3667 Canary WayCfTY UF EAGAN WATER SERVECE PERMIT
3830 Pilot Knob Road
P. Q. Bax 211 .EQ PERMIT NO.:
Ea9an, NfN 55121
DNTE:
Zonin?9: ' No. of Units: `
f
VRnoF: J 4f ...>a
Addmsw.
'y
Sfte AKRJrr.ssi '1 l _7 7 , • S . r
PlumVRr.
MEtCI' NO.. Connection Charye:
S1ze; Aceount Deposit:
Reader No.: Pertnit Fee:
1 yiw [s eeMOF whb !iM Ciryr ef Eow¦ Surchorge: -
QAiMaas. Mlsc. Charyes: - :'?• -.
Totol: ?a
By Dote Poid
Dote of Ir?sp.: lrpp.:-
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Bwc 21799
Eagen, MN 55127
Zoninp: ?-?-
Owner. :w:?:•?? ??Pk.s
Addross:
Site Addi
Plumber.
f yeN to emply wNh t!M CiFj eF 1e90¦
Ordiwoas.
ey
Qote of Insp.:
SEWER SERVlCE PERMIT
PERMIT tVO.:
DATE:
No. of Units:
Connection CFwrpe: 4 75 • C' Orn•?
AcoouM Deposit: ?- `' •. 0 C'D`l
Pemnit F":
SurdhOrQe:
rf?r,?j
j. ,
Misc. Chorpes:
Total:
Dote Paid:
CITY OF EAGAN -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12,,,
? ?9
PHONE: 454-8100
BUILDING PERMIT Receipt #
To 6e used for SF D61TG/liAR Est. Value $61+ Q Q0 Date `??NE 30 , 19 86
!
SiteAddress 3667 CA14ARY ?q'AY Erect ? Qccupancy R3 .
Lot 2 Block i Sec/Sub. WESTBkOOK 1ST Remodel ? Zoning R 1
Parcai No. Repair ?
?
ddi
i Type of Gonst. V13-
N
St
f
A
t
on o.
or
es
?
{i?iyiJ OAfCS DF.VELOPMEi?T CO
Move
?
Length 44
W Name
1881 SUl'+TR
ISE CT Demolish ? Depth Q?
J
3 Address
° a;.'?,?(aAl?l ' ?rja--?$?+4
C
P Int Impr. ?
? Sq, Ft,
ity
hone Install
?e gAi-vjE Approvals Fees
o Name
??
'
Assessment
Permit ? i
?l? • OQ'
a?
Address 50
3 d
~ City Phone Water & Sew. Surcharge •
Police Plan Review 15? . U 0
F W Name Fire SAC ???• 0?'
?; Address Eng, Water Conn. ??? •??
$ W Ciry Phone ?lanner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this appliaation and statethatthe gldg. Off. 6/2 6/3 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Gity, of Eagan Ordinances. APC Parks
, ;? 1 ? ; Var. Date
Signature o( Permittee Copies
Total
° , U 0
A Building Permit is issued to: ?'??? ???? g??}'?'?j? ??NT ?"?? on the express condition that
all work shall be done in accordance with all applicable State Minnesot Er Statutes and.Ciry af Eagan Ordinances.
Building Otticial
ParmN Mo. Permit Holder Dst* Telephane M
•
Plum6ing n
H.V.A.C. '? Zi ?_i l 8C+
E,ectric La ?a? ° a8 ?? ? ?
softoner
InapectFon Date Insp. Commente
Foolings I
Footinga II
Foundedon
Framing
Roofing • (. e
Rouyh Plbg. ?
Rouyh Hlg. ,6
Insul. r f
Fireplaee
Flnal Htg.
Flnal Plbg.
Bldg. Flnal ?
Cert. Oce.
Deck Ftg. '
Deck Frmg.
Wsll DescHbe Locatlon:
Pr. Dlmp.
. , . ,
? PLUMBING PERMIT
C1TY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address
Lot a Block
2 Name
j
Address ?= % ?? ? r' -
City Phone "I`
Name
# Address. ? ? `5 ? ` •, r C t
p City Phone
FEES
COMM/IND FEE - 1o/a QF CONTRACT FEE
MINIMJM - RESIDENTfAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
BEYOND $1,000.00)
d /4
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # (C
BLDG. TYPE WORK DESCRIPTION
x
n
New
Res.
Mult Add-on
Comm. Repair
Qther
NO. FIXTURES _TOTAL
?Water Closet - $3.00
Bath Tubs - $3.00
-7-
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 '
UrinallBidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
-T-
Water Heater - $1.50
Whirlpool - $3.00
-
Gas Piping OuUets - $1.50
?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
i
$1
h O
50
=R
ngs -
.
oug
pen
FEE
STATE SIC:
GRAND TOTAL• ? `? • ? C
i ?
? Site Address -:! - t:- ?
Lot ? Block
? Name !
? Address
c City ?
' PERMIT # "-
MECHANICAL PERMIT RECEIPT # _2?
cmr oF E?GAN
3830 PILOT KNOB RGAD, EAGAN, MN 55121 PATErt
PHONE 454-8100 I
BLDG. TYPE WORK DESCRIPTION
`?-??--
-' Res. ? New,?1_(
Mult Add-an
<+ ! .
Comm_ Repair
_ Phone Otfier
TYPE OF WORK
Forced Air M BTU $`._
Boiler M BTU $_
Unit Heater M BTU
- Air Cond. M BTU - $_
Vent CFM $?
Gas Piping Outlets # ?_ $!
Other $_
P•.
FEE _
S/C: _
TOTAL: _
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1Q/o OF CONTRACT FEE
MINIMUM - RESIQEP1TIAkoFEE - 70.00
MINIMUM - COMMIIND FEE
PER PER
('r
H
E - 20.00
0
STATE SURC
ARG
-
M y .5
(ADD $.50 S/C IF PERMIT PRICE GOES
f .
SIGI4ATURE OF PERMITTEE
FOR: CITY OF ERGFaN
CITY UF-EAGAN
3830,Pilot Knob Rosd
P. O. Box 211 ^.?
Eagan, MN 55121
Zonirg:
Owner. UrGnci ila k. ;
Address: -
5ita Address:
Plumber: ux
Meter No.: 0 1 ?Cf?'I
Size: ri c Be ? DC
Reade No • (??i•tl , 5y4/oL ? ??? F??
I .-.w to oomply wieh li. cdry oveauarge: -
Ordiweeas. Mlac. Chorpes:
Totoi:
WATER SERVICE PERMIT
PERMIT NO.: 7
DNTE: -. , - .
No. of Unfts: `
BY Date Pa+d: _
Dote of Insp.: ' Irs7.-.
?? g?j.
This reQUest void S`?aG,?G 1 (' L DL, j
,eC ,par,hs 7 4 ? 4 ? "
Hapuest a e Fire No. Rough-in Inspect'on
Requiretl? II NoLfy Inspec-
?Aeatly Nuw ?W?
?
?
,
es
?NO
r
?o When
fleady
7
Licensed Electrmal ContrACtor 1 hereby reques[ inspeetmn ot ebove
Owner electrical work installed at:
Strget Address, Bon ol Raute Qt
ecuon o. Townshi0 Name No. anBe o. County
O pant (PflINT) Phone No.
r $uppher AGdress '
4?h
e tncal Convacto
?eny amel
r}?
T An
tractor' License No.
C
r
, J
n
/L l l'k'`?? ?- ? /
\
LJ S
MadinB AdJress IConv tor or Owner Making Insiallauo
(o`7S I tSS ?
AuMori iBnature ( n ctor er Makine Instellation)
Phone Number
C/l.X/ 1^Y? 7?
O J(P
MINNESOTq STpTE BOAXD OF ELECTqICITY THIS INSPECTION REQUdST WILL NOT
Grigpe•Midwav Bldg. - ltoom N-191 BE ACCEPTED BY THE STATE BOAXD
1821 Universlty Ava., St. Peul. MN 55704 UNLESS PROPER INSPECTION FEE IS
Phene 1812) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
0 Sea inehuciiona br compblin9 thie form on back ot vellow copy.
? `Z 7 4 "1(" Below Work Covered by 7his Request • ? ?' ? ?P?
N Add Nep. Tyoe ol BuilOine Apoliancea Wi.eA Equiomenl Wired?
Air Conditioner
ic
p Fea SeirviceEnlrenceSize n Fea Feedera/5ubteetlers # fex Circwts
0 to200qm s 0[o30Am s 0 tn30Am s
Above 200 Am :rs 31 to 100 Amps 31 to 100 qm
Swinming Poot Above 100-Am s Above 100_P.mps
Transtormers rrigauon Boorris $?? Partial-"Otber Fee
I I I SigiS ISpecial Inspection ?S
Remarks TOTAL E
. !/J /
Final
me e ?,.??e?
spec[oq y
?dy Ihet 1he abov
soection has Dee.
• CITY OF EAGAN -
NO 12179
? 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE: 454-8100
BUILDINGPERMIT
Receiptp
SF DWG/GAR
$61,000 JUNE 30
86
robeusedror Dete
Est.value 19 _
SiteAddress 3667 CANARY WAY Erect 13 Occupancy R3
Lot 2 elock 1 Sec/Sub. WESTBROOK 1ST Remodel 0 Zoning R1
Repair ? Type of Const 1??+
Percel No. Adddion ? No. Stories
Name GRAND OAKS DEVELOPMENT CO Move ? Length 44
W 1881 SUNRISE CT Demolish ? Depth dR
o Address Int. Impr. ? Sq. ft
City EAGAN phone 452-8934 Install O
a $AMg APProvals Fees
i o Name
?p Address ' ASSe55R1@flt
? Ciry Pnone Water & Sew.
=
Name Police _
Fire
? _
8 Address Eng
. .-
City Phone
i w
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.01
in(ormation is correct apd agree to comply with ell applica6le State ol
Minnesota Statutes and)Qtty oi Eagan Orlibqa9ces. APC-
Signature of
A 8uilding Permit is issued to:
all work shall be done in acco
Building Otticial
Permit ? i1o.vL
Surcharge 30. SC
Plan Review 158. OL
snC 575.0(
Water Conn. 500.0(
waterMeter 63.5(
Road Unit 290.0(
Tr. PI. 156.0(
r. Date I TotalCopie 2, 089.0(
AND OAKS VEL NT CO on the express condioon ihat
all applicable,SqteAMinnes tatu s.ayd.City of Eagan Ordinances.
r } !1 ,11 /?) ?i1 1 1
tv /40)? 17*?
. /
?qd 1986 BIIILDING PSRMIT APPLICATION - CITY OF EAGA9
NOTE: ALi. CONTRACtORS HQST BE LICBNSBD HITH THE CITY OF EAG9N
SINGLE F6lQLY DAELLIBGS
INCI.UDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
lIQLTIPLS DiIELLIHG3 - R&4IDENTIAL
INCLUDE 2 SETS OF PLANS, CE$
1 SET OF BNERGY CALCULATIONS
COMAIERCIAi:
RfiNTAL 09ITS FOH SALS UNZTS
OF SDRYEY - CHEC[ WIRH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: ?Al _ Valuation: =-- Date: lv
Site Address b 7 A'X`y 44--yI OFFICS OSE ONLY
v
Lot ? Bloek ?
Parcel/Sub
Owner ; IJ
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone y5 ?- ?? 7i y
Arch./Engr.
Address
City/23p Code
Phone #
Erect ? Oecupaney ,Q.3
Remodel Zoning ?l
Repalr _ Type of Const ?
Addition # of Stories
Move Length ?
_
Demolish _ Depth ?
Int.Impr. Sq Ft _
Install
APPHOVAL4 FEES
Assessments Permit
Water/Sewer Sureharge 0.
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter e,' , b
Couneil Road Unit ;?
Bldg Off .Z? Treatment P1
APC Parks
Varianee Copies
TOTAL ?
HOTE: ADDHESSES FOR CORNfiH LOTS - CONTRAC40a/HOMEOBNEE lIOST DBSIGNAYS iiHICH ADDR&SS
IS DB3IRED. NO CHANGffi SiI[,L SE ALLOWBD ONCB BDILDING PERMIT IS ISSQED.
EXTEkIOR ENVELOPE AVERACiE `Ll' COMipUTATION
GkAND OAKS DEVELOPMENT COMFANY
MODEL q•„ AREA U. U X AREA
FtEQUTFED
1. TOTAL WALL AREA 1800 X.11
?.. TOTAL ROOF AREA 1196 X, U9.6 31 . 09
ACHIEVED
AREA U U X AREA
A. W I NDOW AREA 186.66 .5 9=>. ==
8. CJCiC?R AREA 39. 6 .077 3.0646
C. SLTllE GLASS AREA 13.44 .4E3 6.451:
D. F I REPZACE AREA '• U V 0
(_. WALL FRAME AREA 180 .041 7•:38
F. IVET WALL AREA 1164.1 .049 57.040"
G. RIM JOIST AREA 119.52 .0436 5.211672
H. FDUND WINDOW AREA' 0 0 0
1. FOUNp AROVE GRADE 46.48 .135 13.0249
3. TOTAL•WALL AREA 1800 1Q5.50?'
J. SKYL.ITE O 0 0
K. ROOF FRAME 119.6 .032 5.8272
L. NET ROOF AREA 1076.4 .025 26.91
4. 70TAL. RODF AREA 1146
?p•7z7?-
SUM 1.+2. ??9• 6
SUM 3.+4. ?9D
?k
,7:?
RVEYOR'S CERTIFlCAT
? ?1 I
GRANO OAKS UEUELOPMENT C0. N0. 414
IJU. Vv
+t 1/D 1
`
9,a
3
g,y.,
a
i? ,r 9fL,3
a
U I
N
+ DENOTES
? PROPOSED SURFACE DRAINA6E
SCALE: 1
INCH
= 30
FEET
O
• DENOTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 917.8 FEET
0
X000 DENOTES EXISTING ELEVATION PROPOSED LOWEST fL00R = 915.0 FEET
.
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK m 918.2 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TNAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Block 1, LJESTBROOK FIRST FlDG1TIOt, accordinq to the recorAed
plat thereof, Dakota County, P19nnescta.
AND OF THE LOCATION OF A PROPOSED BUILOING. IT DOES NOT PURPORT TO 54i0W IMPROVEMENTS.
OR ENCROACHMENTS, If ANY, TIiEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERUISION,
Tli I S 24's DAY OF?u n4- , 198(a.
NOTE: SIGNED: JA S R. HILL, INC.
PROPOSED GRADES WERE TAKEN FROM THE ?
GRADIWG ArJD DEVELOPMENT PLAPJ FOR ?
LiEST6R00K FIRST ADDITIOfJ, PREPARED C;
BY DELMRR H. SCH4dAPaT, LAfJD SURVEYCRS QY:
INC., DATED NOVEMBER 14, 1985. HAROLD C. PETERSON, LAND SURVEYOR
• PIINNESOTA LICENSE N0. 12294
PAOJEC7 NO. 600K / PAt3E ,JqMES R. HILL, INC.
86763
Planners / Engineers / Surveyors
F1LE NO. 8200 Humbotdt Avenue South
' FQLQER Bloohilneton,Mn. 56431 612-e84-302e
oF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121 .
PHONE(612) 454-8100
Special Assessmenr Search
Date: December 4, 1987
Requested 6y:
Universal Title
BfA BLOMQUISf
M?r
n+orus EGAN
.NMES A SMIiFi
VIC EWSON
7HEODORE WACHIER
CauMIMBmbers -
n+on.ws HEOC,Es
qly Atlmnhlraior
EUGENE VPN OVERBEKE
Cify Clerk
Re:10-83625-020-01
L2 B1 Westbrook lst
On the attached form is the City's response to your search regues
on the identified property. The information includes the origina
amount of the assessments and the payoff amounts of the assessment
on the parcel. In addition, pendin9 assessments are included fo
improvement projects that have 6een ordeced to be installed 6y th
City Council as they raay affect this parcel.
The City's policy is to levy assessments based upon the curren
zoning or existing use of the parcel (whichever is higher) a
reElected in the above assessments. If, and when, the parcel i
rezoned or developed to a higher use, a condition of developmen
approval will require that this parcel assume any additiona
assessment obligations that have not been previously paid fo
existing public improvements. The City En9ineering Division ca
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the accurac
or completeness of the information provided which was requested b
the person or persons indicated. Nor does the City or its employee
assume any liability for the correctness thereof. In consideratio
of receiving and using information on the attached form and for al
other consideration of any nature whatsoever, any claim against th
City or its employees rising therefrom is hereby expressly deniec
Pending assessments cannot be paid until levied. Levied assessment
can be paid to the CITY OF EAGAN.
Vety truly yours,
? ???-,1 a?- - -• - - -
SPECIAL ASSLSSMENTS -
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY ?
?,.,.
.,
..???. ? .
, .? ..
TFiANSACTION TD^ R768 SF'EL,TAL A55ES"SI"Ik_lu"CS
8F'Et:TFl" HtiSESSMPW(:i SL:AIiCFI ::;lJl"il*1(aliy
FFi(1F'ER'1"Y I.D. T^D(=7YS AA7'f ?1:?/C,l/E3? ---SlJ'i._CTL-1L FI_At3F3-----
' 1-^- Z--4-5--6--7-5-9•-1'?
1.o-F3'b25 -020-0:.
___.______-'-__-='_=_= ?r
_
S.F3.#. 1af3ta'F_SSi`it:iV"f UESCt?. YF. YFiS RA-fE TGTAL AIVR.I.rFtTN. rA4`OFf= Ci'JMIiEh11"
1OC1931 STRFt361 ? 84 15 10.50Z 172,,04 ?ni] :00 rFEF'AY
;.01011 S--L:;1" A04 SS 5 1i.p01 SEsr•Y.Oii ,np i>u I'F:EF'AY
107012 W-LAT a=iq. 85 5 Li.t?{a! 873.43 .Osa .iiia F'FiEF'AY
101014 W-TfiH 404 85 5 11.F70% 198.64 oC)Q ,00 F'F;EF`AY
?.41015 S/W-SEF:404 13:5 5 11 ?00% 729 . '..;4 .ofi .00 1='REF6aY
101016 5:3-L.raT 404 9 S 5F 11.00i: 8tj';. 34 .s}Cr ,00 F'IzE'F'AY
101017 S3-'1'F:H 404 55 S i.i.tiU% 347.61 .C?U .VO PCL'PAY
? r???•*? SUMi`1Ai-tY 01= RC1' I VF_ _ uC) .00 .00
#*?t*#* THIS Yh_AR'S T
CtT
?:T
F'
,
,.
...
„
?' ' . 7 ' . .
_ . . ..
. . _
. .
Fress Fi or 1=2 (H 'h . .
eader Farm) a r r7 l1=:estear-t R7627
.., ? " ' ?..
; , .
,
.
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r??cr ?u
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
'H'RwF1t".39tSRFt1[W][R iiflfRii[AiRI[;1TVW'A'1"f
NOTE: PAYMRi' OF FEE AT T,IME pF
rPrLxCATIox DOEs Nar oora^rizvTE
APPRovAL oF PERMIT.
INSPncrIoN oF sEPM AND/oR vaM
ZpSTATTaTrONS W17L NOT BE SCfED--
IILE•D UNL'IL PII2MffT AAS BEEV
APPRWID.
... _°---- -------- - ----- - _
- P ease _Print - - -
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ZF EXIS'I'ING STRL'CIC'RE, DATE OF ORIGINAL. BLII,DIW. PERMTT ISSCRNCE: •
Mon Year
PRESBJP ZANING/PROPOSID C?SE:
Q CO?11MERCIAL/Rfi'PATI,/OFFSCE
rl IPIDUSTRIAL
n INSTIIL'TIONAL/GpVE;ftAAEN'P
2) ?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? R-1 SINGLE FAMII,Y
0 R-2 DT-IPLEX (Ztoo L?nits)
R-3 TOWNiOL'SE (Three + Units) ( Dnits)
? R-4 APAR'I=/CONIDQMINZLM (. Units)
3) u .7•
NAIE:
ADDRFSS:
i CITY. STATE, ZIP:
MASTER LICINSE# o?/(f 7 4f ? .
4)
?l??I•:.1 6,n1'JI: '
NAbIE:
ADDRESS:
CITY, STATE, 2IP:
PHONE: •
Plimbers License:
Active
Expired
Not recorded
'St'lt1.c11
t- ..
5) Ev 1 vN037 i a: •?• :a • ae a. ?a
?CON6ffX,'PION TO CITY SEWF12 COAIIQF7CpI0N TO CITY WATER 0 OTEER_
.y?.?
?
6) ?• ?• 81 PLEAaE HOLD APPROVID PERMIT FOR PICK-(IP BY ONE OF ABOVE
[:3 PLF.ASE MAIL APPROVID PERMIT '!C) 1, 2, 3,. 4', ABoVE
(Circle one)
7) r n • • ? •
• • ti: ? ?• .c a .. ? ? e r rr 5 ?a? r• u?• . ?. . ?. ?
, ? r. •?^ ta. ? r: s •.ra. i ? ? a• ?•• s• ? e?,. ^
' -
r.
FOR CITY IJSE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ ro: ?
$ $
$_ d3 $ _
$ $
$ $
$ $
$ $
s O • CJ-D $
$_ s7s 0-0 $
$ $
$ $
$ $ .
$ $
$_ •o D $
$ $
$13 $ &(1? 7 ? 7
RECEIPT RECEIPT
,? . ...
SEWER PERMIT (INCLUDE SL'RCHARGE)
WATER -PERMIT (INCLUDE SL'RCHARGE) ..
WATER METER/COPPERHORN/OCTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRONK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SC'RCHARGE
OTHER:
TOTAL
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITSON.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
__ _ -_ _ - T
TITLE:
DATE : ? ? ??
RESIDENTIAL
BUILDING PERMIT APPLICATION
53314 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-689•4675
New ConsIruction Reauiremente RemadatlReoair Reauirements
• 3 registered srte surveya shwring sq. R of lot, sa. fl. of house; aM all roofed areaq .'2 capies of plan
(20 /. mazimum lol coverage alloweA) .1 sel of Eneqy CalcWations (or heated additbns
• 2 coDies of plan showirg 6eam g window sizes; poured faund design, ek.) . 1 site survey for exterior aOdidons & decks J
• 1 sel of Energy Cakulations . hMicate 6 Irome served by septlc systan for additions ya?
• 3 wpies of Tree Prasenatbn Poan 0 lot Platted after 711193 , p?'Jv
• R'un Joist Detag OpOons seleclion sAeet (ddgs with 3 w less unit5) (/
t
06 ..
DATE VALUATION ?y
,. , .. .
SITE ADDRESS 3'? rt Gr Nog MULTI-FAMILY BLDG _ Y N
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TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT I
STREET ADDRESS lCS - J CITY Ut STATE?ZIP x- c?
TELEPHONE # CELL PH NE # _ PAX #-7?.L"
PROPERTYOWNER oanmhwll TELEPHONE#_IOc.JIASZ' 007
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COMPLETE THIS SECTION FOR.°NEW" RESIDENTIAL BUILDINGS -
,.
Energy Code Category
_ MINNESOTA RULFS 7670 CATEGORY L MINNESOTA RULFS 7672
(J submission type) . ResidenBal Ventilatian Category 1 Worksheet Submltted • New Energy Code Worksheet 5ubmitted • Energy Envelope Calcuiations Su6mitted
Plumbing Conhacior: - Phone #
Plumbing system includes Water, Softener Lawn Sprinkler , . . , _ Fee: $90.00... ... ,.__
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanicai Conhactor: Phone #
Vlechanical system includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone # ? ? ?
---------------------------- Ul 2 9 2002
-----------------------------------------•---------------------- --- -------•----- -- ?
i hereby acknowiedge that I have read this application, state that th in o tion is co ect, nd a e com I
with oll appiicable State of Minnesota Statutes and City of Eagan O'na es. By
Signature of Appl}SQnt (,(
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105536
Date Issued: 07/18/2012
Permit Category: ePermit
Site Address: 3667 Canary Way
Lot: 002 Block: 001 Addition: Westbrook 1st
PID: 10-83625-01-020
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
Dayna Gardner
505 RANDOLPH AVE
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Bonfe's Plumbing & Heating David W Campbell
505 Randolph Ave 3667 Canary Way
St Paul MN 55102 Eagan MN 55123
(651) 228-9071
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119529
Date Issued:12/04/2013
Permit Category:ePermit
Site Address: 3667 Canary Way
Lot:002 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
David W Campbell
3667 Canary Way
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129096
Date Issued:01/07/2015
Permit Category:ePermit
Site Address: 3667 Canary Way
Lot:002 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
David W Campbell
3667 Canary Way
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167598
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 3667 Canary Way
Lot:002 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-020
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
David W & Susan C Campbell
3667 Canary Way
Saint Paul MN 55123--222
(612) 968-0062
Property Claim Solutions Llc
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:EA168858
Date Issued:05/06/2021
Permit Category:ePermit
Site Address: 3667 Canary Way
Lot:002 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-020
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 -
David W & Susan C Campbell
3667 Canary Way
Saint Paul MN 55123--222
Property Claim Solutions Llc
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:EA174852
Date Issued:02/23/2022
Permit Category:ePermit
Site Address: 3667 Canary Way
Lot:002 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-020
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:
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 -
David W & Susan C Campbell
3667 Canary Way
Saint Paul MN 55123--222
Home Pro America LLC
10523 165th St W
Lakeville MN 55044
(612) 470-6677
Applicant/Permitee: Signature Issued By: Signature