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