3668 Canary WayCITY 4F EAGAN
3830 Pilot Knab Road
Eagan, Minnesota 55122-1897
(651) 681-4675
, cSITE ADDRESS:
f PERMIT SUBTYPE:
? ? ?. .. ? . . _.
dRD
VIIT TYPE:
Number:
r . ? ? .
TYPE OF WOR
Permit Holdel' Date Telephone #
SEWEF3(
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS .
FOUND
FRAMING
ROOFING
-
ROUGN
PLUMQ(NG --
PLBG
AIR TEST
ROUGH
HEATING V
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE3T
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAffJS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
,?..
i
CITY OF EAGAN SEWER SERVICE PERMIT
3830 PilotlKnob Road .,, ?
P. O. Box Z7'199 PERMIT NO.: '
Eagan, MN 55121 pqTE: M.
Z°ninD: ' No. of Unih: .`
?Wr10r: ?" i. GtE1tiE$' 1'i L'.lweg?:
Addf@SS:
SiYe Add
Plumber:
1 prN to complp wNh !w Ckar ef Eapm Connectlon Qharya: - =: 2-1 5•0 0 p a
Orditiseea. Ac,count Deposit: i'` , t`;tpe
Parmit Fae:
Surchorpe:
By
Dota of fnsp.:
Misc. Charpes:
Total:
Dote Pald: -
CITY OF EAGAN WATER SERVICE PCRM14
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: "
Eegan, MN. 55121 DATE: '- ; Zonln4'_ ` No. of Units: A
Owner.
Addross:
.
SitB /lddre55: .,
Pl171fIbCr. st'3.r
Meter No.: Connectian Chorqe:
SiZe: f1CWUnt D@pa6it: i- j(''j
•
Reader Nc.: Pemlit FEe: ii !;T3d
I "fM f0 OD111py wuh !w CiFS/ Of Eelpw $UlrhGfgA:
OediMnar. Mlsc. Charyes: -'s=
Totol:
BY Date Paid:
Dote of Insp.: Insp.:
... ?L" . *: .. .., .
. . ? .. A`v. .. RiOF?'- ... .t. . . ..
CITY OF EAGAN .
- . . . .
?. 3630,,Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ' .
BUILDING PERMIT; ' Receipt #
?
To be ussd for S.F DWG/GAR Est. Value 56,000 Date B'- --MB- R , 19 _85
Sitle Address 3668 CANARY WAY Erect ?
Lot?Block 7 Sec/Sub. LEXINGTON PI. SoRemodel ?
Repair ?
Parcel No.
Additian ?
FRt?N?'IER l?1ILltvFaST fiC)b?E3 Move ?
?
W Name
Demolish ?
a Address 3906 '?IB P'?? HWV *E int Impr. ?
City EAGAN Phone 4 5d - -- 0433 ?nstail ?
o Name SAME Approvals Fees
Z
0 ¢ Address Assessment Permit 3G1, ?10
00
26
~ City Phone Water & Sew. Surcharge
•
Police Plan Reviewl?O • 5 Q
F W Name RICE'sAltD CIiARLIER Fire SAC 525.00
?? Address 14103 GARDENVIEW CT Eng. WaterConn.
?d•??
a W Ciry APP VATPhone 432-5442 Planner Water Meter 6 j • 0 0
Council Road Unit 280.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 12/1 6l ? Tr. PI. 132.00
inFormation Is correct and
gree to;?omply with,all applicable State af
?
Minnesota Statutes and of agapnc s. APC
? Parks
^ Var! Date Copies
Signature oi Permittee
?.tr
`
1,979.50
Total
.CI FaR P?1IUfntEST I??.Qs?;ES on the express condition that
A Building Permit is issued'to: FROfJ
all work shall be done in accordance with all applicable,State of Minnesota Statutes and Gity of Eagan Ordinances.
Building Official
ParmR No. Parmit Hdder Date Telephone #
Plumbiny
H.VA.C.'
E?iric
SoRener
Inapecifon Date Insp• Comments
Faotings I
Footlnys 11
Foundatfon
Framinq
Roaling
RoughPlbg.
Rough Htg.
lnsul.
Fireplace
Final Hty. ?
Final Plbq.
Bidg. Flnal
Cerl.Occ.
Deck Ftg.
Deek Frmg.
wBn Dsscribe Locatfon:
Pr. Dtsp.
I
PERMIT #
RECEIPeT #
• /
DATE
CITY 4F EaGAN
PLUMBING PERMIT
454-8100
MINIMUM RE3IDENTIAI. FEE - $10.00 + $•50
MINIMUM COMMEFiC1AL FEE - $20.00 + $.50
Bldg. Type: Res-A' Comm Inst-? 2. New h Add
FEE o0
SIC
TOTAL
Alter Repair.
3. Tot81 Bid Price 4. Job Address
. ?
Lot Block?Sec J??,r?"?iic.'?i1 J?? ?'• 5. Owner Frantiear 11org?;;
s. Contractar ?`wr«eJ. :-i.-?!char.dcal 3600 Ken,1Pbec il_r ty'a F, a.i 55 i'-, 2
(Name) (SUeet} (Cily) (Zip)
7. Contractor Phone # E; 5Z'" i-)65
N0. FIXTURES NO. FIXTURES NO. FIXTURES
?.Water Closet - $3.00 LLaundry Tray - $3.00 -Well - $10.00
-LBath Tubs -$3.00 f Flaor Drains -$1.50 Private Qisp Syst -$10,00
?Lavatory -$3.00 ?Water Heater -$1.50 3 Rough Openings w/o
Shower - $3_00 Whirlpool - $3.00 Fixtures - $1.50
/ Kitchen Sink -$3.00 ? Gas Piping Outlets -$1.5Q
-Urinal/Bidet - $3.00 -SoRener - $5.00
COMM./IND. RATE - 1°k OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approve? Y? Inspections: Date Rough Insp. Date Flnal Insp.
PERMIT# ??n CITY OF EAGAN FEE 24+00
' I MECHANICAL PERMIT sic •500
RECEIPT 454-8100
+.i21f $6 MINIMUM RESIDENTIAL FEE - S10.00 + $.50 TOTAL $24.50
DATE MINIMUM COMMERGIAL FEE -$2a.D0 + $.50
, 1. Bldg. Type: Res XX Comm Inst 2, New XK Add Alter Repair
3. Total Bid Price 1700-00 . Job Address 3668 Canary Waq
?
Lot 6 Block 7 Sec P L 5. Owner Fxomtier Companies
6. Contractor WenaNl MeGFisnical 3600 ICennebec Drive, Eagan, MN
(Name) E1].2-4.`!2?'1..???? 5 IStreBU (CitY) (ZiP)
7. Contractor Phone #
RE5IDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.UQ
RESIDENTIAL CdOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fractfon -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
oIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RcFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM.IIND. RATE - 1% OF TOTAL BIO PRIGE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
,
Signed: ?-- . ? CLII.J for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks
addition Zexington Plaee South Lot 6 Blk 7 Parcel 10 45060 060 07
Owner Street 3668 Canarv WaY state_ Eagan, MN
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF. , (?
STREET RESTOR.
GRADING
, SAN SEW TRUNK 1985 247.64 16.51 15
SEWER LATERAL
101
1986
1631.00
- .326.20
5
Services 101 1986 729.39 145.87 5 ,00 ?
WA7ERMAIN 1985 65.81 13.15 5
WATER LATEFiAL 1013 1986 8 7 3. 43 1 7 4. 6 8 5 -
WATERAREA 1014- 1986 243.73 . 48.74 5 ?
W T L T B 101 1986 111.98 22.39 5 14o
STORMSEWTRK 101q 1986 426.54 85.30 5 /r.2 y? //? -2
STORM SEW LAT 160.66
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Ill 280.00 12/18/85
WATER CONN. U. u n
SUILDING PER.
SAC •
PARK
II CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
,
P. O. Box 21199 Y' 7056
PERMiT NO.:
Eagan, MN,, 5121
? DATE:
I? Zoning: _ `'
? No, of Units: ?
Owner: T't'ont:icar haidwest
Address:
Site /lddress• 3662 C.anarv
Plumber: S t^ x' ;? lu?? i)
Meter No.••36-'EX 1 67 6 4 o ar e:
Zi
o SC?f?.t)(7bcl
Size: t j? C
U
? 1 C. Otlntl
Rea r No.• i?1 D' ? F?' ??f) 0c?
?
I agrs? to aowipty with Nie Ci t
ow horge:
'Surc. . 5!?pd
Oedina ? Mise. Charfles: ' 2-`?, 00-)d `rP
Totol: 6"? 4li ?n(i metGT
By Date Pnid:
Date of . Insp,;
a-AF= ??
CITY OF EAGAN
11389
N0
3830-Pilot Knob Road, P.O. Box 21-199, Eaga n, M -
N 55121
? PHONE: 454-8100
BUILDING PERMIj. Receiptq
Tobeusedfor SF DWG/GAR Est.Value 56,000 Date nF. CEMEF.R 18 ,19 85
SiteAddress 366$ CANARY WAY Erect t7 Occupancy R-3
Lot 6 glock 7 Sec/Sub. LEXINGTON PL SORemodel ? zoning R-1
Parcel No Repair ? Type of Const 1.7
. Addition ? No. Stories
FRONTIER MIDWEST HOMES Move ? Length
a
W Name
Demolish ? Depth ¢.6
o Address-3 90R RTR MF.M HWV $F. I
tl ? Ft
t
S
n
mpr. q.
Ciry Phone dSd- 0431 Install ?
i o Name SAME
$ Q Address
? Ciry Phone
Name RTCHARI) CHARLTF.R
?o Address 14103 GARDENVIEW CT
aW CityAPP VA7.Phone 412 -Sd99
I hereby acknowledge that I have read this application and state that the
information is correct antl gree to all applica6le State of
Minnesota Statutes end ot ag? rdinanc .
Signature of Permittee
Fees
Assessment.
Water & Sew
Police -
Fire
Eng.
Planner-
Council _
_
Bldg. Off. 12111316
APC
Var. Date
Permit 301.00
Surcharge 28.00
Plan Revie450. 50
SAC 525.00
Water Conr5. 00.00
Water Meter 63. 00
Aoad Unit 280.00
Tr. PI. 132.00
Copies
Total 1,979.50
A euilding Permit is issue o: FRONTIER MIDWEST HOMES on the express condition that
all work shall be done in accordanceAoqth alliipplicablf State of Minnesota Statutes and City of Eagan Ordinances.
Building
Thisrequestvoid ? ?? ?
nthe' from 6 W
?095226 L ?, ?37 •???:?;. s9? ? a
Rn e3l Date fire No. RouPh-in InsDection
Reqmretl ?Ready Nuw m '''irirv/o[itY lnsoec-
y
V ?Na rlor When ReatlY
R?ercensed Electncal,Contraclor I hereby requeat inspecLOn ot ahove ,
? Owner electrical work instelled at:
Sireet Address, Bon or R e No. ? Citv
V
e ion o. , Township Neme or No, flange No. County
O an PRINTI ? ? r D ? ??+ Phoi ?q L
.? T
Power 5 Dhar Address
/
<
Electncal Con[ractor (ComVany Namel C tracmr s icense No. i
Maili I
'
JOm t r or'Owner Makin I ,on)
145?o PENNOCK ???
Au[lioriMprpt[pe9LZa 4 ? QuTitila.¢t,c% n y i. a onl
..? f - Phpne Number
MINNESOTq STATE BOAND OF ELECTNICITY THIS INSPECTION PEQUEST WILL NOT
Gripgs-Midwey Bldg. - Noom N•191 BE ACCEPTED BY THE STqTE BOAPD
1821 Univeraity Ave., St• Paul, MN 66104 UNLE55 PNOPEN INSPECTION FEE IS
Phona (612) 297-2111 1 ' ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-a
, Sea instruetions for completinry [his form on beek of yollow copy.
X'" Below Work Covered by This Request
? 0952?6
qdd Rep. Tvoe ot Buildino Aooliances Wira! Equipment Wiretl ?
ex
ce
p Fee Service EntranceSiza k • Fee FeeAers/Subteeders N Fee Circuits
0 to 200 Am s 0 to 30 qm s (1 ? 0 tn 30 Am s
A6ove 200 qmps 31 to 100 Amps _00 37 to 700 Amps
Swimmin Pool Above 100_Am s ? Above 100_Amps
Z Transformers rn tion Booms Partial,'Other Fee
Signs ? I ISpecial InsPection S"ITOTA1 y/?
pemerks ` ? ? ``7 1
ll
Fmal
cartily the[ the nbov
inspect.on has baen
mede.
TltlereQueetvolOlB
S'o-Sc7
'
n? JUN 13 2008 {
- ----------,
? Permit#: I
' g35y ?
? Permrt Fee; ?
? ?Date Received.
? Siaff: ?
- - - - - - - - - - - - - - - -
2008 MECHANICAL PERMIT APPLICATION
Date: Site Adtlress: _31„ ?,_ 1"04v
Tenant:
Suite #:
RESIDENTlOWNER Name: ?f?f?rr L.VNN Phone:,?_[oS? //0__--_2_
Address / City / Zip:J?% $ (?FFlJjW & 4-fJ, /"`AI $?5_123
CONTRACTOR Name: C.t1E {-fvu4 Lic? utRZT5r3?3?Z
Address: 190 C/ //e4LC(/G/a O7N JT
City: t7 4Z?"i &l/s State: ty_ Zip: S_S_0?&
Phone: Contact Person:
TYPE OF WORK _ New ? Replacement _ Additional ? Altera[ion _ Demoli5on
Description of work: aldlgeee c.° i PS/Q?P
..
??>' , t "?'sor++?rYrar??"" ni?;*gro cf?"m fe? ' aruca "r merl ' r?i
PERMITTYPE RESIDENTIAL COMMERCIAL
Furaace _ New Construction _ Interior Improvement
14 Air Condifioner _ Install Piping _ Processed
Air Exchanger _ Gas _ EMerior HVAC Unit
'
_ HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ Install /_ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (inciudes $.50 State Surcharge)
$90.50 Fire repair (replace bumed out appllances, ducnvork, etc.) (includes $.50 State Surcharge)
$ SC7 ?SO TOTAL PEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- It Pennit Fee is less than $1,000, surcharge is $.50.
- If Permrt Fee is >$1,000, surcharge mcreases by $.50 for each -$-?- State SUfCharge
51,OOa Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge) ?,, ?/?
$
/
U •O/ TOTAL FEE
_?
Z
I hereby acknowledge that this information is complete and accurate; [hat the work Hnll be in canformance wi[h [he ordinar.ces and codes of [he City of Eagaq that
I understand this is no[ a permII, but only an applicaGOn for a permrt, and work is not to start Nnthout a permit; that [he work will be in accordance with the approved
plan in [he case of work which reqmres a review and apprwal of pians
X X
Applicant's Printed Name ApplicanYs Signature
PERMIT
CITY OF EAGAN
383y,Pilot Knob Road
^ Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.I,N.c 10-45060-060-07
PERMITTYPE: BuzLorNG
Permit Number: 0 3 4 2 7 4
Date Issued: 1"I f 2 3/ 9 8
3668 r.atvnHV wHv
LO1': o [3LOCK: 7
LEXIIVGTUN PIACE SOU'iM
DESCRIPTION:
REPLliCE 5zoINr,
8u,i'ldiriq DermiL Type S'iORM CJF?MAGE
BVildina Wo k Tvpe REPAIR
icfensus Cpde \ 430. AL1`. RESTDf:n!TIFlL
REMARKS:
FEE SUMMARY:
CONTRACTOR: -A pPi i can r . - s i . L I C . OWNER:
CUSTOM CONCEPI"S CONST 18987299 207,4241.7 FLYNIV GABRIEL
16540 KENRICK LOOP/S7E B 36619 CflNARY WFlY
LFIKEVILLE MN 55044 tF1GAN MPJ 5G123
(612) 898-7290 (657.)
I hereUy acknowledqe L'hat Z have read this appLication and state L'hat Che
intormatipn is correct and aqree to comal.y wiCh a11 applicabla STato ot I+In.
SCaT.utes and Citv of Caqan Urdinai7ce5•
?-, -
APPLICANT/PERMITEE SIGNATURE
--%XSUED BY: SIGNA UR?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
• 681-4675
New Canstruction Requiroments RemodaUReoau Requirements
? 3 registered sile surveys • 2 copies of plan
? 2 copies of plans (inUude beam 8 window s¢es; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & Aecks)
? 1 energy calailations ! t mergy wiculations for heated adddions
? 3 copies of tree preservation plan iF fot piatted after 711/93
required: _ Yes No
DATE: /o?-2l - 98 CONSTRUCTION COST;
DESCRIPTION OF WORK: %? ?
7
STREETADDRESS: `3?,
LOT: ?a BLOCK: SUBO./P.I.D.
I GC??V..e.Q
Name: Phone #:
PROPERTY Latt??- F'rg
OWNER
Sueet Address: S G,M?
City State: Zip:
l? ?Z. -7 7iC>
Company: Phone 9:
CONTRACTOR ;10% LI 7 L/? 7
Street Address: G ?.S6 Pn tr L[x? License # ?
City State: ' i ly Zip:
ARCHII'ECT/
ENGINEER Company:
Name:
Street Address:
City State: _
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Phone #:
Registration #:
Zip:
Penalty applies when address chanc
I hereby acknowledge that I have read this applicatlon and state that the infortnation is Correct and agree to comply with all applicat
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Appiicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
i
C 2/84
?
?l?
CITY Ot EAGAN
11N1 APPLICATZON FOR PERP4IT , „
__- -_..._
...w.-.,-...,.._...,
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PP.OPE7IY ACDRESS: 3 (p n, --
LF.GAI, D°.SC4I°TICV: a LE' X i flG?W
?
(Lot/B
ock/Su:aivisi or Tax ?arcel I.D. Nunoer)
? Tr EXIS-7-_:G S??CG^.URE , DrITE OF Cn_TG=?L `u;I" :I:-:G =.-==,
PP.=SEN^: Z.^.`7I11vr:/Pa'JPOS-''J IIS: N R-1 Si?:GL : FPYSLY
? R-2 DUP= ('? w.-?O LTIITS )
? R-3 2CF.v'TCg (mc?-r=_ + L':TITS) ( IIPII^_S)
? r-a wi_s)
? CC`2%IE.°.CT_:%I./:'.Z,/OFz'ICE
? MmCSTi2L:L
?
2) AP?_T,I= (PLEA$E PR1;IT]
N7V•1E= Frontier Midwest Homes Corporation.
ACD2ES5= 3908 Sibley Memorial Hwy. Bldg. E ?
CTT'=, S'=ATE. Zu': Eaqan, MN. 55122 -
PFa`E: 454-0433 -
3) p=mEp.
?'?'"?? (PLEASE PRINT)
Star Plumbinq FOR CITY I1 9LY
ADDRE55:
1018 Mound Springs Ter. P LICEYSE-
nctive
' CITY, STATE, ZIP: Bloomington, MN. 55420 Q xp' ed
PHOJIE: A3;Lr.
884-4149 PLU4BER LFCENSE J/ 3329 of Record
rr iffTrTsi
91 CX.C."liYPS!'P/CCvT.TP.tt
NNME:
.
AODRESS: cIg
CITY, STATE, ZIP:
PfiONE:
5) INDIG.TE :df-IICH PER•lIT IS BEIh{; REtUESTLD:
gj Co:TtECi'ZON TO CZTY sEWEA Please mail gold copy to
? COC7?=IC;1 ;O CITY WATE:t Wenzel-Mechanical
3600 Kennebec Dr.
? c7il?ER (PLEASE DF_SC:tIBE) Eaaan. _MN. 55122
. El PZ.r%SE f?OID APPi?GV'tU PER+^ST FbR PICf:-GP BY C:VE OF ABMIE
?°LEASE ?7,T APPRO/ID PEFMIT TJ 1. 2 3, 4 AFiO?'E
? . n (Cir e one) J
7) SIG^.TLnE:
A
DATE:
r? *
?
? w a?aa+?ss?a s? a?c?:aAa ae a.s o s..a a? s s ?csa:a:? a: re ?+fr? ? r s?s"?asas?
F 0 R
C I T Y US E ON;,Y .
PE?2.NIT '-` ISSUED
r=-5: $ //o• ?
s
. (?3-E o
$
5
$ ?? • Cr7)
$
? O cr z?
$
$
$
$
$
S ?? ? C9 D
$
S
$
TJCDi1Ty l2]ICL.:DL JUP.C :1aGL)' - -
waTEa PERIMT_T (zrrcLUnE sUncNaaca)
WATER METER/COPPERHORN/OUTSI?E cZEi,B;R
WATER TAP (INCLUDE CORPORATION STOP)
5 ::9ER TAP
ACCOUNT DEPpSIT - S-7AT°_R wac
SP_C
TRGNK S4ATER ASSESS:+.E.1T
TRli?IK SE;•7ER ySS: S5:•iEDiT
L`nTEP.AL BENEFIT/TRUVK SE::ER
LAT'c?trlL BEVEFIT/TRU.:K SVATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TO;AL
AMOC\T PAID j RECEI PT 9 y? ?
DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
• .... . . . . .
_ , ... ..
YES IF YES, THEN n"PERb1IT FOR 410RK WITHIN
PUBLIC ROADWAY" MUST BE.ISSUED BY THE
C] NO" ENGZNEERING DIVT.SION. LIST AS A CONDI-'
.,. ; . , , .
-- - TION. s..
. _. _ ,,. ,...
SUESECT TO THE FOLLOSJING CONDITIONS: ,
APPROVED BY:
TI:?,c:
DA:r:
e! PA ??O ? O fC Y4?J O! B R YUO !t? OIE p M V'?V iF77 Ml+. ?4' A?Y1?0 B1fi iek? i4 Y f4 pf? M!Y ?44 ?! OA 9i a
; , •,,-,
.?
?
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NO'PE: ALL CONT&ACTORS NUST BE LICENSED NITH THE CITY OF EAGAN
14aRTFoP-0 INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: yaluation: (?-?--- Date: ?a- R-Ss
n---?_??_r
Site Address; qI.,!„R' l?rnan.J
Lot; ? Block -7 Sect/Sub
Parcel f/ 4v„?G?.?.,Z,?(1it
Owner
Address
City/Zip Code P?M,, 5? 1?
Phone 4,zA-!j ?
393
Contractor L,m,lLO„ M nw Q,4 ady"ka,
OFFIC? E USE ONLY
Erect ?
Remodel i
Repair ?
Addition
Move ?
Demolish
Int.Impr. `
Install
Occupancy 2 3
Zoning Q 1
Type of Const ?
S of Stories
Length ? B
Depth
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surchar e
. Address o,
390R , A? e?
Police g
Plan Review
Fire SAC
City/Zip Code f,?,j Engr Water Conn
.I Planner Water Meter
Phone AS?i- Q?
3 Council Road Unit
,
n ,.(? Bldg Off (6 Treatment pl
Arch./Engr, ryU.Aa1?.,,Q l?'\WUU A, APC Parks
Variance Copies
Address CiT TOTAL
City/Zip Code 0 p L,, ?I?r}n. SS[a-q
Phone # ?-t ??-- `jq%-
V
->OL
?S6
52S
(03.
?
132,
= `l ()
?
/nWV+,0CTe0w*A C>l:Si <<t+J •
..-=-- _ ., e IOR E"!VELOPE ftVf.NAGE
OWNER; SITE ADDRESS:
Page 1 of G
ir" coMruT,1 i IOfJ ;4AM-rF?'Mi>
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FIIONE:
CONTRACTOR: Fr.Cp,,)T%M
Determine working square fnotage of each
1. Total exposed wall area....... 148,; 72 Z ?'j sq. f!. x.11 =
2. Total roof/ceiling area..... asJ sq. `t. x.026 = Z Z,8$
Total exposed wal l arca abov(, finnr= J116151,7?5
a.
b 7otal
T wall window area ...............................
???" "
<< ?
. otal door area ..............
" " ' -
c.
Total ...................................
sliding glass door arei,,,,,
' z? ?T.? 'Z
d. Total ,,,,,,,,,,,,,
fireplace wall area ......
" -°? Z
a. 'etal .........
wall framin area
9 (average lU,",) ...
.... a ?
-
f.
Tota1 ..
...................
rim joist area ...
........ .S
-1 ff 5. 7
•
h•
et ..
.... .......... . ..
• . . .
wall area above floor.i.`F. . . """
................... ?
wa?1 area above fioor .....
????????
?
- -
-? ??
?• ...........
wa11 area above floor,
•
,7.
frame .........
...........................
wall arez at foundation.........
7otal exposed foundation areG=__?@? Z?y
,
k. Total foundation window area.....
l. Total .......
net foundation area above
grade ..............? A 2-?
Oetermine "u" value of each wall segment
(e.g, window, door, each separate wall section)
a• 1! ? X
X
c. X.
d , 'I &X
e.?AM 7 1 X
f.(as.'s X
9'- .1:72 0o. ? X
?V
?--
- ?
,???? .4s
A
-
?
'lull _
-
„1??? ,Cj __ °-? "t• ??
liuii_??
o'
h. x
1. X 7"_
j. X „ul. ?
k. °"?.• X ????l dommod.% _ a?
1 .CAT_3 X
3 . ............................. Total If item #3 is the'same
.c-
as, or less than;item;
#1, you have mei,.ftie:?:
intent of SBC„
' Ex ;Irior Envalopc Avnrnge "U" CotnpuLaL•i.nn
Pugo 2 OP 4
ToLnl CXI)03CC1 roo[/ceiling nrca = ??Q
'
m. 9btu1 sl:yli.c,ht arca ............................ •?'••• .-
n. Totai roof/ccilin, framing arca (avcraqe 10%)...
o. Total net ir.sulated roof/ceiling tarea........... ??'-$---
. Determine "U" valuc for each roof/ceiling segment-
m, X .1ul.
n. x ,.U.'
_ •o
o. 77 -1 Z g ??U"
n ........................... ?beal ? -C7? S
If total cf 119 is the same as, or less tchan 02, you have met L-he intent of
SHC 60Q6 (c) 1.
alternatc IIuildinq linvelope Desiqn
1b utilize the total envelope 'system metllod, the values establistied by the s;un of
i.t-ens ii3 and 49 shall not be greater L-han the sum of items lE1 and i12.
l. Zd?i, f?L- + 2.
3. Zch-+ 4 .
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SIJ?lVEVONC3
?ERVBCE?
y
3908 Sible Memorial Highway
Minnesota
Eagan. 55122
Phane: (612) 452-3077
MOV E L: N-AR7 Ft->mJ;:=o
?
?O"r ,
Jul
' >
'911Oxi? L47T 40
30.0
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WAYNE D.
CORDES
- '94675 -
-lEGEND -
0 Denotes lron klonurtent
° (knotes Wocd Nub Set
x qi1,o Denotes Existirg Spot Elevatrar
*" Gprrotes Proposed Spot Elevation
,,---- Qenotes Oraina9e Directian
-PHOPEK/Y DE.SY.'H1Pf 1OV-
LOT -(,P-- , &GCK -1_
LexiNG7o?J Pi.,A,ce 5oaTN
according to !he recorded plat thereof,
County, Minnesota
PROPOSED GARAGE FLODR ELEVAlION= 11o
PROPOSED Top of 81ack ELfVATION= q17.3
PROPOSED BASEYENT FLOOR ELEVATION= o4,'S`?I<
NOTE-? Verify all floor heighfs with Fina! House Plans.
.,SUJ@EM (ERT1FfC,4TIQ4-
1 hereby certify that thrs survey, plan or report
was prepared by me or urder my direct supervision
arrJ fhat I am a duly Registered LaM Surveyor
urder the laws of fle State of Minresota.
(? ro
4L Date:
Wayre . Cordes, Minn. Reg. No. I4575
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- .ULES 7672
<-. rdeWorksheetSai?,'P-
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? og(a ? PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pitot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Fanvly Dwellings
Townhomes and Condos when pemiits aze required for each unit
Date
Site Address Unit #
C?cubr'e..1
Property Owner
Telephone ?}-
Contractor H P 1i:'1r'\P4f'1RKC
3670 DODD ROAD
Address LAG.. 55103
?rn? City
(651)mi?o
Zip
State Telep6onel? ( )
The Applicant is _ Owner nhactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additlonal consultant feas may apply.
Altera[ions To Ezisting Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrlgation system
_ Watersoftener ?Waterheater $ 15.00
placement _ additional •
0
$ .5
State Surcharge
Total
l $
a„
I hereby apply for a Residential Plumbing Permit and aclmowledge that the''infotmation i5'COnipYew-and accurate; t6at the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; t I understand t6is is not a
pemvt, but only an application for a permit, and work is not to start without a pemut; that the work ' be in accordance with the
approped plan in the case of work which requires a review and approval of plans.
I
Apphcant's P nted Name App ic 's gna
I . ?
� Use BLUE or BLACK Ink
�-----------------
� For Office Use �
. � �a���� ;
�1�� 0��a��Il � .�.�� w,,�, ��. , Permit#: � �
x ...i t
� 4 ��.: �& 1�.:.......�, i. � D• ,/� �
r � � Permit Fee:
C�CT 7 2014 N
3830 Pilot Knob Road � �
Eagan MN 55122 `� j Date Received: `�� �
; � .x ...
Phone:(651)675-5675 � �.� I I
Fax: (651)675-5694 = :-.-.-_- -.-w-.-.__.. _.__.., I Staff: , I
I I
L����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � '. Site Address: Unit#:
� 3 3 ��
� � 1 3 �� Name: � � I�.V � Phone: �1(.��1�I �' �C�.Q�
'�� ��51��1� ��
(�yy!j������ Address/City/Zip: � L,��1M�/ c�7!
— - .�
1;
�i� �� ����,-
', ���i�,' '��' ' , Applicant is: Owner �Contractor
1
', � Description ofwork: (�K.���l.,��C1U! �/'�1�� �W� �/v ��y�l(n�l VK���
3�33���:���� O�
� � ��� ' Construction Cost: ��� � Multi-Famil Buildin Yes /N
��,,,, '� ,__, �, ` Y 9� � )
� �� /� /'�� ,,},,,�` ,�/�
+� ��� ����_, Company: I�l.. • Contact: ��"1'T'V�.JV �ISI'�l.�G
l ,
� � ��3��� Address:
Cc��#r���t�r 7�Q1� �CC..�S�.. �(..1f1).: �, i�[� c�ry: �t�ll�
� 3113� ��p q > pr
� � . � '���' State:�� Zip: �fJ�7�J Phone: l� 'S4�� � 0 EmaiL ��1������
�� ��;1� � }� �,+�
, � �� ����� ' License#: �C�1c���� Lead Certificate#: /�!'Ii '�7`�t"CD���� (
;,,,!
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:
�[�}�`��'l���rts ',�,�up;��rt�rtg���ten��' ��t#y+��t��br���`�i��r����r��#���r 1�� n ��`�`�t�� ,�#"�ic��s�f
�.�: 3
�ire�r�fc�rma�c� �na�b�cfas��'���►��s�v ublt��`��r, �'���rd�sp�tfi�r��;�p �t���'��+� �''��+��C�r tv' �
� � � i�' 3�1j1� A� � �y �} }y� X�+�j 6 ��r�' i1 � a ,�$u. 3 �
,,,.6 ,,;d,n. �; ,.,,.�3J .,,,,. „��., i.,;? ..� '= Y��,,,,T�,P��C€���f��yS� '::, ,; �!i[C/SG,/,,, ,,,��+`+'+'N,,,,i�„v,� f�� �,/��3 33i��„�,,. ,,. ��.!�33 i. � ,,,,,.,,�,r,�3„�
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.gopherstateonecall.orq
I hereby acknowledge thatthis 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.
E�cterior work authorized by a building permit issued in accordance with the Minnesota S e B ' ing Code must be completed within 180
days of permit issuance. /
X C�// / -
X � �
Applicant's Printed Name Ap cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143662
Date Issued:06/22/2017
Permit Category:ePermit
Site Address: 3668 Canary Way
Lot:6 Block: 7 Addition: Lexington Place South
PID:10-45060-07-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jesse D Kuhlman
3668 Canary Way
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176136
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 3668 Canary Way
Lot:6 Block: 7 Addition: Lexington Place South
PID:10-45060-07-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mitchell & Meghan Johnson
3668 Canary Way
Eagan MN 55123
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177415
Date Issued:06/30/2022
Permit Category:ePermit
Site Address: 3668 Canary Way
Lot:6 Block: 7 Addition: Lexington Place South
PID:10-45060-07-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mitchell & Meghan Johnson
3668 Canary Way
Eagan MN 55123
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179228
Date Issued:09/26/2022
Permit Category:ePermit
Site Address: 3668 Canary Way
Lot:6 Block: 7 Addition: Lexington Place South
PID:10-45060-07-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Mitchell & Meghan Johnson
3668 Canary Way
Eagan MN 55123
(507) 993-2554
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature