1758 Canvasback Lane
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O -Box 41" 99 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
I Owner:
Address:
Site Address:
Plumber:
Meter No.. Connection Charge:
Size- Account Deposit.
.
Reader No.: Permit Fee
1 phe to amply wpb tM City of Eoyww Surcharge:
Ord woww. Misc. Charges:
Total: s.
By Date Paid:
Dote of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERM
3830 Pilot Knob Road 0.~y_~,.,~
P. Oi Boer-1T199 PERMIT NO.: 2,»~
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address: -
Site Address rTZR$ 3' : i'• - = , .,i
Plumber;
J, "7
€
I agree to 0se1* wish the City of Legoe Connection Charge:
Ordi.enee& Aooount Deposit:
Permit Fee:
Surcharge: 'PJ .
By Mist. Gorges:
Dote of Insp.: Total:
Insp.: Dote Pout:
~...t CITY OF EAGAN r<I r~,~-q~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used for SF DV41 /AGAR Est Value $116 + U G Ct Date -API-11L 9 .19 86
Site Address 1.7583 CANVASBACK LN Erect 12~ Occupancy A3
Lot 19 Block 2 Sec/Sub. `1ALTjJ . W PK 3- DRemodel ❑ Zoning R1.
Parcel No. Repair ❑ Type of Const. V
Addition ❑ No. Stories
Name S`1'EPH--A ' HOMS Move El Length r
_ ] 4390 PILOT OT ' KNOB R.17 Demolish El Depth
o Address ~.V. Int. lmpr. ❑ Sq. Ft I
City Phone 423-3323 Install
s ; i1~°lLr, Approvals Fees
o Name
U -C Address Assessment Permit y 4 73.00
X 58
City- Phone Water & Sew. Surcharge .00
336 - 50
t ¢ Police Plan Review 236.
w W Name Fire SAC 575.OU
0Q Address Eng. Water Conn. '00.00
a w City Phone Planner Water Meter 63 • 50
Council Road Unit 290.00
1 hereby acknowledge that I have read this application and state that the Bldg. Off. 4/2/86 Tr. Pl. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature of PermitteeT - -f Total $2,352.0U
A Building Permit is issued to: on the express condition that STi'Ph all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Building Official
Peril No. Permit Holder Date Telephone N
Plumbing p > 5' : i .
p -
Electric 0 (4 S 2
Softener
Inspection Date Insp. Comments
Footings I
Footings Ii
Foundation
Framing 6,~,Roofing
Rough Plbg.
Rough Htg. B
Insul. 6~~ G
Fireplace
Final Htg.
Final Plbg. r
Bldg. Final _ 6uk
Cert.Occ.
Deck Fig.
Deck Frg.
Well
Pr. Dlsp.
I
r PERMIT #
r - -
d MECHANICAL PERMIT RECEIPT # 3
CITY OF EAGAN Ma 1986
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: y
CONTRACT PRICE: PHONE: 454-8100
Site Addppss 1758 Canvasback Lane BLDG. TYPE WORK DESCRIPTION
ub BLDG. TYPE WORK DESCRIPTION
LotBlock Q_ Se~S
Res. New
Name Kleve Heating & Air Cond. Inc. Mult Add-on
a Address 13075 Pioneer Trail
16
City Eden Prairie Phone 941-,4211 Comm, Repair
I
Other
Name ensmann tomes, Inc.
L FEES
c Address14340 Pilot Knob Road RES. HVAC 0-100 M BTU C24-00
le Valley phone 423-1170 ADDITIONAL 50 M BTU
p Cit nt~+ - ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
100,000 GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent. only hood-3 b. fans CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other $
FEE: r, 1
S/C: SIGNATURE OF PfiRMITTEE-
TOTAL. 1f'
FOR: CITY OF EAGAN
PERMIT # /7 D Lir 3
PLUMBING PERMIT RECEIPT
W ` U
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE W PHONE: 454-8100
Site Address - s BLDG. TYPE WORK DESCRIPTION
Lot Block r- Sec/Sub
L Res. _ X New a'
Name rte/ L" Mult. Add-on
'u Address, ~ CY2 /J%i L _ Comm. Repair
c City 'd- r? i 1 Phone 5~S - s Other
Name{- I1~ FIXTURES TOTAL
J Water Closet - $3.00 $
a Address Bath Tubs - $3.00 G D
p City ~r Phone 3 Lavatory - $3.00
Shower - $3.00
FEES / Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE / Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 1 Laundry Tray - $3.00 S r✓
Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 / sc.
Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ,z 0 o
BEYOND $1,000.00) Gas Piping Outlets - $1.50 .
r Softener - $5.00
Well - $10.00
J Private Disp. - $10.00
Rough Openings - $1.50
SIGN))fi RE OF PEFMITTEE FEE: `3 ' G G
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL.'
C ITY OF EAGAN Remarks
ddition Mallard park Third Addition Lot 19 Blk 2 Parcel #10 47252 190 02
Owner Street 1758 Canvasback Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. //X5 539.71 A014788 10-25-84 539.69 S STREET RESTOR.
GRADING
SAN SEW TRUNK sue,/,
* SEWER LATERAL 1981 3412.34 682.47 682-50 A014788 (11-25-84
WATERMAIN
* WATER LATERAL 1981
WATER AREA ~1 4-14,11
STORM SEW TRK 1981 467.74 93.55 5 93.58 A014788 10-25-84
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
4 CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Kndb Road
P. 0. BOX 261199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner. 'te~h_ari c..
Address:
Site Address: 1758 Cinvasb3C. ?_1 r Y,'
,a t
Plumber?en~~ ~nch.an
Meter No. Wae -d
Size: @ Y ;
1 egne to comply With the
ordieienem g Misc. Chorges:
/ Total:
By - Dote Paid:
Date of Insp.: Insp.:
CITY OF EAGAN N2 117 6 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ) r~/
BUILDING PERMIT ReceiptR J /
To be used for SF DWG/GAR Est.Value $116,000 Date APRIL 9 1g 86
1758 CANVASBACK LN R3
Site Address Erect ~ Occupancy
Lot' 19 Block 2 Sec/Sub MALLARD PK 3RD Remodel El Zoning RI
Parcel No. Repair ❑ Type of Const V
Addition ❑ No. Stories
w Name STEPH-AN HOMES Move ❑ Length 66
3 Address 14340 PILOT KNOB RD Demolish ❑ Depth 42
0 A.V. 423-3323 Int lmpr. 1:1 Sq. Ft
city Phone Install ❑
SAME Approvals Fees
o Name
84 Address Assessment Permit T00
Ciry Phone Water & Sew. Surcharge 58.00
8W Police Plan Review 236.50
i Name Fire SAC 575.00
s5 Address Eng. Water Conn. 500.00
gw City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that l have read this application and state that the gldg.Off. 472-7-86- Tr. PI. 156.00
. Information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
.Signature of Permiff._ 9(. ~!•t~Y.w.-c Var. Date Copies Total $2,352.00
I 'r
A Building Permit is issued to, STEP
AN HO on the express condition that
all work shall be done in accordance I)~II a%p abl a gf Minnesota Statutes and City of Eagan Ordinances.
Building Official tLl'R~
This request void _ G
18 months from 0
C . 170 L 3
Request O,ai l ire No. qa unnin Inspection
Oz Requietl? ~Reatly No/Will Notify Inspec-
Yes ❑ No for When Ready
Licensed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Street Address, Box or Route No. City
.j? Ca,07414 44ICk 'OeF/l 64/~
echo No. Township Name or No. Range o. County
Occupant IPRIN I Phone No.
Power Su leer Address
,4 o
Ele tri ca Contractor (Cam~p~s /y NN,,a,.yyme) Contractor's License No.
G7-d"~J bh ld C"7. 'If/t fi~tt..,, gnu. 0-;/// Z
Mailing Address (Contractor or Owner Making Installation)
A uth ra Slgnat re ( antra or ne Makng Iota ation) Phone Number
rC/ z ,~dzz
MINNESOTA STATE BOARD F ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University A".. St. Paul. MN 65100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
PECTION EB.00001-04
/ 3_&C"007
l[J ee instructions for completing this form on back of vetlow copy.
J 4 5 7 0 "x' Re/ow Work Covered by This Request
NedAddl Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader,
Industrial Bldg. Air Conditioner BUlk Milk Tank
Farm mar (Specify) the, (Spoufy)
Other Specify th¢r Other
Compute Inspection Fee Relow
p Fee Service Entrance Size N Fee Faeders/Subleedwri N Fee Circuits
20~ 0 to 200 Amps 0 to 30 Am s r27 .2 _to 30 Amps
Above 200 gmps 31 to 100 Amps ~ /06- 31 to 100 Amps
Swimming Pool Above 100_Am s Above 100_Am
Transformers Irn anon Booms Partial Other Fee
Signs Special Inspection
emarks S ~ TOTAL
Rough-in Data the Is foal
~I- spec laq hereby
certifY that the above
Final ( Date ~r± spection has been
7 de.
This requestvold lsmontMlrom
RESIDENTIAL
- BUILDING PERMIT APPLICATION
CITY OF EAGAN ~Z U U
3830 PILOT KNOB RD, EAGAN MN 55122
19 y (P 651-681-4675 ^ n
New Construction Resultants MS Rernode9Reesk ReoufremeMs S ,d Y
• 3 registered site surveys slowing sq. tc of lot, sq. ft. of (rouse; and gp roofed areas • 2 copies cf plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addalons
• 2 copies of pan &ovMg beam & window sixes; poured found design, eta) • 1 site surveyfor exterior additions & decks
• t set of Energy Calculations • indicate if home served by septic system for additions
• 3 copies of Tree Preservation Pan II lot patted after 711/93
• Rim Joist Detail Options selection sheet (burgs with 3 or Was units)
DATE S- O 2. VALUATION 1a . '70
SITE ADDRESS I7SF `an yas6'rck Lake MULTI-FAMILY BLDG _Y X- N
TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C9 ~I fs~ ~~s7s u~7S~
STREET ADDRESS 15-7/ Lgktv:ew 4r e CITY E.,9,,, STATE' ~ ZIPSS"iaa
TELEPHONE # 61S2 /088 LE6V CELL PHONE # FAX #
PROPERTY OWNER kv4 hloy,k TELEPHONE# yf-2 -837
COMPLETE THIS SECTION FOR %NEW RESIDENTIAL BUILDINGS ONLY
Energy Cade Category MINNESOTA RULES 7670 CATEGORY 1 D 4ILQ AT~ S 7672
( submission type) • Residential Ventilation Category 1 Worksheet Submitte • ey~' Engrg CI Worksheet Submitted
• Energy Envelope Calculatins Submitted MAY l~ l 211del ! I q
Plumbing Contractor: P By
one-iiii
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: - Air Conditioning Fee: $70.00
- Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
r❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 O6-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. AR - SF
❑ 04 02-plex ❑ 10 08-plex ?1(18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
Y 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation C90 Occupancy z -kt MC/ES System
Census Code 3 7 Zoning City Water
SAC Units (21 Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bkigs _ Length Fire Sprinklered
Type of Const - w A-) Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs , Air/Gas Tests -Final
Framing - Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement)
Insulation - Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review f rF91
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
fZa 4
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
~3830 PILOT KNOB RD - 55122 i d C)
V ~J 651-681-4675
New Construction ReauiremeMs RemodeliReoairReauirements l \ _ g V
. 3 registered site surveys showing sq. ft. of lot, sq. R of house; ancu roofed areas . 2 copies of plan
(20% maximum lot coverage albwed) . I set of Energy Calculations for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations . Indicate if home served by septic system for additions
. 3 copies of Tree Preservation Plan if lot platted after 711W
. Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE 10-30-01 VALUNION o 0
JOB SITE ADDRESS / 7-s-'r CLy n ✓4S 1stC[` L9.~ t
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 72VMG llowck
TYPE OF WORK R t~a r'~ ^e nfgm a~ c FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Cqi~ ~efrrso~ 44, X027-' PHONE#
ADDRESS IS-7V Lgktv.P,, Cv~ue t~qs, ZIP CODE SS/az
PAGER # CELL PHONE # (a Fi 3 D 3- 3I ~ FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY-4------ -
(check one) Residential Ventilation Category 1 Worksheet SW~mitt~
Energy Envelope Calculations Submitted i „
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted I I I 7
6y
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1-7
Signature of Applicant
Certificates of Survey Received Tree Preservation Plan Received _ Note Required _
Updated 1y01
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
~02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. D 42 Demolish (Foundation) 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation / 3Q, Vv Occupancy tti- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC r
az-
Drain Tile ~t x pu?m
Roof _ Ice & Water _ Final x Other ITT
T141k, 4241 MAI~Tel40"°9'
Framing - Pool _ Ftgs _ Air/Gas Tests _ Final
g?~ rz&
_ Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco _ Stone
Insulation - Windows (new/replacement)
Approved By T Building Inspector
Base Fee
Surcharge y~
Plan Review r ! t,t 02/
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
z
FAQ 114 i t~ 14
41 10 A
.0 6) 1
V
V
ti N I ~
a7 a lla r~l PK ~
soo> ta•sl>E LUMGEC-
G ~o11SD\ IC is ~.)ST ~I PI V~_~f p.
J QOGEQS 1y~e.
STEPH-A~l tlo r~.ES Sog•.
7j 11sg CAavP.sB~~~
EAVP,a , w.T1•
hill Address ~,n-r~~ ~I I---f lan
HEAT LOSS CALCULATIONS
'af ~e5oss ,t f_ BB' x 1•lg__/d 3 O °Total Btu Input I All windows & doors ere wBatharstrippad
Room I Loth.2e' "Wth " Ht. FI. Room LOth. "Wth, Ht, '
pl I LIrNe t. Arn
Worm Height NO. of Lmnut, Araa No• Width Nugnt NO. o
'c' Pen of pone Whig of rack q, If. of eoa el pane 11 hb of crack q. ft.
t d a Z
Noon fdoon
Cost. BTU /door Coal. BTU
deon
indows 47
47 - Infiltration'
rrwlPn WlrMewa
118 InlilveUOn W/Dean lie
• rrwra, W/Dope 71
i,wlon S/Door 71 Infiltration Moore
Well Exp. Well
48
0/0 48 Guu S, Doon
..S Doom p - 7
EW.Wall 7 Not Exit. Wall
6
8 Calling
711 Z Floor 7 10
„ Total Btu. 0
. A Btu. a
/ I• 6 oom Lath. "Wth. " Ht. FL ' Room Lath "Wth. J Ht.
Wrath par No. of LlneeHt. Ana Width .i ht Na. of Lineal[. Area
l 'lot of errs of pone 6 hn of crack 1p. ft• No. of "no of pens 1 tl of crack q.lt.
o y 2d 6 Z 177,6 Y ,
d'' Sfdoen ~ a o
7 JO V / / /doors •
Cool. BTU !doer. CorL ~p8}TgqU
/door 47 .-LL
47 f 1 Inllltntlon Wirbowe
"Ptiun WindeWa _
car-c-r_ 118
vaGOn W/Doors ! 118 In1lPntion W/Deon
l / 71
Z
• vwion 8/Opon 71 infiltration SlOOOn Z 72
Wail EXP. WNI Q
h Deere 48 Gu.. B Doon 48 z,YA9??
7 Net Exit. Wall
d 7 ].2..
Ev,wall G
. e
8 Collins
s 3 8
w 73106 Floor
' el Our. O Tout Btu. LG
I:1, / Room Loth "WTh. Nt. FI. Room Lgtn. ••Wth. Ht. '
No
Wiotn Haight No. of Lmaal t Ana No. IN MngM . of of check Antra
fi.
NO. of ne of Pane It ht. of crack p }L of na of pane 11 n of rnck Q.
L
I
Idom
Noon
coal. BTU /doom Coal. BTU
/aeon _ - 67
47 Q Inflltntlon Wlndowe
'vauoe Window, 118
r.
trillion WlDoor. 118 Infiltration W/Door
71
4rwion B/DPOrk 71 Infiltration SfDOO
Well L.J Ezp. Weil
48 3¢¢ GI... B Door.
Door. 48
u d
- 7
EW.WalI L 7 J'^ Not Exp. Wall
- 6 .
Calling
onp 3 8
3 8 Floor T 10
a 7 /0
e1ew Total Btu.
.
• l
>r..a.
a '~~.p~~1a~✓rt'?lL. Address f~i-wJA~ Plan Data
HEAT LOSS CALCULATIONS
i LaaE i as x_1.16 4 -Total Btu Input I All windows III doon are tNeatherstripped
'RoomI L_'ath,/ Wth. Ht. FI. Room Loth"Win. Hi. 1
Width rfyT Width H:gni No. a1 Ina.fl Arn No. Width He+9h1 Nn. o1 Lineal nk • A,
it nD of rne q.It.
ono _ of Para II n of crack in. ft. of ana of no
_ L
_-.211Z IL
Idaorf ldoon
Coal. BTU /loon Coal. BTU
/door.
nabn WlrWOwa 47 Inlihration Windows 47 ,
O
,talon W/Door tla Infutrstionwooors 118 '
r wion S/Door 71 Infiltration S/boon 71
Wall Exp. Wall Z
48
.60", 17- c/ 48/ b Glass b Door
7 tit Nat Exit. Wall 7
I Eap. WMI
;rag Iq B Coiling B 7'
1-~ B Floor 73-1,
or' 7 10
r. •+1 Btu. a Toll Btu.
Room Lath, Will. " Ht. ~FI.P h, Room Lgin d "Win. Ht, a
r th Herghl No. of Unaalt. • Area 1 3
Width Haight No. of LinaarL Ana No.
,lo ana It is of crack q. It.
of M. or mina II to o1 crack M. ft. of porn of
a
ldoon !doom
Coal. BTU /doers Coal, BTU
/doors ~a 47
`:enlipn W;ndowa Z3 471 1? Inlllbetlon W;ndpwa
118 Infiltration W/Doom NB
. ;rrabn w/Doors
7t Infiltration Moon 71
;,ration Moore
.we;; ExP. Wall
-le -
b Dears- a 481 4 G Gland Dome ~48L
rw'wal Nn ExP. Wall 7
„ro O B J O Caunp O _ B 716
3 6
:n 7 10 Floor
•N Btu. Total Btu.
Room Lgth. " Wth. p ' Ht. Fl. Room Lgth.l " Wth. Ht
W+tlen Haghi No. of Lineal It Area No. idth H-pht No. oI Linxr t Ane
q. h, ^
of mine of pana lights of crack q, lt. of pans el earn. I' hta F .wk
2- 26A 7rrc .2
/dope Noon
Coal. BTU /loan Coal BTU
/door, 47
I + ballan WlnMws 47 Infiltration Windows
118 Infiltration WIDoon 118 '
,ration W/Down
vnbn 8/Ooon 71 Infiltration S/DOOn 71
Will ~JO ExD. WNI Q
:s b Cosa 48 Glass 8 Doors 48
d'6 7 7
€xp.WNl Na Exp. Wall
. • ~ng 6 8 Coiling
3 Z
.w 7 tOB Floor ./.4~
d y_
+al Btu. Total Btu. 6
2/84
i
f CITY OF EAGAN
r l
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: -s Aj v1 rj LIU
LEGAL DESCRIPTION: /7 &Ce-e -z
(Lot/Block/Subdiva.sion or Tax Parcel I.D. Number)
IF EXIS7-: -.G STRUC I PE, DATE OF ORIGINAL BUILDING P,:IIT ISSJAIiC,:
PRES'^ 3i `T.'Llr'/PROPOSID USE: >(R--1 SINGLE FAMILY
❑ R-2 DUPLEX (TWO UNITS)
❑ R-3 TOUNHOUSE (THREE + WITS)( UNITS)
❑ R-4 APARTML%T/CCNDCMINM1 ( WITS)
❑ COMMERCIAL/RETAII/OFFICE
❑ INMUSTRIAL
❑ INSTITUTIONAL/GOVERNMENT
2) APPLICAVT (PLEASE PRINT)
NAME: lt~r/►y~ e~ 1%r~ jQkVECAC-
ADDRESS: #j ~EN~nsl r~ De-
CITY, STATE, ZIP:
PHONE:
3) PLUMBER ~ } PL PRINT) FOR CITY USE ONLY
EAS u/1)6 ~
NAME: GiJC~ 7-(::L-
PLUMBERS LICENSE:
ADDRESS: ~ &CALAer.B(- ,~/j~ Q Active
CITY, STATE, ZIP: ~i~C, lets A/A.,SY,/ Q Expired
STFP Not of Record
PHONE: 'LUMBER LICENSE
a nitia
4) OCCUPANT/Cr,~Nm (PLEASE PRINT)
NAME: E/ _ / 14N1V ~S/1
ADDRESS:
CITY, STATE, ZIP A'2 6-67Z4
PHONE: 423
5) INDICATE WHICH PERMIT IS BEING REQUESTED:
® CONNECTION TO CITY SEWER
CONNECTION TO CITY WATER
E] OTC (PLEASE DESCRIBE)
6) DJDIG' E O' :
E] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
)d PLEASE MAIL APPROVED PERAIT TO 1, 2,CS 4 ABOVE
(Circle one)
7) SI=Tt;RE: LLl~c'~Ci~C DATE: / f
a=•###aifi;r~atiaatit~rare~.~ a~ral~t#+s•s~kacrs
F O R C I T Y U S E O N L Y
PERMIT ISSUED
FEES: $ SEWER PERMIT (I`1CL D SUP.CH2RGE)
$ ~G SZ> WATER PERMIT (INCLUDE SURCHARGE)
$ G> 3 SD WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ GrU ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ ~r (i O WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER _/_7P
$ TOTAL
AMOUNT PAID/RECEIPT # ~ /.3
t=om / a
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C] NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: (`iCCe ~S4ZC~
TITLE:
DATE:
ti!msun mamma tiEn#R#MUM M01R•:.14 GLy!N00%Mw Wig fJ4 i.#M%W!!fr ll+W/!WMwi" ii
W--itVoFecigan
3830 PILOT KNOB ROAD, P.O BOX 21199 BEA BLOMQUIST
EAGAN, MINNESOTA 55121 M0,0,
PHONE (612) 454-8100 THOMAS EGAN
JAMES A SMITH
VAC ELLISON
THEODORE WACHTER
Cwml Member
THOMAS HEDGES
DATE: April 18, 1986 CK, rem„ m
EUGENE VAN OVERBEKE
ov Cle
coTr~AL ASSESSMENT SEARCH
DAKOTA COUNTY ABSTRACT CO RE: Mallard Park Third
j 1250 HWY 55, P 0 BOX 456 Lot-19-Block-2
HASTINGS MN 55033 1758 Canvasback e
Enclosed herein is the search which you requested made on the above described
property.
Kind of Improvement Years Beginning Original Amount Balance Due
NONE
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion.
r. -
Kind of Improvement Approximate Date of Completion Approximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the
above information which was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, MN 55121.
Ver hTruly~yours,
II ASS SS NT DIV ON
THE LONE 0 AICI EE ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
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v' X1985 BUILDING PERMIT ;APPLIC6TI„Oti'- CITYYOF EAGAN
NOTE: i, , c it a +`t{iW - .3'd .~e,..rL~ t' r : r Vtb ' ~ ' Yen fl : : d •J
ALL" COMiRAGTOHS -MUS USi.~'BinlIcEN3EDWTB T ~ICITY OF •HAGAN "
PLANS I> r_
_ > "'i'~3=CERTIFICATES 'OF' SUR
i_ Ya'yv``
>+.1-- SET- OR i ENERGY. CALCULATIONS'
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Address w~ , ,^.,s`_=:%F' ~'t> K' 4k_t r~ z~' Grade •a. Nre 'S( ~ 5. "9*+'?y~~~)v'M
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Address'
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. ,3
Code 238:5°.
Y,,.Zi P-_ Plan'Review,
.SS~.~.y Fire;•. SAC
Engr, Water °Conn 5
,'Planner x « Water Meter (off SP vYo-a
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DESCR•tP'CtoP
LOT 19) BLOCK-
MALL-ARV,
•CIdiRP /S►DDtTio", NOILTA
DAK.o1"A CcEWVC, *6ALE {":30'
mt►.tNE4ott~ pt.1.:860►R.t~1t.+1. AiSWvtRD
o-vE~tcTeS tRoN MONUMENT
I ',ereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
1,and Surveyor under the laws of the State of Minnesota.
- -,rte
LeRoy HCBohlen
Registered Land Surveyor No. 10795
~is ?-7 s,
y
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
7
OWNER
SITE ADDRESS 1~75f! C rvtru.¢~g ~X~ ~4~
CONTRACTOR AAXY,4A, HCfs9_S, lAff- DATE PHONE 4Z7-3 312
Determine working square footage of each.
1. Total exposed wall area ......_~2sq, dr sq. ft. x
2. Total roof/ceiling arEa ?9-9 _ sq. ft, x _ mS= ;~•Z
Total exposed rraII area above floor 216 1.00
a. Total wail window area j 9 9
b. Total door area 3 7.V
c, Total sliding glass door area a o.oL
d. Total fireplace wall area
e. Total wall framing area (average 10%)............ _YT T,7 Q
f. Total net wall area above floor t 6.0
g. Total rim joist area Z O
Total exposed foundation area : a. y 3
h. Total foundation window area . . le- SD
i. ToaI net foundation area above grame
Determine "U" value of each segment,
a.-/ X . ull (03,311
b. 375( - X "u" 0 4-ff
c. 4 0.0-L x ,.u.. - 5~ 2 2-of
d. X "u ik C
e. ZzS.gy x "U" - 043 = 9.7/
f. ISW- 0 4 X „u„ . 0v/ = 63.39
g. 131.Z0 X '.u" - vv = r1w
3. ...........M-,M.A~ ............Total = 2 .bO
If item 13 is the same as, or less than item P. you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area 2x-98
j. Total skylight area....,.......
L Total roof/ceiling framing area (average 10%)...
1. Total net-insulated roof/ceiling area........... fq 2~o7 ~-3 _
Determine "U" value for each roof/Ceiling segment.
j X IV =
k. X eUI'
1. 132-1-49 X bull 02 f_ _ - Z d-
4 ..............0 .1O.1 ..........,Total 3 Q
if total of 84 is the same as, or less than 02, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items R3 and 14 shall not be greater than the sum of items 11 and t2.
1, X•4 ,~7 + 2,-X2-24- ZS1.77
WEPJA CO. PLAN SERVICE
ED ANDERSON
ARCHITECTURAL DESIGNING AND PLANNING
5397 Upper 147th Street
Apple Valley, Minnesota
Residence: Office:
423.5658 423-3775
yro
L
pbra. rn4H41 n1niY
r.
- - - - - - - - - - - - - - - -
For Mice Use i
f D '
I Permit
3 '
1
J D jjji 0 9 2000 i of Wan , 3830 Pilot Knob Road I
Permit Fee: ~ -
Eagan MN 55122 i
Phone: (651) 675-5675 daze Ftecetved: I
Fax: (651) 675-5694 Stab:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Sate: ~ J3)Q 41 Site Address: 1 ~2959 &rlvasloarl~_ Ll a
Tenant: Suite
RESIDENT /OWNER Name: 1 Phone:1 (D 3T
Address lCity ,Zip: --`(~yj~ (L`\Vk'~'
CONTRACTOR Name. < I jQ :;G, License
q J n
Address: tr~ t ~C
hS.
City: Stater Zip.
Phone: )(C1b I Contact Person: ce~`1
TYPE OF WORK New _ Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: ~
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
4- L_ Lawn Irrigation Add Piumbing Fixtures
RPZ / PVB) Main _ Lower Level)
Septic System - Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Neater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Ado' Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 7twit out 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 ns.
Applicant's Printed Narne ~ icant's Signature
FOR OFFICE USE Reviewed By: Date:
Hequised lnspecfions: Jni-jer Ground Rough-4n Air Test Gas Test Finai
04/16/2010 07:08 13207642204 BEST EXTERIORS PAGE 01102
Use BLUE or BLACK Ink
Zvi};iU>~ -__---__-i
City of Eajan 1 P$m+~~:
I I
4 Parini! Fee: l
3630 Pilot Knob Road - ~ l
Eagan MN 55122 j Date Remwea: i
Phone. (651) 675-5675 1 staff:
Fax: (651)675-5694 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
7 4-V
Date ( site Address: „ .z s ►r
Tenant: G - Suite ;t•
12 __M~7
RESIDENT" / OWNER Name: Phone:
Address ! City ! Zip:1 ~ n ra S ,eke, c #
Applicant Is; Owner Contractor
TYPE OF WORK Description of work: & r o 0.
Construction Cost: Z Z9 41)1-11 Multi-Farnity Building: (Yes / No m
CONTRACTOR Name: ~ r if License 2 0.,S / 9 - -
Address: S y l 9rr' cx r~ J r" CdY ter. rk , r► ,
State: ~~'srlo zip: ?..5 Phone:^~7_ I '-f
Contact: i Email: , A
COMPLETE THIS AREA ONLY IF CONSTRUS;T1_NG A NEW BUILDING
In the last 12 months, has the City of Enos" Issued a permit for a similar plan based on a master plan?
-Yes -No If yes, date and address of master plain:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
'NOTE. Planar and-SyPporting d00UMW#4 that you sub6iff a1B girisider6 m.be wc In tatlo»; Po qns ref
Me irttbrtr ort. maybe cla if ed as tonVNblic if Vic. prtDvi* SPOWV .rya"As halt tltrctWd pernllf 'City to .
: c6iid~de that th rwa;
C &L BEFORE YOU DIG. Cali Gopher State One Call at (651) 4544)002 for protection against under round utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. o sherslateonecall.o
I hereby acknowledge that this information is oomplete and accurate: that the work will be in oonfornyanoe with the ordinances and codes of the city of
Eagan; that I understand this is not a pormit, but only an application for a Hermit, and work iz not to etart without as perrnit; that the work --will' be in
accordance with the approved plan in p of work which requires a review and approval of p6into.
Ap0f -mant°s Print rr!~f* A ^!t rd $iS~n ~ir+g -
Page 4, of 2
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use ~y
Permit
City of Ea I Permit Fee: 3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: 3-
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11 / -13 Site Address: Unit M
I Name: Phone:
Resident/ 9
Owner Address / City / Zip:
Applicant is: Owner Contractor
~'~~tiC
Type of Work Description of work:
Construction Cost:? JJ Multi-Family Building: (Yes / No )
Company: !1J`~J~(7iiE~ la Vin., Contact:
I Address: /,V, City: 21"d
Contractor
State Zip: Phone: t/)
"2J rj J S
License /J s Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I 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 they are trade secrets i
_ s ....__.,.....Y _
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.ong
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~~'
x ..~Applicant's Printed Name plicant's Signature
Page 1 of 3
City of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECENED
IAA 2%1%1%
r
Use BLUE or BLACK Ink
For Office Use Y)f
X;
Permit #: '511(4 J
Permit Fee: / � - 6 ( C
Date Received: A. -1c.0
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/) o/ 0 I' t Site Address: 1 75 �n vl ' L - L Ld -,/ Unit #:
. `
S lent!
fl � r
w fx.
Name: PC1 f r : k -� 04 4)- C Phone: 65- / - � L `/
- ,5-9 it;6
!!
Address / City / Zip: 175- V , n ✓14 S hi, L �,= Lk h e / CGL7li n' /O n/ 5-5-1
-
Applicant is: K Owner Contractor
4rke
Description of work: Lv wvt rI et 14^o wt.m L� Ze tt l
Construction Cost: 4000 Multi -Family Building: (Yes / No
)
£
Contraor :#<
.' '.
:..x
Company: 4 a rn i- O h ✓" Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
f.,If the project is exempt from lead certification, please explain why:
i
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and auppo r docum - e ed � ion
theinformation may assn Q e p � t ou provide specific reasons tha wool a perm1 t
ode
to
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
(i(J/)-DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of _ Plex Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Move Building
Fire Repair
Repair
.46
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
NtN'y
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
7
Page 2 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REc 1vED
oto
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3/28/2016 site Address: 1758 Canvasback Lane
Tenant:
Name: Patrick Johnson
Suite #:
Phone: 651-322-8962
Address / City / Zip: 1758 Canvasback Lane, Eagan, MN 55122
Name: Homeowner
License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New _ Replacement _ Repair Rebuild ✓ Modify Space Work in R.O.W.
Description of work: Move connections for sink and washing machine
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
IyI4r,,e Pol�fyl�e /,`f,
/D- l&v;4Y" rvv
Water Softener 116ii( F 5 1:4
d, yer
Lower Level)/.4,,,
k,
Fixtures Main /
Add Plumbing ( +/
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
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.
)(Patrick B Johnson
Applicant's Printed Name
x Q4A4Q4t'
�.
Applicant's Signatu
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153164
Date Issued:11/27/2018
Permit Category:ePermit
Site Address: 1758 Canvasback Lane
Lot:19 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-190
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Stefanie Johnson
1758 Canvasback Lane
Eagan MN 55122
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172671
Date Issued:10/12/2021
Permit Category:ePermit
Site Address: 1758 Canvasback Lane
Lot:19 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-190
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Garage Heater
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stefanie Johnson
1758 Canvasback Ln
Eagan MN 55122--224
Cannon Valley Mechanical
29555 Friendly Avenue
Cannon Falls MN 55009
(507) 263-4864
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176904
Date Issued:06/07/2022
Permit Category:ePermit
Site Address: 1758 Canvasback Lane
Lot:19 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-190
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Stefanie Johnson
1758 Canvasback Ln
Eagan MN 55122--224
Wenzel Plymouth Plumbing & Heating Llc
1959 Shawnee Rd, Suite 130
Eagan MN 55122
(651) 452-1565
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176970
Date Issued:06/09/2022
Permit Category:ePermit
Site Address: 1758 Canvasback Lane
Lot:19 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-190
Use:
Description:
Sub Type:Ductwork
Work Type:Alteration
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stefanie Johnson
1758 Canvasback Ln
Eagan MN 55122--224
East Central Mechanical Services Llc
2134 290th Avenue
Mora MN 55051
(612) 599-1612
Applicant/Permitee: Signature Issued By: Signature