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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 .vY' y,•a -i "'p~•' Yrx e sRfi'FX n,.~'. 3 '~`'v'"l,z_-£i°a' la t1 }.,y; f;¢,ac`-t.?fi r T'`<' n. .a M ~ +>a ~ ~~~~;;yyL f, x'~u ~Yr~y~~~yq~~>,° nF,~~f ' ~ ~ x ~ , s, J ~ N +~y''\s'k',`~9,4{Fi±y"Y a sA'A" ~`u t~'~`~ga"7 •"`3ei r xx, r'rt =i9S~ ~ Y.~n b~ya I/ V ~ce iv` k P'1N e>y r-j"{h Jr it xI.GS,nf;.•s V ~ Ati ~.r'fn a ` ~ ~1'`i' ~ ~M •~Y: , £2~'.~fWvSY.IY&..~t. 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' ' ~z ~i I• ner`eby?;cert fy.~that;..thiS;.survey 'was,: prep~red''~by<;me,`(or:,~ ' unaerigy direct superwisiori `'andthat°I amadu3jr`rr R''egi'stered.^,;" r°:,and.; Surveyor ~ und'er :.the..laws: of -the` :state ofF MYnriesotar' `j _ a. .°t :1)v r.,P.~'~:.. ~'•r'r'rro "j^ i~.''' ~~'!I'+/: ~~s" .4//d, ^~i.' s?','7,~Y~`„~i.;;r,,•i.3 `.-t9;r: u'` . F p~ g'~'f~i L'~ '€i✓,c4i.'°:i yt?`, ~t.i,7: :I., t~~ ~ f q f : BKOBohlell' , V, It .e;.107.95~' ~k egistered"rLan3:"Suxv`ey 0,~N0' ~A, v, . - ~°'Pi.' 'i•.°+1%F.tIR''Ir'••:`.'ix~}~r~''l'T. ~"'t'ta;,^''. :~•r. i' ...h ~'::.,.....:'a.- 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 I yt '~-,.+'F ` _ ,;i-. ,.•,r 'b : a.yn ✓ 0 'q> - x w. r. aq P• - - - r r-,y-:~ F `~t.% ~:r, ~ ..+t'yf ,•,IP:pa T:pd,-,•: ;Y£'~, -'f. "4•..a ~~-••5~}yy r._ ,j, ra':" ~ .-~_.y . - 1'.C+::+~~" e~}r ~'4'., q's g'd: :.'''fit r •t.;~~ •.t: , -•'f.' r, . pi.i `_Y; - ice.. X''d;,~` +S 1 ;•t,'- 4a li.p" "+srv^ .'r .i.Tr'." f,` M'„ .5+'.•,., y>Y:a~,.: Z= ~ ,f ,°'r,~ft fn. V,, Ga:u~ *y,.,3 ..,r7.• ;Y4^,,.y :iL`:-.'!}'d~'o w~;, e';n`~'~t:,':ii~`:•'.',t-- .Y~.v. S„ "v5'. -~xr„ 'i~"'. ~ s~ - ' i.; 5i' .y:_ c f+, t, n'.,.' '~A?.a•'{~'•, S i•p',.c Y..~~M. "~'>•.ci . 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. 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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