1879 Bear Path Tr41 ? City of Eapn
2008 RESIDENTIAL BUILDING P
- ------------
? I
j Permit
? Permit Fee: ?
? Date Received: t ?? I
i 5tafi: . ,....; . ? ._:?_. _... _ .
I ?
`-_--_-_--_-_-___J
MIT APPLICATION
Date: Site Address: ??/ ? ????? ? ?lj i ' '- / "?`' j ??
Tenant: Suite #: _
RESIDENT / OWNER Name: Phone:
Address / City l Zip:
Applicant is: X- Owner Contractor
TYPE OF WORK Description of work:
r
Construction C.ost: Multi-Family Building: (Yes S? / No )
?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rufes 7672
_ Minnesota Rules 7670 Cateqory 1
_
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 SubmiSSion type) • Energy Envelope Calculations Submitted
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 consideretl to be public information, Portions of`
the information may'be ciassified as non-pubiic if you provide specific reasons that would permif the Cify to
eonclude that the _ are tracle secrets. ?
1 hereby acknowiedge 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, 6ut only an application for a permit, and work is not to start without a permit; that the k will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature -
Page 1 of 3
RESiDEHT1AL
BUiLDING PERMIT APPLiCAT10N F 2?'
?ITY oF EAGAN
?
? 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction Reauirements
• 3 registered ske surveys showing sq. ft. of lot, sq. ft. of house; and a roofed areas
(20% maximum lot coverage aliowed)
• 2 copies of plan showing bearn & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detad OpCrons selection sheet (bldgs with 3 or less units)
DATE 6 , ''? o ?>
RemodeilRenair Reauiremnts
• 2 copies of plan
• 1 set of Enesgy CalculaUans fot heated additions
• 1 site survey for exterior additions & decks
. lndicate if hane setved by septic system for additions
'57C ! V?!_
VALUATiON
SITE ADDRESS G./ MULTI-FAMILY BLDG _ Y I? N
^ w •. ? ?
TYPE OF WOR
APPLICANT
STREET ADDRESS
w
TELEPHONE # ??,? aSI 4 J89CELt PH4NE #
FIREPLACE(S) ..,_ 0 - 1- 2
CITY_YSM STATEXi- ZIP
PAX # fIy?- 20
PROPERTY OWNER TELEPHONE #
...................................................... -............... ------------- ------------
CQMPLETE THIS SECTION fOR "NEW"' RESIDENTiAL BUiLDINGS ONlY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULF,S 7672
{4 submission t)pe) • Residentiai Ventilation Category 1 Worksheet Submitted i • New Energy Code Worksheet Submitted
. Energy Envelope Catculations Submitted
Plumbing Contractor: Phone #
Plumbing sysCem includes: e Water Softener ? La.wn Sprinkler
Water Heater No. of R.I. Baths
? No. of BaChs
Mechantcal Contractor.
Mechanical system includes: ! Air C o `- Heat ? ovW.System??r-> . ;
Sewer/Water Contractor. ?
.r.................................................?K.............. . r?e
I hereby acknowledge that I have read this application, state ta with all applicable State of Minnesota Statutes and Ci?y of Eaga Signature of
Fhone #
Phone #
Fee: $90.40
Fee: $70.00
..........r........s..............
is correct, and agree ta comply
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
0 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex O 13 16-plex
? 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 08-plex 0 18 Deck
? 11 10-plex ? 19 Lower Level
0 12 12-plex Pibg_Y or _ N
0 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4sea.) ? 33 Ext. Ait - SF
0 23 Porch (screened) 0 36 Multi
O 24 Storm Oamage
? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
CI 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Ooors
"Demolition (Entire Bldg only) - Give PCA handout to appticant
Occupancy MC/ES System
Zoning Ci#y Water
Stories 8ooster Pump
Sq. Ft. PRV
length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ` FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) - Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final ? Pool Y Ftgs _ Air/Gas Tests _ Final
_ Framing ? Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final ? Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Ptan Review
MC/ES SAC
City SAC
Water Supply & Starage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Tbis reQuest void
18 months from ?
A 092173 St;?
Request te Fire No. Rough-inlnsple? on
Required? t
C]Ready Nowljr?ill Notiiy
Inspec-
? Yes ?No ,
" `tor When Ready
LLicensed Electrical Contractor I hereby request inspeciion of above
Owner electrical work installed at:
Street Address, Box or Route No.
! tl ! 43?aG%1, a"Y C ity
5-
ecuon o.
? Township Name or No. Range No.
?? County
GP?,9
Occup nt (PRINT)
e:? Phone No. °-r
Power Supplier
P-4'4GC: Address
tnwa
Elec ical Contra tor (Company Name) ? Contractor's License No.
Mailing Address (Contractor or Owner Making instaitationi
t
??
?
,
CtN
Authorize Signaiure Contract r/Owne NS
r aking tnstallation)
Phone Number
=t.-..
MINNESOTA STATE BOiRO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 UniversitY Ave., St. Paul, MN 55104 UNLESS PROPER INSPECT(ON FEE IS
Phone (612) 297_2171 ENCLOSED.
3 ? REQUEST FOR ELECl'RICAI INSPfCTION Ee-00001=04
? ' See instructions tor co23pieting this form on back of yellow copV•
? A q q
f? 3 "'X" Befow Work Covered by This Request
?
Fi d Rep. - Type ot Buiiding Apptiances Wired Equipment Wired
Home Range Temporary Service
' Duplex Nlater Heater Lightiiiy Fixtures
' Apt. Building Dryer Electric Heatin
Commercial B1dg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
L- Other Pecify ther (SPecify)
('mmniifP lncnnrtinn Fan RA{nw
if Fee Service Entrance Size t! Fee Feeders /S ubfeeders # Fee Circuits
Q U to 200 Am s 0 to 30 Am s e'2.,? to 30 Am s
Above 200 pm - 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100. Am s Above 1Q0-Am s
Transformers lrrigation Booms , sd Partial-`Other Fee
signs apeciai inspection ,
$ /?l? OTAL FEE }
ema?ks /
YO? y
Rough-in Date a)
/0„,. nspecfor, hereby
` ""? ' certify thec the above
Final tl 3"Y` ' Q???'7 insPection has bean
This request void 18 months from
CITY OF EAGAN
Addition SUN CLIFF 2nd
Owner
Remarks
Lot 9 glk 1 Parcel 10 72976 090 Ol
Street 1879 Bear Path Trail. statie Eagan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RES70R. ...?8,?'7$' 1986 ?3" 431.51 5 ? t , S -103 0S r -
GRADING
SAN SEW TRUNK ? 1970 4$.64 1-.-93 25 _4
SEWER LATERAL ?S ? 1985 265.6 53.12 5 212-51 it
SEWER LATERAL 999 1986 829.62 165.92 5 ,.7, G- ?.57
WATERMA{N
' WATER LATERAL 1000 1986 942.60 188.52 5 UY U -??•? 9.S D'? S
WATER AREA 1973 62.34 ,1S" 4:--l-6 15
WAT LAT BEN t862?677 1986 57.88 11.58 5 .1Y C- /O 9JV5 ?-'F-
STDRM SEW TRK d 1971 161.72 , 0 g 8:$9 20 z -1 _$4
STORM SEW LAT qJr.
S W SERVICE 1005 1986 808.77 161.75 5 7 -lD,j /U -,F-9$
CURB & GUTTER '
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122 . 03 5 10. 1'1 '-103 `1 S !U -- S
Road Unit 260.00
q-28-84
CONN. 470.00 it "
BUILDING PER, n ir
SAC 525
00
>>
r,
PAR K ,
rt
, CITY OF EAGAN N9 9553
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Receipf # ??`??/
aU1LDfNG rERMiT ,?'J _,
To be wed ior SF DWG/GAR Est. Volue $70,000 Date SEPTEMBER 28, 19JJ4-
r
Site . Ad -
1879 BEAR PATH TR Erect ? Occupancy R3
ess
Lot %Block 1 Sec/Sub. SUN CLIFF 2 Remodel ? Zoning R
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name GRAND OAKS Move ? Length 50
Z Address 7623 UPPER 167TH ST Demoiish ? Depth 48
City LAKEVILLE phone 432-6561 Grade ? Sq. Ft.
t
o Name SAME
Z
u
8 Address
? City Phone
?
F W.
Name
?? Address
t W City Phone
1 hereby acknowledge that I have read this opplicotion and stote that
the information is torrect and ogree to tomply with oll opplicabie
Stote of Minnesoto Stotutes and City of Eogon Ordinances.
Siqnoture of Permittee
/1 Building Permit is issued to: GRAND OAKS
0l1 work sholl be done in atcordance witw'-O1M opplico6
Approrols Fees
Assessment
Water & Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off. 9 2 8 $ 4
APC
Var. Date
Permit 0
SurcFwrge 35.00
Plan check 171.50
5AC 525.00
Water Conn. 470.00
Woter Meter 63.00
Road Unit 260 . ? 0
Parks
-t-otal $1, 8 6 7. 5 0
on the express condition thal
Minnesota Statutes ond City of Eagen Ordinonces.
8uildinfl Officiai
. i . e u. . . .. . . . OR . ? . . .
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITX OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SU v
SET OF ENERGY CALCULATIONS
To Be Used For : Valuation : Date : 2-- tl /
Site Address: ?
Lot:? B1ock:-LSect/Sub:?
t?.r? --
Parcel #:
Owner : -
Address : ;
City/Zip Code:
?
Phone # :
Contractor:
Address: ? S a4-
"i v
CityfZip Code:
Phone # : t/3
Arch./Eng:
Address:
City/Zip Code:
nhr-%nP# -
Erect: ? Occupancy:
Remodel: Zoning:
Repair: Type Of Const:
Enlarge: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.:
APC:
Variance:
?
?
?
?
Permi t : 3?} ?j.+'o"
Surcharge : 3S, °-°
PZan Rev.:
SAC :
Water Conn : '70. «'
Water Meter Ip3. °"
Road Un i t:
Parks:
? ?? e 16- 2- s a
WO *'0 • Y
For` :
GRAND OAKS DEVELOPMENT
z ??
C. R. wINDEw a ASSOCIATES, 1NC.
«ND SuRVErORS Til 645- 3i46
1381 fUSTiS ST.. ST. ?AUI, MINN, sS10d
Ca9y ,
gJ Ng/e , 1
W
8?
n
h
-
qp
5r
--77
?
Scale: 1" = 30'
O Denotes Iron
Monument
? q?z s>
Lf) g6 ' kl
tiOTE :
o n? I 'y?US`c
?10,3 Q r' ? o Denotes Wooden Stake
?ropcsed Garage Floor E1: 905.6
? ? w- 2e
Z ??? N I ? ?rv
N (90S.3 ) Denotes Proposed
Finf
h
d G
d
1
Q?
?9os3
> I
01 s
e
roun
E
.
(?.? io.3 g I'?/ -QZ ?--- Der.otes Direction .
? Ci Surface Drainage
^ ? N 6.3 Vertical Datum - N. G.V. D. 1929
Q ?
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.
.
O
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? 5
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R:
R
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p?
Lot 9, B1oCk 1, SUN CLZFF SECOND
ADDITION, Dakota County, Minnesota
wE MEREdr CERTiFY THAT THiS 15 A tRUE AND CORRECt RfPRESENTATION Of A SuRVEr OF THE
SOUNdAR1ES OF THE IAND A60vE OESCRI6ED AND Of THE IOCATION OF All IUIIDiNGS, If ANY,
THEREON, ANO /1lt VIS16LE ENCROACMMENTS, If ANY, fROM OR ON SAIO (AND.
Cotad thi• dar oF:24f'e1+rbcr A.o 19?Y C. R. WiNDEN & ASSOCIATES, INC.
?
br -??,h
Survoror, Minn •oto Rapisrrotion No
.
' EKTERIOR ENVELOFE AVERAGE
• 'U' COMPUT ATTON
' GFRND OAk::B DEVELDPMENT COMPANY
MODEL Q AREA U U X AREA
REQUIRED
1. TC]TAL WALL AREA 1800 X . 11 198 \/
2. TQTAL ROOF AREA 1 196 X. 026 31.096
?
ACHIEVED
AREA U U X AREA
A. WxNDQW AREA 186.66 .5 93.33
B. DOOR AREA 39.8 .077 3.0646
C. SLIDE GLASS AREA 13.44 .48 6.4512
D. F I REF'LACE AREA 0 0 u
E. WALL FRAME AREA 180 .041 7.38
F. IVET WALL AREA 1164.1 .049 57.0409
G. RIM JOIST AREA 119.52 .0436 5.211072
H. FOUND W I NDOW AREA C> Cr 0
I. FCIUhiD ABOVE GRADE 96.48 .135 13.0248
3. T07AL WALL AREA 1800 185.50261//'
J. SF•'.YL I TE V tj 0
K. FtOOF FRAhlE 119.6 .032 3.8272
L. IVET Ft00F AREA 1076.4 .025 26.91
4. TCITAL RClOF AREA 1196 30, 737y ,//
C17Y QF EAGAN
$830 ?lo?c Knob-fioaa
P+PIN 52
1
L:Zo'n'ing: a?c P11.
Grand
te Address: 1879 B
wnbe:: Mur'
er No.•
8ize: rt
Reader .. .? ? L
iAIATEt SEitYlCE PERAdtT '
PERMiT NO.; 5849
M
DATE: IIf 3{1/84_ No. of Untts: i
Oaks Dev
a Path ?alT B1 Sum Cliff 2nd
prPIUAMW , f _ . i
? ' ?ohne?`te `iaSb?ge: 470.00 15.00 pf3 ?
Permit Fee: i.n,#?,Qpd
f agres ft eom* with llw City o# Eagen Surdharge: a, A
Ordinsnas. Mtsc. Chor9e". b?sd metez'?
a
` 7otn1: ?
Bv??- Date Poid: ?
[kite of Insp.:
?o aq'lp?4~ Insp.:
A
. ?
ctTV oF EaG,aa WATER SERVICE PERMIT
3830 Pi16t Knab Road 5849
P. O. B 1199 PERMIT NO.:
Eagan,S??l 1 DATE: ?-1 /3n/84
ZH14ing; No. of Units:
Owner. GrBA OBk,B IaeY
Address:
S+te Address: 1879 Bear Pat Trail L B Susf C i nd
Piumber: `' rz Pl-u-ml5rn-g '6
Meter No.:
Size:
Reader No.:
1 ayreo to oanplr with tb"ify of Eogan
Oediavaees.
By
Date of Insp.:
Connection Charge:
Account DeposiY: _
Permit Fee: 1 d _ 0tt pd
Surchcrge: 5
dm?eter
Misc. Chorges: 63• P?
Total:
Date Pn+d:
(nsp.:
. ??r?_ ,? ??
? CITIr OF
, 3830 Pilot Knob Fioad
` P. O. Box 21199
Eagan,.MN 551 7
zop,v:
, rand 0a a Dev
€SEiniER* sERVicE ? PERu?Ir x .
PERMIT NO.: '???
DATE:
No. of Un;ts:,
Qwner:
/Wdress:
Site Address: 1879 $ear at Trai L B n n
Piumber: TSu2"Y PlismbiI1 CA
9-28-94 46680 100.00 P
i egeee to ean* wkb tAs Gq of Eagon Connaction Charpe: 425. 00pd
Or&aeaCSs. AcwuM Deposit: 15.00 pd
Permit Fee: 10•.00 Rd
?
F BY
f berte of Insp.:
Surchcrge: DxL
Mise. Ch+o?ges:
7otaJ:
f Insp.: Dote Paid:
r '
t
CITY Or EAGAN
APPLICATIOiV FOR PERMIT
SEWER AND/OR WATER CONNECTION
2/84
(PLEASE PRINT)
1) PROPERTY ADDRESS : _ 1?175 v,..? C? Ck ? / C?1/7
r FGar • DESGRIPTICN :
(In, t lock/Subdivision or Tax Parcel I.D. Nurber)
I"r S'I'RL'=.?'?E , DATE 0F ORTG.i IAL Ei; Ii!:)I::G 1.?=.:,!IT ISS,
-- ?a--,
?---•- , - ,
PPES= -"`ITr'/P??OPOS=-) 43 R-1 =,GL. FA.YILY
? R-Z BUP= M%'O LNITS)
0 R-3 TG:,:-T?FC'C,TSE (== + L':7ITS) ( L'?II^_'S)
0 r2- 4 L'ti I, S i
? Ca%rT-=,CLAL/R=AII.,/OF'F'IC'
? ?.'DL'STRLAI,
p INSTITL; rIONAI,/GGVE.T2?'T',-?;T
z) Appj,I= (PLEAJE PRINi)
G" J?-
ADDRESS : '-7 lo
CITY, STATE, ZIP: l
PxoNE:
3? p?T;?? P,L?ASE PRINT)
? FOR CITY USE OVLY
NAi
E' L) r?
ADDRESS : 6 PLRS UCEYSE:
Ac t i v e
CITY, STATE, ZIP; ? / .Q = Expired
C) I t
PHONE: PLUMBER LICENSE # [= Not of Re.ord
a nitia
4) O=RNT/(]r,v'rJER N71NIE: (PLEASE PRINi)
ADDRESS: C 1
CIT"f, STA'I'E, ZIP: ?
PHONE: F
5} INDICT,TE Wf-iICH PERMIT IS BEING REQUESTID:
COD1NECrION 'I"J CITY SEWER
? CONNECTION 'IO CITY WATER
" Q C7'i'I1ER (PLZASE DESCF2IBE)
I 6) Ir??ZGATE C:E:
? PI.Ea.SE F?OID APPROVm PER'tiLIT FOR PICK-L'P BY OIVE OF AEGVE
PIEASE :,TAIL APPRGVm PER.11IT M 1, 2, 41 4 ABC7VE
(Circle one)
7) SICz?ATL'RE:
DATE:
o
i- ,
ir !7n lm:1wmaCw !o ft i!'!t Yf:af 71?F9t?IC? ili i aIL swi ii?i :m aa i1t ?! IIS ?mftjllw1m=?
. .. , . . .. ... _ ? '
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
F___ I
FEES . $ -!;:;- -'j
$
$
$
$
$
$
$ ??? _------'?
$
$
S
$
$ .
$
SETr7ER T_'ERMIT (I`ICT':;DE SU°CHaRGE)
WATER PERr1I77 (Ii7CL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STCP)
SE;vER TAP "
ACCOUNT DFPOSIT - (r7ATER
WAC
SP.C
TRU'VK 6+7ATER ASSESSMENT
TRti:1K SEWER ASSESSME:iT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER '
TOTAL
?`„'
AitilOQNT PAID/RECEIPT # L % ? ,``?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WRY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOtiaING CONDITIONS: '
- ?.
APPROVED $Y:
T I : LE :
DATE :
.
•N 017" wk¦
?
? CASH REGEIPT
.
CITY OF EAGAN
? p. o: BoxP
? EAGAN, MIJ?1tfESQTA 55121 ;
? r
?--
? t ., ,/'
; RBGEIYED (?,? ?,„y " (.•- `- ? .?-' /? .. ?
... •_.,c+.a f . .. . ?-....... +
' AMOUN7 $
& DOL.LARS
? CASIi ? GHECK
?.-
F$R
t
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' Fl1MCI 17- 1 . -- _,,, CODB I AMTEYU.NT(, ?
T i?l
Tha 0?i
??? SY
01-680
Whiie-PeYers CoPY
?Fe11Gw-Posting C<sPY
, .. ??
. CITY OF EAGA{U ?,; :; ?? ??
3830 Pilot Knob Road, P.O. Box 21-9?, Eagan, MN 55121
BUILDING PERMlT PHONE: 45487? ?
Receipt ?t ; f ? ?? ? ` ?,;.
Te be uud for S? A?'??? Ess. Voiue $ 7 a i??? Date ??PTEI?BER ?$, 19?
.
w
- -
SiteAdc?ess 1?7g B£'.AR PATH ..??.?? ?...r..?.
.....
?
TR Erect
? .??..
Occupancy R?
Lot Block SeclSub, Remodel ? Zoning
Parcel No. R?air ? Type of Const.
Enlarge ? No. Stories
W Name GRAND U1?S Move ? Length ?
Z ?P??? 6 T? 'i'+-+'?' Demolish ? Depth ?
3° Address
LAKEV ILLE Graae
4??`? "
? 6
? ? Sq. Ft,
City
phone -
.
-
Z,O Name S??
u? Address
?- Gity Phone
?
F W Name
?? Address
tW City Phone
I hereby acknowledge th6t 1 hove .read this opplicotion and state thot
the informotion is corrett ond a?gree to comply with all appliccble
State of Minnesoto Stotutes pnd; City of Eagan Ordinonces.
Signoture of Permittee
n C)AKS
Approvo Is Ftos
Assessment
Woter & $ew.
Police
Fire
Eng.
P{anner
Councii
Bidg.Off. ? 2$ 'g4
APC
Var. Date
Permit " a
Surchurge ?? • ??
1? 1. 5?
Pian check
???•???
SAC
Woter Conn. ?? 4* Q ? ??
Water Meter ? ? " ? 4
Road Unit ???•??
Parks ?
Total ?? ? "?
11 Buiiding Permit is issued to: on the expresa coridition that .
oll work sholi be done in occordonte wit o upplicab St qf Minnesoto Statutes ond City of Eogan Ordirwntes: '
? (? ?,
Buitd'+ng Officioi "v"? -?? ? ; ? ??'{.-.•z ts_> L,
Pwmit No, Permit Holder Date
Plumbing -)(p q
H.V.A.C. `c l -?6 J4-
Elactr,c `°1 os q
Softener
Inspection pate insp. Other
Footings
Foundation
Framing ?
.
oug Plbg. 0?
Rough HVAC
Insulation b?
Final Pibg. ?
Final HVAC
Final ?
Cert/Occ. ?
"
?
Water t3escribe Location:
J
Weil ?/D
Sewer
Pr. Disp.
. . . . , : , . . f .
Receipt ir - PLUMBtNG PERIRIIIT. • Permit No. t
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly To,? ?- .. ;>
1. Date,,"J 2. Instaliation Cost
3. Job Addressf? L.otBik. ' Tract rAxr'
t
4. Owner
5. Contractor
6. Address
.
Phone
7. City State Zip _
8. Building Type: Residential Z Commercial ? Institutional ?
9. Work Description: New, 0" " Add O Alter ? Repair ?
10. Describe
11.
No,
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
f_ Bath tubs eP
i;
Lavatory
Softner
Shower
Well
f Kitchen Sink
Urinal/Bidet Other
Laundry Tray
t' Fioor Drains
Drinking Ftn.
Siop Sink
F Gas Piping Outlets
12. I hereby certify that the above informatiqn is true and correct, and I agree to
comply w?th all ordiances and codes governing this type of wo,rk.
?.
Signed := A.-.
`?. for'
Rough F+nal
Inspections: Date Insp. _ Date Insp.
T'his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt AAECHANICAL PERMIT Permit No.
CITY OF EAGAN
? Fee
fill in numbered spaces S/C
TYpe or Prini legibty Tot.
l1. Date 2. Installation Cost
.
ra.. (?_. . ,3. Job Address Lot Bik. ? Tract
4. Owner
5. Contractor Phond-e'-7
6. Address
7. City State Zip
8. Building Type: Residential C3 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
Fuel Type
No,
` EdJp ent BTU - M. Ea.
Forced Air =' No. Epuiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that tMe above information is true and correct, and 1 agree to
compiy writh aii ocdin nces and codes governing this type of work.
Slgned :
,y for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
i4pproved CtTY CIF EAt'aAIU 454-8100
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113715
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 1879 Bear Path Tr
Lot:9 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-090
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Edward M Bird
1879 Bear Path Tr
Eagan MN 55122
Accoy Contracting Inc
10741 185th Cir NW
Elk River MN 55330
(612) 203-0849
Applicant/Permitee: Signature Issued By: Signature
•
•
•
71
o 11 r i For O(11ce.Use
.%
1 P' 7Ar to: /Q
j (l + Vf f •
r „
ji /�Y!(0
Permit/{:.
:•- �� ,, Permit Fee: CCS
a
•
3830 PILOT KNOB ROAD. EAGAN,.MN'55122.18.10 FEB 2 0 2019 Date Received: d•-(34.° *1/
(651)675,5675 I TOO:(6.51)454-6535 I FAX: (651)'675.5694
bulldinginspecflgnsAcllyofeagen,Gom Staff:
• L 7 .1
{pp��.2\018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: r )9 \� iVW`� '`'" ✓
Site Ad�rese:
Tenant: U.L. `p -1(driN'. ' 651 -6'1..-.
t)kgiri
�?at; �(, S' ^ _ /Suite It: _
''iU n�4'`g Name: „ G Y/��y • 1 ��0, eYY Phone:YA�IL}�,), ','l?it 14,4 % Address/Cil / • r
f1,fr' 1'(7”}i a z"✓: Y Zip: •
O..�./.. �_&mil v _/!__, _,�/
60,,,41.,' t� Name: MILBERT COMPANY dba CULLIGAN WATER •Ant.40).- License#: VVC64137.
i)�, �1"`y'tO k't IR Address: 1801 50TH STREET EAST
"AT j.ir�"'
b ti((a coq ..
w O;r1IQ( t,f�Y�(,. 3t(� City: INVER GROVE HEIGHTS
P; �4t�,�,. ( �'�;
��i} .ice?rr f';,
. rl'? •,�l��Ygl[ .,' '8c' Slate: MN . Zip: 55077
• c ;r. r � .. Phone: 651-451.2241
! i ; 1.'(J,'N.+,,',wick?
s.,hnt;N. >iiYr,•t,;(4 4 F,' l r Contact: BILL MILBERT Email: loria.abas@culligan4water,com
°+v ' ``' b '1 n f�`} New "" ... � 1
:1; ^, — Replacement Repair Rebuild Modify
',,P;(13 �1 @%16 1 r5�, ,s1ft — Space
It - �srt}t A M`ad"5. 'r, Des Work In.R.O.W.
tttig•i•}xir.�`} 1''V; v }`'``ir , crlp not w
llo ork;
,tr,�' ''e�,I,,i; ,iL fl (z, '.. r RESIDENTIAL� _.
VIMsti
i 7:j 17.5 p �,..,
�:\\ ' �,4100,1
� '�I ,i(r, l��f _,Water Heater
• tai ,45.zt:�(:',0,1
a 1 rid 'I•• 4J.r'�,i "a Lawn IrrigationX Water
rz% rf e,i RTlt�lt p. y?'D r (_—RPZ V Softener
�k;;,,j,�rilt•, t'A,. Itr+,3:,f�a, {;;;15tt��; ) often
' t.�.t.`i / PVB)
Add PlumbingFixtures
? c.1, S:'4';.t�ot;, /9 Septic Main./
;FI�? �"} •�'�'.''�:r ti,� System
:•,j�'�rl 4{�tt`,;� ,•};t.,if ,a Lower
4'lt'):'; 411C�'��1.kf4V,43 10/ _New Level)
l +4r,F' +(,, 't.;.tli� _Water Turnaround
i. iti•; , b h.r•;
1r '1;� .�
''>:1`'1'ri!'t (:Ys3 i.:,:;'i''i 4r,{Yi Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes Slate'Surch'arge)
$00.00 Lawn irrigation (Includes Stale Surcharge)
$60.00 Add Plumbing Fixtures, Septic Sys'tem Abandonment,Water Turnaround*(Includes State.Surcharge)
'Water Turnaround (add $280.00 If a 3/4"meter Is required)
$115,00 Septic System New(Includes County fee and State Surcharge) -TOTAL 66
CALLBEFORE YOU DIG. Call Gopher St'ala One Call et(6571745-4--00--------------02 for protection against underground ulllily ama'ge. Ca ._____________
a._._ 000 ore o
Intend to dig to receive locates-of underground utilities, vsvw.youherslaleonecall c,rn
You may,subscrlbe to recolv.e an electronic notificall from he City of proposed ordinances you
r webstla at wwwcsubscribe
tyto recolv.e
ccribe, by signing up for-an email update on tho City's
I hereby acknowledge'that this information Is completeand accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only• en application for a permit,a, andowork Is not to sled without a permit, that the work will be In
acc< dance wl h the approved plan In the ç
.se obut o hlch requires a review and approval ofp a , liti ( .
� rnApptican sPrinted Name
titywi+t ffld\`r',:;,'s(1! F't :1'+ r t�(; ;n{ ,- App ant's Signature
�ii p:fij?�` ,,fr'�•. �- °r9p �rt`r>�`�%;��,t�:��t% ' ,`^{l;S:ii:" si���r ,;a.�ri,.r. <•t�.•.u;...
t�1n�H rat',J � .k•� ii.,--:�ir, 9i���}'��5f��°n;(�.y },��;%I:iit itl\�,(V.',i}.�>a: C�"'Y:1,`�ll'�rC`,R�[;.,,e'�a�w,rf�r,..1;1'i�iY:A•••• •v:i.. •\.,,
'4$Z4,0-,d. .y/,, 1 i9,7�';'i. �. .,ii ,%,tiVi-i i:i'.i....i,..gt..>•; ..,I4yI:� J . . '.:").� i;l),t,w-'.'.,,,'F -,,o'. moi.':• .4�n'�, r.s
?S�?,r.,.,tl.>J-(�• !�.,f.,`. ;�.s.t;s ,�, �:>.>�.s;. t} .,t�•',..:. .e,Vl' .'r;,: 1 ;t A,, rrli ,''66 ••,.1�.;,Y`=�fFfS.dtJ `i 41,t^i,.3r'
J.. 4 :,'t r?:,,. 1r .,•"f�i' ' '`44 '!tri• 0.0::,.. w,...^.::.a,!tt,:•i{`•it., e.V4o,t}g. ti::% ;'.:}tire`,. ,;
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156536
Date Issued:07/03/2019
Permit Category:ePermit
Site Address: 1879 Bear Path Tr
Lot:9 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Edward M Bird
1879 Bear Path Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173730
Date Issued:11/30/2021
Permit Category:ePermit
Site Address: 1879 Bear Path Tr
Lot:9 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Edward M & Carla H Bird
1879 Bear Path Trl
Saint Paul MN 55122--226
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature