1891 Bear Path Tr,
?
j?. 5 2 3 9 , _ t;?0 0°
Request Date Fire No. •in Inspection
uired?
? Ready Now ?+ill Notify Inspector
?es G No When Ready?
I licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box ar Route No.) City
Q AJ l ?Z, Pi 0
Section No. Township Name or No. Range No. Counry
KCg?T f?
Occupant(PRINT) .
? Phone No.
r
Power Supplier Address
Electricai Coniractor 1Company Name) Contractor's License No.
C
Mailmg Address (Contractor or Owner Making Installation)
S /
Aut nzed Sign r (COnt ct Owner Making instailation)
A..__ %1h.n.umber
MINNESOTA STATE BOARD O ELECTRICITYTHfS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 , BE ACCEPTED BY THE STATE BOAFD
1821 University Ave., St. Paul. MN,55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED.
///?4 y/?+ REQUEST FOR ELECTRICAL lNSPECTION
9(' ? See insiructions for completing this form on back of yellow copy.
"X" BeloWIV'ork Covered by This Requesf
?y cxe
ea.oooo,-oa
lD 30i
ew 1RE7l9 FW TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.lindustrial Furnace
Farm Air Conditioner
Other (specify) Contracior's Remarks:
Compute Inspection Fee Befow: ???mf_tj-%
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps bove t Amps
Signs inspector's Use ONy: ?cr ? TOTAL sQ
irrigation Booms r
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DlSCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical tnspector, hereby Rough•in o
. ?
certify that ihe above inspection has
been made. Final r ace , rQr
??
OfFICE USE ONLY
This request void 16 months from
This reQuest void
18 months from
A n7qgAn, L-2) itr `)i_
Request ?a
?j
? Fice No. Rough-in Ins edtj6
Re uired' W
[?Ready Noya?t7iy'7nsPec-
s ? iVo Kir Whem Ready
`.' ense Ele t I Contrector - 1 hereby request inspection of above r
? Owne electricel work installed at:
Streei Address, So c Route No
s City „ -
ction o. owns ip Name or o. ange No. Cou
Occupan f13T) Phona I+kn.
i?
Power uP r
'o" Address
Elec scal o ractor ICompany Name
i Contraci r's Licen e NQ -
Maili95 ddress (Contracyto?vr Owner Ma g Insiaiiation)
? 0 ??
i '
'
Auihoriied Signatur (Contra s 4 er king zallation) Phone Number
MiNNESOyc gTATE BO1tPEOf ECECT1sTGflt' TH{S 1NSPECTiON REQUEST WILl1YpT
ari9gs-IU(dway Btdg. -'Room N-181 8E ACCEPI'EU BY THE STAtE BOARD
1821 University Aye., St. Paul, MN 55704 U?L.ESS RROPER INSPECTION FEE (S
Phorre (6921297.2111 ENCLOSED. , .;z
REQUEST FOR ELECTRICAL INSPECTION f,tER-4°0O1 ?;
," 3ee instructions for complet'Pr? t1u, ?m on back o# yel low copv. 1 V j' 61?
A ""X'" Be/ow Wark Cvvered by Thrs Reque.st
Main Rdd Rep. Type of Building Hances Wired Equipmer+C Wired
Home oTange Temporary Service
Duplex Water Heater Ligh.ting Fiottures
Apt. Buiiding Dryer Efectric Heatin
Comrttercial Bldg. Furnace Silo Unloader
Industrial Bidq. Air Coriditiorter Bulk Milk Tank
FP
N e ServiceEntrenceSize # Fee Feeders/Suhfeeders # Fee Circuits
? 0 to 200 Am s 0 to 30 Am s l?"J O to 30 Arr3
Above 200_Amps 31 to 100 Amps QQ 31 to 106 A
Swimmin Pool Above 100_Am s Above 100_,.Am '
Transiormers Iriiga#ion Boorris G Partiat-`Other Fee
Jigns Specialinspection ?
S Ta
Re marks . L
,
' jQ
Rough-in Date _
Finat
TMs request void 18 months from
-..tnspeqtor, hgreby - -
c ifv tha.x ttro abave
inspection hss been
mede. .
This request void ??r
18 months fvam
E 4 3 8 2 3,l
[Re te ire No. Required? 5pection ?eady Now Q Will Notifv. Inspec;-
?Yes o [or When Ready
Licensed Electrical Contractor 1 hereby request inspection ot above
?Owngr electrical work iwstatled at:
et A-r?,?$' s, Box or Route No.
V l :./.G/7"f^
L City J
e
uon o . Township Name or No. Range No. County
Occupant (PRINT) T
W 7
?'?e Phone No,
?-?
Power Supplier Address
EI Contractor iCompany Name!
/+?
. Cont,actor's ?Liscense No.
.
_ Y .
?
3
!r ?/!v[tF? ,V v+
Q / t0
Mailing Address iContractor or OwnerMaking Instailationl
12,7 S#,a. cr7-
Authorized Sig (Contra orlOwner Making Instatlation) Phone Number
t -7
MINNEA STATE BOAHU OF ELECTRICITY THIS INSPECTION REQUEST WiLl NOT
Griggs.Midway Sldg. - Room N-197 6E ACCEPTED BY THE STA7E.BOARD
1821 Universitv Ave., St. Paut, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
ENCLDSED:
Phone (612) 642-0800
REQIlEST FOR ELECTRICAL fNSPECTIUN l ?
See instructions tor completing this form on baak'of yellow copy.
G ?`i, 3 8 2 3 "X" Be/ow Work Covered by This Reques#
E6-U0001-06
96 Q??
Add Rep. Zy{f4i af Aiiding Apptiances Wired Equipment Wirgd
Home Range Temporary Serviee
buplex Wafer Heater Lightin,y Fixtures
Apt. 8uiiding Dryer E4ectric Heatrn
Commercia{ Bldg. Furnace Sifo Unloader
Industrial Bldg. Air Conditianer Bulk Milk Tank
Farm Other peci y Qther I5pecity)
t .r Suecify Other " Other - ? ( -mmniAV lncnnrtinn !-oc KvMw - . - - "
M Fee Service Entrance Size # fee Feeders/Subfeeders # fee Circuits
0 to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 Amps 31 to 100 Arnps " 31 to lUQ Amps
Sw+mming Pool Abave 100_Am s Ahove I 00-Amps
Transformerg Irri #ion Booms
- 9-0 Partial,`Other Fee
signs Aectal !!ispfEt pn $
nougn-+n u<??e ?. ,? EI 1
caf
? insp or, heieby
certify fAat tbe above
Final • ?t/ ( ? inspectioo-has been
?IIf made.
Rris request void 18 months trom
CiTY OF EAGAN ?
?..
3830 Piiot Knob Road, P.O. Bosc 21•199, Eagan, MN 55721 95
PH011FE: 454-8100
BUILDiNG PERMIT tteteipt # ?
To be wed for SF UWG/GAR Est. Vaiue 58,000 pate SEPT?.M?#E R? $4
Site Address 1$91 BEAR PATH TRAII, Erect C$ OccuPancy R-3
lot 3 Block 1 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning R-1
Parcei No. Repair ? Type eff Const. v
Enlarge ? No. Stories
W Name KEYLANi3 HOMES
? Address 3471 W 173RD ST
Citv JORDANPhone 492-6646
Kb Name CLA CaNST CO., IAIC.
?- 6451 ,
?u Address -
? City Phone
55 Neme I?ENNIS FiALOUIST
_? Addres5. 8002 W 79''H ST
tuxi City SI,.OC3MING3'IMne
Move ? lcngth ,4 2_
Demolish ? Depth 4 iS
Grade ? Sq, Ft,
Approvols Foes
Assessment
Water & Sew.
Police
Fi.e
E»p.
Plonrter
CouncH
Permit w I • w u
Surchorge 29a 0
Pian checfc 153.50
.
5AC - 525.00
Woter Conn. _ 470.00
Woter Meter 63.00
Road Unit 2 0
Parks
7otal 1, $07.50
1 hereby ocknowladge that I hove read this npplication and stote thot gldg. Off.
the inforrtwtion ts, torrect ond ogree to tomply with otl appiicnbte APC
State of Minnesota Stntutes ond City of Eogan Ordinances.
Var. Date _
Siynature of Permittee
A Building Pennit is issued to: CLA CONST CQ. ,INC. on ths express coaftim that
al4 work shali be done in atordante with nti?opplitoble State of Minnesotc Statutes ond City of Ec+9on Ordi?
f` !
Building Official A - / , \
,?_??
Permit No. Psrmit Hoider Date
wUmbinil D c. 7- W
H.V.A.C. Lf
Electric
Softener
Irupeciion Date Insp. Other
Foot?ngs
Foundation
Framing ?D r}
?
Rough Pibg.
Rough HVAC
a
Inwiation
Final Plbg.
Fioat HVAC
Fina!
CerNOcc.
Waier Describe Location:
Well
Sewer
Pr. Disp.
Receipt PLUMBiNG PERMIT Permit IUo
C17Y OP EAGAAI
Fee
Fi!l in numbered spaces
Type ar Frint legibly S/C
Tot
'l. Date ??252 InstaNa on C st
I
3. Job Address Lot `-? Bik. ?
4. Owner A??I)l
5. Contractor D phone _
6. Address , 70 fq(./
7. CitY fi-'GS Y` `/4"?e- State
8. Building Type: Residential CT
9. Work Description: New GY
10. Describe
11,
n
7ract
'?
01?- S?o/
Zip ? 32?
-- ?---
Commerciaf ? Institutionai 0
Add 0 Alter ? Repair El
No.
'2' Fixtures
Water Closet No. Fixtures
CesspaoliDrainfield
Bath tubs Septic Tank
Z Lavatory Softner
Ji
? Shower Well
T Ki4chen Sink ? ?
Urinaf/Bidet
Laundry Tray Other "10•S? PL 9,
? Fioor Drains
Drinking Ftn.
Slop Sink
j Gas Piping Outlets
12. 1 hereby certify that the above inforrnat+on is true and correct, and t agree to
r?esp,}ov?g ihis type of uvosk.
comply with ai rd'+nances and cor?4
Sgned : /C.? ?tP G?-s- e for
' Rougn Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and appnoved.
Approved CtTY f)F EAGAId 4"00
Receipt MECHA?lICAL FERMiT Permit 1?.
CITY OF EAGAP! Fee
Y fill in numbered spaces SfC
Type or Print legibfy
Tot. c?•?C1
/
1. Date 10 `1? t/ 2. Installation Co? l700 Ca
I
3. Job Address fCgg/ 1' ????t f rAl?1 7ract
7W-
4. Owner. KC?. y
K
5. Contractor Phone 7 y7- ei°W
6. Addr ss ?4 fi t?1?q Y"?{a. Q t:?. ?? •
7. City ??' ?..Q K2 State Zip
$. 8uilding Type: Residential >( Commercial Cl institutionat ?
9. Work Description: New X Add ? Alter ? Repair ?
10. Describe 4tz? n?cj Fuel Type
11.
Plo.
? Eauioment 8TU - M. Ea.
Forced Air /SC?GU
? No. EquiQment CFM
Ai
H
dti
Mfg. r
an
ng:
Soilers
Mfg. Mech. Exha
Unit Heater
Mfg. ? Ottter
Air Cond. ?
?.
? ..
Mf g. ? ,.
??-
Gas, Piping Outlets
12. 1 hereb rtify t t the ve ' rmation is true and correct, and f agree to
compty w' al{ r ina ces n c es governing this type of work.
Sigried : for
Rough Final
tnspestions: Date insp.(Jate insp.
This is your permit when numbeced and ap?oved. ?
APproved C1TY DF E/4GAN 454-Sim d?
`' . A
?^,rc;.,^.^?^? ?, ., ? . . .;--ar'.?'.r;.-,f-?` ^:?,°,t,?T?s.•,..,nsup"-'.?',_. ?- ? ? ??S""'.:9F"?'???
CASH RECEIPT
?
CfTY OF EAGAN 3
?
P. O. BOX 27-199
EAGRN, MINNESOTA 55121
DATE ?."•'^ ./ ? ? g ? '4+y? ,"i
9
!
RECff1VBD
FRQM
AMOUNT Is
FUND ` COD? AMOUNT
f/
. •. ? ?,??' - - . .
?' . .
?
i.f
L
i .
y?
r if
4
& DOLLARS
+oo
(?CHECK
? CASH -/?
r?Rg?
??`3??AS'?" 'AAa ?
?
?l
?
?
/Y??? .?'3t"n3°?:F?ei?.`;.:,_d
.."}?,. . , ? . i?•""Fi??.
?` ?t"'+:,° Y?d.???
?
.
?
`1"
[.+
T
.Ul
l
?IltVi .
;•Q?.?.?•?,,?,?,?.?. rloi7 "'"'1j/O It L r°n•?10EdHANICAt; PERMIT
RECEIPT #
CITY OF,ii4GAN ?lI ??5?
? 3830 PILOT KN
?
N
6
'
OB R04
{
,, EAGAN, M
55122 DATE:
CONTRAG'f PRICE: ' 4&./ - PHONE:,A?4,,,8100
? site Address
Lot Biock -Sqc/Sub pG. TYPE WORK RESCRIF'+T!ON
New
Neime ;uit Add-on
m Address ?='"'?'.•°' ?' ;.,?'.r?-/ mm. Repair
c City Phone er
Name FEES
?
?
' AtS. HVAC 0-100 M BTU -$24.00
3 Address ???.?
?„?- ?
???
? -• ? ADaiTiONAL 50 M BTU - 6.00
O „
?
C?tY !?.Phone r >(f?ES. HVAC INGLUDES A/C ON NEW
„- QONSTRUCTION)
, C",yAS OUTLETS (MINIMUM - 1 PER PERM(n - 1.60 EA. '
TYPE OF WORK ;{;,QMM/IND FEE - 1% OF CQNTRACT FEE
Forced Air M BTU ,APT. BLDGS. - COMM. RATE APPLIES '
"OWNHOUSE & CONDOS - RES. RATE APPLIES ?
' Boiler M BTU $ `iir11NIMUM RESIDENTIAL FEE - ALL AQD-ON & !
' Unit Heater M BTU REMObELS - 12.00
Air Cond. M BTU $
?` Hrt
INIMUM COMMERCIAC FEE - 20.00
Vent. ?FM *STATE SURCHARGE PER PERMIT .5E1
(ADD $.50 S/C lF PERMtT PRICE GOES
Gas Piping Outtets # $ B€YOND $1,000)
Other
FEE:
-^?.- ?. , ?.
S/C: $tGN `F -
TOTAL::
,
.._< .
- --- , ? . e.?.,.?.?...?:.? ?? .?,2. , . ,... FOR: CITY OF EAGAN
;
,. ,
;
,
,. .. ? . . . ._ - , ..... .. ? _, ..._ , H.,,. _ _. .. ?...Y_.... ,.
CfTY OF EAGAN Remarks ,721 UiJ/Oit ?
Addition SUN CLIFF 2nd Lot 3 aik 1 Parcel 1
Owner
Street 1$91 Bear Path Trail state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1985 369.37 24.62 19
STREET RESTOR. 489+ffi7g 1986 `"-rrsW-." 431 . 51 5 a/ 5• 53 21 UJ 96 U-?' 0 S
GRaDwG c5?11aSS3
SAN SEW TRUNK
SEWER LATERAL aa )r
SEWER LATERAL 999 1986 829.62 165.92 5 9o2-9. a- -/U3 9v U- ?
WATERMAIN
WATER LATERAL 1000 1986 942.60 188.52 5 a- o -/Q3 96 10-9-dj
WATER AREA 1973 62.34 4-16 15
WAT LAT BEN -9)9?L?079 1986 57.8$ 11.58 5 g? C'- U 9 /U- -
STORM SEW TRK -to 1971 161.72 $.0 2
STORM SEW LAT 5 * '
S/W SERVICE 1005 1986 808.77 161.75 5 80f, -/0.3 992
IO-8-?5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5 1 -/U3 0-?- d'
Road Unit 260.00 146197 9-11-8
WATER CONN. 470.00 -
« °'
BUILDING PER. #9501 u tt
SAC t? tr
PARK
CITY OF EAGAN N 0 19634
3830 Pilot.Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUIIDING PERMIT PHONE: 454-8100
59 y /?
?
Receipt #
? t._-
To be used for BASEMENT FINISH Est. Value Date SEP 3 , 19-9-1_
Site Address 1891 BEAR PATH TR
Lot 3 Biock 1 Sec/Sub. SUN CLIFF 2ND OFFlCE USE ON?Y
P2rC@I N0. Occupancy _ FEES
Zoning _
W Name MICHAEL BERNDT (Actual) Const Permit 15_ nn
Bidg
3-: Address 1891 $EAR PATH TR ?
(AUowabte) _ .
S
o
City EAGAN Phone 3 78-2 Z 2 2
# oi Stories _ O
Surcharge .
Pian Review
length _
o Name SAME Depth SAC
Cit
i - ,
y
0? AddfBSS S.F. Totai - SAC, MCwCC
~ City Phone S.F. Fooiprints _
W
C
? On Site Sewage - ater
onn
W
W Name on site wen
w
?_ -
Water Meter
E3 AddrBSS MWCC System -
Mz
<W
City Phone
City Water _ Acct. Deposit
PRV Required - SIW Permit
i hereby acknowiege that I have read this appiication and state that the Booster Pump - S!W Surcharge
information is correct and agree to comply wAh aii appiicable State of
Minnesota Statutes and City f Eagan,Ordi a .
s
? Treatment PI
SignatureofPermitee -
, APPROVALS
Road Unit
A euiiding Permit is issued to: MICHAEL BERNDT Pianner - park Ded.
on the express condition that aii work shaii be done in accardance with aii Council
appiicabie State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies
Buiiding Official ?w ASQ,(,{,ct,,,/W
l Variance ? TOTAL
BUILDtNG PERMIT
N° 9501
Receipt # !? ?r kff^?
To 6e wed for
? SF DWG/GAR Est. value 58, 000
. Dote
. .?..??. ??pTFj?+jB?R, JgL84
5ite Address 1891 BEAR PATH TRAIL Erect EX Occupancy R-3
Lot 3 elock i Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning R-1
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name KEYLAND HOMES Move ? Length 4 2
Z Address 3471 W 173RD ST Demolish ? Depth 4A
3° City JORDAN phone 4 9 2- 6 6 46
??o Name CLA CC}NST CO., INC.
Zu Address 6 51 E. 190TH ST
? City PRIOR LK Phone 447-6128
Name DF.NNTS HAT. I1TST
Address 8002 W 79't'H .?',T
City Rj.QnMTNGTne
Grade ? Sq. Ft.
Approvais Fees
Assessment _
Water & Sew
Pol ice
Fire
Enp.
Plonner
Council
Permit 307.00
Surchorge 29.00
Pian check 153. 5 Q
SAC 525,100
Woter Conn. 470- 0
Water Meter 63- 0 0
Rood Unit 6n - O 0
1 hereby atknowtedge that I have read this opplicotion ond state that gldg. Off. Parks
tfie informotion is correct o ngree to comply with oll applicoble APC Total ]_. $?7.5?
Siate of Minnesoto Stotute u d C'ty?a n rdinances.
Var. Date
Sipnoture of Permittee
/1 Buildirsg Permit is issued to: (_T.A C:ONST C-()?. TNf'_ _ on the express condition thnt
ofl work sholt be done in ocFordonce with qN) applicoble State of Minnesote Statutes ond City ot Eogan Ordinances.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
Building 4fficial
t R r r.
? ALL CONTRACTORS MUST BE LJCEN§ED WITH THE CITY OF EAGAN
INCLUDE 0 SETS OF PLANS,
CERTIFICATES OF SURVEY
?"? /??• ?'?U• ?(aAR. ? SET OF ENERGY CALCULATIONS
To Be Used For: 611,J&L _ Valuation4?0 Date:
site Address: j?C1/ ?L'"I?IZ 67)4 7uP?,,(- ?? ?=?. pJ ? •
Lot : 3 Block : _?_Sect/Sub :
Parcel #:
Owner :
Address: ?,f `?3 14?? f5t'
City/Zip Code : ,jot??g,v ,?j,r1 ??35 Z
Phone # : ? Z. - Contractor: (?
Address :
City/Zip Code: j?j,0r
Phone 6120
Arch. /Eng : 1,0V 1_5 ,?LCOIU(S ?
Address : 8VD2_ /
,; 7g1' .??
City/Zip Code:
2N4
Erect :
Remodel:
Repair:
Enlarge:
Move:
Demolish:
Grade:
? Occupancy:
Zoning:
Type Of Const:
# Stories:
Length:
Depth:
Sq. Ft..
R-i
_?-
?
48
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.:
APC:
Variance:
o?
Permi t : ??. -
Surcharge : Zq, °=
Plan Rev.:
SAC :
Water Conn : 4'-7O ?
Water Meter
Road Unit: 2( p °?
Parks:
? /) f (" i-s c)
tit + ?
? b^
.1 s . s
3"? ?.J
? y
?•
s i7v?
30 7
2 9
?
I 5 x
Ej
?i
470
6 3?
2 ti 0 U r, ..-- \ ? (y}
C) 7
? ? ?
wa ? • q,, Y r
For:
Key-Land Homes
C. R. WINpEN b A554CiATES, lNC.
IAND SURVEVORS TfL 645-3646
1361 fUSTtS ST., ST. ?AUt, MiNN. SSf0/
N 89° 30' 31" E
(B9a, o) ? S. o o (8?4 7
c? .,-.C -
? D
L _
?? • ?- l- 6892,2) ?-
?
-
38 -
J3.3
PROPOSFD ? I
, C"i Uri
? 'Z? ,? NousE N I
u
Q` Ln y T
/6. 3
•
•
N ?
. .//_
4 ?
Z.3 -?--
? Z N ry //
o---- ZO
-3f.3---
-ll?--s
Q ?
_ q
C1
- k_i
?e9/ 47)
BEP??
oS.0 o
Scale: 1" - 30'
O Denotes Iron
Monument
!.?
L 7
<?9-?. 24)
NorE:
Q Denotes Wooden Stake
Proposed Garage F1oor E1.
089370 ) Denotes PropQsed
Finished Gzound E1.
-t---- Denotes Directien
Of Surface Brainage
Certical Datum - N.G.D.D. 1929
Lot 3, Block 1, SUNCLIFF SECOND
ADDTTION, Dakota County, Minnesota
WE MERESY CERtifY THIIT THIS IS A TRUE AlYD CORRECP RfPRfSfNTATtON OF A SURYfr OF THE
60UNDARlfS Of THE Ut*t0 R60vE CESCRIaED AND pF TME lOUT10N Of Atl AUIlQINGS. IF ANt!
TMfREON, ANa All YlSlatf ENCROACHMfNTS, iF ANY, FROM OR ON SAlD IAND.
Datad this dr? dar of-???"rerrrd er A D. 19 Fy C. R. WINDEN a ASSOCIATES, iNC.
h^
br i
SUrr1YOF, MiRR*aoro Ropistrotion No f:c ?/
W35+S
- YdgE' 1 UT 4
• , EXTERIQR ENVELOPE AVERAGE "U° COMPUTATION
OWNER; nATF;
SITE ADDRESS:_ PFfO!vE'--
CON7RACTOR: rl 4.
Determine working square foatage of Each
1. Total exposed wall area..... /, 82/, z(p sq. ft. x .11 = ,?p?• 8897_
2. Total roof/ceiling area..... sq, ft. x .026
Total exposed wall area above floor= Zi AZI,,u„
a.
b Total
Total wall window area ...........................................
door are //(p
.
c.
Total a . ................................................
sliding glass door area 3 7-76
d.
Tatal ....................................
fireplace wa1T area..................... :.................. 3 9. 796,
e.
f Total
Total wall framing area (average 101)............................
rim joist area
.
t .............................................
ll
b
?3z.a?
g. ne wa
area a
ove flaer ......................... .........
h. wall area above floar .....................................
i.
j.
frame wall area a6ove floor .....................................
wa11 area at foundartion ....
.
-
.
.............................
Total exposed foundation area= 6-rg
k. Total foundation window area. ..............
l. Total net foundation area ahove grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. //(P X [lul,_
b. 3 7•7z „u,?
_ c. _3R.gQ6, x fluit
d. t1? ? "I-l-•' _ /G'
?/
/ Yr ? • -__
e..?.8 X liull oD? = f?ol4¢ ?-
f• f.32.U3 X "U" , D 4 =
5
28
.
C
9•!_ I z,,6,-5 . 0 Xtiuii
h
ti I , 11
1. J 6 X to u?? _
3. .................................Total = l7{?.8?¢?,,?
If item #3 is the same
as, or less than item
#1, you have met the
intent of SBC 6006 {C)2
?
I:x ?rior Envelope Average "U" Computat-ion
Total exposed roof/ceiling area g-
w. Zbtal skylight area ............................ IU /)-
n. ToLal roof/ccilin? framing area ib?,)... , 8
o. Total net insulated roof/cciling ar<.a........... 79 /, d 'S
t7etermiise "U"' valuc for each rc?of/c:?il.ing SegmenL
m. 6U A- _ X #fUll
n. rR'7.89 x- " U"
o. 77/.o--) X „U.,
Q ........................... Z
If total of #4 is the same as,
SBC 6006 (c) 1.
Page 2 of 4 .
,e -..?Z I (.
K??o ???, ??5?.
A)?-
,
B Q?1 = /5e Bzl
atal 7,9.5 v'
or less 1.han #2, you have met the intenL- of
_Alternate Building Envea_oF?z Design
Zb utilize the total envelape'system method, the values establishecl hy the s;im of
items #3 and #9 shall not be greater thari the sum of items #1 and #2.
l., Zo o• 15$FI + 2. z z.B 59 - z4.3, 79-
3. irln + 9. _ !7•7-5? _ /88.=
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' pl,?ccncrit of innulation.
?
cirtv aF EncAni_
WATiR SERVtCI"PEWi3'
j 3830filart Knoa Roaa a
' P. O. -A4x ;z1'1*' RERk44tT; N4.: ?...:,.??.?.. :
' Edpap, Mllt 65121 DATE: /$ 4 ?
i 'A9: - R I
iu No. of Units: .? ?
r
ln ,
ilw
/1Btlress: "1 1 i !
umbes:
l ' $ tC.
ie
Meter"'No..
?-?,-
C?jc ttl
? Siae:
?
?
?
r r.No.: ?''"' ?''? ?
•VU p3
Pe?mit Fee:
I "ra.to cmpt,, ,r*b ehe Ciry of Sao"
??• , Misc. Chorges: F`:3 _ 11f1 ncl mmt@?"
? Toto{:
gY tG
ew` Dote Paid•
Dcte of InsP.: tnsp.:
- j ??
?..,,
??T?oF E?
%;
.,
?n?v WA't''ER SERYICE .
IT
383A Ritot Knob Road
P. t?1: Box- - PERNtiT NO.: 58 .1;6
?sgan, NA11?5? DAi'E: - ?? ,.,/_"?C? f A G
f Zoning: -_z + No. of Units:
Owner, nT r+
--
-
-
"
E1i49t-
.?
I
.a
r.
r?
--
G
Rddres5:
Sitrte Address: ?
1zd
; Plumber. .
? Meter No.: Connection f?aerge ? 70,0.?---
?Size: Atcoum Deposit:
Reocfer No.: Permit Fee. ? ??•?? pd <
I agraa to Gm* wiih the Cily of Eogae Surchcrge: 5(} ucl
' ??11Ce?. Mist. ChOPpes:
nd n+atg=
61 00
? Totol; I
BY Dote Puid:
Rate of Insp.: ;
Ins
p,
CITY OF EAGAN SEWER SERVICE PERMIT
3830 P81ot Knob Road
'
P. O. Bax 21799-, PERMlT N4.:
Eu,agan, M6 55121 DATE: 1 I r "?
Zanjn9: RI No. of Units: 1
Owner: GLA CGti:3t
Address:
Site Adtiress: 1$91 Bextr PaCh Traii L3 B1 Sut1 CI3.ff 2r1d
Piumber: j', C "echar3,Cal.
9--2 --8G 619 10U.00 P
i eyrea to cannpix with Nw City of Eagan Connaction CF+ar'Oe: 425.00 gd
Ordinaeces. Auount Geposit: ? 5•f}0
Permit Fee: 10•01
Surcharge: 50 cn?
BY Misc. Ghorges:
Dote of Insp.: Totof:
insp.: Date Paid:
i
1.+ r ,
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
-' SEIdER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
PF.OP= ADDRESS : J-)-?
r.Fr:?L DEs=tir--cv:
40
(I.nt/Block/SLbcivision or Tax Parcel I.D. N r)
i?:I?-- .,,v... -- CRIGi '
G
-'_:G SI..LC?T:._., Dr?Z?' =' ?L :?iIi?.I.`;G IS?
?
?.^??l - •--• .--
FPC-J.1 ,.
R-i SZ;G'. FAM_LTy
--- --• -_- ,
.
? R-2 DUPIEE? ('I4;O U-NITS )
0 R-3 TG[?.?OLSE (TF? + L'NTITS) ( ITNITS)
0 R_4 ApAR'?:''`?r/CC?ZG,L,T'u.?S ( L?IITSi
Q Ca=CIAL/'R."'TAIL?OFFICE
p amcs-11-711i:?-L
? NSTI M-'I'IC::AL,/GGV??nTLvT
2) APPLIC3?'T (PLEMSc PRINT)
N7\ME:
AIDDREss:
CITY , STy'I'E, Z IP :
PHOivE:
3} pI?MM, N (PLtASE PRI??T)
Ai?1E: FOR CITY USE OYLY
- -
ADDRESS: PLU ERS lICE9SE:
Active
CITY, STATE, ZIP: Expired
PHOiNE= PLUMBER LICENSE A ?3J ? ??rd
_ arr ;nitia
4) OCCL'PA"JT/Cr,•J,\I-P--? (PLEASE PRINi)
NAME : 1-;7 C' 4,,
ADDRESS:
CITY, STATE, ZIP:
PHO:+E:
5) INDIC= W-IICIi PEPti1IT IS BEIi?G REQUESTID:
? C=-NECI'ION TO CITY SE1,1ER
? CC.^.:NECTION TO CITS.' UATER
? C7I'fEFt (PZ,EA.SE DESCZIEE)
6) INDIGA-l" C..L:
?P=E FiOLD APPROVED PERtilIT FOR PICK-UP BY ONE OF ABC7VE
? PIEnSE titAIL APPR= P=lIT 'Ib 1, 2, (, 4 =JE
- rJ (Circle one)
I 7) SICZ=RE:
?
Mr as P".rss:a ...s ar s.s:.sa.:a m. ,..m .? f.?.... rr??.. s M. ?
? . ?•?? t
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
F°L'S • $ SE:n?p%trm ?•??CTq :
$ WATER PEI2PIIT ( INCLLDE SURCUARGE)
$
?- `- WATER METER/COPPERHORN/OUTSID? READER
$ WATLR 'I'aP ( ItiCLUDE CORPCRATIO:i SmCP )
$ SE:'IER T:-`.P
r? ACCOUNT DEPOSIT - SE;1ER
$ °? -? ? • "''?? ACCOUiVT DEPOS iT - jJATz'R
$ .??d ;?V .? _ .?-? YVAC
T
,, •G" r-?-!\ • a ? .
C
- %
JAl..
S TRuNh WaTyR assFss:::Ni
S TRliVK SETNER ASSLSS"•?ENT
$ LATE??A.L BENEFIT/TRL'NK SET'7ER
$ LATERAL BENEPS'i'/TRu:In WATER
S • OTHER
S TOTAL
AMOU N T P A I D/ R E C E I P T Y
DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG;iT OF WAY?
YES IF YES, T HEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE IS5UED BY THE
NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TFiE FOLLOWIrIG CONDITIONS :
APPROVED BY:
TZTLE:
,
?.>
DATE :
.R sM ? ? ?M BW M +0 sM wEM w M M W- wrE 8R40 01t+a sO Io PQ s PO OL-M ? M MM op-w W4W R•? ? ? 06 M
?
CLAIri VOUCNER - REFUND RL•QUEST
CITY OF EAGAN
CLAIMANT RAY N. WELTER HEATING
ADDRESS_ _ 4637 CHICAGO AVENUE
MINNEAPOLIS, MN 55407
Location 189l BEAR PATH TRAIL L3, B1, SUN CLIFF 2NIZ
Receipt No./Date 9/19/91-103058
Reason fcr Refund PERMIT NOT NEEDED
T}•pe of Refund
1 '50
Electrical Permit
Plumbing Permit
Pfechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
Utility Account Over-Payment
Other:
01-3211 $
01-3212 $
01-3213 $ 15.00
01-2155 $
20-3713 $
20-3743 $
ZO-2252 $
20-2250 $
S
$
TOTAL $ 15.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been iDaid.
9/23/91
ignature Date
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #_ i7Z?-'?C?j
DATE: ?g
APLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------
--------- ---------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME : xv?f .7 SITE ADDRESS: 6
LOT: v? BLOCK ? SUBD.
INSTALLER:
ADDRESS: ? ?CITY:
PHONE #:
ADD-ON MINIMUM <ii ?
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
? GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
J S
SUBTOTAL : "
$
STATE SURCHARGE: .50
. - 49
? TOTAL: $
"'
V
SIGNATURE OF PERMITTEE
T ?• ??tJ 7
PLEASE COILF:TI? THIS POR`tI N ALL COMMERCIALJINDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MUL I F LY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLI G .
------------------------------------ 1-7
FEES
CONTRACT PRICE: '--_7 T
7 ----------------------------------
OWNER NAME: _
SITE ADDRESS:
LOT:
INSTALLER:_
ADDRESS:
CITY:
PHONE #:
ZIP:
1% OF CONTRACT FEE.
STATE SURCHARGE ffi $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF EAGAN
BLOCK SUBD.
. ?
I
I
?f
?
I wATER
? SEWER
PLUMBING
H.V.A.C.
ELECTRlC
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Fina! Plbg.
Const. Meter
Engr./Pfan
Bldg. Finai
Deck Ftg.
Deck Final
Weli
Pr. Disp.
Permit No. I Permit Ffoider
? Oate
Date Insp.
x
fi4?m7
Commenis ------------
Plbg. Ins Natity Plumber
I_
-------------
Telephone #
?
7761
2007 RESIDENTIAL BUILDING rERMiT ArrLicATiort
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Teleghone # 651-675-5675 FAX # 651-675-5694
New ConsUuc6on Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree PreservaUon Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buiidings with 3 or less units)
Minnegasco mechanical ven6laation fortn
Remalel/Reoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions 8 decks
Addition - indicafe 'rf on-site septic system
- --- -----
8* $0-10
?
?.,,
Pians are considered ublic information uniess ou state the are trade secret and the reason.
D
t
e
a Construction Cost
Site Address Unit/Ste #
N rna/ ?jZ z
Description of Work
Multi-Family Bldg ,
_ Y N
Fireplace(s) ^ 0_ 1 _ 2
Property Owner 641 Telephone # ( 6c??? ) 6-3-5-
? i
Contractor
k r
vr-
Address Z -7 City ??
State Zip S 10 Telephone # (65-/ ) 117. Of` L)
COMPLETE THiS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the lasi 12 months, has the City of Eagan issued a permifi for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master pfan:
Licensed Plumber i 1^ E, ,- Telephone #(
Mechanical Contractor o Telephone # (
LUUI
Sewer/WaterContractor Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
Applicant's Printed Name Applicant's Signature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
?
Site Address? Unit #
Property Owner / (ce, ? Telephone # 4CI'S
Contractor STANDARD HEAfiING & AIR CBNDIT
STREET
K
MINNEAPOLIS
MN
5508
Street Address
City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
X furnace _Additional X Replacement
air exchanger
>< air conditioner _New x Replacement
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an a or a pernut, and work is not to start without t the wo accordance with the
app ed lan in the cas of wor which requires a review and approval of pl s. ..,
Alvl
Applicant's Pri ed Name Applicant's Signat e , >,
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate peimits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove *'"see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*"`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Pe; itllt Fee5: $ %0.50 'v'r.dzrground tank iristal,atioiti'reriwval
$50.50 Minimum (includes State Surchazge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ernut fee is $1,000 or less, add $50 ? $ State Surcharge
If permit fee is over $1,000, add $50 for
every $1,000 ermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the infarmarion is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
.-a .
?
1991 BUI N P IT qAPLICATION
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 CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS # OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
L?
lx;.S?sryi,,7,?? f
To Be Used For: z_ Valuation: Date:
Site Address
Lot 3 Block
Parcel/Sub ik
Owne r
Address IMI aY
City/Zip Code ?pan Mn.5 Ia'a,
Phone WSy -a9SL-I Vlt ZZZ
Contractor S C(r
Address 5AME
City/Zip Code
Phone
Arch. /Engr . ?, A ,
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS _
Planner
Council
, Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Sewer/Water Licensed Contr.
, Ao,? agrees that all wolrk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116711
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1891 Bear Path Tr
Lot:3 Block: 1 Addition: Sun Cliff 2nd
PID:10-72976-01-030
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 .
jackie terrell
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 -
Michael Berndt
1891 Bear Path Tr
Eagan MN 55122
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature