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1882 Bear Path Tr Use BLUE or BLACK Ink For l Office Use ~ ity a [ Permit Cof Eap I Permit Fee: to I " I • I 3830 Pilot Knob Road I Eagan MN 55122 _ Date Received: Phone: (651) 675-5675' A I - - - - - - - - - - - - - - - - Fax: (651) 67515694 a Staff: INFLOW & JNFILTRATION PERMIT APPLICATION ✓ Plumbing / Sewer & Water Date: Site Address: f (Boo t mar pcc:~ TY-6Ll Tenant: tJ~hi 1 AO 1 DDS) Suite WA Name: ~M-Aiel (401(1 ~LfSL Phone: RESIDENT / OWNER a C Q, ea.c P4_4 4A Tr'a i Address / City ! Zip: Z Name: License Address: City: CONTRACTOR State: P ne: I, Contact: Email: PLU ING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK pump Pump Repair TXaw~ O~'~i Repair Other: Other: 4 4 DESCRIPTION Description of work: 'f"e 7~w~t f~ ~•'►a S~ T~~-~ e I (,JGt.-~~~ ~r'A..lvt5 Du,~Sj~e ~t+n5'~'pa~ a•~ iin.Si~P St v►~G~r FEES $55.001 Each (includes $5.00 State Surcharge) (Rev. 5-30-10) TOTAL FEE $ S5. OD *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Itl repair costs for reimbursement, two quotes from qualified contractors-must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 revie and approval of plans. x~~ l~~ ~o((~ ~u511 X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: "Under Ground -Rough-In -Final This request void C Q- 18 months from ss C 24233:~ti Requ t Date Fire No. Rough-i Insp c ' n I I Requi ? Ready Now M4n I Notify, Inspec- es ONo for When Ready -i nsed Electrical Contractor 1 hereby request inspection of above" ❑ Owner electrical work installed at: Stree r s or Ro o. City" I -8a Section -No. Township Name or No. Range vt2 -71 No. - Co Occupan RINT) F Pho e No.~ Power S tier Address ay frim Elx m ttaE lk1c tt c or 's Li en Mailing d4 Me. ji lation) Authorized Signature (Contractor Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS. PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQ ST F R ELECTRICAL INSPECTION EB-0o001-oa 1 See instructions for completing this form on back of yellow copy. yI: C~ 233 -X" 8elow Work Covered by This Request O ~J Rep. Type of Building Appliances Wired -,Equipment Wired Home Range Tem rary Service Duplex Water Heater ightiny Fixtures Apt. Building D r Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other(SVfy) t er Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps !d - O to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_ Amps Above 100_Amps, Transformers Irrigation Boon-is P Signs Special Inspection g TOTA EE Remarks Rough-in Date I e ctor, hereby rtify that the above Final D e S r spection has been L7~✓ ade. r This request void 18 months from CITY OF EAGAN Remarks l kA~/TZU57- 2"/ Addition SUN CLIFF 2nd Lot 10 Blk 2 Parcel 10 72976 100 02 Owner Street 1882 Bear Path Trail State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 369.37 24.62 15 STREET RESTOR. +GHg4lo71986 2157.53 431.51 5 GRADING . SAN SEW TRUNK 1979 48-64 1.95 2q SEWER LATERAL 1925 265 63 53 1.2- a_ SEWER LATERAL 999 1986 829.62 165.92 5 WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 WATER AREA 197 62,34 4.16 15 WAT LAT BEN 107 1986 57.88 11.58 5 STORM SEW TRK 1971 161.72 8.09 20 STORM SEW LAT S S/W 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. BUILDING PER. SAC PARK -90 -Y~ j Permit#• ! City of Faun 1 • 1 1 Kermit Fee: JfS ~ 3830 Pilot Knob Road 1 I Date Received: 1 Eagan MN 55122 Phone: (651) 675.5675 1 Staff: Fax: (651) 675-5694 1 _ _ _ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V (3 iYSite Address: t iJ i~eA ej&n-~ 7P--91 \ L- Suite Tenant: RESIDENT / OWNER Name:. N 1 J Phone: IS- Address / City / Zip: Applicant is: Owner Contractor ' P 6 _S4 DIE TYPE OF WORK Description of work: _ Construction Cost: f Multi-Family Building: (Yes / N'o1X-_,) CONTRACTOR Name: ion License Address: 'a City: QB b Leer State: Zip: t'om' ~Q Phone: l0 ~t 11' Contact Person: F.~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoory 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet _ _ _ • New Energy Code Worksheet Category Submitted Submitted t~ 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: AWTE:~ w t hereby acknowledge that this information is complete and accurate- that the work will be in conformance with the ordinances and odes of die City 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 0Y) x Applicant's Printed Name Applicant's Signature Page t of 3 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11988 PHONE: 454-8100 1 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $73,000 Date MAY 2 0 '19 86 Site Address 1882 BEAR PATH TR Erect It Occupancy R3 Lot 10 Block 2 Sec/Sub. SUN CLIFF 2ND Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories Q RMC DEVELOPMENT CORP Move ❑ Length 40 z Name Demolish ❑ Depth 48 3 Address 3209 W 76TH 5T. , #205 Int. Im p r ❑ Sq. Ft. ° City EDINA Phone 835-3773 Install ❑ z o Name SAME Approvals Fees Address Assessment Permit $ 352.00 City Phone Water & Sew. Surcharge 36.50 Police Plan Review 176.00 Ujw Name MINNETONKA DESIGN Fire SAC 575.00 = Z Address 337 WATER ST 5 0 0.0 0 a W city EXCELSIIQ,f1e 474-5991 Eng. Water Conn. b3.50 Planner Water Meter Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstatethatthe BIdg.Off. 5/20/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o na a`~-/ APO Parks Var. Date Copies Signature of Permittee L Total $2,149.00 A .Building Permit is issued to: RMC DEVELOPMENT CORP on the express condition that all work shall be done in accordance with all appli St pf Minnesota StaW-te-s-a-n-d-Cy of Eagan Ordinances. Building Official Q ~Q_ 4L 3 k 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 3"'" /G i~i~~t• 3 To Be Used For: W Valuation: Date: A Site Address OFFICE USE ONLY Lot ~Q Block Erect X Occupancy Iz 3 Remodel Zoning K1I Parcel/Sub , Repair Type of Const Addition # of Stories Owner ~/~/L► ~ _dA4- Move Length 4o Demolish Depth 45 Address d a09 41 2Z~°r~. Int. Impr . Sq Ft Install City/Zip Code Phone g f - ,3 77 2 APPROVALS FEES Contractor~ya Assessments Permit 5 Z. Water/Sewer Surcharge Address Police Plan Review 1-70, Fire SAC 5TS City/Zip Code Engr Water Conn ~c~o- Planner Water Meter 1p3.~' Phone Council Road Unit 2'5i0' Bldg Off 51110116 Treatment Pl 1 Ito. Arch. /Engr.~/,Y,~-2ir.~it APC Parks Variance Copies Address TOTAL City/Zip Code i~~ Js~o~ /`f/ IlI.r~ 533/ Phone #7/ NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 4-)4 1 ~ I q- - 2~z x s~ 22x22f _ 12O K acs = Ica 352-+ 36.5+ 176•r 575•-F 500-+ 63.5-h 290•.x. 156-+ 2149- Tr'C21 it 1882 Siew- P4 • C. R. WINDEN & ASSOCIATES, 11NC. LAND SURVEYORS Tel $48-394; 1381 EUSTIS St. ST. PAUL# MINN. $8148 FOR: R.M.C. DEVELOP1ENT CORP. E R PFT-N T ~ A/Iss R= 892.10 1'899o9J~~ d= 30 17' s r. 1 z 1900, ys1 Scale: 1" = 30' v EF_ ,c O Denotes Iron Monument C9vLZ NOTE: O - PO►t,/}o~ a Z~,3 ° a Denotes Wooden Stake o Proposed Garage Floor E1. `902.9 l2 n, 5,~; (907_4.) Denotes PzoPused 4 ~o W Finished Ground El. / 0) An +k _ -f Denotes Direction ( o )P-0,005ed NK► Cf Surface Drainage ~Youse Vertical Datum - N.G.V.D. 1929 N to o N' ~ ~ N Q Z L9Qz - `~s~ - t, N 2'Ove~han9 Z Ili I D I ~ r X99101 3 S?.'`- b 49 Lot 10, Block 2, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE HERHY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Voted this cloy oi_ QC.L Tel -A.D. 19 85 C. R. WINDEN & ASSOCIATES, INC. by Suryoyor, Minnesota Registration No 77PG j(id L _ ~•/n~/`/~~~Jt 0_~~~~ 1 OWNER. y. , SITS :ADDRESS CONTRACT Ok PA De erlnine tic;t,;Jnn, ,)f each 1. I*otal exposed wall area.... _ O -T .d- ,C >r', ft.. x .l! = G.. C_ 2. Total roof /ceiI in,g are,-...... yid ~...5 c{ ft, x n T (k tr'S t~,'\;a -:ihG L.~U.~r~ . a. Rota' via!t Widow area. h. Totes I dool` ar'ea...,g 40 C. Total siinin,f lass do,-ir ..rea . . d. To' 1l fireplace v:-II aree _~.._^r!'J;v__Z e. Total waI I ,"ramin9 ,,r•Ea ',,v" c . f. Totes 1 rim loist area.. net Wall above aree _ _ ~ :h. wall area a`ov f' ut r. 1 I wall crea abcvc ''•!x;r . j fr~ant al 7 arn, a , l T t 1 , • r , .I - 43 - ICZ2 X 1 #3 i t. ht? G 3!t'tz r trs> i.fiin item . v o met the +J (cr ' 'ra tk" ( ,Iiw- Xfj9l ti'/°~;#t#' "ll~. a.{:-#:l~H1•.:.t )..1t Pago 2 of 4 u m '~s,,. I p~+. l rt? xnd _ tai"Fx~.a~->+`•C;1t,.~ EtTt~71~) ijot. jrestilet: ,tI rooC/cui! i:'.q, w (,,i........... r M Detelxrrlx!':e alp V<'ilU(i fn1 u3<'tl i n u f+ -Ipq f. .3iI:..L. is;. JI' 1!1 you It:iv Tt1C:t. tho intent.: Of t ~ tt~~ C, 0 1 To Litilize the t.C`tn). F.nvl-. of ) ..t.':311::i .,3 iia; ~4 ..:~i:i.~..l. of L;(. i PL A Q *iF I' Lw L FT. 1-:XPOSEp WALL. lco BULL (P~ k , x .5 f vQ. o~ " u L L W DW1 ?A-rt o 1 'PrSX d?iC'::'p,.JSyM =vlk"'A_c .:Tts: ...yr 1 -Valkta r ,w.,,.,. ' ~ ; ..~1 X . I t r _r ~ z , r 1, 4 - f tr) n _ 0 . fi • ~ d +MI~ j~+.+~IM .Mt.'. ` s1•+s' 1I t 4 ; ~R ' ~ 1 ~ - ---_-..-.~i..._~.,:. ia` ! 0or S iirl U.U viarl • M A 1 I f1 ,4; T,nterlor z Sr fi_.!^'_-___. 38, 3 MO. ~ O ~r~ALY.i1M+ 1F.1~'~J1 ' •if~ :i..•.,k'~,o .ti:_•.~~ ?*..tt>( f??tn t '.l , e3 4' 1. 1 0.61 tlIm Cl, a r~ 12 if r a'271d Cc"2lrili♦ltlf771y. I iYR COid~k$isCirJtl% l,,,l r:+l.:l_•_, I. 'J,)lu., ~ ~ ww;In.I, ~ w.yn.n►I.F~!x...r.w.+r~~ ~ • ~ ~ 1 ~ ~ ~ , : r I ~ 111 I I G • ; . U }'tit : i _ 1 i , i ! 1. _ ' _ . 7 Xt.L tt P'IG. I'(111 rIrN OF G. Ev, FIG. 112 i e. n To Ii rz !r•1 1. l t r 13 r 1 1999 BUILDING PERMIT APPLICATION RESIDENTIAL CITY OF EAGAN 3830 PIL KNOB RD 681 681-4675- 55122 1-4 - -D-6 -9 New Construction Requirements RemodeVReoair Requirements ♦ 3 registered site surveys showing sq. ft of lot, sq. ft of house ♦ 2 copies of plan -%ndall roofed areas (20% maximum lot coverage allowed ♦ 1 set of energy calculations for heated additions ♦ 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ♦ 1 site survey for exterior additions & decks ♦ 1 set of energy calculations ♦ 3 copies of tree preservation plan if lot platted after 711/93 DATE: ~Iy CONSTRUCTION COST: DESCRIPTION OF WORK: _ _51~eI2-7 //,P,'1 STREET ADDRESS: 3 LOT: 10 BLOCK: D SUBD./P,LD. ~ L` bt C Name Phone PROPERTY Taut Fint OWNER /Z - City Address: S~ Z Z City Gi~ I ✓ State. Zip: Company / / / S Gc/t> Phone i' . 7- CONTRAC'T'OR ® /l Street Address: License # 2,0/(, Jo 7,9 9Exp. 3 ! ob City n GS State: 141 Al Zip: -5-6 33 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip; Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requir4d OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 03 1 of_ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24, Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg. ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units 0 /o SAC CITY EAQ 'A t 7629 PERM NO, MN 55121 DATE: Zoning: Rl No.. Of 6; ts: Owner: RMC Ray., Address: Sitt Addm: 1882 Bear Path Trail Ll0 B2 'Sua IT Valle Plumb No.. 7 S' ? ' a; REDO . 02P Size: V,,RpcA ~ i Vi S.QOpd Reader tvo. d o o ! Oi t 10 00 1 agree to cowt* wft "4904 S , 5~ad U1$tf.D 156.OOvd V i / RE~ Tort r ~ 63.30pd xxtA Dot* Pakk - Date of lns,.: try.: c? Z CITY OF EAGAN (WATER SERVICE PERMIT 3830 Pilot Knob Rgad 74`9 P. O. Box 2i 104' PERMIT NO.: Eagan, MN 55121 DATE: 6-27-86 Zoning: No. of Units: Owner: R"U T)ea Address: Site Address: wiz- r 5::: C t I Plumber: _ 11.io x 21 um'-i n y Meter No.. Connection Charge: 500.019 Rd Acc unt Deposit: -15. DQjzd Size: Reader No.: Per it Fee: 10.000-, 1 49M to am* with the City of Eogsa Su harge: - 5O Ordieeft"& Misc. Charges: T I: 61-7')pd at zr By Paid: --7 1 Date of Insp.: I I CITY OF EAGAN EWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 "IT NO.: I Eagan, MN 55121 ATE: 6 f, Zoning: II No. of Units: Owner: Address: Site Address:' x s € u r r -Plumber: gat f 00 a Ora t some iro "a* wuh "a City of Began Connection Charge: ` `-Zi_w2rad 12, r.: s ; A * ~ ~ F r1~ Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: r • CITY OF EAGAN APPLICATION DOS x* APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEtM AMID/OR WATER INSTAII A'N'IONS WILL NOT BE SCHED- SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN ; * APPROVED. ; p (Please Print) ~ 1) PROPERTY ADDRESS: ~00 ~C C3 j- Bel? 7 LEGAL DESCRIPTION: ~/'a c, C;k " Lot Block Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: } PRESENT ZONING/PROPOSED USE: (Month/Year CODMMCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERIM'r R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) w_IQu A NAME: yCJC~a o r ADDRESS. 76 CITY, STATE, ZIP: L~_70/ 117 PHONE:_y,3~~ . "7 "T 3) u NAME. /I~ ` For City Use - Plumbers License: ADDRESS : 4~1 01 ,x, Active CITY, STATE, ZIP: Expired C3 jr Qy~ Od l.~ Not recorded PHONE: f%9 ,f~0 MASTER LICENSE# Staff U=tial NAME: ADDRESS: CITY, STATE, ZIP-. PHONE: 5) D_t v a• • • a• - CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) • • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED ERMIT TO 1, 2, 3, 4, ABOVE (Circle one) . • 7: • is w • • • • i- a• • • - a n r• • ~ • • • a• • • • FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ G'~J S S WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ C-L, ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ c'z) $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ < Z= i $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ A~ I TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : _ ASH R ECE I P7r , iTY OF - EAGAN ' ~795PILOT KNOB ROAD EAGAN, M SOTA 55122 AT" 19 RECEIVER FR L AMOUNT & - DOLLARS 100 CASH -.CHECK 4 z2 py FOR y FUND CODE -AMOUNT j Thank You SOO White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 PRo# Knob Road, P.O. Box 21-199, Eagan; MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # , To be used for SP DWG/GAR Est. Value $73,000 Date MAY 2 0 19 ~ Site Address 1 #8 2 BEAR PATH TR Erect 11 Occupancy R3 Lot 10 Block 2 Sec/Sub. SUN CLIFF 2ND Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories T~:Address_ me RMC DEVELOPMENT CORP Move ❑ Length 40 33~ 7G`ll~ ST. Demolish ❑ Depth 49 e #205 Int. Impr. ❑ Sq. Ft. EDINA Phone 835-3773 Install ❑ o Name S IE Approvals Fees a Address Assessment Permit $ 352.00 F City Phone Water & Sew' Surcharge 36.50. Police Plan W Name PiIN231ETtJINkCA DESIGN Review 176 00 1 W Fire SAC 575.0 , Address 337 WATER ST Eng. Water Conn. 5QO ti 00 56 City EXCELS ,e 474-5991 Planner Water Meter 63.50 t Council Road Unit 294.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 5/20/86 Tr. Pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee F Total $2t149.00 A Building Permit is issued to: C DEVELOPMENT CORP on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing 70-7-2 HM A.C. -7Z ~2 t t0 Electric S~tener Inspection Date Insp_ . Comments Footings 1 ~a Footings If Foundation Framing L / Rooting Rough Plbg. Rough Htg. tm►sul. Fkeplape Final Hill. 4, Final Plbg. Bldg. Final iCori. Dec. - j IlDeck Ftg. (Deck Frmg. Well LPr. Disp. I I PERMIT # Q t MECHANICAL PERMIT RECEIPT` # 3 73Z CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 40ZO4 & CONTRACT PRICE: PHONE: 454-8100 (p - (a - Site Address / BLDG. TYPE WORK DESCRIPTION Lot 0 Block Sec/Su r, es. New c•'r'' Name r Mult Add-on Address f Comm. Repair S City Phone Other d Name FEES 3 Address r 6f f TI RES. HVAC 0-100 M BTU -$24.00 Phone ADDITIONAL 50 M BTU - - 6.00 -C City. 4:: " ADD-ON AIR COND. 0=24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 , Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE: S/C: , SIGNATUffff ERM EE r TOTAL:" -44 1 FOR: CITY OF EAGAN PERMIT # s PLUMBING PERMIT RECEIPT # ° 63 (3-2k CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:' CONTRACT PRICE: PHONE: 454-8100 Site Add ess ~dv«, G Pee- / BLDG. TYPE WORK DESCRIPTION I ,S Lot r Block g_ Secub Res. X New WE~~ZEL i'Cit Name Mult. Add-on ? 3600 1' IN tEBEC DR Address Comm. Repair c c City iAGAiti Phone 52 5 Other I~1G NO. FIXTURES TT'TAL Name / Water Closet - $3.00 CC, C- Bath Tubs - $3.00 3 Addres / p City Phonef'3 27 j Lavatory - $3.00 Shower - $3.00 1 Kitchen Sink - $3.00 - FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE / Laundry Tray - $3.00 IS. cl ' MINIMUM - RESIDENTIAL FEE _$10.00 / Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 / Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES o,2- as Piping Outlets - $1.50 c C- i BEYOND $1,000.00) Softener - $5.00 _ - Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 „s?J SI ATURE PERMITTEE FEE: _257,3Z) STATE S/C: "s-D 2L C& FOR CITY OF EAGAN GRAND TOTAL: PERMIT City of Eagan Permit Type:Building Permit Number:EA126123 Date Issued:08/13/2014 Permit Category:ePermit Site Address: 1882 Bear Path Tr Lot:10 Block: 2 Addition: Sun Cliff 2nd PID:10-72976-02-100 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 . Tia Lindroth 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 - Daniel L Hollibush 1882 Bear Path Tr Eagan MN 55122 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131978 Date Issued:07/17/2015 Permit Category:ePermit Site Address: 1882 Bear Path Tr Lot:10 Block: 2 Addition: Sun Cliff 2nd PID:10-72976-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Daniel L Hollibush 1882 Bear Path Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature