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3923 Canter Glen Dr Use BLUE or BLACK Ink q;)----------------- Office Use For ( Permit / I City of Ea a I I C__/ Permit Fee: D° 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I l Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _11- C~~ - d Site Address: I G L e ~1 1 J Tenant: Suite RESIDENT/ OWNER Name: I i c, k 0 Q-+N bp~ ~ Phone: ~>J a O y ~ 5 <-J Address / City / Zip: ~ I ~ 1) r- C Applicant is: Owner V Contractor TYPE OF WORK Description of work: Construction Cost: 1.~2 Multi-Family Building: (Yes / No CONTRACTOR Name: d~7v` 112 u ~C License b 9 3b D Address: ~S l~ 1 N `)1 (D V 1: City: ST ej~sp State: (-Y\ IJ Zip: S5~ l7- Phone: V Q, (o"~. '0 JD D Contact Person: 0 LO V ST-_(p L_l_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goplierstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work wil n conformance with the dinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wo ' not to start withou ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla x Applicant's Printed Name Applican s Signatu Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA091712 Eagan, MN 55122 . Date Issued: 10/21/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3923 Canter Glen Dr Lot: 3 Block: 18 Addition: Bridle Ridge 1st PID 10-14996-030-18 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Chris Musta 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Timothy Schoenberger 21210 Eaton Ave 3923 Canter Glen Dr Farmington MN 55024 Eagan MN 55123 (651) 460-6022 X253 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 B/L//DG. APERMIT NO. 01-8210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. f_ Y~d' y 01-2155 Surcharge- 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. { 20-3716 Water Meter1 C/ 20-2252 Acct. Dep. h 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL u 01rrufirate of (Orrupaury Citp of (Eagan Mp~nrWnd of'GuAbing 3noprrtion This Certifleete issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the fi of issuance this structure was in compliance with the various ordinances of the City regulig building construction or use. For the following: Use Classification S' 17 Pt Bldg. Permit No. 161 12 O-Pancy Type T RUM 1 J Zoning District Type Const. M Owner of Building KIM AM HIMS; Address 1140 R'XM ]r R FW a R t VIT T Y Buildi9g Address Locality Q, B 18, BRIE1 E RIDGE SR Date: _.In y ?R a I9a9 Buie g Offi t POST IN A CONSPICUOUS PLACE CITY OF EAGAN 16 12 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 j `1 `F t) BUILDING PERMIT Receipt # To be used for ST Est. Value $7, s C0C, Date 19~ Site Address 3923 WTER GLEN DR OFFICE USE ONLY Lot 3 Block 1 = Sec/Sub. BRIDLE RIDGE 9.S Parcel No. Occupancy R-3 U-1 FEES Zoning PD -1 W Name u ='I• U ~ C~ s> (Actual) Const "r) Bldg. Permit 518.00 o Address 14450 BURNSVILI E F'K ~ (Allowable) v~I 36,50 Surcharge city BURAISVILL-F, Phone 894-2636 # of Stories Length 441 Plan Review 259• l?C~ z o Name S Art`t; LenDepth 48' SAC, city 100. C.f. I °,a Address S.F.Total SAC,MCWCC 57`'•'00 City Phone S.F. Footprints t On Site Sewage Water Conn 5 )t W Name On Site Well Water Meter 90.00 I Address MWCC System 'u- 30.00 v x~ Acct. Deposit aW City Phone City Water0+~ PRV Required XX SM Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 1 information is- correct and agree to comply with all applicable State of 2~ •(!0 Minnesota Statutes and City,pf Eagan Ordinances. Treatment PI 1 Signature of Permitee- APPROVALS Road Unit 340.00 A Building Permit is issued to: Kid x x;, -A) 'z{ 4Z 5 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ` Building Official Variance TOTAL 2 , 7 7 7 CITY OF EAGAN . s 830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , BUILDING PERM I7~ Receipt # f To be used for DWG/ CAR Est. Value 7.i a 000 Date Site Address 3 )?3 CANTER GiFJI W, Lot Block 1'` Sec/Sub. AIKI LL 15OFFICE USE ONLY Occupancy ;x-3 `:i1 FEES Parcel No. Zoning k3D rT! Name (Actual) Const i ►a Bldg. Permit o Address 14450 Bt: RNSYT LU'' PkUT (Allowable) Surcharge 36.5,0 city Phone 1394-2636 # of Stories Length 44 ° Plan Review 259.00 o Name Depth?' sac, city • ti 00 0004 Address S.F. Total SAC, MCWCC • city Phone S.F. Footprints Water Conn ~iflt+ f On Site Sewage w w Name On Site Well Water Meter 4)0.0(; w ~ MWCC System Acct Address 30• 00 =z . Deposit oZ t! aw City Phone City Water XX ,~t.00 PRV Required SIW Permit .P. I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1 * C0 information is correct and agree to comply with all applicable State of "'r Minnesota Statutes and City of Eagan Ordinances. Treatment PI 42~ 0 Signature of Permitee ! r APPROVALS 340 C+( Road Unit x' ~ k.`t'`f.rt = r Planner A Building Permit is issued to: e Yli:.klb +Ve ,b.... Park Ded. on the express condition that all work shall be dorie in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 7 Building Official Variance TOTAL i. Permit No. Permit Holder Dated Telephone # WATER / S' SEWER PLUMBING H.V.A.C. ELECTRIC f(~~ / 9 rJ~ InspeMlon Date Insp. Comments Footings 1`ll G Foundation Framing z Roofing - Z/7 Rough Plbg. r 77 Rough Htg. Isul. 7 ii 4 Fireplace Final Htg. o Final Plbg. LEVY- Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan r Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. -~-.f g"~'~b"MR'' ; x ~,~•r- _ ,.--..fir. °v' PERMIT # PLUMBING PERMIT RECEIPT CITY OF EAGAN ~5, 8 , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address- " ` - BLDG. TYPE WORK DESCRIPTION Lot,Block. Sec/,Sub Res. New T a )L' Mult. Add-on m Name !IIC Comm. Repair Address fz ~ 3 -1d-' c" -0- Other City Phone 02? RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TQTAL Water Closet - $3.00 '9 ' Name ~CF - ~_Bath Tubs - $3.00 U 3 Address Lavatory - $3.00 0 City Phone -*--Shower - $3.00 _/-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT BLDGS - COMM RATE APPLIES Floor Drains - $1.50 / TOWNHOUSE & CONDO - RES. RATE APPLIES -Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 -Gas Piping Outlets - $1.50 7~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 } -Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: L I U U STATE S/C: G FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: - PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Name p c rU i'4ks k Mult. Add-on ' m Address t 461j a'ti Comm. Repair c City Phone Other FEES Name IT, - ~;v..a..°. 0 1 RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 Phone-, rcr (RES. HVAC INCLUDES A/C ON NEW p City CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM. CONTRACT TYPE OF WORK ) s APT M/IND FEE - 1% OF APPLIES EE Forced Air M BTU TOWNHOUSE K CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ ~i FEE: i SIGNATURE OF PERMITTEE S/C: TOTAL- `Y " FOR: CITY OF EAGAN SEWER & WATER IMIT FICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. 383 BOX 21199 WATER PERMIT # '3 SEWER PERMIT # 0488 Eagan, MN 559 METIER # 4118 92 B.P. RECEIPT # 2 D D 6 B.P. RECEIPT DATE 2-11/89 E R SIZE ISSUE DATE l~ 9 PRV -BOOSTER PUMP SITE ADDRESS PERMIT RE4UFSTED LOT BLOCK _~L SEC/SUB I ! - SEWER i--""WATER -TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE PHONE: -i _ .t NEW _ EXISTING PLUMBER: 1: W'u 1' 6 ADDRESS: k!'' ' ~~%.1'E1 = I AGREE TO COMPLY WITH CITY OF :.L4k- H lei r: EAOANORDINANCES:,' CITY, STATE f ZIP PHONE: '?`_f f4 J y OWNER: ADDRESS: ~ 1GNI,TttRE EN METER ED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR;STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ; SEWER & WATER MIT FICE USE ONLY CITY OF EAGAN PERMIT DATE 3630 Pilot Knob Rd. WATER PERMIT # 10100 SEWER PERMIT # P.O. Box 21199, a. D Eagan, MN 55121 METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE `I METER SIZE ISSUE DATE - PRV -BOOSTER PUMP SITEACDRESS PERMIT REQUESTED LOT - ' BLOCK ` SEC/SUB APPLICANT: 'SEWER WATER TAPS ADDRESS' r COMMlIND RESIDENTIAL CITY, STATE I y. ZIP PHONE:, NEW EXISTING PLUMBER: ADDRESS: T -4 I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES:,' j PHONE: OWNER: ,ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN N4 16112 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / S e BUILDING PERMIT, PHONE: 454-8100 Receipt # 9 0q To be used for SF DWG/GAR Est. Value $73,000 Date 1989 Site Address 3923 CANTER GLEN DR Lot 3 Block 18 Sec/Sub. BRIDLE RIDGE 1 S OFFICE USE ONLY Parcel No. Occupancy R-3 MM-1 FEES Zoning PD RR1 X Name KEYLAND HOMES (Actual) Const VN Bldg. Permit 518.00 o Address 14450 BURNSVILLE PKWY (Allowable) V_N Surcharge 36.50 City BURNSVILLE Phone -894-2636 # of Stories Length 441 Plan Review 259.00 Name SAME Depth 4$ SAC, City 100.00 g¢ Address S F Total SAC, MCWCC 575.00 City Phone S F Footprints On Site Sewage Water Conn 580.00 Fw Name On Site Well Water Meter 90.00 Address MWCC System _XX- Acct Deposit aw City Phone CnyWater u XX SMPermit 20.00 PRV Required 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge 1 .00 Information is correct and a to comply wth all applicable State of Minnesota Statutes and CI gan Ordi es Treatment PI 228.00 Signature of Permits APPROVALS Road Unit 340.00 A Building Permit is issued to. Planner Park Ded. - - - - on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes) and City of Eagan Ordinances Bldg, Off Copies ltfIQ .Dl fl,l Ut Variance TOTAL 2,777.50 Building Official L } DATE: 3/13/89 i 3923 CANTER GLEN DR., L3, B18, BRIDLE RIDGE 1ST Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. +Your Sewer & Water Permit for.the above property cannot be completed for the following 7 reasons: i Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4548100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 3/13/89 p 3923 CANTER GLEN DR., L3, B18, BRIDLE RIDGE 1ST Ytx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~iCALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - :Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. y JS G, E 85781 3 a 18 ?firs/°'' Requesl Dot[' Fire No. Rpugh-m Inspection 3 - 2 7 - 8 9 it iedz I ❑ Ready Now d6 Whe Ready'eelor JEi Yes ❑ No I JD licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Surest, Box or Ream No) City 3923 Canter Glen Drive Eagan Section No. Township Name or No Range No. Cowry Dakota Occupant (PRINT) Phone No. Key Land Homes 894-2636 Power Supplier Address Dakota Electric Farmin ton MN Electrical Contra;U r (Company Name) Contractork License No. Midland Electric Inc. 041610 Mailing Address (Contractor or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 [Authlri` (Gontractor/Owner Making Inslalle8on) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg- - Roam S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 125106 UNLESS PROPER INSPECTION FEE IS Phone (812) 6112-0800 ENCLOSED. 3 (J K y REQUEST FOR ELECTRICAL INSPECTION w Ea-00001-07 p ► See msnuctions for completing this form on back of yellow copy. E 8.5 7 8l1 X° Below Work Covered by This Request (y ~g e Add Rep. Typeof Building Appliances !red Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.Andustrial Furnace Farm Air Conditioner Other (specify) Contimi Remadce: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 1DO,_ Amps Signs Inspectors Use Only W TOTAL Irrigation Booms SQ Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Roug""" Oa 3G . certify that the above inspection has F,~ • Date Z been made. OFFICE lISE ONLY • - This request void to months Irom PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694' 3 5~ Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / 17 / 03 Site Address 3923 Cap Y'c✓ 64,h Unit# Property Owner !5A C, I S jt 0 eh en e Telephone # ((d 9d s Contractor Sfc-4Q L~J ~h Address y)5-w City zdeJl// State /itn, Zip ~~dyy Telephone# (9Q) )39917 The Applicant is - Owner X Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Eidsting Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround 518" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 X Lawn irrigation system Water softener _ Water heater 0 L , fe - $ 15.00 replacement _ additional ✓II lV 1 > 9n $ 50 State Surcharge eY 01/ Total 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 with the Plumbing Codes; 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. Applicant's Printed Name Applio is Signature r1U•' RESIDENTIAL BUILDING Permit Application O c!~- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New construction Reouirements Remodel/Repair Reouirements Office Use OnN 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan _Cedof Survey Recd (20% maximum lot coverage allowed) 1 Wof Energy calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pros Not Reqd i set of Energy Calculations Addition -indicate Ron-site sWk system _ On4te Septic System 3 copies of Tree Preservation Plan Slot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units ' Date / / ' n 1^ Construction Cost _ Unit/Ste # Site Address lX~( l Y_ 1^ , Description of Work -P) V-e P1.`LS -t- Y_1 y\~S }U n Multi-Family Bldg _ Y ?1 1N Fireplace(s) _ 0 X 1 _ 2 Property Owner lY J~/ ~A `w m~ Telephone # (101-) D~ _ 1 Contractor FIRSIDE HEARTH & HOME 113 Address 3050 E MW 55337 City -HUICiI "Ti~-cz State ~Ir, #20090011 Zip Telephone ) PHONE 96- Z' 9 75~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Catep:M 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) U I I II i JUN 0 2'"~' I hereby apply for a Residential Building Permit and acknowledge that the informa ton is complete and accurate; that the work will be in conformance with the ordinances and codes of the City lA.Eagan and-the-State of MN Statutes; I understand this is not a permit, but only an application for a permit, andlwork 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 , 1&mm Applicant's Printed ame Ap icant's i a e U RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New Construction Requirements RenmdegRevair Requirements / • 3 registered site surveys showing sq. ft. of lot, sq. R of house; and al roofed area • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 2 copies of plan shmng beam S window sizes; poured found design, etc.) 1 site survey for exterior additions 8 decks 1 set of Energy Calculations • Indicate if home served by septic system foraddd ons • 3 copies of Tree Preservation Plan g lot platted after 711M • Rim Joist Detad Options selection sheet (bldgs with 3 or less units) J /~f, l ~ DATE VALUATION Cc a l J SITE ADDRESS 31as C"T{an ~Z. MULTI-FAMILY BLDG _Y _N TYPE OF WORK Rf Roa~ FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT t 5 N v" t 5 `r STREET ADDRESS I7~ LI Ian AtJk-- L CITY STATE ZIP TELEPHONE # CELL PHONE # I("6`5_`6 (1) V FAX # PROPERTY OWNER ~ChBenLera,er TELEPHONE 9 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MIN (J submission type) • Residential ventilation Category 1 Worksheet Submitted Ne y _ =k. e red • Energy Envelope Calculations Submitted JUN 14 ZUOZ Plumbing Contractor: - Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Ftr *90.60 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 4102 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS C~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS FEB 1 d To Be Used F ~ Valuation: -~--~t~-- Date: Site Address ~3 OFFICE USE ONLY Lot 3 Block ~ Occupancy R-3 M- I FEES _ Zoning R 1 Parcel/Sub S~ Actual Const V- AI Bldg. Permit SIS,oo Allowable V_ N Surcharge 3615o Owner # of stories Plan Review Z5 ,00 Length NWT SAC, City 100.00 Address pth SAC, MWCC 51S,00 S.F. Total Water Conn 5VO'00 City/Zip Code 3 7 Footprint S.F. Water Meter 9000 knot. Deposit o, Phone C On site sewage_ S/W Permit 20,00 cc On site well S/W Surcharge 1.00 Contractor f MWCC System ✓ Treatment Pl. City water ✓ Road Unit + OD Address PRV required V"' Park Ded. Booster Pump Copies City/Zip Code TOTAL APPROVALS Phone Planner Council Arch./Engr. _ • Bldg. Off Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. . VA L~ll~Tl a►J , Z Z x zp = y40 x J5 = 6 600 ~rn`r z6 u~ra ; Jo~Z /oAl = i4 = 1' 4 336 P36MT = ) L)Zq Ks~. 5 Zoe r-- ~j 2,. l 3 b FEB-02-189 THU 07:36 ID:JRMES R HILL INC TEL N0:612 884-9518 #1230 P02 zs Lr SURVEYAR'S CERTIFICATE SIENNA CORPORATION REVISED 1-17-89 TO SHOW PROPOSED HOUSE FOR KEYLAND HOMES KVISED 2-1-89 TO SHOW NEW HOUSE CANTER M GLEN °ps DRIVE moo. S 33° 28'24° E p 3 115.5 6 Sol. - 47,95 - 1 37.10- (W.0) 1 0 0 { 14C ~ ~w9 a4 ~ ' \ 863.3 ~j ~ W / C 1 I p~R./N 'O IM vp SSE / //L (D se X PROPOSED j Z W Z HOUSE E n l <,J 1 N i 1 / ~ - 20.00 4 2.0 r~•9Q s (84 0.1) r - M LOT 3 N N e M .J (66sx.o~ I pRA'NAOE a urYLfrY \ r x I a EASEMg~~FR 4! Ar ~ o ~g a RE f tf e°° .e 85.29 S 38°00'31' E BY LE i\ Date EAGAN ENGINEERING i' P•R.V° REQUIRED -we DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 863,& FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - S(owj FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 864. z. FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3 . Block 18. BRIDLE RIDGE i ST A00ITION, according to the recorded plat thereof, Dakoto County.' Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ZI 57 DAY OF 5+MIILryR`1 .1988. APPROVED FOR SIENNA SIGNED: JAME~R;hi INC. CORPORATION BY: BY; HAROLD C. PETERSON, LAND SURVEYOR DATED' MINNESOTA LICENSE NUMBER 12294 M -n T o 0m ^m James R. Hill inc. N 0 ~>3a 0 mo 0 2 N > ? w m " PLANNERS / ENGINEERS / SURVEYORS M, W O m 9401 JAMES AVE. S. a BLOOMINGTON, MN. 55431 • 612$84-3029 P tl EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Zx OWNER: DATE: 17 t5-$g SITE ADDRESSo : S 3O B a aaNEhT! CONTRACTOR: ~aLIL&r.a~ PLAN # Determine working square footage of each 1. Total exposed wall area..... Z 0 q sq. ft. x .11 = Z zN Co $ 2. Total roof/ceiling area..... f O 9?_ sq. ft. x ,.026 = Z$ 3 9 Total exposed wall area above.floor=- l $ Z S- a. Total wall window area ! V S~Ce $ b.• Total door area.... S c. Total sliding glass door area z: y d. Total fireplace wall area e. Total wall framing area (average 10%) ! Z~ f. Total rim joist area g. net wall area above floor jeo Z h, wall area above floor is wall area above floor . j. frame wall area at foundation Total exposed foundation area= '7 Z S k. Total foundation window area 1. Total net foundation area above grade 7Z ,-S" Determine "u" value of each wall segment (e.g. window, door, each separate wail section) b. -31 X liull 1 3z- C. X 'lull d. X Ull f. X ,ill D~• = S h. X ,ul _ X u _ j X l Ut If item #3 is the s k, X "U" = as, or less than it /1, you have met th 1, ~2 X "U" = lO is intent of SBC 6006 3 . .................................Total = Zn`~~~~ ' ' ~-325 Total exposed roof/ccjjing area m. iota! skylight area n. Tota! roo•°/ceiling..framing area (avcrayc 10~) l0 r - o. Total net insulated roof/ceiling area:...,.:.....r $ Z ~8 Determine "U" value for each roof/ceiling segment b, OzI o cl $zt~ x rfUrr . OZ _ ~~j,(r~P Total ZZ; Z.% 4 -f to_z! c -4 is the same as, or less than 42, you have met the intent of S:tc 5005 ;c) 1 , Alternate Building Envelope Design ^o _tilize the total envelope 'system method, the values established by the sun of ' items ,r3 and ;r4 shall notr~ be greater than the ~sum of itemrsy #1 and 02- i. "L.Zy rU3t9, + 2. Z~` 3. ZO `1, (P + 4. .,aG.. yr,ti pry'; :n, t• ..fi X1.1'• - I ` - _ ^ PLANT #^s<~`"~-~2'S';? * LINEAL FEET EXPOSED WALL BLACK: 42- •t• z.4, t y~{ I Cc+lo t S l Zfa = I { S 3j N4i FULL 1: 4z+i4+ zy+c.+c, riS+ZCa= t`l FULL 2- FIREPLACE: • ~f F iz,i RIM: t14 SQUARE FEET EXPOSED WALL AREA ;Al ; BLOCK: KNEE: 133 x 5 . 4to5F`a,' W.O.. x 8 FULL 1: i `-1 S I O 3' : • r•.r, ' X 8 FULL 2: x 8 t - FIREPLACE: - RIM: t`t5 x 1 - 141 w TOTAL * SQUARE FEET EXPOSED CEILING 1 pa`'f~ fl,„'' DOORS ~s lyt--zK 3 Z 3 3 S = 5 S : ~'T 9 PATIO DOORS - fo»~, a tt - z~`I 8 , 3 8 +p * BASET ENT UNITS' ` r 111 -234 _~iS _ 7- 2 tl -IS-'-F7 - ~t,~g t,"18 - - ~~y 3 Lf 7 16 ny Fu_'P :-S~ . ~FRAME OF OPAQUE WALL AREA FOR R-VALUE CONSTRUCTION- (Jj 1. .INTERIOR AIR FILM . 2. !I " COY 8 O L, . P i R L~-• _ _ O 3. 144 SOFT WOOD 4. / SIC 6. F 1 WALL TVIAL j I. INTERIOR AIR FILM 0.68 FIG. #1 TOPVIEW OF 2. Yz "C `IP-L',D +-Ir~MILw PeL_ V g O 4S' 3. 3s1s3" ! a C, I 00 FRAME WALL 4, 3~q rr~,P. ,a„°Y ob 6.. I 0 .17 'I 1. INTERIOR AIR FILM 0.68 ' FIG. #2 3. 1ti~.L 3 sip .r (3.00 f I 7-Y- LO t . FSq 4 • 3~4N TF-FacD MA}G^EisEPC4 547 r~i ( O O 5. ~.fl Nco (O- D 6. AIR-TIM EXTERIOR TOM, i V 1.' INTERIOR AIR FILM 0.68 3. '~+Cer D 1~-+.Sul . o 0 b 4. - ! . , Q • 6. EXTERIOR R FILM TOTAL ' 1 .E Y 4 7 9 `w SLAB ON GRADEI f rt rr ~ o „ i l - , f>S D 1- 1. 1~li lit r 1 .n r1 _ - , ~ 4 ,11 1l ' FIG. FIG. #4 _ lit `r ` s fll ~ ~ NOTE: INDICA TYPE "R" VAT.IJE; DEPTH AND PLACEI~ OF INSULATION ROOF-CEILING ° .r; CONSTRUCTION R -VALUE,; f 1. INTERIOR AIR FILM 0.65 2. GYP. BD. .3a 3. INSULATION 44.00 VENT FRAMINTERIOR AIR FILM • `~~~~''~'~'~~~~~~~~0.61~: VENTED HEAT FLOW I. UP 2. 5T$'r ~j 3 2x4 INSULATION 38.35 4. D=OR AIR FILM (STILL) 0.61 FIG. #5 ;~.U"i _ 0. 024 CONSTRUCTION h , INSIDE AIR FILM 0.61 w _ 2. _ 4. 6UTlilDE AIR FILM S. a.!PY. spy._•. 9f 1 K1 FRAME La L (j) 1, INSIDE AIR FILM 0.61 ' U 2. HEAT FLAW UP VENTED 3. 4. 7 5. FIG. #6 . ..,.i= f . 3 1. INSIDE AIR FILM 0.61 ; NOTE. USE ADDITIONAL SFO ETS IF _ MARE SPACE IS NON-VENTED NEEDED FOR DETAILS AND. CALCULATIONS.;:, ."?#1a'ws HEAT FLOW ,it.r''L ]"y.'`j"f'+T`4 pFp}~" ` ~4e{ •z,it' .FIG. 87 ~y'> WlatStrlpD. A y'r;;.~y~`ro..1,CY:u::`w~'~f1atCOnDI a A ..•\7i' x.' ✓,r Guide"'''' Insulation Windoto: Door ` _Reference ' Out.-Wall f Int. Wall ; ' Ceiling. ' #RooE 0 Floor.) Kind ` s' ' How Applied Yea- I Yes- o 19_ ° l r F1.1 ,4- Fy"Room Length ;.:I 0NWidth`'% Height': s. F1'. ` ' YRoom Length Width Height Wi dows and Doors-Crackage'and Area 'aW h!N5'Windows"an Door=Craekage'and Area °i•. Wl.llh HrlRhl No. of Lineal tl., rAnaR v~ t r",+~f ,SSgg~t~.N., Idth, 'Height;. !N&aM Llnol tL Aroa No. of acne of oaM IIRAIa of cloth .fl; i"`. NP.: et vane •ef ptnv' `Iishis` at creek 11. L5 4 a0 ~ pA K l'a~l{~~`a .,.Y ~.fii~ iO~ p. •,'3,~ ti 'i^lY~' u' , ; i r p' `fib 9'`dia'`-r.'.~d;t;aA` ~n??;e'*•t `,7 .F++:.-,''.4i9Fb: ' ~lr:, 'Y.; : J•'4 y ,V 7 i - Coal. Btu FS`! .'Yi Nd1'~r+''1:"M\•. °t}.^4~ 'r, ;i-' i'rr,. , Coef. Bit Infiltra ion r•. 7 s Glaze / r %Infiltration a `W-°s« r..1.- G t ?Clau::.3. .*.:J.Y"~ 3:~FsrYl,iaj n:_:' • :mow;`:: 0 _ Rep. ll 41 AXUL Exp: wall=YA Net ea :wall y:. ~w- X 4r , Net e:p wall Ceiling / .:i ss~t Cllhng- , 3a _3 R111s, Total Btu. x Total Btu: ,r rf;s atd'1 {a:s: 3y7~ Requir sq. ft. E.D.R.'or sq. W.A.' Leader Ares' Required sq: ft. E D.R: or p. ins. WA. Leader area IS Room Length" "Width Height I ' j Room l length ' Width/ Height Win and Doors--Crackage and Area'`;` 5 t,` r .1'97!" Art~`+It.. Wimbtn and Doors=Creeks e'snd Ana xl lath Ngnt. Na Llnerulufkl. 'Art. '-1?>k.~-:,• 8 No. Dana efpane lights wlalp Nalg t sett. Ills i htY -O , .O y J' t~"•Na' e[ e[ ne IIghU seraph K. ft. t 4i,{'ey"t4si~ 77: t 63 u.y S•jTR'SiJ~tT'•• .P V, I Cuef. `Btu-?`'} 1.1' ..eyri. Infihrkdon - tl '+~'Infiltration'r•r Class ' Clau' , , r~ Exp. w II tw Brett> - Exp waU a zt`r: a :c.•. 7 Nei a:. waU - " ' ' - Net exp. wall :a' Ceilin :s ye:?'', Jot xaU; ;>3:t>' 0: yy 4( = `Ceiling s`ldo;J`~'.:.__.~ . / Tots Btu. - - .,y«i... ~".`i.A n..TOtaI <arU.n'Y14'f'»''.}Y'Y;v;.: ;T.'Y'>.i,•'`i:...' -6 Requir sq. ft. E.D.R. or sq. ins: WA. Leadet area P"uired p.' W E.D.Wor tq: im WA. Leader area S Room Length Width ` Height Fl. ` Room l Length " Width % Height j4. ~•tta2) ..i,.,»_y,-• windows a"Doers- Craekafie and Ana ' ' a/iodovn amL pooh-Craekage and Area Width HNS t ROOM nag ri na.' a 4,•e m tg t, e. of, .41nw1 w Ana, t NP of aRM et DaM 11 Ob et araek . n.' +r -'t ' p, Jvy ;••~r, ;:..A,., Q _ y{ ^ Z' - • NP' e[ D ' a M Hants at Crack is. 6;-„c-;y~,•a•~I r<c.;,ir.';r, v,.. Coef. Btl Coef. Infiltralwn - A' Dre - n" Infiltration 1,00 ~Glau" Glaze Lxp. wall ...4. _ .1 :Y:{''iiiyF}'ST+wq Exp. aF .')i X ' :J:}k 'd Net exp. wall rNet exp., wall wxti kat'a { gi Ttv a~ r';'s r J17 m.*A L ?ion f A IaeNMIIV . .AZ_. { Y n`u''vf :r: w;. OIL- Ceiling , .ti,•:<.% Ceiling= Xfl~ ,,,i. i('a:~.'•Se:6.:~;{6K:4i 'YtrF.fYgFnl~'}':aA::-.~::i:•lli2Yv.',.'_i+e,~i.>..... Total Btu:. Tool Btu.v}: fs;:~•k,,as4;: Required sq. Q. E.D.R or p. ios: WA. leader axe ` . Required s4 ft.'E.D.R.Jof sq. ins. WA. Leader axe ' . vz'siF1t~4`:♦'ti's`.,r ;llY4:tryy ~ 1`~Y~"{~ F, rr .a . °4?atit 'T~.".~tl(i1S!i n.'.dS.4-5-Ydh•...':~=':~... 76 5 s i3~ xA. p mot n~ -,_'..'~Weatherstripa f1S.H.Y,~ b,. !`<'~i¢t,-;N~~•<t., . , . ' Wfndo Yy _ Nu.t. . 2Y, ip;, S3a.¢•~~x6.oy ;'t.SS}r f~"~.c.. y:;a $ I Doors Reference` 0u6Wa11' 1 Insulation 'peso a- o' `19 "t, Wall.Ceiling". ;Roof:'bFloor`--C Kind _ ''^r" . S How Applied 0 oom Length ' tT" Width " Windows Height', and Doors-Crackage'and Area'' Room Length" Width me. Roth flnRhl NF, °f Lfnml/1.' A: 'F , s, f';'.h F nf•Aii' Height of an, of ta. na .Windows and Doors--Cracka . 11 hfs afata'R p, n, '.''~Vyd';q, ~~'•f, Iafk Be'endArea tl a j ,pt ' r°lahta 'Ne. of Lln°°I fl. Area "I at 0°n° or NnIIShU k - , "x n_YY eat e = . Infiltration Coef Btu • , x,: v~ u C. Coef. °1ax i• ~ Bit as " ' ? ; In6ltratan"'~-•':.af.^+5d ;.i,~;a:.,.;...~.:, Net U cap _ ' Esp. wall''= ~4°: _ .:3,.... , a 4 N!t'lxp--,'~Wall':~i19`~C=v,• ,•.;•-;•~a,,,~ _ Ceiling ' O Rem emrI Total Btu. w - FlooI'h,:: es=:~:ai ~'•ti`h:~'o9-r;a .~=:.::3~ Required sq. ff, E D.R. or sq. no. WA. Leader area: Total Btu. in net x: Required sq. ft. E.D.R. orsq. ins. W.A. Leader area }Roo L h _ Windows and Doo a Width" Height n -Cracks and Area Room I Length ..:"w ' Width 'Height lack .fat N°. o Icoal fL Ama Doo ae. or pane er as Yakte °e .y:.*:, ' Doors-Cracks ge and Area track ~y~ p. ft. - W:-a , rr 3_°..t i:n: §s." "Y 'Tf `wldtk k ti Area pane a his r~akt - Nw or . . e. 1 rL jp tir.:r ; @~y of • 14 et of" k '(®(Rp-~'cnt.ti'„~''. <.^w= ::a:•,-r.,* .;,.;,d-~ p. m, nice. ~;~r~l Np-f e x F..t.' F:-'`4FkSFt 'i{y`}! •~i. ` . .p., ",(ti,k~. F".~ .tf+<!LGf• ,.pax....-r ~ _ Infiltration Coef. 'COW Glass ' / .s InfiltratioY N;[a +s,+,: t` Exp. wall 4 41- (,f ,l ass Net exp. wen wall IM.wdl t :w:r=Nete:p.'wall`:st~v:~,-i'e - GE-II- lot wall Foal Btu. equtired sq. N. E.D.R. or R sq. ins. W.A Leader `'-~1 eats fi ,"!Total Btn.: arcs Fl. Rom ~LengUr.> Required sq. ft E D.R:'er'sq: ins WA. Leader area Widt a'-.; Height'' a.».~;,'..RaomlLeY Wi ndows and Doo a..r. F FI rs-Craekage and Area Height fat eight Ka. a .,r'a^ .M"=}. yyxw' .iF~ 9<;r'ry'•'; W'YIdfIM7aYd DOO re. of ne stpana II to °fenct A `y•~e,'.j.f;•4'7i`,'?` rack rs-CreekageaadArea' Inear I Ama weak M4. ft. . , {;~al~ ~y"{,y:%~ti:'~ac~~+~~y~¢~~ rya-n•: ~,.ytc~.~t aqt,{a •o ~ 51,'IaI .R a~ ~.:~~1.'H# L~r d3wT,. lr+R rA .n [ ; eY Coef. Btu°k n61trati . _ Coed Bt` sue. wank' Jan t;= let exp. wan 'r EW,Wm ; :I~ tv it. wall Net exp. wan'ioa filing lat. wait t% .C *;tga:r yyes~- - ice. "~:4' loos; Ceiling otal Btu. `>v a + lx ~i.,,.c aa~, r 'STOW BtY a s.-'~ tFihk3 r - _ . e ed sq. ft. E.D.R. or W.A. Leader nu • rs~a m> ~ ~narr ` s'" Regaind sa fG t r,=<. -as . Y~+a~: ~ . _ -a,-~r.~...nar+:" . ?t,~ ~ r.» "r ~F D.Rg'nr=ep im.,WA: Leader area . 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN '55122 651-675-56751 ' Please complete for modifications to existing residential dwellings. Date ` 1 Z/ Site Street Address o3 9~2 3 6a XYW ftj " AQ "Qnlt # Property Owner 26 't.) Telephone # sp) 945 dS// . Contractor kz (P Telephone # (L5!) 3~~. -4 3 416 Address _36 96 6 ~^Al tPn~1 City State "Zip.SS/ 3 The Applicant is: _ Owner ✓Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) -Other: ag'' . Water Softener {Water Heater $ .,,15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild X00 State Surcharge :50 Total 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. d/ t)e-,6 We f c~ `ncL Applicant's Printed Name Applicant's Signature MAY14Z*j4 J'. . By i[;a 1u.J4s} .i. Oct 27 09 08:26a P.1 lo/27/2009 08:84 ERGRN Ervla+u.Jl tjty ® ar BLACK Ink Permit # t t 60 I Permit Fee: r aty of Eats. ` 3830 Picot Knob Road t -a / I Eagan. MN 53122 i kaleFcaoeimred: i phone: 16511$i3~675 i $tatfi Fax: 1651) 67S-S694 I r 2iDog MECHANICAL PERMIT APPLICATION? Late-' 1 © Siia Address:. o (R ~ltJ l~ ~Ill~!-~ l•-^%- SC%!l' . ~i1` Suite 1r: Tenant Pltcne: # RESIDE MT I} OWNER Name. Address l City I Zip: 3 L 1 1 CONTRACTOR Naraee: r~rJ zip: Address* .5"._06$ t~ltorre: Contact Person: y` TYPE OF WORK Ne+VReplacemerK Additional Alteration OerneRlatt _ 441 P pesarip;ian of,worl(; [ f~-~`--- - NOTE: Roof mount *aA glvirnd rmoRIM6ei! eCiisnleat eslujW"ent is mquked to be screened by MY Code. Piano 6*ntact #W Mbchltfuf,l ln~Ft~ctor for iMOrAtBltfon on pettttRted acret►njng lnet?ladS. RESJlDENT1AL COMMERCIAL PERMIT TYPE Now Construction ltnterror t4rgprover»ertt Fumace IrCondftloneI Install piping Prttcaessed _Gas Exterior HVAC Unit Air Fxea<at4~ Air F- I _ Underf Above ground Tank L__ tnWll1 _ RftW+m) 1111181 Puy When kmslalling/removing tank(s). salt fbrinspedion by Fine Other Marshal and Plumbi 1 a RESIDENTML FEES: ?A-ID $50,50 M"in larn Add-on or alteration to 3n existing unit (includes $-SO Stato Surcharge) $90,30 Fim repair (replem w-0 tut appliances. duemom elo (inOudes $.50 State Surt hargo) -t~ ' T4JYA1. FEE commERCM FEES: $70.50 Underground tank installationlremlov91 OR CorltractValue 3_ X11% 350.60 minlLnnum (inctudes State Surchalge) 3 Permit Fee it Perri* Fee is less edan S1.0w surctiares is 010. a Sur&arge If &ja EW is s $1,aoo, surchaMe increases by $.50 for each ~ $1,000 Permit Fee (La a $1 M1-$x.000 Permit F~ requires a $1.00 SWOWge). TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher5tats One W at 1651) e~1-U=tar protect an against u>rder3ra+nd weft damage. Cast 46 hags wMrw nd utlpfiles. tmforr you lnlaerd M tag 10 rocslv9 WaUs of Irr'~ar9mu the ardierances and Lodes of ft City Of hereby adCAdW4ad9E "I aft Information is complete and ao6grete: "t tree work wiu be in confwmanee %%M Fagan; that l understand this is not a pe►nQ but aryty an appftoon tsar a pwrnk. and work is'not to stool w OMW a Qarmil: OW VIE 1104% will ba in aW0MkWCa with the approved plan in the case of work which ntqulms a review and approval of plans. Applicant's Painted Name ApplIC SIGN FOR OFFICE USE Reviewed sy: Date: _-Under Ground I _ Rough in ,_-_Air Test aas Senses rest !ln4lM Hest ~Finel Required inspections., Exlerior HVAC SCMning Inspteetion PERMIT City of Eagan Permit Type:Building Permit Number:EA164335 Date Issued:09/25/2020 Permit Category:ePermit Site Address: 3923 Canter Glen Dr Lot:3 Block: 18 Addition: Bridle Ridge 1st PID:10-14996-18-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Victor Umboh 3923 Canter Glen Dr Eagan MN 55123 Archer Exteriors 324 Concord Exchange South South St. Paul MN 55075 (651) 775-7017 Applicant/Permitee: Signature Issued By: Signature