4329 Bear Path TrT+us req.:aest void
18 months from
Date of.th:s Request Fixe No. S ?4
?
I, as ?Licensed Electrical Contractor O Owner, do hereby request inspection of che above electri-
cal wlring instalied at: 6'-? ??? ?
`??-,?7%
Street Address or Route No..4c?r 134,.' ,j City
Section Township
Range County
?
Which is occupied by /'?? ?',?_ /??? 1"..?d'?' ?.?'
(Name of Occupant)
Is a roughin inspection required on this job? No ? YesX Ready Now ? Will Call`-s?
Power Supplier ?f?•;??: 1'?? ?? ? ??"?'c= Address ,4-?.-
Electrical Contractor 11?'c` z
f Contractor's License No.
(Company Name)
Mailing Address Z?";' _t?- ?r?eeu--
or Owner Making This Installatlon)
Authorized Signature 4 ( 14, (:- Phone Na l 3
° 3 Y? 7
?
rica nt actor or Owne
r Making This Installatton)
?
??? ? This inspection request will not be accepted by the
?"? ?' ?' ? `? State Board unless proper inspection #ee is enclosed.
. Minnesota State Board of Electricity
Griggs Midway Bidg. - Room N191 .? ?
" 182"6`Unif;;rsity Ave., St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL itiSPECTiON -
CHECK BELOW W O RK C OV E R E D B Y T H I S R E Q U E S T
?
E13-00()01-02
77534
Type of Building 1Vew Add. Rep. Check Appliances Wired or Che: k Eguipment Wired For
Home ? ? Range Temporary Wiring ?
Dupiex `? ? ? Water Heater ? Lighting k'ixtures 3;kl"
Apt. Bidg. ? ? ? Dryer ? Electric Heating ?
Commezciai Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm 0 C] 0 List List
Other
?
?
? Others?
Here ? Others?
Here
COMPUTE INSPECTIO N FEE B ELOW k ?
Service Entrance Size: # Fee Fe:eders& d Circuits: # Fee
0 to 100 Am s. ?, 7? 0 to 30 A re 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres ?' C.,
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $ i c
Remarks TOTAL FE ?-?d?
I, the Electrical Inspectar, hereby cer?that t aovc inspection has been made.
(Rough-in) '"? ?/,/?? Date
(Final) Date c,,;z ... "./'~'y
This request void
18 months fram
CITY OF EAGAN
3795 Pilot Knob Road Eagon, MN 55122
PIiONE: 454-8100
BUILDING? PERMIT APPLlCATION
N2 6147
Receipt # 7.& J
To be uaed for SF DWG/GAR Est. Value 42,000 Date 9-5 , 19.8Q-_
Site Address 4329 Bear Path Tr. Erect 53X Occuponcy R3
Lor 75 Block 1 Sec/Sub. Meadowlands Alter p Zoning Rl _
Porcel # 10 1t8050 075 01 Repoir ? Fire Zone 3
-
V
W Nome Wm _HLttt2lex' ?':c?nst?'t?Stis,n
Z lAddress 11913 Highlan.d View Cir.
° Cit Buz'nsVille, ikone $90-3992
Q? Name
?? Address S?e
t" Cit Phone
u?
,,,W W Name
F
?? Address
ww f :r.. DL.....-
I hereby acknowledge thot I have read this opplication and state that
the information is correct and agree to comply with ail applicoble
Stote of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to:
oll work shall be done in accordance
Building Official
Enlarge ? Type of Const.
Move ? # Stories _
Demolish ? Front 44ft.
Grode ? Depth - 40 tt.
Approvals Fees
Assessrrka 9-5..80.
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bidg. Off.
APC
Wm. Huttner Construction
all applica,* State of MinnesoYa
Permit -L4v• Jv
Surcharge 21.00
Plan check 60•25
sAC 525.00
Water Conn. 05 . 00
Water Meter 60 . 00
Rood Unit 185 • 00
Total 1, 276.75 !.-
on the express condition that
and City of Eagan Ordinances.
C?nfif irtttt uf {Orrupaurij
Citp of (eagan
W,pttrtmpnt nf +uilbing Jnii,pprticm
This Certificate issued pur.ruant to the requirements of Sertion 306 of the Unifmyn Building
Code certi f ying that st the time o f issuarue this structure was in comPdrance with the various
ordinancet of tht City reguluting building con.ttruction or ust. For the f ollowing:
SF DWG/GAR siaB. eeratit No. 6147
v,s cku&W.u?
pocupant,y Type R3 1y'Pe Coasuuctiau V Fim Zons 3 Zoning District Rl
OwnwofMdma Wm• Huttner Gon. Addc,, 11913 Highland View Cir,
8,,,,di„g Ad&„ 4329 Bear Path Tr La,,;t,, L75 Bl Meadowlands
? Br:
D,te. 11-6-80
rosT Iw w ?sryeuouO n+ee
_ \-=? ?? ?---? `-?? ' _? --'? - IITNOita U_S.A.
OacFS ?e.i `-
CITY OF EAGAN Remarks
Addition MF?DC?n1LAND 1ST ADDN Lot 75 Bik 1 Parcel 10 48050 075 Ol
Owner??%?t??t?, Eltll,,t", ,t streetA32A Bear P.atbLTEAD state EcLC?c?Y2. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
SYREET SURF.
STREET RESTOR., T[ip. 1589.99 158.99 1431.00 0 1 1 g0
GRADING
J6
SAN SEW TRUNK 1970 77.95 3.12 25 74 A009417
* SEWER LATERAL 1981 3156.68 315.65 O
WATERMAIN
*WATERLATERAL 1981 lO
WATER AREA 1973 95.27 6.35 15 4447 A0094 7 tttimi"9
STORM SEW TRK 1971 282.92 14.15 20 141.52 A009417 0
* STORM SEW LAT lggj 10
* services 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd UN T 185.00 2076 9 S 80
WATER CONN. 305.00 20768 915180
BUILDING PER. 6147
SAC
PARK
4b? City of E3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
??? i
j Permit #:
? Permit Fee:
? Date Received: j
I ?
I Staff: I
-----__-----_---_J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 - ! "' OE Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: 41? 9 j e ? ?I IS+ PhonekD ),;?`'cSUD `BB%7
Address / City / Zip:
Applicant is: Owner -,?-/Contractor
TYPE OF WORK Description of work: 'e -
;
Construction Cost: ??? • Multi-Family Building: (Yes / No )
CONTRACTOR Name: l. ocr??Y?? V1 Q License #:
Address: ? qLxl qQYl? piC> 'e ' V ?.
City: S 1C), ? 1f1 vz., State: Y-V)r1 Zip: OL?>
.v?3 -
Ph . ?R?: $&S ContactPerson: c???
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 onfy an appfication 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 , -+r- (?l .o til X Q -
ApplicanYs Printed 14ame Applicant's Signa u
Page 1 of 3
?? m? E1der-Jones
Building Permit Service, Inc.
?
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concern:
We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal By
Anderson. If there are any questions, or if the permit has to be picked up in person, please give
us a ca11 at the number above. If the permit can be mailed back to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
Kara Benson ext. 147
Elder-Jones Buiiding Permit Service, inc.
1120 East 80th Street 3 Bioomington, Minnesota 55420-1498
952-854-2854 ? FAX: 952-854-4909
?w, ?, ,?V 111 juU A.:. j u rnA 100 a l1 44aa lSC1VjbP?AL lilr t11VLr'Kab1V
ne al
sYastaEnsM,
7une 7, 2001
City of Eagan
3836 Piiot Knab Roa.d
Eagan, MN 55122
To Whom Ic May Concern:
Eldcr Joncs is authorized to pull building permiLs for Renewal by Anderse-n_ Ptease allow
Elder Jones to provide this ser"vice for us in Eagan. This authorization is vaiid for any
date beyond 6/6101; untzi aRenewal by A.ndersan manager expressly revokes it in writing
tn the City.
I requcst this authorizatian be accepted expediriously, as to not delay in the gracessing of
our building pcrmits any furthcr. Flcasc cail mc if tlicr+c uc aiiy questiuns. I catl be
contacted at 763-502-4706.
Your immcdiate attention to this mattcr is appreciaeed.
Sincerely,
yinond R. Rau
nstallation Mannager
Renewal hy Andersen Corpvration
C'c: Kara-A1riF:r Tnnes,
?
GHADA M. E? GAMAL
•?J N??Y Fub1iC
_ f ?1q Cammf?n 6cp'msJan. 31
,EOQ5
Lgj UUZ/ UUz
fteceived Time Jun• 1• 1:01PM
C,r { Y y„[f' E; tGi"iN
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?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Mimesota 55122-1897
, (612) 681-4675
I
FERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
B U:GL.D I N G
033330
m9/za.198
'? SITE ADDRESS:
P. I. Ne: 10--48050-m075--01
; DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7ata1 Fee
B
T.ap & RERoOF
Permit TYPe SF (MZ Sc e )
Work `f"vpe REPAIF2
.. .. 434 ALTa RESIDENTIAL
VALUATION
$39075
$102.25
$5,000
' 99M"CTPA'I ?vG ro ? f?ppi i 14603326 20144134 OWNDER: DANA
I e2428 GNIPPENDALE UNIT A 4329 BERR F'ATM TF;
? FARMII4GTOh! h1N 55024 EAGAN MN 55122
i (612) 460--3326 ( 551 ) 926--35@8
?
bbvac' k n a wlprl n€? 3- h a' #^ T 'hAup
Cu te:s an'd City of Eag;an Ordinarrces..
APPLICANT/PERMITEE SIGNATURE
4329 BEAR PATH TR
LaTd 75 eLOChe I
MEACIQWLRNqS I5T
I
SUED BY: SIGNATURE
,.
1999 BU?D??' P??r?'???' ?"??????
Crrf iW FAQM
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CITY OF EAGAN Include 2 sets of plans,
1 sit.e plan w/elevations &
BUILDING PEF2MIT APPLICATION 1 set of energy calculations.
'Ib Be Used For f-2?14Plr ? Valuation - Date
Site Address
I,ot ??- Block Sec./Sub.
e OFFICE USE ONLY
Er
ct Occupancy
3
Parcel #:? Alter .
zoning
Repair Fire Zone ?
OHmer: Enlarge Type of Const.
Address: !`'ove # Stories
Demolish Front r??r ft.
City/Zip Code: Grade Depth w? ft.
------
Ahone #: ?
?
Contractor: Ice,?`
?? ?yt APPROVAI,S
Assessments FEES
? Permit l
I' Address: .
Water/Sewer po..ro
Surcharge
City/Zip Code: Police
Fir Plan Check ?-
e gAC
o
Phone # : EnJ • ,
WatQx Conn.
Planner Water Meter / a, 0 O
Arch./Eng. : Council Road Unit 1?S;a O
Bldg. Off.
Address : APC
City/Zip Code:
Phone # : TOTAL
ucl'L1I:1C4lG0
IUI'? ? ?? ?
Dunn & Cur)ry
IDOLNIA?R H. "SCHWANZ
LANpSURVEYOR
Reqlstersd Under Laws of The Stits ot Minnssota
2978 - 745TH STREET W. - BOX M ROSEMOUNT, MPNNESOTA 66068
SURVEYOR'S CERTIFICATE
,7 f?o s?rc_Zg_
z ?
? Drainage & Utili y ?
eagement
1 0
T
?? .
rn` ? su' \ ? *`?' - ?
6 zp ?? ? Hause\ ° f
1
00
t ? i p ? N
' . Do
M
?``/i'?? if'is'T,?j • ,
Mo
I .
PHONE 612 423-1769
: CALE: 1 inch s 30 fe
I hereby certify that this is a true
and correct representation of I,ot 750
Block l, MEADOWLAND FTRST ADDITION,
a.ecording to the recorded plat
thereof, Dakota County, Minnesota.
Dated :• June 10, 1980
Approved for Dunn & Curry Rea7. Estate Management, Inc.
b,y :
MINNESOTA REGISTRATIOW iV0.8625
? ?1
2001 STORIVI DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT 55122
651
? 2 copies of plan
DATE: ° ' ? ua (
CONSTRUCTION COST:
DESCRIPTION OF WORK: If multi-family bldg., how many units?
INDIGATE THE FOLLOWING EQUIPMENt TQ BE REPLACED AND BY WNOM:
_ Plumbing Homeawner or Gontractar Name
? Mechanical Homeowner or Contractar Name
'*Note. if somebody other than the hameowner is performing piumbing or mechanical work, they must apply for appropnate
permit. Onfy iicensed plumbing contractor or homeowner may compiete plumbing work.
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. #:
Name: S (?"?q v- ? ??.. Phone #: ! r S? t'`? S
PROPERIY Lasi J First
OWNER Street Address:
cEty t_ A'. '"_ Stpte: Zip: 4;S-1 z--z '
?
Company: flly ej,w e41 ,JK? a w_y 7L . s ??rh e, Phone #: /- -40 - J? 0 ?2, ?a Z
?
(area code)
CONTRACTOR
Strest Address: ? 7f? I'V ,S License #96 - YU 7.?? Exp. 3- 31-?Q %
Ciry T :rtip Lc State: A f? Zip: 1- 6- 9 6 0
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appficable State
of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: ? ? '?---
„? s 4
RESIDENTIAL
BUILDING PERMIT APPLICATIQN ? ,-? U •--? ?--
? CITY OF EACAN
? q 3830 PILOT KNOB RD, EACAM MN 55122
651-681-4675
New Conatructton Reauirements RemodeURenair Reouiremnts ?- a- -C) ?-
• 3 registered site surveys shovaing sq. ft. of fot, sq. ft. of house; and atl roofed areas • 2 copies of plan
(20% maximum lot coveMe allom-ed) • 1 set of Energy CalcUa6ons for heated additions
• 2 copies of plan stowing beam & window sizes; poured found design, etc.) . 1 sitee survey for exterior additions 8 decks
• 1 set of Energy Calculadons . Indicate if home served by septic system for additions
• 3 copies ot Tme Preservaaon Plan if tot platted aRer 711193
. Rim Joist Detad Options selection sheet (bidgs with 3 or tess uniks)
DATE (CJT ?_S?-D Z
SITE ADDRESS _ L(S2q I? ?
TYPE OF WO
APPLICANT
el
VALUATION
?---
MULTI-FAMILY BLDG ._ Y ??N
FIREPLACE(S) VO , 1 ,,.` 2
STREET ADDRESS `f 5 2_? CITY? _STATE /OkZIP SV
TELEPHONE #KI' ,KZ'0?? CE?LL PHONE # PAK #
? - .
,--
PROPERTY OWNER j TELEPHUNE
................................ -.................. -............... -..................
---------
COMPLETE THtS SECTION FOR "NfW" RES{DENTIAL BUILD{NGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(d submiss+on type) . Residentiat Ventilation Category 1 Workshee# Submitted 11 !? =2562Z
• Energy Envelope CaicuiaGons Submitted ?
n JUN Plumbing Contractor: _-_
Plumbing system includes:
Mechanical Contrac#or:
Mechanical system includes:
Sewer/Water Corrtractor:
_ Water Softener ?
M Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
-•--------------------------------------------------------------------•-=---------------------------- ------------------
I hereby acknowledge that I have read this application, state that t beinforrrAti?fV?correat, n agree to comply
with all applicable State of Minnesota Statutes and City of Eagan na `es.
Signature of Applicant ?
OFFICE USE ONLY
Phone #
Lawn Sprinkler E
No. of R.I. Baths
Certificates of Survey Received _ 7ree Preservation Plan Received _ Not Required -
Updated 4l02
OFFICE USE ONLY
0 01 Foundation
0 02 SF Dweiling
0 03 01 of _ plex
0 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
,0-- 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
0 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscelianeous
'r , -.,
? 30 Accessory Bldg
? 31 Ext. Ait - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement 0 38 Demolish (Interior) IJ 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 37 Demolish (81dg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bidg oniy) - Glve PCA handout to applicant
Valuation Occupancy " 3 MC/ES System
-
-
Census Code 4f34 Zoning /19d7 City Water
?
SAC Units J Stories ------- Booster Pump ?
Nbr, of Units --- sq. Ft. 33C PRV
Nbr. of Bidgs -- Length _/2= - Fire Sprinklered ?
Type of Const 7yt? Width _9 P-_
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) pZ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/reptacement)
T Insularion _ Retaining Wall ,
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-piex ? 13 16-pisx
13 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
0 10 08-plex X18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg`Y or _ N
-- ? --?,;,--------
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Building Inspector
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DtLMA?R H. "SCHWANZ
LANOSURVEYOR `
Repiftered Untler Lawi OI 7he 5tate of Minnsiota
2978 - 146TN STREET W. - BOX M ROSEMOUNT, MTNNESOTA 66068 PHONE 872 4231769
SURVEYOR'S CERTIFICATE
7??-Je. .?7GG ,
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?
Drainage & Utility •
easement .
1
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•9
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8W, ? ?
/.V SCALE : 1 inch =
30 fe
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I hereby certify that thia is a true
;'----?- .-?: ? and correct representation af Lot 75,
Block 1, MEADOWL AND FTRST ADDITION,
according to the recorded plat
S??.y ??" 7??• B 4 lJ,,. ¢S Z4 ' thereof, Dakota County, Minnesota.
Dated : , June 10, 1980
h1 _ .
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- "--?
Approved far Dunn & Curry Real Estate Management, Inc.
by:
( ! _.
MINNESOTA REGISTHATION NO 8625 ?
1NNYL(:'1'lUN KLC:UKI}
' CITY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road
Ea an, Minnesota 55122-1897 Permit Number:
? g Date Issued:
(612) 681-4675
? i ? i 3?1 44 •i'??, 44- ;i . ,
? SITE ADDRESS: APPLICANT: -ar-??,?
M V t?`#?tt?R#?.
PE,?MI,
T4§UPTYPE: TYPE OF WORK:
O€ ",E rv xI-, I t J7r'f t t+ ?? ?<rr;?x?t?
1:?ft i' i N s;
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FQOTINGS
FOUND
FRAMING -?
ROOFWG
!d
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL !i
GYP BOARD
FIREPLACE
FIREPLACE
AR TEST
?
FINAL PLBG -?
I
FINAL HTG
~
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATlON
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDRQSTATIC
TEST
BSMT R.I.
BSMT FINHL
DECK FTG
DECK FINAL
r? : . . . . . . . .... .
j ----------------------------------- , . .. . . . . . .
?..
' 35Ci-?4r`c? ?,ve. NE RESIDEiVTlA
_17zid?ev, ? 1r? 55432 BUlLDING PERAIT APPl.lCATIC3N
,
_.?
7,63 a2-4,,77 Cn`Y OF EAGAW
m?r?;zoi 3t?4?3 ? 3830 PiLa7 KNGB Rt? - 55121 ??. q+ 76
?'--- -------- ----------- 651-881-4675
Ills* 3 ra*Kd do sneri OWAV w• R at tut. 84: tt of nouW aO A roofed aneaa • 2 copi? d pien
j20l4 meoftm lot oonrerage aNoxredj • f eet o! Emw C'ipAfiqns fot heated oddlm .
• 2 copies d plan . ?ad?Dnsd?dM;iGt
?beam 6 wi?idow ?ee? ?nd ?. 1 a?e ?r
. 1Er+egyC.a om vim ? PW?? ??n? ) . Ir?ctiCaOo # hane aeMed by ae?ic ayaiem faE e?u+? '.
• 3 aopies af Tm Proeenaft Plar? tbt plabd aft 711193
• ftn Joiet Detai Opdm seledion ehed (bidps wktt 3 or less mits)
DATE • ? VALUAi'f4N
? JOS S!1'E AQDRESS ?"? •
. 1F MUI.TI-FAMlLY BUItDtNG, HOMI MANY UN1TS?
FRQPERTY OWI+?fR
1yG ts??• ?r? tr?1 iv% 1?vV TYPE OF 1MORK ? i ? m`q fiIREPtACE(S) a..?. 1 _2
APPUCANT AHQNE# %2*3?'•(9011
. AbDRESS ttp CO1E;?.,?.? FAGER # CEII PHQNE # FAX #
NEV RESID ENTtAL BUILD,IN-G ONLY - F1#.L OUT COMPi.EtELY
E„ergy cade categorv ....,. MINNESCYTA RULES 7674 CAZ'F,GOR"Y 1
(check orre) Resldentiat VeMilatbn Caiegary t Wortcsheet SubmFtted
- Enecgy Emretaps Caicutaticm 5ubmi"d
MINNESOTA RULES 7672 _
- New Energy Code Warkalte8t Submitted ,
Plumbing Contractor. Phone
Plumbing System Includes: ` Water Softener ,,.,.. Lawn Sprinkler Fee; $94:04 "
Water Heater ,?.., No. of R.I. Baxhs
.,.._, No. of Bakhs
Mechanical ConhQCtor. Pfior+e #
1
Mechanical System Includes: Air Cnnditioning Fm $30.00
Heat Recovery System
Sewer/Wcter Controctor: PhoAo #
Ali above information mus# be submitted prior to proccasing of appiication.
I hereby ocknawledge that i have read fihis appiica#ion, stqte fhdt the infornncit'tcm is corteCf, ond 0" fOONVOY
with ail qpplicabie State of Minneso#a Statutes and City of Eagan 4rcrinQnces.
stQnotUrs a1Aplft '
Cett#icates of Survey Received Tree Preservation Ptan Received Not Raquirec!
upa? im
OFFICE USE OIVLY
fft I
D 01 Foundatlon ? 07 05-plex ? 13 180ex 0 20 Pool O 30 Accessary Wg
O 02 SF Dweiling D 08 06-piex ? 16 Firepiace Cl 21 Rorch (3-sea.) 0 31 Ext. Ait - Murda
t] 03 01 of _, ptex ? 09 07-plex 0 17 Garage O 22 Pom.hlAddn. (4-sea.) CI 33 Ext. Fft - SF
? 04 02-p{ex ? 10 08-plex CJ 18 Deck D 23 Potch (screened) ? 36 Muffl
0 05 03-ptex Ci 11 1 d-plex ? 19 Lower Level O 24 Storm Daanage
C] 06 04-p{ex ? 12 12-plex Plbg Y or r , N ? 25 Miscellaneous
0 31 New „ 0 35 Int {mprovement 0 38 Demoiish (lnterior) ? 44 Siding
0 32 Addition 0 36 Move Bidg. ? 42 Demolish (Fcundatlon) 0,45 Fice Repgtc.
? 33 Alteration 'b 37 Demolish (81dg)' ? 43 Reroof D `46 "Windawslboors
O 34 Reptacement 'Demolftion (Ent1re Bldg oMW - 6i?re P!CAl&ndbut#o aWicant
Valuation Occupancy MCIES Sy!tem
C6118US C:OdB ZOTiHl$, :,Gi#yiMater
SAC,Units Stories $&9?erPunip
Nbr. of Units " Sq. Ft. PRV
Nbr. of Bidgs ` Length Fire Sprinkfered
Type of Const Width
REQUIRED tNSPEGTI4NS
Footings (new bldg)
- FinallCA.
Footings (deck) , FutaUNo C.O.
Footing,s (addition) ` Pltunbing
Founda#ion HVAC
Drai.a Tile
Roof Ice & Water Final Other
Frarning ?
Fireplace ,_ R.I. _ Air Test _ Final
Insulation
_ Paal , Ftgs ,? AirlGas Tests _,,,, Final
? Sidimg Stucco Stone
^ Windows (newlrcplacement)
Approved By , Building inspector
Base Fee
Surcharge
Plan Revisw
MCiES SAC
City SAC
Water Supply & Storage
SSW Pesmit 8 Surcharge
Treatment Plant
Pfumbing Permit
Mechanical Permit
License Search ,
Copies
Other
Totai
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CASF1 RECEtPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E I9
R$4EIYB6 . `3" .•.... . -.-.._,
FROM ?: ",.3W.. • . (...T? „ . .-.
' 7 ?.....-?
aanovNr ?$
? CASH
& DOL.LAR$
?oo
,[] CFiECK
crrY oF EAGAa
3795 Pi1ot Knob Road
„ Eogan, MN 55122 N° 6147
? PHONE: 454.81 Q0
BUlI.DING` PERMIT Receipt #
To be uaed for SF D4`,C`TIC:.AR Est. Va1ue 42,()()0 Dote 9-5 19 ?ai
4323 '3ear Path Tr.
Site Address
Erect MC
Occupancy
R3
Lot 75 Biock 1 SecfSub. 1'1egdQwlands Alter p Zoning "Rz
Parcel # 10 48050 075 Ol Repair ? Fire Zone 3 _
E
t T
f C v
n
arge [] ype o
onst.
W Name 4"dm _ Nut tnPr C?x?stli.i?tion Move p # Stories
Z Address I1913 ?ghland VieW Cir, Qemolish 0 Front 44 ft.
8 Ci BtI2'ZI.3VillG, Ilgone 890"3q92 Grade ? bepth 40 ft.
0? Name APProvals Fees
,o
U? Address saLie
?-
Name _
Address
i hereby acknowledge thot i have read this oppiicotion and state that
the information is correct and agree to comply with all opplicable
State of Minnesota Statutes and City of Eagan Ordinances.
AssessrrAQ 9-5-8n
Woter & Sew.
Police
Fire
Eng.
Plonner
Counci!
Bidg. Off.
APC
Permit -«`-`• ?"
Swrcharge `?? • `??
Plan check 60.25
sAC 525.00
Wafier Conn. 305.00
Water Meter 6r)•00
Road Unit 185.00
TOi'pI l1 27L,' 75 .
5ignature of Perm?ttee
?:dm. Fiuttner C4?zstz?.tctioxz
A Building Permit is issued to: on the express condition #htr#
all wark shaU be done in accordance with nll crpplicoble StQte af Minrtesota Statu#es and City f Edgan Ordfnar?ces.
Suiiding Officiol
7
Pera+tt #k Doe isaued Pirmit!!ae
Pltunbing ?-rt;, tf ?0
Mechanicoi D??'? ( ° D
INSPECTtONS DATE INSP. Rough_In FFncl
Footings
Foundation
Frame/ins.
F'rnni ?-?
Rlumbing
Mechanical Date {nsp. DaYe Insp.
Remarks:
" CtTY OP EAGAN
? • 3795 Pilot Knob Rood
Eogun, Minnesota 55122
No. P6one: 434-8100
P1Yin''- ,bj'nb. PERMIT
Dale: lU° Z4"' 80
Site Address: 4349 BP.&T' P&t?] Tr.
Lot 75 Block 1 Sub/Sec. ?'feadoy?1sr.dE7
.
c
?
Name V?. Ifuttz?er Ga??s?true4ic?n
.
Address 111)13 Izi;f2la71d V?ew, Cir.
City BUX'?19V'i.1.1.?, "n Phone•
I
Nome Russ 1-ndersor. nl_unb3rw
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
^'
Recelpt Na.:
Singie ?
Residentiai ?-
Multi Res., Comm./Ind. ?
New/Alter./Repair
nevu
Cost of Instollotion
20.00
Permit Fee
Surchorge
.54
? Address 2012 F'iig O£i?? Dr.
BUIR2:iV}.llerT.t. 55337Phone: ToYol 20. ',M
City
'I'his Permit iS issued on the express condition that all work shall be done in aCCOrdonce with o#I cpplicable Stote of
Menrresota Stotutes and City of Eogon Ordinonces.
?.
? Buildirtg OffFcio! ?
° CITY OF EAGAN
3795 Pilot Knob Road
Eagon, Minnesoto 551 ZZ
No. Pfione: 454-8100
'lea ?Anf' PERMIT
Dote: 10 _6--:'0
Site Address; 4329 Beaz-aath Tx.
7P) ]„ TrP,adOtKT].F,.nd-S
Lot Biock SubfSec.
Name ?'?m. Ht?ttner Conatruc.
1191'7 ?j3?1i7_and Vie?u Ci?
? Address
?
City BU?."Tisvi2le. T"31. Pfione: r?90--3992
Name ("rE?TiZ :*Zy€l1;.
? 14745 S. Pobert Tr.
Address
?
City Rosemottnt, 11h, Phone: 423-1146
This Permit is issued on the express tonditian thot ofl work shali be
Minnesoto Statutes and City o4 Engon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
21?..2lt
Receipt No.:
Single ?
Residentia!
Multi Res., Comm./ind. I
new
New/Alter./Repoir
Cost of installation
20.00
Permit Fee
.50
Succhorge
20.50
Totol
done in occordance with all oppli table Stote of
Buitding 0#fititti
�' .�, � ���
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
I Permit#:_ �
Clt of Ea a� � �. . � �� �
� � ;' " � Permit Fee: � � �
3830 Pilot Knob Road � �
� '� '� I I
Eagan MN 55122 �'. ` �`"� I Date Received: I
Phone: (651)675-5675 � � �
Fax: (651)675-5694 � Staff: �
�����������������J
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
��. ���� �: � 3uite#:
5--�'� k A.�'+�' k, 'rd' � �� .- .
�����i�?�
1�eS�' � Name: �j���°���v � / ry�
�
C��ntl VvY}, Phone �
s 'a'n�� �� � a � �
��"� ��r� ���� Address/City/Zlp:
���� � r ������� ,�., �
'� ���������' ,� •� Name: M�bert Corr�pany Inc dba Culligan Water WC6413 76
��� ��` ' License#:
�$ `� �
�, �o�r r� or �� Aaa�ess: 1801 50ih St East � ��ty; Inver Grove Hgts.
�� � ��� ���, � Mn 55077 651-451-2241
�,�� State: � Zip: Phone: �
� ���, �
� �
��`���t�� � Contact: W11111II1 R M11beTt Email:
�.��=� ��� �_
�� � ` � � ,
w s�T�����o Q� ��New _Replacement _Repair Rebuild Madify Space _Work in R.O.W. �
��� ��' "' �� '�
�p�� � E ,��_ Descrtption of work: � �
f,,
�:���� ��� �,�. , z� _�
:� � "
RESIDENTIAL
s g�
�'�� '� � Water Heater �
� ���,��� U Lawn Irrigation(_RPZ/_PVB)
�,Water Softener
t Add Plumbin Fi
��� 3"� � � � '�`� Septic System � g �ures�Main/_Lower Level)
��3��, '
,�� �5 °� ' New Water Tumaround �
,� —
� �� `��« �' ��� Abandonment �
RESIDENTIAL FEES:
$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)
$60.00 Add Plumbing Fixtures, Seotic Svstem 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 buiit)(includes County fee and$5.00 State Surcharge) /�
TOTAL FEES$ V O O
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.qopherstateonecall orq
I hereby acknowiedge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
�,cordance with the approved pian in the case of work which requires a review and approval of plans.
� x- �..IJ/l�!�'l�l. !l �.���'�
Applicant's Printed Name X
Applic t's Sign re
���
�.� � � � . �..:
. ' Fs ��
1� �. ° �
� ec�ume ,�ns �c"� ��'
.
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��t�� �el _te t�h _ i