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4322 Bear Path Tr Use BLUE or BLACK Ink or office use I VlUV Of Eann 1 Permit#: I I 3830 Pilot Knob Roads 1 Permit Fee. I 1 Eagan MN 55122 JUL 2 9 20111 Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -7 ';-25 L Site Address: 1 / ~7 Tenant: Suite RESIDENT/OWNER Name 1~ t Phone: Address./ City o~ r Zip: C(.1 Applicant is: Owner Contractor da eQ, NAT -9M4 TYPE OF WORK Description of work: ✓Z~ Construction Cost: „ Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: /k I)A City: State: Phone: &,S v- 7,P,/--.2 Contact. Email: 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 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.goipherstateonecall.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. x Applicant's Printed Name Applicant's Signature Page 1 of 2 Minr ota State Board of Electricity Gri '-foray Bldg. -Room N191 EB-00001-02 1821 University Paul, Minn. 55104 - Phone 297-2111 ' REQUES ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST _ Type of Building New Add. Rep, Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures El Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg, ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ F1 List List Other Others Others ❑ ❑ ❑ Here Here COMPUTE INSPECTION BELOW Service Entrance Size: # Fee Feed_ers&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0_to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 _ Amps. Above 100 Amps. Transformers _ Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks V TOTAL FEE 1, the Electrical Inspector, hereby certify that the app a t'o qt~as been made. (Rough-in) ate S-ate/ -1' (Final)I ;Date This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N~ 6 5 2 PHONE: 454-8100 a" BUILDING PERMIT APPLICATION Receipt To be used for SF DWG/GAR Est. Value 49 , 000 Date 4`3 1981 Site Address 4322 Bear Path Erect )ft Occupancy R Lot Block 3 Sec/Sub.. MeadOWlandS Alter ❑ Zoning ^ NA Parcel 10 48050 030 03 Repair ❑ Fire Zone Enlarge ❑ Type of Const. V C~ Name . Hum _n r n5 ni t? nn Move ❑ Stories Z Address 11913 Highland View Cir _ Demolish ❑ Front 58 ft. Cit Burnsville phone 454-3833 Grade ❑ Depth 34 ft. Name Approvals Fees saffla- r Assessrt 4-7!2--1-. Permit 138.00 Address City Phone Water & Sew. _ Surcharge 24 - 50 Police Plan check 69.00 t- ~ rZ Nome Fire SAC 525.00 Address Eng. Water Conn. -335 00 W City Phone Planner Water Meter 6D _ no Council Road Unit 1 R5i_ 00 1 hereby acknowledge that I have read this application and state that Bldg. Off. - the information is correct and agree to comply with all applicable APC Total 1,336.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Win- Hut"tr o-r C-nnqtnic-i'inn on the express condition that all work shall be done in accordancewith all applicpbl State of Minnesota Statutes and City of Eagan Ordinances. Building Official it ! ; f r!' ! 4.1r ,'`h ~ s I.T 1 . J ♦y:~, ! ! t A° ' Ahol vL_ %L~Irrtifirotr of Orrupaurp C IP of L agars r ~ Br artmrut of Nuilbing 3noprrtimt s A: --j Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: ' !s~ SF DWG/GAR 6582 Ux Clasdficatim ;T ~t Bldg. Pemrit No. Occupamy Type R'3Type Consuucdon v Fite Zones NA zoning District Ri i . Owner ofBuilding Wm. Huttner Gonst• Address11913 Highland View Cir. Bza le f Bw7dingAddress 4322 ear Path "r. ,,,;y Lot 3, Block 3, Psleadowlanda By: - Building Official Dare: October 8. 1981 ` . J rout ~ w eoHSr cuou race i , WAWIWz ee L.~,y urKC;.: ~.s.a. CITY OF EAGAN Remarks Addition Meadowland t Addition Lot 3 Blk 3 Parcel 10 48050 030 03 Owner Street 4322 Bear Path Trail State EAgan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Illp., 1589.99 158.9 10 10-14-91 - A010661 GRADING SAN SEW TRUNK ,3 r. 3.11 25 i . 9s 4 40-63 A010091- * SEWER LATERAL 1QR1 2840.93 A010661 10-14-91 WATERMAIN * WATER LATERAL I C)81 WATER AREA 1973 9 2 6- 35 15 .38.12 AO 10 -0 -9 1 STORM SEW TRK 119-1 282.. 92 1415 `SCI 1 ?7- S8 4-16-91 * STORM SEW LAT 19g] in * servic 1QR1 in CURB & GesUTTER SIDEWALK STREET LIGHT R WATER CONN. -3-81 SS-5-00 24041 BUILDING PER. SAC 525 - DO ?AOdl PARK 4-3-8 R CITY OF EAGAN N° 1419 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 _ BUILDING PERMIT Receipt To be used for FIREPLACE Est. Value $3, 200 Date SEPTEMBER 21 19 87 Site Address 4322 BEAR PATH TRAIL OFFICE USE ONLY Lot 2 Block 3 Sec/Sub. SUN CLIFF 2ND On Site Sewage Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const cc Name MIKE LEXOW City Water (Allowable) Z Address SAME PRV Required # of Stories o City Phone Booster Pump Length Depth o Name WM BUNN MASONRY INC S.F. Total o a Address 3000 GLENVIEW DR Footprint S.F. U,- City B' VILLE Phone 894-6461 APPROVALS FEES cc Engr./Assess. Permit $51.50 WvWWName ~ _ g Address Planner Surcharge 2,00 U Council Plan Review Q w City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City:of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: WM B_U_N_N_MA_S_ONRY_INC g - Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ 53 -.50 Building Official TOTAL r 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 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 - RESIDENTIAL RENTAL UNITS FOR SALE 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, $2,000 LANDSCAPE BOND To Be Used For: Valuation: 00 Date: Site Address f -'k OFFICE USE ONLY Lot Block On Site Sewage Occupancy n MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) _ Owner 1 1c _r rX y (Allowable) # of Stories Address 4/3;4:~- z Length _ Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Jynrl J°-5onr°y~,~ Assessments Permit Water/Sewer Surcharge Address _ otc> j Police Plan Review Fire SAC, City City/Zip Code Ej t~:-n s' r /I r ~Ls .337 Engr SAC, MWCC Planner Water Conn Phone Y'GI Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment Pl Variance Parks Address Copies TOTAL City/Zip Code Phone # • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Repair Reauirements ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and Q rooted areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) i site survey for exterior additions 3 decks 1 set of energy calculations D 3 copies of tree preservation plan M lot platted aft er 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: VV"d STREET ADDRESS: LOT: --'D BLOCK: SUBD./P.I.D. ~0-0 QV L Llj Name: ,:ems,-- Phone PROPERTY Last First OWNER Street Address: ' A-4---e -v 71 City elAA-1,- State: Z4--- Zip: s : 2` Company: Phone ' Y ~7 (area code) CONTRACTOR Street Address: License # 0 S' Exp. City State: Zip: I -SC C -T ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer E. water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information lect, a gree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23' Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC { l r Py, a / IAI ~?.~n~•~<~.~ 5~1i~Zf Si~.~..I.~e,~$se~,tl t:. ~^~.~t ~~.~4,`,'=,~GK~€~,~~'~. _~A~~ . Js 7: - - N F. "5 0 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROG AMOUNT i O CAS~1„ T IF FUND CODE AMOUNT Thank You h I White-Payers Yellow-Posting Copy Pink-File Copy. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 BUILDING PERMIT Receipt # To be used for FL A,_ Est. Value Date Site Address 432 t°'~ i, )'Ali' ' 11. OFFICE USE ONLY Lot 3 Block Sec/Sub. k': On Site Sewage Occupancy - MWCC System Zoning Parcel No. On Site Well (Actual) Const City Water (Allowable) ac Name W PRV Required # of Stories z Address 3 Booster Pump Length o City Phone Depth =a ' x>C S.F.Total o Name i 3..:n Footprint S.F. o u Address City Phone APPROVALS FEES f- M Engr./Assess. Permit F W Name Planner Surcharge 73, Address City Phone Council Plan Review X a mz Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City,of Eagan Ordinances, Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment,, P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. a-- Building Official TOTAL Permit No. Permit Holder Date Telephone # Plumbing HN.A.C. Electric Softener I Inspection Date Insp. Comments Footings I Footings it Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace l-a3-8 Final Hig. j Final Plbg. Bldg. Final I Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAOAN _ ' 3795 Pilot Knob Rood Eagan, MN 55122 N2 6582 PHONE: 454-5100 RUILDING kRMIT Receipt # To be and for SF," D(-r- r' T Est. Value 49 r 00(.' . Date r.'._-3 l g n Site Address 432n. 13~-ar Path Erect Occupancy R3 Lot Block 3 Sec/Sub. Rc~(7a18tLCx.~ Alter ❑ Zoning Parcel # 10 4?050 9-3n 03 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const, V W. Name 12!t-- CMS>tructia Move ❑ Stories 3 Address 11913 TdgUand 17ia}7 Cir Demolish ❑ Front ft. City L'unisVdlle Phone 454-3823 Grade ❑ Depth 34 ft a Name Approvals fees o" Address Asse.,.,4tlt 4-2-81 Permit 137. .170 v~ City Phone Water & Sew. Surcharge 24, Police Plan check `i • Uw Name Fire SAC 525.00 . 9 Address Eng. Water Conn. 335.00 46 city Phone Planner Water Meter 0~ Council Road Unit 1n • 0G 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 1.1, Huttnerr CcZa.yta-acticm on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official f y , ~q Permit # Date Issued Permittse Plumbing Mej'anicai S'(p INSPECTIONS DATE INSP. Rough-{n Final Footings Dote Insp. Date Insp. Foundct!212- _ Plumbing ro /ins. Mechanical`- Final Remarks: R"Wpt 24488 PLUMBING PERMIT Permit No. 2365 CITY OF EAGAN Pee 20.00 Fill in numbered apace 8/C _ ,C3 Type or Print legibly Tot 20.50 1. Date -15 2. Installation Cost ~ ✓ 3. Job Address Lotj_Blk. Tract 4. Owner .F., r x,c? rry. 5. Contractor >r)r. J 1r.,~t=a (nn. JG Phone 6. Address Ulf i 7. City ,c rt r r G t State r`/ h' Zi .3 S s 7 8. Building Type: Residential 4a Commercial Institutional ❑ 9. Work Description: New f-'T- Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank 3 Lavatory Softner 7 Shower Well / Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains i Drinking Ftn. j Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. tk try Signed for Rough Final Inspections: Date Insp. Date Insp. M This is your permit when numbe;ed and approved. ' Approved t, l 1r CITY OF EAGAN 454-8100 Receipt - MECHANICAL PERMIT Permit No. ' 6 CITY OF EAGAN Fee --2-4 Fill in numbered spaces S/C SU Type or Print legibly Tot. { i 41 1 1. Date ' z ~-~2. Installation Cost 111' 3. Job Address Blk. Tract 4. Owner 5. Contractor fir-- Phone 6. Address .J 7. City State Zip 5 5 f 8. Building Type: Residential CJ'J Commercial ❑ Institutional ❑ i 9. Work Description: New D Add ❑ Alter ❑ Repair ❑ 10. Describe r 4 Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances ~pdle governing this type of work. Signed:' s t- for ' Rough Final inspections: Date Insp. Date Insp. i This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cF7 oF' E, Gat~ WAFER ~tCE AMA ' 3791 Picot Knob Road PERMIT. NC). = ta? qan, MN 55122, DATE.- ~+7~~f~ ~'t Zoning: No. of Units: ~ T Address. axe fedres 32' near" P'... T z LT 33, rtt trlnrzd P#i~rn5er: lis. st, ~Zfsor. ''hur Meter NQ,: Connection Charge: _33-5. i _ Account Deposit: . oiler No., - Permit-Fee: r ~t 1 o to cp+n~Ay~wi+ fHe C*p eF 1CO!, Surehorge•. _ Q►bpanpe~. Misc.: GhQrges:,, to • OC -DOO ppp- ALAN . 4AW SERA 'PERMIT, 43 O1 Ot Knob `:Rood PERMIT: NO.-.'. " Eogaitr MW : 551;2 DATE: . 2o Ry? I No. of Units: ~ - O'.7 ~.`uttiler Cor.st3t3Cti{)$1 Owner: _ Addtess: SiTq Address; 4322 Dear Pc-t?i Tr I,3 r'_' Mew 'oT_z:Lan4 Plumber "7SSS ~:7<*Fsrs on rlur.lim; C agree fo cON* with the CitY OF EGgian Connection Charge; 42-1.00 pd Crdinaoces. Account [5eposit Permit Pee 1 ? 0:. BY _ Misc. -Charges. QAte of, Insp Total, - iT~SF>r.' Date Paid: r - Use or BLACK Ink For Office Use 1 Permit IU. I " ('(iIb}y of Eap Permit Fee: I 5~" 1 3830 Pilot Knob Road . C I Eagan MN 55122 i Date Received: -2, j Phone: (651) 675-5675 i Start: I Fax: (651) 675-5694 I- C)---- INFLOW & FILTRATI PERMIT APPLICATION .Plumbing I CI Sewer & Water Date: Site Address:E it r !-L C~QC~1 Tenant: C/A_ n e'r Suite RESIDENT Name: Sao 1 Phone: ~5Lt7 ~ 7- 31 a D /OWNER Address / City / Zip:3 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other. Other. Description of work: S9.t JV~ ~0 4 r (`r+ dri(3JAel>P x i P. L YID il.~o DESCRIPTION FEES $55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ # *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting , or City Hall at 3830 Pilot Knob Rd. 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. 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 requiresa revie and approval of plans. x lholeojS J/ oL k- i I'lc/ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Final PERMIT City of Eagan Permit Type:Building Permit Number:EA115432 Date Issued:09/26/2013 Permit Category:ePermit Site Address: 4322 Bear Path Tr Lot:3 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Ryan Mcgree 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 - Thomas E Stocking 4322 Bear Path Tr Eagan MN 55122 Iq Construction Llc 19574 Oxley Ave Hastings MN 55033 (651) 226-7328 Applicant/Permitee: Signature Issued By: Signature