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4378 Bear Path Tr
Use BLUE or BLACK Ink r For Office Use I City of EPermit#: i Permit Fee: Lo ~ V 3830 Pilot Knob Road j Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L -----------------I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: e/ct(1 !D ql e_ L.9c Phone: Address / City / Zip: (,4j-7s, Name: " t L P (u.w L ► 9 `lc License ® & /O C/O ,D /y CONTRACTOR Address: I W7 ko L DVI4AA K'D V City: State: Zip: Phone: Contact: Email: L WL Ile- Q A/(-GAO PLUIV~ING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: I ` DESCRIPTION FEES $55.00 / 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 www.cityofeagan.com/inflow, 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. www.goopherstateonecall.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. 1 x 0c)(4-.7~'aa~- ~ x h Applicants Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final This request void L 18 months from ' - ~.2& I 94130 Date of this Request V/""t /,"q_ Fire No. V I, as censed Electrical Contractor O Owner do hereb request inspection of the above electri- cal Wiring installed at: I/Y7,? ~ c~T.~ Street Address or Route No.l Section Township Range County Which is.occupied by _t (Name of Occupant) Is a roughin inspection required on this job? No 0 Yes- Ready Now ❑ Will CallJ;I--- t Power Supplier , Address ' Electrical Contractor, C c '6 Contractor's LicensE No. (Company Name) Mailing Address - , , ieetr ai contracto Owner. Making This Installation) Authorized Signatur U I(T Phone No.Y ( tr cal ont actor or Owner a ing This installation) This inspection request wQi not be accepted by the STATE F~ i~ State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity r Griggs Midway Bldg. - Room N191 b EB-00001-02 13ZAN 4niversity Ave., St. Pauk inn. 55104 - Phone 297-2111 REQUEST CHECK BELOW WORK BYICAL THIS REQUEST INSPECTION 94130v' Type of Building ew d. Rep. Check Appliances Wired F Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring 'I Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures GtaF Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List 1 List pp p Other ❑ ❑ ❑ Herersr He erg COMPUTE INSPECTION FEE BELOW } Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eyes ev-c'O 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 S' ns cial Inspection Minimum fee $5.0 Remarks .a r TOTAL E f~ I, the Electrical c'" e} , th 1(iiltion has been ad (Rough4n) Date (Final) Date 16 ( ~3 / This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6525 * PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 36 s To be used for SF DWO/GAR Est. Value 54,000 Date 3-12 1981 Site Address 4378 Rear Path Tr_ Erect Occupancy X23 Lot 13 Block 3 Sec/Sub. Meadowlands Alter ❑ Zoning R1 Parcel # 10 48050 130 03 Repair ❑ Fire Zone NA _ Enlarge ❑ Type of Const. V ce Nome Wm. Huttner Construction Inc. Move ❑ Stories 3 Address 11913 Highland View Cir. Demolish ❑ Front 58 ft. ° city Burnsville Phone 890-3992 Grade ❑ Depth 40 ft. Approvals Fees o Name uu Address Assessm, 3-11-81 Permit 46.50 27.00 F' city Phone Water & Sew. Surcharge. Police Plan check 73.25 I IW Name Fire SAC 525.00 I Address Eng. Water Conn. 335.00 aW City Phone Planner Water Meter 60.00 Council Road Unit 185.00 1 hereby acknowledge that I have read this o plicotion and state that Bldg. Off. the information is correct and agree to ply with all applicable APC Total 1, 351.75 State of Minnesota Statutes and City of a Ordino es. Signature of Permitt { A Building Permit is issued Huttner Construction. Inc. on the express condition that all work shall be done in accordance th all.applicable Sta of Minnesota tatutes and City of Eagan Ordinances. Building Official • E CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 NQ 6525 PHONE: 4S4-8100 BUILDING PERMIT Receipt To be used for Est. Value t f iit~ } Date 'r, 1921-- Site Address 437P, -Tear Paj-h r. r. Erect [ Occupancy PS Lot Block Sec/Sub. Alter ❑ Zoning P11 Parcel # 10 4PT-') 13") 03 Repair Q Fire Zone Enlarge ❑ Type of Const. W Nome ' • 1'utta cr Cc rzti...zct_io Inc. Move ❑ Stories zz 11913 i(,I laml, Vi.f'l3 Ci r. C±~ Address Demolish ❑ Front ft. City hz isvi.lle Phone Grade E] Depth ft. °t Name Approvals Fees u' Address AssessmAQ Permit ^7 ? ~ city Phone Water & Sew. Surcharge Police Plan check r- n~•~t W W Name Fire SAC Address Eng. Water Conn. X37 • f) CIO. (O City Phone Planner Water Meter Council Road Unit 1-'~>•!3 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 I, 3r? . 7r., State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee- - - ` A Building Permit is issued to: - ii17 iE'~' i G}3"i st rt1C'i 1.Ct' • on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Date Inaed Pe"Attee Plumbing 7 Me ical 02 p o ~-lam-~~ INSPECTIONS DATE INSP. Rough-In Final Footings ,3 3 - Date, = Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical ` Final Remarks: ReeeW 24488 PLUMBING PERMIT Permit No. 2367 CITY OF EAGAN F 20.00 Pill in numbered spaces S/C 5n type or Print legibly Tot. ?n. r , 1. Date 2. Installation Cost 3. Job Address y-~ 7 UPI q'' "V76t 41 Blk. Tract 4. Owner 5. Contractor A?v /2l Phone S y y -3 6. Address Lei 'r` Lin 7. City State Zip 8. Building Type: Residential 4Er-- Commercial ❑ Institutional ❑ 9. Work Description: New J, 2- Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank Lavatory Softner / Shower Well / Kitchen Sink Urinal/Bidet Other 7 Laundry Tray r==.1 , < r r, i / Floor Drains Drinking Fin. i ! 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 cues governing this type of work. Signed : . c.•+ for Rough Final Inspections: Date Insp. Date Insp. If This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rec*ipt 24377 MECHANICAL PERMIT Permit No. _ ,24 7L CITY OF EAGAN Fee. Fill in numbered spaces S/C Type or Print legibly Tot. c s 1. Date - Z - 2. Installation Cost 3. Job Address _1l37~ - Y ~ Tract 4. Owner. 01- 6. Contractor * - r y. l z Phone _ ,f 6. Address 7. City x - - State Zip 4. 0 8. Building Type: Residential a- Commercial ❑ Institutional ❑ 9. Work Description: New a"' Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type rr z 11. No, Equipment - BTU - M. Ea. No. Equipment CFM 1 Forced Air r Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. I Mfg. I Gas, Piping Outlets I 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. r Date Insp. This is your permit when numbered and approved. f Approved CITY OF EAGAN 454-8100 ~~`r~.~ ~ sue` ""`ate-{~•~~,~ - ~ ~ ,~►*u";~, 1„ C. ~ '~4io ~'~i ~ Mrf+~~~~' ~Un `t~v- "`~~~;•~cw 1~~+~ Lwr~ '9y~"' ~ :a4~ko'~'~ ' r bb 7: T 7 2-1:7 4 - - ~a a 3uspertimi This Certificate issued pursuant to the requirements of Sectiorr306 of the Uni form Building Code-certifying that at the time of issuanar this struture uw in.,rompliance with the various ordinances of the City regulatingWding construction or use For the following: Efft ?A 4 U. Clasvlication g~ --Bldg, Permit No.5e!) Oc-PaUcY TYPC "Commetift V Fi[¢$sri Z.m4 District IRI a OwwofMdtft *_.M;tt T ~1. A44. 3'l933 AZbl,* ?dview,-_BUm 9 &OdWgAd&= '378 " Path Ltd,' A~7Ik '31 K~ W nd 6~tf1 enudtt, v r Hate: e7uIi~~ 1 %81 EO~er!J aM 3 7~~ POST IN A-'~1®t <UOU RACE ` i, `..Sr-~s,.p~: s'c~Fins.~..se..~~tia .•.3.+:5:. ,t ~s".i-`~`v..=s~~r]'a5?:._ a'~~ tY ~ i r - rn ,a" 1 ~ ~ «ae>- ,.a► ~ .a°^fi►'t~~~ 4aa ~ ..rA ' A ,vim per +wt ~ ~e~„ ®GOfS 4&t LITHOIN U.S.A. CITY.O F EAGAN Remarks- Addition ld Ift hm"j" Lot I3 $Ik 3, Paree~ ~ Owner b(l 2~ U-61if~ 0k,0h Street 4378 1!"r fttk Timil State ZMAR, improvement pate Annual Years Payment Receipt DO" STREET SURF. STREET RESTOR. IM 10 1981 1158.99 IO Y r GRADING 63, 22 4(L AOO 7 - SAN SEW TRt*4K 1970 77.95 3,12 25 SEWER LATEt'iAL WATERMAIN sr WATER LATERAL 1991 0 WATER AREA 1973 95.27 5 A004979 3-~ STORM SEW TRIG 1971 282.92 14.15 20 U7,38 STORM SEW LAT Igg 10 servieaa 10 CURBA GUTTER SIDEWALK: STREET LIGHT 3--12-81 WATER CONN. .335 ,00 23699 3-12-81 BUILDING PER. SAC 525 00 PA14K CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ & -DOLLARS loo p CASH ❑ CHECK FOR FUND CODE AMOUNT ' Thank You BY i White-Payers Copy .Yellow-Posting Copy Pink-File Copy F I - --~CIT Y OF EAGAN PERMIT ` 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 2 3 2 BUILDING (612) 681-4675 Date Issued: 03/20/95 SITE ADDRESS: 4378 BEAR PATH TR LOT: 13 BLOCK: 3 MEADOWLANDS 1ST P.T.N.: 10-48050-130-03 DESCRIPTION: Building Permit Type DECK Building Work; Type NEW I' REMARKS: j FEE SUMMARY: I Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: _ Applicant - ROGERS JAMES 4378 BEAR PATH TR EAGAN MN 55122 (612)683-0354 i hereby acknowledge that I have read this application and 0-ate t-hat the information is correct and agree to comply with all applicable Stage of Mn. Statutes and City of Eagan Ordinances. - P'~~ 004 APPLICANT/PE ITEE SIGNATURE ISSUED 131. SIG UR I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 025232 Date Issued: 03/20/95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 13 BLOCK: 3 4378 BEAR PATH TR ROGERS JAMES MEADOWLANDS 1ST (612) 683-0354 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL I CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For S i n S le Ca vvt valuation y ~-r) Date 3 Site Address +3 '79 ►~c a j~ a d OFFICE USE ONLY Lot 1 -1._ Block 3 Sec. /Sub. AFAAa~-O-US Erect Occupancy Parcel Alter Zoning/ Repair Fire Zone Owner: r &'M T1 N E K- C~'G C' Enlarge Type of Const. V Address: i i 3 N tt 1 c~ ecO Move # Stories Ci Demolish Front $ ft. City/Zip Code: C~ c tCL S L i I ~e SS 13 Grade Depth p ft. Phone O - 3 S C71 APPROVALS FEES Contractor: aS Assessments Permit [dater/Sewer Surcharge Address : Police Plan Check 7 City/Zip. Code: Fire SAC S Phone Eng. Water Conn. 3 3s-00 Planner Water Meter &Q W Arch./Eng.: Council Road Unit 0,5-Bldg. Off. Address: APC City/Zip Code: Phone TOTAL f 9 5 t m ~ ~ a b~ ~ ~ r"+ Certificate for; Dunn & Curry j 1. fl Ir 1 M..l l DELMAR N. SCH WA N Z LANDSURVEYOR Registered Under LAWS of The State of Minnesota 2978 - 145TH STREET W. - BOX K ROSEMOUNT. MINNESOTA 56088 PHONE 612 42317" SVRVEYOR'S CERTIFICATE T" ^1 LOTI~ I s. i a! Drainage & Utility 1-1) easement o /30. o0 5 89 - 44 - 3 E SCALE: 1 inch 30 feet I hereby certify that this is a true and correct representation of Lot 13, Block 3, MEADOWLAND FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated: June 10, 1980 Approved for Dunn & Curry Real Estate Management, Inc. by: t MINNESOTA REGISTRATION NO 8625 CITY OF EAGAN CASHIER: JS TERMINAL NO: 685. DATE: 12/01/99 TIME: 11:57:24 ID : NAME: AFS CONTRACTOR INC. 1040 9990 4378 PEAR PATH 329.00 3415 9001 4378 PEAR PATH 20.00 Total. Receipt. Amount: 349.00 CRi2Oi96 USER ID: JAN **3K~It****~K**~Ink~c~c***~K~K~K~K~K#***~C~k%~~K**~*~k FAX TRANSMITTAL 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 city of eagan TO: FAX '3 DATE: ATTENTION: arr Per Tam: 13S'0 COMPANY: # OF PAGES INCLUDING COVER Z FROM: ~a I~ Soh oe PHONE t1_ 14 Comments: S s w br f~ Z v w J These are being ti v For approval For your use Originals forwarded As requested For review and comments Originals not forwarded -tion For publication High prig FAX Administration/Finance/Park- v Community Development/Er, Central Maintenance a ¢ ti~ u ~w`~s OFFICE Municipal Center 3 a Central Maintenance g w 7' TDD L-) VU W j 2- ]Mote to Facsimile Operator: Please deliver this fax transmission to the above add 4 cs- 9 t- _ in good condition, please contact us. Thank you. c/1 THE LONE OAK TREE ...THE SYMBOL OF ST' j 2- I~ jMTY Equal Opportunity/Aff r r Permit List Permit # Permit Type Site Address Issue Date Final Date BL 4656 Fairway Hills Dr C- EA036267 BL 4104 Blackhawk Rd © vw 06/11/1999 EA036268 BL 4656 Fairway Hills Dr 06/11/1999 EA036269 BL 4635 Parkridge Dr O r R 06/11/1999 EA036549 BL 1750 Cochrane Ave ~p V\ e- 06/28/1999 EA036689 BL 4696 Fairway Hills Dr 'Y"\ 0 r\~ 07/09/1999 EA036690 BL 4750 Cypress Pt 6 07/09/1999 EA037863 BL 2098 Marble Lane Y~ p v 09/17/1999 EA038123 BL 2017 Carnelian Lane's CC y. J 10/04/1999 EA038539 BL 4378 Bear Path Tr ``YL o v~.~ 10/28/1999 EA038540 BL 4031 Diamond Pt 10/28/1999 i CITY OF EAGAN POST C/ R B A T C H P R 0 0 F (Verbose) CRPW1028.DATA.EAFS Page 8 MON, NOV 1, 1999, 6:53 PM --req: BARB------leg: GL ----loc: EA-FINCE--job: 65747 V300----- prog: AR450 <1.84>--report id: ARCRBPVB SORT ORDER: Batch ID then by CR-REF ACCOUNT NUMBER Echo ACCOUNT NUMBER Fin Code Receipt AR Reference Pay & Bk Tax Cd & Amt Rec# Amount Description Prep ID Ref Dt PO Reference Bk Slip# Tax Cd & Amt Hit ID & Text Ptr & Format Name Batch ID Due Dt Product ID Dep. Dt. Duty Cd & Amt A/R? Div & Term & Misc & Post Code Echo Div & Term Rel. Cd. Bill Dt Pay Reference Disc. Amt Chg. Cd & Amt 001-3210-9001-00 GENERAL FUND PR CR118872 CK EA 0.00 44 60.00 3891 MERSEY PT JS 10/28/99 0.00 N NB STATEWIDE GAS SERVICES, INC. 4723 0.00 15 0.00 0.00 4433 001-2155-9001-00 GENERAL FUND PR CRI18872 CK EA 0.00 45 0.50 3891 MERSEY PT JS 10/28/99 0.00 N NB STATEWIDE GAS SERVICES, INC. 4723 0.00 15 0.00 0.00 4433 Total for CR-REF CR118872 60.50 001-3210-9001-00 GENERAL FUND PR CRI18873 CK EA 0.00 46 125.25 4378 BEAR PATH TR JS 10/28/99 0.00 N NB R INC.., 4723 0.00 15 0.00 0.00 5299 001-2155-900,1-00 GENERAL FUND PR CRI18873 CK EA 0.00 47 3.00 4378 BEAR PATH,TR JS 10/28/99 0.00 N NB ~ R INC; 4723 0.00 15 0.00 0.00 5299 001-3210-9001-00 GENERAL FUND PR CR118873 CK EA 0.00 48 195.25 4031 DIAMOND PT JS 10/28/99 0.00 N NB A " -INC. 4723 0.00 15 0.00 0.00 5299 001-2155-9001-00 GENERAL FUND PR CR118873 CK EA 0.00 49 5.50 4031 DIAMOND PT JS 10/28/99 0.00 N NB I+t 4723 0.00 15 0.00 0.00 5299 1 C) Li 0 - C1GC n, x i Address IT 78 IB,ar Path Tr SdeHotdlydor AeQn: Cortractor Hold . -Status-___.. i ~ Effective; 11 l,' .il 99 r Warning By Ci ouq R eid 1 j Prohibit I Aema?ks PJon suffu_.ient funds - paymerit needed before { any inspections are continuedMd) Removed t e( v By: r F S s R i E a F s+~n a B P,rt?r v 8~ S it ~ update ~elefe {ear Return _ f S,tarE ~~fi~tasaft:., settings.rf,.. jlr~box Mr... Site Hol.__ ( ! WO 7:09AM 1 J - MESSAGE CONFIRMATION 11/29/99 13:43 ID=EAGAN ENG+COM DEU N0. MODE BOX GROUP 996 TX - I DISTANT STATION ID PAGES RESULT ERROR PAGES S. CODE DATE/TIME T 11/29 13:42 00'44"19612e953469 002/002 OK 0000 FAX TRANSMITTAL 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 city of eagarr . TO: FAX'#: &/-Z, DATE: ATMNTION: r rr: 1 y COMPANY: ! # OF PAGES I NCLUDIqG COVER Z FROM. ha- (4 a PHONE FAX (.651) 681-4694 J. These are being transmitted as checked below: forwarded For approval For your use Originals tity of enga 3795 PILOT KNOB ROAD, P.O. BOX 21199 BE4 &.OMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHT€R Council Members April 1, 1983 THOMAS HEDGES City Admirdstrator EUGENE VAN OVERBEKE City Clerk Wm. Huttner Wm. Huttner Construction Co. 11913 Highland View Circle Burnsville, MN 55337 Re: Basement Water Problem at 4378 Bear Path Trail, Eagan, MN 55122 tot 13, Block 3, Meadowlands Dear Mr. Huttner: I was requested by Mr. & Mrs. Olson and you to give my opinion on why the basement at the above referenced property is having a water problem. After making an investigation, I feel that the problem could be cured if the final landscaping and the grading were completed. Once there is positive drainage away from the foundation walls the problem should cease. If you have more questions, I would suggest that you consult a Certified Soils Engineer for his opinion. Sincerely, 4V /Z' - Dale S. Peterson Chief Building Official CC: Parcel File DSP/bar THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Certificate for: Dunn & Curry DELM'AR H. SCHWANZ LANDSURVEVOR Registered Under Laws of The State of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 812 123178Y SURVEYOR'S CERTIFICATE E N I I N V I , ~V 1 A k 2J Drainage & Utility ( easement s 20 589-44._ 3~F SCALE: 1 inch 30 feet I hereby certify that this is a true and correct representation of Lot 13, Block 3, MEADOWLAND FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated: June 10, 1980 Approved for Dunn & Curry Real Estate Management, Inc. by: MINNESOTA REGISTRATION NO 8625 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 t w. New Construction Reauiremgnt 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 - No Q DATE: -3-6 CONSTRUCTION COST: -I DESCRIPTION OF WORK: -t~ G R E- PL ~ L EM L.U-r AN f,~ L(P b+7lN & STREET ADDRESS: 4 3 E > ( P~--7"1-t 4~ 6~ J L LOT 3 SL OCK S1j3D./P_I.D. PROPERTY Name: D~ M ,-5S Phone 3 S~ OWNER LAST FIRST Street Address*- A 3 -7? 6C-69 LA-7- ~ -oed lL City: Eft G &/V State: M /0 Zip: f S) CONTRACTOR Cony: Phone Street s:~ License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No - - 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 C*_ 31 New .0 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition %.7L-- r".~'.L INFO R ~T.TIO; Const. (Actual) Basement sq. ft. MCNVS 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's Census Bldg / Census Unit a APPROVALS Planning Building Engineering Variance r+~ Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC Gity SAC; Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements Remodel/Repair Requirements ➢ 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks ➢ 1 set of energy calculations ➢ 3 copies of tree preservation plan ff lot platted after 7/1/93 DATE: "2 / CONSTRUCTION COST: S~ C1 DESCRIPTION OF WORK: STREET ADDRESS: 1 s1 LOT: ~ BLOCK: J SUBD./P.I.D. 1'" Ue 1~N A. ~ , Name: ~b Phone l PROPERTY Last First OWNER Street Address: 17 City State: ; Zip: S~~r? f i Company: Phone if 71- 2k (area code) CONTRACTOR Street Address: L _ f License #,Z~Fe' , Exp. ` City il, AZS State: ,od Zip: . "4 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit is issued. fhereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. r 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 PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC W 7411, .w 3 E by `tt .v II';~ ~'y.,d ¢ '~h~~TT'S~~~,~.'C~T'i~~1`T l~~7V14~-~s]~A'•T~I1~~T.T ,{i71~rn.P`T'~~l'~, T'~~~T ':l~ e`r`r OF EAMIN r, tAGf.T R% ,!'r rxF'tiE ! L. draw 761 "POE 4, 3010 100t 43?S WAR SITH 121. 25 W, 909,, 4370 WAY. !::,AT H A14P 10 A,C-2'f' 25 { at I PR I; Sapp, A .'(~'sK~k~K?k~'~K~-~~k}~?};p¢~.~~sk ~ r'M:ak~k7k';t~1ka0<~h.~~k?~k*%~k~k?k ' Cf OF EAGAN PERM#T TYPE:`,' Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: {6i 2} 681-4675 r ADDRESS: APPUCAMT. ! fi~ t' - i dp ter: PEW T SUBTYPE: TYPE OF WORK.- 1 [kit # L iVia'.r 4 1 N 1~ E { t~ a 1 'Road PERMIT, NO.:.~. 17F, _ 5ngon ►4tN `5512-2 DATE: !4 / ~ ±T ll I. Z- 7 No. of Units: I a It "1 k' LAM I--, ~3er No _ Connection Charge, _ Account Oepo-,sit Y- ;deco Permit Fee: r ~ gtgye© to- ~}H+weth`the City' of Eagan Surcharge: Misc. Chorges: Totol: 5 Date PoiJ.. f ~5 w Insp r A Kp; 4,1 ER SRVtC'.1T s►d SEW .3745 !!~Iot iCaob Read PERMIT NC.: i#721j gen, tvC1i 55122 DATE: 5141 honing: No. of Units w er _ T G ~illzau 3 u Lntr Construction Site, Address' ~ 437W ~3ezlr T~t~i ~rai1' 7,f3 ,33 'fendow rid - E- 3 11/8-1 2-1b9 it? :t?t `pd -gvee[b comply with the tjtr o#' Connection Charge: AZ5 1+nautes. Account Deposit. r Y T T . ''*!i3, Permit ` Fee: i t) 1 , .rub surcharge; viC►,; nrl F, of irrsp. w Total: 9x, Date Paidk Use BLUE or BLACK Ink ~ For Office Use ~ I v 1 j Permit City of Eagn I c~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ql~l R btNf Nxy\ Tr&\\ Unit Resident/ Name:baa_ L L, t- 'wob)t Phone: 145\- q,~-l - 19186 2--1 ,n Owner Address / City / Zip: LL be'w- h ~23~\ (,Nipn -5N FAA Applicant is: Owner Contractor Type of Work Description of work: Q\ 0 1 el 4 t~ % Construction Cost: Imo- Multi-Family Building: (Yes / No Compan&~L~Y-\0 A1b1(U2- (X1e~~19(S Contact: ~10-k k UL Contractor Address: O)tA n C'1 ~(P~~f 11 e1i I Y lU~d ®City: (~'C~' ~~lk _ State: rnls Zip:~~~' Phone: ~5J~t License 4 y ~i c~~1 Lead Certificate A ~ a If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.4ooherstateonecall.orcl 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building de must be completed within 180 days of permit issuance. x (Vin tea ~ x Applicant's Pri ted Name Applicant's Sign ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA128539 Date Issued:11/18/2014 Permit Category:ePermit Site Address: 4378 Bear Path Tr Lot:13 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - David B Dewidt 4378 Bear Path Tr Eagan MN 55122 (651) 686-0005 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138637 Date Issued:09/12/2016 Permit Category:ePermit Site Address: 4378 Bear Path Tr Lot:13 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-130 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - David B Dewidt 4378 Bear Path Tr Eagan MN 55122 Heidelberger Plumbing Inc 30132 105th Street NW Princeton MN 55371 (763) 631-0786 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161766 Date Issued:06/12/2020 Permit Category:ePermit Site Address: 4378 Bear Path Tr Lot:13 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-130 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 - David B Dewidt 4378 Bear Path Tr Eagan MN 55122 (651) 747-7001 Minnesota Mechanical Systems 5112 W 145th St Savage MN 55378 (952) 454-7334 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177166 Date Issued:06/20/2022 Permit Category:ePermit Site Address: 4378 Bear Path Tr Lot:13 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-130 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - David B & Rebecca A Dewidt 4378 Bear Path Trl Eagan MN 55122--223 (715) 821-1621 Joe Nance Plumbing & Water Conditioning Sys Llc W12738 705th Ave River Falls WI 54022 (715) 821-1621 Applicant/Permitee: Signature Issued By: Signature