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4574 Cantebury Cir
.r----------------- FGf U IC2 Use City of Ej Permit#: -70 V I 5~~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 g t C F I V E D I Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694. JUN ? 2011 I Staff: I L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ✓t ( Site Address: _ Marjory Maide Tenant: 4574 Canterbury Circle Suite Eagan, MN 55123 RESIDENT / OWNER Name: 6517077799 hone: Address / City / Zip: CONTRACTOR Name: -NORBLOM- PI I License 01P [ 52~ ~r a t Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK _ New X Replacement _ Repair _ Rebuild _ Modify Space - Work in R.O.W. Description of work: revW6 water ater hea PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) C__ 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 $165.00 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) $ r• ) TOTAL FEES 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 ~J iuort7t Q-pv x Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test -Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088220 Eagan, MN 55122 . Date Issued: 02/17/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4574 Cantebury Cir Lot: 82 Block: 2 Addition: Ches Mar East 1st PID 10-17150-082-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Marjory A Maide 130 Plymouth Ave. N 4574 Cantebury Cir Minneapolis MN 55411 Eagan MN 55123 (612) 824-2656 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 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089145 Eagan, MN 55122 . Date Issued: 05/13/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4574 Cantebury Cir Lot: 082 Block: 02 Addition: Ches Mar East 1st PID 10-17150-082-02 Use Description: Sub Type: e- Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary: BL - Base Fee $6K $132.75 0801.4085 Surcharge - Based on Valuation $6K $3.00 9001.2195 Valuation: 6,000.00 Total: $135.75 Contractor: -Applicant - Owner: Minnesota Rusco Marjory A Maide 5558 Smetana Dr 4574 Cantebury Cir Minnetonka MN 55343 Eagan MN 55123 (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 City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD I Cons ° No. 0355 CITY OF EAGAN PERMIT TYPE: 1M LOT 3830 Pilot Knob Road Permit Number: Q Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t,pT, • sLOCrc d 2 APPLICANT: 414P CAdM'Pi"E VAY CIA $P971NA Tt1 CAE4 MAR E SET (612) F1rA«A9~I PE@1411 SUBTYPE: TYPE OF WORK: Raw INSPECTION TYPE .DATE INSPTH. INSPECTION DATE INSPTR. F90TIM41 FINAL RlMA411rat RECEIPT f ReP(.ACINO 01111ITINO 01rX CITY OF EAGAN Remarks Addition CHRR MAR EAST F-99T AfrnN Lot. 8 Blk 2 Parcel 10 17150 080 02 Owner Street , - Y-ivo State Eagan, MN 55122 `(.I 4574 Cantebur Circle Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. f Z (0 -1 Z . - - 0 L-fl- 1982 524.43 5 STREET RESTOR. GRADING SAN SEW TRUNK ICIR1 -)go 0() 56-Up j$ 224.Oo A01o495 8-24-81 ,SEWER LATERAL G 2716.15 A010495 8-24-81 WATERMAIN *WATER LATERAL WATER AREA .3J6 56.00 22 .oo A010 95 8-24-81 STORM SEW TRK Q 5 280.00 Aolo 95 $-24-81 *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 370.00 22516 12/22/80 WATERCONN. 610,00 22516 12/22/80 BUILDING PER. 6469-77 29516 12.12 71 &0- SAC IOSO-00 22516 12/22/go PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4 Eagan, Minnesota 55123 Date Issued: I (612) 681-4675 SITE ADDRESS: APPLICANT: ! ~r iC e I I; f 1dCJtifi I~f, ~rp.l alU4. f•I f trl`7', I ! t ':'l ~ 111 hl +,i { r;~~ f i 1 ? ~ r ~I~~,•! I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE I DATE INSPTR. INSPECTION DATE INSPTR. { fill f fd~i' t Hv, I J Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing II I Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPian Bldg. Final Deck Ftg. Deck Final Y Well Pr. Disp. CITY OF EAGAN WATER SERVICE PERMIT 3795 -Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: r•,., Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit; Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: _ Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagaip, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Chorge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: clrr of EacaN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: • Reoder No.:- Permit Fee: agree to comply with the City of Eogbn Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: InsP.: SEWER SERVICE PERMIT CITY_ OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagan, MN $5122 DATE: Zoning: No. of Units: Owner: : P 1 _ Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. ' Account Deposit: Permit Fee: Surcharge: By Misc. Charges: - Dote of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6470 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect p Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge p Type of Const. W Name Move ❑ # Stories Z Address Demolish ❑ Front ft. 3 ° ❑ city Phone 45 Grade Depth ft. Name Approvals Fees 0 ut Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check ,W Name Fire SAC u3 Address Eng. Water Conn. a W City ^ -Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official w ' Permit # Date Issued Peradttaa Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foun ation _ Plumbing Fram ins. -7-V Mechanical lp- Final Remarks: CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address Residential _ C Lot Block Sub/Sec. Multi Res., Comm./Ind. Name Ui6' ~x Tx"-'2.'zG1 '-.'1 New/Alter./Repair Address Cost of Installation City -..Vj3l Phone: y Permit Fee Name Surcharge Address t7rtl x~7 c 7,7'' 0 City - Phone: Total This Permit is issued on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3748 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454.8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Recelpt.No.: Single I r.,r• Site Address: Residential Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Name New /Alter. /Repair Address Cost of Installation O . 'il ~T.L1_ City - Phone: Permit Fee Name Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6469 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot V Block' Sec/Sub. ~S Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. 00: Name Move ❑ # Stories Z Address Demolish [I Front ft. O Ci Phone Grade ❑ Depth ft. o Name Approvals Fees 0~ Address Assessment Permit Ce Water & Sew. Surcharge ~ City Phone Police Plan check ~W Name Fire SAC Address Eng. Water Conn. U(9 aW Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is Issued to. on the express conditlon that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Penolt #k Dote Inued Pennittoe Plumbing Mechanical IZI /CG 14/ ~l(L C. 911 -7-z7- 8-1 icy n ~c I INSPECTIONS DATE INSP. Rough-In Final Footings d Date Insp. Dote Insp. Foundation _ Plumbing Fram iris. 3 _t/ Mechanical-- Finol Remarks: CITY OF EAGAN 3795 Pilot Knob Road No. Eagan, Minnesota $5122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: _ Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name _ isz T if irol' New/Alter./Repair Address - ' Cost of Installation City Phone: r ` Permit Fee 1 Name Surcharge I Address T:IT T,... C 0 City ry11 „4+-c Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official S CITY OF EAGAN 3745 Pilot Knob Road No. Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single I Site Address: Residential r` Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter. /Repair Address . PO: Cost of Installation City Phone: Permit Fee Q Name Surcharge ti t Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN ~a2 3796 Pilot Knob Rood Eagan, MN 66123 PHONE: 434-8100 BUILDING PERMIT Receipt # To be used for FIRE REPAIR Est. Value $(),000 Date August 8 19 83 Site Address 4574 ante ury Circle R-3 Erect ❑ Occupancy a 2 Cher Mar East lst: R- Lot Block ;Sb. Alter ❑ Zoning Parcel 1I~rJ° Repair Fire Zone Enlarge ❑ Type of Cont. a Name Jack Smith Move ❑ # Stories z 813 Welcome Court IDA Address Demolish p Length CI Burnsville Phone 890-5041 Grade ❑ Depth V Sq. Ft. Nome enp it e s Approvals Fees 0o Addr~ys 10740 Lynda le Ave. SOUL Assessment Permit ~30 888-2225 u city lilOOm nQtOri phone Water & Sew. Surcharge F Police Plan check °C Name F z FI re SAC Address Erg. Water Conn. W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total ~~59. 30 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Baftders A Building Permit is issued to: Y r on the express condition that all work shall be done in accordance with all applicable St f Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing -$-$3 b Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Water Describe Location: ry . ^ L%G:l ✓'~'~~%J well Sewer Pr. Disp. CITY OF EAGAN - 37" Pilot Knob Rood Eagan, MN 55122 N2 6470 PHONE: 454.8100 BUILDING PERMIT APPLICATION Receipt # 7 To be used for z DUPLEX Est. Value 51,000 Date 12-22 158_Q- Site Address /.974 Cantebu= Ci r Tract A Erect JEk Occupancy R3 Lot 8 Block 2 Sec/Sub. Ches Mar East Alter ❑ Zoning R1= Parcel # Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V W Name GTOSZ & Lehman Inc. Move ❑ # Stories Z Address P. 0, BOX 1211 Demolish ❑ Front 28 ft. ° CI Burnsville, Mnphone 435-6013 Grade ❑ Depth 46 ft. W Name Approvals Fees zd Assessn~t 1 2-1 h-80 Permit 142.00 o Address Phone Water & Sew. Surcharge 25.50 m Pertinen Plane Police Plan check 71.00 w Name Planning Fire SAC 525.00 =E5 Address 7101 Hwy. 65 NE Eng. Water Conn. 03 5.00 <w Ci one 784-qn8n Planner Water Meter 60.00 Council Road Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total " 1. 313.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Grosz & Lehman Inc. an the express condition that all work sholl be done in accordance wlt all ap livable r"e o Minnesota Statutes and City of Eagan Ordinances. Building Official -d= ar ~A CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & VJ BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For POPGEX Valuation a Date Site Address: 116IN 0hpirrBuQy dtR&F_ OFFICE USE ONLY 1 &'r'4LLot Block Sec. /Sub. H ig57 Erect Occupancy P 3 Alter Zoning Parcel R I Repair Fire Zone 3 Owner: 6R657 LEHMAN. INC. Enlarge _ Type of Const. Y Move # Stories Address: P40. $OX Demolish _ Front ft. Grade Depth ys~ ft. City/Zip Code: BfI,QAJ,4VjLLF, MAI. SSp vq Phone N 3L-!r, 6 Of 96v/ Sr APPROVALS FEES Contractor: SAM F_ Assessments Permit /H"2 06 Address: Water/Sewer Surcharge 2C, Ca Police Plan Check 7/. 0 0 City/Zip Code: Fire SAC .-24'00 P h o n e Eng. W a t e r Conn. J o f e o Planner Water Meter 6040 Arch./Eng.: pCPTIOW P1-Au,u14)G Council Road Unit 1,74.06 Bldg. Of Address: 9104?/uG LAtCE PARK APC city/zip code: rJ/o/ HWY. 6SN.r=. Phone 7;fy- 94 0 TOTAL 1 SD CITY Of EAGAN r 37" Pilot Knob Reed Eagan, MN 55122 NO 6469 PHONE- 454-8100 BUILDING PERMIT APPLICATION Receipt # -To be used for T DUPLEX Est. Value 51,000 Dote 12-22 , 1980 Site Address 1076 Kirkwood Dr (Tract B) Erect MC occupancy R3 Lot 8 Block 2 Sec/Sub. Ches Mar East Alter ❑ Zoning Rl Parcel # Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V w Name Grosz & Lehman Inc. Move ❑ # Stories Addre P. 0. box 1211 Demolish ❑ Front 28 fr. o City tillYT1sV111e ,MIL. one 435- 13 Grade ❑ Depth 46 ft. Approvals Feea Name same h f~ Assessnkilt 1 2-1 h-8 Permit I -00 o Address U~ Ci Water & Sew. Surcharge 25-5 Phone 0 n G. Pertinen Plannin Police Plan check 7'I _n Ww Name g Fire SAC 525-nn tz Spring Lake Park x~ Address Eng. Water Conn. _305.00 <W City 7101 Hwy. 65 O18 781,-9080 Planner Water Meter 60-00 Council Road Unit- IA5 nn I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable APC Total 1+313.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: Grosz & Lehman Inc. on the express condition that oil work shall be done in accordance 'hall opplicabk State Minnesota Statutes and City of Eagan Ordinances. Building Official O^'~" O!e .107 - CITY OF EAGAN Include 2 sers of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. r4AQ1To Be Used For V lua on ^w ^ Date Site Address: 10176 DK OFFICE USE ONLY 05 oy'e Erect Occupancy Lot Block Sec./Sub. QH Parcel Alter Zoning yQ/ Repair Fire Zone Owner: (g)2057 4 GFHM.4 AJ, TNC • Enlarge - Type of Const. Y Move # Stories Address: D. $Orr /02// Demolish _ Front D g ft. City/Zip Code: & 0:5 V11- MAI. _45a?/) Grade Depth y Phone - 60 / 3 LTY- 2915- APPROVALS FEES Contractor: SAME Assessments Permit i v~.ud Address: Water/Sewer Surcharge 2S„~o Police Plan Check 7/,dd City/Zip Code: Fire SAC ~35,d0 Phone Eng. Water Conn. 3 O S 00 Planner Water Meter bd, dd Arch./Eng.: 'F0'Q7'/Neu AAkAJ/AJG Council Road Unit 86.00 Bldg. Off. Address: 909046 GALE 014RJ; AEC _ City/zip code: 7161 NWY (05 N•F Phone 7- i?o TOTAL 3 CITY OF EAGAN 8362 5795 Pilot Knob Rood Eagan, MN :5142 PHONE= 454-8100 j~ BUILDING PERMIT Receipt #UO To be used for FIRE REPAIR _ Est. Value $6,000 Date August 8 19 83 Site Address 4574 Cantebury Circle- Erect ❑ Occupancy R-3 Lot 8 Block 2 Sec/Sub. Ches Mar East 1st Alter ❑ Zoning R-2 Parcel # 10 17150 080 02 Repair U Fire Zone NA Enlarge ❑ Type of Const. V W Name Jack Smith Move ❑ # Stories Address 813 Welcome Court Demolish ❑ Length NA Ci Burnsville phone 890-5041 Grode ❑ Depth_PRA-Sq. Ft.- Name Plekkenpol Builders Approvals Fees ZoU Address 10740 Lyndale Ave. South Assessment Permit 56.50 u~ Cit Bloomington Phone 888-2225 Water 8 Sew. Surcharge 3.00 Police Plan check tW Name Fire SAC UlAddress Eng. Water Conn. i3 C{ Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have reed this application with and stole that Bldg. Off. the information is correct and agree to comply with th all applicable $59.50 State of of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittes e enpo Builder s A Building Permit is issued to: on the express condition thin all work shall be done in accordance with all app able- to Minne Statutes and City of Eagan Ordinances. Building Official ` ~~C Q / $3 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations._ To Be Used For Fire Reapir Valuation 46,000 Date Site Address 45x7 Cante*bury 1~C``l'f OFFICE USE ONLY Lot S- Block d2 Sec. /Sub.e-RS ~ S~~Pxect Occupancy 3 Parcel /0•l`7[SO 08'0 Oa Alter Zoning Repair Fire Zone Al Owner: Mr. Jack Smith Enlarge _ Type of Const. _ Address: 813 Welcome Court Move # Stories Demolish _ Front / ft. City/Zip Code: Burnsville, MN 55337 Grade Depth ft. - Phone _8901'5041 APPROVALS FEES Contractor: Plekkenpol Builders Assessments Permit Address: 10740 Lyndale Avenue South ?dater/sewer Surcharge J- Police Plan Check City/Zip Code: Bloomington, MN 55420 Fire SAC Phone 888-2225 Eng. Water Conn. Planner Water Meter Arch./Eng.: 10um - Council Road Unit Bldg. Off. - i - Address: APC City/Zip Code: _ cy Phone TOTAL All -irtia request void C' 18 months from L ~ S_'? 7'3_- / ' Date of th' equest Fire No. T 46128 V 1, AS censed Electrical Contractor ❑Owner, do hereby request inspection of the above electri- cal wiring installed at: q5_7 Street Address or Route No. ity Section Townshi RangeCounty Which is occupied by ' (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes ❑ Ready No Will Call ❑ Power Supplier Address Electrical Contractor Con act is License (C pany Name) Mailing Address *7 -1 OIL 1~ ( cal c: r ctor o nor Maki %g This Installation) Authorized Signature Phone NoA40-oQ5rr6 (Elec on rector or O e a ng This Installation) STATE BOARD COPY This inspection request r ii net accepted the State Board unless propeer inspection fee is enclosed. nnaasa arara warn or cnecrnc¢y Griggs Midway Bldg. - Room N191 ES-00001-02 ~r 1821 U niversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQU' CHECK BELOW S RKOCOVEREDTBYITHIS REQUEST INSPECTION T 46128 Ty e'of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ . pLLut )y List ) Other ❑ ❑ ❑ Heiers) Otehers} COMPUTE INSPECTION FEE BELOW }H1 ) Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee O to 100 Am s. 0 to 30 Am res 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100 Am s. T nsfor Remote Control Circ. Partial or other fee SS ns j 1 Special Ins ction Minimum fee . 0 Remarks TOTAL FE GD .y I, the Electric Iris i certify that the above inspection has been ma / O!~ (Rough-in) Date (Final) zT2 /7^ I _ Date ;;Z 3-2J/ This request void 18 months from Th s'request void (p-2ff L81 B PI C•M v E 1 ESL (.0 -7 6 18 maOhs from /72 iL F Request D Io Fire No. ppough-in Inspection fle❑gwredl ❑ Ready Now Will Nolify, Inspec- b Yes No for When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box Rcuts No. City S7 action No. Townshup Name or No. mange No. County Occupant (PAIN a hone No. war Supplier Address zf 01 Elec rural Contra or (Company Name) Contractor's License No. D -a s-- Melling Address (CO trector or Owner Me ing Installauo a Aut orized Signature [Contractor/ caner Making nstallation) Phone 'Number pp E ad, p ~0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univera ity Ave., St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS I.." m, o... ENCLOSED. REQUEST FOR ELECTRICAL NSFECTION Ea•00001-0, _ )f, So. instructions' for completing this form on back of Yellow copy. W x- Be/old Worjo"v2d by This Request .0 N% 1~3 -f//(o,2.F 3 (07t,> Add Rep. Type of Sui Id ine Appliances Wired Equlpmeat Wired Home Range Temporary Service— Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then paCI V t er (Specay) t er pacify ter Other Compute Inspection Fee Below # Fee Serv ice Entrance Size # Fee Feeders/Subfeedere # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 Am ps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Booms Partial,'Other F Signs Special Inspection T r If /d 'tl0 rks !tl Dole I, O th L FE al rF,,.al rks E Inspector. hereby D.t. cerb ly that the above 3 dJ napeclion has been Jul made. This renueat veld 18 months tram -This request void r' yX~ r- y ✓ /~0 Si I 9 -months from 6 Date of this Request ~3 - Fire No. S 100728 1, as. ' scensed Electrical Contractor 0Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. S 7~ C]ly7 ^ 4tt't'v Ci vc lk City Section- - Township - / Range County ~j A . _ Which is occupied by Gray 2 .1- GP~ilrn~vi (Name at occupant) Isa roughin inspection required on this job? No O Yes, Ready Now Will Call ❑ Power Supplier ~~JJ~/eC . Address Electrical Contractor 01 s 14t 4/tCAIG - 4? L . Contractor's license Nfftf. e (company Name) Mailing Address 12?~` C7. ¢ ~ _ S, J-/.2 ,9 (E lectrlcal Coq~r ctar Owner Making This In a 7X1 No. Authorized Signature'~f7/'/s'y"_~p~,e'g~ Phone No. E trlcal Contractor or Owner Making This Installation) Sr a Q? ri A © ~(M This inspection request will not be accepted by the ud [I State Board unless proper inspection fee is enclosed. E13-00001-02 ~►^R•EOUEST FOR ELECTRICAL INSPECTIOI-L,y;41 e S 100728 CHECK BELOW WORK COVERED BY THIS REQUEST y Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Comirfercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm E] 0 pLList y) pList O hef ❑ ❑ ❑ Herers) Heiers> COMPUTE INSPECTION FEE BELOW Service Entrance Size: x Fee Feeders&Subfeeders: x Fee Circuits: u Fee • 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. ,DO 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers 11 Remote Control Circ. Partialorotherfee C Signs I 11 Special Inspection Minimum fee $5.00 Remarks O P 7i.+r~y TOTAL FEE ~y ricaT Ina eetor, hereby~T"ttrtify a A 1(sptction has been ma (Ro to 3-2` sl I, tIPq4uvt;i (Fin to 7 ~h- J Thi18 months from 41t request void X 54 •7S 18 months from y ~j Q Date o thi equest_ Fire No. T i 4 " 1 2 " I, as Icensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: p ~ Street Address or Route No. zi Sec4ion Township / Range County Which is occupied by 4y d/y'~ -1.1 (Name of Occupant) / Is a roughin inspection required on this job? No ❑ Yes ❑ Ready Now ~ Will Call ❑ Power Supplier Address Electrical Contractor_ 'J 1 Contractor's License No~ (CO ny Name) Mailing Address a~7. E ricaly r[r c[ or Own r Making This Installation) Authorized Signature in ! Phone No.6W7-4© (Electrical Contractor or owner, eking This Installation) 'Al This inspection request will not accepted the STATE BOARD COPY State Board unless proper inspection fee is enclosed. mmnesota state ttoard of Electricity Griggs Midway Bldg. - Room N191 EB-0O0001.02 - '18A University Ave., St. Paul, Minn. 55104 - Phone 297-2111 C Z REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 46129 Type of Building New Add. Rep. Check Appliances Wired For . Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring 1:1 Duplex ❑ ❑ ❑ Water Heater El Lighting Fixtures ❑ Apt`. Bldg. ❑ ❑ ❑ Dryer Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner LN' Bulk Milk Tank ❑ pLList I List Othe ❑ ❑ ❑ Hehers} Reheers# COMPUTE INSPECTION FEE BELOW 11 Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am res 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee Remarks TOTAL P16,0 .9q .1S7 I, the Elec rt} or } A b ertify that the above inspection has been (Rough-in} Date (Final) f Date This request void / 18 months from Thisiequestvoid 3p &pram/ 18 months from Date of is Request Fire No. S100729 I, ascensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: z/. Street Address or Route No. /L ~i i+ `4n ed ~Yi lC City Section - Township L/ Range County- o Which is occupied by t 2 '-L ofa4 (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yesp' Ready Nowp' Will Call ❑ Power Supplier Address Electrical Contractor -447e . Contractor's Licensel6:-K (Compa) Mailing Address 6 /3777-1- AlVe 0, o (Electrlca contractor or O JI aking This n Ilatlon) Authorized Signature r / Phone No. j' f r{[~ (E al contractor or Owner Making ThIS Installation) tl Gd ll L'~ DO) CAR ~O~ (f This inspection request will not he accepted by the J State Board unless proper inspection fee is enclosed. Clty ' n n L b1 EB-00001-02 REQUEST FOR ELECTRICAL INSPECTION Lrfyalec $100729 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo UNoader ❑ Industrial Bldg. ❑ ❑ ❑ Au Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ pLList List Other ❑ ❑ ❑ Hehers Oerers~ COMPUTE INSPECTION FEE BELOW 11 11 Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 104 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above IOO Amps. Above 100 Amps. Tr nsformers Remote Control Circ. Partial or other fee A-- Signs Special In ection Minimum fee $S.O Remarks TOTAL FEE LD. 1, the Electrical Inspector, hereby certify tha ove . tio4t has been ma e. (Rough-in (Final) ~ v ate as-~! This reque gi l8 months four Permit#: City of Eap / D 3830 Pilot Knob Road ~ Permit Fee: Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 j staff: I L----------------- r~2008 RESIDENTIAL PLUMBING PERMIT. APPLICATION Date: ~a Site Address: bje I" Tenant: Christopher Lee suite 1076 Kirkwood Drive RESIDENT / OWNER Name: _ Eagan, NIN 55123 Phone: Address 6513077'2,34 CONTRACTOR Name: NCT 0 [~YL PI,urn,~~~ay~1~ Liceenssee#: OL01 52r Address Z-l0 b~- An/k qLJ City: /rn~~ /~JnN N. ~f / 2 state: " Zip: Phone: lY I l) ''W~3 Contact Person: JeC J S TYPE OF WORK -New Replacement Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL X Water Heater Water Softener _ Lawn Irrigation _Add Plumbing Fixtures I- RPZ / _ PV8) 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 518" 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) 5O 50 . TOTAL FEES $ 1 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 n t4 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 approve p x l )e r Fr~.t~l ICI or b! Owl., x - Applicant's Print me Ap lice i n.-n .x: Rem'ii~nFOR OFFICE-U.9E> ,.:r"~=e_.,,....:: . ~°`Y~ ""L2 v ew - " ~ ;~•~s-•~': _ _ •:-.ti°.,,'°'cc__ ,6;q c':~~ u3- ~t: ~4~i. ''~''a `.xJ{'+`. s._s.~ S4-'f'. ` .-.7-",; - - ,;F.',~.a....`,r4t- .S:yr `s<•; ~`x7'U.~'"~~f..~~~m' r'~ a i.`Y{ -,.q'4, 1., ::.k.-.`~^-rv;`„' Certificate for: Grdsz-Lehmen DELMAR H. SCHWANZ LANDSURVEVOR R"istered Under Laws of The State of Minnesota 2878 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 812 423.1768 SURVEYOR'S CERTIFICATE Jo I~3.34 S 89'iL'SLeI lo ~Q i If-St 3 i 20 ~a3~~~~> tt e c TRACT B as o J o. TRACT A Z at ~ ~ ~ J~ 8 '~11 239.84 S e3t'n IL 30 SCALE: 1 inch a 40 feet I hereby certify that this is a true and correct representation of- Tract A: The south 50.00 feet of Lot 8, Block 2., CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Tract B: Lot 8, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota except the south 50.00 feet thereof. Also showing the location of a proposed house thereoxi. Dated: October 13, 1980 Revised Block Number October 17, 1980. QB.J1brs.0 F3~-Of ov Lo'T eai Sr,. Z1, 19so. ~ f MINNESOTA REGISTRATION NO. 8825 031(4z- 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 2 / 4, f 30RDE, MEGUMI 4574 CANTERBURY CIRCLE Site Street Address EAGAN, MN 55123 Unit # (651) 688-9799 Property Owner Telephone # ( ) NORBLOM PLUMBING Cu. Contractor (612) 827-4033 Telephone # ( ) Address 2905 GARFIELD AVE. SO. city State Zip MINNEAPOLIS, MN 55408 The Applicant is: _ Owner 4Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: _ Water Softener Water Heater $ 15.00 replacement - additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge $ .50 Total $ )S. 1 hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. n-~ i~ p 1 Applicant's Printed Name Ap s Signature I j I~ j,u4 CITY OF EAGAN PERMIT Control No. 0355 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000422 (612) 681-4675 Date Issued: 05/01/92 SITE ADDRESS: 4574 CANTEBURY CIR LOT: 8 BLOCK: 2 CHES MAR E 1ST DESCRIPTION: Building,-Permit Type DECK Building Wq~rk Type NEW ~ ~-_l ems, REMARKS: RECEIPT 0 REPLACING EXISTING DECK FEE SUMMARY: o Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - BREZINA TODD 4574 CANTEBURY CIR EAGAN MN (612)854-2881 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 Mn. Statutes and City of Eagan Ordinances. L- - APPLICANT/PE EE SIGNATURE ISSUE Y: SIGNATURE INSPECTION RECORD Control N 0355 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000422 Eagan, Minnesota 55123 Date Issued: 05/01/92 (612) 681-4675 SITE ADDRESS: LOT: 8 BLOCK: 2 APPLICANT: 4574 CANTEBURY CIR BREZINA TODD CHES MAR E 1ST (612) 854-2881 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION DATE INSPTR. • TYPE DATE INSPTR. FOOTING FINAL REMARKS: RECEIPT 0C 011.5 REPLACING EXISTING DECK I~ - L_ - PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 w~~1 - a. `P(a~,,~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once permit is issued. Date Z Valuation of work Site Address: 4574h}E1 Ct/l~ ',~pSTREET STE f Tenant Name:__ ` LOT BLOCK 2, SLW G•RE'S MAR tABT- P.I.D. 0 sT ADS I-no~ Description of work: E0,0 L-a~ 10-4 I S The applicant is: ❑ Owner ❑ Contractor ❑ Other (Deserlbe) Name Ska_,tmt) v% To C) a Phone b~ l-~t 3 ( 6 Property LAST FIRST Fsopp I~4_299 r(--f Owner Address _ 4~ 74 Q-o-v,.%i-P~~c ciz .C~2~` wa STREET STE City aAr State m h Zip lZ Company rn 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: qv+•- • %rrrnoc ux v141-T BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ;9 08 Deck ❑ 12 Comm./Ind. WORK TYPE ❑ V 31 New ❑ 34 Repair ❑ 37 Demolish 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. 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 APPROVALS Planning Bui 1 dini62- z "3 ; z Assessments Engineering Variance REQUIRED INSPECTIONS Rc nRUS P-aPtx a E.Kiti4y7 EM4, ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee Zsa VO valuation: s Surcharge yam, 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 :gate for: :a-Lehmen DELMAR H. SCHWANZ LAND SUR V E V OR RagIstere0 Undo, Laws of The State of Minnesota 2878 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 88088 PHONE 812 423-1788 SURVEYOR'S CERTIFICATE 30 ~ na.34 S 89'ft'1L'E e~,Q i 17-si 3 c K,IL v IaOQD ~°f 3 TRACT B 11 110s. 1% Ire, a~ ~ ( r t aoP°e It U ~ 4At P --a►- - - C r ~ J TRACT A $ ~K 3„ I g Z a Io JI CJ tQ, 239.84 5 SL'TL">c SCALE: 1 inch as 40 feet I hereby certify that this is a true and correct representation of- Tract' A: The south 50.00 feet of Lot 8, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Tract B: Lot 80 Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota except the south 50,00 feet thereof. Also showing the location of a proposed house thereon, Dated: October 13, 1980 Revised Block Number October 17, 1980. ReV1S4p F3~-04. L°T 81 ~-r. 21~ 19~. MINNESOTA REGISTRATION NO. 8625 PERMIT ek- 3 , f CITY 00 EAGAN 3830 Pilot Knob Road PERMIT TYPEBUILDING, Y Eagan, Minnesota 55123 Permit Number: 024252 (612) 681-4675 Date Issued: 07/29/94 SITE ADDRESS: 1076 KIRKWOOD DR LOT: 81 BLOCK: 2 CHES MAR EAST 1ST P.I.N.: 10-17150-081-02 DESCRIPTION: Building Permit Type DECK ,Building Wa.r_k Type NEW V~'> 0 ~J REMARKS: FEE SUMMARY Base Fee $30.00 COPY $.50 Surcharge $.50 Total Fee $31.00 Subtotal $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: VON RUDEN CONST, STEVE 14695721 0007022 O'HARA TOD 23625 JERSEY CT 1076 KIRKWOOD OR LAKEVILLE MN 55044 EAGAN MN (612) 469-5721 I 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 Min. Statutes and City of Eagan Ordinances, J z APPLICANT/P RMITEE SIGNATURE ISSUED BY: IG TURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024252 Eagan, Minnesota 55123 Date Issued: 07/29/94 (612) 681-4675 SITE ADDRESS: LOT: 81 BLOCK: 2 APPLICANT: 1076 KIRKWOOD OR VON RUDEN CONST, STEVE CHES MAR EAST 1ST (612) 469-5721 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTA. INSPECTION DATE INSPTR. FOOTINGS FINAL CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION $Je 00 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si a EIVib0 f energy talcs. III► 15 t9a COMMERCIAL 2 sets of architectural & struct ral plans, 1st o specifications, 1 copy of energy Falrs._____---_- 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 ~__T414 /Y5~'X Valuation of work Site Address: /~~1/~ ffrrku)Oop I" STREET SUITE # Tenant Name: (commercial only) LOT V 01 BLOCK SUBDCJ S` P.I.D. # Description of work: / ' / f Xf T~`~tl The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name 0 '~41ArA ~d Phone ~ - rT~S3 Property LAST FIRST Owner Address 10-76%~~ yOj 'J~ r rr STREET STE # City State h ^ Zip company ~zra r U~ de ti ,ts-/` i Phone /v g' S7 Contractor Address 2S' Qer5ea 01 T- License #~7_oaa Exp.3 City e(Ji State Z221 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 1 applicable State of Mi esota Statutes and City of Eagan Ordinances. /7-77 Signature of Applicant: _iicate for: Jsz-Tahmen DELMAR H. SCHWANZ LANDSURVEYOR Re9nlered Under Laws of The Slate of MlnneeOla 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55988 PHONE 812 4231799 SURVEYOR'S CERTIFICATE 3O n3.34 S B9~fL'ft"E ~ Q- ~ 1 lihl ~ 1~wljao0 3", TRACT B I 11 t p , t> I? fl 0 ?Ito O u 4.0~ J 4 TRACT A $ I" > ws i j 18 1 M 239.84 5 t* SL''lt" E 30 SCALE: 1 inch - 40 feet I hereby certify that this is a true and correct representation of- Tract A: The south 50.00 feet of Lot 8, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Tract B: Lot 8, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota except the south 50.00 feet thereof. Also showing the location of a proposed house thereon. Dated: October 13, 1980 Revised Block Number October 17, 1980. (Zr-0t%r.D FS&-o4. oU L-T (4ir Oc-r. 21r 19so. MINNESOTA REGISTRATION NO 8825 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauiremenh Remodel/Repair Reautremenls > 3 registered site surveys showing sq. fl. of lot, sq. ff. of house 2 copies of plan and g1 roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam L window sizes; poured Ind. design; etc.) 1 site survey for exterior additions 3 decks > 1 set of energy calculations > 3 copies of he preserv on plan ti lot platted aiter 7/7/93 DATE: CONSTRUCTION COST: ASa00' op DESCRIPTION OF RK:' D STREET ADDRESS: G LOT: - BLOCK: _ - SUED./P.I.D. 11 Name: Phone PROPERTY Last First OWNER Street Address: City Stale: Zip: Company: e954f,e'-' UA O n/ 4~ON77-Phone -751-Y42-6 (area code) CONTRACTOR Street Address: 66 0 /Ucense # a 2 Exp. DD City state: zip: 55~~ ARCHITECT/ ENGINEER Comp a7ly Name: Telephone area code ( ) Street Address: Registration C. City State: Zip: Sewer S water licensed plumber (required for new construction oniv): Penalty applies when address change and lot change i$ requested once permit is Issued. (hereby acknowledge that I have read this application, state that the Information Is correct, d agree to com with I appllcabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl t OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation, Plan-Received Yes No -Not Requ' 107 (o ~I I~ K Nbc77 ~ ~v sf~ ys~ y , i SEVERSON,SHELDON, U DOUGHERTY & MOLENDA, P.A. RECEIVED OCT 16 2007 SUITE 600 7300 WEST 147TH STREET EAIiAN APPLE VALLEY, MINNESOTA 55124-7580 ENGINEERING DEPARTMENT (952) 432-3136 TELEFAX NUMBER (952) 432-3780 E-MAIL bmm@scvemonsheldon.com TO: Russ Matthys, City Engineer FROM: Robert B. Bauer, City Attorney DATE: October 12, 2007 RE: Lot 8, Block 2, except the South 50 feet, ChesMar East 0 Addition Right of Entry Agreement (Adrian Martinez) Easement No. 1157 Enclosed and returned to you per your request, please find two originals of the Right of Entry Agreement regarding the above-referenced property. Also per your request, we will not record the third original of the Agreement. RIGHT /OF ENTRY AGREEMENT This agreement, made this 1Y4 L. day of C),, - be , 2007, between Adriana Martinez, a married person (hereinafter referred to as "Landowner"), and the City of Eagan, a municipal corporation, organized under the laws of the State of Minnesota, (hereinafter referred to as the "City'). WITNESSETH: That the Landowner, in consideration of the sum of $1.00 and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a temporary right of entry for storm sewer construction and other related construction purposes over and across the following described premises, situated within Dakota County, Minnesota, to-wit: Lot 8, Block 2, except the South 50 feet, ChesMar East Pt Addition. The grant of the foregoing temporary right of entry for storm sewer construction and other related construction purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. The Landowner, and her/his heirs and assigns, do covenant with the City, its successors and assigns, that she/he is the owner of the premises aforesaid and has good right to grant and convey the right of entry herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. ana ar m STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) Th foregoing instrument was acknowledged before me this day of c' e✓ 2007, by Adriana Martinez, a married person. /fit . Notary ublic APPROVED AS TO FORM: /7, _ ~ City Attorney's Office KIM] (t--~'~ Dated: fo((a( crl APPROVED AS TO CONTENT: Public Works Department Dated: 10 - 4 -0-1 THIS INSTRUMENT WAS DRAFTED BY: CITY OF EAGAN 3830 Pilot Knob Road Eagan MN 55122 651-675-5646 Easement No. 1157 S RIGHT OF ENTRY AGREEMENT This agreement, made this 4W_ day of T 2007, between Adriana Martinez, a married person (hereinafter referred to as "Landowner"), and the City of Eagan, a municipal corporation, organized under the laws of the State of Minnesota, (hereinafter referred to as the "City"). WITNESSETH: That the Landowner, in consideration of the sum of $1.00 and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a temporary right of entry for storm sewer construction and other related construction purposes over and across the following described premises, situated within Dakota County, Minnesota, to-wit: Lot 8, Block 2, except the South 50 feet, ChesMar East ls` Addition. The grant of the foregoing temporary right of entry for storm sewer construction and other related construction purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. The Landowner, and her/his heirs and assigns, do covenant with the City, its successors and assigns, that she/he is the owner of the premises aforesaid and has good right to grant and convey the right of entry herein to the City. IN TESTIMONY WHEREOF, the Landowner has cause. is easement to be executed as of the day and year first above written. . secuar.,5 dnana MartifiW i STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this day of 2007, by Adriana Martinez, a married person. Notary Pd' lie APPROVED AS TO FORM: JUDY M. JEWNS NOTARY PUBLIC-MINNESOTA City Attorney's Office MY Cammas M Expres Jan. 31, 2010 Dated: 1 a (((s (u7 APPROVED AS TO CONTENT: Public Works Department Dated: IO-4-e~ l THIS INSTRUMENT WAS DRAFTED BY: CITY OF EAGAN 3830 Pilot Knob Road Eagan MN 55122 651-675-5646 Easement No. 1157 r foce Use City of Eajan t~ tin j Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: T =7 Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: , I 1 I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 3 Date: Site Address: +6-7 4 rdkn f eAeu y C (rd Q' E-OL-9 a 0- ~ I 2 Tenant: A ) ' t V L4 d Suite # RESIDENT / OWNER Name: 1 1 a !jo yq 4- (a i d &i Phone: b I2- 7 a - $CO3 Q 4614- Address / City / Zip: C" f649 aroCe, Applicant is: X Owner Contractor TYPE OF WORK Description of work: S i 0( Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: S -e o- License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 maybe classified as non-public if you provide specific reasons thatwbuld permit the. City to conclude that the are trade secrets. 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 01NOYM No J&_ x bt~g~ Applicant's Pri ed Na a Applicant's igna e Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - 1 For Office UseQ I Permit City of EaRafl I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: n Unit M Name: Phone:0 I J '"6 Q 5 Resident/ Owner I Address / City / Zip: (4 P, 4e, Applicant is: Owner V Contractor Type of Work Description of work: Gd v- Construction Cost: O ~~d U Multi-Family Building: (Yes /No Ocfl 13 c Company:/! Contact lyr jT Q& Address: I"t ~5 C 4 5`f City: y~G Contractor ` State: WW Zip: S\ d dl ` L f License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor:_ _ Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ,m. the information may be classified as non-public if you provide specific reasons that would permit the City to . M. 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.aopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina s 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 p rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S B 1 Code m be completed within 180 days of permit issuance. y l x x Applica 's Printed Name ApplicarlK Signature Page 1 of 3 Dale Schoeppner From: Sent: To: Subject: PREMIER LIFT PRODUCTS INC: Bjorklund, Gary (DU) <Gary.Bjorklund@state.mn.us> Thursday, August 11, 2016 2:38 PM 'premierlift@gmail.com'; 'premierlift@gmail.com'; Dale Schoeppner; DU.EIevator.ETrakit Final Approval for Permit Work at 4574 Cantebury Cir, EAGAN The ELV INSTALL permit work has been completed and approved for the following project: Permit Numbe • I .04-00185 Project e: Majory Maide Unit 1 Site Location: 4574 Cantebury Cir, EAGAN The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices prior to allowing them to be placed into service. An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under the permit listed at the site above.The new installation is in compliance with the Department rules for elevators. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section Dale Schoeppner From: Bjorklund, Gary (DU) <Gary.Bjorklund@state.mn.us> Sent: Thursday, August 11, 2016 2:40 PM To: 'premierlift@gmail.com'; 'premierlift@gmail.com'; Dale Schoeppner; DU.EIevator.ETrakit Subject: Final Approval for Permit Work at 4574 Cantebury Cir, EAGAN PREMIER LIFT PRODUCTS INC: The ELV INSTALL permit work has been completed and approved for the following project: Permit Number: Project Nam Site Locatio - ' 0186 . Marjory Maide Unit 2 • 4574 Cantebury Cir, EAGAN The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices prior to allowing them to be placed into service. An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under the permit listed at the site above.The new installation is in compliance with the Department rules for elevators. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities. Act of 1990. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section 1