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3671 Canary Way? cITY OF EAGAN WATER SERYICE PERMIT ' 3830 Pilot Knab Road ? p. O. BpX 21199 PER1W117 NQ.; j Eagan, MN 55127 pATE: Zoninp: No, of Units: Owrlar• 'Cranf; f0a ??;:3 -- Address: " t' s Slte Address: 671 ?p-q2 r , 7, 17 Plumber: - ' ' t_` Meter No.: Connection Charye: -`'' : t•t d? 5ize: Acoount Deposit: ? 'Recder No.. Permit Fee: '' ' 1 iprw !o ?py wiH? !Iw Cifr ef Eagsw Ordiwomom By Date of I rup.: urtharge. Mtsc. CFarges: Totat: r>7P. t:3r Dota Pafd: CITY OF EAGAN S?? SERVICE PEMR 3830 Pjlot Knob Rosd P. O. Box 27199 PERMIT NO.: '.. '. Eagan, MN 55121 DATE: Zoni?q: No. af Units: ' OwrMr: Address: ..? SiM Add1E4S: ' S71 Ct1r'E3X"y Pfur?bar. 7?3'L?:?p ,3u- ;:? ,20rx? '...'? ?.)U.00,r.,;, I pno te ?smphr whk tLo ti1y of idna* Ccnrnetlan Charge: t' '' 014IMACM. ACCAllnt DEpOtJt: Permit Fes: Surcharoo: By Misc. Chorpes: Dote ut Inap.: Total: I?nR.: Dots Paid: ? 3830 Pilat Knob Bl;l1LDING PERMIT E Ta be used inr SF x)tlG/GAR Es bi'PH . /e!T/T}U;dsi?uiR CITY OF EAGAN cad, P.O. Box 21-199, Eagan, N PHONE: 454-8100 Receipt li Jalue $63e 000 Date- Erect ? iTBROQK 15T Remodel ? Repair ? Addition ? IN 55121 N2 32180 7il14E 26 ,s 86 Occupancy R3 Zoning R l Type of Const. 3.1W?- No. Stories GRAl?1€? OA1KS L?EVFx. C?? Move ? Length 42 W Name 1 fiUNRI$E C'1` Demotish ? Depth 4,8 j`a Address Int. Impr. ? Sq. Ft /Y EAGr1N ? Phane Add ress ? Signature of A Buildinq Perrr Install / Approvals Fees Assessment Permit $ 322.00 Water & Sew. Surcharge 31.50 Police Plan Review -161. D 0 Fire SAC 575•00 Eng. Water Conn. 500-00 Planner Water Meter 63.50 Council Road Unit 2.94. 0 U ation and statethatthe Bld Off. 6 Z6 ? 9' Tr. PI. 156.OU all applicable State of eS, APC Parks . I Var. Date Copis a 5 gg 0 J ? Total . IK$ DEVELOPM AIT CC) on the express condition that ' PormR No. Permtt Hdder Dafa Telephone M Plumbing H.Y.?.C. ? 13 Electric Softener inipectlon Date Inap. Commenis Foolings I Footings II FoundaUOn Framing ' Rooling Rough Plbg. Rough Hig. /] p(? Insul. r ` ?r t Fireplace Finai Htg. Final Pibg. Bldy. Final 4 Grt. Occ. Oeck Ffg. Dsck Frmy. Well DescHbe Locatlon: Pr. Dfsp. . .. i -...,.__._. _ . ' • . r . . ?'..n.t""_.r. - . '__.'-- , _ ... , . . .. ._....? ?; , . r. ..3." .3'T . VN'i •' , , . , ' . , PERMIT # • PLUMBING PERMIT RECEIPT # (?o . ' CITIf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: JTRACT PRICE: PHONE? 454.9100 Site Address J(-- I Lot I Block ? Name ,? Addre c City - r 'i lAJ (. BLDG. TYPE WORK DESCRIPTIaN ? ? Res. New Mult Add-on Comm. Repair Other 10. FIXTURES 7TAL Water Closet - $3.00 $ I Bath Tubs - $3.00 ?- 3 - Lavatory - $3.00 3 Shower - $3_00 1 Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 ? ? Laundry Tray - $3.00 ? Floor Drains - $1.50 1 = ? L Water Heater - $1.50 Whiripool - $3.00 T- Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: Sv GRAND TOTAL• a LS ? Phone `7 G ) ) I s ' ? Name ` . ; c... i` s 3 Address p City , Phone - ` FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) i ? . ? FOR: CITY OF EAGAN . . , . ... ,, , .. .. . - , ., _ . , PERMIT # MECHANICAL PERMIT RECEIPT # ?O J CITY OF EAGAN ? D 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 12 CON1fRACT PRICE: jiq( I ,Y, PHONE: 454-8100 Site Address "'E I I -o L ? ' ' BLW.TYPE WORK DESCRIPTION Lot Block ? Se?/Sub ,. / ?. New ? R es. Name lt Add-on M ? u ? Address(-r i / ? ir R C epa omm. c City Phone .LZ Other ? Name ` FEES - c Addres?y z RES. HVAC 0-100 M BTU -$24.00 p Giiy Phone ADDITIONAL 50 M BTU - 6.00 J ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORIC r'- +f Y ' ADDITIONAL fi M BTU - 6.00 GAS OUTLETS - 7.50 EA. Forced Air M BTU - COMMIIND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unlt Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. - ? ? M.EI'TU - STATE SURCHARGE PER PERMIT .54 _ (ADD $.50 S1C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other . FEE: ("r S/C: Sf.> SIGWURE OF PERMITTEE TOTAL: - • L? .r '' ` FOR: CITY OF EAGAN PERMIT # 1y21-1, PLUMBING PERMIT RECEIPT # \CITY OF EAGAN 3830 PILOT KN48 ROAD, EAGAN, MN 55121 DATE: f J?%? = CONTRACT PRICE /Gti 0•"" PHONE: 454-9100 Site Lot. ? Name ? Addre ? City L ? Name 3 Addre p City - FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIQENTIAL FEE - $1D.OU MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $50 S/C IF PERMIT PRICE GOES BEYQND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping 4utlets - $1.50 _L.Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE ? STATE S/C: - ` 7' GRAND TOTAL: - j ? .?:. . _ PERMIT # MECHANICAL PERMIT RECEIPT # CITY QF EAGAN 3830 PILOT I(NdB ROAD, EAGAN, MN 55122 DATE: _ ` C4MTRACT PRICE: PHONE: 454-8100 For Qffice l - Site Address 3571 AL[APY WAY gLQG. TYPE WO .1 n# 4_?i _ RIn?4 ,. C Q1? x Name _ Address City '' ? Name ` Address _ ?I p Clty f: TYPE aF WORK Piping Outlets # Phane Phone M BTU M OTU M BTU M BTU CFM FEE: S/C: ? Res. New E Mult Add-an x 1?i'.T?? ILIJAND AVEa Comm. Repair nQ4-nnn Other 'IOM FEES RES HVAC 0-100 M BTU -$24 00 . ADQITIONAL 50 M 8TU • - 6.00 384 (RES. HVAC INCLUQE$ A/C ON NEW CpNSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA COMMIIND FEE - 1°!a OF CC)NTRACT FEE APT. BLDGS. - COMM, RATE APPLIES . . TaWNHOUSE & CONaOS - RES. RATE APPLIES MINIMUM RE5IDENTIAL FEE - ALL ADD-ON & REMQDELS - 12.00 MINIMUM CaMMERCIAL REE - 20.00 STATE SURCHARGE I'ER PERMIT (ADD $ 50 SIC IF PERMIT PRICE GOES - .50 . BEYOND $1,000) <`s , EE ; .?, '. ?n[3• r;i?'w nG Ger:eni 'a '?! ` ???1 ?' ?? ? CITY OF?EAGAN WATER SERVICE PFRMIT 3$30,Pifbt K nob Road 7 r, P. 4D. Bo7e 211W PERMIT NQ.: Eagen, MN 55121 DATE: ' Zaninp: '`j No, of Units: '" Owner: "r m1d 0-71:- /lddresa: --¦ ? - Site Addreas• -?b / i i:ana ;...? rc, ok. I t'? ? Iev ?'1?+? 1{ Plumber: Meter No.: - 37c?+-???.?a4t?? 1?1Cgl?_?.G? %e: Reoderr No.:U 4N 1 prw ro aonpy wNh !iN OrJiweaar. ? .. BY Dote of Insp.: f ' _-- 'Pe?i? ?'Cj i} i Surchmge: " 50x d, Mlsc. Ct,oryos: 1. 5h . 0iio3 ''p Totoi. F3.Si;•?,_? ir:F???r Dote Paid: Insp.: This requast wid 6 6 6/ 18 mpnihs from ve J U272 7 2,43, g; HeQUe ?e o ? I Fve No. IioupMin Inspection e uiretl? ?Reaay NowgWill Noufy Insaec- t Wh O Yes ?No or en Reody ?Licensed Elecvical Conuactor 1 hareby roquest insDection ol ebove , Owner elecvical work inatelled at Street Address, Box or ute No. C? I v f,L? ecLOn o. Townshno Name or No. NanB o. County ? ? x?, ?Pfl?NT o ? S ?-- -?sc?- ?R r Su pher Address ctncal Contrector pany N mel ? s License No. ? Convar.mr' A ^ dmg AtlJrass ICon re or or Owner Meking Instailatwnl ' '?- 3 ScZv 553-?g Authon 9gnature mma r w MakinO Installa?ion) Ph ne Number o MINNESOTp STpTE BOARU OF ELECTIIICITY THIS INSPECTION NEQUEST WILL NOT GriBOS-Midwey Bide. - poom N-197 BE ACCEPTED BV THE STATE BOAhU 1821 Universitv Ava., St. Paul. MN 55104 UNLESS YHOPEH INSPECTION FEE IS OA....e I8191 J9].91H ENCLOSEO. X ?p7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 11' See instructions for comDte4w this Imm on beck ot Yellow copy. _?C 2"7 2 7 2 "X" Below Work Covered by This Request HAd PeD• TYpe of Builtlina APOlianeea WireA Equrymenl Wired Home Range Temporary Service Ouplez Water Heater Lightiny Fixtures Apt Bufldmg Oryer Electric Hoaun Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Condrtioner Bulk MiIk Tank Farm Otnnr oeu y emrr Isnec,frl t er uoc7v t Cr ' Other Compute lnspectlan Fee Belnw M Fee ServiceEmronceSize M Fee ieeders/Subfeetlers b Fee 'Circutts 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qmps 31 to 100 qmps 37 to 700 Am Sw?mmin Pool Above 700_Amps Above 100_Am s Transiormers Irngation Booms Partial,"Other Fee Signs Special Inspeclron S ' 4 TOTAL E emarks ? ? E,C ? _ L '. flough-in Date E ' ? -F-V , the ?soac1o,, ha.ebY p cerUfy4hatthe above Final _?Q ? mSpBCHoD ha9 bnEn ? /(/ mede. mis repunt voiE 18 maniM Irom CITY OF EAGAN ? 3830 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55121 N0- 12180 aBUILDING PERMIT PHONE:454-8100 Receipt p l(1 / ?/.7/? _/ j° 7obeusedfor SF DWG/GAR EstValue $63,000 Date JUNE 26 19 86 3671 CANARY WAY Erect Occupancy R3 SiteAdtlress Lot 3 Block 1 SeciSub. WESTBROOK IST Remodel 11 Zoning R1 Parcel No. Repair ? Type of ConstIM AddRion ? No. Stories ? Name GRAND OARS DEVEL CO Move ? Length A Q z SUNRISE CT Demolish ? Depth o AddresEAGAN Int Impr. ? Sq. ft City Phone 452-8934 Install ? o Name SAME o a Address ? Ciry Phone .a m w Name Address i w City Phone Assessment Water & Sew. Police Fire Planner Council Iherebyacknowledgetha[Ihavereadthisapplicationandstatethatthe gldg. information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Eag Qrdinances. APC. Vaf Signature ol Permitte A Building Permit is issued to: RAND O DE OPMENT all work shall be done in accordance with all applic S e of Minnesot Stat Building Official Permit $ 322.00 Surcharge 31.50 Plan Review 161.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290.00 rr.ai. 156.o0 Parks Date Copies?1 O Total CO ' on the express condition that rtes ' t Eagan Ordiqances. , ._ 607 NM : ALr. Pi G 3I9GL8 F9lIILY DiiEI.LIBGS ay INCLtIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLS DNEl,LINGS - RBSIDENTIAL INCLODE 2 SETS OF PLANSt CS8 1 SET OF ENERGY CALCULATIONS C0NlERCI9t 8SNT9L 09ITS FOH SAL6 DNITS OF 3IIROSY - CHSCS fiITH BLDG. DEPT.v INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ' . .. To Be Used For: Valuation: ????o Date: ( p- 02 'S - e?b Site Address (a OFFICS D3E ONLY Lot ? Bloek I ? Erect ? Oceupaney ?3 Remodel Zoning ?- Parcel/Sub ??pit,d? 1 Repair ? Type of Const Jz? Addition # oP Stories Owner - Move _ Length ? ? Demolish Depth, 41A Address _ Int.Impr. _ Sq Ft _ Install City/Zip Code Phone APpROVAI.S FEES Contraetor Assessments Permit 9217, Water/Sewer Surcharge a O Address Police Pl n Review Fire SAC -5 7= City/Zip Code ? Engr Wat'er Conn :5t22_ Planner Wat'er Meter Phone Couneil Road Unit ?9lJ Bldg Off Treatment Pl Areh./Engr. APC Parks Varianee Copies Address TOTAI. ? . City/Zip Code Phone # NOTS: 9DDEESSES FOR CORNSB LOTS - CONTRACTOR/HOMEOi1NER PIIIST pE3IGNATS FiHIC$ ADDRESS IS DSSIESD. HD CHANGSS i/ILL BE ALLOiiBD ONCE BQILDING PERMIT IS ISSIISD. MU3T BS LICENSED HITH THE CITY OF EAGAN ; ?. : ? , • ; ..y. E1ttER16ll ENVELOPE AYERAdE "U'' COMpUTAT10N +?N?R; - ?l ' j?? \,-I- ? !? n / ? • . , ITE AD(IRESS: NTRACTDR: DETEIIN1Nfi WbpRINA SibUAhE FOOTAG'E OF' EACNt : ? : ; ? >+:'.. ,.. ? r; •. ,.. , ?.- TOTAL EXPOSEd tlALL AREM, , , , , , , , 7Z y4 ¢t tt "v' TpTAI ROOF/CEILIHO ApEA,::{4 4 ., Qa ?_ bq ft sf "U'I a r? Z TOTAL EXPOSEh UALL AkEA CALCULAflONSi Total expofed aal) area aboVe floor,,,,;,,, 4q ft e) Total ws11 kindow area: sq gt x „U„ . 3? p 3z.z? glaxed,,,,,, sy ft x "U" b) Totel door area ,,,,,,,,, sq ft x "tl" ?D7 c) Tota1 sliding glass door area: 91a:ed...... ?_ 8o aq ft x "U" 9lezed...... l---_ aq ft K nUll r d) Total flreplaee wall area 4q ft x "U" w e) Total wall fraMlnq arla q qq (Averaaes lof).... .....? b 1?!! s ft x "till G?ct q . q f) Totel Aet ?+allf area ebeve floor (Ihsulat6d)....... .? sq ft x "U" g) Total rlm )olft area...... sq ft x "U" Total foundatton 2area (Exposed).......... sq ft , h) Total foundatioA wlndoN area ............. sq ft x "U" id "?- 1) Total ne4 foundatlen -72 / J' 2 ?7 " " / ??0 area above grade........ $q ft x U ? ¦ Tf1TAL a) thru t) If Item R3 Ta the same at, ot lesa than item P1, you have met the lnteAt of 2 rtCAR 1.16008 A and 0. . Page 1 ? • r I'TTJ'LAI. E7QIMED FlOOF/CEII.IIVG CAI.C[a.ATICNS: Total emposed rvof/ceiling azea......... .?? sq ft j? Total akylight axea........ aq ft a"I)" -------- ? -? k) Tbtal toof/oeiling frandr?g 1OD ?S area (Average 107'0)....... • sq ft A'11" , aZ? 1) Total net ineulaUed r roof/ceiling axea........ jJ`I , 0'5 eq ft tt"U" 4. Tl7TAL j) thru 1) R-721501 If totnl of 114 ie the s+me as, or lese thsn ?2, you have aot the inbeht of 2 t CNt 1.16008 A. md 0. Altemate Building lhvelope Desi.gn To uttlize the total envelope eystem metfiod, the valms established by the stmm of items #3 md #4 shall not be greater tFan the sum of items #1 mnd #2, 1. . . +2, 3. +4. CERTIFICATION I heieby certifq that I have calculafled the "U" factora and "R" valuee herein and that the building hei+e described meets or exceeds the State of Mirmesota F]iergy Canaervation Act. (SiMatvre) (Ditte) 7.; U,RVEYOR . I I CEFiT I _ \J ,-? ? 28 . ?? .3 ?- L_ L? t Ij Q U ze i ?.t I qixl N --:? DENOTES'PROPOSED SURFACE URAINAGE SCAIE: 1 INCN - 30 FEET O • UENOTES UENOTES IRUN MONUMENT 5ET IRON MONUMEfVT FOUND PROPOSED GARAQE FLOOft - 918.s • FEET PROPOSED TOPEOf BLOCK ¦ 9/9•z FEET (000.0) QEh10Tg5 PROPOSEU ELEYATION .. DEVELOPMENT 7H15 i5 A TRUE ANd COR(iECT REPRESENTA710N OF A SURYEY OF THE BOUNUARIES Lot 3, 81ock 1, WESTBROOK FIRST ADDITIOfI, according to the recorded plat thereof, Dakota County, Minnesota.' . AND OF TIJE LOCA7ION OF A PROPOSED BUtLDiNG. IT DOES NO7 PURPORT TO SIIUW 1MPROYEMENTS. OR ENCROACtIMENTS, IF ANY, TIfEREUN. A5 SUIiYEYED 6Y ME, OR UNDER P1Y UIIIECT SUPEI1YiS1UN, TIi15 Z4tb DAY OF 1986. , rIoT•E: S1GNEd: JAMES . ILL, INC. PROPOSED GRADES WERE TAKEN FROM THE GRADING AND DEVELOPMENT PLAN FOR (/ • WESTBROOK FIRST ADDITIOPJ, PREPARED BY DELPIAR H. SCHWANZ, LAPJD SURVEYORS gY' INC., DATED NOVEMBER 14, 1985. NAROLU C. PETERSUN, LANU SUftYEYOR PIiNNE50TA l1CENSE NU: 12294 pAOJECT N0. 600K / PAQE JAMEs R. MII..L, INC. 86763 ?y` yy ? Planners / En•gineers / 5urveyors FILE NO. 8200 Humboldt Avenue Bouth ' FOLDER 131ooMlnBton,Mn. 66431 017-e84-3029 CAT GIIANU OAKS UEYELUPMEN'f CU- ( ' ? ( ') . i; r ClTY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION *XYPS': PAYMRW OF PFE AT TSME pF ??? ? ? ?? APPROVAL OF PERMrr. Pncriorr oF sEWx Arm/ax WATErt rr,SmAr.rarrONS W1II,L NpT BE ScHED- UI,ID L7N7'II, PERMT AAS BEF1+1 APPIZl3VF9. ... .,,.____..__.._....____.._______________ P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: I£ EXISTING STRIIClS)RE, DATE pF pgIGINAS, BIJILDING PERNIIT ISSL'P.NNCC.'E: ? Nbn Year) PRFSENP ZONING/PROPOSED LSE: [) CCh"-P-fEEtCIAL/REI'AIL/aFFICE .. 0 IAIDCSTRIAL ? INSTIT[.'TIONAL/GOVERNMENT 2) ? DIAME: ADDRESS: CIT'Y, STATE, ZIP: PHONE: -d9, ? R-1 SINGLE FAMII,Y R-2 DL'PLEX (ltvn C?nits) R-3 ZOWNhiOUSE (Three + Units) ( Onits) p R-4 APAI2TmNT/CODIDOMINlUM ( Units) 3) u c ?• NP.ME: _ ADDRESS: ? CITY, STATE, ZIP: PHONE: MAS2EF2 LICENSE# o?/Q 7'1ff k 4) ?r. • e i?• NAhIE: ADDRESS: CITY, STATE, 2IP: PHONE: Pltmbers License: Active Expired Not recorded Staf?tial -5) ?? v ,. , i r. •?• : o o? a? ' NSti CONDIE:CTION 1O CITY SES9F'RCONNDCTION 7U CITY WATII2 a OTfER '. 6) rn•FnGE HpLp pppgpVFD PETZMIT FOR PICK-C?P BY ONE OF FIHOVE -- [J PLEASE MAIL APPROVID PERMIT 'it) 1. 2. 3. 4 r A13(7VE y? n (Circle one) ? 7) 19 ? ? FOR CI°TV IJSE ONLY PERMIT # ISSL'ED G Pd w/Bldq. Permit 0 S $ e S $ S ??• O O $ "d • t5--- o $ -5- 7 Y, S $ $ $ $ J5-6.UO $ $ FEES: S lfl • ?;? $ /O• ^ S?' e $ $ $ $ $ $ S $ $ $ S $ $ a/. e-v ? ?? RECEIPT RECEIPT SEWER PERMIT (INCLUDE S[]RCHARGE) WATER PERMIT (INCLL'DE SC'RCAARGE) .. WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLC'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER WAC SAC TRLNK WATER ASSESSMENT TRL'NK SEWER ASSESSMENT LATERAL-BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES LTZLITY 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 CONDITIONS: APPROVED BY: TITLE: ' DATE: s sd q?-0 BUILDING PERMIT APPLICATION CITY OF PJICAN 3830 PILOT KNOB RD, EACAN MN 55122 851-881-4875 Naw Comkuction Rsauiraiwnh Rurodeftm'v Wauirommb • J regctered sde survays slwvnrg s0. R of lot M. R af haise: and 11 rooFed arm • 2 mpies of yan (20% maximum bt covHagB 2YawM) • 7 Sef of &migy CakWibOm for IwMd addliato . 2 copms af plan sMwing beam 8 wiMaW sceA paured tamd design, atc.) . 1 ste swvey fa sxlerior a0d3ons 6 Uxks • 1 set of Eneqy CaladaEOns . LWca[e d hortie seneE by septlc syslem tw aCEitians • J copies Ot Tree Preservation Ppn d lot paCed aRer 711193 • Rim Jaet DefM Opuam sekcfion shee! (bldgs wqh 3 orleas umh) DATE ?L VALUATION ? , SITE ADC TYPE OF APPLICANT STREET ADDRESS ^I1+A ?) I I IiPI TELEPHONE #t IIj -],-QL' ULTI-FAMILY BLDG _Y j!N FIREPLACE(S) jfl _ 1 _ 2 [.?,_STATE JA1AkIP E55tk)C,_ FAX # 10 2'11/1-0 PROPERTYOWNER Th -i I h2, I jI or.1 TELEPHONE#tOSI I)5 -------------- -.......... ---------------°------°°°-------------._...------°--------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA R[ILES 7670 CA1'EGORY 1 YIPINESO'T.N RLZES 7672 (•1 submission rype) • ReaiAentlal Ventifalbn Category 1 Workshee! SubmiUed • New Energy Code Worksheet Submitted . Energy Envelope Caladatlana Submitted Plumbing.ConhacTor: Plumbing system includes: Mechanical Conhactor. Mechanic.il system includes: Sewier/Water Conhactor. _ Air Conditioning ? Heu Recovery System Phone # Phone Y Fee: $90.00 Fee: $70.00 I hereby acknowledge that I hove read this application, state that the information is correct, and agree to comply with all applicable State of Minnesofa Stafutes and City of Eagan Ordinances. Signafure of Applicont - OFFICE USE ONLY Certifcates of Survey Received - Tree Preservation Plan Received - Not Required _ Updaled 4102 _ Water Softener _ Water Heater _ No. of Baths Phone # I,awn Sprinkler No. of R.I. Baths ?I . I ? PERMIT City of Eagan Permit Type:Building Permit Number:EA139746 Date Issued:11/07/2016 Permit Category:ePermit Site Address: 3671 Canary Way Lot:003 Block: 001 Addition: Westbrook 1st PID:10-83625-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Philip Belfiori 3671 Canary Way Eagan MN 55123 (651) 235-0938 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:EA139746 Date Issued:11/07/2016 Permit Category:ePermit Site Address: 3671 Canary Way Lot:003 Block: 001 Addition: Westbrook 1st PID:10-83625-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Philip Belfiori 3671 Canary Way Eagan MN 55123 (651) 235-0938 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature