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2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3834 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Naw Con ction Reauirements RemodeVRepair Reauirements
3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and ali roofed areas 2 copies of plan
(20% meximum lot coverage allowed) 1 set of Energy Caiculations for heated additions
2 copies of plan showing beam & window sizes; poured fourni design, etc. 1 site survey for additions & decks
1 set of Ene?gy Caleulations Addition - indicate if on-site septic sysfem
3 copies of Tree Preservation Plan if lot platted after 7/9i93
Rim Joist Detait Optians selection sheet (61dgs with 3 orless units
Date :5, l U1P
Site Address f?f / O"I
?j Construction Cost "<4> 60
Unit/Ste #
Description of Work
Multi-Family Bidg _ Y? N Fireplace(s) _ 0 ? 1 _2
Property Owner G-4'CP_50,1 1p tor1 Telephone #(1?SL )?'? "?'IZ1
Contractor ? tIAYF?.,60 Crl
Address 1 Z.9
State ? n,j 15 Ca (a unk, eJ? City ?H .?•
Zip 55/?49 Telephone #(4e4)?4 y- j!Lv??
COMPLETE THIS AREA ONLY IF C4AISTRUCTINCaG A NEW BUILatfitG
- Minnesota Rules 7670 Categorv 1 Mznnesota Rules 7672
Energy Cade Category . Residentia! Ventilation Category 1 Worksheet - • New Energy Code Wortcsheet
(q: submission type) Submitted Submitted
• Energy Envetope Ca{culations Submitted
Have you previously constructed a building in Eagan with a similar pfan? _ Y : N If sa, 25% plart review
fee applies.
Licensed Plumber
Mechanical Contracfor
SewerlYVater Contractor
Telephone # (
Telephone # ( )
Telephane # (
T hereby appiy for a Residential Building Permit and acknowledge that the information is eomplete and accurate;
that the work will be in conformance with the ordinances and codes di the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withaut a
permit; that the work wiil be in accordance with the approved plan in the case af work which requires a review and
zMoval of plans;,,,_ n
/ )IGXAA!5 LL1?'?G?rr???/
App icant's Printe a Applicant's Signature
OFFICE USE OIV'LY
Sub Types
? 01 Foundation
? 02 SF Dwelling
O 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-pfex ? 13 16-plex ? 20 Pool
? 08 06-pfex E3 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-p{ex ? 19 Lower Levei ? 24 Storm Damage
? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Muiti Misc.
Work Types
? 31 New ? 35 Int lmprovernent ? 38 Demolish interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Btdg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinktered
Type of Const Width
REQUIItED INSPECTIONS
- Footings (new bldg) _ FinaUC.O.
_ Footings (deck) , FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation
+ HVAC
Drain Tile
! Other
Roof ! Ice & Water _ Final , Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding ! Stucco , Stone , Brick
_ Fireplace , R.I. _ Air Test - Final ? Windows
_ Insulation _ Retaining Wall
Approved By: , Building lnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment P{ant
License Search
Copies
Other
Totat
? RESIDENTIAI, BUILDING
Permdt Application
City Of Eagan
; 3830 Pilot Knob Road, Eagan Mn 55122
, Telephone # 651-675-5675 FAX # 651-675-5694
$P70-0o
4 /Z4/0-3
Nftr Construction Reaurcemnts RemodeUReaair Reauirements QU Use t'?tlv
3 mgWKed aite surveys shawing sq. ft of bt, sq, ft. of house; and oU roofed areas 2 copies of plan _ Cer1 of Sunvry Rood
(20% maimum bt coverage aliowed) 1 set af Energy Calculatioos for heated additiuns _, tMS Pro Pkm RoCd
2Wpies of plan shovkig beam & windoua sizes; poured found desgn, etc. 1 site sun+ey fOr additiorts & decks Tree Pros PtotRW
1 set af Energy Calculadans Addkion - indicate if onaite sep#ic system _. On-aft Sol* System
3 toPies of Tree PreservaUon Plan if lot ptatted after 711i93
Ran Jast Detad Options selactlan sheet {bidgs with 3 or less units
Date /! / 03 Construction Cas# 1,7? ?
Site Address r' c!
?e a tr' p, V? ??'?- c Uni#lSte #
Description of Work V 3-e ?--?
Multi-Family Bldg _ y / N)
Z./ Fireplace(s) 0? 1 _ 2
Property Owner l P- $ o OLj '-,l Telephone # ( VI
Contractor . Af )?-
1
Address • City
5tate ZIp Telephone # ( }
COMPLETE THIS AREA tlNLY IF CQNSTRUCTING A NtW BUtLQ1NG
Energy Code Category ` M?esota Rules 7670 Cate?!orv 1 _ Minnesota Rules 7672
; • Residential Ventllation Category 1 Wcrtcsheet • New Enerqy Ceuie Worktshmt
(4 $??ission type) Submitted Submitted
? • Energy Envelope Calculations Submitted
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone # (
Telephone
Telephone
I hereby apply far a Residential Building Permit and acknowledge that the info M&Ffi? vmp ete and wcurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the S_tate of I4N
Statutes; I understand tli?is is not a permit, but only an application for a permit, and vvork is nat tp start vvithout a
pennit; that the work will be in accordance with the approved plan in the case of work vvhich requires a r?ew and
approval of plans. ? 4!;?'-----__...
------------
L- G.c - ,?
i
Applicant's Printed Name j` ppli t's Signature
OFFICE USE ONLY
Sub Types
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 AccessoryBldg
O 02 SF Dwelling D 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
0 03 01 of _„_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
0 04 42-p{ex ? 10 08-plex ? 18 Qeck ? 23 Parch (screentgazebo) 0 36 Multi Misc.
? 05 03-ptgx ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 48 04-plsx ? 12 12-plex Pibg,_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) G] 44 Siding
$?, 32 Addi#uon ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
?O 33 Altoration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Window$/Doors
0 34 ReplBCement *Demolitian (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 5q. Ft. PRV
Nbr. of Bidgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
Footin$s (new bldg) FinaUC.O.
Fontings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
J Fraxning _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
` Insulation _ Retaining Wall
Approved By _% 2.- , Building InspectQr
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Gharge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tatal
1 ee°7
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FOR:
KEY-LAND HOMES
N 89°5O'3f"E
65.00
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C. R. 'WINOEN b ASSOCIATES, INC.
IAND SURVfYORS T*l 645-3646
1381 EUSTIS ST.. ST, PAUL, MINN. 55105
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Lot 5, Block 1, SL'N CLIFF SECOND
ADDITION, Dakota County, Minnesota
Wf MERE6Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME
dOUNDARIES OF TME IAND A60VE DESCRIdED AND OF THE IOCATION OF All 6UIlDINGS, If ANY,
THEREON, AND Atl VISIbIE ENCROACHMENTS, IF ANY, fROM OR ON SA{D IAND
Dotod thi? 29f dar oF MQ''c-'^ A.D. 1985 C. R. WiNDEN $ ASSOCIATES, INC.
r'a ?_ ? :: o c ?• ?e cv ?'?,-. ? .,??'. ?SF.?- C P?
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br
Svrvayor, Minnotota Ropistrotion Noe n% L'^
r P ? CITY OF EAGAN 1t{2 14 0 4 0
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMlT Receipt
Te ?mu'd Im SF DWG/GAR
?r??r????r
? Est.yalue $61,0(}0
?or????????? ¦ ir pate APRIL 5 ? 1985
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Site Address 1887 BEAR PATH TR Erect llx Occupancy R3
lot 5 Biock 1 Sec/Sub SIIN CLIFF 2ND Remodef ? Zoning Rl
. Repair ? TYPe of Const. V
Parcel No.
Eniarge 0 No. Stories
W KEYLANA HOMES
Name Move ? Length 42
Demolish ? Depth
Z
Address 3471 W 173RD 48
Grade 0 Sq. Ft.
? Citv J?DAN Phone 435-3323 Instali 0
S AMF
N Apyrovob Fees
? ?g Assessment Pem+it • d0
o Address
v&
1- City
Phone
t 1% ++ ? Name HALLQUIST & ASSOC
W
<z Cdyress BLMTNl W 8??ne $31-1875
i hereby ocknowfedge thot 1 hove read this eppiication and stote that
the informotion is correct and egree to comp{y with oll appticeble
C? af Or nces.
Stote of Minnesote Statut
f't
Siflncturo of Permittee
A 8uilding Permit ts issued to: KEYI'A'ND HOMEotl work ahoii be done in occordonce with all e itabla St o ir
Buildfnp Officiol
Woter & Sew.
Police
Fire
Enp.
Pionner
Countif
BIdg.Off. 4/4/85
APC
Vsr. Date
Surthorye 30.50
Plan Review. 158.00
0
SAC 525.0
Woter Conn. 504.00
Woter Meter h 3_ nn
Road Unit ? Rn _ nn
T.P. 132.00
Total $,2 nOO
o+ fhe express condition thur
Statutes ond City af Eaflon Ordinonces.
16 41?
19$5 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAtI
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCU ATIONS
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To Be Used For Y/,y5-6 y J[c,Valuation : Date : ?ze??Sr
? -
Site Address: 7 6,e:---t OFFICE USE ONLY
Lot: I Block ? Seet/Sub ?T-,,?e`o`vErect X Oecupancy ?-3
s ? Remodel Zoning F,-1
Parcel #Repair Type of Const
? Enlarge # of Stories
Owner _ Move Length
Demolish Depth
Address 3C17/ w ? 7Grade Sq Ft
City/Zip Code ?----------- - - ------- _...____
Phone Z5 ; AppROVALS
3 S ?- 3 3 -13
Contractor ? Assessments Permit
WaterlSewer Surcharge 30, ?O
Address Poliee Plan Review t 5p>. °-
Ff re SAC 5 25. -L'
City/Zip Code ,-- Engr Water Conn 50p. °°
Planner Water Meter 6P3. °-
Phone Council Road Unit 250.
Bldg Off - ? parks
Arch./Engr. e`---?pC Treatment Pl L 37- Variance
Address ??? / Gv (!)--C9- ? TOTAi, a ? ? ?• S (?
City/Zip Code
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Phone # 6P3 / --- /LZ
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For: Kev-Land Homes
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C. R. WINDEN b ASSOCIATES, INC.
IANp SURVEYORS ttl. 645• 3646
1381 EUSTIS ST., ST. PAUI, MINN. 55100
N a 9° °O' Z; i" E
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p PT ??: T R-F)I !.._
Scale: 1" = 30'
p Denotes Iron
Monument
tiOrE :
o Denates Wooden S[ake
?roposed Garage Floor E1.=898•83
(g48,3) Den??tes Propcsed
Finished Ground E1.
-If---- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Lot 5, Block 1, SL'N CLIFF SECOND
ADDITION, Dakota County, Minnesota
WE HEREdY CERTIFY TNAT TNIS IS A TRUE AND CORRECT REPRESENTATfON OF A SURvEY Oi TNE
bOUNDARiES OF TNE IAND AbOvE DESCRItEO AND Of TME IOCATION .Of Alt lUItDINGS, IF ANY,
THEREON, AND Atl Vt5{!lE ENCROACMMENTS, tF ANY, fROM OR ON SAiD tAND.
Oatod tl?is 211-6 doy e) Mart' k A.O. 19855
51V
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C. R. WINOEN & ASSOCIATfS, INC.
br, -'?• y ? ---
Surveror, Minnttoro Rpsislrotion No !(?679
Page 1 oF 4
; .? . ExTERtOR E?vVi_L oP_E_ r,V r.rznrc M r'l ,Tn -r!orv ?33,Z-?j?
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S I7E AOORESS : PI IONE :
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CONTRACfiOR: KtAlai.4
Determine working square footage of each
1. Total exposed wall area..... !114^sq. ft. x.11 = .
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2. Totai roofJceiling area...., fpt}p sy, ft. x.026 = 7-1
Total exposed wall area above floor=_ _I -f,,?,
??
a. Total wall window area............................................
b. Total dvor area . . _
c. Total stiding glass door arPa.... .
d. Total fireplace wall area ........... ...
e. Total wall framing area (average 10%)... . . . . .
f.- Total rim joist area...................................... * -- ?? L
g. net vrall area above floor ... ........" " '
h• ? wall area above floor . . .
..................................
i• • wall area a6ove floor... ... . . . '
j frame wall area at founclation.? ................ ..............
, Total exposed foundation area=
k. Total foundation window area...
l. Total net foundation area aboye grade,,,,,,,,,,,,,
Determine "u" value of each wall segment
?(e.g, window; (loor, each separate wall seetion}
a. x „U,.` - b. X „u„ L?-?-
.
C.- ?o X „u„
d. X
. e,_ X
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f._ / Z x
=?T
9 ,-L315 X „UH • OS _
h. X
i. X U" oll
t
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p8 ??yerage Corn?su tt?tie3t ?
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Toral exposed roof/eei2fnq area = .
?
m. Tbtal skyliqht area ............................ ?
n. Total roof/ceiling-framing area (average 10?)... ..
. o. Total net insulated root/cciling rirea........... ,
. Determine "U" value for $sch roof/ceiling segment
M. X trUn ¢
n, x ..U,-
--? '-?-L?
o . X „u„ . D L = _ 8r •? , .
4. .. ......... .......... Tht$l
If total 'of #4 is the same as, or 2ess t:han #2, you have met the inter?t of
SbC 6006 .(a) l. ?
, Alternate Building Envelope Desiqn
`tb ,utilize the total envelope'systen method, the values esLablished by tlle sam of i.tems #3 and #4 shall not be greater than the sum of items #l and #2. -
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". ' • . . • . siecctca far de tails and ca2cu? atians.
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60*1*4 K6t; Ilvsa
ti: ?x 211? . ?atrr
ipn. MN 55121 DaTE:
No, of, u?its: ?
-SO*
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4
gUiLDING PERMIT
Te !e wed fer Sf' 0101? r t' AR
Est. Volue $61t i3C3o
Receqnt #
10040
S ite Address L?? ? ?EA"? t'A'CR TR Lox '' Block
? 1 Sec/Sub."1}?i?! CL?IFF 2NY," Parcel No.
' _ k.f: Y Lz.'1,.. _ i.t: :
W ?
? Name
't471 .? ry?s..
!
; Address ' 7??
? CnY ,..`>IP a,A s'i Phorte 4'5-- 33 2 :3
A Name _,.... ?,
g? Address
?- City Phone
? ?. , ? t ..: ?. «?? ,, s ;..
WW Name '
FZ , .. R»=.
_- Address
uZ ,i.,. .d ^ .»r
tW City Phone ' ??
i hereby ocknowiedge thot 1 have reod this oppiication and state thct
the iniormotion is correCt cnd agree to comply with ail opplicable
State of Minnesota Stotutes gnd City of. Eugc; Or.inonces.
Slpncture af Permittee
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-169, Eagan, MN 55121
PHONE:454-8tQQ
Erect 11: Ocxupancy R3
Remodel ? 2oning P. 1
Repair ? Type of Const. V
Enlarge ? No. Stories
Move 1:1 Length 42
Demolish ? Deptt?
Grade ? Sq. Ft.
Install O
Aoorovais Ftes
I\ssessment
Wuter & Sew.
Police
Fire
Eny.
Pianner
Council
Bldg.Off. 4/4/,tj'5
APC
Var. Date
I Permit
Surchorfle 30 ° 50
Pian Review
SAC S?a . UC}
Woter Conn. 500.00
wOt6f MetlT, 63. 00
Rood Unit 280' oo
° 132.0+)
Totai 4'2r 004» 50
A Buildin9 Permit is iuued to: on the exprcsa condition thot
aii work shoil be done in occordorxe with oll qpplicoble Stcte of IlYliesiapcate Statutes and City o4 Easan Ordincsnces.
jll`
Buiidinp OffiCioi G"` "??' ? ?? "?
Permit No. Permit Holder Date Tetephone #
Plumbing -Dc- ry?,t C,,?, 5 ?
H.v.A.c. ?`j 2
Electric
' 0 7 EI7)
Softener
Inspeetion Date Insp. Other
Footings f,J
Foundation
Framin9
Roofing ?
Rouyh Piby.
Rough HVAC •
inwlation
Final Piby. a6
Finai HVAC
Final
Cert/Occ. t I `? •- O ?
WaLlf Location:
WBll t ?
Sevrer ?
? S
Pr. DisP. .
` ?'
Receipt MECHANICAL PERMIT Permit No. ;
CITY OF EAGAN
Fee r.y ?,? rrts
Fill in numbered spaces S/C ?.f
Type or Prinr legibly 7ot =-? ?? ?; fi;
. •
1. Date ,m: ? 2. Installation Cost
3. Job Address &,q? s'_: ¢? Lot Blk. 7ract
4. Owner
5. Contractor Phone
6. Address
7. City State i' ZiP ?
8. Building Type: Residential %„ Commercial ? Institutional O
9. Work Description: New t2`? Add 0 Alter 0 Repair ?
10. Desa'ibe `C 11"0 Fuel Type t` `A `
i
?
! 11.
No. Eqyinment BTU - M. Ea.
Forced. Air Na. Eauiament CFM
Ai
ndlin
:
H
Mfg.
?'
="t g
r
a
. , ...
.
Boi lers
Mtg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. t hereby certify that the above information is true and eorret;t, and i agree tb
comply wiih ali ordinances. and codes governing this type of work.
Si ned : `
9 for
Rough Finai
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt i '
, x
PLUMBING PERMIT
CITY OF EAGAN
fill in numbered spaces
Type or Prini /egib/y
Permit No. ?: •
Fee
S/C
Tot. - -
1. Date-?.'s'"??i'- ? "e 2.`1nstallation Cost
"t"?
? ? c~' . ,
3. Job Address, ? Lot Blk. Tract-5-4-?
4. Owner f-'°;t
5. Contractor C. Phone
?
6. Address
7. CitY/-?
r ,? .? ,? •z ?; ? State Zip 5
8. Building Type: Residential?0 Commercial ? Institutional 0
9. Work Description: New'E3 Add O Alter ? Repair ?
10. Describe
11.
No.
C,. Fixtures
Water Closet No. Fixtures
Bath tubs CesspooUDrainfield
7
Lavatory Septic Tank
Softner
Shower
'
Kitchen Sink Well
Urinal/Bidet
#
Laundry Tray Other
? Floor Drains
Drinking Ftn.
S
? lop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with aA ordinances and?#:ocle verning this type of work.
Signed : ?'`?.eyC?
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
r,
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 RECEIVED
FROM !? ?? A`4?"'4 ?.^•li/?.'"'?'rG. ,?+? ? ."'.?._,.Y'?'"Z? ,..-'Q,?
pMOU1VT
w
Be_..__ DOLLARS
? CASH [R CHECK
t oo
FOR ? ??.J..i?.+ ?fij .»,.r „LT' {? 1 ?. r-•?i' ? ?.s?6?^'C f ?"?r?,r ,?.+R??4'" ??Pi
N
r-- f ??° ?'ti,..<X???? ????! `?' ? `?z^r'..?..? ? ..?..?t {G."%.4?
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FUND CODE AIv70UNT
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}
AJ y
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4" .?
Thank You
,m)
B Y
r
White-Payers Copy
Yellow-Posti,ng Copy
Pink-File CopY
r r?=.
2/84
CITY Or EAGAN
APPLICATION FOR PEIRI'KIT
SEWER AND/OR WATER CONNECTIODI
' (PLEASE PRIN1)
1) PROMI1' ADDRESS :
r.FGar• DE..GT2IPT_TC.N:
IF s7'FL? ?.E, DaTE oF c??L'IAL EUz=1L:c _ EF_-1i TsSZ:r.%c_ :
PRE.7Lir L7v'i.':
,?,`,? R-1 S.-I'_\7,= FPY-TLY
? R-2 DUPT?..`"`{ (7`'0 L':IITS)
0 FZ- 3 TCI.?.?CY1SE ('?T= 1 L^JITS )
p R-4 AP:-?a2-=rT/CC::DCt',ir1r??S ( S}
? CC??n1ERCLAL/RE,TAII,/OFF'IC::
p ?'DL'ST?L
p L?STITL'rIO?L/GGV?:n'?'T
2) ApPLIC?.:ti'T (PLEASE PRIUi)
tUV'IE: r? ?
?DREss :
CI-rz, S=, Z IP :.-?C?
Pf:Oz: ? -
3) pu,^.*EE:R (PLEASE PRINi) FOR CITY USE ONLY
NAME : ,
,
ADC.RESS: C- PLUHBERS LICEYSE:
• ?? g'? ??' =1 Active
CITY, STATE, ZIP:????v Expired
?r Q Not of Record
PHOVE: ? PLUMBER LICENSE #
' arr nitia
4) OCCL'pANT/Cr,9rlm (PLEASE PRItJT)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PFiO:VE :
5) INDIC`1TE 'NE-IICH PERMIT IS BEING FEQUEgTM;
0` CO?,'NFCrION TO CITY Sa1ER
.Q CONN'ECTIC:1 TO CZTY WATER
? C7i'IER (PI.£ASSE DFSCRIBE)
- ? P='?.SE f?OLD APPF,Wm PERMIT FOR PICK-L'P BY OIVE OF AFGVE
-.?°=-+SE M?UL APPROVED, PER.?lIT T? 1, 2,? 4 A?IE
?
?? ? (Circle one)
r` ,
7) SIa?TL'RE: --
,; %?,.? DATE-
? - _
?4 ?l Olalirliiw?e i? ? s+e E?:g? ?t s r+t ? s-a,-M as as smws a?:a sAm se wo on 2s As s sWsa410 t
F 0 R C I T Y U S E O N L Y
pER`4IT Y ISSUv-D
FEE S:
$
S
$
$ ??-c1v
$
$
$
$
$
$
$
$
$
oc'J
SE:^iER PERM_TT (I`1(,.T.;;D: Sli°C :4ARG:.)
WATE2 PERI+IIT ( INCL'uDE SIIRCHARGr. )
WATER METER/COPPERHORN/OUTSZDE REhDER
WATER TAP (INCLUDE CORPORATIOy STOP)
Si:vER TAP
?r?C°V:i•I' ?:_: CSi= - ?_:.??
ACC?OUNT D?POSIT - U7ATER
WAC
SP.C
TRliNK WATER ASSESS:IE?:T
TRlii3K SEti•dER aSSESSMENT
LATER.AL BENEFIT/TRUNK SE:%TEER
LATERP,L BENEFIT/TRU:IK NATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOL':;T PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF WAY?
-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
ENGZNEERING DIVTSION. LIST AS A CONDI-
? TION.
SLBJECT TO THE FOLLOSaING CONDITIONS: •
. .'
,
APPROVED BY;
TI:LE: '
?-
DAT° :
.N 15&7p+ oW. .? ? ? .? .E ? i.e ? ?? w ? w ?a? ? ?a ?? w ? ? ?a? ?a ? ? ? ?. ? ?±? ?•? rt s? ?. ..
' CITY OF EAdAN ? 7- i WATER SE
, 383b, Pilof K_.J?pad
` P. O. Bor2 fg- PERMIT NO.:
Eagia;. MN 55121 DATE: s
Zoning; Ri No. of Units:
pwner;" KQyland Homes
? a.w.aae-
.,
PERNIIT
j 5ite qdd,.m; 1887 Bear Path Txail LS BI
. C. Y?.'?.'Aia'IZJ..t.`$1
? Wh?knr P
Meter No.: Connection Cherge: ??CI. DO
Size: Account Deposit: 1 ? • ?Q
! Reader No.: Permit Fee: 1(? . fl0
? 1 agrsa to oanpiy wuh the City of Eegan Surchcrge: .50
° - 132.00
Ordieaaas. ? M;sc. Charges:
€1
' Totoi: 6 @X
l
i By ` Date Paid:
i. Dote of insp.: lrsp.: ?
F/ ciir? as? ??aa -
? . ?d?ot? ???toaa
; P. U. ?x 21'!
;" ?,.lUt?' S5121
?'onir?g: --.-RI-?
owwr:
5ue -'?,N?
1887
D. C.
",,,Redele? N0.:
1 e?gror xo canoy wo
ordinoem
BY -tA..c.??
C0te of I
Tp.:
?WarIER sEavIct PraN?ff "
' r. PEItM17 NO.: 6127
` pqTE: 5-01--85
,. .? .F a: ?.n... ._. ,s af Units: 1
ntt 500. OQ pd
e? `"nt Deposit: - 15.00pd
? Permit Fee: 10 ,d!?pd
4 Qtyr of Eegoa Surcharge: -- .50pd
INtsc. CFwr9es: 132.00 pd
Toral: 63.O0 nd m er.
Dote Pctid: '
- ? tnsp.: ;
--
,;
This request void 'a eyz)
from , fimunths
?j .?--.z
/? 14 .t 4
Request Date F ire No. Rough-in I?pection
FteQu?red?
[]Ready Now Notify
fnspec-
?? :,,1 I s ?No ,
tor When Readv
? cens Ele rical Contractor I hereby request inspectioo of above
? Owner electrical wwk instalied at:
Street Address, Box or Route N
? City
ectfo o_ Township N me or No. ange No_ Coun r
Occupant T) .? Phone No.
Power Suppti Address
1
"*Cf
ect?ica C tractor (Compe y Name), Go c 'L
7
p
1,
Ma71? g Ad ress (Contractor or Ow -r ki Instail tion)
,
AuthWized nature (
t odOwne ing In Ilation) 'Phone
Nµmber
; I r
YINN OTA STATE QOARD OF El£@THICITY THIS 1`NSPECTION REQUEST WIIL NOT
Gri -Midway Btd6 Room N-791 BE ACCEPTED BY THE STATE BOARD
7 7 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTIOM FEE fS
Plqne (612) 297.2771 ENCIOSED.
_ pl- ,
REQUEST FOR ELECTRICAI 1NSPECTION
' See instructions for completing this torm on back of yellow copy, ? ""X"" Be/ow Work Covered by This Request 5=.
EB-00007-06
?
Jadd Rep. Type of Building Apptiancss Nired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater Lighting Fixtures
Apt. Buiiding Dryer Hectric Heatin
Convnerciat Bidg. Furnace Si!o Unloader
industriaf Bldg_ Air Corditioner Butk Milk Tank
Farm ocnet suecirv Ocner (suectfv)
t r(Specify O*_her Other
Compute Inspection Fee Below /7/,).0-`
!1 e Service Entrance Size # Fee PeederslSubfeede?s # Fee Circuits
r6i('.1' 0 to 200 Am s 0 to 30 Arnps
? 0 to 30 Am s
Above 260 ?Amps 31 to 100 Amps
?
x 1
a
.??
31 "to 100 A s
Swimming Pool Above 100 Amps Above 1 QO_Rmps
Transformers irrigation Booms Partia{,'Other F
Signs Speciaf Mspection ? TOTAL FE.E y;(.J
Re? rks
<
Rough-ia ? Date , the Electr?aat'-
? .? Inspactor, nereby
Final - Date certify that the above
inspection has 6een
l C?-w made.
This request
CITY OF EAGAIV Remarks I-f639
Addition RUN C'.T.j1737 2nj Lot_ S Blk I Parcel 10 72976 0,90 fll
Owner
Street 1887 Bear Path Trai1 state Eagan, MN 55199,
Improvement Date Amount Annual Years Payment Receipt Date
STREE7SURF. 14 1985 369.37 24.62 15 p t tr j.
STREET RESTOR. .}9,l'o 1956 -2+51-.573' 431.51 5 !(/ ! -
GRADING 4/2ES-Sa3
SAN SEW TRUNK ? fs 6
SEWER LATERAL S * x9$S 26. 3 5. -5
3 -o r lr?
(I
SEWER LATERAL 999 1986 829.62 165.92 5 , ( lqllelkr
WATERMAIN
WATER LATERAL 1000 1986 942.60 1$$.52 5 Lf, 6 - ?Ja
WATER AREA 961, 19 77 62:34 4.16 15 a
d
'rill
/° r??
S70RM 1 1 1 : $ 9 20 ' 3 Gn ? J' liv 3'1
STORM SEW LA7
- 1 0 0 /!! -73 ?
,
c 9949 . .
SIDEWALK
STREET LIGHT
r .r
WATER CONN. 500-00 ii it
BUILDING PER. 10049 it If
SAC n n
PARK
2005 RESIDENTIAL PLUMB"ING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.. . ,
?.
Date
Site Street Address. Unit #
t 4
Property Owner Telephone #
_.- -? s.
_ ?..
?
Contrac.or : . -
Address y r, ?` T City State `?-a
The Applicant is: _ Owner ? Contcactor _Other
Alterations to existing dwelling $ 50.00
_ Add, plumbing fixtures (excludes water saftener and/or water heater--complete next
section if installing these -appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: >
Water S?fterier ? Water Heater $ 15:00
new ?% replaeement
?..
Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00
.
..??
, . ..
..
... K . .-- .. , q, °
State Surcharge $ .50
Total slsa S-C?
I hereby apply for a Residential Plumbing Permit and acknowledge that the infarmation is complete
and accurate; that the work will be; in conformance with the ordinances and codes of the City af
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and w will be in accbrdan e with the approved plan in
the event a pl? required to be reviewed and ap r? ve
? ?
. ?
Applicant' Printed Name Applicant's ignature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116507
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 1887 Bear Path Tr
Lot:5 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Heather Connell
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tigist Mebratu
1887 Bear Path Tr
Eagan MN 55122
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153730
Date Issued:01/17/2019
Permit Category:ePermit
Site Address: 1887 Bear Path Tr
Lot:5 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Tigist Mebratu
1887 Bear Path Tr
Eagan MN 55122
(612) 807-2323
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164733
Date Issued:10/07/2020
Permit Category:ePermit
Site Address: 1887 Bear Path Tr
Lot:5 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-050
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 -
Tigist Mebratu
1887 Bear Path Trl
Eagan MN 55122
Total Home Solutions Llc
1008 Prospect Pt Rd
Jordan MN 55352
(952) 207-6995
Applicant/Permitee: Signature Issued By: Signature