Loading...
773 Canter Glen Cir Use BLUE or BLACK Ink For Office Use i 'Tor City of Emn i hermit l J I t j Permit Fee: , o j 3830 Pilot Knob Road I ~ / I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I staff Fax-, (651) 675-5894 i---- -----1 201' RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: J I 3 ,r I F Unit Name: Deal, "~bt Phone: rr~ 5 L'f it i Y_ Address/ City/ Zip: qq S C CL + l ` PIA Applicant is, Owner /Contractor Description of work: i Z l -3 Ca ~maJ3; Construction Cost: So Multl-Family Building: (Yes', / Not! ) Campany: , 0"`Y 1 a r\ c0Y Y- Ut S r L L C_ Coact: , GiJ N G # Yl Address: P q0 i70(,~[.fJ ! r ruin Ma v 4 State: _ Zip: .:7 Phone: License ~i Lead Certificate >1 V M-T a 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 8, Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0062 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.ora' 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 >r +t.~ _ X 8"WYN Applic ,,,yea Name Applicant's Signature Page 7 of 3 800/Z00 'd 8661~S~IS 'ON XVd sdot.zalxg U-eoijowv Ira zS:ZO Idd/110Z/S111IIT PERMIT City of Eagan Permit Tppe: Building Eagan. Permit Number: EA094523 Date Issued: 06/16/2010 OR Permit Categorp: ePermit 41 it~ of E3 E Site Address: 773 Canter Glen Cir Lot: 5 Block: 15 Addition: Bridle Ridae Ist PID:10-14996-050-15 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: American Exteriors of Minnesota LLC Chad 1v1 O'Donnell 1169 W Littleton Blvd 773 Canter Glen Cir Littleton Co 80120 Eagan MN 55123 (303) 86-3328 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA079926 Eagan, MN 55122 . Date Issued: 09/20/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 773 Canter Glen Cir Lot: 5 Block: 15 Addition: Bridle Ridge 1st PID 10-14996-050-15 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Permit expired without required inspections. Letter sent 2/03/09 CE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Chad M O'Donnell 21210 Eaton Ave 773 Canter Glen Cir Farmington MN 55024 Eagan MN 55123 (651) 460-6022 X253 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 °ntr°'" 0550 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: OOJO1/Oi (612) 681-4675 SITE ADDRESS: LOTt 5 bLnc►:, iF APPLICANT: 773 CANTER OLIN CIR METROPOLITA1f! 1~I1tIPL94~t S' BRIDLE RIDGE 1ST (OL2) 446-0949 PERMITtSUBT PE: TYPE OF WORK: INSPECTION TYPE DATE INSPM INSPECTION TYPE DATE INSPTR. FIREPLACE Permit No. PermR Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date [nap. Comments Footings I j ' Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace lS~9~ ~;fQ Final Rig. ~C Omar Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. (Urtifiratr of Orr vaury h t Citp of Cagan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. Use 0assi6cation t 1Jv~ t aa,t Bldg. Ptanit No. Occupancy Type Z.ningD"XI JFD I T Coast. owner of Building Address :lax i t-•~ Building Address 773 Q111412, Q11% locality Date: Building Official POST IN A CONSPICUOUS PLACE , CITY OF ;AGAN Permit No: '7Date: 383,0 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 w vs- Owner ;i r~zk ::.'.ys- SiteAddress:773 Canter Clle:n. C -rcIe ti a ri^-, t'_ Plumber. Lake Side Plutttbuta Conn. Chg: 550-00pe, Zoning: Acct Dep: 15. Dt? :fi No. of Units; Permit Fee: 10.00rFd Surcharge: 5fr~ 1 agree to comply with the City of Eagan Tr. Plant 2,`s1; . £}oud Ordinances. Meter. 47, Misc.: By i WATER SERVICE PERMIT 7-21-88 CITY OF EAGAN Permit No: Date: ]&'X~_ 380 Pifot Knob Road B/P No: 95063 Date: f~-? / P.O. Box 21199 Eagan, MN 55121 - . 4 Owner. SiteAddress. 773 „a ter i1lem :"~~cla L•5 Plumber: akc Side _(.-t111ti='€ MCC: nf~±~ Zoning, City Chg: !^na No_ of Units: L ) { p Acct. Dep; µ i. , .r .pa I agree to comply with the City of Eagan Permit Fee: ,•,.r, Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN r 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for S:7 I I f`f GAR Est. Value $ 74, ofll) Date JI NL 24 • ,1986 Site Address 779 CA'. `t C i.€ nl C I R OFFICE USE ONLY R3/M1 Lot 5 Block 15 Sec/Sub. 1 f t~.c, dZ I Y314 1 ~ :Y On Site Sewage Occupancy D E, MWCC System ~ Zoning Parcel No. On Site Well (Actual) Const blli A UAK P,Irp;hi [ *"A City Water (Allowable) Vn ac Name , 3 Address , 7'•'.r • ;'1L33w t1--c 17 PRV Required # of Stories Booster Pump Length 4U O City Phone x'`52-2-,03 48 Depth p Name S.F. Total z Q Address Footprint S.F. P City Phone APPROVALS FEES F Engr./Assess. Permit " 470- w w W Name 1 z Planner Surcharge 37. l-1' ' W cdvreSS Phone Council Plan Review 235.c, a Bldg. Off. SAC, City 1 • ' I hereby acknowledge that I have read this application and state that thb Variance SAC, MWCC 550. information is correct and agree to comply with all applicable State of Water Conn, 550. Minnesota Statutes and City of Eagan Ordinances. Water Meter 67. tw Signature of Permittee d. Road Unit 315. (,o A Building Permit is issued to: Treatment P1 4{34, i.jt,= UU0 OAK BURS on the express condition that all work shall be done in accordancewith all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL PERMIT # MECHANICAL PERMIT RECEIPT # (5 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block_ Sec/Sub Res. a' New r: Name I it r , t, Mult Add-on Comm. Repair Address 1 I ' c City PhoneL' Other f; f ! i FEES Name RES. HVAC 0-100 M BTU -$24.00 C Address ADDITIONAL 50 M BTU - 6.00 Q City Phone 1 (RES. HVAC INCLUDES A/C ON NEW CONStRUCTION) {t GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS MINIMUM COMMERCIAL FEE _ 20 00 Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - .50 + Vent. CFM $ (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: 51=~r4L tl~V!TJEE SIC: TOTAL: FOR: CITY OF EAGAN y/ay/BPS; i L,t CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date 19 Site Address ' OFFICE USE ONLY On Site Sewage Occupanc Lot Block Sec/Sub- y r' MWCC System Zoning Parcel No. On Site Well (Actual) Const ` City Water (Allowable) t a Name W PRV Required # of Stories 3 Address Booster Pump Length o City Phone Depth p Name S.F. Total o a Address Footprint S.F. City Phone APPROVALS FEES u w Name Engr./Assess- Permit F W a .;`psi czi Z Address Planner Surcharge a w City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. • L' Minnesota Statutes and City of Eagan Ordinances. Water Meter '7 •01 Signature of Permittee Road Unit "I14` A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Permit No. Permit Holder Data Telephone # Plumbing 910 (F HN.A.C. O j Electric o, Softener Inspection Date Insp. Comments Footings I 5- Footings II Foundation Framing AP Roofing 1T1~iZ- Rough Plbg. Rough Htg. Isul. ~-Z Fireplace Final Htg. r ` Final Plbg.~~ Q Bldg. Final [ m., fro Y.~ E. Cent OGc. Temp. LP f 12a 'r. Cc~r Deck Ftg. Deck Final Well Pr Disp. r PERMIT # • PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r J CONTRACT PRICE: - PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ;.Res. New Mult. Add-on Name - Comm, Repair m Address Other c City ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Nq. FIXTURES TIDTAL e; , f M _ I~j__Water Closet - $3.00 Name Bath Tubs - $3.00 3 Address Lavatory - $3.00 :;i O City Phone- Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 r' APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50, MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 } Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - 50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ' SIGNATURE OF PERMITTEE FEE: r STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL:' . yam. ~r... PERMIT # MECHANICAL PERMIT RECEIPT # f r rJ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address `7 BLDG. TYPE WORK DESCRIPTION I. Lot Block 145 Sec/Sub Res." New Name r y t.i , r Mult Add-on m Address i 23, , - r a lam) Comm. Repair E City 1 Phone -12 Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City E .r 7 ti Phone ' 1 I (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ' GAS OUTLETS (MINIMUM 1 PER PERMIT)_ = 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ) M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON $ Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # i ! • E BEYOND $1,000) Other FEE: i{ S/C: r" SIGNATLOE OF OERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Permit No., 9794 Date: 3630 Pilo' Knob Road Meter No: o? 2 Size: SIP ROCA, P.D. Box 21199 Reader No: 5 36 Date: f Eagan, MN 55121 r Dy..-+ Oak '111-4°°„ owner. k Site Address: 73 [.',miter Glen CixCI.e: 7,:., B?_ Bt.id'e Plumber. Lake 0":i.1e 1-11u birig Conn. Chg: 5)30, 00pd Zoning: Acct. Dep:__ 15-0011d No. of Units: 3 Permit Fee: 1-0. oop Surcharge: 5(jDd 1 agree to comply with the City of Eagan Tr. Plane_ 204, Cionr{ Ordina S. Meter. f Misc.: ; B ~ i WATER SERVI E PERMIT BLDG. PERMIT NO. Z✓Q6 (J -7Z 4'/ tA) 01-3210 Bldg. Permit ,00 01-3422 Plan Check a 3 00 s 01-3445 Surch./Adm. - 2v 01-3446 SAC/Adm. 01-2155 Surcharge ,f 75-3860 Road Unit //a d 20-2275 SAC 7 ~C 20-3865 Water Conn. J7`-0 on 20-3868 Water Trmt. 0 0o 20-3716 Water Meter / 0 O 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 420 28-3855 Park Ded. TOTAL 2,38 0 CITY OF EAGAN N? 15258 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # U Q S Cn-3 To be used for SF DWG/GAR Est. Value $74,000 Date JUNE 24, tg88 Site Address 773 CANTER GLEN CIR OFFICE USE ONLY /M1 Lot 5 Block 15 Sec/Sub. BRIDLE RIDGE 1ST On Site Sewage Occupancy R3 R3 M1 MWCC System X Zoning PD R1 Parcel No. On Site Well (Actual) Const Vn BURR OAK BLDRS INC City Water X (Allowable) Vn a Name W PRV Required # of Stories 1 Address P.O. BOX 21-217 40 a Booster Pump Length City EAGAN Phone 452_9906 48 Depth p Name SAME S-F- Total oa Address Footprint S.F. U City Phone APPROVALS FEES w Engr./Assess. Permit $ 470.OC Ww Name - Planner Z Planner Surcharge Address Council Plan Review 235.OC aa= w City Phone Bldg Off. SAO, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.OC information is correct and agree to comply with all applicable State of Water Conn. -550 OC Minnesota Statutes and City of Eagan Ordinances. Water Meter 67 _ OC Signature of Permittee Y Road Unit 325.OC A Building Permit is issued to RR OAK BLD Treatment P7 go& OC on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Stat s and City o an manes , 538.OC Building Official TOTAL This rogues aid IF leg ~jil/-~ 18 months from //O 90 Oo E 20279 Y6 I Request D to Fire No. Rough-In I action ~1-~r q Req rtetl~ Ready No4< III Nutifv Inspec- / ~y Yes ~NO r Wh n Ready Lice nsed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Box or Route No. City Section No. Township Name or No. ange q. Cou nty~ 'f--- GC/ZeT~/r-' Occupant (PRINT) Phone No. CJrr - tI- iii1c rJ~ J v ) S Power Supplier Address SSo a El~nc'I~r~Company Nam Contractor's License No. CC~~++ l1~lo/O Mailing Address (Contractor or Owner Making Installation) CX 0 0 - W, Cd, ax L/ Z c. ~-w ~LG S S 3 ~ Autho (red Signature IConractor/Owner Making Installation) Phone Number Q,/ M ESOTA 39ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT rigs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS Phone 16121642 MOO ENCLOSED. -j~~~r$g REQUEST FOR ELECPtfCAL INSPECTION EB-00001-06 See instructions for completing this form on beck of yellow copy. vv E _2 Lt~ g_ ""X" Below Work Covered by this Request New Add Rep.. Type of But In. ng Appliances Wired Equipment Wued Home Range Temporary Service Duplex Water Heater' 5Z Lighting Fixtures RH Apt. Building Dryel Electric Heatin Commercial Bldg. k.Z Furnace Silo llnloader Industrial Bldg Air Conditioner Bulk Milk Tank Farm Other Peni v thei l5pocrfy7 t er Specify Other Other ompote Inspection Fee Below N Fee Service Entrance Six. it Fee Feeders/SUbfeeders q Fee C.rewts /Leo 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 2 0 Amps 31 to 100 Amps pp 31 to 1(10 Amps Swimming Pool Above 100 -Amps Above I00_Amps Transformers Irrigation Booms p Partial,"Other Fee R Signs Special Inspection S ~TJ`O em.rks - TOT F Rough-in 1Q the cal r /c Inspector. hereby 172 174, certify that the above Final ,r i pec Lion has been made. This request void 18 months from '///P//8 q C_' y E 95915 Request Dart Fire No. Rough-In Inspection on C) fired? Ready Now~Will Re inspector / Yes ID NO When Ready? 10 licensed contractor R/Owner hereby request inspection of above electrical work at: Job Address (Street, Box or Rome No.) City CROTe (L Gc-£tJ C2 toGA/j Section No. I I Township Name or No. Range No. County PA Ito-r4 Occupant (PRINT) Phone No Sr_,-rr L rQC-A.0 Power Supplier Address bRX,oTA E4_Ee-T2iG Electrical Conracor (Company Name) Cont za w,b license No. Mailing Address (Contractor or Owner Malang Inerallaaon) Aulhonzed SlgnaWre (COmrector Making I tellabon) Phone Number c y 6g8 - 95sK$ MINNESOTA STATE BOARD OF ELECTRICr Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 85104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0800 ENCLOSED ,a~~s g REQUEST FOR ELECTRICAL INSPECTION 02149, EB-WDOI -07 ► See instnicfions Jpr romplebrg this form on back of yellow copy. 2 C E 9591 5 X" Below Work Covered by This Request e dd Rep. Typeof Building Appliances Wired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speclty) conheatort RemaMs,(~, L Compute Inspection Fee Below. y S/11 f ' ' h t S 11 # Omer Fee # Service Entrance Size Fes # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps eIL5ve Amps Signs lrgp ore Use Only: T7AL SO irrigation Booms pl o Special Inspection Alarm/Communication - Other Fee I, the Electrical Inspector, hereby Rough-in we certify that the above inspection has Final oalro e~ been made. OFFICE USE ONLY This request void 18 months fro. F/04643,G~ Requ Dale - Fire No. Rough-in Inspecti Required, ❑ Ready Now ❑ Will Notify Inspector ❑ Yes ❑ No When ReW I Icensed contractor ❑ owner hereby request inspection of above electrical work at: to o.) coy .bb TT hip Name or No Rage No County Oc"5'(PRIN L4 D Phone o !ti ~ Power supplier Address fMffiCTTtT,CTR1C G Lloenee No Maisng A C LE VALLEY MN 55124 A homed S'gnsture (COntracmr/Owner Malang Installation) Plane NumEer MINNESOTA STATEEOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigge-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 85106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OM ENCLOSED. 11 ell F9 REQUEST FOR ELECTRICAL INSPECTION ,a• Es-ooo01-07 ► See Instru hens for completing Ms form on back of yellow copy 9a F 0 4 6 4 3 X- Below Work Covered by This Request Nim Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # ervme Entrance Size Fee # Gircui[sfFeedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TO L Irrigation Booms Special Inspection ) Alarm/Communication / r Other Fee I, the Electrical Inspector, hereby Roagn-.n Data certify that the above inspection has RBI been made. OFFICE USE ONLY This request veld 18 months from 2007 RESIDENTIAL BMDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemudelrReoar Requirements -Ofice1lse'oidv 3 registered site surveys showing sq. R. of lot, sq. fl of house; and iill roofed areas 2 copies of plan showing footings, beams, joists Can of Sdriin3y Read Y"" N (20% maximum lot coverage allowed) iset of Energy Calculations for heated additions Sods Report Y_N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for addifims It decks Tree Pres Plan Recd _Y, _ N, 2 copies of plan showing beam & wind= saes; poured found design, etc. Adddlon -indicate d onsde seph'e system Tree Pros Required,.' 1 set of Energy Calculations On-site septic system _Y _ N 3 copies of Tree Preservation Plan It lot platted after 711/93 Rim Jost Detail Options selection sheet (buildings vnth 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date ~ 169 1 _L / 0-7 ^ Construction Cost J(re/ _ Site Address 7-73 ~-AA,'I~ C9u ✓ey CIl/C Unit/Ste # Description of Work J hhc Multi-Family Bldg - Y A N Fireplace(s) - 0_ 1 - 2 Property Owner 1417 f✓ ODNllt/EG Telephone#(51'3 ) o?o7.S'^ ~Ta 1 51 Contractor TS~rl~/SV Address 'le 3/0 ~4/// 11/GL City State U L,/ V Zip $75337 Telephone # (6(2~ 839^7S J3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plant Y - N If yes, date and address of master plan: licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the a of wo hich requires a review and appr of plans. Applicant's Printed Name Applicant's S} nature 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION X6 6e ~Q. City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requiremen ts IN-- 2 3 registered site surveys showing sq. ft of lot sq. ft of house; and p9 roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1setofEnergyCalculations Addtion-indicate if on-site septic system 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail options selection sheet (bidgs with 3 or less units Date 69 / 69 2/ 0(/- ~Construction Cost Site Address ~ /J L9~e17 Unit/Ste # / G~~1J1~~a2t1 Description of Work ul;w Multi-Family Bldg _ Y L\ N Fireplace(s) _ 0 1 2 Property Owner Telephone 4 Contractor x L `hLr/~7 /i~y~/ / IAg Address 6! U/ 9 y_~_~1 (i` City CJIi~ /~~y~<!~J State M ~ Zip Telephone 9 ?9s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category I Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted n with a similar plan? _ Y _ N If so, 25% plan review Have you previously consfructeclbuiloi in fee applies. J~ 1 2 2004 Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 9/ Applicant's Printed Name Applicant's Si ture PERMIT Control No. 0550 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000696 (612) 681-4675 Date Issued: 06/01/92 SITE ADDRESS: 773 CANTER GLEN CIR LOT: 5. BLOCK:-16, BRIDLE RIDGE 1ST DESCRIPTION: >}uilifi4 Permit Type FIREPLACE 1..'Buildi'n4"Work Type NEW. r' 'i { , Yt t t} 33 i ii,,k} REMARKS: C O I CI 35 FEE SUMMARY: Base Fee $25.00 Surcharge 0:50. Lic. Search Fee $6.00 Total Fee - $30.50- CONTRACTOR: - Applicant - ST. LI OWNER: METROPOLITAN FIREPLACES 14450949 000290 READ SCOTT 206 SCOTT ST 773 CANTER GLEN CIR SHAKOPEE NN 55379 EAGAN NN (612) 446-0949 (612)688-8588 I hereby acknowledge that I have read thisr,applicat.Lan acid state that the information is correct and agree to comply with 0,111 applicable State of Mn. Statutes and City of Eagan Ordinances., ~IYI Aail~111 1PERMITEE SIGNATURE -SUED BY: SIGNA U PERMIT # ; CITY OF EAGAN REACTIVATE - 1992 BUILDING PERMIT APPLICATION th L 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once permit is issued. Date 4a/- 93 / i Valuation of work Site Address: MS CA-,A-A_ Pe-a (2m_c /,i' STREET SUITE 8 Tenant Name: (commercial only) LOT _ 4 BLACK SUBD.P.I.D. # UXl/l~z ~,fl1 Description of work: re acsCe_ ns a1~. The applicant is: ❑ Owner ® Contractor ❑ Other (Describe) Name Cc_o Phone Property LAST FIRST Owner Address 77 ~ f ( ILL f -e STREET STE A city ~~rU State ~ Zip Company lice Phone 049-GM Contractor Address _aq(a Sc-p License # Co Exp. 23 City S T~ , lM N State c1Yl Zip !Z:S-~z Company Phone Architect/ 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 ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: E f APPLICATION FOR PERMIT ~10M ° PA)NWr OF MM AT TIME OF APPLICATION DOES NOT CON- ; Srr= APPAGVAL OF PEPIaT. SEWER AND/OR WATER CONNECTION : INSP mcN CF sw AND/cR wATER INSTALLATIONS HILL NOT BE SCIDULED t= PEPMT HAS BEEN APPROVED. 13EEL-110--itTv ®F as can (VV-ASE PRINT 1) PROPERTY ADDRESS : 772 LEGAL DESCRIPTION: 4 5- 8 d au~ &A Lot B ock S ivision or ax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE I R-1 SINGLE FAMILY Q INDUSTRIAL 0 R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERN ENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: W194) / For City Use 3) NAME: C P1 eruHs License: ADDRESS: 01 Active Expired CITY, STATE, ZIP: 1 Not recorded PHONE: --6L - MASTER LICENSE # fJ©~~~{8 St Initia 4) • NAME: ADDRESS: CITY, STATE, ZIP: ' PHONE: ' 5) s a n 10: CONNECTION TO CITY SEWER NNECPION `ICJ CITY WATER 0 OTHER 6) * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER, PICK-UP. ~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL WNTACT YOU IF THERE * ARE ANY PROBLEMS. + _ FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ~n-sue SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT.- WATER $ S 5) ' Ct t) $ WAC $ DO $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER d C) $ WATER TREATMENT PLANT'SURCHARGE $ $ OTHER: $ ~T z/ • 00 $ J~/• ~J TOTAL RECEIPT- RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : G 11,3 I P~f OAKLFM II Model plan on file 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Single family Valuation: Date: June 23, 1988 Site Address 773 Canter Glen OFFICE USE ONLY 74 000' Lot 5 Block 15 On site sewage- Occupancy MWCC system ✓ Zoning T b1 2-1 Parcel/Sub Bridle Ridge On site well Actual Const V-N City water Allowable y-N Owner Burr Oak Builders, Inc. PRV required u of stories Booster Pump _ Length Ham' Address P.O. Box 21-217 Depth y S.F. Total City/Zip Code Eagan 55121 Footprint S.F. Phone 452-2906 APPROVALS FEES Contractor sane Engr/Assess Permit r70 0 b Planner Surcharge 3 ^ 00 Address Council Plan Review ,oo Bldg. Off. SAC, City /00,00 City/Zip Code Variance SAC, MWCC sz, OD Water Conn S.0100 Phone Water Meter 49,0 0 Road Unit 32c.00 Arch./Engr. Russell Plan Design Treatment Pl o oo Parks Address 4940 Viking Dri[e Copies TOTAL City/Zip Code Edina, Mn. Phone B 835-5970 SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 6-17 - BS TO SHOW PROPOSED HOUSE FOR BURR OAK BUILDERS R By Date EAGAN EPdGINBERING DEPT DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 880.8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 878,0 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 88A 2 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Block 15, BRIDLE RIDGE 1 ST ADDITION, according to, the. recorded plat thereof, Dakota. County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 71ST DAY OF SANUwRk , 19%. APPROVED FOR SIENNA SIGNED: JAME I , INC. n CORPORATION L /V~7..,,JJJ BY : BY: ~u HAROLD C. PETERSON, LAND SURVEYOR DATED, MINNESOTA LICENSE NUMBER 12294 O James R. Hi ~l, inc. T v -4 ; 'r~-'O No D m co ~ o > o m z PLANNERS / ENGINEERS / SURVEYORS OT o 01 m Q) _ tV 0 0 Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612.884-3029 a SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 6 - 17 - 88 TO SHOW PROPOSED HOUSE FOR BURR OAK BUILDERS N _ Q ! ~a908793 _~10 ED s n\~ ^ Date ~ • AGAN EN ITdERING D~ R O av a.s.') to / oQ4 \ o 4.0~ 9-. eo S I) \ r A), 0 ( Cb 0r On ~ \ 5 / o/ MHO` SFo ea 330 tr Ate' 0 *;.a 'I /rh 9 63~ l 15 4.30 T-~a$s~ B'° 2 R a~ o BOA • V R=65.00 a 233 .0 Q, dz 3°4T 34 ~r \y~,c 0 4i Psr`,~ a I a e ^ ^ `,V 0 V6 0 q r_V i v 4a~A~0 3e3pp mq00 S-.10 0 / 9T~B 0 C N,q Te_~ cv) R GZ EN C 7660 W 3,20/1 Z Cz e VQ M a) M W T z o James R. Hill inc. IV 0 m - n-p rn Z - 0 CD m c: Z PLANNERS / ENGINEERS / SURVEYORS o 0 uOD > Z GO , O m to N O Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 e 0 MINION tea, 3794947 - 3ra cW11 8 eaocIaMr, inc. 10 a N.1ry.♦ wyl,. wq.n ~Np "aRhItMUM dosign.fa 01 OUlala" " OmO EYTiAIOR ENVELOPE AVERAGE "U" COMPUTATION reoNj+ S P1.IT OWNER PLAN N0. C, l.a~J SITE ADDRESS-LpT 5 ~BLock ~e~aEie61~ DATE 2 ° CONTRACTORJVP.Q nAV BuIL0L`1ZS PHONE Determine working square footage of each 1. Total exposed wall area......~__sq.ft. x,L as1 a-T 2. Total roof/ceiling area...:.. 10+5 sq.ft. x-EV= 3. Total floor/canto area....... sq.ft. x Total exposed wall area above floor /09 r$° a. Total wall window area 4 14,,4 5 b. Total door area c. Total sliding glass door area..*.* o d. Total fireplace wall area.................... e. Total wall framing area (average 10%)........ f. Total net wall area above floor 96A !2 g. Total rim joist area.,,*.... E2014 Total exposed foundation area "Y7,1 h. Total foundation window area 1. Total net foundation area above grade........ Determine "U" value of each wall segment a. 5(P. 46x "U" 070 b. ° x "U" , o. o x "U" _ O do x "U" 9. x "U" f x "U" _ '045 05 go . x "U" h. X "U"~r-~-- i. -T7,77--x "U" . _ + 4* Total' = po - If item E4 is the same as, or less than item $1, you have met the intent of SBC 6006(0)2. Int. Air rQ'STUD .68 THRU INS. WALL into Air .68 WIN': 8 SIDING 1/2" S.R. .45 x/ SR. a SIDING 1/2" S.R. .45 Stirs tv,0$015 " In$. I a.00 25/32" Bild. 2.06 25/32" Bala. 2.06 Siding , G7 Siding 0(07 Ext. Air -17`., - ~17_ Total "R" _ 'Total "R" ° 1/R°" .011 1/R="U" ° .O TRRU RIM Int. Air .68 THRU CONC BLOCS Into Air .68 JOIST Ina C.B. ( 1. -4t, Opt. Styro. Opt. Ins. 4:5 e. O 1 1/2" WOOd 1.89 Ext. Air .17 25/3x" Bild. 2.06 Opt. S.R. l'.. Siding &-7 Opt. Sid. Ext. Air .17 . Total "R" = Opt. Briok 1/R.= "U" ° Total "R" _ 1~7 1 1 O I /R = "U" THRU CIO. Into air .61 THRU clc. into air .61 MEMBER 5.R. INSULATION S.R. ( w) ~(o Clg. Memb. Ins. ( O Ina. Still Air .61 Still Air .61 Total "R" = 1,7°O Total "R" 1/R = "U" ° .020 I /R "U" Total exposed roof/oeiling area ~T f J. Total sLglight area k. Total roof/ceiling framing area (aver. (.10016"o/o)..... (.0625024"0/0)... l• Total net insulated roof/ceiling area... of P7 I Determine "U" value for each roof/ceiling segment J. x eU" e I- k. x "U" a I W 5. Total If total of 45 is the same as, or less than ¢20 you have met the intent of SBC 6006(o)1. Total exposed floor/oant. area m. Total floor/cant. framing area (average .10~).......... n. Total net insulted floor/oanto area Determine "U" value for each floor/oant. segment m. x "U" no x IIUII e 6. Total " If total of #6 is the same as, or less than f3, you have met the intent of SBC 6006('o)3. aLMNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items $4, #5 and $6 shall D,21 be greater than the sum of items ~1, #2 and #3- 1. 2. 27117 3. 5, D Prepared by (~e~ Date ~ ~ ~w _wC V Use BLUE or BLACK Ink -----------------i I For Office Use~~ ~ I 13 City of Eaflan Permit#: Eli I Permit Fee: !Y ~I 3830 Pilot Knob Road A I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I staff: j Fax: (651) 675-5694 L--------------- INFLOW INFILTRATIONI PERMIT APPLICATION Plumbing I Sewer & Water Date: 18, CZ Site Address: 773 CQ G C i r Ce r ~ a~ Tenant: L we(( Suite Name: c 0. O rD o w e t( Phone: 6,9t `t c'J -7-55 RESIDENT / OWNER Address/City/Zip: ~Z3 Name: Prato ~?r6 T(OL AV I (A License d(oO& 13'PM Address: 152 2-0 -1 t4 St City: ~ex) I CONTRACTOR ,I p State: Zip: 55 b `I" 4 Phone: 152 14o l q qq Contact: D r ( r0 Emil: (J l t'k e X 'E do 0 Vt,15 Vl . CO 0^ PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: (U'i JV IM y'." 1 L'I'P- V (J aE4 O y DESCRIPTION pU`~SrC~~ ~ kov --.e, FFEES $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed'by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 revie and approval of plans. x- D f q ~R r5 D x ~(®~'1~^~ Applicant's Printed Name pplic s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final i Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit non City of EaRd Permit Fee: 3830 Pilot Knob Road l I Eagan MN 55122 L:. } >r Date Received: I ' ✓ ! RF. .4i i a I l Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 16 2011 1 Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 'lA~ Ia. j +/2a Date: / 49, -Q Site Address: ?r7 -3 C Q h +Pi/ Wen C i rc) / P Unit Name: Ch u_ c! k CA 130. 13~ I_l- Phone: 6-5/ Y'99 7 ~ RESIDENT I OWNER Address / City / Zip: C:f f a~~,.. Applicant is: Owner Contractor TYPE OF WORK Description of work: a Q x x Lie r- ~ L e 4 jo Co ,Shya Construction Cost: Multi-Family Building: (Yes / NqA ) Company: ` b h d `62 ( Contact: T a f' fQir CONTRACTOR Address: Q City: t( 460 State: Zip: COQ Phone: 9 License Lead Certificate G-Cle- y- 870 If the ti exempt from lead certification, please explain why: (see Page 3 for additional information) `I 9 -1k 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 the information may be classified as non-public if you provide specific reasons that would permit the City to 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..qopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p'e'rmit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 1 C Eye--- -7 7 3 C)qnk-F- DO NOT WRITE BELOW THIS LINE SUB TYPES f Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of_ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3c' Occupancy' MCES System Plan Review Code Edition SAC Units (25%_ 100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Y Final / No C.O. Required Foundation ~ HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests ^Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 -A" '7`73 v G(,~,K SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 6 - rr - 88 TO SHOW PROPOSED HOUSE FOR BURR OAK BUILDERS N r,. t` ~ tip; 1 W`()) PN %,j 10 Ej s n J- By f t''~• Date 00 i ` ~'AN EN Lid Ew 1 Q Z-d Ar . fly D 1 9_. 0Q a o f pV OFD 8~~ ~ r40" s 1 3.~~ rl 1 lb' ~yr 8t?4stg\~ ~s~~ / ~V 4-30- e - ~3 a R-65.00 d=3°47'34„ Q An, IAX a f r, ~`f a ots Yryfy~ a r~ (o op ?s C44 N 19.58 N 75'03'20 W Q~ e ,V . cn -4 / ~ 3a M -n T w O r 2 v~ i DD > NU 0 m ~n-4~ N n o r O ~ N O N James R. Hill, inc:612-884-3029 o X Z OD z - > Z GO m PLANNERS lENGINEERS /SURRS C o m cn _ v N 0 9401 JAMES AVE. S. * BLOOMINGTON, MN. 55431 • n M b 4 N PERMIT City of Eagan Permit Type:Building Permit Number:EA133280 Date Issued:10/02/2015 Permit Category:ePermit Site Address: 773 Canter Glen Cir Lot:5 Block: 15 Addition: Bridle Ridge 1st PID:10-14996-15-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Chad M O'donnell 773 Canter Glen Cir Eagan MN 55123 (651) 493-7581 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143901 Date Issued:06/30/2017 Permit Category:ePermit Site Address: 773 Canter Glen Cir Lot:5 Block: 15 Addition: Bridle Ridge 1st PID:10-14996-15-050 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 - Chad M O'donnell 773 Canter Glen Cir Eagan MN 55123 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160398 Date Issued:03/06/2020 Permit Category:ePermit Site Address: 773 Canter Glen Cir Lot:5 Block: 15 Addition: Bridle Ridge 1st PID:10-14996-15-050 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 - Chad M O'donnell 773 Canter Glen Cir Eagan MN 55123 (763) 301-3975 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature