4382 Bear Path Tr
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 W 6547
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value } Date , 19
rwrw~
Site Address " Erect Occupancy
Lot Block Sec/Sub. Alter p Zoning
Parcel # y Repair p Fire Zone s;
Enlarge p Type of Const. y
Name Move p # Stories
131;
Address Demolish p Front ft.
Grade p Depth City Phone ft.
Approvals Fees
Name >v
Aldres Assessfri~nt Permit
v
Water & Sew. Surcharge
Ci Phone
Police Plan check
Name Fire SAC
Address Eng. Water Conn.
,C. City Phone Planner Water Meter
Council Road Unit
i hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
i
Buii, Of #"rciai
Permit .fit oote Issaed Permittee
Plumbing - o? 3 T q~
Mechanical X"e~, -K-/ 61~
INSPECTIONS DATE INSP.
Rough-In Final
Footings ^ ~Zr-F Date~f Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final
Remarks:
_ MECHANICAL PERMIT Pettit No.
CITY OF EAGAN -
Fill in nvmbe ied es
Type or Prins leyibly Tot.
1. Date T " ~l 2. Installation Cost ~d~•~G~
3. Job Address CJFr, Lot Blk. Tract
4. Owner
5. Contractor7Cr= ~ 6- ` Phone '
}y
6. Address
7. City v~ /t~ fir"'<Jrt'r State 144,4/ Zip _ y
8. Building Type: Residential Commercial ❑ Institutional ❑
9. Work Description: New Add ❑ Alter ❑ Repair ❑
10. Describe Fuel Type
i
i 11. No. Equipment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
y
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with3all ordinances and cgdes governing this type of work.
Signlad
. - y' - for
Rough Final
Inspections: Date Insp. Date Insp.
Thit is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Rowipt 24350 PLUMPING PERMIT Permit No. 2349
CITY OF EAGAN
_ Fee ,~?,r - G
Fill in numbered spaces S/C _ 50
Type or Print legibly
1 Tot.
1. Date 2. Installatio Cost
3. Job Addresg32 Lot Blk. Tract
y ~
4. Owner
5. Contractor/ r%l~' Phone - Z
6, Address
t
7. City State zip ` ✓:8. Building Type: Residential ~5 Commercial ❑ Institutional ❑
9. Work Description: New 'S Add ❑ Alter ❑ Repair ❑
10. Describe I _7
11. No. Fixtures No. Fixtures
_ Water Closet Cesspool/Drainfield
f Bath tubs Septic Tank
Lavatory
Softner
Shower ..W Well
f Kitchen Sink
i
Urinal/Bidet Other
Laundry Tray
Floor Drains
i. Drinking Ftn.
Slop Sink
Gas Piping Outlets i
a
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed for
" Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approvedi ;f CITY OF EAGAN 454.8100
~`iy rwy ,~y°' 1rar ~gy3a
y tm "+y"~~r ~$y3 roc ~yF' ear Awl
~ J ~t~\~~+r)r>~a~J^ ~ltrvlktl"~' ~r"n3~4~~, ld?g2~~ tC91n~~~~Jaw
y City of (Eagan
WparfniPnt of Bnilbing In,spation
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building i
Code certifying that at the time of issuance this structure was in compliance with the various
( G' ordinances o f the City regulating building construction or use. For the following: v s
SF DM/QAR 6547
Use andsesdon Bid& Permit No.
LV_
RI V NA
is r oowpenry Type Type coesuwunn Fire Zon• Zoning District
onrama Ol_-Pere Ccrost. ,,dd,e,e 640 131st St.. Aisle Va1
Pear Path 1Y. Tnt 14 Plock ~ '.`-ad mlla~nd
y, Buiding Address I.ocaitty 1
s Tlt
J 7` fA\ , . q`1
by:
4, Bui,dingOf5c ,ter - Date: Febr rv 24, 1092 ;tom
IOiT IN A CONWICYOW ►L11C[
" ~,~y~.~ Boa ~~1~'a,~ ~j,><,`'~" 5rf
rsa~ _ -
TMpiN a S.A.
CITY OF EAGAN Remarks
Addition+ "NAM it la ""tim Lot 14 Rlk -3 Parcel 63 -
Owner 4382 bear ath !sail sweet See ~ 55F322
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. 1981 ISU-99, 158.99 10 1431.0 -AQ1 0=1 1-25-81
GRADING
rr
SAN SEW TR Pit{ 1920 77.95 3.12 25 A01 2
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
45.27 6.35 i _4 A01002f).
STORM SEW TRK -M,1 282.92 14.15 20 111 - AS
STORM SEW LAT
?t S~rtiri Ce$
CURB & GUTTER
SIDEWALK
STREET LIGHT
R 5- 20-81
WASTER CONN. 335. U0 23840 312(0-81
BUILDING PER.
SAc
PARK
CCTV OF F..AGAN
S TERMINM. NO: 539
DATEu 07/17/97 TIME: 0:4200
!D;;
3210 900i 4382 BEAR PATH 74.75
2i55 900i 4382 BEAR PATI-1 WO
x
r
Total Receipt Amount-, 76.25
CAE's.? t 8 t c.;2
USER l... NANCY
F
tITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: BUILDING
(612) 681-4675 Date Issued: 030451
0 7T16~ 47
SITE ADDRESS:
4382 BEAR PATH TR
LOT: 14 BLOCK: 3
MEADOWLANDS 1ST
P I~ N.-1'0--4 S 0 G O- 3 4 0 0 3
DESCRIPTION:
REPLCE WNDWS/D00R
Building Permit Type SF (MISC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge 1.50
Total Fee $76.25
CONTRACTOR: OWNER:
Applicant - ST. LIC
MON--RAY WINDOW & DOOR 15468625 0005111 BROPHY RONALD
8224 OLSON MEMORIAL HWY 4382 BEAR PATH TR
GOLDEN VALLEY MN 55427 EAGAN MN 55122
612 546-8625 (612)456-9578
I
I-hereby acknowledge that I have read this application and Mate that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
'00e 41,-
v
PLICANT/PERMITEE SIGNATURE (ISSUED BY. S TUR
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55 1 22-1 897 Permit Number: 0 2 6 7 9 5
(612) 681-4675 Date Issued: 12/20/95
SITE ADDRESS:
4382 BEAR PATH TR
LOT: 14 BLOCK: 3
MEADOWLANDS 1ST
P.I.N.: 10--48050-140-03
DESCRIPTION:
(3-SEASON)
Building. Permit Type SF PORCH
Building Work Type NEW
Census Code 0434 ALT. RESIDENTIAL
ail
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $12,000
Base Fee $187.25
Plan Review $65.54
Surcharge 6.00
Total Fee $258.79
'i
CONTRACTOR: - Applicant - ST. LIC OWNER:
PATIO ENCLOSURES INC 15251494 0001676 BROPHY RONALD
5120 CEDAR LAKE RD 4382 BEAR PATH TR
ST LOUIS PARK MN 55416 EAGAN MN 55122
(612) 525--1494 (612)330--4082
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances,
APPLICANT/PERMITEE SIGNATURE ISSUED B : SI ATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 6 7 9 5
Eagan, Minnesota 55122-1897 Date Issued: 12/20/95
(612) 681-4675
SITE ADDRESS: P . I . N 10-48050-140-03 APPLICANT:
LOT: 14 BLOCK: 3
4382 BEAR PATH TR PATIO ENCLOSURES INC
MEADOWLANDS 1ST (612) 525-1494
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DESCRIPTION (3--SEASON)
i
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
yl.
r,
;~1I,, r 11sa. ii.
`1411#' DELMAR H. SCHW N
if''1'la. r ANU9U1IVf.Y0R
Registered Under Laws M The Slate of Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 68068 PHONB 012 423-1708
(Z tJtL~ J`` /~0 tf1t~~
s; ~ ON
StJAa/-EY,QA.~ CFa~~sTE ~ ~ A~~~b~a3 y GrY~u
30
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$ g- 00
to
13o.00 N 890 44' 3t" W Op
scale lin81,-30
30
I hereby certify that this is a true and correct representation of
Lot 14, Block 3, MEADOWLAND FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Dated: June 30, 1980
Approved for Dann & Curry Real Estate Management, Inc.
„J
f ,
•
j
MINNESOTA REGISTRATION NO 8(126
'MAsIRES, WA MONSFAC"WARS OF PlAno a PORCH ENCLOWNE:
S stos.+~swssw . aa~areowa~c.
LAW ROAD
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CITY OF EAGAN
CA13HIER: JS TERMINAL NO: 74.8
DATE; 08/04/99 TIME: 0:44:20
NAME: I.-ON. SMITH ROOFING CONSTRUCT
3210 9001 1967 COV I:NGTON 110. r 5
21.55 9001. 186 COVINGTON 2.50
3210 9001. 43£32 BEAR PATH 1.1.0.75
2155 9001 4.382 BEAR PATH 2.50
Total Receipt, Amount-. 1226.50
USER ID: JAN
I
~I
PLANNING REPORT
CITY OF EAGAN
REPORT DATE: November 8, 1995 CASE 29-V-17-11-95
APPLICANT: Ronald S. Brophy HEARING DATE: 11-21-95
PROPERTY OWNER: Ronald S. Brophy PREPARED BY: Erik Slettedahl
REQUEST: Variance (side-yard setback)
LOCATION: 4382 Bear Path
_hail-
Lo k 3, Meadowland 1st Addition
COMPREHENS : D-1 (Single Family Residential 0-3 units/acre)
ZONING: PD (Planned Development)
SUMMARY OF REQUEST -
Mr. Brophy is requesting approval of a 1.5 foot variance to the required ten foot side-yard
setback for a three season porch on Lot 14, Block 3, Meadowland Ist Addition (10-48050-140-
03) located in the NW 1/4 of Section 29.
AUTHORITY FOR REVIEW
Section 11.40, Subd. 3, C., states:
1. If the Council shall determine that the special conditions applying to the structures or land
in question are peculiar to such property or immediately adjoining property and do not
apply generally to other land or structures in the district in which said land is located, and
that the granting of the application is necessary for the applicant.
2. That the granting of the proposed variance will not be contrary to the intent of this
Chapter and the Comprehensive Guide Plan.
3. The granting of such variance will not merely serve as a convenience to the applicant, but
is necessary to alleviate demonstrable hardship or difficulty.
CODE REQUIREMENTS
City Code Section 11.20, Subdivision 6, A. requires a ten foot side yard setback for a dwelling
unit and a five foot side-yard setback for any permitted accessory structure in single family
residential zoning districts. An enclosed structure used as living space is considered part of the
dwelling unit and must meet the required ten foot side-yard setback.
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55123 N2 6547
PHONE: 454-8100 ~+y
BUILDING PERMIT APPLICATION Receipt #
To 1, used for SF DW/C-AR Est. Value 49,000 Date 3-20 , 1981
Site Address 4382 Bear Path Erect xg Occupancy R3
Lot 14 Block 3 Sec/Sub. Meadowlands Alter ❑ Zoning Rl
Parcel # 10 48050 140 03 Repair ❑ Fire Zone NA
Enlarge ❑ Type of Const. V
W Nome Ol B= QomtrLloUon Move ❑ # Stories
Z 6400 131st St. 50 ft.
~ Address Demolish ❑ Front
o City Apple Valley phone 432-9079 Grade [3 Depth 42 fr,
a SEW TIP Approvals Fees
.00
Zv AddNameress Assesst 3'18-81 Permit ^ 138
Su
~ city Phone Water & Sew. Surcharge 24.50
Police Plan check 69.00
Nome 525.00
P W Fire SAC
v'l Address Eng. Water Conn. 335.00
QW city Phone Planner Water Meter 60.00
Council Road Unit 185.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total 1.336.50
State of Minnesota Statutes and City of gon Ordinances.
Signature of Permittee jj_A d ~ ' t S
0l-Be (bnstructicn
A Building Permit is issued to: on the express condition that
all work shall be done in accordance ' h ail applica State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUIIDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For L5F
-Valuation ~ Date
Site Address OFFICE USE ONLY
Lot Block Sec . /Sub . X11 ~i4. D6t L~~1D Erect Occupancy zC3
~ f
Parcel 1~1 Alter Zoning /
Repair Fire Zone
Owner: C) L - Z3F +2 C D U S'7 a C Enlarge Type of Cont.
Address: -7 T Move # Stories
Demolish Front 5'0 ft.
City/Zip Code : Grade Depth ft.
Phone b-7
9
APPROVALS FEES
Contractor: C L J E C p ~S r G1? Assessments Permit g
Address: C~ D D 1 s 7' CT Tgater/Sewer Surcharge a y~
Police Plan Check 62
City/Zip Code: p f P Lc' Y A LL-(~V S Fire SAC Sa S
Eng. Phone r Water Conn. 3 3 s'
Planner Water Meter
Arch./Eng.: Council I-AJ Road Unit e
Bldg. Off.
Address : APC
G
City/Zip Code:
Phone TOTAL ~,~~Q
r ,
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER GL i~g S6
SITE ADDRESS L t>-T L (3LdC~ 3 f'~'ltL►,~
CONTRACTOR ~Q/- -166T r C 01-S -c DATE PHONE ~5~3 2 ~ 9O "7
Determine working square footage of each.
1. Total exposed wall area ~:14 sq, ft. x ~J7 2co,gZ
2. Total roof/ceiling area U511 C, sq. ft. x ,05 ezjg
Total exposed wall area above floor = f4 1 1 4 d
a. Total wall window area qS', o
b. Total door area
c. Total sliding glass door area Q o_~ ,
d. Total fireplace wall area,,,,,,,,,,,,,,,,,,,,,,,,
e. Total wall framing area (average 1O%)...,.,...,,,, jq
f. Total net wall area above floor fiy G
g. Total rim joist area
Total exposed foundation area
h. Totai foundation window area ....Z _4
i. Toal net foundation area above grace c)S`~,
Determine "U" value of each wall segment.
a.' 9S.lo X null
_ 5 sL.~..~...
b. 7( X nun s q .9_
-Ae X IOU" 5-5
d. X null s
e•-_ 17J X nun ~Z' _ ~:Q Sd
fx nun 07 ,
=
X IOU"
h. X nUa S-~ . ~U
i'- X nU" IV7 4
3 .............q.A , ........Total • f 2-7-7,771
If item 13 is the same as, or less than item #It you have met the Intent
of SBC 6006(c)2.
i
Total exposed roof/ceiling area _ it 3 . G 5-
j. Total skylight area...
k. Total roof/ceiling framing area (average 10%)...
1. Total net insulated roof/ceiling area.........., /l 3
Determine "U" value for each roof/ceiling segment.
j. X ,lull =
k. X "U"
1. //33.(3'' _ X 'lull lbs.. _ 16.9
4
If total of 44 is the same as, or less than 12,, you have met the intenit of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
3. LZ/-(r + 4._;~7 = 2?~:
1804 Melody Lane 8943063
Bumsville, Minnesota
WEPJA CO. PLAN SERVICE
ED ANDERSON
ARCHITECTURAL DESIGNING AND PLANNING
Office:
1129 Cliff Road Office:
Burnsville, Minnesota 8944636
DELMAR H. CMW 0.NZ
LAND SVHVrYOfk
Registered Under Laws Of The $tate at Minnesota
2978 - 146TH STHSIT W. - 81OX M ppBEMOUNT, MINNESOTA 8810188 P"M9 M X170
SURVEYOR'S CERTIFICATE
30
10
'0 T-7
19 W0-7 - Y °
.1
~ ~~tt~~JJ} r to ~ ..J r! r
13o.OO N 69° 44" S6" W ~ p$4 ~
feN1;Ac^-30 ~eQ.~
r
I hereby certify that this is a true and correct representation of
Lot 14, Block 3, MEADOWIAND FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Dated: June 30, 19$0
Approved for Dunn & Curry Real Estate Management,, Inc.
Ky,:
MINNESOTA REGISTRATION NO. 0625
EAGAN CITY COUNCIL MINUTES; NOVEMBER 21, 1995
PAGE 6
to allow the access road on Lot 6, Block 1, Rooney Addition to be narrowed to 16 for the first 100' off
Amberleaf Trail. Aye: 4 Nay: 1 (Hunter opposed.)
WRAMM RON BROPHT
Community Development Director Reichert gave a staff report, noting there is a discrepancy as to what
the actual setback is on this property. The survey says he has a 20 foot setback, but the owner measured It
to be only 18 feet According to the city, he doesn't technically need a variance; however, the applicant wants
ensure what he Is doing is legal and won't cause problems in the future. Mayor Egan then opened the public
hearing to anyone wishing to speak. Ron Brophy, the applicant, urged Council approval, noting the lot Is
undersized and the house wasn't put in the right place according to the survey. He indicated that if there is
any opposition In the audience, he is willing to withdraw his request for a variance. Mayor Egan then turned
the discussion back to the Council. Hunter moved, Wachter seconded a motion to approve a 1.5' variance to
the required 10' side yard setback for Lot 14, Block 3, Meadowland 1st Additiont Aye: 5 Nay: 0
PROJECT 666R, WATERVIEW ADDITION
3
Director of Public Works Colbert gave a staff report and reviewed the Public Works Committee
recommendation, that being that 30% of the proposed assessment be levied with a postponement for any
additional remainder to be collected at the time of connection, If that ever occurs, to each of the Individual
property owners. Doug Johnson, 4775 Dodd Road, noted he disagrees with the city's opinion on the lawsuit
with the people to the north, but they accept this as an adequate compromise. Some discussion followed.
Awada moved, Wachter seconded a motion to approve the final assessment roll as modified for Project 6668.
Aye: 5 Nay. 0
TRAPP POINTE, PRIVATE STREET TRANSFER
Director of Public Works Colbert gave a staff report and reviewed the recommendation of the Public
Works Committee, which Is favorable consideration of this request with a structural overlay on the streets to
bring it up to city standards; the non-conforming two existing street lights be replaced with a singular street light
to meet city standards for both Illumination and setback; a drainage easement be dedicated to the city to
handle the runoff of what will be future public right-of way; and that the property be properly described through
a certificate of survey and conveyed to the city. He noted that their representative, Dale Huber, indicated he
could not be at this meeting, but he understands the conditions, and would like the opportunity to evaluate the
costs associated with these conditions and review them with the affected property owners to determine whether
he would still like to proceed. Councilmember Hunter noted there are three additional conditions: obtain a
legal description; dedicate the right-of-way; and replace the street lights. He asked what "appropriate right-of-
way" Is as stated in the conditions. Director of Public Works Colbert responded it would be 60 feet, with a
comparable minimum 10' boulevard around the cul-de-sac. it was recommended by the City Attorney to
Identify that as a specific condition.
Hunter moved, Awada seconded a motion to approve the transfer of the Trapp Pointe private cul-de-sac
to public right-of-way with the following conditions:
1. Nonconforming street lights be replaced and relocated to City standards.
2. The Ouctural surface be brought up to a 9-ton standard with a tight mill and overlay according to
city standards.
3. A drainage easement be dedicated to the City.
RESIDENTIAL
BUILDING PERMIT APPLICATION
' CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements RemodeMepair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION Z-7- 4 0
SITE ADDRESS L 2. A~1; y ~c MULTI-FAMILY BLDG _ Y - N
TYPE OF WORK_Pl I(~ f t~ L3 5 FIREPLACE(S) - 0 1 _ 2
APPLICANT ?C ) S
STREET ADDRESS 'STATE rhi~ ZIP`~`~~ C~
TELEPHONE # 95z-ff - I1 13 CELL PHONE # F A4# 952- 9S`4- l to 9
PROPERTY OWNER ► L ;I a nY`~' °71~t cr TELEPHONE #
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: - Water Softener - Lawn Sprinkler Fee: $90.00
Water Heater - No. of R.I. Baths
No. of Baths
_L,
Mechanical Contractor: Phone6r) ti _ ! l
Mechanical system includes: - Air Conditioning Fee:" $~7 100
Heat Recovery System
Sewer/Water Contractor: Phone #
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 _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
t
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg Y or- N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs , Air/Gas Tests -Final
Framing - Siding _ Stucco _ Stone
Fireplace _ R.I. -Air Test -Final - Windows (new/replacement)
Insulation - Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge _
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
r
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Repair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: 11/l/95 CONSTRUCTION COST: $17,000.00
DESCRIPTION OF WORK: BUILDING THREE SEASON PORCH TO THE EXISTING STRUCTURE
STREET ADDRESS: 4382 Bear Path Trail
LOT _ BLOCK SUBD./P.I.D. ff">
'
PROPERTY Name: Brophy Ronald Phone (612) 456-9578
OWNER LAST FIRST
Street Address: Same As Above F
~
City: Eagan State: MN Zip: 55122
i
CONTRACTOR Company: PATIO ENCLOSURES INC Phone (612,) 525-1494
Street Address: 5120 Cedar Lake Road License 0001676
City: st.Lnuis Park State: MN Zip: era 6
ARCHITECT/ Company: SEE ATTACHED Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
4
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code t
Census Bldg
Census Unit o
APPROVALS
Planning- Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter r
Acct. Deposit j ?
SNV Permit
SNV Surcharge C `
Treatment PI."
Road Unit J f fir'j
Park Ded. /
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN
04413__40~ 44Y/1994 BUILDING PERMIT APPLICATION
681-4675 : X ~ d
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work $2652.00
Site Address:__ 4382 Bear Path Trail
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. #
k
Description of work: REPLACE (2) PRIME WINDOWS (3) STORM WINDOWS & (1) PRIME DOOR
The applicant is: ❑ Owner Q Contractor ❑ Other (Describe)
Name BROPHY, RONALD & CAROLYN Phone 456-9578
Property LAST FIRST
Owner Address 4382 BEAR PATH TRAIL
STREET STE #
City EAGAN State MN Zip 55122
Company MON-RAY INC Phone 546-8625
Contractor Address 8224 Olson Memorial Hwy License # 0005111 Exp. V9
8
City Gnlden Valley State Mn Zip 5 427
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant. z'6'f1
z
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ OI Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code Bldg
APPROVALS Census Unit
Planning Building Assessments
Variance
Engineering
REQUIRED INSPECTIONS
❑ .Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
j Total.
SAC %
SAC Units
I
\ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
l CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
➢ 3 registered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan
and all 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
D 1 set of energy calculations
➢ 3 copies qt tree preservation plan N lot platted after 7/1/93
DATE: _ c'jf1 f CONSTRUCTION COST: VW
DESCRIPTION OF WORK:
J`~ r
STREET ADDRESS:
6 9 ~
LOT: BLOCK: SUBD./P.I.D. OW S
Name: Phone
PROPERTY First
OWNER
Street Address:
City State:' Zip:
Company: Phone
,t (area code)
CONTRACTOR
Street Address: 1 r~ 1 1 L - License #,C G Exp. J~
2'
City Z State: Zip:
ARCHITECT/
ENGINEER
Company: Name:
Telephone area code ( )
Street Address: Registration
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
I hereby acknowledge that 1 have read this application, state that the informatio is orrect, and afire to comply with all applicabl
Stato 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 Required
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
* Give PCA handout to applicant for demolition permit
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
% SAC
~ X (?P : CrAN _ WAtEP. SERVICE- PfiR.l ,T
IlIV-f'dot14(oob Read R R tfT NO.: 3708 y~
Ei op, 559 22 D 4TE: 3 /20/ 81
T~-No..of Units:
p, et E zz trU4~ tioi3---
Add'►~s~ . '
~y Sit ,Ae dress: 4181 'Rear Path Tr L11+ , 1 yea4~oW sxi€T r v s,. .
fct};der No Connection Chq+r3e~
Account Deposit
+sEy giskh ~,X of f`og6n •Surchoe
•~w4sC: Ckr~~tties,f r+
1 ~ ~ y4f~ f.t~ r S
'S i ViC 70.
~1C't OP_MA6A>~t SEWER
7-iftt **b Road PERMIT NO.; 'ro iii STY2 DATE: 3 f f x 1
yin tXI - N6. of Units:
/~ddrsss ' ? car at it II.4 EAn f&.41and z
sT - - t
F4ee C~. ai#1~ foie ~itE~',of ~agoti - C~rsrYect#oc1- ~~Ir~'e' :-_~~-~;~~i ^.q, fib.
,v ounf
TTN'- -S'- P-'-- rC-- T 10 N-' k E C 0 R D'
i
:
001 t
W OF AGAN PERT` TYPE:
3830 Pilot Knob Road Permit NU
Eagan, NAinnesota 55122-1.897 Date Issued:
(612) 681-4675 10 64ADDRESS: 1, N,
ly O .I a t -1
0 (J' APPLICANT:
t, 4
# 4300"" AFAR PA I II III PAID)) VNCI. A)fjl RE S TOO,
'Pt ' SUBT'YP'E: TYPE OF WORK:
SF PORCH NEW
I:)I 5CR'IPT100 (3- A5"")
IFIMAt.
Pon"* Nm P FI Okw Des Vona #
ascluc
PPLUMOM
Dow
FOUND
FRAMING
4
ROOFING
R
E PUAVING
F TEST
ROUGH
6
HEATING
GAS SVC
TEST
k INSUL
GYPBOARD
FIREPLACE
FUMM ACE
AIR TEST
FfNAI PLOD
FK LL HTa
ORSAT
TEST
.BLDG MAL
BSMT R.1.
BSMT FK LL
DECK FTa
DECK F~V/LL
INSPECTION RECORD
Cf'TTOF EA+GAN ` PERMIT "TYPE:
3830 Pilot Knob Road Permit Number: "tit t, T: "fi
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
APPLICANT:
SITE ADDRESS: P a I r W 1,~.a, 40090-440-0.3
1-, 01 't 4 fltnCt
4382 OtAR PATH I R MON- RAY 0T#0014 DOOR
PERWT SUBTYPE: TYPE OF WORK:
F (NT c n Al..TER A1~T014
Panes![ M& Poram tickler G
Eta
PLUM"
HVAGr
W*POQWRFWTH" Daft
FXX1Mtx
MSG
AM TOW
POAH
HEATH -
Tffi'C
ROM
GiYP e
k Ffi
Zr.
WUICE
VWt
FOML PM
FI AL M
OWT
TEST
BLEB! Fpm
BS~AT R.1.
BSMT FINAL
DEM FTG
FWAL
Use BLUE or BLACK Ink
r- 777 - ;
My Permit of Eagn ! Permit Fee:
1
3830 Pilot Knob Road j i
Eagan MN 55122 { Date Received:
Phone: (651) 675475
star !
Fax: 6551 675-5694 t _ 1
INFL
O INFILTRATION PERMIT APPLICATION
Plumbing ! Sewer & Water
Date: - l Site Adds:
Tenant: Suite 8:
RESIDENT ! OWNER Name: Cr e l U ~X~ t r Phone: 1o 1--)- - 8 t 7- L3 13
n
Address / City / Zip: I4 3 8j- PkkE - -r + C--,, qrr M, lV% N 7/~ S 1 a-d--
Name: JLSS'#cn P_4aV,11--J) 0X SefO i e~ Tkk License* 051 5'rS Ar,
CONTRACTOR Address: P 0, & -A City: L go- V%
State: ri^t N Zip: Cs r _ Phone: ~.S t k 2s 2
Contact: Mt fit Sc-7,>) Email: mirk- ~}e, Dl•,r+i+1•+~ •f.~r.
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other. Other.
DESCRIPTION Description of work: 'ri ► } to. i 5 u , , r L(
FEES
S55-001
Each (includes $5.00 State Surcharge) TOTAL FEE $ S.5 - 0 ~
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit t/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityWeaoan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (8511) 454-0002 for protection against underground utility damage. Call
48 hours before you Intend to dig to receive locates of underground utilities. www.aonherstateonecall.oro
l 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 rewires a review and approval of plans.
x 00i. K IL % I- "I ) +7- x A J-JA
Applicant's Printed Name Applicant's Signatures ~
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ,_,_Under Ground ___Rough4n Fatal
Use BLUE or BLACK Ink
r
For Office Use
Permit#: 63 7
City of EaRd I s
Permit Fee: 1
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 I
VIZ3//3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: y Phone:
I Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of kGgak
Construction Cost: Multi-Family Building: (Yes / No
j Company:"" 60- t.U2+G t11.<_' Contact: LAW- k1 tt GLQ6% r8~1`
Contractor Address: )I X4 -"-tfpl-ffLPaLJ0)2 City: 6A
' State: _ Zip: c[ Phone: (0 0 aal
License ra 31 a%<~a 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 L4-L m x ,
Applicant's Printed Name plic t s Si n
Page 1 of 3
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
1i dink?
201 PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commerci application
e
Date: 1p / 3 Site Address: 7' �j f
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Tenant:
Name:
Suite #:
Phone:
Address / City / Zip:
Name: 1--/ ar CjN F S License # /316,C16564)
Address: ti 4 j� ()kit,I:4-Z-City: the1
State: VIAL)") Zip: C'" \ Phone: 'I .1. 5131
Contact: Email:
New Replacement Additional Alteration Demolition
Type of Woirk Description of
NOTE: Roof "mounted and ground mounted mechanical equipment is required to be greened by City
Code. Please contact the'"Mechanical Inspector for information on permitted ser eni g methods, ,,
RESIDENTIAL
Furnace
erm it Type —Air Conditioner
Air Exchanger
Heat Pu j p
t Other
COMMERCIAL
New Construction _ Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
Contract Value $ x .01
=$
_$
=$
Permit Fee
Surcharge
TOTAL FEE
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.
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground Rough'
City of EaRall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECt_I` ED
SUN
061016
r
Use BLUE or BLACK Ink
�,1
For Office Use V 7 V I
Permit#: / ( C
Permit Fee: 41145- ---C iy
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Z Y✓y EIii
Address / City / Zip: 9'3j 0l.,9 ea -f/
Resident
Owner
Name:
Applicant is: ✓ Owner Contractor
Description of work:
Construction Cost:
Unit #:
Phone: 10-5'1 c - 93Y
afti '7-64,L
efr'\e,J S _4 -COC V..� v
Multi -Family Building: (Yes / No )
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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 VNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as nopublic if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against
rm
t underground utility
ity damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 Lor FfvnJA(
Applicant's Pe ted Name
nt's Sigat re
Page 1 of 3
/-7--')'16-77/4-14 4)�0 NOT WRITE BELOW THIS LINE
/x7'6`95
SUB TYPES
Foundation
700 Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
�{1 Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
cC1 Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation IX /y/ 6Oo..--
Plan Review
(25%_ 100% W)
Census Code
# of Units
# of Buildings
Type of Construction
VR
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water
Framing 30 Minutes _
Fireplace: _Rough In -
?O Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Final
1 Hour
Air Test
>o Shower Pan
Reviewed By: "7-0 at, N. k j•.��}-
_ Siding
Reroof
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Brick
Backfill Final
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73059-f7' x2p•0i.s?•Kr
Page 2 of 3
ir C!ty
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUN Oe2016
r
L
Use BLUE or BLACK Ink
For Office Use
Permit #: / / () 9-6 I 1
Permit Fee: 6?0 - O )
CC
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
g-/‘ Site Address: ,m)c) iet ' chi y ,k/A
4
Tenant: Suite #:
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.orq
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.
x
Applicant's Printed Name
x
Applicant's Signature
Name: L c1- /,',-/ r-/Ut'?'ch A) Phone: 6 S 7 c/6.7 %S.?e
Address / City / Zip: «2 Sc.) Seed / 4 -4fJ
01'
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
Type
w.irt fi
New , Replacement Repair Rebuild Modify Space Work in R.O.W.
— — — —
Description of work:
Eiti#IL
r
RESIDENTIAL
Water Heater
er Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
Water Turnaround
New
Abandonment
_
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Tumaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
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.orq
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.
x
Applicant's Printed Name
x
Applicant's Signature