3683 Canary Way
` CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
, SITE ADDRESS:
lii ; ! f'i' itlp
PERMIT SUBTYPE:
,, ?
I I I I ? I 1 1 N s+`,
a?v RECoRD
?"1!
PERMIT TYPE: t [ i ? 1 Fd E4
Permit Number:
,y:. ,-; • =1 ;?', ;
Date Issued:
,, .. ..., ., o, ,
APPLICANT:
0 ES 6 4
TYPE OF WORK: 111FtJ
F' I r+ F, i
,4 .
?
,
?
Pertnit No. Permit Hotder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InspecGOn Data Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
ROUGH
PLUMBIMG
PIBG
AIR TEST
ROUGH
HEATINC3
GAS SVC
TE5T
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ?
CITY OF EAGAN WATER SERVlCE PERM14
I 3830 Pilot Knob Road
i P. O. Box 21199 PERMlT Na.:
Eagan, MN 55121 pATE;
Zanin9: _ No, of Units:
QyMr_
,
ACWADSS:
SIf! Add1aSS: ?
Plumber.
AAetar No.: Connection Qtorge:
Slze: Neoount Deposit:
Raader No.: Permlt Fee:
1 yn@ to aanPIY wilb 11N Ci1y eF Eaysn Surd?orge:
Orlimoops. Misc. Choryes: ' -
Total: ` ' .
By Dota Poid:
Date of Inap.: Irup..
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT FJO.:
Eagan, MN 55121 DATf:
Zoninp: No. of Units: '
Ownlr: V?rk?rtan ! :°? = .
Address:
Site Addrcss: :65'i C:an asg 6 n ?Z
Plum6er. ?4p #roart i e sr'?
?57>r7 ?n?.?cyri?3
1 sorM h eeNtplq wilh NN CMr of Eoyos Connsction Charoe:
OIIuMDOM. ACOOW11t DEpOSIt: 1
Pormit Fee: 1.1
By
surcharo.: -
Misc. acrgea:
Dote of Imp.: Totol:
Insp.: Qote Paid:
3830 Pilot Knob Ro
,, „l,
BUILDING PERMIT
Tn ha zicnel fnr sF nwcfr.xR
BloCk
W I Name
; Address.-
o nr:c.
ne • .1
Z 0 Name ?AL"' E 954--3I72
0 ¢ Address
Ciry Phone
~ ¢ Ri3SSEI.L HOME DESIGN
F W Name
M3 Address 4940 VIKING DR
W Citv EDIPdAPhone 835`5970
?N N2 ? 12476
198, Eagan, M N 55121 _
)0 r
Receipt
? Date AUGUS'Z' 19 , 19 36
Erect u' Oacupancy R3
, Remodel ? Zoning PD
Repair ?
Ad
? Type of Const. Vil?
S
l
N
dition o.
tor
es
Move ? Length 44
Demolish ? Depth 4 4
Int. Impr. ? Sq. Ft
Install ?
Approvals Feea
Assessment
t
& 5
w
W Permit $ 00
e 30.50
rchar
S
.
a
er
e
P
li g
u
r?9.00
n R
vi
Pl
o
ce a
e
eN
575. 0 a
Fire
E SAC
500` dfl-
W
t
C
ng,
Pl onn.
er
a
r 63.50
t
t
W
M
anner er
e
a
e
290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council Road Unit ??dg.Off. ??1??? Tr.PI. 1'a6•00
(nformation is correct and agree to oomply with all applicable Stato of
Minnesota Statutes and City of Eagan Ordinarl,ces. APC Parks
?-? - Var. date Copies??.
Signature of Permittee f- : .? U8-4- 0Q
• Tatal
A 6uilding Permit is Issued to: PARK[' 1?'??'rl ? i?C: on the express conditlon that
all work shall be done in accordance wfth all applicable State of Minnesota Statutes and..Ci.ty of Eagan Ordinances.
? Pe?mN No. Permk Holdsr Dale Telephone N
Plumbing (? (V\ L Vl5
H.V.A.C: i?- 9.,/(,_&
Electdc
scnene?
InspeeHon Date Insp. Commente
Footin98 I
Foolings 11
Foundation
Framing
Rooting
Rough Pibg. ?
Rough Htg.
Ineul. ?
Fireplace 6
Final Htg.
Flnal Plbg.
Bldg. Flnal ?
Cert. Occ.
Deck Fty.
Deck Frmg.
Well
Pr. Dlsp.
..PERMIT#`
, MECHANICAL PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
ITRACT PRICE: pHOwe: asa-aioo
I Site Address -?"'?'" 1S ? La /!iv/?, r
Lot Block
JNWGZL
}
?c Addr '
.S City. Phone
Name f -,,a cc_,k.) -
City
Phone
TYPE OF WORK ,
Forced Air M BTU .
Boiler M BTU ,
Unit Heater M BTU .
; Air Cond. M BTU ,
Vent. CFM
Gas Piping OuUets #
Other
FEE:
S/C:
TOTAL•
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New w' Add-on
Repair
FEE3
HVAC 0-100 M BTU
rIONAL 50 M BTU
ON AIR COND. 0-24 BTU
TIONAL 6 M BTU
OUTLETS -
M/IND FEE - 1 ai6 OF CONT
AUM - RESIDENTIAL FEE
AI IAA - ('.C1MM /IND FFF
IF
PERMIT
PRICE GOES
? BEYOND $1,000.00)
- l,
?I SIGNATURE OF PERMfFTEE r
?
- $24.00
- 6.00
- 12.00
- 6.00
1.50 EA.
FEE
- 10.00
- 20.00
- .50
FOR: CITY OF EAGAN
._?'?. _ `'.a?. ?1 firbl?114c.:f?Y ii.?9 S?t:. . ... _..i.•,;?---. . . .
PERMIT # '
PLUMBING PERMIT RECEIPT # '
CITY OF EAGAN ?i?t/a
3830 PILOT KMOB ROAD, EAGAN, MN 55721 DATE:
Site Address - Y '
Lot Block
Name P;, Q
?c Address C [-% I? N 1 U 11?' c'_ ?
c City Phone
Name t"I , rv% tv
c Address ?iU
p City ' '? r ' Phone
? ! Q (/ fJ'T"
3
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
BI.DG. TYPE
Res.
Mult
Comm.
WORK DESCRIPTION
New X
Add-on
Repair
NQ. FiXTURES
f Water Closet - $3.00
TBath Tubs - $3.00
/ Lavatory - $3.00
TShawer - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?-Laundry Tray - $3.00
Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
Sattener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
.? TOTAL
. ?.
,
t r?
;
FEE:
STATE SlC:
GRAND TOTAL:
CITY OF EAGAN WATER SERVICE PERNUT
3830 Pilot Knob Road
P. O._Rqx Z'?1? PERMIT NO.:
Eagarr, MN 5721 DATE:
Zonin9: - i No. of Units: -
Owner. _ Farkk rec.n. Itzc .
Address:
Skb AddflSS: -iv?',; i1S21ar'`i :ii.jr T.::) f1
Plumber:
Meter No.-,,T7!99v//M..rt011 ctionCharge: -'•%?).+??1,,?,J !
Recder No.:O%U6 7"L?S41?,.C21t1??u' }.1pd
I e9ra? eo omvh? wtM 14?,.+?y??johorge: . i0pc1
Orrleoew. f t qp ? ?? I 5?.(3 Q p d-S"
????,/1i?E?tal: r,uter
BY Date Pcld:
Date Insp.: Insp.:
/o - /5--,PG
This ce4uest vqid ?/?f?/6?
18 mpnt6s frDm . ?
C 43054 ?- (? , r, i
SeC, bJCS'?'brocY. ??k- ?y0 oo
Peques ate
i)/ Fire No. Fough-in Insnect,on
Requ retl?
Neady
? ..,/ ,
Now p[? W?II Nouty Insoec-
?
` I?` 6!F_, O
s No ??r When flaetly
-t'a'_LICensed Elecirical ConVactor I I hareby reqmsf inspeebon of above
?? Owner elactncel work installed eY
Street Atldress, Box ar Ra?t No. C v
fo 3 L
eclmn o. TownshiD Ne or No. RanBe mu j Counry
ant IP INTI Phone No.
L/ I
er Sup her Address
ifEli6tqtrical Contractor ipany 1% r's 4conse No.
Convar.
? ?
f ?
Mading Ad ress (ConVac or or O wner Making Instailabon)
?? ?553
Au[hor ed ienawre C tor Ow M
aI?
ng Ins[allation) Ph e Number
? /
7
?`--?? .-LY?Q1? /
U?L`./
MINNESOTq STpTE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Criggs-Midwey Bldy. - Room N491 1 BE ACCEPTED BY THE STqTE BOARD
7821 Univer8ilv Ave.. St. Paul, MN 55104 UNLESS PPOFER INSPECTION FEE IS
ah..... 1R121 297.21 N E NC lOSE0. .
REQUEST FOH ELECTRICAL INSPECTION EB-00001-04
9b V8',?--
I, See inatr?ctuons lor completinq lhis }wm an back of yellow coDV.
ir d. inri d "R" Below Work Cavered by Ihis Request ?
Eqwument Wired
Sllo Unloader
Bulk Milk Tank
p Fee ServiceEnvanceSize II Fee Feadera/5ubfeeders M Fee Circuits
Q 0 tp 200 qm s 0 to 30 qm s 360b 0 to 30 Am s
Above 200 qmlu 37 to 700 Amps 31 to 100 Am s
Swimmmg Pool Above 100_Am s AAove 100_Amps
Transiormers Irrigation 13oonis Sd Partiab'Other Fee
LL ISigns ' I ISpecial Inspection_ ?$
xerrarks ?TOTAL/
i
1, ih¢ Electrical I
Inspector, heresy
•
Fine? cerply that the above
( inspection hes been
? 7 li . ? mede.
?--
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
V;-r, ?
Date?/?/??? /?J)
Site Street Address
34 d/t9 x Unit #
-
.
Property Owner Telephone # (6S/) /0R"/-
Contrector / i9-i'Yi ? Telephone # (9??-?9.e
Address,ZgZa,Pl City ?z) 6->41ZZ,,-'1 WateZip
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling '
_ Add plumbing fuctures (excludes water softener and/or water heater-complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other: $ 50.00
? Water Softener _ Water Heater
_ new A_ replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
40-?
$-
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
? ?
App icanYs Prin ed Na e ApplicanYs ' at re
7
?
/
- ? .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030321
06/24/97
SITE ADDRESS:
3683 CANARY WAY
LOT: 6 6LOCK: 1
WESI'Sft001<
P.I.N.: 19-83625-060-01
DESCRIPTION:
.
qrSi`
l
l.
?ti+?t."• ?ti
Base Fee
Surcharge
Total Fee
P3,ldi?t,i?.PerrnLt Type
uild3,?g 116 ,,rk 7ype
A; ,
y ae\, e6'?i?. ?t.xM..G.. •?.t• r.d
rt ???` ? 4r ';``'? ?' ? .?.....,7 'w"-? ,e? t -? j _-•1
., c
? u
REMARKS:
FEE SUMMARY:
,
' $50 .00
.$50.5@
CONTRACTOR:
?
DECK
NEW
434 ALT. RESIOENTIAL
ON/NER: -' RppliCant -
HRUPT JAY
3683 CANARY WAY
EAGAIV hIN
(612)452-0564
, .. . .. . , h, ° ?, ,? .. .
z herstry ackttnuledge ttsat? I have road thzs appla.c??ion ?vaid staCe Chflt tlle
inf4r mation is 0qrreo?? and ?t}r4'e to Csmij5l!'Yith e'11 apo?fipbbI6 State of M'€T.
SCatutes and ?City of Eao-g?+. Gr ?{ i;1 ar?t'r ?QS. °.1?,„. ?
? . , .. . .... , ?>
.`ii
QV Z
.4. .fYAAIi(7f
VII-A LICA T/PE ITEE SIGNATURE
ISSUED rIGNATURE
' 1997 BUILDtNG PERMIT APPLICATION (RESIDENTIAL) 4 ?Trl ''M
:5 b 32/ CITY OF EAGAN LILL?
3830 PILOT KNOB RD - 85122
681-4675 J
New Construdion ReauiremaMs BemodeUReeelr Reouiiamenb
? 3 regfatered site surveys ? 2 copies of plan
• 2 copies of plena (indude beam 8 window sizoa; poured fnd. design; eta) ? 2 ake surveys (exlerior aAtlitlons & dedcs)
• 1 enerpy calculatians ? 1 eneigy alculatlona far Ireated additlons
? 3 copies of tree preservation plan ff lot platted eRer 7/1/83 repufred: _Yes _ No
DATE: -7 CONSTRUCTION COST: ?DESCRIPTION OF WORK: e- K
ST?EET ADDRESS: 3`?$ ? ?2"`' .?a' MW?
? /
LOT v BLOCK f SUBD.lP.I.D.
A/ ys z - o S?N
PROPERTY Name: VQdr,Y,?4 :nAL? Phone#:A)s'1y"15qi
OWNER mJ
StreetAddress: 3?43 G?NU?1 wJyJ?y+'
City: Afiad 044." State:? Zip:
CONTRACTOR Compeny: ? Phone #:
Street Address:
License #:
City: State: Zip:
p ys2 -asdN
ARCHITECT/ Gemipanyr; ;Pe zd Phone #:N y "QSgJ
ENGINEER
?Naaae: Registration #:
k4ddfess:
State: Zip:
Sewer 8 water Iicer.aed plumber (new consVuction only): ' . Penalty applies when address change
and lot change am requested once pertnit is issued.
I hereby acknowledge that I have read tthis applicatlon and sqte that the iniormation is correct and agree to compry with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
t ?
Signature of Applicant
OFFICE USE ONLY CEIVED
Certificates af Survey Received _ Yes _ Ne J UN 2 3 1997
BY,
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
, ..? ?
Property Line
P
r
0
P
e
r
t
Y
L
i
n
e
43'
59'
STREET
S
T
R
E
E
T
CITY OF EAGAN Np 11476
BUILDING PERMIT
Receipt #
Tobeusadtor SF DWG/GAR Est.value $61,000 Date AUGUST 19 1g 86
SiteAddress 3683 CANARY WAY Erect ? Occupancy R3
WESTBROO
Lot 6 Block 1 5eciSub K 1ST ' Remodei ? zoning PD
.
Parcel No Repair ? Type of Const. 11{}
. Addition ? No. Stories
PARKCREEN INC Move ? Length 40
W Name dd
P
O
BOX A Demolish ? Depth
o .
.
Address I
I
t ? S
F?
n
.
mpr. q.
city ROSEMOi?j{`g 432-8666 Install ?
Zo Name SAME 454-3172 Approvals
$ ? Address Assessment
? City Phone Water & Sew.
w W Name RUSSELL HOME DESIGN Police
? w Fire
?? Address 4940 VIKING DR Eng.
aw ciry EDINA phone 835-5970 Planner
Council
Iherebyaoknowledgethatlhavereadthisapplicationandstatethatihe gldg.Off. $/18/86
information is correct and agree to comply with all applicable Sta of
Minnesota Statutes and Clty ot Ee nordm es. APC
Signature of Permittee ac Date
/// ae4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
PHONE: 454-8100 'l
Feea
Permit $ 316.00
Surcharge 30.50
Plan Review 158.00
SAC 575.00
Water Conn. 500.00
Water Meter 63. 50
Road Unit Z90.00
rr. PI. 156.00
Copies
Total $2.089.00
A Buliding Permit is issued to• PARKGREEN INC on the express conditlon that
all work shall be done in accordance with all applicable St f Minnesota tatu of Eagan Ordinances.
Building Oflicial
7 1986 BIIILDING PEHlIIY APPLICATIOH - CITY OF EAGAN -
l? ?
DIOYE: CAATRACiORS MfJSi BB LICENS6D iiITH TH6 CITY OF EAGAN
3IIYGLfi F6lQLY Di1SLLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLIBGS - RESIDENTI9I.
INCLODE 2 SETS OE PLANS, CER
1 SET OF SNERGY CALCULATIONS
COT4MCI9L
BENTA[. DeTITS FOE SALB ONITS
OF SQRVSY - CHBCB WITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSC9PE BOND
-9,1/Ed5,0*1y
??s b
To Be Osed For: 3(083 (ctrlpN? °Naluatio? Date: Al?
Site Address .36 83 r,nr,q (.JaT I oFFzcE oss oNLx
Lot ('-? Bloek
Pareel/Sub Wps4vooK / I ?S-
Owner 'Pavkcireeo, ?IC -
9ddress ? ? 73? T(
City/Zip Code
Phone 4y,32-- e66 C_? LI5?- 3/7:2
Contractor Sc
, vn?
Address
City/Zip Code
Phone
Arch. /Engr. RaSS?' ff 41pe oabl 4l'l.
Address 494c) V ,kt1? D
City/Zip Code EJ ) ytrA-
Phone S
Ereet _2j_ Oecupancy jf:5
Eemodel _ Zoning fp
Repair _ Type of Const 3Z,V
Addition 8 of Stories
Move Length 4 O
Demolish _ Depth ov_
Int.Impr. _ Sq Ft
Install
APPROVAIS FS&S
Assessments Permit
Water/Sewer Surcharge
Poliee Plan Review
Fire S9C 7
Engr Water Conn :5:::0
Planner Water Meter a3, 5t7
Couneil Road Unit r"9D
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORHER LOTS - CONTRACTOR/HOMSOi1NBS MIIST DESZGNAYB WHICH ADDRESS
IS DSSIRED. NO CH9NGES iIIL.L BE ALLOWSD ONCE BOILDING PERMIi I3 ISSOED.
R
PAKKGAEEN ,NC.
?
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a,dft conrracrors
BOX A* ROSEMOUNT, MINNESOTA 55068 o PHONE 432-8666 f Iu ehG
ef??-,L.. ?,k
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3683 Cara,-x l,Vay En MN SS/Z 3
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EX7ERIOR ENVECOPE AVEP.Af.E "U" CAMPUTAT101
?`' ? ?w I f GA?? ? 7'
raacr' R: __ ?AR.KGRE?i•( ? SrJG. earF•
PNONE :
DETERNIHE VOP,nItIG SOL'ARE FOOThf,E OF EACH:
TC-TAL CXPOSED t1ALl AREA;,. f[ x"lT' (I ?
707t1L P.QGF/CEILING AREA.,...... G17'?? ' sq ft x"U" ,024
= . ?
70T:`,L E:CPOSED iJ;LL AREA'CALCULATIQ.1;:
Total er.posed wall
arca above floor........ sq ft
z) Total wali window area:
? qlazed......
glazed,,,...
b) Totzl c'oor area
c) Total slidinq giass door
sq ft x"U"
sq ft x "U"
3a. Sq ft x „U„
area: ?
41a2ed...... ?
qlazed......
0 Total fireplace viali area ? -
s y f t x"U"
sq ft x "U"
5q ft X "u" , 3o
c) Total wall framinq area • ?} (llverage 10%').......... _ ........... Sq ft X ?,Un ol ? 2•p
0
f) Total net wall area above '
• floor (Insulated)....... _ sq ft x "U" ,03 = ? •??j
c} Total rim joist area..... sq ft x "U"
Total foundation -
arca (:xposed)......... ?S. sq ft •
11) Total founJatton . /
window area............. sq ft x ???n
I) Total net Founctation
arca above grade:.;.... sq ft x"U" •?N = {??
• 707AL a) thru 1} = Qj?
If itcn !•'j i:, thi• ?.icr a;. or lr_„ [h.1n i?^n PI, you hovc mc[ thc Intrn[ of
-`.R.f. S,•[t(nn (006 (G) 2.
... ^ ? ?,• u nuur/r.cfLlr:(; f.ACCllIAT(Qt15•
?- ?fioc?l exo?sed
b. 5q f?
j) Total skyliahc erea ..
..... s a f t x "t)" ? .
k) TcCal raof/ceilinq framinq .
area. (Averane In.`. ).. ..? 97.1? sa f[ .0? . ?
a.3
i? Total r-et insulated '
rcoF/ceiiinq area ......
•?ZS•?1 5Q
Ft x
??U"
?q•3a.-
T07/lC j) [hru 1)
total
•C• Se is the Sdre as,
cticn F.0(76 (c) 1 or less then ••2, you have met the in[ent of
P.LT'c?,t1ATc" BU I LD 1:IG EtiVE! OPE DES 1 Gt!
Lcilize the totai envelcpe sys;e^, nechod; the vatues establiSFed by t`e sun
ite?s =3 and ?4 shall not be -reater than the son of items R1 end 52.
1. + 7. .
3
. +
-_ °
• C E R T t. F I r. q T I 0 N
I here6y certify thac 1 have caiculated the "U" faciers znd "R"
=s herein and that the huiidinn F.ere rescrihed mee[s or exceeds th.e SLate
innesoca Enerny C.onsr.rvaticn Ac[, .
(Sinn?[ure)
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CITY OF EAGAN
APPLICATION FOR AERMIT
SEWER AND/OR WATER CONNECTION
`1) PROPERTY ADDRESS:
LEGAL DESCRIpTION:
..,
CITY. STATE, ZIP:
PHONE;
,.;
*R7T6: PAYMF.'4T.C' OF FEE'paT
APPLICATSODi DOFS NOT CCts
APPROVAL OF PIItFffT.
INuPFJL`rION OF SEKR AMj_F
77.ATTQNS WTTT•
ULID LN17S, PERbffT HPS ffiM
?PROVID. . - '
'i,•
IF EXISTING S'PRC'CM.IRE. DATE OF ORIGINAI, BC?ILDIM PII '-' ..
2MIT ISSL'ANCF,:
.
PRFSEn ZONINS/pROPOSID LSE: (M?n Year . .
Iz CtXH+gRCIAL/f2ES'AIL/OFFICE
F'f T.?9CCUS'1'RIAT R-1 SINGLE' FAMILY .
,
INSTIT[?TIONAL,/GpVERNMqT
?
R-2
D[JPLEX (2t? Units)
f? R-3 TOW[gipC?gE (Tkree + Units)
R-4 APARTMaNT/CONIDCkiINIUM
( • " ?';`? -;a
-° Dtiits)".
? . . . . . . . ..?.:,.:: -, ,
NAME;
AODRESg : _.-----,.. .
3) • u i: a-
NAr7E' n ,.o?Fnr?Ft MFrHANICAL
V U -
'?DRF-S5= 3600 KENNE6EC DRIYE, EAGAN, 56122
CITY. STATE,.ZIP: , - . .
PHONE: (yA,TER I,ICENSE# 001445M2 4) •• m a• , NAME
- AnoRess: 6
CITY, STATE, ZIP:
Y PHONE: .
• :?s H'?•'..3-..
For° QtyaCse::
PJ-LIIi1bE.tSiT.i ronm4
ACt.IVie. j';'
DIot?2i?id?
starf ITtld1.<.
. ..?;?,
. ? •?_%?:..._;. ?.
? ? ' "1 Y' -• Jf• C B _
' ? ? ' ."F?
CONNECPION 4U' CITY SE,'WM CONNDCTION 2b CITY WATER
6) mum , ,.
7)
PLEA,gE {IOLD ApPROVID PgtM,tT FQR PICK-CTp BY ONE OF ABCJVE
? PI.EASE MAIL APPROVID PERF1iT 1O 1, 2,f3p 4. ABOVE
- - . D ?•. _?. (Circ e one)
=-
o
-777
FOR CITY USE ONLY .
PERMIT r ISSCED
Pd w/s1a
5
g. Permit FEES:
$ SEWER PERMIT (INCLLDE SCRCHARGE)
$ $
WATER PERMI2 (INCLUDE SCRCHARGE)
$ - $
WATER METER/COPPERHORN/OCTSIDE READ
$ $ WATER TAP (INCLUDE COR?ORATION STQP
$ $ SEWER TAP
ACCOUN^,.' DEPGSIT - SEWER
ACCOC'NT DEPOSIT - WATER
S cS_?L?°C C?
$ WAC
$_ ?75_ - C? D $
SAC .
S $ TRUNK WATER ASSESSMEtVT
$ ? TRUNK SEWER ASSESSMENT
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRiiNK W;TER
$- $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
q
S__ Sd $ S?? d D TOTAL
G <- 7517 ?G?93
RECEIPm
DO£S GTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WP.Y?
? YES IF YES, THEN A"P$RMIT FOR WORK j4ITHIN PUBLIC
ROADWAY" M
Q
'O UST BE ISSUED By THE ENGINEERING
DIVISION
. LIST AS A CONDTTION.
SCBJECT mp THE FOLLOWING CONDITIONS:
:.PPROVED BY:
TITLE:
DATE: J/7 ?ro
G?IV
/1
RESIDENTIAL
BUILDING PERMIT APPLICATION
cinr oF eacnN
3830 PILOT KNOB RD, EAGAN MN 55122 ? I? ?!?
651-681-4675 J
New Conavuctbn Reaulramema
• 3 reg'stered site surveys afwwhg sq. 8. of bt, sq. ft of house; and lill rooletl areas
(20%mazYnum bt ooverege albwed)
• 2 coplea of plan sFwwing beam & whMOw slzes; poureC tound design, ek.)
• 1 set ol Energy Calculatlons
• 3 copies of Tree Preservation Plan il bt platte0 alter 7/1/93 • Run,bistDetailOptbnsselectlwisheet(bklpswith3orlessunks)
DATE ln ^ u r 0Z.
SITE ADDRESS v\c kv
NPE Of WORK
APPLICANT - ?l `
STREET ADDRESS - V UOV
TELEPHONE #-1S CELL PHO E#
LaC,a6STATE u ?6IP
FAX # S-
PROPERTY OWNER ?l Y l?? ? SU,,.Q 6t,l A", TELEPHONE #0' Co gl - g'g 2)
------------------------------------------------ ---------------------------------------°------
COMPLETE THIS SECTION FOR °NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submiasion type) • Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhacior. _
Mechanical system includes:
SeweVWater Coniractor.
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
_ Air Conditioning ? ? M ? $70.00
_ Heat Recovery System ? ???
e,?UN 11 2002
---------------------------------------------------------------------------
I hereby acknowledge that I have read This application, state ihat the
with all applicable State of Minnesota Statutes and City of Eagan Ord
and agree to comply
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
RemoAeUReoair Heaulrements
• 2 coples of pian
. 7 set M Energy Cakulatbns for heated atltlrdons
. 1 sAe surveyMr eMedor add'Abns & tlecka
. Indicate R hane served Dy septic systam lor atleabns
VALUATION !?f 2 OO . O C)
MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
uvmceu aoz
7a$?
2005 RESIDENTIAL BUII.DING PERMPC APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 . FAX # 651-675-5694
1-)g0y
.7b • 00
New ConsWCtion Reauirements RemodeVReoalr Reauiremenls Office Use Onlv
3 regktered sile surveys showing sq. ft of l04 eq. fl. of house; and all roofed a2as 2 copies of plan CeR of Survey Recd _ Y_ N
(20Yo maximum lot coverage allowed) 1 set of Energy Calculatlons fot heated addifions Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam 8 window sizes; poured found des'gn, eh. 1 site survey for eddHbre & decks Tme Pres Required _Y _ N
isetofEnergyCalculations AddNon-indicateifon-sdesepticsystem On3iteSepticSystem _Y _N
3 copies of Tree Preservafion Plan N bl platted after 7M193
Rim Joist Defel Opfions selecUon sheel (buiWiigs rrith 3 or less uniLq)
Date
Site Address 10 3 CIIfI(,i Canstruction Cost gg0 l•QQ
,f (4 OJIA'LA Unit/Ste #
Description of Work a+4?"? ?q
Multi-Family Bldg _ Y)11. N Fireplace(s) _- 0_ 1 _ 2
PropertyOwner Mirkael. (2)?K.& Telephone#1aR?-?iga'(
e
Contractor e- -YCJ? (O?
` ^
Address p D ? ?I I V?CIAN
State f\/1 lv 04' ?Aa1'P s ? City a ?
Zip ?O V Telephooe #(qe?-S 161? ILO `
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
?- - ,
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted " • Submitled
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/W ater Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Q.di C, x ?Lfl M A4"
Applicant's Printed Name ApplicanYs Signature
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105321
Date Issued: 07/09/2012
Permit Category: ePermit
Site Address: 3683 Canary Way
Lot: 006 Block: 001 Addition: Westbrook 1st
PID: 10-83625-01-060
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
American Exteriors of Minnesota LLC SEAN MALONEY
1408 Northland Drive #106 3683 Canary Way
Mendota Heights MN 55120 Eagan MN 55123
(303) 865-3328
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156243
Date Issued:06/20/2019
Permit Category:ePermit
Site Address: 3683 Canary Way
Lot:006 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert R Duerscherl
205 Carol Ln
West St Paul MN 55118
(651) 368-5015
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170388
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 3683 Canary Way
Lot:006 Block: 001 Addition: Westbrook 1st
PID:10-83625-01-060
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Robert R Duerscherl
3683 Canary Way
Eagan MN 55123
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature