3930 Canter Glen Dr. - , ? . ?. - .
• ? ? '?
I ?
tx#if tra#p uf orrupaury
? titp of teagan
Erpar#mmt of Nuilding JmWpr#inn
This Certifecate issued pursuant to the requiremettts of Sectian 306 of ihe Uni,form Building
Code certifying that a1 the ume of issuance this structure was in compliance with !he variaus
ordinances of the City regulating builddng construction or use. For the following.
Use C7n.ssification SF DWGxGAR Bklg, Pem,;t Na, I 645 7
Occupancy Type R3 Zooing Disttid PD /R 1 TYPe C-• VN
Ownerof9uilding DAHLSTRmH AESIGNER TA?S -1151 RiOB DR, FAGM
;?Ra? Address 3930•r..ANt? (?EN DRIVE ??;?, L 19, B 17, ?? RII)GE 1
`c ' D,c tttr v ?l, _ 1989
. ? ? ?? ? .
POST IN A CONSPICUOUS PLACE ".
I
?
?.?,
WAcrzvWM rroR Mff YMsx 10l10/90
l?s? tY??S 454-8737 CITY OF EAGAN ?
'
.? ? 383Q Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHaNE: 454-8100
BUILDING PERMIT Receipt #
To be used for ' j Est. Value s y Date , 19
Site Address ziTv E
r'• ? •i? , ?.'.:, .;::, s
Lflt 1 Block ?SeGSub "'3 I!' , . , " OFFICEU SEQNLY.::.. .:,,.
?
Pal'Cel No. Occupancy ''--?
FEES
-
'
W Naf[tE Zoning
(Actuaq Const. - Bldg. Permit
1F'
?
ACICIf25S (Allowable)
q
City Phone
# ot stories Surchar9e
•? '*?,; , t'?}
tp 61 1 Plan Feview
Length
Q
Name
Depth ;'1?
sac
cay
,
?a Address S.F. rotai - - raa 5•' ?d a
SAC, MCWCC
? CItY Phone S.F. Faotprints -
Water Conn
On Site Sewage _
W W Name On Site Well - water Meter
s? Address MWCC System k?-
Q= Acct. Deposit
a W City Phone City Water X- ;•,?.
S/W P
it o
PRV Required r erm
I hereby acknowlege that I have read this appiication and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with ail applicable State of `: , i a{5
Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI
APPROVALS
Signature of Permitee
?,,•.z:
f .>r}=.t ^? ,t:z., ? s??
;
Planner Road Unit.
s
,
_
A Building Permit is issued to:
'-' '• : - Park Ded.
on the express condition that all work shall be done in accordance wiih all Council
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Bldg. Off. Copies
Building Oificial Variance - TOTAL
Permit No. Permit Holder Date Telephone #
ftTF-R 0<13
SEWER
PLUMBING ?
$J&f
H.V.A.C.
EIECTRIC 5
Inspectfon Date Insp. Comments
Footings I
Foundaiion
Framing fY y ?? - ao?FS ir
ov RaM? "/L?
Roofing
Rough Plbg.
Rough Ht9. 41 g a 2 3
Isul.
Fireplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bidg. Final
Oeck Ftg.
Deck Final
Well
Pr. Disp.
. ' PLUMBING PERMIT For Office Use Onty
• . CITY QF EAGAN PERMIT # Z??'S ? O
CONTRACT 3830 PILOT KNQB RQAD, EACAN, MN 55122 RECEIPT #'?-°? I 7?^
PRiCE ' PHONE 4548100 DATE:
Site Address BLDG. TYPE WORK DESCRIPTION
Res. X tJew
Lat lock Sec/Sub Muli. Add-on
Name LAO I IDG . Comm. Repair
m T??ti t^ i I U (- I*)'Q t e
Address? Other
?q
? City '• ?•? Phone u RE5. PLBG. ONLY - COMPLETE THE FpLI.OWING:
TOTAL
NO. FIXTURES
?
7• c?
3
00 $
Water Closet - $
.
? Name LA 1°f
I
Bath Tubs - $3.00
? Address _
1-1 _ Lavatory - $3.00
?
Clty Phone 2 Shower-$3,00 G • r'
i Kitchen Sink -$3.00
UrinaUBidet - $3
00
FEES .
_L Laundry Tray - $3A0
COMM.IIND. FEE - t% OF CONTRACT FEE .?_ Floor Drains -$i.50
APT. BLDGS. - COMM. RATE APPLIES l Water Heater -$1.50
TQWNHOUSE & CONDQ - RES. RATE APLLIES Whirlpooi -$3.40
MINIMUM - RESIDEN7IAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMl1M -1 PER PERMIT)
STATE SURCH GE,PER PERMIT .50 Softener- $5.00
(ADD $.50 S/C E ACH $1,000 OF PERMIT FEE) Well -$10.00
r Private Disp. - $10.00
? Rough Openings - $1.50
I
SIGNATURE F PERM EE PERMiT FEE: '' -
STATES S/C: -?U
FOR: CITY OF EAGAN GRAND TOTAL: 1
• ? v
PERMIT #
• ? , MECHANICAL PERMIT RECEIPT # ? ? ?
CITY OF EAGAN '? ' ?'
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?" ' '
? PHONE: 454-8100 For Office Use Only:
.. TYPE
m Name t_J
?o Address
c City
? Name -.L?-4
c Address 1
p ciry
TYPE OF WORK
r
Phone
Phone
Other
WORK DESCRIPTION
New X
Add-on
Repair
FEES
HVAC 0-100 M BTU
RES -$24
00
. .
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMIT) - 1
50 E A
- .
.
COMM/IND FEE - 1% OF CONTRACT FEE
APT, BLDGS. - COMM. RATE APPIIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
-- MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
7-
1 !i .
BEYdND $1,000)
. .. . . 4 t __. . Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL•
SIGNATURE bF PERMITTEE
,,;•,: ?I
I .?:.
FOR: CITY OF EAGAN
: s?
CITY OF EA GAN
`•, 17 3830.Pilot FCnob Road, P.O. Bdx 2`1-199, 'Eagan, MN 55121
. PHOn?E: 454-
Rh 6100 . ;
BUILDING PE
IIIT Receipt # - ?
;
Ta be used for FI?EPLACE Est. Valua Date? 0CT 1'%
Site Address 3930 CANTER Gl.EN 63R /
LDt 19 Block 17 SeClSub.??1?? RI? 1$T p? ?r: ?J QFFICE USE ONLY 3
Parcel No_ oecupancy ` ? - FEES
2bning
W Name D? & ?''I'??' ?"?'Y ? (Actual) Const BIdg.Permit
o Addl'epS 3930 ?+AM? ?+EN DR (AUOwable)
-
City ? Phone ???*^''73?`
# of stories Surcha e
- ?
?
Plan Review
Name Lengih _
- ,y
4 Depth SAC. City ?
?? Address
' S.F. rotai - snc, n,tcwcc ?
'- C
ity Phane S.F. Footprints - i
t
C
W
?
On Site Sewage
er
a
onn
_
;
w W
f,w Name on sice weii -
Wa1er Meter
?? Addres5 MWCC System
Acct
oeposit
a W City Phone c;ty water .
_
PRV Required - S!W Permit
I hereby acknowlege that I have read this application and state that the
Booster Rump
? SlYJ Surcharge 9
?
iniormaiion is correct and agree lo comply with all applicable State of
Minnesota Btatutes and City of Eagan Ordinances_
, Treatment PI
Signawre of Parmitee APPRdVALS Road Unil
A 9uilding Permit is issued to: ?? ?P. L?SA,` tRAY Planner - park iled.
on the express Candition thal all work shall he done in accordanoe with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official
Variance ?3 50
- TOTAL '
f'ermit No. Permk Halder Date Telephone #
WATER
SEWER
PLUM6ING,
r
N.V.iC.
ELECTAIC
Inspection Date Insp. Camments
Foofings 1
Faundation
Fcaming
Rauting
Rough Plbg. "1'i?,
Rough Htg.
Isul. L - ?
Fireplace
Final Htg.
Orstat Test
Final Pibg. Plbg. InspeCtor-Notiiy Plumber
Consi. Meter
Engr.lPlan
Bidg. Final
Qeck Ftg_
Deck Final
Well
Pr_ Disp.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot ICnob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRE5S ' '=-'°''' ??? :??^?'? ???I ?+?
LOT -?LBLOCK ' .7 SEC/SUB P "'? /J?-? ?'?1?-f= /f''`i?-?i'?,?
Y
APPLICANT:# ,?,.??r?:,v??,_ r?•;.?ar?.S"1 itC__.
ADDRESS: Jx
CITY, STATE A2 ZIP `--
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # ?? 'Z' ? -s? B.P. RECEIPT # - 'j ` A .?VIA? B.p, RECEIPT DATE '
METER SIZE G
ISSUE DATE _ PRV _ 6O05TER PUMP
ZIP
PERMIT REQUESTED
_ SEWER L-L WATER - TAPS
- COMM/IND _ RESIDENTIAL
_ NEW - EXISTING
I AGREE Tp COMPLY WITH CITY OF
EAGAN ORDINI?NCES:
? ,• ?, 1 p f•
SIGNATURE WHEN METER, ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
?-
SEWER & WATER PERMIT
CITY OF EAGAN 3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRE
LOT :'''' BL
OFFICE USE ONLY
PERMIT DATE SIl i' I8'?:
WATER PERMIT #16Q9 SEWER PERMIT #
METER # B.P. RECEIPT# C?
READER # B.P. RECEIPT DATE 511?
METER SIZE
ISSUE DATE '??y PRV - BOOSTER PUMP
APPLICANT:,
ADDRESS: %/
CITY, STATE ZIP J']
;
PHONE: 41 -./
7/?.y? /'; ?• ?. '?. ,'r i ? r':. Fr._: ?
PL BER:
i
AD?ESS:
CITY, STATE : A ,k,r-?.1 ,iA&-:{ ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
. PERMIT REQUESTED
/
-? SEWER ? WATER TAPS
- COMM/IND = RESIDENTIAL
,
NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
,!?,_ '! !T/i'.. . '?'(:/?/ [-?._:??,! i y •
SIGNATURE WHEN ME7ER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
BLDG. PERMIT NO.
01-3210 Bldg. Permit
?
/C) 01-3422 Plan Check
, 01-3445 Surch./Adm.
01-3446 SAC/Adm.
J 01-2155 Surcharge
? 753860 Road Unit
c 20-2275 SAC
Q? 20-3865 Water Conn.
.?
1
V 20
3868 t
T
t
W
- a
er
rm
.
?l 20-3716 Water Meter
?
"J 20-2252 Acct. Dep.
20-3713 Water Permit
n? 20-3743 Sewer Permit
79-3866 SewerConn.
28-3855 Park Ded.
CGp
0
TOTAL
. CITY OF EAGAN NO 16457
38304'ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 C/?l:?
PHONE: 454-8100
BUILDING PERMIT Receipt #
7obeusedfor SF DWG/GAR Est.Value $84,000 Date MAk 11 19 89
Site Address 3930 :.ANTER GLEN DRIVE
Lot 19 81ock 17 Sec/Sub. BRIDLE RIDGE 1
Parcel No.
w Name DAHLSTROM DESIGNER HOMES
o Address 4151 KNOB DR., #100
City EAGAN phone 454-8737
a Name SAME
0
g? Address
City Phone
r
ww Name
?? Address
a W City Phone
I hare6y acknowlege that I have read Ihis application and state that the
informalion is correct and agree lo comply with all applicable State of
Minnesota Statutes and CitvdEaaan Ord"mances.A . A
Oaupancy
zoning
(ACtual) Const
(Allowable)
# of Stones
Length
Dep[h
S.F. Total
S F Footprints
On Sne Sewage
On $rte Well
MWCC System
Ciry Water
PRV Required
Booster Pump
OFFICE USE ONLY
R-3 r-Ees
PD R-1
Vn $ 568.00
Bldg. Parmit
Vn 42.00
Surcharge
284.00
46 ' Plan Review
28' SAC Cny 100.00
x
-X--
x_
SignatureofPermitee E
?
t?VVHUVALb
A Building Permit is issued to' DAHLSTROM DESIGNER HOME S Planner -
on the express condition that all work shall be done in accordance with all Councn
apphcable State of Minnes tatutes andqry of Ea9an Ortlmances. gyy pry, _
i
Building Official
s
Vanance -
575.00
SAC,MCWCC
580.00
water Conn
90.00
WaterMeter
Acct. Deposit 30.00
20.00
S/W Permil
S!W Surcharge 1•00
228.00
Trealment PI
Road Unit 340.00
Park Ded.
Copies
$Z+SSS.00
TOTAL
?
? CITY OF EAGAN NO 1 g805
3830 Pilot Knob Road, P.O. 9ox 21-199, Eagan, MN 55121
i PHONE: 454-6100 /7
L r S 4' ?
C7
BUILDING PERMIT - Receipt #
-' /
To be used for FIREPLACE Est Value Date nCT 15 , 1991
Site Address 3930 CANTER GLEN DR
Lot 19 Block 17 Sec/Sub.BRIDLE RIDGE 1ST OFFICE USE ONLY
PafCBI N0. Occupancy - FEES
Zonin9
p
DAN & LISA GRAY
Name
(Actuaq Const -
Bld9. Permit
5_(1(1
W
t Address 3930 CANTER GLEN DR (qllowa0la) - 50
° Surcha e
? .
Cit EAGAN phone 686-9732
y roistories -
Plan Review
Len9th _
o Name SANE oePtn - sac
cit
?
0
Address
S.F.TOwi - ,
y
, SAC, MCWCC
City Phone S F. Footprinis _
Water Conn
On Sile Sewage _
?w Name On Sle Well - W
t
M
t
a
er
e
er
s3 Address MwCCSystem -
<W Cily Phone arywacer _ ?t oePosii
/W P
i
PFV Required _ erm
S
t
I hereby acknowlege that I have read this application and stale tha[ the Boosler Pump - g/W Surcharge
iniormation is correct and agree to comply with all applica6le Stale of
MmnesoW StaWtes antl Cily f Eagan Ordi nces. Trealmant PI
Signature of Permrtee APPpOVALS Road Umt
A 8uildmg Permit is issued to: DAN OR LI S RAY Pla"^ar - Park Ded.
on the express condition ihat all work shall be done in accordance with all Councl
applicable State of Mmnesota StaWtes an
it
y
dC
of Eagan Ordmances. Blag. ON. _ Copies
???
???
...
ppp
RDAf,? I ...yyy yyy?
Building ONicial T
Variance -
iO7nL
25.50
' DArE: 3/17/89
<:. RE?t 3930 CANTSR GLBN DRIVB. L19, 817, BSIDLB RIDG& 1ST
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
PuDlic Works Garage (3507 Coachman Raad) until the meter is picked up. BE SURE TO
CA?.L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
r? ?...
- Your Sewer & Water Permit for the above property cannot be completed for thg following
reasons: . .-?
s
?
?
J-
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowetl urrtil turther notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNiNG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. '
CONTACT COMAQUNtTY DEVECOPIGENT DEPARTMENT F ATER TURN ON POLICY.
Secretary, Building InspectionY?
1l '
DATE: 5/17/89
91.- REit_ 3930 CANTEE GLEN DRIVE L19, 517, BRIDLH RIDGE -1ST
?QL_ Yo ylr Sewer 8 Water Permit for the above property has been completed. It will be held at the
PulJtfc Works Garage (3507 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
?
/
? Your Sewer & Water Permit for the above property has been completed, but the meter cannot
' be issued or occupancy allowed until further notice.
- COMMERCIAL PRWECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPNONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POIICY. •
Secretary, Building Inspections Dept.
/PJ o?y? yv
H11084
? ?td0?
FtBquB ?p Fire N0. Rough-in Ins n
Reqyiretl
s ? Na
? Ready Now NoUty Inspacbr
When Reetly7
I ?alied contractor ? owner hereby request inspection of above electrical work at:
JoeAtla (s or ut NoJ city
$eclion . Township Name or NO Range No. CounlY
Occu n? RI ? / S D A/? Phon N _?
PowerSuppier Atltlross
EI r a Contr or (Cqmpa y Name a
M9i n qW? ( topner Inst Ilahon)
Aul? rze0 Sgn t re(Con r/ r Making Inslall ?
Ci
.
r n p•y/
l?.i
MINNESOTANTATE BOARO OF ELECTR11 '' THIS INSPECTION REOUEST WILL NOT
GrIppHlWray BIEq. - Room S173 BE ACCEPTEO BY THE STATE BDARD
1821 UnNeraM/ Aw., SL Pwl. MN 56106 UNLESS PROPER INSPECTION FEE IS
Plwne(812j6C2-0BOD ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION eeoowi-oe
? See insiruclions lor completing fiis form on beck oi yellow mpy
T
M11 0 84 Below Work Covered by This Request .?;.
ew Atltl Rep. TypeofBuildmg AppliencesWiretl EqmpmemWiretl
Hame Renge Temporary Service
Duplez Weter Heater Electric Heatlng
Apt. Building Dryer O[her (Speciy)
Comm./Induslrial Fumace
Farm Air Conditioner
OMer (spedy) CoMreciw6 Remarks
Compufe Inspection Fee Below:
# 01her Fae # SerwceEntrenceSize Fee # Cirwits/Feeders Fee
Swimminq Pool D to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps Amps
Sign& Inspector§ Use Only
L
?
Irrigation Booms 3 6
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby RO13n-m
Fl/
certify that the above inspection has
been made. F„ai
OFFICE USE ONLY
This request voitl 18 moMna Irom
J
4111 ? `/9' x , 94G9S
? 15159/'/ &I $'1"'5 °"
Requ Oate Fra No Rwgh?in In n
Req
? Reatly N.
?ty Irrspeclor
a ? No 'M?en ReedyT
I Mrtge'nsed contractor ? owner hereby request inspection of above electrical work at :
Job AtlO,ess (SI Bw a F?upp No)
• C'"
Secllon No. Township Neme w No. Range No. Caunry
(PR Nn
? PhOire No.
S?
S
U M -
Poxrer SupP??er Mtlress
?-
Eledncel CoMractw (COmpeny Name) ConbadOr§ Licanae No.
O
'
I
1V'? 124
i Number
. •y,
V AT •
MINNESOTA STATE BORHD OF ELECiFlICIfY THIS INSPECTION REQUES! WILL NOT
GrMjpe-Mitlway Bltlg. - poom &773 BE ACCEP7ED BY THE STA7E BOARO
182I UnWenlry Ave., SC Peul, NN 55100 UNLE53 PROPER INSPECTION FEE IS
Plane (612) 842-0800 ENCLOSEO.
REQUEST FOR FLECTRICAL INSPECTION
? See inslrucbons fw completlig tltis torm an beck of yelbw mpy.
F 515 9 "x" Be1ow Work Cavered by 7his Request
E&00001-07
t Type of Buildfng AppliancesWired EquipmentWired
r r Home Pange Temporary Service
Duplex Water Heater Elechic Heafing
Apt. Building Dryer Other (Specify)
Comm.Mdustrial Fumace
Fartn Air Conditioner
Othar(specity) ConVador9 Remarka.
Compufe lnspection Fee Befaw:
# Other Fee # ServiceEntrance S¢e F # ClrcuNSiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A Amps wp
Signs insPecmrs uea oniy/ q ?
Ircigation Booms (p? ? a S
Special Inspection
Alarm/Communication __.. _.,. ,
Other Fee
1, the Elec[rical Inspector, hereby
certitythattheaboveinspectionhas
been made. RO19h'l"
Fnal
•
OFFICE USE ONLY
This requesl wM 18 months hom
?S-i tO
7D o0
2004 RESIDENTTAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constniction Reau'uemeMS RemodeVReoair Reouiremenis
3 registe2d si[e surveys shw+irg sq. ft oi bt, sq, ft M Muse; end a11 roofed areas 2 copies of plan
(20% maximum bt cuverage allowed) t set of Energy Cakulations for heated ?NOm
2 wpies of plan showing beam & window sizes; poured found design, etc. 1 si[e survey for addiGons & decks ?
1 set of Energy Calwlatbns AaNition • indicafe if oo-site septic system
3 copies of Tree Preservatlon Plan ff lot platted after7A/93
Rim Jo?st Deteil Op6ons seled'wn sheet (bidgs whh 3 or less unds
Date C? / /0 / oq Construcrion Cost S?T
SiteAddress ??3p ('rcn?rr eflniPKU-6 Unit/Ste #
a3
Description of Worl43 ?n, i ndW K- ° ?rP? (G?l7-
61
Multi-Family Bldg _ Y ?X NI Fireplace(s) _ 0X 1 _ 2
Property Owner / v I tp)G 4- b oof L i VylSiYvY1'1 Telephone #330 Cl
Cootractor
Address vSc CitY L
State Zip S`? ) Telephone # rL)e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A' NEW BUILDING - TvSinnesota Rules 7670 Cate? _ Minnesota Rules 7672
Energy Code Category . ResidenGal Ventilation Category 1 Waksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6milted
• Energy Envelope CalculaUons Submittad
Have you previously constructed a building in Eagan with a similar plan? _ Y,_ N If so, 25% plan review
fee appiies. ,
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and aclmowledge 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 tha case of work which requires a review and
appmval of plans.
Nl Pa le ?- ,'rtd6?
Applicant`s Printed Name
Applicant's Sign e
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construetlon ReauiremeMs
• 3 registered site surveys slrowing sq. ft. of bG sq. ft of house; and all roofed a2as
(20°h manimum kt coverage allowe0)
• 2 copies ot plan sMwing beam & windax s¢es; pou20 found Oesign. etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservalion Plan il lol patted after 711/93
. Rim Jost Detail Optbns selectian sheet (Wdgs with 3 ar less units)
DATE
SITE ADE
TYPE Of
_ Water Softcner
_ Water Heater
No. of Baths
STREET ADDRESS 1017 CP /?-t?;o ?.P ? CITY ?/
TELEPHONE#'!7 5--05ceZCELLPHONE#?!?2 '93--/-0f5'-5- FAX#
PROPERTYOWNERal_ TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY 1
(J submission type) . Residential Ventliatlon Category 7 Worksheet Submitted • ?" ft"SLhe bi
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
Mcchanical system includes:
Sewer/Water Contractor.
- Air Conditioning
_ Hea[ Recovery System
---------------------°-----°---------------------°--------°------------
I hereby acknowledge that 1 have read this application, state that the
with all applicabie State of Minnesota Statutes and City of Eagan Orc
SignaFure
Fee: $70.00
Phone #
is correct, and agree to comply
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
ULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Fee: $90.00
RamodaVRaoairReauirements // ? ??
• 2 copies o( plan
• 1 set af Energy Calculations far heated addRbns
• lsilesurveytorex[erioraddilions&decks
. Indicale if home served by septic system for addiUans
VALUATION // w
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 4102
?
PERMIT
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Addition: BRIDLE RIDGE 1ST
Site Address:
3930 Canter Glen Dr
Lot: 19 Block: 17
Description
Sub Type: Fireplace
Work Type: New
Description:
Census Code: Addition/Bsmt fin/Decks/Porch
UBC Occupancy:
Construction Type:
Zoning:
Sqi
gge Fe
v
?f'?Lq? ?,?== g39!Afn.n,e"vw?,ai?!1k
?dt??
Remarks: Chimney/flue must be inspected befere concealing.
Fee Summary:
State Surcharge - Fixed
Permit Fee - Fixed
Permit Type: Building
Permit Nuxnber: EA034753
Date Issued: 03/22/1999
0.50
60.00
$60.50
Contractor: - aPPi,cant - Owner:
GAS LINE PLUS INC St. Lic.: Pierse Matte
4806 RUTLEDGE ST 3930 Canter Glen Dr
PRIOR LAKE, MN 553720000
? 6122266220 Eagan, MN 55123 651-405-0787
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signature
L.c1? ??? .
ssued By: Sigiature
?
1989 BDILDING PBRMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?
INCLUDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTSs 9DDRESSE4 FOR CORN6R LOTS - CORTRACTOR/HOMEOWNBR M[13T DE3IGNATE iiSICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED addCE Bil2LDING PEAMIT I3 I3SDED.
MOLTIPLS DWSLLZNG3 RENT6L pNITS FOH SALE ONITS
# OF OBIT3
INCLIIDE 2 SETS OF PLANSO CERTIFIC6TE OF SORIIEY - CHECg WITH BLDG. DEPT.v 1 SET OF ENERGY
CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET DF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To He Used For: SF bwG6q.R, Valuation: Sy? Ooo Date:
Site Address 3po c f(ivi <.2 GL"J
Lot /? Block 17
Parcel/Sub 60/44L/L !f-',AOa
Owner ?& Lfi_ /J,FX-'?G"r:)
Address
City/Zip Code
Phone
Contractor A
Address 4z/,J'j /?Wd/$ /v *"%c)6
Oecupancy M -I
Zoning pp -1
Aetual Const V- N
Allowable V-N
# of stories
Length ?
Depth $ -
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water i/
PRV required ?
Booster Pump _
City/Zip Code /?%? , ? fj7 L I
APP90VALS
Phone Planner
Council
Areh./Engr. Bldg. Off.
Varianee
Address Couneil
City/Zip Code
Phone 8
VAY 0 s 196.
ONLY
FfifiS
Bldg. Permit 5b8100
Surcharge q Z.OO
Plan Review Z SN.Oa
SAC, City f 00-00
SAC, MWCC S?Soa
Water Conn 5$0100
Water Meter o,oo
Acet. Deposit ,oo
S/W Permit Zo,oo
S/W Sureharge 1,00
Treatment P1. Z28,oo
Road Unit ya,ao
Park Ded.
Copies
TOT9L
? /
HOTS: 3ewer & Water Permit fees and acoouat deposit fees will be included in the building
permit Pee. Processing time for sewer and water permits is two daya onee a liceneed
plumbar has applied for a permit at City Hall.
VA LU A"C l Ol4
,- .
? 8x zo = 360 ;:
SSrhT' ?3 Si
a4 x 30, ,; '72a <
i(P x iYz y)
696 X 14z? Cl'lyL/
Isr Fi.C,=?Pz
r120
2?'?- IU
-73+-1 x50 = 36700
?zy x5v= 3?..
V33/y
- ,
I
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SURVEYOR'S CERTIFICA7'E
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SIENNA CORPORATION
REVISED 3-23-89 TO SHOW A
PROPOSED HOUSE FOR
DAHLSTROM DESIGNER
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? o?p ?A?? tiA
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9 \
4,P , q,pp ?G? J %91
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6?o ,° -0 20 \?y o
3a ?61a i
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00 1 6oa3
y
QPj
AE)
A'?/
,
?.-?w PT"
!?.rIGAId E1VG? lUG D; PT
P.R.V. REQIJIRED
¢- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - S6(,_Q; FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 059.I FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- O6'7,Z FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 19. Block 17, BRIDLE RIDGE I ST ADDITION, according to the recorded
ptaf thereof, Dokota Counry, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2! ST DAY OF -7RNu)R`j , 1988•
APPROVED FOR SIEPINA SIGNED: JAMESyR.91 lINC.
CORPORA710N loGoy?GGC,.?
BY: '
AY : HAROLD C. PETERSON, LAND SURVEYOR
nnrr.n. MINNESOTA LICENSE NUMBER 12284
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812-884-3029
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Page 1
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€TOTAL ARI 55.26: TORAL U;3.9471
Page 3
3y?1S?
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
32a?q q
Dare: A v / i1
Descnphon of Work: ? Construct itew fireplace _ Alteratioies to existing
_ Install gas insert onlv _ Install gas line onlv
_ Other
Job address: _59?0 (. Qn Tt I" gle rl .0rf Je-,
Lot: Block: S division/P.I.D. CA A-2 L
1
Applicant (circle one only): Owner =Contractor) Per»iit Fee: S6?
Name: M?? ?1 P f(Q..- Phone #: &SI-?o5' 67 $'7
PROPERTY Last First
OWAIER
Screet Address: S0./N"??
Ciry State: Zip:
Company: GAS I31t@ P1118 I1lC. Phone #: b L?aa -(oaa'0
FIREPLACE 4806 xntleige Street
INSTALLER Street Address: Mer r
Ciry
Company:
GAS LINE
NSTALLER Suee[ Address:
City
State: Zip
1 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.
State: Zip=
<'? c' o ?
Phone #:
1991 BIIZ 14q&4
CATION
N]
CITY OF EAGAN
SINGLE FAI{ILY DWELLIN6S MULTIPLE DWELLINGS COlQMERCI9L:
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHIT;ECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECI'RI'CATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
YENALTY APPLIES AHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST`;WO&KING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER tiUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HA3 BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: flY(I'DWJC Valuation:
Site Address '??CC,qAt,I- ,lL?.'L Dy--
i"Gt0
Lot JU block IV F
Parcel/Sub
Owner ?,iJ/il Vl ?f LtS
Address 3b (?tX.,{l D V '
City/Zip Code
Phone '2;? 2
Contractor
Address
City/2ip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date: U l ? (
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
Bldg. PernLiY
Surcharge .?(}
Plan Revieoi .-
SAC, City .
SAC, MWCC.
Water Conn.
Water Meter
Aact. Deposit;
S/w Permit .
S/W Surcharge
Treatment P1.
Road Unit
Park Ded..
Trail Ded. .
Copies
SIIBTOTAL
APPROVALS Penal'ty
Planner Lot Change
Council TOTAL
Bldg. off. • .
Variance
Sewer ater Licensed Contr.
("f agrees that all aosk shell be done in accordance w,ith
?
a
tor)
(Signature of Co l
all applicable State Hinnesota Statutes and City of Eagan Ordinances.
f{eac?ruGte
1990 BL!I.NN PELtMI?PPLICA ON
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIYLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For:Fl*ISN B/?,$Eirifi?1 Valuation:,-?r?-?vv- Date:
Site Address $ltAO G/f+'T,F.,Q 6;4""4- ee.
Lot /"7 Block 17_
Parcel/Sub M//xt ?/l7?E 1`fr
Owner O/M
Address 09,10 CA.02rp er',L$A,? ?'Sy
City/Zip Code ?6?.? .SS/?z
Phone d/Sa
Contractor nii9f/L,571i!cin 0ES16n/Eie
t1amES
Address t/!S/ /6.?oB Oof c5411729 /0°
City/Zip Code 6A64y 2
Phone L4S91- p 737
Arch. /Engr . 5A3s,!5
Address
City/Zip Code
? OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
i, Depth
S.F. Total
?IFootprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
COMMERCIAL
ONLY
FEES
Bldg. Permit 35, 00
Surcharge ? Oo
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL AL-
APPROVALS
Planner
Council ??
Bldg. Off. ?Iy'?a
Variance
Phone #