The URL can be used to link to this page

4365 Bear Path Tr This request void 18 months fr 'R 79293 Date of this Request I, as NI'Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wrong installed at: Street Address or Route No. Section Township Range County / Which is occupied by Uj s-sue A y, r (Name of Occupant) Is a roughin inspection required on this job? No El Yes Ready Now .r- Will Call ❑ Power Supplier &4;1r, , 4L, idress ;A al p ~rit_/ Electrical Contractor 0_1 IN I it' 4~- Contractor's License No. (Company Name) Mailing Address C' ( lectricai tra or Owner Mak ng/1'his Installation) Authorized Signature Phone No. _ (Elects al Contr or or owner 'Making This Installation) COPUT This inspection request will not be accepted by the State Board unless proper inspection he is enclosed. Minnesota St f Electricity j 1954 University Ave.,~`jt. Pa Minn. 55144-Phone 645-7703 T REQUEST FOR ELECTRICAL INSPECTION R 7 9 2 g 3 CIIECK 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 ❑ Apt. Bldg. ❑ ❑ ❑ Dryer Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Other ❑ El ❑ Herers Hehers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. P i 0 to 30 Am eres 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 TOTAL FEE ~7 S:' I, the Electrical Inspector, hereby ce that e We inspection has been mad . (Rough4n) , Date 1~-- (Final) Date This request void 18 months from ' r CITY Of EAGAN 3795 Pilot Knob Road Eagan, MN 55123 N2 . 5373 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF Dwlg & Garage Est. Value 42,000. Date 8-20 1979 Site Address 4365 Bear Path Trail Erect Occupancy R.3 ~ Lot 95 Block 1 Sec/Sub. Meadowlands Alter ❑ Zoning R.1 Parcel # Repair ❑ Fire Zone 3 Zachman Homes Inc. Enlarge Type of Const. V d1w :Me r Move ❑ # Stories 7760 Mitche 1 Read Demolish Front 64 ft. en Prairie phone 937-9520 Grade ❑ Depth 22 ft. W Name Same Approvals Fees ' o oU Address Assessment Permit 120.50_ u§ city Phone Water & Sew. Surcharge 21.00 h Police Plan check 60.25 Name Fire SAC 525.00 uz Address Eng. Water Conn. 2 0.00 QLU City Phone Planner Water Meter 60.00 Council Road Unit 75.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1,131.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: xkx Zachmn Hanes r Inc. on the express condition that all work shall be done in accordan a with all applicable tote of Minnesot tatutes and City of Eagan Ordinances. c c c ' Building Officio) r- CITY OF EA"H 3795 P Knob Rood lidgen, MN 55122 N2 5373 PHO14E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date , 19 Site Address Erect ❑ Occupancy Lot Block_ Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories z o Address Demolish ❑ Front ft. City Phone Grade Q Depth ft. Name Approvals Fees u O Q Address Assessment Permit Water & Sew. Surcharge city Phone F Police Plan check Name t W Fire SAC U Address Eng. Water Conn. <'Z" City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: 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 r t y Permit Date Issued Permittee Plumbing ' J lll~ 2 Mechanical ,1 k4 v /-7 1 C~' . V Y17'7' C_,G13v, cr` L1 r n t , 9 . INSPECTIONS DATE INSP. Rough-In Final Footings r D Insp. Date Insp. Foundation _ Plumbing f -A- Frame/ins. - + 7-~ Mechanical Final Remarks: p/~ 491 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. t /gDri'f> o~ To Be Used For Valuation Date Site Address: OFFICE USE ONLY Lot Ci Block Sec./Sub. Occupancy Parcel Alter Zoning Repair Fire Zone Owner: Enlarge i/ Type of Const. Move # Stories Address: Demolish Front /q ft. City/Zip Code: Grade Depth ^T2n - - - ft. Phone APPROVALS FEES ~-v Contractor: Assessments Permit X65 Water/Sewer Surcharge Address: Police Plan Check 25- City/Zip Code: Fire SAC Phone Eng. Water Conn. Planner Water Meter Council Read Unit Arch./Eng.: Bldg. Off. - Address: APC City/Zip Code: ` Phone TOTAL -S L - - CITY OF EAGAN N2 15 3 2 3 j* ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt q # To be used for 4 SEASON PORCH Est. Value $10,000 Date JULY 11 19 Site Address 4365 BEAR PATH TRAIL OFFICE USE ONLY Lot 095 Block 1 Sec/SubMEADOWLANDS 1st On Site Sewage Occupancy MWCC System Zoning Parcel No. ' On Site Well (Actual) Const Name CLIFF BICKERSTAFF City Water (Allowable) 3 Address 4365 BEAR PATH TRAIL PRV Required # of Stories ° City EAGAN Phone 925-9757 Booster Pump Length Depth p Name SAME. S.F. Total 0 a Address Footprint S.F. f-E City Phone APPROVALS FEES Engr./Assess. Permit w W Name _106.._Qfl g Address Planner Surcharge 5 _ (1[1 U Council Plan Review a m 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 Minnesota Statute s a and a ree to comp ith all applicable State of Water Conn. of Eagan a,pc s. Water Meter Signature of Permitte 1- ! C Road Unit A Building Permit is issued t CLIFF BICKE STAFF ; g Treatment P1 on the express condition that all work shall be done in accordance with all CAMes 15.00 applicable State of Minnesot tatutes and y of Eagan Ordinances. Building Official TOTAL -:M6.00 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const Name City Water (Allowable) W PRV Required # of Stories 3 Address o City Phone Booster Pump Length Depth a Name S.F. Total .o o a Address Footprint S.F. r¢- City Phone APPROVALS FEES ¢ Engr./Assess. Permit w W Name ~ Z Planner Surcharge _ Address g Q Z City Phone Council Plan Review qw 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. Building Official TOTAL ~ J Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric 1 Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. ~r Bldg. Final 4 Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. This request void ILJ / 7 J a~t jV~.fj,'~L (Ct~L T18 months from ( t 71678 t~ Request Date Fire No. Rough-in Inspection rye R~q fired? JReady Now ❑ Will Notify. In l~ Yes ❑ No [or When Ready y ❑ Licensed Electrical Contractor Ihereby request inspection of above Owner electrical work installed at. i Street Address, Box or Route No. City 7 ection No. ownship Name or No. - Range No. County Occup t NT) Phone No. Power pplier Address Electrical Contractor (Company Name) Contractor's License No. ..(JE N E Mailing Address (Contractor or Owner Making Installation{ rVv E _ Authori d Signa ure (Co ractor/Owner aki tallation) Phone Number MINNESOTA STATE BOARD OF ELEC ICI THIS INSPECTION REO.UEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. f EB 00001 REQUEST FOR ELECTRICAL INSPECTION Q -°3 T i 3' See instructions for completing this form on back of yellow copy. "X"" Beiow Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other (Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee FeedersfSubfeeders Fee Circuits 0to100Amps 0to30Amps ~o 0to30Amps 101 to 200 Amps C 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100Amps Above 100_Amps Transformers Remote Control Circ. aC 2 Partial%Other Fee Signs Special Inspection Remarks TOTAL FE 0a G Rough-in Date ~;~t"^ 1, the Electrical Lk~70 nspector, hereby Final certity that the above - - D a t e inspection has been made. This request void e l(*_~ a S~'.-'~~~" 18 months from This request void p~~j Q ~Cs 4„ 18 months from T3 U" u ~ E Request Date Fire No. Rough- inInspection Required? Ready Now Q Will Notify. Inspec- C]Yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above wner electrical work installed at: Stree Address, Box or ute No. City ection No. Township Name o Range No. County,.,, JJJIIf(~ o_ 1 Occupant (PRINT) Phone No. Power Supplier Address Elec ripaI C ntractor (Company Name) Contractor s License No. e Mailin dress (Contractor or wner aking nstail ^on) Author' MSur n(Contractor/Owner Making Ins, I tion) Phone Number r THIS INSPECTION REQUEST WILL NOT MINNESOTA E BOARD OF ELECTRICITY Griggs-Mid Idg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univsi v Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. fs ~_i/ REQUEST FOR ELECTRICAL INSPECTION .r. E13-00001-06 See instructions for completing this form on back of yellow copy. E 13981, r - -_'X- Below Work Covered by [his Req"nest Now Ad Rep. Type of Building Appliances Wired Equipment Wired k Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Svecfty) Other Specify Other Otheer oInspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Arms Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100-Amps Transformers irrigation Boorrs Partial-Other Fee Signs Special Inspection $ Remarks TOT E bf C C~ L4" e~ Rough-in fiat the tri GGGh^ I Inspector, hereby certify that the above Final Dye spection has been ~,~f made. This request void 18 months from This request void > 11 / 18 months from / f 2 Requst`Da Kite No. RRegghedn2Inspection Ready Now ~WIII Ntify Inspei- Yes ❑ No 7J~~ for Wh oen Ready Licensed Electrical Contractor _ 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City h,',~'IAe 011W -74411- ecUOn o. Township Name or No. Range No. County Occupant (PRINT) Phone No, 4zsy Power Supplier Address Electri :aL+l Contractor (Company Name) y Contractor's License No, ~1 1 "S Y Lc,) r c lit - t4' Z 5~ ~o Mailing Ad ress (Contractor or Owner Making Installation) F 1 ~c A Jk-j A thorize Signature ( ntra /Owner Making Installation) Phone Number MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room LE BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave., St, Paul, MN 55104 ENCLOSED. Phone (612) 642-0800 REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 Ill, See instructions for completing this form on back of yellow copy. S C t 1% ~iL -1 4 "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Onloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other (Specify) Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits ~Q 0 to 200 Amps 0 to 30 Amps p 0 0 to 30 Amps Above 200 Amps , 31 to 100 Amps sy, Oa 31 to 100 Amps Swimming Pool Above 100Amps Above 100-Amp. Transformers Irrigation Booms /(j Partial. Other Signs SpecialInspection I Remarks ~.Sd TOTAL E /0 '40 4~j Rough-in Da e • ,the Eta I Inspector, hereby rtify that the above Final Oat nspection has been made. This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Np 7020 PHONE: 454-8100 BUILDING PERMIT Receipt # 7, /s;~? To be used for P,dditi.On Est. Value $14000.00 Date 11-23 19 81 Site Address 4365 Bear Path Trail Erect ❑ Occupancy R3 Lot 95 Block 1 Sec/Sub. MeadOWlands 1st Alter ❑ Zoning Rl Parcel # Repair ❑ Fire Zone Enlarge Type of Const. Vn 9 Name Clifford Bi k rstaff Move ❑ # Stories 1 z Address sa111e . Demolish ❑ Length 14' city Eagan, MDI 5%p]a2 454-3170 Grade ❑ Depth 20 r Sq. Ft. o Nome self Approvals Fees Z~ Assessment Permit 104.50 Uu Address ~ City Phone Water & Sew. Surcharge 7-00 Police Plan check 92-75 VW W Nome Fire SAC uG Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I 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 d ' y of Egan 0 dinon es. Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance wi all applicable St of Minnesota Statutes and City of Eagan Ordinances. Building Official ~14"a- c~2° CITY OP EAGAN'., 3745 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 14 Site Address-... Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel Repair Q Fire Zone Enlarge ❑ Type of Const. W Nome Move Q # Stories Address Demolish p Length b city Phone Grade ❑ Depth Sq. Ft. o Name Approvals Fees 0 v Address Assessment Permit city Phone Water & Sew. Surcharge Police Plan check LiM Pw Name Fire SAC U Z Address Eng. Water Conn. city Phone Planner Water Meter Council Road Unit 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 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: 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 Permit No. Permit Holder Misc. Permit No. Holder Fi Well Water Disp. Sewer Electric T-71 C,7 $ 0Lo e r - Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVAC Insulation Final Pibg. Final HVAC Final Water Describe Location: Weil Sewer Pr. Disp. CITY OF EAGAN Remarks r > L-, Addition 1M!@8tdowland 'at Addition Lot 95 Blk 1 Parcel 10 48050 095 01 Owner C ! i (f w a, T, i t u s4a Street 4365 Bear Path Trail State Naaan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j STREET RESTOR. Fp-a 158.99 1589-99 .C005557 ID.11.5180 GRADING SAN SEW TRUNK r 1970 77.95 3.12 25 * SEWER LATERAL 1981 3156.58 315.65 10 156.58 0 WATERMAIN * WATER LATERAL 1981 10 WATER AREA ; 1973 95.27 6.35 15 paid X-00653 5 9110179 STORM SEW TRK 1971 2$2.92 14.15 20 * STORM SEW LAT 1981 10 *services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT road unit 75,00 15559 8/20/79 WATER CONN. 270.00 It it BUILDING PER. - 5373 rr SAC 525.00 15559 PARK PERMIT CITY OF EAGAN ~830'Plot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: << t (651) 681-4675 Date Issued: SITE ADDRESS: DESCRIPTION: i REMARKS: FEE SUMMARY: i i CONTRACTOR: t : OWNER: 31 0 1..., _R - - - - - - - - - - - - - - - - - i. L~ APPLICANT/PERMITEE SIGNATURE I UED BY: SIGNATURE 1 ` 4 L i CITY OF EAGAN ,5' Include 2 sets of plans, y. 1 site plan w/elevations & BUILDING PEFIIT APPLICATION 1 set of ~energy calculations. To Be Used For SjA 1-P -~1,4r lj Valuation Date / . Site Address: OFFICE USE ONLY Lot 4~Block Sec. /Sub. r,,--_Occupan, Parcel Alter Zoning Repair Fire Zone Owner: G e Enlarge Type of Const. If. i Move # Stories Address: Demolish Front ft. City/Zip Code: Grade Depths ft. Phone ff3 :2 APPROVALS FEES G+ Contractor: S Assessments /hermit Water/Seuaer Surcharge l Address: Police Plan Check City/Zip Code: Fire SAC ~5`+~ Phone Eng. Water Conn. a 70 Planner Water Meter' Arch./Eng.: , Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TOTAL Form F iA 422-3 earv. 47-70) MAP OF P1 ERTY CLIFFORD & TAMM 91CK9ffAFf uoa+ oel-r-..ro•. - a,*UCAWs "Am See attached for legal euilder- Zachman Homes Inc. Lot Q:7 elk. I Addition EAGAN PILLS SPRUCE Address: House Name 43 ( 6- PEAR PATH TRAIL House Style 5PL1T EAITKV # Sq.Ft.House 768 # sq. ft.Gar. yy0 A6AN 1~4 1NN, M City: ~ FIELD NOTES Power ples P Low Areas Show location of meters Telepone poles T Highest Point Private well Larger Trees NORTH Private septic- system (Public water (Public sewer - a -ual gam! L.P. Gas culvert required 136,3'_ Curb cut required i ewer _ Water Stu e in C-S Driveway surface 151T,45PH"AC.T 22p,,~1 Front yard setback 30'MIN, t Sideyard setback C Att. garage s Garage left right Local Inspector, City of EAGAN Name DALE PETE RSON, 1707K RFI➢ f L ~ l Phone k ~y - 8f0o 201 t 4s" / LOT DETAILS size width 576s/l~ . o Size depth X36.31 %igU7~' qs i +'ig \vs- Approx. S. F. of lot 16,000 High point Power Poles Telephone poles Underground Larger trees Street = Elev. 0.00' Lot corners High point Low point Gutter or Ditch Local Electric Co. Name N 5 P Phone Local Gas Co. Name PEOBLE1 NkrURAL GAS Phone 1463- 7IZ1 a) Stoops (1) Z riser $ 2004, Decks $ b) Sidewalk 66 s . f $ IF/ Driveway 7~ s.f. $ 6005; Parking Pam s% f.$ Curb Cut $ Permits $ lawn steps # $ c) Finish Grade $ d) Black Dirt & landscaping Sod s.f $ e) Underground Util. $ O TOTAL SAC CHARGE $ y2s7y Water charge $ Park charge $ DIRECTIONS TO SITE: _ acam Boa sum ~cruo.r Kai! I 3...................... • ........M x a 1o t 0 .......r..+. 23% t i~.73 • S. . C........ 1O....... % x.......10 • 70...7!1 a►a V. 1. MralTMDW Or a00MME Nft~ "Doe AMMMOVab"em Pciit►or► d SEA BLOMOUIST MAYOR THOMAS HEDGES CITY ADMINISTRATOR THOMAS EGAN CITY OF -ALAN EUGENE VAN OVERSEKE JAMES A. SMITH CITY CLERK JERRY THOMAS THEODORE WACHTER 3795 PILOT KNOB ROAD COUNCIL MEMBERS P.O. BOX 71199 "'EAGAN, MINNESOTA ' SS127 March 19, 1982 PHONE 454-81 00 Dakota County Government Center % Auditors Office Hastings, MN 55033 Attention: Peg Dear Peg: This letter is to inform you of the corrections that need to be made regarding assessment payments. The following is a listing of these corrections: Parcel 10 11900 030 01, Paid Oct. 2, 1981 Coo7289 needs to be deleted from 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 22750 230 01, Paid Sept. 4, 1981 Coo7220 needs to be deleted from the 1982 tax statement Parcel 10 48050 095 01, Paid June 9, 1980 Coo5399 needs to be deleted from the 1982 tax statement $ amok t paid on the 1981 tax statement needs to be refunded. Parcel 10 84353 270 03, Paid Oct.6, 1980 CooS541 needs to be deleted from the 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 48050 094 01, Paid Oct. 3, 1980 CooS553 Needs to be deleted from the 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 75950 180 07, Paid Jan. 11, 1982 A010858 ASSESSMENT was paid at the County but 1982 installment still needs to be posted Parcel 10 16701 470 01 DP#166 We have no record of payment and should be posted on tax statement. Check to see why assessments has been deleted. If you need any additional information please contact me. Sincerely, Ann Goers Assessment Clerk THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Gas Line Plus, Inc. ADDRESS: 4806 Rutledge Street Prior Lake, MN 55372 00 O LOCATION: 4365 Bear Path Tr (J t<%-) P}71 0 nr► $ RECEIPT #/D ATE: 17831/ 09125/01 REASON FOR REFUND: Job was cancelled. PERMIT 47310 TYPE OF REFUND: Plumbing Permit 9001.4087 $ Mechanical Permit 9001.4088 $ Building Permit Fee 9001.4085 $ 69.00 Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admire) 9001.4246 $ Water Connection 9220.3865 $ Sewer Permit 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatment 9220.4685 $ Surcharge 9001.2195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 69.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 11/13/01 SIGNATURE DATE b 4/0 / w city of engan PATRICIA E. AWADA November 13, 2001 Mayor MS LAURA SCHROEDER PAUL BAKKEN GAS LINE PLUS PEGGY CARLSON i 4806 RUTLEDGE ST CYNDEE FIELDS PRIOR LAKE MN 55372 MEGTILLEY Dear Ms. Schroeder: Council Members On September 25, 2001, a building permit for a gas insert at 4365 Bear Path Trail was issued to Gas Line Plus, Inc. Your letter dated October 29`h requested a refund as you were no longer THOMAS HEDGES installing this gas insert. Please be advised that the City will refund $69.00 to you under separate City Administrator cover. We are unable to refund the $1.00 state surcharge collected. This letter is also meant to advise you that effective January 1, 2001, the City of Eagan Fee Schedule assesses a $50.00 fee to refund permits that have been processed and receipted. As a courtesy, we are informing contractors of this policy via letter and issuing a refund for a cancelled Municipal Center: permits on a "one time only" basis. 3830 Pilot Knob Road If you have any questions regarding the above, please feel free to call me at 651-681-4671. Eagan, MN 55 1 22-1 897 Phone: 651.681.4600 Sincerely, Fax: 651.681.4612 i -v-~/ TDD: 651.454.8535 an Severson Office Supervisor Maintenance Facility: cc: Dale Schoeppner, Chief Building Official 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com THE LONE OAKTREE The symbol of strength and growth in our community i r - r iNVf Imo' 7 ~ 10/29/01 City of Eagan Attn: Building Permits 3830 Pilot Knob Road Eagan, MN 55122 re: cancel permit# EA047310 Please cancel the above mentioned permit. The customer's name: Tanya Kay Bickerstaff 4365 Bear Path Trail Eagan, MN 55122 Copy of permit enclosed. Call me if any questions. Sincerely, Laura Schroeder Gas Line Plus 952-226-6220 4806 RUTLEDGE STREET * PRIOR LAKE, MN 55372 * 226-6220 FAX 447-6824 Vi's AS" 'Read PW jam'`.+}g6'561»1897 i'.,I . opt gOws Js -f c . Ty WON Miami 1 t 1 Permit Nuttier Data 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 IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes qNo DATE: 4_f ~ CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: 4-37i AH-\ L' LOT: 9 BLOCK: SUBD./P.I.D. Name: Phone 4~ 5170 PROPERTY Last First i OWNER Street Address: 141~ 5_ f~ V" a -NJQ City Cc, -D State: Zip: 5 S Z Z Company:_ -Z Phone CONTRACTOR 9 Street Address:/ License 7 City r L ( State: Zip: S 5 3 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all aPPlicabl State of Minnesota Statutes and CitY of Eagan Ordinances. Signature of Applicant: I _)U ~YD ,j 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 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review i-ense MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1988 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 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 3 To Be Used For:" °Valuation: Date: Site Address OFFICE USE ONLY Lot l Block T On site sewage Occupancy MWCC system Zoning Parcel/Sub ►L On site well Actual Const City water Allowable Owner t C- PRV required # of stories Booster Pump Length Address Depth S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit f Planner Surcharge S. Address - Council Plan Review 4- L Bldg. Off. -717 SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone 7 C Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies :a 1 TOTAL City/Zip Code Phone # RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 4t 17310 3830 PILOT KNOB RD - 55122 . d~ 651-681-4675 8 regWarul site surveys showing sq. ft. of Iot, sq. ft. of house; and all roofed area • 2 copies of plan (20% maximum lot serape allowed) . 1 set of Energy Calm for heated addbons 2 copies of plan showing beam & window sizes: poured found design, etc.) . 1 site survey for exterior additions & decks l ad of Energy Calculations • Indicate ft home sec f by septic a i► foraddtftons 4 dies of Tree Preservation Phan If lot plated after 711193 RIM Joist Detd Options selection sheet (bidgs with 3 or less units) )ATE f 7 -ot VALUATION 105 SITE ADDRESS Lac- Pa. t F MULTI-FAMILY BUILDING, HOW MANY UNITS? 40PERTY OWNER ~ V~ 0. 61 {-aFr_ YPE Of WORK r duce,. It nSteet- kOt tt) FIREPLACE(S) _Q !kI -2 .-_.3 %iPPLICANT I us P PHONE# ` CPDRESS q9 Q(0 R.l41c dV. Si- VrI'Qr l,.a4 zip CODE 'AGER# CELL PHONE # (oti--fit-a+ FAX NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 76" CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitt ~ . Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted - Plumbing Contractor. Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sower/Water Contractor Phone # W above information must be submitted prior to processing of application. 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. l Signature of Applicant :e tificates of Survey Received _ Tree Preservation Plan Received r Not Required OFFICE USE ONLY 3 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 AccessoM !mil 02 SF Dwelling, 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi 3 03 01 of ^ plex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF 7 04 02-piex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi 3 05 03-piex 0 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage 7 06 04-piex ❑ 12 12-piex Plbg Y or N ❑ 25 Miscellaneous 3 31 New ❑ 35 Int improvement ❑ 38 Demolish (interior) ❑ 44 Siding 3 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation Occupancy MC/ES System ,ensus Code Zoning City Water 3AC Units Stories Booster Pump Jbr. of Units Sq. Ft. PRV Jbr. of Bidgs Length Fire Sprinklered -ype of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. T Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile T Roof _ lee & Water _ Final _ Other Framing _ Pool s Ftgs T Air/Gas Tests -Final Fireplace R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector lase Fee surcharge 'Ian Review ACES SAC ;ity SAC Hater Supply & Storage 3&W Permit & Surcharge -reatment Plant Numbing Permit Aechanical Permit Jcense Search '.opies )ther natal Ep6 - CASN RECEiPT- F CITY OP AGAN 3795 PILOT KCB ROAD EAGAN, MINNESOTA 55922' ]DATE RECEIVED - FROM ouriT - $ i -DOLLARS 100 0 cAsH 0 CHECK 4- FOR RU'ND" - CODE AMOUNT r Thank Yoe-- f BY f r ! -White-Payers'CopY ' yott ow 'osting co ply mirk-i1e f'o{>y „_'ES ;..3 .d=^` +t"Z'.$~i.` ~?'`~763"~a,~''t`.YA '+~4•-:~.'°~'~n"~ t •.w~ y"',~•"Coa"'~'~ miw~ Mimi I'U BI!t?G 4 u . Mi # hb. ~1 3 A; 12/4/79 x6Be 4365 -13ear Path Trail. f 'rvo.: AIN i errrial 95 - s lsec. _ MeAdOwl ands' c ./Ind, c x;r a idew~r.I New Of InnolkINDM - Phone: Peru Fee "00 SurAorge .50 ' } mss k Wf Gty Prairie, - - t- .s Total 2 .50 ~'*rid 3 ,.OZmh Lid 'VN'dF 5hf3 C46t i!1 O id[tP..~ t~ ; 1655, 1711 Receipt MO.: Dote: Y of 4365 Bear Path 10 site AMrew ,.f 1 ~,+feadowlands : Cartnm.l= lot.. ~Ck Sub/Sec. _ mum • . Zaehman. Homes M~rlA#te.:! -7760 Idtchell.Rd. Coo of InSwiwtk)", Eden Prairie _O.QQ Psi# fie phone: City Ray N. Welter Htg. SUM+ wv Q Nook " 4637 Chicago Ave. - 20 y~ 2~Ipl~+.,mn 55407 Phone: Total - - city f^ F ~r»i3: i5. ; sued on the a,p,,Ss ti*ilition that oil Mirk shr€ti be 4one in -C-dorske v 811000IN e ; Siat Ws c 6d City of ;z~an ~lydintinces:' r 41 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 < BUILDING PERMIT Receipt # r , To be used for Est. Value Dote 19 P 1 9- Site Address - ' Erect ❑ Occupancy Lot Block Sec/Sub.' Alter C] Zoning l Parcel # Repair ❑ Fire Zone Enlarge C3 Type of Const. a: Name Move Q # Stories I W Address Demolish ❑ Length ; r b city Phone ; h Grade ❑ Depth , Sq. Ft. 0 Name_ Approvals Fees ,o u' Address Assessment Permit ~ city Phone Water & Sew. Surcharge F Police Plan check UW Name FW Fire SAC u; Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit hereby acknowledge that I have read this application and state that Bldg. Off. r 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: on the express condition that all work shall be done in accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official I Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric ,C ~-r $ I /'l, E (-g 2 e Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer f: Pr. Disp. crlnr OF EA6AMi WATER SERVICE `PERWT 3795 tot Rea Rand PERMIT NO. 4ogoay M~j 55122 DATE=: r Zoning: No. of Units: ' ipwner: ZOO Address: Ste:hlt'e. PEumbar: Meter Na.: Connection Charge: Size: Account Deposit: y Read" . No.: Permit Fee: to empty with the City of Eogon Surcharge: Misc. Charges: 60 . Y Total: By Date Paid: Date 0insp.: Insp.: CITY Qtr .EMIAN SEWER SERVICE PERMIT 7g$ Pilot Knob Road 4 PERMIT NO.: "j Eagan, MN $5122 DATE: 1 7 1 z , 7-oniM: J No. of Units: Owner ?ac ` im Ilomme _ Address: Site Addre3fi~teir T'~lG~1 Trsi~ L5' B1 2do~rld Plumber: _-Budget P17-bi,ng - 8/20179 15553 1 1 ogr4e6 to comply with the City of Eagan Connection Charge: 42-5 *Of) Pd nor►e:e . Account Deposit: Permit Fee: 10.00 - Surcharge: - 50 . BY Misc. 0iorges• Date of Insp.: Totaf: Insp.. Date Pbid; PERMIT City of Eagan Permit Type:Building Permit Number:EA113482 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 4365 Bear Path Tr Lot:095 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-095 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 . Matt Kral 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 - Armando Monroy 636 Grand Regancy Blvd Brandon FL 33510 (612) 419-6794 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132321 Date Issued:08/06/2015 Permit Category:ePermit Site Address: 4365 Bear Path Tr Lot:095 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-095 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Armando Monroy 636 Grand Regancy Blvd Brandon FL 33510 (612) 419-6794 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature I-For Office Us@� i r ` r :::: g25 94, %,.. .,..° #.,0 G A N e: - ECEIVE0 Date Received: -S ',� 19 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 i (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections cityofeapan.com "C IT 5 2019 -+ RY 2019 RESIDENTIAL BUIL3tNO- ERMIT APPLICATION Date: 10/25/19 Site Address: 4365 Bear Path Trail Unit#: Armando Monroy612-419-6749 Resident/ Name:Address> city zip: 4365 Bear Path Trail Phone: ii Applicant is: Owner ✓ Contractor ' __ i ;, a 1 i i_ ._ I S� Type of Work Description of work: 51' drain tile 4050.001Construction Cost: Multi-Family Building (Yes /No ) Company: Standard Water Control Contact: Kelly Henderson 5337 Lakeland Ave N Crystal ContractorAddress: City: i State: MN Zip: 55429 Phone: 763-537484— u° Email mike@standardwater.com BC001 522 NAT21436-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: f=ire Suppression 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-•ublic if`ou • avid*s•eciflc reasons that would'emit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan,comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State Ono 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,gopherstateonecait.orq I hereby acknowledge that this information is complete and accurate:that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is • to start without /permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o pl. s X Kelly Henderson -'``' G % � 4.-_L_ . Applicant's Printed Name Apg lc nt.s Sre / /-�/ �� / � /-5-E6. 'DO NQTWR|TE BE�WTH|SL|NE ��±� -� �� / r- ' , SILI13tYPES __ Foundation __ Fireplace Porch(3-Season) __. Exterior — Single Family Garage Porch(4-Season) _ Exterior __ Multi _ Deck __ Puruh(8ureen/0azohw/Pergn|a) Miscellaneous 01of P| LowerLovo| Pool Accessory�uU�|n� __� __ ox __. WORK TYPES __ New ___ |nmmrimr|mp,mvemen� __ Siding__ __ Demolish Building* Addition __ MoveBuUdinW __ Rnroof Demolish Interior Alteration FireRmpair Windows DemolishFou�dat|uo __ __ __� I Replace _ Repair __ EgmwmVV|ndom/ ___ Water Damage _ Retaining Wall Demolttlon of entire building—give PCA handout to applicant DESCRIPTION / ' Valuation 0 b 0 Occupancy 1111 - MCES System Review Plan CodwEdidon mu � ^ ( (SAC Units � (259� 1OOY�y .) �on|ng � (��yVVmterOansusCode Stories Booster Pump #of Units Square Feet PRV #of Buildings LongthFire Suppression Required Type of Construction ..44" : Width REQUIRED INSPECTIONS Footings (New Building) _ eter Size: Footings (Deck) Final/C.O. Required ____ Footings (Addition) Final I No C.O. Required Foundation __Foundation Before BackfUl /' HV#C___SemioeTest_GaeLineAJrTestHnod Roof: Ice&Water Finm| ___. Final Fmanning3O&oinuteo "w � *our � �ra|nT|| e 0 �insplau��___Rough (n __�`irTes� ___Fin�| ' �i�in8�_ � ___ tucco Lath Stone Lath BrichEF|8 ____ Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Shnetrmck Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control ShowerP�n Other: __ fr Reviewed By: �^�, ��ui|d1ngInspector '�' RESIDENTIAL FEES -141:r. Base Fee Surcharge (J (\jfl)JI MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant 9-1, ��~��RmdioR0etwrRwmd u/ &'� �� - � � K�' �� ~ ~^ J�' ~~(7 Copies TOTAL � « - Page zvfa