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
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? . 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