1901 Bear Path Tr,
Th;g ,?id
,g
A Q T7, 5 7 6 a c? ? 4 .5v,,.. C.t? C s t 6 a
ReKtuesi te FisB No. ?p?1?- ?n InsOB?
Reqr+-redZ QN.tty Noxr Wi1F NMih! Enspec-
e? Oryo ? YMhart q?r
J*Ucefised E1 iricai Contrnctor 1 hsn6p tpwat inspactioa o# a4ovt
[Q Owne[ etectrical wcrk iwslaiMd at:
Street Adtlrnss. 8ox ar No. Cihr
ectia+ Nod owns tp fgmm or' o. nge > CauntY
tsccuoent tw3iwTi rnans No.
fbwor SuPpf'e?, _ Address
El6Ctl1C8l.COtltrBCfiOt (t1Y Nerne) ,
C ? . CoaftecUw
? D U -+ ? -.. ..
3 I
1Eddt
1 {i s GoMrector w Owner Nlskinp l ila
tionl
???? aw
Authorized iprtBttwe, (Cor?tractor Makinp installati ) Phons Wumbar
..??
J?
IY1INNESR)TA STATE-B[AW OF EIECiRICCfY . ?f? ?NSPECTION R?UE8T MEILL 107'
C3rimodYlfdwaY 6fdp. - Raem N.'L91 BE J?CCEPiED 8r 1HE 8TA1E ROAItp
9821 tHeive?sl3Y A+rs:. St. Mni. NN 65104 17Nt,EE8SS PRtfPER INSi'ECTiOM FEE 15
Pi+oaR f61x1283-2111 EMCIOWD.
j$b,,J*WW F(M fl.E?G?ICAL INSPEC7'M AdLiftL es.oooar-44
? siau :mtraoerreum iw convistho this tan. an rmsk ut wlfww
ou??,
r?7?+ ..
?! 1?! (? r?'l /(1 X,, l?elow 1?rirAc Ct?e?d by This Rsr#wiest
IMrW ddi Aeo,! Tvae of "idNw f APMiancss Uir" 1 E440vOIANt Kirad 1
'W'atBr
1 1 1 ! Industrial Btt#i: 1 i Air Coriditioner i t euik Mi11k Taric {
sa ServicsEMrancwSf¢s k Fas . Feadera/$ubfesde?s ? fee Ciccuits
o a?2?o o?,ao 0U,30
Above ? A 31 LD 00 Qmps 31 tu 100 Allys
5wimmi Pool Abov?e 1 UO Aboxfs 1
Tr$ns?`aurt?ts fR? #wn Boontis ? PaRiai:"Uther Fee .
Sigis Special irtspection s O?
+?rtcs T07'
y? a ?
Date e E
vectw, Iwsby
ih tlrt tAe above
6iaa1 hedectiew hrs 4m0
"'!t? ? vold i8 tnow?s fiom
CITY OF EAGAN
3830 Pitof Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value $1 '0?'}}?? Date ?i b"I?" Ary I i
Site Address _
Lot 2 ? Block
Parcel No.
19
,rti1 &'AT? 77b.A.<l
' SecJSub. ?- " :v ( 'L ) ? t "`'"
m Name
z Address
° City Phone 444
ac ? •-
, o tVame
o a Address ` M `71" 777
City r.k14?:'c" Phone 1.,..C`4`fu
?
U?y WW Name
_g Address
u
Q W City Phone
1 hereby acknowledge that 1 have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Suilding Permit is issued to:
on the express condition that ali work shail be done in accordance with ali
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actuai) Const
City Water (Ailowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TQTAL
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C..
Electric
Softener
Inspection Date Insp. COmments
Footings I
Footings il
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Finat
Welt
Pr. Disp.
CITY 4f EAGAN 9422
'. , 3830 Pilot Knob Road, P.O. Sox 21-199, Eagan, MN 55 121
PHO11E:454-8100
BUILDING PERMiT . Receipt #
$70, 00Q
SF P7GvG/GkR 84
AUGUST 15
pare
To be used for
Esr. Valus , 19
SiteAddress 190I BEAR PATH TI2ATL Erect 14 Occupancy R'3
Lat 26 Block 4 Sec/Sub. SUN CI''I Remodel ? Zoning
Parcei No. Repair ? Type of Const.
Enlarge 0 No. Stories
? Name GRAND O.AKS Move ? Length $Q
Address 7623 UPPER 167`I'H t'T W Demolish ? Depth_48
? Gi{y LAKEV II.LE phone 4 3a- 6?61 Grade ? Sq. Ft.
? SAME Approvals Fees
,r Name
Z
Uv
Addrviss ,
?- ' City Phone
?...
P? Marne
u? , Address
muxs City P e?
I hereby ntknowledge that 1 haxe read th+s opp(icotion ond stote that
the intormotion is correct and ogree tp comply with of4 oppiicoble
14tats af Minnesota 5totutes ond City of Eagon Ordinonces.
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Council ljau
Bidg. Off.
APC
Var. Qate
Permit I? J's a • u u
Surcharge 35.00
Plon check 171.50
SAC 525*00
Water Conn, 4 7 6 ?
Woter Meter UAko
+Q4
Rood Unit 260
Parks
Total $1,867.50
SignOfure of Pertnittee I
/1 8u"tiding Permit is issued to: • • ?_ ___?__.__ . on the express cond+tion tfiot
el{ work shoU be done in occ nce 't nil gpplicob"t l of M? innesota Statutes and City of Eagan Ordinoncr.s.
Bui4din9 Official ?" ,r ??'?A•,
Permit Wo. Permit Hotder Date
Piumbing (P l? Cj rYN4t,\& R4-q
H.v.a.c. t B 5ke e1? ? ??b
Electric
Softener
inspection Date Insp. Other
Footings
Foundation
Framing ?
Rough Pibg. .?'
Rough HVAC
Inwlatian
Final Pib4. ?
Final HVAC
00,
Fina!
Gart/Occ. ,
WsYer Describe Locat+on:
Wei(
Sewer
Pr. Disp.
Receipf r RLUIVt i ? PERMIT Permit No V5
CtT?? EAGAN
Fee aay,6-0
` Fil/ in n bered spaces S/C .??
Type or?rint legibly Tot.
cf°..>
'I. Date ^ o? 11 2. Insta??tion Cost ?,??/? •r--?
_.t`?'^°
Job?A ,?.
3. J?{?dd res'?`5 ir...?.t/ ot2 ?6_Bik.rac ?
6?/-
4. Owner
5. Contractor PI t Phone :7SIx
6. Address
7. City
State Zip
8. Suiiding 7ype: Resizientiai A?"r Commercial O institutionai O
9. Work Description: New A2-?Add ? Alter CI Repair O
1 10. Descri6e
11.
No. ?.
Fixtures
Water Gloset ?
No.
Fixtures
CesspoollDrainfield
? Bath tubs Septic 7ank
? Lavatory Softner
421 Shower Well
?
? Kitchen Sink Urinal/Bidet
Laundry Tray Other??'??,? ?nz
? Floor Drains
Drinking Ftn.
4__ Stop S+nk
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply h all orc?in nces and codes governing this type of work j
Signed ?v
Rough Final
lnspections: Qate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITIf OF EAGAN 454-8100
?
Receipt MECHANICAL PERM17 Permit No. ??a 7
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Prini legibly Tot. 7J. 5
1. Date F4 6'111-2. Installation Cost
,
3. Job Address /aw f`' Lot Bik. ? Tract
4. Owner
5. Contractor Phone
6. Address
7. CityfrL?!%'r State Zip
8. Building Type: Residential' Q- Commercial 0 Institutional ?
9. Work Description: New 15' Add ? Alter ? Repair ?
i 10. Describe
- 11.
Fuel Type
No.
E- Equi ment 8TU - M. Ea.
Forced Air ,r-eV, No. Eauipment CFM
Air Handling:
.= M fg.
Boilers h
h
E
t
M
Mfg. .
aus
ec
x
Unit Heater
Mfg:
Other
? Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date i?;' Insp. Date Insp.
,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
CASH RECEIPT '
C17`Y 'OF FAGAN ?
P. O. BOX 29-199
EAGAN, MINNESOTA 55121
DATE???' _`+- -? ? ? 19
RECEtVED r' . . ? .?•? ?/ f.
FROM
AMOUNT
$
- & DOLLARS
+ao
? casH ? cHecK
{-
``.F
. ,? .
?
FUND- '?CODB AMOU T
,y
?
?-
?1
!Yt 7
L/r
? Thank fo-11 B?
? ?5?..4 , ? ?
wnite--aavsrs.Covv
? _ . ..
Yettow-eosti" COPY
:
'°"'."`_"'". .,. , .,.?-'.,?'."" r _? •: ..
Receipt PLUMBING PERMIT Pemrit N0,
? CITY UF EAGAN Fee?
Fiil in numbered spaces S!C
Type or Print legibly ?? .
Tot. ? ?.-
1. Date 2. Installation Cost
-,-? •
" 3. Job Address Lot Blk??
,
4. Owner
5: Contractor Phone
6. Address
7. City State _x Zip
8. Building 7ype: Residential ?Commerciat ? lnstitut+onal 0
9. Work Description: New C? Add ? Alter C] Repair n
r
' 10. Describe
Na. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfiieid
Bath tubs Septic Tank
Lavatory ? Softner
Shower Well
Kitchen Sink
UrinallBidet Other
Laundry 7ray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outiets
' 12. 1 hereby certify that the above information is true antl correct, and 1awee tcs
compiy witti'a"N ordinances and codes go+rerning this type of work.
;
Signed . for
Rough F inal
=a
tnspections: Date Insp. Date lnsp. ?
This is your permit when numbered ard approusd. ,•?
E#pproved CITY OF EAGM 100
.
..
w
. . ., . ..,?
ClTY OF EAGAN Remarks
Addition ? CLIFF 13T Lot
Owner Street 1901 an
State LAGM MN 55112
{mprovement Date Amount Annual Years Payment Receipt Date
STREET SURF, s
STREET RESTOR.
GRAOING.
SAN SEW TRt1NK 1* 2S
SEWER LATERAL
?
?fl 9 R
1082.39
216-4
5
1Q82.39
C009611
WATERMAIN
WATERLATERAL $99.22 C009611 10-1-84
WATER-ARER
STORM SEW TRK 105 1971 322.29 16-.-11 20
S70RMSEWLAT 1C1985 789.70 157.94 5 789.70 C009611 10-1-84
Serv Xl 8 776.63 3 776.63 C009611 10-1-84
CURB & GUTTER '
SIQEIAtALK
STREET LIG1-IT
Road Unit 26
WATER CONN. 470,00
SUiIDING PER. 49422
?q
??
SAC 17
?Y
PAR K
d..:
26 eik
PATH TML
CITY OF EAGAN Na 14 613
x ^ 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt#213ota
To be used for DECK Est. Value $1,000 Date FEBRUARY 17 i g 88
Site Address 1901 BEAR PATH TRAIL
lot 26 B?ock
Parcel No.
4
Sec/Sub. SIiN CLIFF 1ST
? Name DAVID HESLI
z Address SAME
° City Phone 681-0444
, o Name AMRE
? 4 Address 1 35 CTGY RD B2
?m- City ROSEVILLE Phone 631-0450
?- x
UW Name
wW
Address
v
a W City Phone
1 hereby acknowiedge that I have read this application and state that the
informatian is correct and agree to comply with ali appiicabie State of
Minnesota Statutes and City of Eagan Ordinance
Signature of Permittee N' 1 _
A Building Permit is issued to: . }AMRE
on the express condition that ail work shaii be done in accordance with ail
applicable State of Minneso tatutes and Gi of Eagan Ordinances.
Buiiding Official ??'?"`_`-??,?.
{J
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Weli (Actuai) Const
City Water (Aliowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
4i24. 30
Engr./Assess. Permit
Planner Surcharge .50
Councii _ Plan Review
Bldg. Otf. SAC, City
Variance SAC, MWCG
Water Conn.
Water Meter
Road Unit
Treatment P1
M,v, (copy) 1.50
$26
64
TOTAL .
i
1988 BUILDING PERMIT APPLICATION - CITY OF E9,GAN
SIAIGLE FAMTLY AWELLINGS
TNCLUAE 2 SETS OF PLAI+TS, 3 CERTIFIGA2ES OF SURVEY, i SET 0P ENERGY CALCULATZCINS
NOTEs ADDRESSES FOR GORNER LQTS - CONTRACfiQRlHC?MEOWNER MST DESIGAi:ATE WHICH ADIRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED 4NGE Bt3ILDING PERMIT IS IS3tIEP3.
M[TLTIPLE DWEI.LINGS RENTAI. UATITS FC1R SALE i311TITS # OF t?N2T3
INCLUI3E 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLI?G. DEPT.,
1 SET OF ENERGY CALCULATIONS
C{kMERCSAL
SNCLUDE 2 SETS 4F ARCHITECTURAL & S'TRUCTURAL PLANS,
1 SET OF SPECIFICATIOAJS A.ND 1 SET OF ENERGY GALCULATTC?AT3
To Be Used Far: Sz.C.L Valuatian: Date:
.
r Site Address ?? n 0FFICE USE ONLY
Lot ? Bloek ? On ?ite sewage t3ecupaney
/?/t I?rdCG system Zoning
ParcelJSub 'j u ?/ C ii t t t?n site well Aetual Const
, City water Allowable
Owner
k5l k PRV required # of stories
...?.,..?..,....
,,. ? Booster Pump Length
Address 1 q0_? ? e14Q pKtk (Q,14d Depth
......... _ _. _.....,..
S.F. TQtal ?
CitylZip Code G?ti 1i, Footprint S,F.
Fhone AFPROnALS FEES .
Contraetar fir'% g;c' Engr/Assess Perrait
Planner Sureharge .,?
Address ? °? ?,_?, Couneil Plan Review
Bldg. Off . SAC, Cit3r
City/Zip Code MA?, Variance SAC, MdCC ?
. /-? Water Cann ?
Phone C?1-O4-J& Water Meter
Road tTnit
Arch./Engr. Treatment Pl
Farks
.._.,..__.......
Address Copies
? TOTAL ?
Cityl2ip Gode
Phone #
CITY OF EAGAN M 9422
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE: 454-8100 Receipt IIS S"l C/I
#
To M used for 5F DWG/GAR Est. Voiue $70, 000 Dote AUGUST 15 ,'19 84
SiteAddress 1901 BEAR PATH TRAIL Erect Occupancy R3
tot 26 Block 4 Sec/Sub. SUTI CLIFF 1 Remodel ? 2oning RI:
Parcel No. Repair ? Type of Const.
Eniarge ? No. Stories
? Name GRAND OAKS Move ? tength 50
Z Address 7623 UPPER 167TH ST W Demolish ? Depth 48
t City LAKEV ILLE phone 4 3 2- 6 5 61 Grade O Sq. Ft.
Zo Name SAME
?? Address
?- City Phone
s
LIW Name
?? Address
a?Zu City Phone
I hereby ocknowledge that 1 hove reod this oppticotion and stote that
the iniormotion is correct ond ogree to comply with oll applicable
Stute of Minnesoto Statutes ond City of Eagon Ordinances.
Approrals Fees
Assessment
Woter & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off.
APC
Var. Date
Permit ? 3 4 3. V V
Surcharqe 35.00
Pian check 171.50
snC 525.00
Woter Conn. 470.0
0
Woter Meter
0
63.0
Road Unit 260 _ 00
Parks
Total $1,867.50
Signoture of Permittee I
A Building Permit is issued to: ?RAND?'D?1K& on the expreu condition that
olI work shall be done in accordonceycitirelj opplicable Stpite bf Minnesota Statutes ond City of Eagan Ordinantes.
8uilding Officiol
r •• s •
?
( ?p q.
I"
To Be
Site
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF ERGAN
INCLUDE 12 SETS OF PLANS,
? CERTIFICATES OF SURVEY
? SET OF ENERGY CALCULATIONS
Used For: ? Valuation:`?0?6-b-6
Address: O 1.,.
Lot : XC-e Biock :? Sect f Sub : SLL, Lrect : X
Remodel:
Parcel #= Repair:
Owner: Enlarge:
Move:
Address: ? ?'-4+,p Demolish:
City/Zip Code: Grade:
Phone # : ''0 - ? W2-
Contractor: ?IO-k5
Address: 2
City/Zip Code: "?
Phone # : L4 3 2 -
Arch./Eng:
Address:
City/Zip Code:
PhnnP# e
Date : ? - 9,- J-
Occupancy: ?-3
Zoning: ?-I
Type Of Const: -sz '
# Stories:
Length: ?
Depth: ?
Sq. Ft..
Assessments : Permit : 56F?J-2!
Water/Sewer: Surcharge: 35,v
Police: Plan Rev. : \1 4, s°
Fire : SAC : 525 °-°
Engr. : Water Conn : c`-'jp. °-°
Planner: Water Meter (p3.°=
Council: Road Unit:
Bldg. Of f . . 4*fParks:
APC: ? r
Variance: 6
01=
' fV a t q* f * 91"
NOTE:
o Denotes Wooclen Stake
Proposed Garage Floor E1.889.93 ?Z
(8$9.6 ) Denotes Proposed /h•
Finished Ground E1. j ?
.?
-rt--- Denotes Directian ?
Of Surface Drainage
C. R. W{NDEN 6 ASSpC1ATES, 1NC.
IAND SURVEYORS Tl1. 945• 3646
1381 EUSTIS ST.. ST. PAUI. MINN, 55104
For;
GRAND OAKS DEVELOPMENT
A/ 66 0
Vertical Batum - N.G.V.D. 1929 / ?? 7Q 2 2 9,•
^
fJ?,
vJ
:-
??
?
4
?
^ ?V "?j
?
_ O
0
C ee 6
1
?
Q ?? • 6
?
? 3?`09.
f` \
p?r
?
o?
?
` ' / ? ) ? •~5
/
/
/ g ?96?
6 ?
?
T?A1
. L.
Lot 25, Block 4, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
??°pos
'`?'o? ?o ?? fl L.1
o h. ? ?
1
e?
?
Scale: 1" = 30'
? p Denotes Iron
Monument
?
?
Q?
,o
ry
?
` o ?•
WE HERElY CERTlFY TMAT THIS IS A TRUE AND CORRECT REPRESENtAT4flt? Of I? StSRYEY OF THE
60UNDARIES OF THE tAND ??SOYE DFSCRtdEe AnrD Of THE cOCAT10N Of Atl surlDtNGS, iF ANr,
T?iEREON, ?RWO /?ll YISIlLE ENCRQACMMENTS, if ANY, fRpM OR ON $fiID LAND.
Doted ?his?dar •fA.G. ?4e/ C. R. z'a=- 8, I?SSOtI?1TES, INC.
br
dSvrvtyor, Minnfsota Repiilrotion No ?l?-2?
- o ?
,
#1 TJy 19
EXTERIOR ENVELOPE AVERAGE
. . 'U' COMFUTATION
GRAND L7Ak;S DEVELCIFI"1ENl' COMPAIVY
MODEL Q AREA U U K AREA
REGlU I RED ? - _
1. TOTAL WALL AFtEA 1800 X . 11 19B ?
2. TOTAL FtOOF AREA 1196 X. 026 31. 0S'b ?
ACHIEVED
AREA U U X AREA
A. WINDQW AREA 186.66 .,., 93.33
B. DOOR AFtEA 39.8 .077 3.0646
C. SLIDE GLA5S AREA 13,44 ,48 6.4512
D. F I REFLACE AREA 0 U 0
E. WALL FRAME AREA 18U .041 7.38
F. NET WALL AREA 1164.1 .049 57.0409
G. RIM JOIST AREA 114.52 .0436 5.211072
H. FOUIVD W T NDOW AREA U C> 0
I. FC1UtVD ABOVE GFtADE 96.48 .135 13.0248
3. TOTAL- WALL AFtEA 1600 185.5026?
J. SKYL I TE u O 0
K. R00F FRAME 119.6 .032 3.8272
L. hIET ROOF AREA 1076. 4 .025 26.91
4. TOTAL ROOF AREA 1196 30. 7372?
}
SUM 1. +2. 229. 096
SUM 3.+4. 216.2398
,
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„
; CITYOF EAGAN . ,..:.
WATER SERYICE . ,.
NERMff
3$30 Pitot Knob Road ` ????
p. o, xti? ?RnnrT NO.:
E?an? 55'?21
nATE• 8-21-84
zonirg:`": . 'co R,I No. o€ Untts: i
Owner: CdEBu'd--Oak6 °
%
Address.
?
? te Address:
?umber. Re?I??p;?,t,??.i,?,??+,?Ll
t
r Na.: J?j . , ? ;? '= ?'?• ``?r?ection Chcrge
Y . . jld
??
e
--
ae nc Deposit 15. aa pa
itoode No • QUIRLD B?
?f Fee:
?? 10. Ot? a?d.
t agres to wiH? t6e Cit?r of E4goa
t6 Surcharge: . 50 r?d
i
, Misc. Ghcrg"' F?8 _ Qtl n&mftt er ?
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CITY QF EAGAN
3830 Pilot Knob Road
P. O. BQx 21199
Eagan, MN 55121
Zoning: 'R1
Owner: d t3aks
Address:
51te Address: 1901 Bear P8L1
Piumber: i(CDAZlttild Plbg
Meter No.:
Size:
Reader No.:
1 agros to oompiy with the Ciey of Eogon
Ordinanees.
By
Date of Insp.:
WATER SERVICE P WIT
PERMIT NO.:
DATE:
- No. of unirs: I
126 B4 aun C1if f I
Connection Charge: 470.00 pa
-
-
- Account Depostt: ?
_-
P
_ Permit Fee: 10.00 pd
Surcharge: • 50 pd
nnisc. ct,?rges: _ 68.00 pd meter
Totol: & hOTLi
Dute Paid:
- Insp.:
CITY OF EAGAN SEWER SERViCE PERMIT
3830 Pifot Knob Road 6185c)
P. O. Box 21195 PERMIT NO.:
Eagan, MN 55121 DATE:
Zan+ng: " r No. of UniYS:
yy 5`
V?'??ir: II} 4}?.SS[^-'
Address:
Site Address: - 1901 ?w.r Pa2: ? Tr LlE. B4 Sun Cl if f I
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Plumber: ?XC?D 1$0
86 - d----
:
.
4
7
.1 : li
425.00 pc;
1 agree Mcmpip with tbe City of Eagab Connection Chonge:
Oedinenees. Account Deposit: 15.00 pd
P'ermit Fee: " p
Surchorge: .5 U p
BY Misc. CFwrges:
Dote of insp.: Total:
Insp.: Qate Poid:
2/84
{r CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPFRTY ADDRESS : ? ? ? ? Q ? C.? ?Y'? ?C?'i ? ? ??" ? ?, ?
I,EGAL DESCRIPTION : L , e-A .91p Bk6CA' L? 1-7<n 1 .T ?
(Lot/Block/Subdivision or Tax Parcel I.D. Number)
IF F.,?'YIS'^I:G S'Ii2L'CI'C,c2E , DATE OF ORIGIiNAL ELJILDING PEERHIT ISSUANCE:
,,%:on. ear;
PRESE^ 7-" Z^.`1Ili;/P?OPOS'-', UISi: ? Rri Ss.?iiGLE
13 R-2 DUPLEX (TWO t3NITS ) ;
0 R-3 TOWNHOUSE (THREE + UNITS) ( UNITS) k
? R-4 APAR.'I1)1QN'.P/CONDCMIINIUM ( UNITS) ?
? COMMERCIAL/REI'AIL,/OFFICE ?
p IMUS'I'RIAL ?
Q INSTITC7TIONAL/GCVERNIM'IIV'I' ?
2) AppLICANT" (PLEASf PRINT) ?
NAME :
zled
ADDRESS:
.
6
CITY, STATE, ZIP: _1,42-kC ag ? L'e
Ss
PHONE : ,
3, P??
NAME' PLEpSE P NT)
"
k'
j FOR CITY USE ONLY
?
ADDRESS: C7
j
1
?
lc M S LICENSE:
r
Active
CITY, STATE, ZIP: o?jC? Expired ;
PHONE : MA5fER--
?-?I p L U M B E R L I C E N S E#?? [,? Not? Record '
a nitia ?
4) OCCUpANT/cwNER
NAr'IE : (PIEAV PRTN1) ?
9
ADDRESS: ?
CITY, STATE, ZIP: t
PHONE:
5) INDICATE WHICH PERMIT IS BEING REQUESZED:
Eff CONNECTION TO CITY SEGIER
EE CONNECI'ION TO CITY WATER
? O THER (PLEASE DESCRIBE)
6) IlvDICATE ONE :
? PLE'.ASE HOLD APPROVID PERNLZT FOR PICK-UP BY ONE OF
' ABOVE
?
? PLFASE MAIL APPROVED PERMIT TO l,
* 3, 4ABOVE
` _
1? --3
(Circle o
n`?--_-->
?
7) SI='IL'RE :
-416M
o8 AA
DATE
-%k 4@ . :
15rc?
A t
.
F O R C I T Y U S E O N L Y
PERMIT # ISSUED FEES : $ R- , _ ?- ?=' SLWE?Z nERMTT ( INCLliDEE SUF.CHARGE )
$ ??='. -`? ?" tWATER PERt4IT (INCLUDE SURCHARGE)
$ Z?-=% •-?% WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOL'NT L-EPOS IT - SEWER
$ ACCOUNT DEPOSIT - WATER
WAC
SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL B.ENEFIT/TRUNK WATER
$ OTHER
$ WTAL
$ AMOUNT PAIDjRECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
r77"7 PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CbNDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY : • ?`"c°°"? .?'
TITLE :
?--
DATE :
mow"w
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115343
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 1901 Bear Path Tr
Lot:26 Block: 4 Addition: Sun Cliff 1st
PID:10-72975-04-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Mike Ritzer
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 -
Scott E Munos
1901 Bear Path Tr
Eagan MN 55122
JTR Roofing
11200 Stillwater Blvd N, Suite 106B
Lake Elmo MN 55042
(651) 777-7394
Applicant/Permitee: Signature Issued By: Signature