C014PUTATI0P1
-Ys77 e%PV7r5W ?i.ete
?
DA7E 71YOlW PNONE 5??rr/'-/y3b
Determine wori:ing.square footage of each.
. !!
Total exposed a1a71 area ..... sq. ft. x•dtts = 31G-/?
Total roof/ceiling area ...... /9D( sq. ft. x'.ax?
?
Total exposed wall area above floor
a. Total wall winjow area ........................... a23
6. Total door area ... ............:.............. S. S
c. Total stiding glass door area .................. -?---
d_ Total fireplace wall area........................
-
6. Total wall f'raming area (average lOn)...:........
f. Total net wall area above floor ................. /F7 S6-?6
g. 7ota1 rim joist area . ....................... -210
Total ezposed'fauaidst;on area
-
h. Total foundation windoti•i area......................
i. Toal net foundation area abeve grade .......:.... /6?
`Construcrinn R-Value
1. in = jz'- ti'-m--- ---•--
?' ---?- "l
2. ?
ya? , f?5
3. '?.. i':c+??'Y
^
4.
?? --- - -
-,
-?----
s. r??% ?.???-?_.,. •??
6. Extvri;rr air :ilm 0.17.
-- ---- _ t,t.?l
•
1. Intcrior air fi7r,
2,
3.
4.
5.
6.
0.68
1. Interior air Film 0.68
2.
3. / ` orr~ /. 88
4 . ? - ,.Or.
rit???.
6. Exterior f flm 0.17
Totni ?T,t ?16
• 4r- ' dr#.
1. Interior air film 0.68
2. P/ 9J15We%`' , 2G
• s.
?it;.•?r f
/24
,?S'?,CdG _
/.2.?
' 4.
J
S.
' G. Excerior air film 0.17
. Total Ir ?9
a=? , I`',
i GRADE
PAZ? ` .
i
, .
/? t ? ? . • '
/l1 • ' . . IfJ^
FIG. H4
f(t k 6• f'f' • ` C. K
' jLt /l1 ? I!! =
NOTE: Indicate tyno, "!:^ value; denth and
plaaenent.of insulation. . '
,tiev.;c?F"q ?H ,?``,?.?,?+.i'i .\",-. . • ., _ . .. " ,?.?:,?i:.: 4'
? .... ..... ....4
v4cr 15% of,apayum wal,l.area.for ?
framd caistrucfion
23, u.3
w. , . .
•: :
;; .'•: • ' ROOL'/CEILING
, ?. .?.
. . -•
.??
,,u;T /?,Ulll
\??V
Ventad .
i1.?.?.:YilCttiiJi11it1 j
`:./
Heyt flow
' up •
FIG. NS
' Construct.ion R-value
1. Int::ri21• "ir film 0.61
2 . 8 ? D.fUAI • 5'd
3. ???fGGliL?l? 3& AO
$. F.xtoxior air fi:m (.^.tiil 0.6
Total
?. ?
& : , d.?T
1. Interior air, film „ 0.61
2. /
3.
4. Er.teriur air ilm sLiI'f')? CrGT
- Tutal
1 Y.eat flow up
kIG. #6
•?,., r :r.'•_? 4 .
? 5.
? ?? ` . • ?
` . •
HO:J-VENTED ? NotcUse ndditionil shecta if more spacQ is
rte3ded for cletails ajid calculaCions.
• , : ??.He;C • , . "
.:='flov up .. • , . , . -? : ' .. -
Pr.r. !7 • . '„ - ??,?,.a: R`
. x. .. , . . ,
_ ? .,:.. .
t .. . , . , x.
_ ; vented
.?
.?
4r.
Total exposed roof/c^iling area = /9194o
j. Total sky]ight area.............................
-
k. Total roof/ceiling framing area (average lOb).. 1 7/S.?
l. Tota] net insa?aied roof/ceiling area...........
Determine "U" value for each roof/ceiling segment.
j. • X lluii _
k. xiiul.
X "U„
4 ................... .............. Tota1
.- . ,
;
?-. ,..
lGSn ,,; ?,,
If total of R4 is the same as, or 12ss tnan ;2, you have met the intent of
SBC 6006(c)l.
Alternate
io utilize the total envelop
sum of itzms ;`3 and ;;3 shall
3.
Building Envelope Design
e Systen rethod, the values established by the
not be greater than the sum of items ;1 and ;2.
+ 2-
+ 4. 7. S' f
t
CITY OF EAGAN N? 9355
•? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100 ^
BUILDING PERMIT eeceiut .# S° ?--
Te ba uwd fa' 1/2 DUP/GAR Est. Volue $57,000 Dare JULY 30 , I q 84
SiteAddress 4583 CANTEBURY CIR • Erect oca,pency R
Lot 19 Bl ock 2 ?ec/5ub. CHE$MAR E 1ST Remadel ? Zoning
Parcal No. Repair ? Type of Const. V
Enlerge ? No. Stories
? Nam? BLILIE CONST Move ? Length X ?-
; Address 644 SUPERIOR CT Demolish ? Depth 46
,
b pity EAGAN phone 454-1438 Gade ? Sy. Ft.
o Name SAME
? Address
?
City Phone
W Name
f
i
?- Address
,
?
? W { City Phone
Approvah Faes
Asseument
Woter 8 $ew.
Police
Fira
Enp.
Planner
Council
Permit ' +S 304.00
Surchorge 28.50
Plen check 152.00
yqC 525.00
Woter Conn. 4 7 0. 0 0
WoterMeter 63.00
Rood Unit 260 _ 00
Parks
Taal $1.802.50
I hereby acknowledge fhat 1 have read rhis application ond stote that gldg. Off.
?the inlormation is corrett and agree to wmply wilh oli opplicable APC
Stote of Minnesot6 Stotutes and City of Eagan Ordinonces.
, . . . . • . Var. Date
Signature of Permittee I
A Building Permit is issued ro: BLILIE CONST on tMe express conditlon that
all work ahall tie'done iq accorda w cll applic9GW-5Tpt? Minne? - wt?es ond Ciry of Eaqan Ordinonces.
Byildinp Officiol
n
,
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
? INCLUDE Q SETS OF PLANS,
•? - Cj 2 S? Q CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
OU
To Be Used For: ??2 DCiL. L7f?12, . Valuation: 5-7,(-W Date:
Site Address: L}-r`'J"g3 CAhlTcbu2Y(-4 P4 LE • •
Lot: 19 Block: '?- Sect/Sub: ?,NES MAI2 Erect: x Occupancy: ?Z-3
Parcel #: e-AST ISr Remodel: 2oning: -7?
Owner:
Address:
City/Zip Code:
Phone #:
Contractor: 5LILfG LONS?-:
Address:
City/Zip Code:
Phone #:
Arch./Eng:
Address:
City/Zip Code:
Phnna3k •
Repair: Type Of Const:
Enlarge: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
3<0
4 Cv
Assessments:
water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permi t : 3b4
Surcharge:
Plan Rev.:
SAC : 525. -`
Water Conn:
Water Meter (03.°-°
Road Unit: 2lo0•9-0
Parks:
? i)s oa-sa
SITE ADORESS
CONl'RI1C1'6R
a-. ..
4? ?J7 DATE ?30?f?i'' ptiONE
Determine tirori:ing,square footage of each.
. ?! .
x
x -ar.
1. Total exposed wal l area .. . . . . . Sq. ft
2. Total roof/ceiling.area.. sq. ft
? . .
Total exposed wall area above floor
'
•6. Total ?aall framing area.(average lOM)...:........
f. 7otal net riall area above floor .............:... 56. 6
g. Totai rim joist area . .................. ,.
? 7otal ezposed foundat?cn area = /(??
a. 7ota1 rrall' windo:a area ........................... e?,3
door area ... ....... .... .. .. ...... ........ _ 7S.Si
c. Total sliding glass door area ....... . . ....... ...
__g(??_
bd. . Total Total fireplace wall area ........................ -
h. Total foundation windoti•r area .....:............... -
i. Toal net foundation area aheve grade ...........:
Detenine "U" value cf each wall segment.
X ?, v ,z117 /pvq?
. b. ? 75-5?1 X „U',
c. ?ag •X llul.
d. -- X tluji --
?? . X "U" , D? - ?,?• y'?
. .
t.
??sb.f16
x
"u" • e?
= 7S'??7
9• x
h. - X 'lull ^
Z-Z
-
?
/649
X
ItU,.
?.?. 3......... , . , ............. .....7otal = . Z
"`° If item.n3 is the same as, or les s than itcm.til, you have rret the intent
-- " of S4C 6006(02.
s;;,
• ..... . .. . ....e .
CF: ush 1? of opaquowall_erda`tcr
f=ame coustiuciion
:ci:?-=_ t t .,--..t n •
wil
'. I ..
;?M1,
"?. BASIC`.- ------
'?t•?, 47ALL
?-
?€`
, ,.
FIG. $1 TOpVIEW OF
FRAtiE wAr.L
?
?. ?
FZG. #2
..
. . . . , s•
. . ?. '??
'C?-L'0119tLOCtfOA UC- .
a[-47 f iji"-------_- ----??'-?''15 "-j -
3.
.8?
41
4.
- ?
.
5• ?l? ?J?GS?C,L-._?..? 142
.
6. iilm
Extur-,r it:
-
• ?? . ??
./y. Tf?
> :-
...
:
?
1.
Interior air
fi7.m 41_ ?U.
O.GB
2. /'? >L?f/lN?".' ': 2G
3. /2'
4.
5.
6. Exterior air film 0.17
•rocal ? ;,p
14,
SI.AS ON GRTDE,
• . ? • ? ?.
.C1A'L?F rr 'f . ? , V-:5 ea s. x
• /cl/ll c Itl c ur ? ? `
NO'CE: Indicate tyoo, "!:" value; denth and,:.:
placenent of insulation.
a-
i? `
;? .
a:•.
r..
' Vented
t;
x.,
s.
;
?: . .
?
Heat Elow
' up -
FIG. NS FIG. N6
3 ?
,?.
....??• ^??:
`, .
HON-VL'NTED .
. ' flos? up .
` Coriatruclion, R-'?aiue .. .
1. Interior air Flitn - ' 0.62
2. df^Y7 " p',?lJi1! • 57 . .
3. /0_'?FGG//L?Pl? .38 PO .
4. Ext(,xior air fi:m (^[i11)?0.Gt To[al
??r ?.
1. Interior air film y.. 0.61
2. J
3. 4. Er.tcrior ilm sti ^
Total
i.
z.
s.
4.
5.
NoLc: Use additional sheuts if more space is
neaded for detaila and calculaeions.
. ,
Frr,. 1!7 •
xoor/CEILI1aG ?
I Y.eat flo4; up , ; vanted
?r.; : • , .
?;? ;'' : : •
'. ?..
,,:,.. .
,.
r r;.
?
x,
h
s;
ir..,
INfi,..
..?.:_..
. ? .
Total exposed roof/ceiling area
j. Total skylight area.............................
k. 7ota1 roof/ceiling fraining area (average lOw)...?
1. Total net insulated roof/ceiling area...........
Oetermine "U" value for each roof/ceiling segment.
j, x O,U„ _
k. g?.Ujl , 8.2? = S!• 9fu
X aull ,e? •; = U?. O4
4 ...............:...:..............Tota1
.5"
If tota7 af 44 is the same as, or Tess than ;2, you have met the intent of
56C 6006(c)l.
Building Envelop2 Design
e syst=n retnod, the values established by the
not be greater tfian the sum of items 711 and ;Z.
+ 2.
+ 4. '
=" = 3
Alternate
.=
7o utilize the total envelon
su+n of items u3 and ;'3 shall
1.___ x/(o./'S''
3. ?y,?l 7i2
?
New Con ?cHo?eau?meMs
i 3 regbtered ske surveys shawing sq. fl. W bt, sq. B. of house
and gg rooled arens (2,q71 mmdmum bl eoveraae allowedl
? 2 copks oi plans (sho!t• beam i window she:; poured Ind. deilgn; s1c.)
D 1 fM of energy calculaMons
D 3 cak;ca of 4ee preservaHon plan tl bt plaMed aRar 7/1 /93
DATE: ?A"f
DESCRIPTION uF WORK: T?I'4D?;C14CX00r-
STREET ADDRESS: `t 5 /" / -
LOT: a- U BLOCK: ? SUBD./P.I.D. k:
Name: Phone #• _
PROPERTY Lad Firit
OWNER
Sfreet Address:
C11y Stale: Zip:
Company:UN1]i o/VA,?96W 604,577 Phone #: (o 75 (area code)
CONTRACTOR
Sheet Address: ?Z C) 1v,1?VV1;4P04-! S,411tiVlAO,? Ucense # ZL?b36 / Exp. -341-0-0
city 1P'Iiiviv?71j'STW State: Zip: 553(-4,
ARCHITECT/
ENGINEER Company:,
Telephone #: area code ( )
Name:
StreeT Address: Registration 1k:
CHy
State:
Zip:
Sewer 3 water Ilcenaed plumber freauhed (or new eonslrucflon on
I
PenalFy app0es when address change and bf change is requested onee permR is Issued.
I hereby acknowledge ihal I hwe read 1h(s applkaHon, stafe fhat ihe Informaiion Is eort and agree io
State of Mlnnesota SfaFutes and CNy of Eagan Ordinances.
Signature ot Applica?
OFFICE USE ONLY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT 101106 RD - 55122
651-681-4675
Remodei/ReoaB Reauhe 1erkila ? ? ?
4 copfes W plan
1 sef of energy calculations for healed addXlons
1 sMe suney fa exterbr addlNOns i decW CONSTRUCTION COST: ( 840. oD
apppcabl
Certificates of Survey Received _ Yes _ No NOV - 8 f?
I.iJJ
Tree Preserdation Plan Received,_ Yes _ No _' Not Required
, , .
CHES MAR EAST 1ST 17150
PERMIT
DATE &
USE LOT BL ADDRESS
sisz sF 010 Ol 4537 BIRCHCREST CIR
ioiss sF 020 Ol 4533 BIRCHCREST CIR
6/80 sF 030 01 4527 BIRCHCREST CIR
siss sF 040 01 4525 BIRCHCREST CIR
ioiss sF 010 02 4526 BIRCHCREST CIR
5/83 sF 020 02 4530 BIRCHCREST CIR
aiss sF 030 02 4538 BIRCHCREST CIR
10i81 sF 040 02 1068 KIRKWOOD DR
1/84 sF 050 02 1070 KIRKWOOD DR
9i82 sF 060 02 1072 KIRKWOOD DR
10i82 sF 070 02 1074 KIRKWOOD DR
12/80 nue 081 02 1076 KIRKWOOD DR
082 02 4574 CANTEBURY CIR
vao Duv 090 02 4578 CANTEBURY CIR
100 02 4582 CANTEBURY CIR
4i83 DUP 110 02 4586 CANTEBURY CIR
120 02 4588 CANTEBURY CIR
aisa nUP 130 02 4590 CANTEBURY CIR
140 02 4592 CANTEBURY CIR
12i80 nur 150 02 4595 CANTEBURY CIR
160 02 4593 CANTEBURY CIR
6i80 uur 170 02 4591 CANTEBURY CIR
180 02 4587 CANTEBURY CIR
7i84 DuP 190 02 4583 CANTEBURY CIR
200 02 4577 CANTEBURY CIR
PAGE 1 OF 3
12
L ? B? ? CITY USE ONLY RECEIPT #: 13qF6SUBO. G Yl?.t1. MOVY G 0?? 16t RECEIPT OATE: --/, D' ' G0
PERMIT # S
EOUO PLIJM$INfi PEItM1T (MIDENTIAL)
crrYor eAsm
3830 PuAr KNos $n 4
fwsM, Mx 551$2
651-687-4673
Please complete for. D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
CIYTI IQGQ
E4CH
TOTAL
Alterations to existing dweiling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GaS i in Outlet ' minimum -1 3.00 x = $
Hot tubis a 3.00 x $
i
Kitchen sink 3.00 x = $
Laund Va 3.00 x = $
Lavato 3.00 x = $
S0 tiC S tBRI newlreturhished ' reufras MPC Oc. 75.00 X = $
Se tic S tem auandonment 30.00 x = $ ?
RpZ new InstallatioNre aidrebuild 30.00 x = $ ?
Rou h o enin
Shower 1.50
3.00 x
x =
= $
$ '
Under rounds rinkler ifdwellf isunderconswction
Under round s rinkler ifexisun dwemn
W ater closet 3.00
30.40
3.00 x
x
x =
=
=
'
$
$ ?
$ ?
W ater heater
W ater softener if dwelling under conawction 3.00
5.00 x
x =
= $ •!?
$
W ater softener if exisnn awentn
Water turnaround
State Surchar e 30.00
30.00
.50 x
x =
= $ ?
$
g .50
Total -> -> ---> __> $ 96,,572
Reminder. Call for inspections of alterations, t.e. water heaters, water softeners, etc.
•
--------- ------•• •-••-----•------.....•-----------.....--•--._...-----•----••••--------•--•------°_...---•------
-
-
-
-
-
-
• , stafe that the infortnadon is correct, end agree to comply with aU appllcable Ciry af Eagan orclinances.
-app-
-li-cation•
• I-have-
-- read -thia--
I hereby-acknowledge-thal-
It is the applicanl's responaibillty to notiry the properly owner that the Ciry of Eagan assumes no liability for any Aamages caused by the City during its nortnal
operetlonal and maintenanca an' .ui . m m far rr?a? mnsm?rtxf ? ?na._ n+'e na?it within Ciry properryinghtof-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER
HATLE,NANCY
4583 CANTERBURY CIRCLE
EAGAN, MN 55123
(651) 686-5717
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STREET ADORESS: -
NORBI_OM PLUMBINO COr ;- ? -- `- ?:STATE;
cirv: zIP:
- - ,
2 _,- :/_<, 3 ..,. ??
290i ;,'S;FiELD AVE. SO. - -
6:?jNNrr--APOLIS,_MN 55`?031 ,r^fSIGNATURE 10 PERMITTEE
CITY USE ONLY
L ? BL ? RECEIPT#: )a??$D
SUBD. I'1QY` CA-1 IRECEIPTDATE:???1-a??b?
PERMIT # 2000 PLUMIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN ,
3830 PIIAT fIN08 RD
EAGAN, tMI 55122 ,
651-681-4675
,.
Please complete for: D singla family dwellings
? townhomes and condos when permits are required for each unR
? backflow preventer for underground sprinkler system
FIXTlIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fes
Describe: $ ' 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet " minimum - 1 3.00 x = $
Hot tuWspa 3.00 x = $
Kitchen sink 3.00 x $ .
Laund tray 3.00 x = $
Lavato 3.00 x $
Septic S stem newireturbished ? reqwres enac iic. 75.00 x =- $
Septic S stem abantlonment 30.00 x = $
RPZ new instellatioNrepaidrebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x
Unde rounds rinkler ifdwellingisunderconatruction 3.00 x $'
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x $
Water heater 3.00 x = '- ' $ =
Water softener ff dweuing under coinvucuon 5.00 x =, "$
Water softener it exiaun9 dwewne 30.00 x
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .5
Total -> _..a
Remender. Call for inspections of alterations, i.e. water heaters, water softeners, etc. `_w
----••••--- ----------------•••--•----------- ----•--••••-------------• - ----------°-••------------•-••_=-=----°-•---•-=-----
I hereby acknowledge Mat 1 have read Mia application, smte fhat Me iMOrmation is carteG, and agiae to compy with all appliceble Cily'uf.Eagan ordinances.
It is the appliwnPs responsibility to notity the property owrrer that the Ciry of Eagan assumes no liabllity for any damages caused?by the City during its
nortnal operational and mainten@nce aCtivkies to the facilkigs construded underthis pertnR within City property/ri9ht-of-way/easemenh. .
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
?
STREET ADDRESS: l : - - -
f ; --
CITY:
TELEPHONE#:61t/C? •
' (AREA CODE) TELEPHONE'#.
(AREA CODE) . .
SIGNATURE OF
?.
d.,'
CITY USE ONLY
LOT RECEIPT #:
SUBD. IIA 041 ? RECEIPC DATE:
1998 MECHANICAL PERMIT (RESIDENTIAL)
cxxx os Eacax 13? 502
3B30 PZIAT IQ10B RD
EAGAN lIId 55122
(612) 681-4675
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one requued @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace
?
Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of eadsting residences
State Surcharge
Other
$ 20.00
.50
Total: $ 20.50
.?577
SIT'E ADDRESS:
_ ---?
OWNERNAME:???j PHONE#: l?lp-9DB?
INSTALLER NAME: PHONE #:
urnsville Heating & A/C, Inc.
STREETADDRESS: I24$1 RhnAo Ic1.?...? n,._ ?._
Savage, MN 55378•1122v
CITY: 894-w§ 4NATRE E: ZIP:
SI UOF PERMITT'EE
JS/FORMS BLDlMECH PERMIT (RES) - 1998
2/84
ll
? CITY OF EAGAN
I APPLZCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PPINi)
1) PROPERTY ADDREaS:
rFrar• DESCRIPTION: ?
L /y /? 6?
(LOt/Block/Subciivision or Tax Parcel I.D. NwNer)
IF .x"..{iST--:G STRCCI";7tL•', DATE 0r ORIGNi AL BuI.'.DL`?G P+?ST 1SJu't!41?jG?.:
PRESL,T Z.^.:IIPr,/PROPOSt"D U;.E_ -J07R-1 SL7GI,E F7,-MSLY
IZ R-2 DUP= ('IZ4p L'NITS)
O R-3 TaqNi0U5E (THREE + UDIITS) ( UDTITS)
p R-4 APAR'IM=/CONDCx'lINICM ( UNITS)
? COMMERCIAL/REI'AIL/OFFICE
p MUSTRIAL
Q INSTITUTIONAL/GdVERt=
2) AppLICANP (PLEASE PRINT)
NAME: /P CpW??
ADDRESS:
CITY, ST'ATE, ZIP:
PHthNE:
3) PIumffiER / PL? ASE PRINT)
n FOR CITY USE ONLY
NAN1E: ?LiP/9vw c,/ P(/r?i ,I
IN
PLU ERS LICENSE:
ADDRESS: ???,?,,? Active
CITY, STATE, ZIP: l-IjE3- ? Expired
PHONE: PLUMBER IICENSE 36 Not of Record
a Tn-i-tia
4) OCC[JpPN'r/OWNE[j ? tYLtRSt NN1N1J
:
ADDRESS: ?-
CITY, STATE, ZIP:
PFiONE:
5) INDICATE WHICH PEENIIT IS BEI[JG REQUESTEp:
COIvxPION 'Io CITY SE47ER
? CONNE7[,TION '1C) CSTY WATER
? 0'I'fER (PLFASE DESCRIBE)
6) AVDIG;TE ONE:
? PLF.ASE HOLD APPROVED PERMIT FOR PICK-L1P Bl' ONE OF AH(3VE
F]/PLFASE MAIL APPRWEU PII2MiT TO 1, 2, & 4 ABWE
(Circle one)
7) SIGIAIVRE: DATE: GJ - G? 8"
s +
MO R W:aL-iwsJW;"jr Wa r:a?LjEtMZV,ae
F O R C I T Y U S E O N L Y ?
s? .
.
PERMIT = ISSUED
F°ES: $
$ /O. S d
$
G?•?
S
$
$
$
$ <17 a-
S
$
S
S
$
S $ TOTAL
$ AMOUNT PAID/RECEIPT #?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
[_] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST SE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?`- ?j
TITLE: ?7.& ?
DATE : y - !s?-6Fq
SErr1ER PERM2T (Z`dCLliDE SUP.CHARGE)
WATER PERPIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEiJER TAP
ACCOUNT DEPOSIT - SE'r7ER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SES4ER
LATERAL BENEFIT/TRUNK WATER
OTHER -
Oe sm 8es? ?Womacir ?moww:po
l
? 2,84
?
f CITY OF EAGAN
i APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIMT)
1) PROPEIYPY ADDRFSS: ?S D (U, k? ?av / C.
t.Fr'nT DESCFZiPTION: ,./7 15 1 TL!% 4smt a,,•
(Lot/B1 /Subclivision or Tax Parcel I.D. NLUnber)
? IF STRCCi?.T?, DAl? OF ORT_G11AT BGIT.,I?D;G F=.•S',' 1SSJ;%i?;C?:
?>'er.r=_? s ear i
? PRESE.i ::^.:Ti?i ;/PPDPOSr."7?, li;:: IWR-1 Si7Q,E FP=
R-2 DLTPIEX ('IV? L'iNITS)
?
R-3 TCWNH0USE ('IHREE + TJNITS) ( UNITS)
? R-4 AP= =/CONDCMIIVItM ( UIVTTS)
? COMMERCIAL/REPAII?OFFICE
p .Ti'LJL'STRTAL
? INSTITUPIONAL/GOVEftATA7IINP
Z) AppLICWr (PLEASE PRINT)
NAME: ?J
ADDRESS:
CITY, STP.TE, ZIP: -
PHONE:
3) PLU„BER
NAME: PL ASE PRIyy,i,)
? FOR CITY USE DNLY
Y ?-!
ADDRESS: PLUM,BERS LICENSE:
Active
CITY, STATE, ZIP: ???v,?? ?.,,?. I?jCP ?
?j`7 //
n, ? Expired
6
? Not of Record
PHONE: 7 -/5 ? PLUMBER LICENSE 11
a nitia
4) OMvppNr/aiNM NPT'1E: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PfIONE:
5) INpIC11TE WHICH PERMIT IS BEING RDQLTESTID:
? CONNDCPION TQ CITY SES^IER
? GbNNFL.T20N TO CITY WATEF2
? dI'HER (PLEASE DESCRIBE)
6) INDIC.ATE 0NE:
E HOID APPE2aVID PEENIIT FOR PICK-UP BY ONE OF ABWE
PI.EASE MAIL APPROVID PERMIT TO 1, 2,(?4 4 AHC7VE
(Circle one)
7) SIGNIZL7F2E: ZZIZ? Uf? DATE: / ?? ??
•? w a:w?..t,. ?. a. u. ai?.,.: s's?a.:..a. ar .i ??..s?r?. a.?.?.r?.,y.:..?.?. ?...s.e sds:caw..
F O R
PERMIT " ISSUED
F°E5: $
$
I T Y U S E O N L Y
11 o. es o
i o. S'O
S
$
$
i 5. P-o
$
$
$
$
$
$
$
S ?
SEWER PERtiqIT (IVCLliDE SUP.CHARGc)
WATER PERP1ZT (INCL'JDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEiVER TAF
ACCOUNT DEPOSIT - SE,VER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER $ TOTAL
, $ 1`e7l-f °`o AMOUNT PAID/RECEIPT # .71 6 D ?,r
DOES UTILITY CONNECTIO[V REQUIRE EXCAVATION I[V PUBLIC RIGiIT OF WAY?
C? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
w? mk4= mEm se WLM Ra 0rt10 re UHN w..
; -?
111 OCT I o 2008
___^____--
j Permit#:
i Permit Fee: :5;0
? Date Received: ?
I ?
i Staff: I
L-----------------?
008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 00 Site Address:
RESIDENT I OWNER I 1Vame:
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
Address / City / Zip: _
Gina Nicholls
4577 Cantebury Circle
Eagan MN 55123
6516869086
_ New _ Replacement
>cript(on of work:
RESIDENTIAL
X Water Heater
Lawn Irrigation
(_ RPZ / _ PVB)
_ Septic System
New
Abandonment
ione:
Suite #:
License #: [J Wl 5l4
State: P" Zip: 5540,F
Contact Person: Je J S
_ Repafr _ Rebuild _ Modify Space _ Work in R.O.W.
_ Water Softener
Add Plumbing Fixtures
C_ Main _ Lower LevelJ
_ Water Turnaround
$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` pncludes $.50 State Surcharge)
"Water Tumaround (add $138.00 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 bumed out appfiances, duciwork, etc.) (includes $.50 State Surcharge) C, O
TOTAL FEES $ SO, ?
I hereby acknowledge that this information is complete and accurate; that the work wiil be in conf ance wFth fhe ordinances and codes of the City of
Eagan; that I understarM this is not a permit, but only an appliration for a pertnit, and wo s not to slart wifpgut a permit that the work will 6e in
accordancs with the approved plan in the case of work which requi2s a review and approv of plyl / //
X A)e?fiFr.e,U L, . NloTb1 myvx, X /?
ApplifanYs Printe me Appl' aniLure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137270
Date Issued:06/27/2016
Permit Category:ePermit
Site Address: 4577 Cantebury Cir
Lot:202 Block: 2 Addition: Ches Mar East 1st
PID:10-17150-02-202
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 -
Gina Mae Nicholls
4577 Cantebury Cir
Eagan MN 55123--190
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
Applicant/Permitee: Signature Issued By: Signature