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4345 Bear Path Tr nir` oF eACaN . WATEtt `SERVICE RERMtT P95 Pilpt Knob Rood PERMIT NO.: '4tadon. MN 55122 17 DATE: , 7o,ning: No. of Units: ' Owner: Aifdress: ° Site. 14ddress; `Plumber: Meter No:: - - - _ s,-• ? ti^ ? .?' Connection Charge Size: Account DOposit ReQder No.. PermiY? Fee._ ergree to:eWv#y with'the Gty af gagaK -`Swrcharg'e..: °Ordin+d?r?e?.: . M'rsc:. Chorges:. .iE3 Ti>ttafa _ ?' ,: L'Sate tsf Ir?sP? ^ 1nsp t . , . . . . . . . " v _ e , . . . . ' . .. .. . .. . 2.? . .. . ,A% CI'IY QP BAGAN P,ilot Keob Road *9un, MN 55122 Zoning: , . , .. . ? SEWER SERVECE PERMIT , PERMIT NO.: DATE; No. of Units: _ ... ON+116r: = Address: .?SftB MdT25S: ? Y .;. .1 ry 'S n n tit p L_ TlumIJCr: ' e ?. . q q ' .. ..- _.. `? l f d egiree tc? tiemp{y with the City of Eagarr Corrnection Cha "rge 42;L t?rdinnnee?, AccounY Deposit: lu Perrnlt., Fee° , . ?y NCtM ?}5GgC5 C FC?9: Ck?` tiu a ,Fri • k Thi? request void I S rr?onths trom ? 7??? Date of th ' ' equest Fire No. I, as IQ?Licensed Electrical Contractor 0 Owner, hereby re uest inspection of the above electri- cal *?rfing installed at: ?30?- Street Addzess or Route Na L,-,.f LcwCity 6 Section Township Which is occupied by r1? Range County (rvame ot vccupant) Is a roughin inspection required on this job? No ? Yes?Ready Now ? Will CaLl Power Supplier r:.. Address sie?V Electrical Contractor_??x`?-- Cnntractor's License No. (COmpany Name) c- t rs Mailing Address , (Ej,ectrical Con r8ctor or Qwner Making This In Yallation) ? Authorized Signature tif Phone No. (` Con raefor aking This Installation) ?? V This inspection request will not be accepted by the State Board uniess prnper inspection fee +s enclosed. Minnesota State Board ot Electricity Griggs Midway Bidg. - Room N191 ? EB-00001-02 J. 1$21 4Jniversity Ave., St. Paui, Minn. 55104 - Phone 297-2111 ?, ,:? ? fis`EQUEST FOR ELECTRfCAL INSPECTION .?? { i CHECK BELOW WORK COVERED BY THIS REQUEST 77538 Type of Building ew Add. Rep. Check Wi Te.d r Check Equipment Wired For Home 11 ? Range 13- Tempotary Wiring ? Duplex `0 ? ? Water Heater ? Lighting Fixtures ` Apt. Bidg. ? ? ? Dryer ?? Electric Heating X? Commercial Bldg. ? ? ? Furnace Silo Unloader ? Industriai B3dg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others? Here Others? Here COMPUTE INSPECTIO N FEE B ELOW f, m" Service Enttance Size: # Fee Feeders& Sub s: . ?, Circuits: ? # Fce 0 tu 100 Am s. a, ?, ? 0 to 30 Am `'L's ??. •? ? ??;? ?? '?0 30 Am eies 101 to 200 Amps. 31 to 100 Art?eres ? ??4*?- ;tWto 100 Am eres Above 200 Amps. Above lOQ Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs _ Special Ins ectior, Minimum fee $5. Remarks TOTAL I, the Electrical Inspector, hereby certify tt??C, abc?e??t? o? been made. ?j (Rough-in) ?'fe ,•" ., -... (Final) CDate This request void 18 months from CITY OF EAGAN 3795 `Pifot Knob Road Eagon, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION N° 6186 Receipt # To be used for .SF DWt'r/GAR Est. Volue 51,000 Date 9-18 , 19 $d Site Address 4345 Beat Path Tr. Erect f5c Occupnncy R3 Lot 79 Siock 1 Sec/sub. Meadowlands Aiter p Zoning R1 Parcel # _- 1,n,, fi,$A,50-Q8/t Q1 Repair ? Fire Zone 3 { E T f C t V WFIl Huttner construction n arge ? ons ype o . Name , Move ? # Stories W 3 Address 11913 Highland uiew Ci.r. Demolish ? Front 58 ft. ? Ci Burn sville ,? NIrphone 890-3992 Grade ? Depth 3$ ft. w O Name Approvals Fees - ?? ' Address ?- ?:?., Name _ Address Water & Sew Poiice Fire Eng. Planner - Councii - Permit 1I32.00 Surcharge 25.50 Plon check 71.00 SAC 52 S nn Water Conn. j05..60 Water Meter 60, OQ Rond Unit 182..nn I hereby acknowledge thot ( hove reod this application and stote thot gld9. Off. the information is correct and ogree to compiy with II appl'coble 1,313.50 Stote of Minnesota Statutes ond n? Eag rd' " ?-.-.,.a.. APC Total Signoture of Permittee ' ?,:? A Building Permit is issued to: WIt1 Huttner COT1StY'uefi on on the express condition that all work shall be done in accordonce/?ith oil nppiicgkle Stote of Minnesota Statutes ond City of Eagan Ordinances. Building Official ?r GTY OF EAGAN ° 3795 Pilot Knob Raad Eogan, MN 55122 N2 6186 PHONE: 454-8100 BUILDING PERMiT Receipt #t _ To be used for Est. Volue DoYe , 19 Y I???I???II Site Address Erect Q Occupancy l.at B1ock Sec/Sub. Alter ? Zoning Parcet .# Repair ? Fire Zone Enlarge Q Type of Const. ? Name Move ? # Stories z Address Demolish Q Front ft. ° Ci Phone Grade ? Depth ft. ly Name Appravois Fees ?0 ?? Address ~ Ci Phone W W IVame ~W ?? Address ¢`Z" Gri Phone 1 hereby acknowledge that 1 hove read this application and state that the information is correct and ogree to compiy with oil applicable Stote of Minnesota StaYutes and City of Eagan Ordinances. Assessment Woter & Sew. Rolice Fire Eng. Planner Council Sidg. Off. APC Permit Surcharge Pian chetk SAC Woter Conn. Water Me#er Road Unit Total Signature of Permittee ( A Building Permit is issued to: on the express condition that oli work sholl be done in acwrdance with all oppiicable State of Minnesoto Statutes and City of Eagon Ordinances. Building Otficiot ?_ Permit # Rota tssued Permittee Plumbing Mechanical t-I, A, IN5PECT14NS Footings Foundation Frame/ins. F;nal DATE ?z?-8Gl 1917- r r,. , INSP. ? iumbing Mechonicai Rough-In Date Insp. finoi Date insp. Remarks: C?rrtiftratr uf tOrruvtturg Citp of (Eagan Vppttrfmpttf nf Building jJno,prrfimt Tbis Ccrti ficatc issutd pursuant so tht requirementr o f Section 306 o f the Uni f orm Building Codc certifying that at the timc of issuancc this structure was in compliance with the variou.r ordinattas o f the City regulating building constructian or ule. For the f ollowing: ' SF DWG/GAR 61$6 Uie Cludfiutioa Bldg. Pemti[ No. pµypa-9 TYPe - R" TyPa CoPSWtdon V FiR Zone 3 Zofun8 DisVlct Rl Owmr afftfl.g Wm. Huttner Consthdd. 11913 Highland View Cir, Badft A*- 4345 Bear Path Tr L?ity L79,B1, Meadowlands By: J i!?•?.c?: rosr IN A ?ancuoua nwc[ LITMOIH u.S.A. G6o[5 ?dl` - - - GITY OF EAGAM Remarks Addition M'''ATXMANT) IST ADDN Lot 79 glk 1. parcel 10 48050 079 Ol Owner?Rtti',N street 4345 Bear Path Tr'ail stace Eaaan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. mp. ? • 15 • 9 9 10 1431.00 A009752 12 8 8Q GRADING SAN SEW TRUNK 1970 77.95 3.12 ' 25 3. 74 A009427 9j16/80 * SEWER LATERAL 1981 315659 315 65 2$40.93 A009752 12 8$0 . WATERMAIN ? WATER LATERAL WATER AREA -4r' 1971 95.27 S ],$ 44,47 009427 9 12 80 , STORM SEW TRK 1971 282.92 14.15 20 141.52 A009427 9J12/80 S70RM SEW LAT 1991 ? SEY'Vl.('PS CURB & GUTTER SIDEWALK STREE7 LIGHT WATER CONN. BU(LDING PER. 6186 sac 9 18 80 PARK ? ?r,? ,6 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculation s. ?. , Zb Be Used For / f??? ? Valuation ? Date Site Address Lot ? Block ?_ Sec./Sub. d/ parcel #: 1!J 11'?d (?8?/' ?/ r> Owner: Acklress : City/Zip Code: Phone #: Contractor: Address: ? City/Zip Code: Phone #: Arch. /Eng. . Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect T? Oc:cupancy ?- ? Alter 'Zoning Repair Fire Zone ? En]-arge 'Iype of Const. Lr?- Move # Stories Demolish Front ft. Grade Depth f t. APPROVALS f FEES Assessments g perTdt [aater/SEwer ° Surcharge Police Plan CYeck Fire gAC ,---, _. En9 • water Conn. Planner Water Meter ».- Council Road Unit .. Bldg. Off. APC TOTAL Certificatd for: Dann & Curry ? DELMAR H. SCHWANZ LANDSURVEVOR Reqistered Under Lawt ot Tho State of Minnesota 2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 00,0 11 D. 00 N 5? - ? , a \ SURVEYOR'S CERTIFICATE S 1390 19' I8" E ?p o V1% ?y f ? ?3 a k 0 Z ,. PHONE 812 423-1759 ?o 04 S '?. ? ? ,.9 1 1MG? ? 30 4-e4 ? 3 ? qr3? 35" bZ; ? cvo ? 6ar ? ?? ' ?ou52? \ ??d ?86,5 ? I ° o '9 75 S= 47°2-4 E? E ?3?Sy 8 ? kV, 'R?-r-K `'C"?.? tL. I hereby certify that thia ia a true and correct representation of Lot 79, B1ock 1, MEADOWLAND FIRST ADDITION, accord3ng to the recorded plat thereof, Dakota County, Minnesota. Dated: June 11, 1980 Approved for Dunn & Curry Real Estate Management, Inc. by: 1 ? MINNESOTA FiEGISTRAYION NQ.8625 EXTERIOR Et+1,cLOPE AVERAGE "U" CQMPUTATION • r . OWAtER:L U SITE ADORESS: CONTMCTOR: OATE: PNONE: DETERMINE NORKIfJf S4.UARE F007AGE 4F EACH: l. TOTAL EXPQSED WALL AREA.,...... ` Q Gl I sq ft x"U" .(7 F , .....?._ _.. 2. TOTAL ROOf/CEiLINd At1EA..,..,,, sQ ft x"U" , p'? •?=???? 3. TOTAL EXPOSEO N11L1 AREA CAICULAT10N5: Total exposed wall . aree- asova Floor.... sq' ft, . a) Total wall window area:. . ?.d.?z.gs?-. a 1 aud. . . . . . :q f t x 'lull * -??0 , 91 a zed. . . . . . - sq f t x ''U" - ? • -- __._._._.?.._ b) Total door area ......... ?Q sq ft x"U" 3 '?•? ..? .__.._ . .._._? c) Total slldtnq qiass door area,c glazsd ...... s4 ft ;? ??U" qluad...... sq ft x "Ull ? ..._..., d) Total firoplace wall area --- sq ft x "U" _ • -- .-___._..?. e) Totat wall framing area . (Avaraqe 14%) . . . . . . . . . . ._ sq ..`._..... f t x "u" ? ? Z.. • ? (.?L. f) Totai not wall •rea above f'oor t1ASVloAtOd' .• r'..• •_ 3q Ft x ,'u" Tota{ r1m-jolst 'area......?,1.4.?.? sq ft x ??U" '.?IL2.'.se?..., Total foundatlon •roa (Exposed)...........f :a ft . , h) Totsl foundation ? Nlndow area . . . . . .. . . . . . . ?3 sq tt x $V, 1) Total nst foundaticn ? •rea above 9radt........ ,? ? ;q ft x ????? ?_l. a ?. •, S, O 3. „ TOTAL a ) thru 1) . It ttem I; ts the sam as, or less then item"N1, you have mat tM intent of S.R.C. Sectlon 6006 (c) 2. • ?; ? W TOTAL EXFOSED AOOilCE Pt, l?IG EAL CULA? I ONS : G - Total expnsad foot/c.llinq .rs..,...... sq ft , )) Totai skyllght •rea ....... sq /t x #$Us. =, ? .._. ,-....-..___... k) Toti{ rooflci111nq iran?Ing •rea (Averags 107t)......64 ft x "ul I ? 1) Total net fnsulstcd roo//cal l lnq are*...... .1 ?.4? sq ft x ?..,. •.??? s[537 • _. .. ?. TOTAL )) thru i) _._._? II total of 04 t• the sano as. •r less than 02, you have mt the Inttnt of s.s.t. secclon 6606 (c) 1. . , _..? , AITERtMTE BUIlQIN1i ENVELOPE bESIGN To utillze the total tnveiope syscem metf+od, the valyes ostabltsl+ed sy the sum of ttems /j and fy shall not be Oreater thanthe suw ot Itowi /i and 02. Z. • j. ? 4.` . . . C E R t I f i f. A T 1 A N --..__,.,.....,_..._.... . 1 Aereby certify that I have caiculatsd ths ""/?ctor: and "A" volws Aartln and tAat the sulldtnq Asrt Asstri ??t or 7exceed 'hes Stat• of Ninnosote EnerAy Conservation Act. qnaturt (D?te) ., -r ;. a,. . • ! ? .a.: j??" . ., • , : . ? ;4j ' a ? 4 , •'? - . ? •., . „? . . 4. Ly . , . ? . .?.. 'y•_? ?t MIsTa1jcT I n?i R vntuE .??..?..?.? RantNC, sECtIoN: 1 Interlor atf fitm 4.69 ?. ' cvez-,, (,, ; 3?fz. Inches so t wooA A.3? 4 Z-V /3 Z t &ts t3v _?60 5 .- - ?ldL f+ Extertor a r li m? t1. 7 TOTAL R - fj -3? SECTiON ({NSULATEO) 41 Interlor alt filn+ U ? 1!R t1. f, R 221 J`N=?,/r, i v.it 1 2 V 43 zi ([z+ 0 -Aa,? (ky {,, ??3 y , , 1?ilad { 5 't 6?j_ 46 Exterior r f t lm 11! i AL ii 0 1{-y Y U ? 1/R • .O?iCI 'J(IIST SECTIQN: --{! Interloc air film n.(?A --(2 r i -43 --(k ?--- -4r --{fi Extertor air ffiim 4.17 TTAL R ;". U? 1/R? ?O7 IpATlOt1 SEf.TI6ti: --(1 intertdr air film t1./?R -{ 2 't PC LICYPt --( 3 ? c,._ . --44 f.xtertor ai r' i)m n, i7 ?? .. TA7A4 R • . ° U ? 1/R SLAR ON GRAqE ' ?''').i17?':' •+''%,. i r/?,• ?. ? •. . . .,.y; '4. ?• • • • 4..• • a?a 4 ,?. . , ? .p??: ' q :. • ? • a;'. •?..•a • .... ., ? . ?..• , . .. _ ??`i ? , Cc):i;1 WIC7i0N . R ... VAt& ?....?. ? . ,' CEIl1?1C SECTint1 (I?ISULATED): ? Interlor alr ftln (1.F1 2 Y R G st5', , ? ` 1 4 Exter(or air film stitl) n,AI TOTAL R U? tIR CfiliNG .FRAMiNt'. SECTiON: Intertor air film t1.61 L4 3 yz" 4 ?? frtterior atr 1m sti11 1 FLOW ;3 117,,. t nches so t wood TOTAI R ? Z.id.J? . UR CE I L l tiC SE rT 10N ( I NSUTATED) : ts??;? '4r?;':•?a.sxr??rj.a ?W 1 lntertor air ftlm ?1.F1 , - _ 2 . % 3 4 Exttrtor a r llm sti11 671 . TOTAI "R s ._.?._ U . ' ?.•+.: _r.?! L L-4 3 4 5 ? ( D E1LING R11MlNG SEttldtl: Int'er1or alr fllm n.hl VENTED. 2 - - -- r?. 4 Extertnr air i1m still n. 4 ?h- - ? inthe3 so t "woaA - .. TOTAL R ? _ U - IIR = ._...._,. i ? , . .... . ? ? . ? . . . . - ?? +. . , , ? ? . . ? . , ? - ? br? ?t? ? ,..? - -. „ ? . ; ?? ,?• -? r"/??,J?/? 1 tnsldt air film A•Al ? t;'?>f?, 3 _ ?_ CITY USE ONLY ia-zoy LOT D ? 9 BL RECEIPT #: / T 13 2/ S ? L 7 RECEIPT DATE: ??-'9?c1 / ? ? 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 -di/ii ?? lyy',7 (612) 681-46'75 Date. Complete this section anly if,you are installing HVAC in single family,, townhome, or eondos that are under constructian and are not owner loccupied. • HVAC: U-IOO1Vi BT U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, addin,g to, or repairingexisting single familv dwellings, townhomes, or condos. Add-an furnace ? Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to a11 remodel or add-ons of existing residences $ 20.00. Sta.te Surcharge 'Y'otal: 2050 .SIT'E ADDRESS: 'y3?J ? ?n? ?.Ca?/ OWNER NAME: PHONE #: INSTALLER NAME: 6G41e l77/? ? lh1 ? PHONE #: ?9T _ STREET ADDRESS: CITY: ?4//v i ZIP: TURE OF PERMITTEE la cmr usE oNLv r L BL RECEIPT #: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 •d675 Please complete for: ? all commerciaUindustrial buildings. ? multi-family buiidings when separate peRnits are not required for each dweiling unit. DATE: GOiVTRACT PRICE: WORK TYPE: NEW CONSTRUCTION iiVTERfOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on afl permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAIVIE: TELEPHONE #: TENANT NAME: (iMPROVeMEnITS oNLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTaR 717 3 . ,, 2007RESIDENTIAL BUILDING PERMIT aPrLicaTloN ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeliRepair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ceft of Survey Recd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soifs Report Y_ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres P{an Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - rndicate if on-site septic sysfem Trce Pres Required Y_ N 1 set of Energy Calcula6ons On-site Septic System - `l T N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventlla6on form Plans are considered public information un(ess You state they are trade secret and the reason. Date Construction Cost Site Address UnitlSte # Description of Work3P '" ` Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (W Contractor t ' Address State Zip < Telephone # (6 ?'7''?"'lj? T COMPLETE THlS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • 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? _ Y _ N If yes, date and address of master plan: '*_? Licensed Plumber Mechanical Contractor ?U Sewer/Water Contractor {, `n=4 7CIN Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Perrriit 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 s?t -without a permit; that the work will be in accordance with the approved plan in the case of work which require'? a review and approval of plans. Ap?plic`??-? --..??=`' ant's Printed Name licant's Signature ?? '1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) nJj? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?- 651-681-4675 New Conshuction Reauirements RemodeURepair Reauirements ? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plon and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated cdditions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 sffe survey for exterior additlons E. decks ? 1 set of energy calculations ? 3 copies of hee preservation plan if lof platted affer 7/1/93 ?? ? •? ? _r DATE: CONSTRUCTION .POST: ' ; r. DESCRIPTION OF WORK: p..;?-'?': STREET ADDRESS: aZ ? LOT: . DI I BLOCK: - I_ SUBD./P.I.D. #: W4" C Name: Phone #: ?>3? •??,i ? f ? : -?-?.- PROPERTY tast Pirst OWNER E Street Address: City o= ,,f ?., P State: Zip: Company: L?' Phone #: ?(area code) ` CONTRACTOR Exp. Street Address: License # ° ? 7 City C_ State: /' Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Streefi Addre City State: Sewer L water licensed plumber (reauired for new construction oniv): Zip: Pecalty applies when address change and lot change is requested once permff is issu,ed. I hereby acknowledge that I have read this application, state that the informatioq is 'p'orrect, and asiree..to comply with all applicabl Stc,rte of Mfnnesota Statutes cnd City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Registration #: Tree Preservation Plan Received Yes No Not Required ,j P OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 02 SF Dwelling ? 07 5-plex ? 03 1 of _ plex ? 08 6-plex ? 04 2-plex ? 09 7-plex ? 05 3-plex ? 10 8-plex WORK TYPE ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 14 Apartments ? 15 Lodging ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea. ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 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 * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Census Code SAG Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee 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: Valuation: $ F , v SAC Units % SAC ?,d?:..sra,.E.,...:,v?:•.t.•.r,?,•i:•.??:,?r??,.?i.?.?a:•4• ry,?.?i:.!.¢;4:..tr ?.:;l;.,?..?:?,i,::::e:?. ? ?.. . ' t` ?` '•. .,:,,::.??:., ?. . Y . { .{.;.?rt:..t.M . i . ?F'?? :n?.. •?F:? .n??!h!F.:T'.:_.Jt+. ..: tia.;. :?.lS.: ?..:.. .:??,:lJ? :t...?: V"Y?{.? ?7f?:• ?' ??'j5?t . . {...?. . f i.?, j':?i°'..:.1..? . 'T! ;•.:,. ,...... ,',...:::t_? ; : c••. ?? 'f (:i _(. ?..r ,,4•i ? ,.?:.?n 73r.) . ??:?,1' .•? i :: ? . .. . - ?. ? .,..? :.. . r ..: ..: . .. ? ..r ;:..: •; ?,6.. +'.':, ....._ . (:... •.?••:: •..?..? r•,,f•/2"?'? r? .. • :f•';i'S . ._.M.....< W-.1:.."?i'tQ}..? ? .. .? . ? ?.? ... _.?€en?1'?{C:. :` ` ()N! 215?5 9001 4345 r A.. ... . ..Q ... I ! r'., .. °f-?'i .,.'?.,- ,.,i^?'1' ,...,, .. 4 ;.. ..i'? . . _. ;?'?l(.. .i.,? _ .. : _ ... . ?.. . : . : . .: ? . ' . , . 1040 , W1', ., .. .. 1i°7I''.f . . . ,... , :f:?;?:?:•G-•.;??_i.:?:•.t.? ?.?: .?i,...i.??•?;::?.,y•y{..??. ,.1. .f,.?:.p.?:• v .t:.?:•.,..?:.r:?.?..?:.c, .•. o. s.?. ? s?! t ?- • ? . cirY oF EaGaN 3795 Pilot Knob Rood No. `?r%??? Eagon, Minnesota 55122 Phone: 454-8100 He??ing, PERMIT Date: _ 1+345 Bear Path Tr. 10-16-8n Site Address: lt345 Reax` Patti :.`x' . Lot 79 BFock 1 Sub/5ec. 11`'ead08,'1&xlt?s . ? Ncme _ isil.2 Ixut tner Constr. Address 11913 flijIl11_a.a'2d triE?W CiZ'. . City bUn1sVj.l1@ , T' ?s Phone: 8()ii-3992 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 21410 Single ( Residentiol x Multi Res., Comm./Ind. ? New/Alter./Repoir new Cost of Instollotion Permit Fee 20.00 Name GE'nz Ryan Surcharge .50 . ? Address 14745 S. T3.0bi:P't `'. City RQSpmOl121tj Ml:. Phone: 473'111,'+ Total 20.30 : i. This Permit is issued on the express condition thot ali work shall be done in accordarice wi#h ali applkabte State E?f Minnesato $tatutes and City of Eagan Ordinonces. '. ? Suiiding Of#iciol CITY OF EAGAN 3795 Pilot Knob Rood No. 9???"_`? ?9an, Minnesoto 55122 vhone: 454-e100 P lumb ipg PERMIT DOYe: 10--29w0 S?iB 14ddf@SS: 4,145 r3e9.Z` ra'?'i1Z .1 Y' . Lot 79' Block I Sub/Sec, ?-15eadowlands Name 1;d'Tn , 71UttT1e2' vfli78 tr71C . ? Address 21913 ??:ir':a1and Jiew Ciz'. City BLt.M"1eV'! 1].f?, Phone. 3 - 3992 Name R1153 AnC3@3'9CJ71 Tl."a.tlI?".tJP'. - ? ='012 Di{' ? Address • ?' ?CitY Phone• This Permit is issued on the express cond+rion that oll work sholl be Minnesota 5tatutes ond City of Eagan Ordinonces. iNSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 21221 Single Residentiat ?t Multi Res., Comm.Jlnd. ( New/Alter./ Repair new Cost of Instoi(ation Permit Fee 20.00 SurcFwrge .50 Total 20.50 done in occordance with o(1 appticoWe Staft 4f Buitding OffiCial 4--. -- 3. JobAddress 43145 Y;ear I'at?Lot 79 Blk, l 7ract -?'?3 G ?'., '.?, _"?:: 4. Owner Sreve 5. Contractor ?vnrt..wes t;??'n i'ason??y phone 6. Address 7. City State Zip 8. Building Type: Residentiai C?:1; Commercial O tnstitutional ? 9. Work Description: fVew 0 Add C?-- Alter ? Repair ? 10. Describe Fuel Type 11. Receipt MECHANIGAL PERMI7 Permit i11o. • j CITY OF EAGAN F?' ?t fz.g I?3 ? -=-?---- Fill in numbered spaces S/C _ ?.- Type or Prinr legibly Tot, . 1. Date ??-???`- ? 3 2. Installation Cost No, Eguipment 9TU • M. Ea. Forced Air No. Equipment CPM Ai H Mfg. r andling: Boilers Mfg. Mech. Exhaust Unit Heater Mtg• Other Air Cond. Mfg, Gas, Piping Outlets 12. 1 hereby certify lf(at ihe ab ?nfa ation is true and correct, and i agree to comply with al nc apfd co es governing this type of work. ,?? Signed : ?for Rough f ?,,,',"?,?? "..,? F1 fT?7? Inspecti?s: Date Insp.6 ?°? Date? insp, fy+ 7his fs yaur p+?rTit when.numbered ar?d approved. Apprrovect 4.. ,..,: CITY OF EAGAN 454-81pi9 , ,_ _?, ? CASH RECEIPT ? C17Y 4F EAGAN 3795 PILOT KN08 ROAD EAGAN, MINNES4T)('65122 RECEIYeD . ..'.'..%'1? . . _.. FROM AMOUNT $ FUNp CODE AMOUNT- . . - ? Use BLUE or BLACK Ink For Office Use I Permit City of Ea ~~~C-~ Permit Fee. / 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: c Lt G Unit Name: Ike /f VIf v aet t,;, A,~ r/'7 ~~v bf ~'S f Phone: 7- -11 ~ J Resident/ > Owner Address / City / Zip: Ca ciF 4 Z Applicant is: Owner Contractor Type of Work Description of work: .4Z1X _ Kill /C~ cc- S A /4l Q 1P Y~c~1^ a Construction Cost: Q Multi-Family Building: (Yes / No ) Company: I'M /Z (Gr? /-I Contact: 4 o j Contractor Address: g4 Kt--oc? C) r- City: a-/ b t2 64 State: fo/1 Zip: Z- Phone: 316 4 License #:C 62 ,0 tjr Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: NOTE; Plans and supporting documents that you submit are considered to be public information. 'Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X b&V bLa f Z• x /z Applicant's Printed Name Applican s igna r Page 1 of 3