1757 Canvasback LanePERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148742
Date Issued:04/17/2018
Permit Category:ePermit
Site Address: 1757 Canvasback Lane
Lot:22 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marsha M Johnson
1757 Canvasback Lane
Eagan MN 55122
Freedom Heating & Air Conditioning Inc
724A Harding Street NE
Minneapolis MN 55413
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
I CITY OF EAGAN
?
WATER SERVICE
PERM
i 3830 Pilot Knob Road
P. O. Box 2?189
?^?1
PERMIT NO.:
? Eagan, MN 55121 OATE: - -
Zo^in9= • R1 No. of Units: -?
avner: Stc, I? an ?M
? N 1I41-.1c.s
i
Address:
SiteAddrcss: 17; Cg`t7trasta ac;c I.,r.me T22 :,2 '1@:11;;. rrt Pr: 3
Plumber:
?
I
36-7
I Meter hia:
5-
?al ?p
??
?
? ?? 7t? . i)ll„ra
siu:
- ?
A
g p
? o
Reoder No.: . 10 0
0I
pd
1 yree to oon?plp wUh tiw Ci1y
o.a???.. _
a? S . .$'? r
L?IR?' s: 1 s?. c???? ?r
. o ?1,
6
7 Tatal: 63.5=!nd a?ie_e
'
BY /t Dota Poid:
Date of lnsp.: Insp,;
S - 1 '4- 96
INSPECTION RECURD
i CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ?
(651) 681-4675
SITE ADDRESS: APPLIGANT:
E- 4 i't!'.E':
PERMIT SUBTYPE:
TYPE OF WORK:
:i; ., r;i? ;,,;.
14 t ;._It rai
?
?
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS .
FOUND
FRAMING
ROOFING . ?
? ?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIQATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FIIVAL
DECK FfG
DECK FINAL
? CITY OF EAGAN
WATER SERVICE -
PERMlT
3830 Pilot Knab Road
P.`J. B:x
21199
I PERMIT NO.:
Y
? Eegan, MN 55121 DATE: -
? Zoning: . No. of Units: -
,.
Qwner, N
i
rlddross:
Site Addrcss:
I Plurnber. •>„• 4 -^9?a:i?'+t;:x
--- .
i Mster Na.. Connection ChorQe: 5t}o.o i, a;t'
? Size: AcCOUnt Deposit: 13.. i1C',t,,•,+,
I Reuder No.: Permit Fee: _ ?. Cl .O{1v,tid
i 1 eym to comPly wfth !M CUT of layaw Surchorge: , 50pw
Or?twrnar. Misc. Clwryes: f 5 F, ,•If' nd •r•"'
Totol: f ?, .''n-,rid raeLcr
By Date Poid:
Dete of Insp.: Irsp.:
C{TY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. ,S]. Box 21199 PERMlT IVO.:
Eagan, W 55121 DATE:
Zoninp: Na. of Units:
Owner, ? .
/lddness:
Site Addi
Plumber:
1cy?ae to ampy wkb tM pry af Eagow
Onliaowcee.
By
Oate of Insp.:
(:onnettian Charye; ` 75
Account Depasit: -
Pemnit F*e:
Surcharge:
Misc. Charqss:
Total: _.
DoM Pald:
i:n?-aqS?r,.i'2': i : .:.n:IF. CI7Y OF' EAGAN 3830 Pilat Knab Raad, P.O. Bax 21-199, Eagan, MN 55121
C v- . _• PHONE: 454-8100
BUILDING PERMIT Receipt#
?.,
? Toheuaedlor ar 13VfG/rGAE'r Est,Value ?3,16f000 Date AP?R3L 1
? 11720
19a6
SiteAddress J757 'CAi3VASW1,CK Liu Erect m Occupancy R .i
Lot 22 Black Z? Sec/Sub. IfLALZAR D PK 3?D Remodel ? Zoning al
Parcel No. Repalr ?
Addition ? Type ot Ganst. v
No. Storles
S?`Ei???-?A1`? ?1C3??ES Mave ? Length r.
i 4340 PILO?, KNOB RD
HAd:dress Demollsh ?
? Depth
A•V• Phone 42^??"3322
? Int. Impr.
Install ? Sq, FL
cName Approvgle Fees
Address Assessment Permit ? 478.00
? City Phone
' Water & Sew. 9urcharge 59 •00
?.
8 Police Plan Review ??? ? ??
?` ,.. W W Name
?
r Fire SAC
575•00
l z
_ a Addreas
Eng.
Water Gonn.
500.00
i W Clty Phone
Planner
Water Meter ?S3.?(l
Gouncil Road Unit 290 • 00
Iherebyacknowledgethatlhavereadthisapplicatianandstatethatthe gldg
4/1 86 Tr
PI
Off 156•00
; information is correct and agree to comply with all appl .
.
ioable State o} .
.
Minnesota Statutes and City of Eagan Qrdinanoes. APC Parks
'4 ? Var. Date Copies
F, Signature af Permittee Tatal Y2r360,50
?'. '???i'?.-Nl°? ????a".
A 8uilding Permit is issued tp: r?i 'i?"'*
?3
on the express canditian that
all wark shall be done in acaordance with all applicable, S4 Ate of Minnesota Statutes and Ciry of Eagan 4rdinances.
Buflding Official
??
_ Permk Na Pemdt Hdder Date Telephone #
Plumbing & ( L/
H.V.A.C?
Bech,,c a ?L
Softener
Irrepection Date Insp_ Commenis
Faotings 1
FooNngs II
Fouadailon
Framing
Raofing
Rough Plbg.
Rouqh Ntg. ?1 ? r ?•t a C?'? ?i.GU?,
lnsul.
Fireplace
Flnal Ntg.
Flnal Plbg.
Bldg. Final
Ceri Oce.
DeCk Ftg.
Declc Frmg. .
WeM .
Pr. Disp.
a?
?
m
c
?
d
c
3
0
TRACT
dqe&4
FName
? . . ? ? . _ PERMIT # 1?L .?!
MECHANICAL PERMIT RECEIPT #
f ?r-?r?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 4 '2-1?'p r
PRICE: PHONE: 454-8100
Biock I Q -
BLDG.TYPE
Res. V
Mult
Comm.
Other
WORK DESCRIPTION
i
New v
Add-on
Repair
C;tyEden Pra3.rie.
Name
CIty
Road.
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater
Air Cond.
•-3 M BTU
M BTU
Vent 6A rr; CFM
Gas Piping OuUets #
Other
FEE
SlC:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
7 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIOMAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
- COMM/IND FEE - 1?i6 OF CONTRACT FEE
r6
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
- (ADD $.50 S1C IF PERMIT PRICE GOES
- BEYOND $1,000.00)
SIGNATURE OF PLfRMITTEE
FOR:
_
, ,?: .. _ .
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAd, EAGAN, MN 55121 DATE: ?-
Site Ad ress
Lot ° Block
a?
?
?
rA
c
d
c
3
0
Name
Addre
City _
Name
Addre
City -2
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYQND $1,000.00) _
FOR: CITY OF EAGAN
BLDG.TYPE
?trs. X
Mult
Comm.
Other
WORK DESCRIPTION
New X
Add-on
Repair
J?To C
N9. FixruRes
- Water Closet - $3.00
?Bath Tubs - $3.00
3 -Lavatory - $3.00
? Shower - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
?-Water Heater - $1.54
Whirlpoal - $3.00
°?- Gas Aiping Outlets -:$1.50- - -
Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
3_Rough Openings - $1.50
ao
/• :;L
.? G
37.5L
.Jr(.
FEE:
STATE S/C:
GRAND TOTAL:
. PERMIT #
PLUMBING PERMIT IiECEIPT #
CITY OF EAGAN _? /
3830 PILBT KNOB ROAD, EAGAN, MN 55121 DATE: ?O
Site Addre / / 7,
Lot Block
Name ? '-,LI` n ' S- S/ ,
m
o Addre/T9 T7. 7 .` f
C Citv ~• ?+ I Phnna
BLDG.TYPE
Res.
Mult
Comm.
Name
City E jy Phone
FEES
COMM/IND FEE - i% OF CONTRACT FEE
MINIMUM - RESIQENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRIGE GOES
BEYOND $1,000.00)
CITY OF EAGAN
WORK DESCRIPTION
New
Add-on
Repair --
NO. FIXTURES TOTAL
Water Closet - $3.00 $
L
.___18atfi Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 .
Urinal/Bidet - $3.00
-Laundry Tray - $3.00 ;
F1oor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlats - $1.50
1-- Softener - $5.00
Well - $10.00
Private Disp. - $10.00.
ROUgh O)nings - $1.50 "
.
FEE: ,
STATE S/C: '
GRAND TOTAL: ?
CITY OF EAGAN Remarks -
Additivn Mallard Park Tltird Addition Lot 22 eik 2 Parcel #10 47252 220• U2
owner 5treet 1757 Canvasback Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Im 1981 2698,43- 539.69 5 539.71 A014788 10-25-84
STREET RESTbR.
GRADING
SAN SEW TRUNK
l
.. .
SEWERLATERAL 1981 3412 34 68 682.50 A014788 10-25-84
WATERMAIN
* WATERLATERAL 1981
WATER AREA
STORM 5EW TRK E 71 1981 467.74 93.55 5 93.58 A014788 10-25-84
* STORM SEW LAT 1981
CURB & GUTTEFt
SIaEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
RAR K
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N2 11720
BUILDING PERMIT PHONE: 454-8100 Receipt p 6/0 g/
7obeusadior SF DWG/GAR Est.value $118,000 oete APRIL 1 1986
SiteAddress 1757 CANVASBACK LN Erect in Occupancy R3
Lrn 22 siock 2 Secisub. MALLARD PK 3RD Remodel ? zonin9 R1
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
W Name STEPH-AN HOMES Move ? Length SR
; Address 14340 PILOT KNOB RD Demolish ? Depth??
° A.V. 423-3322 lntImpr. ? sq.Ft
Ciry Phone Instell ?
a
o Name SAME nPProvais
00 i Address A3383Sf112f1t
? CiN Phone Water 8 Sew.
' 6 W Name
Address
Y
i W Ciry Phone
I hereby acknowledge that I heve read this application and state that lhe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances. _
Siqnature of
Police
Fire _
Planner
Council
eid9. on. 4/1/86
APC
Var.
Permit
Surcharge 59.00
Plan Review 239 . 00
SAC 575.00
Water Conn. 500.00
water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2.360.50
AN
A Building Permit is issuetl to: STE H- H S on the express condition that
alPwork shall be done In accordance w' p li? aLq of Minnesota Statutes and Ciry of Eagan Ordinances.
Building OHiciel C?/ ?'L?,/
_ _ a a; ----. .•,• "`•,I^IUNIL uvsrtc710N
Sea inatructia.s ior ---'?B.oowi.ca
4558 "X" complatirp thi¢ fwm on yec
Bel
W k of yellow copy. ?
ow
ork Covered by 7hi s Request
ade ReO. TVPe 01 BYiltlin9 -?
Aooliancea WiraO
? Home
Range . E9wument Wired
Duplex Temporary Serv ice
Apt. Bwltlinc? Water Heater Li htm
9 9 Fixtures
Commercial Bldg. Dryer
Fumace Electnc Heatin
Intlustrial Bld
9,
Air Conditioner $ilo Unloadpr,
Farm
tnr, ne,;, v Bulk Milk Tank
t er uea v
ther mFr tSne,,rvl
ompute lnspectron Fee Be/ow o,nr,
M Fae ServiceEntrance3ize n cee ?__.__ ._ .. . _
i0
gns
thls requeal
$50.00
the ecnical
Inspecto , y
cariilY that tha nbor
inapection hes been
mede.
_ .eslvoiG-
,8 mon;hs f,om
-
e
W58 t
Request Date
4-1-86 Fire No. RouBh-fn
Insoection
Re wretl>
?
?
fleatly Nuw#]WiII Notifv lnspec-
Ves ? No tor When Heatly
Licensed Electncal Confractor
? O 1 heroby requesf i nspeetwn of above
wner electrical work in stalletl et:
Sbaet Address, Box or pouie No. Citv
1757 Canvasback Eagan
ecuon a. ownshnp Name or o. Ranye o. County
Dakota
Occupent (PqINT) Phone No.
Ste -An Homes Inc.
Power Supolier Atltlless
Dakota Electric Farmington
Electncal Con[rac[or ICOmpany Namel , Comracmr's Lroense No.
Peterson Electric Co 041192
MaJmg Address IContraclor or Owner MakinB Instailanonl
13359 Foliage ave Apple Valley, Mn 55124
Authorized SiB^ ture on ac O ner kine lnstallatwnl Phone Number
432-4022
MINNESOTA STpTE BOAflC(OF ELECTRICITY TMIS INSPECTION NEQUEST WIIL NOT
Griqgs•MidwaY Bldg. - Noom N-181 , BE ACCEPTED BY THE STATE BOAPD
1821 Univeryity Ave., St. Peul. MN 55104 UNLESS PHOPEN INSPECTION FEE IS
Phnna 18121 297-2111 ENCLOSED.
)85 SUILDING PERltIT APPL7r.errnx cTrr ni
a-
- NQTE: AI.L CONTRACTORS MUST BE LICENSID i{ITH' THE CITY OF EAGAH
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date:
Site Address: USE?ONLY
Lot: ? Block ? Sect/S
b
+
re ci
?
3 '
u
.-
ctr
E
? Oc
zpancy
•
'
"? Remodel
i
. . Zoning,
Parcel 9 , Repair,„ TyPa'of ;Const
` Enlarge
.
-` # of Stories
-.-- Ocmer . . ,
M,ove.., Length;. yP?
Demoli'sh Depth (oD ,
Address Gr.ade::, . ,., Sq Ft
City/Zip Code
Contractor APPROVALS' ., ,.'
Address Assessments Permit
1 Water/Sewer. Surcharge
(J?(?, ?,?. .
City/Zip Code 4e= police=- Plan Review
- ire SAC
Phone U 51o7
5 ,
, n g r ' Water Conn
Planner Water Meter
Arch,/Engr Council Road Unit
Bldg Off,f? Parks
Address APC 7_7? Treatment P1
Variance
Phone 9
TOTAL
,
4-7?
Sy,
23q •
5"iS•
5 op.
Zq O,
1
,
,
2
-7 39
22-n Z8 "
?o x ?.Z = ??ao x o - 2 ogo ,
-----
(1-1T26
F ? ?.
? f-c??-
V
' EX7ER10R ENVELOPE AYERAGE "U" CDMDUTATION
OUNER
SITE ADDRESS
CONTRACTOR '?-'7 CfP N<<,?_[! DATE PNORiE 7=a
Detei-nine working square footage of each.
1. 7ota1 exposed wall area .,,,. (tF- C'.'Z ? 4- sq. ft
2. Total root/ceiling area. ..... C sq. ft
.?
x
x ? •r-48¢
c)26
Total expcsed vall area above floor =
a. Total wall window area ......................•,••, (3 Fe
b, Total door area „ ........................... { 7 9i
c. 7ota1 slidin9 ylass door area ...................
........ -?
d. iotal fireplace wall area................
e, Tottl wall fram;ny area (averaqe 10%)...........,
f, Total net wall area above floor ..,,,,.,..,••.••,
g. Total rim joist area .......................,..., c..
Total exposed foundation aiaa = j/,;/.G,
h. Totai foundzt;a i:!indow area ..................... ?bZ
i. Toal net foundation area above gra64 .... ........ c r;c/
DeCcrmine "U" value uf eacii :.c.ll segment,
a, X "U" 2 12 C
b.37 X "U" A .6?/
c d x -U-- >-? = aa E,-L
d. ' X "U" `
e. !. D 76- x „uu z/?
f 9 ,T X ° u" ¦ q-3 f Z.
9. Zu X °u. 2 4
n. Z& z X „up 4 4
i . i 4 9 c, X ^ua . 4 7 = 74.77
3. ,.,.....?.C.L.T.?r.? ........ .. .... .Total • L _ (L?
]f item #3 is the sam2 as, or less than ttem 41, you have atet the frttent
of SBG 6006(c)2.
?otal exposed roof/ceilinq area = 40.OC)
j, Total skyliqht area.............................
k. Totai roof/ceiling framing area (average 10%)...
. !'14C•'C>c_
l. Tota1 net insutated roof/ceilinq aren..........
Determine "U" value for each roof/cetling segment.
X uun s
k. X AV ,1
? ------
l-? 4 0 t7C', % "U" x & ?.od
4 ..............?3.4t':Q?........... Total = - :c C
If total of 44 is the same as, or less than l2, you have met the inten% of
SBC 6006(c)1.
Alternate 8uilding Envelope Design
To utilize the total envelope system method, tne values established by the
sum of ltems !3 and 64 shali not be greater than the sum of items #1 and 02.
t. 3 07 L9 _ + 2.1,7• o d = 374 2
s. + a. (,7-00
f804 MelodV Lane 8963063
Bumrvilla, Minmota
WEPJA CO. PL,AN SERVICE
ED ANDERSON
ApCMITECTUML OE6iGNING ANO PIANNING
?.;
Office: Office:
1129 CIiH Road 890-4636
Bumaville, Minrresota
1
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MALt,.b.R.D PAR.IC-
THIQ.D AODtTtoN,
DAK.OTA CoUNT?Y,
MIN NESoTA?
<jL 0?I..E ip 4 30'
A1.4 JbEAILINZ.Rj A''KL•1MricV
o QE NoTa3 tiLoN MoN1J MENT
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
I,and Surveyor under the laws of the tate of Minnesota.
Date: G ? tlSe? -? t?l? --??
LeRoy ohlen
Registered Land Surveyor No. 10795
No a.T H
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- 9
i 2/84
? CITY OF EAGAN
? APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIODT
(PLEASE P9INT)
1) PROPEI7I'Y ADDRESS: I25-2 Leq?0A?A4e-ia L,J
Lec-M oESCR`1_tirzcv: Lo-r -zz.. • ,g-
(Lot/Bloclc/Subclivision or Tax Parcel I.D. NLmlber)
S2RL'CP'RE , DATE 0° ORIGli BiILCL`;G PEF-MSm ISFL!A2NG:
•'or==° -_-- ,
PT.LSr.?. ?' zi `IIir/F .?(,1DCSi u-5E: ? R-1 SuNGL-v rA_•ff:,Y
17 R-2 DUPLEX (M'0 U'NZTS)
? R-3 nliVNE10L'SE (TfIRE."G + U!VjTS) ( UbTITS)
? R-4 APAR72?.^:T/CONDCMLVIUYI ( Wi ITS)
? COMMEF2CS7%I,/RESAII,/0FFICE
p INDUSTRIAL
? IIVSTITUTIONAL/GOVERTR=
2) pppLicA-Nnr (PLEASE PRINT)
NArE: IVCr-i41jn.?y-?4L_
ADDRESS: D,e
crrY, sTaTE, zrp: Lee-':AR-) . Nht' : t5S7/?Z_
PHOI?M:
3) Pmm,ffiER PLEASE PRINT) FOR CITY USE ONLY
NAME. WE A.)
ADDRE55: PLUHBERS LICENSE:
Q Aetive
CITY, STATE, ZIP: Expired
PHODIE: ' 'I LK I
'4SZ-IS?? PLIIMBER LICENSE !i Q Not of Record
a nitia
t]) OCCJPjNT/awDTER (YLl.qJt PHlNIJ ??s
ru?:
r.?DREss: A?u6?s )&
CITY. STATE, ZIP: /yrP?l-? ALi..EY : MI?: ?S?aIZ4
PHONE: 4z3 - //? .
5) INDICATE WHiCH PEP,MIT IS BEING RDQUESTEp;
? CO:4TIECrION 'Ib CITY SE41ER
CON:VECPICN '1C) CITY 6iTATER
? di'IM (PLFASE DFSCRIBE)
b) L1Ul(i?il (J:+t::
7) SI(:ZA'IL'-RE:
? PLE1SE HOID APP.RWID PERMIT FOR PICK-UP BY ONE OF ABOVE
H PLE7ISE MAIL APPROVm PEiMffT 'IU 1, 2, (
j) 4 AEOVE
(Circle one)
DATE: I ?(?
.. . ?'?+?1? s?s ? r?s!s:? ia a?e ?e?aenr:?;r ?? rl s?sTrs:arrw
F 0 R C I T Y U S E O N L Y
PERMIT - ISSUED
? 7/
F°ES: $ SEWE^ DL'AS(T'r (I`ICuULL JVP
CHP
RGLj
.
.
$ WATER PERP4IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCL'JDE CORPORATICN STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SE'v1ER
$ ACCOUNT DEPOSIT - WATER
$ WAC
SAC
$ TRUNK WATER ASSFSSME:IT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ??? • ?rJ OTHER
$ TOTAL
$ P,DIOUNT PAID/RECEIPT # f/
-?7G O ?
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUSLIC RZGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION. ..
SUBJECT TO TIiE FOLLO!aING CONDZTIONS:
APPROVED BY:
TITLE:
DATE : X12-r
mqs"vc+s w=ARM&w atemomsms
PERMIT
CIYt OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.I.N.: 10-47252-220-02
PERMIT TYPE:
Permit Number:
Date Issued:
1757 CANVA58ACK LflNE
LOT: 22 BLOCK: 2
MflLLARD PARK 3RD
BUILOING
833857
10/29/98
DESCRIPTION:
,? T.O. & REROOF
By-i'lding'-)Permit Type
BI uilding W-?s?k Type
,Gensus Code ?
%
?-
STORM ?AMAGE
REPAIR
434 ALT. RESIDEN7IAL
? rD ;,_ ? ---?
IQ- ) `
REMARKS:
FEE SUMMARY
CONTRACTOR: - Applicant - sT. ?lc. OWNER:
MILLS CONSTRUCTION 19255851 20036375 DOWNEY DENNIS
4437 ANDOVER ROAD 1757 CANVASBACK LRNE
EDINA MN 65435 EA6AN MN 55122
(612) 925-5851 (651)
I
I hereby acknowledge that I have read th,is applicetiQn and state that the
information is correct and agr•ee to comply with a11 applicable State ofi Mn.
Statutes end City of Eagan Ordireances. .
APPLICANT/PERMITEE SIGNATURE
I ED BY: SIGNATUHE
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CTTY OF EAQAH ?c
3830 PII.OT SNOB RD - 55122 tU` 3 U-'`-'
681-4675
New Construction Reauirements
? 3 registereE site suneys
? 2 copies of plans (inGude beam 8 window saea; poured fid. tlesign; etc.)
? t energy calcufations
? 3 copies of vee preservalion plan if lot pbtted aRer 7/1l93
roquired: _ Yes _ No
DATE: I o ' gcg '?16
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: ?- SUBD./P.I.D. #:
Penalty applies when address chang
?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: U Phone #:
Last First
Street Address: I OCr -,T??ce-? ?
`vYl IV Zip: ???
City Stau:
?
Company: Phone
SveetAddress: V`O /
I
cicy srue:
Company:
Nazne:
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
RemodeVReoair Reauirements
? 2 wpies M plan
• 2 sRe surveys (eMerior adAkions & deGcs)
? 1 enargy caleulations for heated addRions s??M, I Anit?
CONSTRUCTION COST; J . ?9 66
State:
I hereby acknowledge that I have read this applicatlon and state that the iniortnatlon is conect and agree to compy with all applicabl
State of Minnesota SWtutes and City of Eagan Ordinances. lz?
Signature of,Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
No
License # ? u ?-P ? 7 ?
-tZ-) Z,P:
Phone #:
Regiscation
Zip:
?
Q-411.
OC7 2 8 1998
Tree Preservation Plan Received Yes No Not
1 D ( ~Dl
For Office Use
City of Eajan JUL 9 2009 1 Permit#:
3830 Pilot Knob Road Permit Fee: 5
Eagan MN 55122
Date Received:
Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: JC_ l't v
Tenant: 11 Suite
RESIDENT / OWNER Name:- ~~C 1Ct ; X~; i 1~1 Cat Phone: ~P P
Address / City / Zip: _ tjt"lity~ (
CONTRACTOR Name: dY A'S f'" 1 tk.t'YJ(jiar License 0 I
SID
Address: 2S Si 4 'Y1 L4'
.Q e 6 ( U
City: ')1M £,LY\ State: M Zip: _>x C
Phone: WlvZ 91C2 1 C Gk Contact Person:
TYPE OF WORK New _Replacement _Repair, -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Y Lawn Irrigation Add Plumbing Fixtures
RPZ / 4- PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add 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 start without a permit; that the work will be in
accordance with the roved plan in the case of work which requires a review and approval of plans.
X x
Applicant`s Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By Date:
mequirea inspections: Tunaer U round -Hough-ln Air I est Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150965
Date Issued:08/01/2018
Permit Category:ePermit
Site Address: 1757 Canvasback Lane
Lot:22 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-220
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin Kruse
1757 Canvasback Lane
Eagan MN 55122
(952) 288-4050
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature