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4593 Cantebury Cir 4 Use BLUE or BLACK Ink r For Office Use `7 Ila ~ I Permit r City of EaV I Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION SSl 2 Date: 7 [ Site Address: arV " Tenant: Suite RESIDENT / OWNER Name: Lee ggll" Phone: '?,52 VC VO Address / City / Zip: Applicant is: X Owner Contractor TYPE OF WORK Description of work: / dl c Construction Cost:, Multi-Family Building: (Yes / No ) CONTRACTOR Name: ~,tg y10 5~~7` License Address: City: State: Zip: Phone: Contact: Email: 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 K 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.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 review and approval of plans. x x Applicant's Printed Name Applicant's Signature Page 1 of 2 L~ DO NOT WRITE BELOW THIS LINE SUB TYPES ~F undation _ Fireplace _ Porch (3-Season) _ Storm Damage v 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 ad 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) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) ,-'Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: t Y-e , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 5 C~ Plan Review 24,626 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: !.1!.i+ii'',isra s ; PERMIT SUBTYPE: TYPE OF WORK: a _s 1 ~s Tr'f'-.' AI'10N INSPECTION DATE INSPTR. • TYPE DATE INSPTR. 1 8 I's o" i i i f s i! !'s f Al ~'_i <l t~ f` 1i i~l l I. e' i l l' f 0 1 f` t N 0 1: 1 ~ E i FI 7. g.1 ~ 1'i; !s 'fit 1~r:3 I 1 Permit No. Permit Holder Date Telephone t ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING j'1 [ 7 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINALPLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION INSPECTION TYPE DATE INSPTR. I J Permit No. - Permlt Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE f AIR TEST f FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ' } Permit Number; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: r iF l E~ APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: i71r_?u ti ~tl,)t.! f~i~l ±y1-!1{~.}, . INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I~ _J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND II FRAMING i ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST II INSUL 1 GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ` DECK FTG DECK FINAL if I CITE OF EAGAN WATER SERVICE PERMIT 495 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CI Tar OF EAGAN SEWER SERVICE PERMIT 3f15 Pilot Knob Rodd PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Pen-nit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OR' EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: s Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: .Site Address: 1 Plumber: Meter No.: - Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY of EAGAN SEWER SERVICE PERMIT 3745 Pifot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber. agree to comply with the City of Eagan Connection Charges Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Dote of Insp.: - Total: Insp.: Date Paid: CITY OF EAGAN'; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value , peri Date APR 11 19~- Site Address 14';R.> C;t, i1EB11"Y C F, OFFICE USE ONLY Lot 16 Block Sec/Sub. 043 - LA&T Parcel No. IST Occupancy FEES Zoning rr Name ,ANES ` 'XWX (Actual) Const Bldg. Permit 2 +CC I Address 4-493 C:,rX'Ir, IA; y C7 R (Allowable) Surcharge • ~ City %A134L F3 Phone 454-2I 62.. # of Stories Length Plan Review o Name Depth SAC, City Zp Address S.F. Total SAC, MCWCC UU4 City Phone S.F. Footprints On Site Sewage Water Conn LOU w Name On Site Well Water Meter = Address MWCC System Uz Aoct. Deposit Qul City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit J A Building Permit is issued to: ? N0 i3iPlanner Park Oed. ~I on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off, Copies i Building Official Variance TOTAL 2 " Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments FootingsI Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. s"v j L/ Deck Final 2 ~ i IPS Lie e 0 G~ arr•~ Wall Q may` . Z `l S', Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6462 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address - Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. s Name i r-r> f.rC~'_IS~F.T^lr!;; .i_nt. r Move ❑ # Stories z Address Demolish ❑ Front ft. o - - CI _ Phone Grade ❑ Depth ft. Name Approvals Fees Address Assessment ` Permit t" City Phone Water & Sew. Surcharge Police Plan check W~ Name Fire SAC r Address Eng. Water Conn. a W city Phone Planner Water Meter Council Road Unit hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit #k Date Issued Permittee Plumbing/ -pO J Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plum Frame%7 X Mechanical final Remarks: - S -4 f . vUp % CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6461 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. t~ Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. Name [ T], vrr1 t: W Move ❑ Stories z vf~ . 3 Address Demolish ❑ Front ft. o City Phone r~~i Grade ❑ Depth ft. Name Approvals Fees o Address Assessment Permit city Phone Water & Sew. Surcharge Police Plan check Name Fire SAC urq Address Eng. Water Conn. aW city Phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • i . Parmit sofa (steed Permittea - Plumbing / 412- 16 -to Mechanical// INSPECTIONS DATE INSP. Rough-In Final Footings DoT Insp. Date Insp. Faun _ Plum n ra ins. Mechanical Final Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: _ Single Site Address: , , Residential .1 T" Lot Block , Sub/Sec. Multi Res., Comm./Ind. Name New/Alter./Repair Address 1--1'' 15 C`&Y'a?' C Cost of Installation I City Phone: Permit Fee I T Name Surcharge Address e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone; 454.8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single I Site Address Residential Lot Block Sub/Sec. - Multi Res., Comm./Ind. Name New/Alter./ Repair Address Cost of Installation City f' w~il~Cy' Phone: Permit Fee Name Surcharge Address -=r~- e e u City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Addition CHES MAR EAST FIRST ADDN. Lot 16 Bik 2 Parcel 10 17150 160 02 Owner Street 4593 Can eb lry Circle state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ( $ .Q 262.21 35 CJ Co 19 STREET RESTOR. GRADING SAN SEW TRUNK 1981 280.00 56.00 5 224.00 007116 4-20-81 *SEWER LATERAL V3 1981 339S-19 679-04 5 2716.15 007116 4-20-81 WATERMAIN * WATER LATERAL WATER AREA T14 224.00 0007116 4-20-81 STORM SEW TRK .S01981 351.10 70.22 5 250.88 0007116 4-20-81 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 30-S-00 22404 119/11A/80 BUILDING PER. 6462 92404 12/i6/8n SAC US - 00 22404 12 (,~Ro PARK CITY OF EAGAN Remarks Addition CHES MAR EAST FIRST ADDN_ Lot 15 Blk 2 Parcel 10 17150 150 02 Owner Street 4595 CantebLry Circle state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8 1311.07 262.21 /311-a-7 c too -7141 - /S S/ STREET RESTOR. GRADING SAN SEW TRUNK 1981 28010150 5-7-81 *SEWER LATERAL 1981 A39S 18 /'l A010150 5-7-81 WATERMAIN *WATER LATERAL lg WATER AREA 1981 280-00 56-00 E; A010150 5-7-81 STORM SEW TRK 1981 351-10 70.22 D, $2 010150 5-7-81 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 22404 12.416.180 WATER CONN. 305.00 22404 12/1 6.1go BUILDING PER. 6461 9,2404 12.41 6.4ACL SAC 25-no 22404 19.11614 &O~ PARK e V a\I. cv~ o i, mow; i. ' qtr#;i fht,''J \nf .•(~rru r.~inr= i~, ~c m• Gov nA ,:pn rn../; n/r/ ;~6 ~l~ ;j Of eagan. r~urfineu# of Indhing Jnsprrfipti / e yThdsCtrtiftcate tllurd Pursuant to the PLgnlPrmeniJ Of Section 306 of the Uniforru Buililin - Code urtifyirsi that at the time of issuance this structure was in compliance witb the,vari6u i orditiaacrs of the City regulating building connruction or use. Aor the following: - "ob c~ma~em t"f 177PLEX a~aa P< t N. 6462 ~Pn<Y TYPE A'ee Cam4ucUam V Firt Zov 3.• .o~ueiemaes „T[Lc_ '71Pr rrynSI' Add.] n1 rV, (noon AixaAC..; H ,rAdeK, 4593.Cantebtlty CiL,mY 64rB2_°„e9~es 1N?~ i5me By: a Ooaes IN uTxOiH Y 5 n. Y L 'A -n)' ,`%.~rfitftr~fi~e nf;(~rrluttnr,,`;Jf,~ i i~ 11~ ~ ~~~~~11A4I I~ V 7 i1~/43n JN~~~ G 11 ~Ir ,IN ~ebr#nteut of ~ufi(Amg ~ns}~eriinn s; s -f \Tbrr Ceratficatt utdud pursuant to tln rtgrarements of Sectrgn 306'uf the Uniform BuiJJdng l \ Go a uru f yeng thstrda the time of issiance this structure was in compliance wuhtbe;vnrroul j jordinantcs of ahe City regulating bmlding conarrution or rue Farthe follaunng ,r_ i~ v w~ ba v "R& A V J~ ~p Us /ChmBem~~~ 6 - - Blagmovt Na 1 V 64b1' AV R .iouwmww R3~'rTrv coo,mkno, V M,RZ. a 3~ ~ in~~ R1`~a~ ~o.,~mmami .]OS,'Mi.ll~s Oo[t.+, .wa„g 13015°~Csdar~ ASiB~S'eApp1E;S(` '.v~ Sri _'/`4~9battt~biaydrr~~~ff~~,,. L15"~H2C2~e A18x'Fast 2: All, ry ~/ie / t~ (r / i~i'~✓7~((ll~~~QAII ill I \i ~~l ~'L~ t`~~ K vt A`V~ ~\101 ~1~ ~A ~ R" AAA ~~~A~t a LITNOia u b w request void from 7 - 3 Q - (J Vj ~ S 16 3 18 regii C - 27338 Request Dale Fne No. Rough-in Inspection equ ved? Ready Now D Will Noufy. InsPec-, - 2r Dyes L214-0 for When Ready Licensed Electrical Contractor 1 hereby request ins Pection of above D Owner electrical work installed et: Street Address, Bqx or Route No City S !9 SJ ecu on NO. Township Name or No. an o. Count Oct (PRINT J f Phone No. Power Supplier LI/ Address r»m,¢r Electrical Contractor IIt `p61I i lY M MOTRIC s a Cants rlor's icense No. aor oOw LWATIR VE, Mailing Address (Contr Ma king Rnslalka Vop rl ST. PAUL, 4 Author Signature (Contractor/Owner Making InstallaLOnl e Num er L r MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs•Mrdwey Bldg. - Room N•191 q BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Ph... (6121 297.2111 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION EB.00001.04 /See ins truc~rons for completing this form on Eae k'of yellow copy. P C 2 7 3 3 H X•" Below Work Covered by This Request J (U 3 Add Rep. Type o1 Ruddirm Applionces Wired Egmpinent Wved Range Temporary Service Duplex 'J Water Heater Lighting Fixtures Apt Building Dryer Electric Heeling Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Aa Corldrtmner Bulk Milk Tank farm ONer peu y Other (Spedfy) t er Speci y Other Other Compute Inspection Fee Below p Fee Service Entrance Size if Fee Feeders/Subteeders' # Fee Qrcwts 0 to 200 Amps 0 to 30 Amps 0 to 30 Awris Above 200 gmps 31 to 100 Amps 31 to 100 Amps SWlmming Pool Above 100-Amps Above 100_Am Transformers rri at ion Booms Partial Other Fe Signs Special Inspection S Remarks TOTA EE D-~ Rough, Mte I, tha rical lnspeclgr, hereby Final cerUly that the above VON) 02 Ye spection has been de. This repuest void is months from This request void 18 months from f Date of this Request 1-26-19a1 Fire No. T 25481 1, as aLicensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4595 Canterbury Ave. City Eagan Sedtion Township Range County Dakota Which is occupied by Joe Tdiller (Name of Occupant) Is a roughin inspection required on this job? No D Yesfl Ready Now ❑ Will Call Ek Power Supplier Dakota. Cty. Address Farmington Electrical Contractor Contractor's License NoA40ISQ ( ompany Name) Mailing Address 12201 Mtka Blvd., Mtka 55343, .(Electrical Contractor or Owner Making This Installation) Authorized Signature Phone No. (Electrical Contractor or owner making This Installation) STATE BOARD This inspection request will not accepted the State Board unless proper inspection fee is enclosed. a wa~a m wa~cny Griggs Midway Bldg. - Boom N191 EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 CHECK 135LOW ORKOCOVERE15 YITH S REQUEST INSPECTION 23 T25481 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace U2.00 Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List )y List Other ❑ ❑ ❑ Othersl Rehers~ COMPUTE INSPECTION FEE BELOW 111 Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee O to 100 Am s10 U 0 0 to 30 Ampere s 0 to 30 Amperes 10 20.00 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 r Above 100 Amps. Above 100 Amps. Transformer ote Control cuc. Partial or other fee Signs ial Ins coon Minimum fee $ Remarks Ron Caple9 TOTAL Ea .J 30.00 I, the Electrical Inspector, hereby certify that th in I hps been (Rough-in) ~AAWA (Final) Date OVQ/ This request void 18 months from This request void L /Sf 18 months from Date of this Request =l 'q O Fire No. 1 51 6 3 I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. NS 9s" CIIMUB91ZY CY&CLc City N~/+N Section Township Range County O&OW-Y9 Which is occupied by Crony 6 W&ZQ-7W 4V9' (Name of occupant) Is a roughin inspection required on this job? No Yes ❑ Ready Now)( Will Call ❑ Power Supplier d,OrK~f1. F!4ck- Address 00- Electrical Contractor OWr,2,r Contractor's License No. (Company Name) Mailing Address 50.&_ (Electric r ctor or Owner Making This Installation) Authorized Signature ;a ~ Phone No. 4T11 37S 3 ( trical Contr for or Owner Making This Installation) STATE BOA COPY This inspection request will not accepted the State Board Board unless proper inspection foe is enclosed. mmnesoca Mace Mara or weccncrcy Griggs Midway Bldg. - Room N191 ~-ErB-000 1.^02 .ti18i1-University Ave.. St. Paul, Minn. 55104 - Phone 297-2111 ;2 `REQUEST FOR ELECTRICAL INSPECTION T 15 63 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑0 Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures D( Apt. Bldg. ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm E] [3 List List Re p Other ❑ ❑ ❑ rers) Rereers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes 1 1 to 200,Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200-Amps. Above 100 Amps. Above I00 Am s. ~O Transformers 11 11 Remote Control Circ. Partial or other fee Signs 11 Special Ins ection Minimum fee $5.0 "5- (-Remarks vsryt OTAL F OO . I, the Electrical Inspector, hereby certify that the above inspection has been r (Roughdn) Date (Final) Date This request void 18 months from Certificate for: F Joe.Miller Construction 13015 Cedar Ave. So. Apple Valley, Mn. 55124 A- t mlPq DELMAR H. SCHWANZ LAND SURVEYOR Rapisbrao U"W laws of The State of Minnesota 2878 - 118TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 88088 PHONE 612 Ai170111 SURVEYORS CERTIFICATE , GANrEF~ti,cy !D. l6 4E 22 I'~y /911 r o N lltv / 3 I SCALE: 1 inch 40 feet / o Denotes not wood'huh 9 ' N b \ Elevations shown are 0 qt4 existing LbT DoT Proposed garage floor )Ik _ J elevation Drainage & f 31. 41 ,I~ ~wvoaao E~reJgT+o~1 6I utility easement e-7 - ayo o 1-- Z~. DD ~ r~` 3s~• 39 ~U~ I hereby certify that this is a true and correct representation of rots 15 and 16, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: November 4, 1980 r MINNESOTA REGISTRATION NO. 8625 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6462 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for 9 DUPLEX Est. Value 38,000 Dote 12-16 _ 19$0 Sire Address 4593 Cantebury Cir. Erect Q Occupancy R3 Lot 16 Block 2 Sec/Sub. Ches Mar East 1 Alter ❑ Zoning R1 Parcel # 10 17150 160 02 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V Name Joseph Miller Construction Inc Move ❑ # Stories 13015 Cedar Ave. S. Address Demolish ❑ Front 24 ft. city Apple Valley Phone 454-4753 Grode ❑ Depth 40 ft. Name Approvals Fees o Address AssessmAGn 11-14-8 Permit 1 Water & Sew. Surcharge 19'00 City Phone 55.25 Police Plan check ~w Name Fire SAC 525.00' i~ Address Eng. Water Conn. 305.00 <w city Phone Planner Water Meter 60.00 Council Road Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1,259.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Joseph Miller Construction on the express condition that all work shall be done in accordance wi/tf~(/qI~I aygpl icableAtottpf Minnesota Statutes and City of Eagan Ordinances. Building Official J•UT\ CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For New Cons ructiom Valuation M D Date November 12, 1980 Site Address 4IC3 Canterbury Avenue Eagan, NN OFFICE USE ONLY Lot 16 Block Y 2 Sec./Sub. Ches Mar F)StE.ect x Occupancy Pj 3 Parcel 42 1 /Sn //./J 2,P-- Alter Zoning yQ Repair Fire Zone 3 Owner: Joseph M. Miller Const., Inc. Enlarge _ Type of Const. Address: 13015 Cedar Ave., So. Move # Stories Demolish _ Front a y ft. City/Zip Code: Apple Vallev MV 55124 Grade Depth y p ft. Phone Office: 454-4753 APPROVALS FEES Contractor: SAME Assessments Permit SO Address: Water/Sewer Surcharge ad Police Plan Check ,r,f, o { City/Zip Code: Fire SAC 52 S, o D Phone Eng. Water Conn. o s,a o Planner Water Meter 4, o . a B Arch./Eng.: BCouncil Road Unit / Rcf. Dd . Off. Address: APC City/Zip Code: Phone TOTAL CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6461 ' PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for z DUPLEX Est. Value 38,000 Date 12-16 19-6Q- Site Address 4595 Cantebury Cir. Erect ® occupancy R3 Lot 15 Block 2 Sec/Sub. Ches Mar East 1 Alter ❑ Zoning Rl Parcel # 10 17150 150 02 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V a Name Joseph Miller Construction Inc Move ❑ # Stories i 13015 Cedar Ave. S. 24 3 Address Demolish ❑ Front ft. ° ci Apple Valley ph,. 454-4753 Grode ❑ Depth 0 ft. Name Approvals Fees saim 110.50 AssessACnt 11-14-8 Permit 19.00 v5 Address F City Phone Water & Sew. Surcharge H Police Plan check 55.25 h~w Name Fire SAC 525.00 4? Address Eng. Water Conn. 305. 00 v <w City Phone Planner Water Meter 60.00 Council Road unit 185.00 I hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1.259.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: Joseph Miller Construction on the express condition that all work shall be done in accordance"wall applicy64e State of Minnesota Statutes and City of Eagan Ordinances. Building Official (sT pO ~.,~A/-r rte' I CITY OF EAGAN Include 2 sets of plans, it, f l 1 site plan w/elevations & ~P BUILpING PERMIT APPLICATION 1_ set of energy calculla~tions. Tb Be Used For aluation s3 f . D d Date / ~o~ o a Site Address _~l si~Sr G .v~/~~~ e / OFFICE USE ONLY Lot J.. Block sec./Sub. (.-<t-e~ /n~.,~ ~t X occupancy T R 3 Parcel - 5 Alter Zoning 1'Z 1 Repair Fire Zone 3 Oar: adz v- e,L Ek nlarge _ Type of Const. V ~J~D / S Move # Stories Address: e f Damlish _ Front _ y ft. City/Zip Code: ✓ Grade Depth H o ft. Phone 'f 7 3 FMS APPROvAIS Contractor: rn~ Assessments Permit 110.66 r Water/S~aer Surcharge 19 0 0 Address: Police Plan Check y2ur City/Zip Code: Fire SAC ~;a f, eG Eng. Water Conn. D S oe Phone Planner Water Meter 60.00 Council Road Unit_ I SS oo Arch./E[xL : Bldg. Off. Address: APC City/Zip Code: Phone # : TOTAL. 2 5 ? s co) `r ' F..`:T1:R101i PNV]iL~lPI{ T.V::1v1i7i "l!" Cr1MPUTATION F I czhc/ I- OWNEtt DATL CE'01 SITE ADUPESS: _ PHONE: CONTRACTOR: S..-r [niu-Cag- Determine working square fuotaye of each 1. Total exposed wall area...... _ sq. ft. x _ 17 2. Toal roof/ceiling area . sq. ft. x Or - 1r~J Total exl,ased wall area above fio-n a. Total wall window area -Z x.. t:, 1. area - ?-7?C:) c. Total s' ',,Ung glans door area d. Total fireplace wall area _ e. Total wall framing area (averaye 10'~) Total rim joist area g. wall. area above floor ?j Sp h. wall area above floor i. wall area above floor J. wall area above floor Total exposed foundation area = k. A'btal fonvdation window area 1. Total net foundation area above grade 7 Determine "l"' value of each wall :augment (e.g. window, door, each t;eparatc wall 5ectiun; a. X "U b. 37,0 _ x .~i c, 6:; . _.1...1.1_._. x , S 7 - 3 - d. - g ,.U _ - e. x _09 x "U" ii item I; ~ .i.s th~' or les.: t-hnn itrm :tL yen t„v,. „•,•1 thr {.iPrnC i.1 Mbterior Envelope Average "U" Computation Page 2 of 4 .r Total exposed roof/ceiling area = X07 a. Total skylight area n. Total roof/Ceiling framing area (average 10t)... _ o. Total net insulated roof/ceiling area........... 11 Determine "U" value for each roof/ceiling segment M. X "U" n._ X ..U.. .04 = , 2 o. 11-74P.2) x "U" t 03 4 Total If total of N4 is the same as, or less than 02, you have met the intent of BBC 6006 (c) 1. Alternate Building Envelope Design 'DD utilize the total ernrelq?o 'system method, the values established by the sum of itsma 43 and Y4 shall not be greater than the sum of items-#I and Y2. 1. 73. Co + 2. 3.~7. + 4. ~.s = ~7• ,a . Lew SA L FT, EXPOSED WALL SLoGk.: 27 fi zl.,5 lot rs s-t1z+-~o+z7t-~z+- 37= 17z- FULL I % 17Z FULL 2.' MIM: I76f-I7Z= Sst . F~t-, ~x~osED WALL AZEA 3LocX', 17-Z X . S = 67~ 4W E.F. \N.0 X43 - - T:ULL I ; I77- XS =137 z.~oo FU LL Li tz,'S k f5 = lo 7-4 F. P, , - - R~M K 1 = 3~ . z z W DWIS Boa 1 -7, z 37 O a:~/L _Il = `l.4-2 I® DRS , zdk _ I I I = 94 . _ z-4 adz-w-r111=r2 W 79.z ICo/ Io.4 r75M~ ,UUi+5 f^ 7 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029127 (612) 681-4675 Date Issued: 10/28/96 SITE ADDRESS: 4593 CANTEBURY CIR LOT: 16 BLOCK: 2 CHES MAR EAST 1ST P.I.N.: 10-17150-160-02 DESCRIPTION: (GAS) Jj~dt Permit Type FIREPLACE uia,Hc {rk Type NEW a Hr, 'CC I h 434,ALT. RESIDENTIAL F 'r~ S#rt Sll~ry 'a 777&L 4 4 S BBjf ~ 5 Ft~ ~ E°tl~ L kr pA e ~ bw, REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge _ $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER INC 16331042 0001068 HYATT CHARLES 2700 N FAIRVIEW AVE 4593 CANTEBURY CIR ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)688-6849 her6byc'n°~ tr'~a R~ ~inforliiatxr~n " dEr,~~9r~"aas~~kai,5=k~ ,gfit~v Mn w ¢ ¢ ~ s3843 Y rP e ? - E gg C E Fl G' R6 & rvf t tb4 i 4 +N c APPLICANT/PERMITEE SIGNATURE ISSUED . SI NA U E B B RD Ro - CITY OF 9 3830 PILOT KNOEAGAN 551221 1996 FIREPLACE PERMIT APPLICATION / 681-4675 DATE: ~7 DESCRIPTION OF WORK: N CONSTRUCT NEW FIREPLACE: -WOOD BURNING GAS INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE 2Sso ,5I-/ o s _ OTHER: ROOM TO BE INSTALLED IN: l`--~ STREET ADDRESS: -,5(5 ` a ^ (ZAP LOT 1G BLOCK SUBD./P.I.D=CONTRACTOR APPLICANT: (circle one only) OWNER I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: l Y Z( Q 0hdYZL„E5 Phone #:6 g 8 OWNER Signature: s 7°~~2~ U L ~'L Street Address: 4.5-7-3 city: ~i4 G Iq /State: 6C/ Zip: ~~l z3 ~ o --o7.fB FIREPLACE Company ~~t eD C2 Ad- / S/ one INSTALLER Signature: ~o Stree ddresS j&E0 License Zb 0 City t2O5 State:/'`/" Zip: -~-3 GAS LINE Company: Phone INSTALLER Name: mmm~ Signature: Street Address: City: State: Zip: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 4 8 3 (612) 681-4675 Date Issued: 07/21/97 SITE ADDRESS: 4593 CANTEBURY CIR LOT: 16 BLOCK: 2 CHES MAR E 1ST P.I.N.: 10-17150-160-02 DESCRIPTION: REROOF Bliilding'.-Permit Type MULTI. (MISC.) .06i;lding`'Cf r~k Type ALTERATION K,Cens,u$ Cade':,. 434 ALT. RESIDENTIAL t r . M~ tE CA fUu" REMARKS: INCLUDES: 4595 CANTEBURY CIR - LEE ERICKHOFF, OWNER L15, 82, CHES MAR E 1ST FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 CONTRACTOR: - Applicant - ST. LIC OWNER: BERGLUND/JOHNSON CONST 12219170 2000625 HYATT CHARLES 4842 MINNEAPOLIS AVE 4593 CANTEBURY CIR 14INNETRISTA MN 55436 EAGAN MN 'x(612) 221-9170 I hereby acknowledge that, 1 have read' tft s ~ p'licatIo6 ~,a,nd statQ <that the , . informat'ioh is correct"an,d-,,igr"-to,c~zrpp,]y ,kith, ail appYiaabYe'Sta~~csf Mn Statuntes'a.nd City o,f t ,4 'an APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE 1997 ~ BUILDING PERMIT APPLICATION •(RESIDENTIAL ~ ' ~ ~ S J sz r CITY OFIAGAW:.. I ` t a +z a" ~r i • tir 3830 PILOT OIN61111A fs6122 ~ ° 4 r "'4 ap e di nu p.° ♦ :,3lspbtsrod sits iu 2,x'r' • 2 oopie• pbn tfN4 . • . 2 spies of p 'S Ondude beam & Wndow Sizes: poured fnd. deign de) • 2 of aCe survsy+ (axts+br: dWont ' n~ . ertergy sr - • 1 nicutStloni addbtoris v" s of Use p • wa -,,•..a-..y::. oaPlSS ~r_as' _arvetlon plan N lot platted after 7M1s3 ..'p , :'ar ;i Nn.ya~mx~c'.T..:a..,n_rs~'r3i.''.z.z L• reQYWil: ,p it.. ,::~.~....•r , xr _r_-vY. 'f>^15.x' .-4'°. 3 F"~~ °1:"::Y.n"~9: •i+r:p-CVnj ~.«y., .':a'~` it ,a~? '-:.,!'L y'i..• .,('!M' kmc.~ f, f'- H`7/- CONSTRUCTION COST e C•-aw.aRtfM.Mi-2ne+V,..<+-•L.1LSlV•.YA'SGY•e--.-", fT _ - _ - - _ _ - - -rt _ ~ ~ _ . z-_ lsrr .DESCRIPTION"bF.WORK_,v::-7~'iCe~/.e~CYJ - :w:°_u--:, T. ,:•~`_"593- ~ _ _ STREET ADDRESS; LOT BLOCK Z -SUBD /P i D. # etc Le, -e- - 0,477,07in 7717, Ray) Y.u1 A 1" % Y l _ S LP W01 n" '~b'i pr`§` A 1 =rr -.vs i'Y p Li~Fy{•~'`- :i„p ix" : ,tea-..,~P,~b ~'~Name 4 ,~rff•. ,p~ NINE, =-:~;~Street=Address: _ - y~ ; COY State Zlp sCO CTO r 7 a, nx~r a c.: Company ~ZiruZ~iLSQ~/: Crxi Phor]e =aa /"970 _ tm - d w.i•'~ Street A 8 ~0 K: x. '{~'a~.y°'F°f~ "c~r lx^•r s.C7 •i~r f - - t T• - 33, Y "r `PFe+»:. '4~ s,•4~°'i'R''., rn .ter. STS Y CIty r/1'I~/(//i%P State •1Yf~1 J Zip,'-SS ','VARCHITECTjr f ti Company: `E_N_GNEER"Ay Phone . ®R - :..1r Nam e: Registration +3 Street Address: City: State: Zip: Sewer & water licer-5ed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is tbrreCt nd agree to corn all applicable - te of Minnesota Statutes and City of Eagan Ordinances. ; /--1 Signature of Applicant OFFICE USE ONLY y. Certificates of Survey Received Yes No .1. 1 Tree Preservation Plan Received Yes No Not Required p83 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)8J ~S CITY OF EAGAN 3630 PILOT KNOB RD - 55122 681-4675 Now Construction Requirements RemodeUReoair Reguiremens ♦ 3 registered site surveys e 2 copies of plan e 2 copies of plans (include beam & window sizes; poured fnd. design; oft.) e 2 site surveys (exterior additions & decks) e 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot platted after 711/93 required: _,Yes _ o .7 r b0 DATE: . /CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS:. y~9 Ci4XX~~UieSJ LOT BLOCi Z SUBD.IP.I.D. - - f `moo PROPERTY Name: Phone M OWNER Street Address: City: / State:'. Zip: a~ 917 CONTRACTOR Company: -UWZ-- Phonem Street Address: ~f f7 /f'/®LS AIle , License M City: 111 fVAX--7X/S ~4f State Zip:. ARCHITECT/ Company: Phone M ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are Requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct nd agree to m all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE o 01 Foundation ❑ 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex ❑ 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move o 32 Addition D 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water USC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee ~~aS Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 9 a % SAC SAC Units CITY OF EAGAN NQ 16291 j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C- /SD 5 To be used for DECK Est. Value $1,000 Date APR 13 19-$9- Site Address 4593 CANTEBURY CIR Lot 16 Block 2 Sec/Sub. CHES MAR EAST OFFICE USE ONLY Parcel No. 1ST Occupancy FEES Zoning W Name -TAME S S YOUNG (Actual( Comet Bldg. Permit 26.00 o Address 4593 CANTEBURY CIR (Allowable) Surcharge •50 City EAGAN Phone 454-2167 of Stones Length 15' Plan Review =p Name Depth 16_' SAC. City $a Address S.F. Total SAC, MCWCC W City Phone S.F. Footprints - On site Sewage Water Conn R W Name On Site well ~w Water Meter zz Address MWCC System gz City Phone City Water Acct Deposit PRV Required S/W Permit I hereby acknowlege that I hav read this application and state that the Booster Pump S/W Surcharge information is correct and a to comply with all applicable State of Minnesota Statutes and City Egan Ordmances. Treatment PI ItZ APPROVALS Road Unit Signature of Parmelee A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of .M/tinnesota Statutes and City of Eagan Ordinances. Bldg. OR Copies 1 .50 Building Official r `AU 140 IA' 1 ] h A Variance TOTAL 28.00 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1 y 2,q t INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS P OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS 1 Z C COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS hen • To Be Used For: G Valuation: 0o0- • Date: • Site Address 1/5 OFFICE USE ONLY Lot L Block Occupancy FEES Zoning Parcel/Sub C H6 MAR, rA,5r JST, Actual Const Bldg. Permit "26,00 Allowable Surcharge • Owner A IY1 N, t i/(~_q 9 of stories Plan Review Length i T SAC, City . Address y Depth )/o SAC, MWCC S.F. Total Water Conn City/Zip Code N Footprint S.F. Water Meter Acct. Deposit . Phone On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment P1. City water Road Unit Address PRV required Park Ded. Booster Pump _ Copies I, Su City/Zip Code TOTAL .78•w APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. .1,tificate ior: oe Miller Construction 3'015 Cedar Ave. So. Apple Valley, Mn. 55124 fit 8 3e~s9 % DELMAR H. SCHWANZ IANOSURVEVOR Registered Under laws Of The Stab of Minnesota' 2578 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66085 PHONE 812 4211755 SURVEYOR'S CERTIFICATE r r ir. r • c~NrEgti,~y x6h ; a~ gtoI / ~ W x cuRb C Z6' 98 I 91 / o• y' ~ ~~re 13 m 1 v fob to s / 418 to o`°~`~ q, qti~ L / I SCALE: 1 inch 40 feet / o Denotes set wood hub 0 FIEW OEC/~ ~ ~~o c~i Ib Elevations shown are O 4is existing EXITING LET Day LOT /~;k M Proposed garage floor elevation 4~ , .}I PRCVOSfD 6~EJM+oa Drainage & ~ I b~ utility easement r q1~ I I_ - o e e 351.39 I hereby certify that this is a true and correbt representation of Lots 15 and 16, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: November 4, 1980 MINNESOTA REGISTRATION NO. 9625 PERMIT CITY OF EAGAN B U I L D I N G 3830 Pilot Knob Road PERMIT TYPE: 0 3 0 2 0 7 Eagan, Minnesota 55122-1897 Permit Number: 06/16/97 (612) 681-4675 Date Issued: SITE ADDRESS: 4595 CANTEBURY CSR LOT: 15 BLOCK: 2 CHES MAR E 1ST P.T.N.: 10-17150-150-02 DESCRIPTION: REPLACE DECK 6uIdfn Permit Type DECK OutId~,vri'rk Type NEW "Census 1 ode; 434 ALT. RESIDENTIAL rat , J ri. ~J _ ~a I. --'7~;~ REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: p p s c a n - ~I"CKFf0FF LEE 4595 CANTEBURY CIR EAGAN MN (612)686-9223 I hereby.ackaowlie #ge liat. °ti I ead 'C'k a t d i tlort,°°and tale th'at' the information is correct and a9r'ee to comply with all applicable State of Mn. Statutes, and City, of E,aga%'.,0rd,inance~ "J~ APPLICANT/PERMITEE SIGNATURE ISSUED-89: SIGNATURE I 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) + ~ CITY OF EAGAN -Yja~ 3830 PILOT KNOB RD - 55122 6814675 New construction Requirements Remodel/Repair Requirements e 3 registered site surveys e 2 copies of plan e 2 copies of plans (include !team 8 window sizes; poured find. design; etc.) e 2 site surveys (exterior additions 8 decks) e 1 energy calculations ♦ 1 energy calculations for heated additions e 3 copies of tree preservation plan if lot platted after 7/193 required: _Yes _ No - I DATE: I Q VI r- CONSTRUCTION COST: M e- X I P'lL r rt r DESCRIPTION OF WORK: eelQC~ n!a 20 i C~,Gk, STREET ADDRESS: ~S C h~ e t C ft rcle. LOT BLOCK SUBD./P.I.D.#: CheS MarEaS~ F rsf Zjaijot Phone - 9a a 3 PROPERTY Name:' Gk ll p f 4.C OWNER u. M. Street Address: ~S 95 C a vi-~- G bt~u//r u C f, rc /(2- City: EOL 5i a vt State: _~rr (rrte Zip: -Gis a 3 CONTRACTOR Company: L e ~ r_ k LL oT-t- Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licerged plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information's correct and agree to comp with all a plicable State of Minnesota Statutes and City of Eagan Ordinances. /J o Signature of Applicant: r1~' OFFICE USE ONLY CEI Certificates of Survey Received Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required JUN 12 1997 BY: -'r onstructi 13015 Cedar Ave. So. Apple Valley, Mn. 55124 _ 8~~ 3859 DELMAR H. SCHWANZ LANDSURVEYOR Rpistered Under LAWS Of The State of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66085 PHONE 612 425.17U SURVEYORS CERTIFICATE CANrEgy~y / 1\ N ,M 0 1 . tA m II SCALE: 1 inch 40 feet / o Denotes set wood hub 9~ c Ele av~tions shown are 0 is I • existing nY ~ L-bT DoT Proposed garage floor ; J elevation fi Drainage & 41 010, 'PROPos" st-sigTtova rI utility easement J 3.ZI o r~~ 3S~• 39 I hereby certify that this is a true and correct representation of Lots 15 and 16, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: November 4, 1980 i Q5/2-6 '95 1605 ID=DC PARKS MIN F=612-437-4560 PACE 4 12'76492 UTILITY EASEMENT single Know all men by these presents, that LEE J. EICKHOFF/ heroinaQer called GRANTOR(S), in consideration of the sum of ins h Odr=d c;cty rive Dollars ($265,0 n) hereby oonvey(s) to the COUNTY Of DAKOTA, a Municipal Corporation of tho State of Minnesota, hareinafter called GRANTBB, its auccosaors and assigns, a permanent aasemaat for sewer purposes, together with the unrestricted tight to improve the same, over the following described oral estate in the County of Dakota, State of Minnesota: I l a westerly 5 feet of the easterly 10 fact of Lot 15, Block 2 CHESMAR EAST 1 ST ADDITION Trpnefer lend i ~J dayof Dakota Courwy Treasurer-Audho Grantor has no knowledge of any wells on the subject property. And the said GRANTOR(S) hereby convey(s) to the said County of Dakota all structures, trees, shrubs. grass, aggregate, herbage or odor materials now existing on or under said lands or that may be hercaRer planted. grown or deposited thereon. Dakota County agrees to restore that portion of the property disturbed by construction to its original, pro-construction condition. Dakota County agrees to the following items: 1. To transplant trans and shrubs removal by construction or replace the removed trans and shrubs with a plant of some species and size. 2. To sod all disturbed areas with premium Kentucky Bluegrass sod. 3. To maintain all turf, trees and shrubs installed by County until expiration of ax temporary easement. 4. To replace that portion of driveway and retaining wall removed with construction. 5. To replace any disturbed property monuments within the pcmumnt utility easement. The oonsidoratiom herein includes full payment for any and all costs incurred by Grantor(s) in replacing lost or disturbed property irons. )t Dated this, day of 1995. Dratted by: ORANTOR(S): MlcltW R. Ring Assistant Dakota County Attorney Attorney Registration No. 91820 Dakota County Judicial garter 1360 West Hlghuoy S5 Hastings, WN 55033 Telephone: (612) 438-4438 Exempt from tined tax. Also, exempt from filing or recording fees pursuant to Mheosota Statute ¢ 386.77. wxrr.rrac 0526 '95 1606 ID:DC PMS ADMIN FAX:612-437-4560 PAM 5 STATE OF MINNNSOTA) ~T n~A COUNTY OF DAKOTA j as. ( Individual) /1' G "'sr ri This instrument wag eknowlgd9ed before me on D, j74 J~ by Lea 3.al[I~iT ai aJP u 'Vi Notary Public STATE OF MINNESOTA) ) 88. (Corporation) COUNTY OF DAKOTA ) This instrument was acknowledged before no on by ,ns 0 Notary Public kq ~ Q Ills C4 W I I i [3 wW 6 O Z " o RECE{VEDc APR 2 71995 Use BLUE or BLACK Ink 1 For Office Use ~ Permit / I I r..-~ I I City / of Ea(IQR t!Permit Fe qh I e: q~) V `C~V M o~ LUIR7 I 1 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 1 201o RESIDENTIAL BUILDING PERMIT APPLICATION Date. S. 3 t o Site Address: C o n-f e b u r C/ r C It, Suite Tenant: RESIDENT/ OWNER Name: 1 Q t ~J-L. f~ Phone: LSI Ill $ / - L(Jq Address / City / Zip: S J l n U p '1 r C A Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes " / No ) Clear Choice Windows CONTRACTOR Name: _ 1129 Riverwood Drive _ License Address: Burnsville, NIN 55337 city: Ph. 952/895-8888 Lic#20637154 Q C~ r 3y ~ . G O t( 7 State: Ddis&alffer. 0Al Onl Contact: J 0 t(C M FT Pi 1 Pit ~ Email I 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 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 review and approval of plans. X ~P, 5th X Applicant's Printed Name p ' ant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107979 Date Issued:11/08/2012 Permit Category:ePermit Site Address: 4593 Cantebury Cir Lot:16 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-160 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Jill Lien 13535 - 89th Street NE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - CLAUDIA A TURCIOS 4537 MAJESTIC OAKS PL Eagan MN 55123 Knight Heating and Air Conditioning, Inc 13535 - 89th Street NE Otsego MN 55330 (763) 274-9945 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119443 Date Issued:12/02/2013 Permit Category:ePermit Site Address: 4593 Cantebury Cir Lot:16 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Claudia Carrera 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 - Claudia A Carrera Turcios 4593 Cantebury Cir Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163393 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 4593 Cantebury Cir Lot:16 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew R Ames 4593 Cantebury Cir Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature