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4330 Bear Path Tr PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA078688 Eagan, MN 55122 . Date Issued: 07/06/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4330 Bear Path Tr Lot: 5 Block: 3 Addition: Meadowlands 1st PID 10-48050-050-03 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Cindy Lilienthal Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Sandra D Djock 21210 Eaton Ave 4330 Bear Path Tr Farmington MN 55024 Eagan MN 55122 (651) 460-6022 X253 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature C OGM k ~,r SAW SW MOT KW KD~ ~,.,.~.,yJ i ' ~ fl19i~-3tirYr~ 91~. Of 1~r ~ Of ~1~98; 1vuNd ~i85 • Z f~ t° ~ {~r ~ ' y ai fltiill + 7i0~(Md) • apt of 6**cw* Ott ho4s,~Pi*' ~ tgrlftte df pis t~Yn► &wMdc~w sus: ~ourod fau~rd da~rti, a1c.) • i ~e ~(ti►~ ~ wt • t 6d t►~* C+MdFl4l~mlt • i ~ AQiA~ i~ t~iB IOM 1~llea~- ~ t ;h ~ ~ • S 150s!'~a~rx~dlor~ ~ iF ~t~i~eQ ' t93 t ~ ~ A t t oeM+ let(!**.3`orfts t "Tt V AM* : r i 0 4 'IV 1, j,$k f r irwrw.fY~/1~rtr r+si rssrrirswatear.rari4l•s.rrr r.wir rM+«rrar.r«rrrira r► is rn'.usrt4+Yi{r.b/a•r~iti►rr#',r tii~Y#!!~'*'~1'~Mfr ~ 0 _ i 111 CC" M TM$-=' FOR MMMr mwtA motes w s , t r"r CW* GAY MINNESOTA RULES 7470 CATEGO t UL&i y p~ ~t 4 (~ttri~rt+~►rion `7! q') + jai .HslitOfl CA13p{~ictry ! W ~it~d * ~ ~v~~t/.y, q•., "m C • -~3~~C?~st0{aetia~C~~Bf~bl~fllK+~i ~r ~ hm. ' }►st t iaacludcs: ate ft ier Laves, kr. . sq~ 7,- . waft e- Heater _ i a. of R..L ~r lick of &a A*tl CCnkftlbT: Mec anic.-d systan incWes: Air Conditioning Heat Recovery System Mwr... r...w..wF.r.wr................ r.....i k--+il.iF---------Mw,R~F±►~haiMr~.w M►~.CIr;.t•. I t eMby acknK7 t)'1Cit) bCfv$ f6oG1 tf'11$ CtpQt'(tSf't, state t fh$' vth viViabe State of Mier sots Statutes artd City of Eag n©rcG~s'. z ~u • rn..ww......s.~.r...rw+.. ...r-. '~+..~+~M.~W4~~+rnMf►pr.~}~gF 4 OFFICE USE a L.LY , OWftftift Of &Wmy Received Tree Pmem ion Pim ed "A ,a r Q 01 four vn 13 07 Q -13 te-plex ~ fl Std 0 02 SF NK" © 08 08-plex 0,16 Fireplace a 21 Porch 3 31 Ext. At - f" w 0 03 01 of K © 09 07-plex 11 G"e C) 22 Por+e~L (4-soo } M:" 33 U. Ait . SP D 04 '02-ptsx 0 10 0634ex 0X18 Deck p- 23 Porch ~ d) 0 ` 08 03-plex 0 11 10-plc 0 18 Loin LOW 13 24 Sto" Re e £1 06 84-plex I"1 12 12-plex Pft.,, y or _id 0 25 Ww*lanaous ca z Addition a 36 Abvs Mg. t 42 00"01M ItY 45 ~ ~ . Q . 33 Aeration d" 37 Demofsh 48tqp1 L3 43 R f M&O Wl t Cl 34 Repiaoerlla L1 MM**Vftg sett . 01"VICA hw0ft*-* fa ua>Eietra . _ Occupency Csus Cede SxQ►t.tits stolli itierPump, ' i+u, of th'ft P1 Nbr, of B3dgt; 4dtl Type C" Wkth REQUIRED 00045MV"s Foofinp (now Footinp. (deck) frhiat No Co. FoobxV-.(eddinou) Plant it~g Founda on HWAC Drain'Tilt Other Roof Ice & Water Fat Pool Ftgs _ Air/Gas Tests F Fxaanipg Siding Stucco T sepia a R.I. Air 'cat FuW : `Windows (Ww/rvpiv r ) " Iarios Retaining Wad] Appmved By . $A 1 , Baser Fee Man RevieW., M+IES SAC - C4 SAC Water Supply & Sttrt S&W Permit & surchar Tresmw # Pwt Pirambirtg Pem* Mechinked Pexm Licwve Search Copies C?ttret Total t WA SERVICE KAMIT ' 97" 11110 Knob ltftW PER . T NO.: 3918 - $5122 SATE. Zoning: No. Units: ~ Owner: Wa fluct-n er t5attvc Addrew. --4330 Bear Ptfi-"h Site Address: iR Plumber: Russ Anderson Plumbiin$ - Meter No.: Con ion Char: ` Size: Acco Deposit: 10. ` Reader No.: Permit ee: ` i agree to 06a" y with tlua City Ragan Surcha . 5 t a~0+i7~Dts brdi"O"IL Misc. rges. Total: BY Daft Pa b©te of lnsv insp.: CQTY O #AGAN SEWER SERVICE PERMIT V93 Pdet Knob R"d PERMIT NO.:-" 1►$52 5gen, M14 55122 DA'T'E: 8 f 25 /81 Zoning: $IIT t~lZlAlttis' E.. -Owner: - - - - Address: Site Address: 4330 Bear Path Tr L5 $3 Xeaadaalaxt Ptumber: Russ Anderson 7.7/81 25986 004 i Gem to e mph with the city of Began connection charge: 425,00 Ate Ih~d?noaaet. Account . Deposit: Permit Fee: I0.00 pla, Surcharge: 11 5 Y Misc. Charges: Cate of insp.: total: Insp.: Dote Poid: CITY OF EAGAN N° 16651 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 lJ ~`t ' BUILDING PERMIT Receipt # C../ To be used for DECK Est. Value $1,000 Date JUNE 16 19$2-_ Site Address 4330 BEAR PATH TR Lot 5 Block 3 Sec/Sub.HEADO ANDS 1 ST OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name DAN THURMES (Actual) Const Bldg. Permit 26. 3 Address 4330 BEAR PATH TR (Allowable) Surcharge .50 ° City EAGAN Phone 452-6536 # of stories Length ~ Plan Review iR Name SAME Depth 141 SAC, City O~ Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn W 5 Name On Site Well - Water Meter =Z Address MWCC System - o o Acct. Deposit a W City Phone City Water - PRV Required S!W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with I applicable State of Minnesota Statutes and ' of Eagan Ordi Treatment PI Signature of Permitee f APPROVALS Road Unit DAN THURMES Planner Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official C 1 t i Variance - TOTAL 26.50 CITY OF EAGAN a 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT1,~ Receipt # To be used for DISC Est. Value 1 ttwo Date JUNE 16 19 ~ _ Site Address 413+1 B A PAT TA Lot 5 Block 3 Sec/Sub LAtiJ~ 1ST OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name DA THURMES (Actual) Const Bldg. Permit 26.00 o Address 4330 BEAR Ps.Tl. T (Allowable) Surcharge .,fit? City ACAi Phone 452-t53 # of Stories t Plan Review Length Zo Name Depth 14; SAC, City 00 Od Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage - Water Conn F ww Name On Site Well Water Meter s? Address MWCC System uZ Acct. Deposit a W City Phone City Water PRV Required S/W Permit hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAN THUS*° F-~ Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg OffCopies Building Official Variance TOTAL i Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I I I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. b Deck Final / J Well Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6782 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # f C To be used for Sir' DW/GAR Est. Value $53s 000 Date July 27 119-81- Site Address 4330 Bear Path Trail Erect [X Occupancy R1 Lot 5 Block 3 Sec/Sub. Meadowlands 1st Alter ❑ Zoning R1 Parcel # 10 48050 050 03 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. ~ W Nome Wt. Huttrier COnst. Inc. Move ❑ # Stories 3 Address 11913 Highland Yield Circle Demolish ❑ Front 47 ft. ° Ci Burnsville Phone 454-3833/890-3992 Grade ❑ Depth 46 ft. Owner Approvals Fees Nome uU Address Assessment Permit 292.00-- Ci Phone Water & Sew. Surcharge 26.5.0 Police Plan check146.00 F Name Fire SAC 525.00 1jZ Address Eng. Water Conn335.00 4 W City Phone Planner Water Meter 60, 00 Council Road Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $159.50 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 %oii R r7 _ I tote of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Na 6782 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for %F I)'r(,'/C.,1R Est. Value T Date v l ?7 7 19 Site Address 4330 Bear Path Trail Erect Occupancy 113 Lot Block 3 Sec/Sub. Mlea dowlands I st After ❑ Zoning f%? Parcel 10 43050 050, 03 Repair ❑ Fire Zone NA "n i?Utj riPr Const. r nC • Enlarge ❑ Type of Const. V AV Name Move ❑ Stories zz Address ll`'13 Kipbland View Circle Demolish ❑ Front 47 ft. city Burnsville Phone 454-3i1 3/8T)-3' `-'2 Grade [I Depth I.< ft. Nome Omner Approvals Fees o' Address Assessment Permit v9 city Phone Water & Sew. - Surcharge Police Plan checkl- -(11-')uW Name Fire SAC 525.00' Address Eng. Water Conn;'-,, ? city Phone Planner Water Meter 60 • Y) Council Road Unit 11f5.00 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 • State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: - aml- - - y ae• r~'t. 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 e 4 Permit # Data humd Permittaa Plumbing 2 sp z g=z.t-SH ss p_4^3o01'\ Mechanical La,!!z q - 0- ub ~°Y"S a d ~c c .2 t1-2 (o 'Z -t`1.81 ~Q_l-SI F-rav~ ~L&C INSPECTIONS DATE INSP. Rough-In Final Footings Date Date 1 Foundation _ Plumbing_-; ram /in - Mechanical Final Remarks: ~ s, y fib''' `1r ' "sr~' t~ ~,~;r~ ~'~1 ' ,o~»,::; ~~"`~°a,;~.u~~~e' a{Y~`R'.. a~ aem• I 41, r . Citp of Cagan rpurfmru~ of 'Suilbing 3ni,prrti n At Tbis Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ' ' ordinances of the City regulating huilding construction or use. For the following: Use cl]i/}BCEilon SF DWG/GAR Bldg. Pemlit No. 6782 R3 NA Type Camawction V Fire Zone Zoning District P-1 1y~ Occup+n,;y Type owner of Building WM. Huttner Const. Addmss 11913 Highland View C~ir. le ' BuadingAddress 4330 Bear Path Tr. I ,ityIot 5 Block 3 Meadowlands Br' l Buw,ngoffl Date. November 25, 1981 PMT IM A CO"MUM& / 4= - E1GOE$ 091 t,(TNOIN U.5.4. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee 2 Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost' 3. Job Address ~Lot _`Blk Tract 4. Owner ~ k cns ~ .t- ~4- e~ r 5. Contractor Phone 6. Address VOID 7. City State Zip 8. Building Type: Residential M Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ r 10. Describe < Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust. Mfg. r . Unit Heater Mfg. Other Air Cond. f { Mfg. Gas, Piping Outlets ' 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:,-', .r for, Rough Final Inspections: Date Insp. Date Insp. This is your permit whe numbered and approved. Approver! CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee t Fill in numbered spaces S/C ' Type or Print legibly Tot. 1. Date 2. Installation Cost ffff 4~ , 3. Job Address T Lot Blk. Tract -'A-4; 4. Owner 5. Contractor` Phone 6. Address 7. City r < s• „ ! t_' " State . y Zip _ 8. Building Type: Residential e~ Commercial ❑ Institutional ❑ 9. Work Description: Newl.O' Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well r Kitchen Sink Urinal/Bidet Other ` ' Laundry Tray : t r ,c Floor Drains Drinking Ftn. r Slop Sink ~T Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances anj cods governing this type of work. r i Signed : r c, for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. r.. r k 7 Approved _._'--2- LC CITY OF EAGAN 464-8100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVER. - FROM & -DOLLARS 100 ❑ CASH ❑ CHECK rt FUND CODE 'AAOUNT Thank ou )1 C/ i t' White-Payers Copy Yoifow--Posrting' Copy Mnk-File Copy, CITY OF EAGAN Remarks "Addition3012 AM12400 Lot s Rik Parcel ow~ r_ "I e, i -Thuml Street 4330 11ANItr Path '1hC11il state * l~ #nnprovar99ent Date Pmgoun Annual Years Payment Rectipt Date STREET SURF. STREET RESTOR. P• 1981 158 99 10 1 27"20- A010787 12-4-81 GRADING SAN SEWi TRUNK 1970 77.95 3.12 25 4(3. 63 At~30 61 SEW~E€i LATERAL -1981 315.65 2525.28 A010787 12-4-81 =,WiATERMAIN * WATER LATERAL 1981 10 = _ .12 WATER AAEA 401 1 Q71 C ,-27 6.35 is "0 Q 3 5-7 STORM SEWtTRK I 12T-38 A0103 Y STORM SEW LAT 1981 10 services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 259 7 WATER CONN. 335. Qfl t+ BUILDING PER. -6782 SAC r r PARK' 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES STILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: a c.(~ Valuation: Date: 4Zl 8~9 Site Address 43?~ L15C-AF- Wti OFFICE USE ONLY Lot Block Occupancy FEES Parcel/Sub Zoning ~~W ~SrAQpil~l Actual Const Bldg. Permit °D Allowable Surcharge 4 Owner -DAB" THUKNIV--S # of stories Plan Review SAC9 City Address TR Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone 4 2! On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment Pl. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code / SUBTOTAL APPROVALS Penalty Phone / Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # / :CIO a ♦ NA 430 ` siTE r~-a►~l t P. *rHUWSS Wl &/aIl Eine~ ~ 0- same -k 1. 4 ~c- an Pay CITY OF EAGAN Include 2 sets of plans, -1 T 0`'+ 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used For NC7 LC CA010 tV 6 OGAO.cation 3~ n o 6 Date 7 zf8 I Site Address #330 Pam Tv-a i I -OFFICE USE ONLY Lot 1~5'. Block 3 ~ ec./Sub. YMeadn oja~,~ 1~1 Erect Occupancy Parcel 10 ~ S-O 03'0 CJ-3- Alter Zoning Repair Fire Zone Owner: vi w, P i A'e,v C~ ,nc v uc~r 10 e_. Enlarge Type of Const. ~ Address: i l ct 13 1 ~ 4~ (4 A4 Q ie C: Move # Stories ft. Dewlish Front City/Zip Code : u v V\ s t5 l e S 3 3 Grade Depth f t. Phone -/43-4 -3$33 ~90~3~2_ x APPROVALS FEES Contractor: S a vy\r as aw n c-v; Assessments l Permit ~07 Address: Water/Sewer Surcharge ,7 Police Plan Check j •y6 02- City/Zip Code: Fire SAC - Eng. Water Conn.-15 Phone Planner Water Meter Council Road Unit Arch./Eng.: Bldg. off. d Address: APC City/Zip Code: Phone # :-9 a TaTAL Dunn ~e Curry A^ ~ Ave ~ ~ ~u./~ Nor Lien s~ .0N ' P `f SSA- 3~ 33 ®E L hA H. SCYH \Al~► IV Z (1 ~~4 LAN URV ~R Registered Under Laws ® P+, Stata Of Minnesota 2978 - 145TH STREET W. - BOX M (10 ROSEMOUNIT, ESOTA 55068 PHONE 612 423-1769 SURVEYOR'S CERTIFICATES 0 X50 0 IV, Dra . na , tlt l i y eal -77 SCALE: 1 inch 30 feet ~w I hereby certify-that this is a true and correct representation of Lot 5, Block 3, MEADOWLAND FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated: June 9, 1950 Approved for Dunn & Curry Real Estate Management, Inc. by: MINNESOTA REGISTAA ON NO. 8625 Y 2 CITY USE ONLY LOT cJ BL eJ RECEIPT i SUB RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NN 55122 Date: (612) 681-4675 d Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section omy if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: 20.50 SITE ADDRE S• S 7-h fr ~ OWNERNANIE: PHONE Ij ( "J INSTALLER NAME:Dhl2.5 mac, PHONE STREET ADDRESS:/ 1/ 2: 2 1` faa o L 14 a,,- CITY: „ ~l~ ✓ STATE: /A/ ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) -1998 I~ r CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF RAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WOi " TYPE: NEW CUvSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.) TOTAL - - - - SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IlvIPROvEMENTs oNLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR Sep 21 2011 4:40PM HP LRSERJET FAXHRUCKMUELL 6516882160 pace 1 Use BLUE or BLACK Ink =art ' ~0 1 Ity of Ealan ; Pe~~~: I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: Phone: (651)675-5675 1 Staff: j Fax: (661) 675-5694 - INFLOW & INFILTRATION PERMIT APPLICATION ✓Plumbing / Sewer & Water Date: Slte Address: '4930 6W,,C Pni'A Tenant: Suite S. RESIDENT /OWNER Name: 5'andi 0!Ock Phone: Address crty zip: (433D /fir- PoA 1"r4l l Name: 13rac,kmitzJ1a P1um&>7zt License*: Q 8M ~ G 9 ~ n fie,. Address: 37 ld17 s Nlil Z7 i s g ,fie,. -city: E.c~~aan CONTRACTOR State: - 117N Zip: 5V12-7 Phone: 661" &s Contact: ~5,r'6 Of '-ff"U re- Email: r Gc31i7 PLUMBING (Within the building he build envelope) SEWER 8 WATER outside the building envelope) ng ) ( 9 P+B) TYPE OF WORK -.,,-/Sump Pump Repair Repair Other. Other; DESCRIPTION Description of work: arYi't o D M'Q uD Y/d code . FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 557. 60 'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement two quotes from qualified contractors must accompany this applicatiion..A list of contractors can be found by visiting www.cltvofeaaan.com/intlow, 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.goraherstateon ll.orn I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ~:TtlI 1'e 13r AAc k_ mu P.1 fe4- x 6u:~~ Applicant's Printed Name Ap cant's Signature FOBo ,"IPF USE RevitlfviC~d Req d It►><ppp Qk Tinder Ground Haug In ~~inaK, PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA101197 Date Issued: 09/26/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4330 Bear Path Tr Lot: 5 Block: 3 Addition: Meadowlands Ist PID: 10-48050-03-050 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan. MN 55123 651-686-6696 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Bruclanueller Plumbing Inc Sandra D Djock 3992 Pennsylvania Ave 4330 Bear Path Tr Eagan NIN 55123 Eagan NIN 55122 (61)686-6696 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117629 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 4330 Bear Path Tr Lot:5 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-050 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 . Ryan Mcgree Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 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