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3663 Canary Way CITY OF EAGAN f 3830 Pilot Knob,Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receit C 4M To be used for plan%= Est. Value 0two Date 24 jolt- Site Add rLess 3W " VAY My- OFFICE USE ONLY Lot i - Block Sec/Sub. Parcel No. Occupancy FEES SUM y KAOM Zoning cc Name (Actual) Const Bldg. Permit e~ c Address MU VA-T (Allowable) s Surcharge City SAW Phone # of Stories Length Plan Review, h Name So= OLSO HABOW Depth SAC, City - 13110 noll= ua Address S.F. Total SAC, MCWCC City Phone " S.F. Footprints F On Site Sewage Water Conn W W Name On Site Well Water Mater - - =Z Address MWCC System 2 Acct. Deposit a W City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all plicabie State of Minnesota Statutes and Cit 0tr0rdi nC,7", Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: to= 01" Y Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL Building Official 1 f paersnit !rte f~iwia► DAN Tompkam # ; WATIER SEWER PLLMAM IG H.VAC. ELECTRIC Inspedlen flab hmp. omolo rns Fodnp I foundollon Framing Raafxlg Rough Pibg. Rough bol. Fire] Hig. Find Plbg. Conan. Metier Plbg. Inspector-Noiiy PkrrA r Engr./Plan SM9. Final Deck Fig. Deck Final WON Pr. Disp. CITY OF EAQAN i 3830 Plat Knob Read, P.O. Sm 21-199, Eagan, MN Oft ~ PHONE 4S4-811 f ILDIN0 PYMT Receipt#AL& be used for f QAR Est. Value $620000 Date 0 AMR R3 She Address 3 3~ WAY Erect 1 Occupancy liaot 1 Block Seo~sub.18'1'H1t~QE?l~ XST Remodel ❑ zoning.. Parcel No. Repair ❑ Type of c4put -$-hill- Addition ❑ No. $W* Name S Move ❑ Length Address 308 >PA1RP87f LAM BLVD Demolish ❑ Depth ~.t Int. Impr. ❑ Sq. Pt ° City PRZQRhone 632-►2850 Install ❑ Name Approvals Fees Address Assessment Permit City Phone Water 8 Sew. Surcharge Police Plan Rwiew Name SIPS ONSIGN Fire SAC 4d . Address • 4.. x .G.H. 650-0573 Eng. Water Conn. City phone Planner VAMW Meter' - Council tpoad Unit I hereby acknowiedglethati have read this application and stale that the Information is corretlt and agree to comply with ap applicable State of Bldg. Off Minnesota Statules and Eagan W~g"-A46VAr. APC Date copies, Signature of Tea A Building Permit is Issued to: ROM HOI!!N$ on the express condifleanl0illo all work shall be done in accordance with all applies S ot Min Statut d City of `Eagan OvOnanoes.. Guilding Official t~ raw www~MOW err 7 -A vac. ~.r cam. n ~t Pft S W41. Pv* Fib Frog, Gbp. P&MlT% # 7 47''q J ° PLUMEMiG PERMIT ~ ~ ~r (0 CITY OF EAGM RECEIPT # 5880 PILOT KNOB ROAD. EAGAN, MN 55121 DATA 3 p CONTRACT PRICE: PHOM 454-8100 Site Address Jet-? I.-' BLDG. TYPE WORK r" Lot ~ Block ~ Sec, Sub Res. X New .-)r_ Name J-V i c✓ a Mult Add-on Address /.~YF S +/iaN Svc J~ Comm. Repair c City _ r-&OCr Phone Other Nb. FIXTURES TOTAL Name Water Closet - $3A0 w 3 Address Bath Tubs - $3.00 3 w p City Phone vatory - $3.00 Shower - $3.00 _~Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND"FEIE -1%OIL CONTRACT FEE Laundry Tray -$300 MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - $1.50 MINIMUM - COMMAND FEE - 20.00 / Water Heater - $1.50 - STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 L BEYOND $1,000.00) Softener - $5.00 Well - $10.00 - Private Disp. - $10.00 j Rough Openings - $1.50 ' SIG URE OF PERMrITEE FEE: STATE S/C: S ti FOR: CITY OF EAGAN GRAM TOTAL- 2' I~ . PERMIT # • MECHANICAL PERMIT RECEIPT # 7 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE CONTRACT PRICE: PHONE: 454.8100 Site Address FLW , TYPE WORK DPTWN Lot~_ Block Sec/Sub S Res.- New i~► m Name Mull Add-on Addre ss - Comm. Repair c City f Phone Other Name FEES Y a • RES. HVAC 0-100 M BTU -$24.00 J2 -1 ST- 3 Address p City Phone Y: ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6A0 GAS OUTLETS - . Forced Air M BTU COMMAND FEE - 1% OF CONTRACT FEE 1 50 EOL Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater MpTU MINIMUM - COMMAND FEE - 20.00 Air Cond. M BTU Vent M B (ADD $.50 S/C IF PERMIT OiW QOI i Gas Piping Outlets # BEYOND $1 1000.00) Other ~ FEE S/C: „ • S SIG TUBE OF P TOTAL: FOR: CITY OF EAGAN _ - Y 7TjF PERMIT MECHANICAL PERMIT RECEIPT # w CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address 3553 CANARY WAY BLDG. PE WORK DESCRIPTION Lot 11 C/Sub Res. 7- Alew-'~ ro Name BURNSVILLE HEATTNG Mult Add-on Address Comm. RepBi - c City Phone 894-0005 Other FEES E Name TSV SEN RES. HVAC 0-100 M BTU - $2440 3553 CANARY WAY 3 Address ADDITIONAL 50 M BTU 452-8329 p City Phone C(RES. HVAC ONSTRUCTIONUDES A/C ON NEW GAS OUTLETS (MINIMUM -1 PER PERMM - 1.50 TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS:'- COMM. RATE APPLIES °BOiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.m Air Cond.' M BTU I- MINIMUM COMMERCIAL FEE - X01} vy Vent CFM STATE SURCHARGE PER PE MIT .StI (ADD $.50 S/C IF PERMIT PRICE GOES , a Gas Piping Outlets # BEYOND $1,000) Other 421" ' FEE: -b SIG TOTAL- (;x FOR: CITY OF EAGAN, CITY OF EAGAN WATER SERVICE `PERMIT 3830 Pilot Knob Road P.O.-Bdx.21199; PERMIT._NO.: 34 * Eagan; MW 55121 DATE° T- b ZonSng: R1 No. of'Ur4s: -1 Owner: RSM 1101148 1 } Address: Site Address: 3653 -Canty LhM ll 111 11eathr-na c I Plumber: Lake Side kumbine Meter No.: Connection Charge: Krtn Mpd: Size: Account Deposits ' . Qhit.d Reader No.: Permit Fee: 1 A flaud 1 agree to oomply with the pry of Began Surcharge: sCA...i r p ondieeeees. Misc. Charges: t S n0;_11 4VW Total: ~3 ca_ By Date Paid: Date of Insp.: Insp.: CITY OF EAGAIV SEWN. SERVICE .PERMiIT' 3$30 Pilot Knoli Road P. O. Brix 21.199 KRMIT- NO.: Eagan, Mid 55121 DATE: Zoong: R1 No. of Units: Owner: Rat tins Address:' Site Address. 3663 £apAry Thy Ll b1 WaStbrook I Plumber: - Lake Side Prin. 7-246 64721 100.0 Opd 1 edrM to "M1114 witch the C► of Eggs. Connection O me: x 75.009 aaies~ee. Account Deposit it Permit Fee:e 1 a Ctt1~ y Surcharge: BY _ Misc.:Qvrge Dote of 1 u nsp.: Total: _ Ind,: Date . Paid: h CITY OF EAGAN WATER SSMCE FUMIT 3830 Pil t Knob Road 7734 P.0, il9v PERMIT NO.: Phan, MN 5581327 SATE: i"z Zoning: No. of Units: - Owner: RSM Homes Addross: Site /lddrew 3663 Canary Way LI BI Westbrook I Plw Jmr. Lake Side-Plumbing ma nlo.: 3 7, 2 151,a? saa.aRd size:8 oel 1t:~i.a iS_ ©O~d T',; t - Rsadar t l,,.; d 3/V ~ ~o?/ gpfote did W&,„ M1(,.0 d' L 0 1 qpite to eew* vft do Ch WP 5 d 0 re~aaa. , 'To 1 A 6 , 00pd TP ID r 63 _ 50pd teeter ®y r ; - - Dots POW: Date of Inrep.: ~ ~ Irtlp.: CITY OF EAGAN ND 17136 % z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C 4088 To be used for FIREPLACE Est. Value $1,000 Date OCT 4 -,19-89- Site Address 3663 CANARY WAY 1 1 WESTBROOK 1ST OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning w Name STEVEN L MADSEN (Actual) Const Bldg. Permit 26.00 o Address 3663 CANARY WAY (Allowable) Surcharge .50 City EAGAN Phone 452-8329 # of Stories - Length Plan Review Zo Name ROGER OLSON MASONRY Depth SAC, City O'J Address 1390 ROCKY LN S.F.Total UF City EAGAN Phone 687-9104 S.F. Footprints - SAC, MCWCC On Site Sewage Water Conn ~w Name On Site Well w Water Meter =Z Address MWCC System a city Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City9j-Eagp Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: ROGER OLSON MASONRY Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official -h~~;~1'/ ~l T,. - Variance TOTAL 26.50 3830 Pilot Knob Ro dCTY OF ' P.O. Box 21-1 9, Eagan, MN 55121 NS 12279 ~ , /7 / BUILDING PERMIT PHONE: 454-8100 Receipt ff T To be used for SP DWG/GAR Est. value $62,000 Date JULY 15 1 g 8 6 Site Address 3663 CANARY WAY Erect ( Occupancy R3 Lot 1 Block 1 Sec/SubWESTBROOK 1ST Remodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const. ~ Addition ❑ No. Stories W Name RSM HOMES Move 1:1 Length 36 18308 MURPHY LAKE BLVD Demolish 1:1 Depth c Address Int. Impr. ❑ Sq. Ft. 4-6 City PRIOR Lhone 432-2440 Install ❑ o Name SAME Approvals Fees 0 s Address Assessment Permit $ 319.0 0 City Phone Water & Sew. Surcharge 31.0 0 Police Plan Review 159. 0 F W Name APS DESIGN Fire SAC 575..00 Address Eng. Water Conn. 500.00 6W City I•G.H. Phone 450-0573 Planner Water Meter 63.50 Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. 7/14/8 Tr. PI. 150.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and 1 f Eagan Ord' ances. APC Parks Var. Date Copies Signature of Permittee Total $2,094.00 A Building Permit is issued M. RSM HOMES on the express condition that all work shall be done in accordance with all applica of Minneso Statut nd City of Eagan Ordinances. Building Official Q 4-- 2005 RESIDENTIAL WELDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telepbone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reouirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house-, and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N, 2 copies of plan showing beam & window sixes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Required _ Y:' _ N 1 set of Energy Calculations Addition - indicate #on sde septic system On-site Septic System Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Opfions selection sheet (buildings with 3 or less units) Date /0 l / 7 I © Construction Cost Site Address .3 CQ(P3 (171) k V ljA~ Unit/Ste # L=~ Arm /Y~n/ SS /~3 Description of Work Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 we/zk Property Owner % J ~'GINt/S Telephone # (fS) ~'7lp - Q a Contractor ~U~T {oo~C~ 1rYG Address -336 &_; 6&9-Teg 5 City -5 f Feu State /n rllr Zip SS/ 7 Telephone # (6.5/) o?~ 7 - O F~, P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 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 case of work which requires a review and approval of plans. o E n T /Z d i ~7 9 L n C Zi9-4 AA16d11C T r 0/YJ c? G~ Applicant's Printed Name Applicant's Signature 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required fnr each unit Date IJ`` I Site Address O&Ze Unit # ell Property Owner Y,! 8-aLe~2 d,i Telephone # 1) 994/-V5 Contractor '12481 Rhode Island Ave. So. city Street Address Savage, MN 66378 1122 ' r State Zip Telephone # Bond SZ a/ oZ Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional air exchanger air conditioner -New -Replacement other State Surcharge .50 Total u 1 hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 appro . d plan in the case of work which requires a review and approval of pi 7 Applicant's Printed Name Applicant's Signature FJAN 2 7 2005 B Ij p 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN i i~ NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FA[au ,DWELLINGS INCLUDE 2';!SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL. RENTAL. UNITS FOR SALE UNITS. ij INCLUDE 2 ,SETS OF.PLANS, CERTIFICATE OF SURVEY -CHECK WITH BLDG. DEPT., 1 SET OFENERGY CALCULATIONS COMMERCIAL: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET. OFIISPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, N~ $211,000 LANDSCAPE BOND k j o°. li , To Be Used For:' Valuation: Date: Site Address OFFICE USE ONLY Lot 1 Block Erect Occupancy Remodel Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owner 1(~(~ ~_M Move Length Demolish Depth Address ~S Int.Impr. Sq~ Ft ! Install City/Zip Code 1J' ~ Phone APPROVALS FEES d Contractor Assessments Permit Water/Sewer. Surcharge i Address Police Plan Review Fire; SAC ZAI City/Zip Code tj. Engr Water Conn 5tga.V Planner Fater. Meter - ~ Phone Council Road Unit . II I( Bldg" Off - Treatment Pl / I! Arch./Engr. APC Parks, ! I Variance Copies d ~i Address TOTAL, ~ u f I City/Zip Code I Phone # r i b NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE ,"ICH'ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 5 t PA'be 15 ROBE F. s. tin.. aornes NGiNE1NC~ rDpIAHNHStlLT1H0 E~it31HE#s5 V EEIS land LARD iURMOIRS E COMPRNYI INC. ,1000 EAV 1461n STREET, BURNSVILLE, MIUMUCTA 5=37 PH 412-3040 A- - - W-f - LOT . 1, f3LOG IL f 1~F ;TE COOK, FIRSY' l~L~pl'["tp~1 DE:11oTES ~x~ST~N twt _EvA-raper. Gour~-~, M„~a~5cara 1r) ID e t'lo ~ PRc-'Pos&D ELS:-\[AnotA S0P.7AC-E v2~4~I~AC = -ToP 4i~-- &A42-AC-rG V'L EO(Z-- ly~r 13 5. oC~ rx.q joc _1 p ~ g 1f1, 5'~ i v' I (gla.S) GAR. o r 1 ° 9 r1 >,S, 0 C) - YJ FE 9~5~oi 5G Act - ( + S.~ z5' Z hereby certify that this is a true and correct representation of a tract of find as shown' and described hereon.. As prepared by me on this z4 rd day of 1904. Minn. Reg. No. A'-'4X'7- Cak EXT9RIOR EiJVELCF AVERAGE "U ' COi•P'~TAT10.F OWNER SITE ADDRESS (xq CONTRACTOR 1--"5 / ' ors Diu c . PAW ~Z~ZL PHOt'JE Z4 . Determine working square footage of each. 1. Total exposed wall area ft. X 1!~ 2. Total roof/ceiling area //lJUa sq, ft. X .'0-4 ~G Total exposed wall area above floor5o,v a. Total wall win~orr area 9 • b. Total door area a. Total sliding glass area d. Total fireplace wall area e. Total wall framing area (average f. Total net wall area above floor 9p• G.' Total riv,, joist area . . . . a..~ Total exposed foundation area h. Total foundation window area o i. Total net foundation area above grade Determine ',U': value of each wall segment. a. ;%2. X IV! ,5y a X Out; 3; X X U;r 0 v ? f./5S'U•~_ X "U': Ate h. X ;-U° I. X rUi. 3 ............................................Total ~3•~ if item #3 is the same as, or less than item #1, you have stet the intent of SSG 6006(c)2. 11 Total exposed roof/ceiling area J. Total skylight area n k. Total roof/ceiling framing area (average 10'~ fC~s~ 1. Total net insulated roof/ceiling area r,", ~ Determine "U, value for each roof/ceiling segment. 3. X ,,U,,, k . X o 1-123,6 X U " v .fir. ` . . . • • . . . . . . . . • . . . . . . . . . • . . . . • . . • • / f . • • • . . + V N a~ ~ i If total, of #4 is the same as, or less than #2, you have met the intent of SBC 60o6(c)1. Alternate Building Envelope Design To utilize the total envelope system method,,the values established by the surf of items #3 and #4 shah, not be greater than the sure, of Items #1 and #2. 1. + 2. J 3 =0 ~ . ...{~jl~• Cep. f~i.;,, ~ - 11 a 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN i SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS -A STRUCTURAL PLANS j 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALLS.. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS r # OF UNITS MOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER !MUST DESIGNATE WHICH ADDRESS ~ IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS°ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT`FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS Two DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT, PAID FOR IN SAMEMONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS'ISSUED. 1 ° I ~ cry To Be Used For: / , /,7lxGC Valuatio~i: 3 G` Date: Site Address 5 6Qmuf OFFICE USE ONLY Lot Block Occupancy FEES + Zoning Parcel/Sub Actual Const Bldg. Permit Allowable Surcharge fl Owner j~~uck 4, /~~,1 r~ # of stories Plan Review Length SAC, City Address 36(!~ C,z Depth SAC O MWCC S.F. Total Water Conn City/Zip Code 35 Footprint S.F. Water Meter ACCT. Deposit Phone 0ISZ '6 5 z 5 On site serfage S/W ,~Permit ii On site well S/W;'Surcharge 1 Contractor 0<ear r74 MWCC System Treatment Pl. City water Road Unit Address ~C PRV required Park Ded. Booster Pump Copies City/Zip Code ~-,7 SS! Z 1 SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off.' Variance Address City/Zip Code Phone i' Y ' - CITY O F E A G A * "1°E' PAYMMr OF MM AT TIME OF * APPLICATION DOES NOT CaN;STITUTE *a APPROVAL OF PER Off. APPLICATION FOR PERMIT INSPEIGTION OF SERM AND/CR MOM I zmu um oNs wim NOT SE scBED-- ; SEWER AND/OR WATER CONNECTION * [m Lu= PERrnT HAS EEEN ; APPROVED. ; ease Print, 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot' Block Sub ivision or Tax Parcei ID IF EXISTING STRC' IRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year} MMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) a) NAME: ADDRESS : CITY, STATE, ZIP: PHONE: ?`l'/ -.1760 3) y I: a • NAME: For City Bse - Plumbers License: ADDRESS: Active ( CITY, STATE, ZIP: Expired Af Not recorded PHONE: - / MASTER LICENSE# C~ p 3S 7 /"o Staf; Initial NAME: 1~21- ADDRESS: CITY, STATE, ZIP : I)vLt~ j 7 PHONE: - cc? •5) 0 wiw put". t • 81• : a • a• - • CONNECTION TO CITY SEWER CONNECTION TO CITY WATER 6) r • - • I' PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVED PERMIT TO 1, 2,13 4, ABOVE (Circe one) 1-21 6-, -7- 16 • '1: • 4' `I: M 1 ` ~ ~ • I" a• • ~ - ~ IOI' i~ A Y~I• • ~I• • ~I• • S• ~ ~ r 'FOR CITY USE ONLY PERMIT # ISSUED 77 3 Pd W/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ 610 ACCOUNT DEPOSIT - SEWER $ $ l jC~U ACCOUNT DEPOSIT - WATER !Too 0 6 $ WAC $ 45-75-, Cr C> $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: f S $ S lr~i TOTAL Z3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: ~y TITLE: f DATE : Z It CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # d DATE : / PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: ~7 e Al KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 SITE ADDRESS : ✓ 't/ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 i/ LAL~_k LOT: / BLOCK SUBD. ° FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: lJ~' ~~G~!f ~~"1 (MINIMUM - 1) 3.00 k ROUGH OPENINGS 1.50 ADDRESS : OTHER ~i ' WATER SOFTENER 5.00 CITY: Zo ZIP: j '~o 7 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL S ~a a ST. SURCHARGE .50 SIGNAT E OF ~VtRXITTEE 7 r TOTAL: $ r MMG.~iLTNY$I78TRIALf PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH YWTELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101946 Date Issued: 11/02/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3663 Canary Way Lot: 001 Block: 001 Addition: Westbrook Ist PID: 10-83625-01-010 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Minnesota Rusco Willian C Schrader 5558 Smetana Dr 3663 Caiarv Wav Minnetonka NIN 55343 Eagan NIN 55123--222 (952) 935-9669 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113969 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - William C Schader 3663 Canary Way Eagan MN 55123--222 (651) 621-5933 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137236 Date Issued:06/23/2016 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William C Schader 3663 Canary Way Eagan MN 55123--222 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 232-1840 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148941 Date Issued:04/30/2018 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William C Schader 3663 Canary Way Eagan MN 55123--222 (651) 337-9366 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158457 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Nathaniel J Pitts 3663 Canary Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159721 Date Issued:01/13/2020 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nathaniel J Pitts 3663 Canary Way Eagan MN 55123 (651) 337-9366 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174706 Date Issued:02/14/2022 Permit Category:ePermit Site Address: 3663 Canary Way Lot:001 Block: 001 Addition: Westbrook 1st PID:10-83625-01-010 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nathaniel J & Emily D Pitts 3663 Canary Way Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature