1892 Bear Path TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1892 Bear Path Tr
Lot: 005 Block: 002 Addition: Sun Cliff 2nd
PID:10- 72976 - 050 -02
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Mary A Mellenbmch
1892 Bear Path Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA077465
04/25/2007
ePermit
401? City of Eap
3830 Pilot Knob Road
Eagan MP155y22
Phone: (651) 675-5675
Fax: (651) 675-5694
?-------------- --_
j Permit #:
i Permit Fee:
j Date Received: / j
I 5taff;
I I
--T-------------J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1O -+ '; e:xL1 r p6oul-'TVAU
Tenant:
Suite #:
RESIDENT / OWNER Name: Vl (OV-Phone:
Address / City / Zip: ?
Applicant is: Owner ? Contractor
TYPE OF WORK Description of work:
m
Construction Cost: Multi-Family Buiiding: (Yes 1 No
CONTRACTOR Name. &l/VA';f- (ja Lti License #: ?? l f1 Q?t??
Address: lX?t
City: l t I/oL{. State: Al 1l1 Zip: 66
Phone: 7 v?? -DZ ?? ?DO Contact Person: U,?JA C7G? l?G? Z ?v ?---
COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
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 #or a similar pian based on a master plan?
___Yes ,TNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NO7"E. Ptans and srrppurtfngr dct6rents that y? submrt are +consideted't,v ibe ptitiifc fnt'?rtn??'oe?. Prirt??n? td
the Informatipn may be ctasslfieri;as nare?pubtfc if,yt?u /arcrvide sp???.re?ivns tf?at wotatd,??i?
° ctrnctude tW#hew are tride 500?
1 hereby acknowledge that this information is eomplete and accurate; that fhe work will be in conformance wilh the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a qermif, and work is not to start without a permit; that the work wiN be in
accordance with the approved plan in the case of work which requires a review and approval of plans. ,
X I?SGt, 4-kIkA til b
Appiicant s Printed Name
Thfs re4uest void 9 %4GF
18 months from
E 16 06 0/2?5,,6-:?q . ?- rl??' ?
oRl;/"?_'
??? &,-,)
Req strDate^
G Fire No. in I pection
uir
Ready Now otify Inspe
c-
EI
r ?Y
Q ?
s
N
o tor When Ready
U?r-d Elec[rical Contractor I bereby request inspection ot above
? Owner electrical work installed at:
Stre t re Box or Route City? Q/M)
ection o. Township Name or No. Range No. County
Oc uG 9R11 K?_?L L PhN
?. ? &d0
? -,
P wer Supplier
? Address
Electrical Contractor (Company Name) Contract 's License No.
a?i4ng Address (Con?ra?ti`LoLQ?yn?r ?Qa,jcinr? Instailation)
c;dr?? {: i??rr 1?F ?Y r a ti•
v-ztiJ PL+t?jt7\ /r\,r?l Lj'?N?..
S rac W nstallationl
I Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
Phone (612) 642-0800
? /C1,7, REQUEST FOR ELECTRICAL INSPECTlON
? See instructions for completing this form on back of yellow copv. ?.. Es-oooo1-os?
??
E 160,.60 "X" Below Work Covered by This Request
Add Rep. Type of Building Apptiances Wired Equipment Wired
.?. Home Fange Temporary Service
Dupiex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electne Heatni
Commercial Bldg. Furnace Silo Unloader
{ndustrial Bldg. Air Conditioner Bulk Milk Tank
Farm otnrr specirv O(ne, (sno?,;fvJ
ther Suecify ther Other
c.ompute inspection tee ttelow
# Fee Service Entrance Size H Fee Feeders/Su6feeders # Fee Circuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 qmp5? 31 to 100 ArTips 31 to 100 Am s
Swimming Pool Above 100- Amps Above 100_Amps
Transformers Irrigation Booms Partiaf-' CabPr_FELe____j
Signs Speciaf lnspection
Rerr-orks OTA L EE
Rough-in D?te
? ?
'
V ? jt Inspector, he.
eby
that the ab
certit
v
Final
Da1e y
o
e
' spection has been
• ?, made.
This request void 18 months from
This reques[ void
18 manCtie.;rom
C 5 6 4 5
Request pte
F
6 Fire No. . Rough-in I pe tion
Requic
[DReady Now ilI Natify. Inspec-
?
4 es ? No tor When Ready
19c
icen ed Electrical Contractor I hereby request inspection of gbove
D Owner electricaLwork instalVed at:
St7`17; re s, Box ar Rou o.
pz; City
ection o, Township Name or No. Range No. Cowit/,
?
Occ nt (P ?NT) Phone Na
?-3 1
Power Su I' r Address ?
Elec rical Goniraetor iCompany Name
EL'F-GTRI C ntracYOr, s License No.
? ? 17
WaTTi145T6VVqlq(DCK a ? ta,lat;on)
A.AcppLb n tor r a ing Installation) Phone {Vumber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REf2UEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTED 6Y THE STATE BOARD
1821 University Ave., St, Paul, MN 55104 UNLESS PROPER INSPECTION fEE IS
Phone (612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION , Es-M)o1-on
See instructions. for complet'rng this form on back of Yeltow copy.
5 645 X" Below W'ork Govered by 7his Request
NOW I ,fd Type oi 8uiiding Apptiancea Wired Equipment Wired
Home Range T porary Sefvice
Duplex Water Heater Lightin,y Fixtiires
Apt. Building er Electrie Heatni
Commercial Sidy. Fumace Silo Unloader,
Industriai Bldg. `Ltir Conditioner Bulk Milk Tank
Farm otner peci Y Other (SFierifY)
i er Specify ther , Othei
ompute lnspeciion fee Below
# Fee ServiceEntranceSize tt Fee Feeders/Subfeeders # Fee Circuits
0 to 200 Am s 0 to 30 Am s 11) 0 to 30 Ant s
Above 200 Amps - 31 to 100 Amps 51,0
31 to 100 Am s
Swimining Poot Above 100_ Amps ffn Above 100_Am s
Transiormers Irrigation Booms Pariial- Other Fee
•- 5igns 5pecial Inspection 5(/,,,r? 1
? TOTA
Rerrv7rks I ?:
Rough-in ?Ithe ect
ri
speCYorereby
certify that tbe above
Final inspection has been
maaa.
This request void 18 months from
ClTY OF EAGAN Remarks auAw
Addition SUN CLIFE 2nd Lot 5 Blk 2 Parcel 10 72976 050 02
Owner Street 1892 Bear Path Trail State F• an . Mlal-55122
lmprovement Date Annual Years Payment Receipt Date
STREET SURF. 1$5 36
STREET RESTOR. °78 1986 431. 51 5
GRADING
P
SAN SEW TRUNK 1970
SEWER LATERAL
SEWER LATERAL 999 1986 165.92 5
WATERMAIN
WATERLATERAL 1000 1986 9+2.60 1$$.52 5
WATER AREA Q 197Y 62.34 4.16 15
WAT LAT BEN 19?71 1986 57.88 11.58 5
STORM SEW TRK o 1971 161.72 8.09 20
STORM SEW LA7 ;y
SIW SERVICE 1005 1986 808.77 161.75 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5
WATER CONN.
BU(LDING PER.
SAC
PARK
CITY OF EAGAN No 15026
_ t3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt
To be used for BASEMENT Est. Value $1,500 Date ?Y 17 ,19
Site Address 1892 BEAR PATH TR OFFICE USE ONLY
Lot 5 Block 2 Sec/Sub. SUN CLIFF 2ND On Site Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
¢ Name JOHN KORBY City Water (Allowable)
Z AddreSS SAME PRV Required # of Stories
° City Phone 454-4283 Booster Pump Length
Depth
, o Name MIT..^,HELL BLDRS S.F. rotal
? Q Address 14425 GUTHRIE WAY Footprint S.F.
? City A.V. Phone 431-1870 APPROVALS FEES
?34.00
? ?
W W Name Engr./Assess. Permit
w
t
A
Address Planner Surcharge .00
_
Q W City Phone Counci! Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all aq licable State of Water Conn.
Minnesota Statutes and Ci f E an rdinances.
%? Water Meter
??
Signature of Permittee ?' Road Unit
A Building Permit is issued to: MITCHELL BLDR ` Treatment P1
on the express condition that all work shall be done in accord ce with all
applicable State of Minnes ta Statutes and City of Eagan Ordinances. Parks
$35.00
Building Official TOTAL
.- <
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- _
` PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. value $ 6 7, 0 0 0 pate MARCH 25
116 8 3
198 b
1892 BEAR PATH TR
Site Address
Erect ? R3
Occupancy
Lot 5 Block 2 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning R
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name RMC DEVELOPMEAIT CORP Move ? Length 40
z 3209 W 76TH ST.
STE 205 Demolish ? Depth dR
,
3 Address
°
EDINA
835-3773 Int.lmpr? S Ft.
Q
Gi?,
phone Install ?
o Name SAME Approvals Fees
?? Address Assessment Permit 3 4. 00
'- City Phone Water & Sew. Surcharge 33 . 50
Police Plan Review 167.00
F W Name MINNETONKA DESIGN Fire SAC 575 . 00
?? Address 337 WATER ST Eng. Water Conn. 500.00
<W CityEXCELSIQRone 474-5991 Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe
i B?dg
3/26/86 Tr. PI.
Off 156.00
nformation is correct and agrea to comply wit ,oll appiicable State of .
.
Minnesota Statutes and City E? r" es. APC Parks
'
Signature of Permittee ?Q '' Var. Date Copies
, . 0 0
Total
RMC DEVELOP141ENT CORP
A Buildin Permit is issued to:
9 on the express condition that
all work shall be done in accordance with all ap icable St e o innesota Statutes and Ci ty of Eagan Ordinances.
Building Official
?l
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAAI
COMMERCIAL
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1?SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS' '
$2,000 LANDSCAPE BOND
.S'i X¢.li t ? ?7r??
To Be Used For: Valuation: ?, Date:
Site Address
Lot :S-- Block ?.
Parcel/Sub-,Q,r dtLLai,m/
.
Owner - ,,rT"e&. ?.?,tQlr?d?r?' ?
Address
City/Zip Code AAW
Phone 22.3
Contractor .2?fw` a &&"
Address
City/Zip Code
Phone
Arch.! Engr .
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Erect ?
Remddel
Repair
Addition
Move
Demolish
4nt. Impr .
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
K.
Install
APPROVALS
Assessments Permit
Water/Sewer ? Surcharge
Folice Plan Review
?
Fire SAC
Engr ? Water Conn
Planner? Water Meter
Council Road Unit
Bldg Off ? Treatment P1
APC Parks
Varianee Copies
? TOTAL
FEES
S-O0 , 1
-4?
?
? ?'?=? ?_ ?a., r ?.? ??? 7ry.. ? ?
?? • • ?,ir?/i????`.t?n
?
F4R: R.M.C. DEVELOPMENT CORp.
C. R. WINDEN b ASSOCIATES, INC.
tAND StiRYErORS T•L 645-3640
1381 EUST{S St.. Sj. #AUt, MlNN. 63108
F}T H, `r R ; 1
/89t?6? NJ9 e 30'3I"E
? c.cD ?892.37)
`
? o
?y (
t9'-- - - - - Scale: 1" = 30'
t'Drcehony 223 ? ' 4 ^ O Denotes Iron
M
5
71
`"
? onument
lif m , NOTE :
N
C' c Denates Woaden Stake
-?
, ?r.?,pa?ed (1 Proposed Garage Floor E1.
(994,0) I}enotes Praposed
#ouSQ.,
? Finished Ground E3. = 894,33
0 ` -rt----- Denotas Direction
? LO !z
L894.o? Of Surface Drainage
C
ti
t
l II
N
G
V
D
1929
?
C j Z'Ove?fio?y ? er
ca
um -
a
.
.
.
.
C - ?
(S7L? K.1 L- ?J { ?.? IS
`G
o? C)
?890, 4) 60. oo ? ? ?892. / )
Lot 5, Block 2, SUN CLIFF SECOND
ADDITIJN, Dakcta County, Minnesota
wE MERElr tERTiFr TMAT TNIS IS A TRUE AND CORRECt REPRESENTAtION Cf A SUItvEr Of THE
i0UN0ARIE5 Of TNE lANO ASOYE DfSCRilEO AND Of TNE tOCATtQN OF At1 SUtIDINGS, IF ANl!
TMEREON, AND All VISIbIE ENCROACNMENTS, 1f ANY, fROM OR QN $AID lllNp.
Doted this. dor *f 2da/'CA A.p_ ?VE34(c C. R. wINDEN & ASSOt1ATES, INC.
br 4k4-m'Al
Su/v*rpr, MinnffOfO tpistrotiOff 1'd0 2
rann iv
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CITY OF EAGAN WATER SERVtCE PERMI'f
3930falo*Knals Road "
P. O. Bo?11149 ,,? ?
PERMIT NO.:
Eagan; IWN 55121 ?*`=' "?`7'
DATE:
Zonin9: No. af Units:
Owner:
Addross:
d {F?pb. +?+?vi4l? La[, a
Site /Wdress:
} ? ?Y
Ar?: T2... +.??,.:..:-IV ha. AS.Iv liSdb+
• ? '.? ,-, *
'},,
Plumbcr. ?'w.tkta, L- taTM
?
lYletar No.: Gonnedion C?wrge: ???3•????9?
Size: Account Deposit:
Reader No.: Permit Fee:
1 rgnr to oom%* wilh Nw City of Eeyen Surcharge: .5 0 p.'
adiwonas. Misc. Choryes: ???'•() 0 p e-, TP
Total: 502d -&e ter
BY Dote Paid:
Da6 Of IMS(>.: IfISp.: . .
CITY OF EAGAN SEWER SERVICE PERMIT
3530 Pelo?Knob Road ?: ?I I
S. ` `
P. O. Bo?r21198 ` PEi2MiT NO.:
`
Eagan, MN 55721 DATE:
zonirg. Pi No. of Units: ?
Owner: IT4i D'Ev, C..t)P-2'. ?
Address:
.??
Site Address: xi 5 2 'D t?32"' i3az- 1, ";"t:r3.il. T.?S ti2 +'Y3in Ca.iff 2
Plumbsr:
?-164C (0q04 ..',`7Ct. 0pe:
1 aypw to oompy wkh ths Ciy of Eegoa Connection Chorpe.
. 4 75. n'}r{':•
Ordieenen. Hcaount Deposih 15•OO,.,Rd
Permit Fee: ?'? ? cop""
Su?cFwrye: . 502?
Bv _
Date of Insp •
MiBC. C1Wfg85:
Totoh
I?sp.: Dote •Pcid:
?
2006 RESIDENTIAL PLUMBING PERnniT aPPLicaTiorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ? / 0_6
Site Street Address (S'l 9" L?gdL P44+1 (?f Unit#
Property Owner ? e(knby-L/Clock Telephone # ((p jj) (7`??j0? '0J(
Contractor Telephone # (e-D( )
Address City State,mNi Zip 55ra
The Applicant is: _ Owner ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are installing onlv a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Otner:
Water Softener t`" Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
?l`?,????
i? n
St
t
S
h $
50
n
a
e
urc
arge
.
. ... jy'?,
Totai
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of 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 work will be in
accordanc with the approved plan in the event a plan is required t e reviewed and approved.
XV4
Applicant s Printed Name Appli n's Signature
flb
?*?#****?*?*****#***#****#***#*****#
? ?ITYOF EAGAI? ? ?? m??
TIM °F * coNsTrL
* APPROVAL OF PERMIT. ?
APPLICATION FOR PERMiT
. , * INSPECTION OF SE,WER AND/OR WATgt *
* INSTALLATIONS WILL NOT HE SCEED- ?
SEWER ANDlOR WATER CONNECTION ?ULED UML PII2MIT HAS BEEN ?
? APPROVEa. ?
t ?
- . ?***********************************
Please Print)
1) PROPERTY ADDRESS:
? • k ' ?• ?' 4` ? ?_..
LEGAL DESCRIPTION• L, ?C,1 ,?' ?" ~ ?,?? . ' 4,?-?? . ?, / ??-- ,.?? •_
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRC?CZLTRE, DATE OF ORIGINAL BIIILDING PEFIMIT ISSL'ANC,E: .
PRFSENT ZONING/PROPOSID L?SE; (1`?ont Year)
COMMEtCIAL/!RETAIL/OFFICE R-1 SINGLE FAMILY .
Q INIDLSTRIAL ? R-2 DLPLEX (Two LTnits)
? INSTITCTIONAL/GOVauAEN'r ? R-3 TOWNiOLiSE (Three + Units )( Units )
• ? R-4 APARTMEN'r/CONIDOMINIL'M ( Units )
2)
v NANIE:
?-
ADDRESS:
Cl l 1. ,
STATE, ZIP: PHONE:
3) i:?• f ._
AvDREss: t
CITY, STATE, ZIP:
/-, ce 1-7 =-
PHONE: MASTER LICENSE#
ror city Use
Plumbers License:
Active
Expired
Not recorded
Statf'Ini-tial
4) ?.??y•:,? ?,.ui?r
IVANIE :
- ADDR.ESS : CC
' CITY, S'TATE, ZIP:
PHONE: .
?.
.5) ? CONNECTION TQ CITY SEWgt CONNFX..TION TO CITY WATER 0IHER
?
6? ff,? tso.N. • ?.? PLF.ASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF
ABOVE
M PIEASE MAIL
5 ??
. r -- .., - . • .. .?,- ?? • • 414
?:?? i. r ?- • ?• ?
R? r?'t ? ? r s?i ? .. ti -.R--- r-.-. ?
? ? 1 ?1 ? !! t di ??
•?
TO l, 2. 3, 4, ABOVE
/,' (Circle one)
FOR CITY USE ONLY
PERMIT # ISSLED
?
Pd w/Bldg. -------,
Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ` WATER PERMIT (INCLUDE SURCHARGE) .
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ - ACCOLNT DEPOSIT - WATER
$ _ . . • - $ WAC
$ $ SAC _
$ $ TRiJIVK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ' $ WATER TREATMENT BLANT SURCHARGE
$ $ ' OTHER;
$ $ - TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MLST BE ISSLED BY THE ENGINEERING
U NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE;
DATE; •
l r BL o?,_
SUBD. -4-0-f e?L CITY USE ONLY
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT
DATE:
?/,3?-
Please complete for: ? single family dweHings
? townhomes and condos when permits are required for each unit
FiXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x -
LGvqtcry• 3.00 x _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
--MTater Heati.Nr,
? 3.00 x =
ffocir 6rain 3.00 x -
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x -
Water Softener 5.00 x -
Private Disposal * pakota Cty. 4icense 50.00 -
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 -
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL Z-0• 50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 2945 GAR?I?LD AYE. SOUTH
p(?IQIQEAPti7tT5, ivite-aa -
C ITY: STATE:
PHONE #: (
?
?
7
ZIP:
) ,??
SIG
OFFICE USE OMl.Y
L BL RECEIPT #:
SUBD.
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? aii commercial/industrial buiidings.
? multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADO ON S?EPQ:IF?
DESCRIPTION OF WORK:
(S WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TQ PROVIDE THIS lNFORMATION WlLL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
iF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of rmi fee due on all permits.
CONTRACT PRlCE x 1 %
STATE SURCHARGE
TOTAL
S[TC A viiREvv:
TENANT NAME: STE. #
OWNER NAME:
lNSTALLER:
ADDRESS:
CITY:
STATE: ZlP:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONlY
METER SIZE: " DATE: iNSPECTOR:
RESIDENTIA.
BU1tDfNG PERMIT ARPLICATION
CITY OF EAGAN
Y? T?J 3830 PILOT KNOB RD -55122
851-681-4875
• 3 regieWed de sunrtlys showMO sR. R. of tot, s4. R. of hotose; and d roofed areas
(ZOX maxinnxn Iot oovera9e aWwed)
• 2 copies of pNan shmft bearn & windCMr aizes: poUred kxmd design, etc.)
. 1 set of EneBy Calcuta4bns
• 3 capies ot Troe Presavagon P{em N bt ploqed ARer I11193
. Rim Joist tktaY Optfocis selecbat sheet (WdQa wt? 3 or Ias wtsj
QATE ?
1Z/01
J4B SITE ADDRESS _ I?6-I
1F MULfl-FAMILY BUIlDING, HQW MA',
PROPERTY OiNNERfvwl
TYPE OP WORK i 0V NWO
APPUCANZ . I0A .-?? C,?ytS?'r?w
ADaRESS __??0 S?-
NITS?
AAGER # CELL PHONE
? FIttEPLACE(S) M. 0 .,,,_ 1 _,_,,, 2
P HON E #( ?L-0-05 'WO
d 14 ZtP C4QE
-,dW FAX #
NIEV RESiDENT1AL BUILDING ONLY - FILL C)UT COMPtEi'ELY
Energy code cacegon ? MINNESOTA RULXS 7670 CA1'EGORY 1
(chedc one) - Res#dentiai VeMilaUon Category 1 Vltorksheet Subrr?itted
- Energy Envelope Calcuta#ions Submitted
„ NIINNESOTA RULFS 7672
- New Energy Code Worcsheet Submiitsd
Plumbing Corthactor. P'hone #:
Ptumbing System Includes: Water Softener ? La.wn Sprinkier Fee: $90.00
_ Water Heater ? I'+lo. of R.I. Baths
, No. of Baths Mechantcoi Controctvc Phore #
Mechanicai System Includes. - Air Conditioning Fee: $70.00
„^ Heat Recovery Systcm
SewK/Watw CoMrac#Or. Phone #
A1i above informatlon must be submitted prior to procftsing of application.
! hereby acknowledge that I have read this appiication, state thcat the inf ati9,7(ar?d agree fc??pty
wi#h att applicable State of Minnesota Statutes csnd City of Eagon Orc?in es.
Sign?ure of AppUcaM
Certificates of Survey Received i, Tree Prssenration Plan Received Nat Requir+ed
Updsted 1/0t
fI ? 1 75'",
. 2 mpies of pW
• 1 sat of Enw9Y CelaWm for Fieated additions
• 1 ab suivay ta extsrior adtWcnd & decks
• Indlcate ff horeie aaved bY ?epdc aya6em for sd?tlar?
VALUATICiN q t;? ?
t1FFtCE USE ONLY
? 01 Foundatbn
O 02 SF Dweliing
? 03 01 of _ plex
C7 04 02-plex
O 05 03-plex
C3 0& 04-plex
O 07 05-plex O 13 16-plex
O OS 06-plex ? 16 Fireplace
0 09 47-plex CI 17 Garage
C] 10 08-pfex 018 Deck
? 11 10-piex 0 19 Lower Level
O 12 12-plex PIbg4Y or _ N
0 20 Pool
D 21 pcrr:h (3-sea.)
a 22 Porc,hfAadn. (4asea.)
? 23 Porch (screened)
CI 24 Storm Damage
C! 25 MisceNaneous
0 30 AccessorY BId9
0 31 Ext, Alt - MUitf
0 33 EA Att - 3F
O 36 Wlb
? 31 IVew ? 35 Int Improvement Ct 38 Demotish (tnteriar) 0 44 Sidhng
O 32 Addkion 0 36 Move Bldg. ? 42 DemoNsh (Foundaicrt) 0 45 Fire Repair
? 33 Alteratlan ? 37 Demotisfi (Bldg)• ? 43 R+eruaf 0 48 Windows/t)oors
t] 34 Replacement *DamoliNon (Entira Bldg only) - Ghn PCA handout to appftant
Valua#ion Occupancy MC/ES System
Census Code Zoning City Water
?
SAC Units S#ories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length ,- Fire 5prinkfered
Type of Const Width
REQUIRED lNSPECTIONS
Footings (nerov h2dg)
Foodngs(deck) i Final/No C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing^ ? _ Pool , Ftgs _ Air/Gas Tests _,,., Final
Fircplace ` RI. ^ Air Tost ^ Final , Siding Stt?cco ? Stone
Insulation ^ Winuiowa (new/rtplacemeut)
APProved gy , Bu?din? inspeGtor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City S/?eC
Water Supply 8 Storage
S&W Pertnit 8 Surcharge
Treatment Ffant
Plumbing Pwmit
Mechanical Permit
l.icer?se Search
Copies
Other
Total
i FinallC.O.
HVAC
.. • a
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
y4 .
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MU5T DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
M(ILTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS
INCLi3DE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCtJLATIONS
CONlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: aluation: Site Address jL'Z2? L?=LZ /1- I?,? 77_ OFFICE USE ONLY
Lot Bloek
ParcellSub
Owner
Address 4?i &-i3i? -7?wl?
CitY/ZiP Code
Phone '
Contractor
Address
City/Zip Code
Phone (-7C' ?
Areh.lEngr.
Address
City/Zip Code
Date:
/ -,?. _ ., .,
_.?.,
On site sewage Occupancy
MWCC system Zoning
On site well Actual Const
City water Allowable
PRV required # of stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES I
Engr/Assess Permit ?
Planner Surcharge
Couneil ? Plan Review
Bldg. Off. c::'(ZSAC, City
Varianee SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone 4i
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUIlDING PERMIT Receipt #
-7
To be used for Est. Value Date
Site Address _
K
Lot Biock
Parcel No.
_r
ac Name
w
3 Address ?
City Phone Name
0
? Q Address .`°-` City ? • Phone
?W Name
W w
s z Address
?
¢ Z City Phone
W
a
I hereby ackrtowiedge 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 Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Official
? - ., ;- - •
9^
Sec/Sub.
OFFtCE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowabie)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F..
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Pian Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Y .f.?
Permit No. Pennft Ho4der Data Tetephone #
Plumbing
H.V.A.C.
E4ectric
0-0
Softener
lnspeation Date Insp. COm~ts
Footings {
Footings 14
Foundatian
Framing
Roofing
Rough P{bg.
t?
Rough Htg.
,
isul.
Fireplace
Final Ht9• X=`1 7-71! .
Final Pibg.
.
.
4Fjnal
, . , PFRMiT #
PLUMBlNG AERMIT RECEIPT # f
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
COMTRACT PRICE: PHONE: 454-8100 -
Site Addr sS-, ? t ? ,'t,('_?.
Z
1
4
'
?4
L
lot
. Vc/Sub
Bir
(r:>...
L- Name
2
a i"`"j _ ' F
AddrQSS '
c CityE PhOne421^ f 4 V
? Name ?
3 Address
p City Phone
FEES
G4UllM/IND FEE -1% OF CONTRACT FEE
Aft.BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLlES
MINIMUM - RE&IDENTIAL FEE - $12.60
MINIMUM - COMN1/IND FEE - $20.00
$TATE SURCHARGE PER PERMIT - .50
(ADtZ $.50 SfC iF PERMIT PRICE GOES
,
BEY°OND
r'
-
SIGNATURE OF PE ITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on ?
Comm. Repair
Qther
RES. PLBG. ONLY - COMPLE'TE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00
Bath Tubs - $3.00
? lavatory - $3-00
? Shower - $3.00
Kiichen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas F'iping Outlets - $1.50 ,
(MINIMUM - 1 PER PERMI'T)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
_..?
?
. . .. . ..?.i'i;
??
BUILDING PERMiT
Receipt #
?$?? 11683
?
To be used for SF DWG1?GAR Est. Value $67000 Date MARCH 25 ,19 A-6
SiteAddress 1892 $EAR g'A'TH TR Erect L3? qccupancy R3
Lot 5 Black 2 Sec/Sub. SUN CLIFF 2ND Remodel 0 Zoning RI
Parcel No Repair ? Type of Const It
. Addition ? No. Stories
w Name RMC DEVEY'Opt-IE14T CORP Move ? Length ??
S,?,? 205
3209 W 7 6?,H S,, M Demolish ? Depth ? ?
a ?
Address
EDINA
'?a5-?'773
Ci Int, Impr. ?
? Sq. Ft.
iy Phone Install
. o Name SA?E Approvats Fees
0
a Address
City Phone
? W IVame I?lll?iY?tE"`C3?iIf? DESIG1?F
? ?-y Address --.?.37 WA``ER S`.?
aW City EX Z.BZOMne 474'-5991
i hereby acknowledge that 1 have read this application and state that the
information is carrect and agree to comply with alt applicable State of
Minnesata Statutes and City of Eagan prdinareces.
Signature of Permittee
cITr oF EaGaN
3830 Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment Permit $ 334.00
Water & Sew. Surcharge 33.50
Police Plan F{eview 167 • 00
Fire SAC 575.00
Eng. Water Conn. 500• 00
Planner Water Meter 63.50
Councii Road Unit 290.00
Bidg. Off. 3 ?26/8 Tr. PI. 156» 00
APG Parks
Var. Date Copies
,-?
19-. 00
TOtal
A Building Permit is issued to: RS? DEVELOPIAEN?'* CORP on the express condition that
all work shall be done in accordance with all appUcable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Officiat
" PKmR No. Permit Hotder Date Teleph0ne #
Ptumbin9
k'fectric
Sottener
Inspection Date Insp. Commeaks
Footings 1 /
Footinps tl
foundatbn
Framing
Roofing
Rough Plbg.
Rough Htg.
lnsui.
i
Rirepiace J
Final Htg. 7
n /
Finai Ptbg. -
/ ?? ? •[ ? S 7"J? ?G A
Bidg. F(nal
Cert.Occ. ?
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CONTRACT PRICE: o
Site Address ._ '
Lot ? Block
? Name
m Addre
c Ci1y ?
? Name
3 Address :
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlgts #
Other
MECHANICAL PERMIT
CITY OF EAGAN
i.r 3830 PILOT KNOB ROAD, EAGAN, MN 55121
11) PHONE:454-8100
PERMIT #
RECE{PT # ?
DATE:
? BLDG. TYPE WORK DESCRIPTION
_ Se S
Res. New ?
; Mult Add-on
Comm. Repair
Phone Other
" FEES
? ?,y, ,
RES. HVAC 0-100 M BTU -$24.00
Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
?
Z?' d_
*`
GAS OUTLETS
- 1.50 EA.
jUv"M BTU ? COMM/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU M{NIMUM - COMMIIND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C IF PERMIT PRICE GOES
? CFM BEYOND $1,000.00)
}' ? '?f
FEE:
SlC: SIG OF PER ITTEE
TOTAL• ?
FOR: CITY OF EAGAN
? CONTRACT PRICE:
. „ PERMIT #
PLUMBING PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 7 ?
PHONE: 454-8100
? Site Address 16?1.2-- ?'
' Lot_-5_ Block Sec/Sub
a?
m
?
c
Name _
Address
City _
Phone "' -''' -
Name _ /C//l(: .1'??
4)
Address A& ?
p City _Fc1:-a.. Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S!C lF PERMIT PRICE GOES
BEYONR`$1,000.00)
, ,-
?
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Rors. °A New X
Muft. Add-on ?
Comm. Repair _
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $ -3 ?
=Bath Tubs - $3
00
.
? Lavatory - $3.00 °?
? Shower - $3.00 -3
I-Kitchen Sink - $3.00 3
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
I Gas Piping Outlets - $1.50 ?• 5
Softener - $5.00
Well - $10.00
PrivateDisp: =.$1(}OU
=Rough Openings - $1.50
FEE:
STATE S/C:
?" ? 'S?
GRAND TOTAL:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118500
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 1892 Bear Path Tr
Lot:5 Block: 2 Addition: Sun Cliff 2nd
PID:10-72976-02-050
Use:
Description:
Sub Type:Reroof & Siding
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.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Mary A Mellenbruch
1892 Bear Path Tr
Eagan MN 55122
Merritt Restoration
2031 Basswood Ct
Rockford MN 55373
(612) 282-9979
Applicant/Permitee: Signature Issued By: Signature
. `�` ���
Use BLUE or BLACK Ink
-----------------
� For Office Use j
. � � �� � I
Clty of Ea�a� � � � Permit#: �
. , t:':�t,� � oi i
� ���' � Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � I
Fax: (651)675-5694 � Staff: I
����������.�������J
2015 RESIDENTIAL PLUNlSING PERMIT APPLICATION
Date: Site Address: •
Tenant
�
� uite#:
��� � �� �����
�'—� si b f�`r` �
�`�'��'��������� � Name: �'S�- __/� Phone: ��/�7Q `"��✓��
��Resid�'ntAQw
��� ���� �
��� �, , a�, � � Address/City/Zip: � L�
�� ��������4, ,,
� �� ��`'� Name: �bert Corr�pany Inc dba Culligan Water �icense#: wC641376
� �� r ��; , .
������i E� � a�� ;
��"TY�����o�#r� Qr �� Ada�ess: 1801 50tb St East c�ty: Inver Grove Hgts.
������ w��� .r � � Mn 55077 651-451-2241�
���� ����'�� State: ZiP: Phone:
' �� �
������ contact: William R Milbert � �
�"'��" � � EmaiL• �
b�-r� i��c�: � s . � .
�� M1 �. � �� . . � � .
��'t �� New �Replacement _Repair Rebuiid Modify Space Work in R.O.W.-
,���YP.. �f or e — _ _ _
�"� �� �� ,' � Description of work: � �
�= � � ��� � � j'� �� RESIDENTIAL �
u.�.�
� =m
� "� Water Heater
� �r�� �
� �Water Softener
����� � Lawn�Irrigation(_RPZ/_PVB) � � �� �
��r ���{ �� � Add Plumbin Fixtures
� �� _ Septic System 9 (._Main/_Lower Level)
,��.
� 'a��� ��� _New � Water Turnaround � �
t R Nk '
� �°�� rN� , Abandonment � �
RESIDENTIA�F�ES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.06 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /�
TOTAL FEES$ �/ D O
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4b4-0002 for protection against underground ut�lity damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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 �� t�t�el,� �C �ir��j.��'--�� X � � �
Applicant's Printed Name Applicant's Signature
�. �fi. � y x v.���a �
n , . ,� �� � ��.�
�
��0�. _ .,t� °re=
ei�ui e n c� �'4�
e�s�;��'.te �,�r� . `i�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145626
Date Issued:09/18/2017
Permit Category:ePermit
Site Address: 1892 Bear Path Tr
Lot:5 Block: 2 Addition: Sun Cliff 2nd
PID:10-72976-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Mary A Mellenbruch
1892 Bear Path Tr
Eagan MN 55122
Appliance Installers Of Mn
14105 Rutgers St NE
Prior Lake MN 55372
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature