4381 Bear Path Tr2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please comp{ete for modifications to existing residential dwellings.
Date ? /
a I v ?
a
_
t
Site Street Address L-I 38 I-p,0.r 5?Tv-Gk-J Unit #
Property OwnerQl j Goc?t l'L2..r& 7elephone #(bg
,
Contractor !'r ?rv l?l h?, Telephone #Cjs)
Address LL? Ci y?r?--? v? 1?L State M'h/ Zip ?5s(yj L`f'
The Applicant is: _ Owner ?ontractor _Other
Altera#ions to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater,-complete next
section if installing these appliances).
`Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
? W;ater Softener Xv Water Heater $ 15.00
_ new replacement
Lawn Irrigation RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant' Printed Name Applicant's Si
3
2005
._?_ ?
i,rr?
? , ? ?c?srse
CtTY QT_ 4AGAN SEWER SER1(iCE PERMit
3743 Pilot Knob Rood PERMIT NO.i 4411
Eagwa, MM $5122 DATE: 12/3/80
ng: • RTIT
Na of Uni#s. ?
Uwrsqr: Jcrsepli 1?:iZ1er Ganstructiau
Address: . ?
4i+o aAa.o«. 43" 3?'ear Fa th TrEt:Ll T.99 P,
` Ptumber: -- ,•ztwT'eSte12"! t,et_bariiCal
. 11121JSO 22037. .
l 1atgree to conaply witk the City of Eagan Conndiction Gharge:
-Grdinanees. Account Deposit:
p Permit Fee:
Surtharge:: ,.
Misc. ct?orges: .
4K1.?.: 1 VtaJr
qF? ?7t
W?
44
eadowl8T1d
»----»---?-- ::
Xk i+
.`..Y?
- > ._:L ? .v2[! ?. .
n?
? r
This request void f''?
18-monChs'from
Date of this Request 12"24""1980 Fire No. IT- 3879
I, as:gLicensed Electrical Contractor OOwner, do hereby request inspection"of the above electri-
cal wiring installed at:
Street Address or Route No. 4381 ??earnath Tra.il City 3aEa_n
Section Township Range County Dak o ta
Which is occupied by Joe ":-Ti21er
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yesil Ready Now O Will Call Ek
Power Supplier Dakota Cty. Address Farm,ingtora_
Electrical Contractor Q•B• T?om?'gon El='G?ric Ga« Contractor's License N4LO602
(Company Name)
Mailing Address 12241 Vitkw 81vd.,Vitka 553LI,3
(Electrical Con4ract+or or Owner MakfngvThis Installation) , t-
#,"' %
Authorized Signature "?one No (Electrical Contractor or Owner Making This Installattoa)
TATE 11O'OPY This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minn , ta State Baard of Electricity
Grigg Midway Bfdg. - Room N194 r 1 EB-00001-02
1827 Univeraity Ave., St. Paul, Minn. 55104 - Phone 297-2111
CNECK BE?LOW WSOItK CO ERED BYRICAL
THIS REOUEST'ON T ?2 79 r.?
Type of Building Niew Add. Rep. Check Appliances Wired Fot Check Equipment Wired For
Home XM ? ? Range o Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures $?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ?2 • ?p Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Othei
?
?
? Others
Here Others
Here
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FeedersBcSubfeedets: # Fee Circuits: # Fee
0 to 100 Am s:? () TJ? , Q 0 to 30 Am res 0 to 30 Am eres 24,00
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps, Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Pattial or other fee
Signs Speciai Inspection Minimum fee $5.0 Q
Remarks
? ? Rhri C?,p?.e'
TOTAL FE ?J?
2.n0
1, the Elect s r, rtify t abo}? 1 ectdon has been m'acle.?'
(Rough-in) • C.? Yfi? e k= l Z ? J
(Final) Date
This request void
18 months from
` ClTY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6388
• PHONE: 454-8100
BUILDING PERMIT APPLtCATfON RzceiQr # a? U
To 6e used for SF DtNG/GAR Est. Value Lr7 ,OQ0 Date 11-21. ,
Siie Address 43$1 Bear Path Tr. Erect a Occupancy R3
Nleadowlands
Lot 99 Block Z- Sec/Sub Alter ? Zoning Rl
.
Repoir
? Fire Zone 3
Porcei # , _
E
l T
of Const V
n
arge Q ype
.
w Name .TnSP?,h nR Mi l l Pr cnn??Tne lvlave ? #' Stories
3 Address 13015 Cedar Ave. s. Oemolish Q Front 6 1t ft.
° App1e Valley,*?
C 6rode ? Depth _2 6 ft.
ne
i
?
o Nome Approvais
- Fees
,F
?? Address
?- r:,,,
Name _
Address
1 hereby ocknowtedge that i have read this opplication and stote that
the information is correct and ngree to comply with aU appiicable
State of Minnesota Statutes and City of Eagan Ordinances.
Assessment
Wpter & Sew.
Po{ ice
Fire
Eng.
Pionner
Council
Bidg. Off.
APC
Permit -133.00
SurCharge 23.50
Pian check 66 - 50
SAC 525_00
Water Conn.30 5 .0.0.
Water Meter 60 . 00
Road Unit 185 n0
Total 1 r298 nn
Signoture of Permittee I
A Buifding Permit is issued to: JOSeph M. Miller COriStZ', on the express conditian that
oli work shoil be done in accordnnc,Q with all Qpprljcable State ot Minnesota Stotutes and City of Eagon Ordinances.
Building Officiol
(grr#tf tratt uf COrrupttury
Citp of (Eagan
Er.pttrfmmt uf Bixtldmg Jz?iipec#ion
T fiis eirti f icatt issutd jrarsuant to the rtquirnntntt of Sertion 306 o f the Uni f orm Building
Codt urti fYing that at the timc o f issuanre thia structurc was in com pliance with the vareous
ordinanccs o f tht City rtgulating building ron.ctruttion nr ust. For thc f alloudng:
vse caM&.non SF EW'jC'AR Bldg. Permit No. 6388
Oontpae?,y TYpe R3 7yp Coattructioa V Firc 7 3 Zoning District R1
a,,,,u of . , Joseph mCi.l ler Ccm,d.. 13015 Csdar Ave S,Apple ?
? 4381 Bear Path Tr LocalitY L99,B1, tleadawlands
BY? 3-11-81
emwft otrnaa varo:
J
OCtT IN A CONffItYOUf M.AC[ .." ' _
Or,ocs46J . -- ..- " Lli!?O1NU.S.A.
CITY OF EAGAN Remarks l? 480570 099 01
AdditionifeadaylAk3'l,A j,a,t?Ad,4j1*,ten Lot gg Blk Z Parcel
owner 1i065 ()0 (?,'-?v? E{?ik street 4381 Mkt IFrtth 'i'rail state Za?3+?, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. Iriip. ? 1981 5 9. 9 158.99 10
GRADiNG
SAN SEW TRUNK 970 77.95 3.12 25
SEWER LATERAL
WATERMAiN
* WATER LATERAL 19$1 ZQ
WATER AREA
STORM SEW TRK
145 '] 282.92 14.15 20 - -$
* S70RM SEW LA7 19$1 10
services 1981 10
CURB & GUTTER
SIDEWRLIC
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
1.00
22037
1 71
PAR K
g'a/? R?`
T / vI IN! e ? ? ?V
?-
?CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
'Po Be For New Home Valuation Date Novecnber 14, 1980
Site Address 4381 Bear Path Trail' Eagan MN
' OFFICE USE ONLY
Lot 99 Block 1 Sec./Sub. Meadowland
Parcel #:
Qwner: Joseph M. Miller Const., Inc.
Address: 13015 Cedar Ave. , So.
City/Zip Code: Apple Valley, MN 55124
Phone #:
Contractor: SAME
Address:
City/Zip Code:
Phone # :
Arch./Eng. .
Address :
City/Zip Code:
Phone #:
Erect occupancy
A1ter Zoni.ng
Repair Fire Zone
En7-arJe Type of Const. ?
Move # Stories -
Derelish Front
Grade Depth f t .
P,PPI?OVALS FEEg
Assessments Permit l3 3.60
taater/Sewer Surcharge
Police Plan Check A.So
Fire SAC 3 eD
Eng • Water Conn . 3 0 6'd o
Planner Water Meter L o, d a
Council Road Unit
Bldg. Off.
AP'C
TO'I'AL -4,22t.00
. . . . . 44,
? FXXCRIOR E?NVEl01'E: P?'dEi?:?GE"U" C011S'UT,A?ION ? l_.1.?
--
__---
0'vINER
?
SITE AQDRESS
-- 4-"--?-
CONTRl1CTOR '
Of1TE
PIlC
Octe?inine w:,rking fe7taqe of
1 . Total
', ? exposed w a l 1 Or e a 5 (l. ft.
- -- ---,-. ----- X
?_ ___ _-
?
? 2. Total
roof/cef 1; ng area . . .
. . sq. f t.
,_._ .._. ---- ---
>:
----
,
Total exposed wall ar€a 8tOYe flaor r 1O?'
a Total wall window area................... ....... __?;?`?'•4 .?
-
.
b. Yotal doar area . . . . . .. . . .. . o a o . . . . . .. . . . . . .. .. • ------??'=q
c. Total sltding ylass door arza .....o .............
d. Total fireplace wall area...•>...••• ..?••••••.•
••••••••••?
a (average 1Q?i
i _---_ '" -
C34'e5
e. Total •
ng are
wall fram ?
?'
f Total net watl area above floor .........•••••••. -
?-
.
g. Total rim*joist area ....,.,..a..................
Total exposeQ folindatlon area • __?___?
h. Total.foundation window area.. ..<...••.•••••..••
1. Toa1 net fnundatlon ar-ea above grade .....••..•••
, Uetermine "U" va',ue of eacr wall SCgment.
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S f i tem k3 i st;('
of SfJC GoOG(c!?.
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"poseci
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Total gress r?of!eeiinc? area
,j lptai skyl ight arca . . . . . . . . . . . . . . .. . . .
k, 7ota1 reofJcei{in?.? fr<iir?ir?:J ar4?t ., o o,a
1. Totai net insulat(d roGf/ceMnj a??t?a..... • ?..'??4'?-1? - .
Geterwine "t!" valur, for cach t'OOfir ="iHn9 SCgm!'nr • ' ?. .
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1.q 4k
F. li?
4 ................ . ...............
if total of #4 i? +he sar,e a:, y'oU hav(, r;Pt- tnf? int.oni: of
,
SBC G006(61 • ?
To utilized the 10t„7 n;et1)n?j, the v,111jcs c?jtahlisf;ed by the
thc ?? ,
sum of iteins V3?r?c1 K1 si?,i1 nr)t i;c ??°?3t?'?° than sum r,F itc?s ?1 anr! +?c.
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Yiifla+u .Yt.+?.ra.s-..=
!:M'E: Ur-P 15% of opaquc wall area foz
!^ fraa?e construction
1a -WL
wAls
PIG. C
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f»ches soft. ti,,?oci • ?
4.
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Exterior air film = 0,17
Total. I ? •Z7
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1. YnCerior air film 0•68
2
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3
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4.
5. n
Stt?iN fn -- '
?
?6. Exterior air film
Total
`-
. r '?. D ?P
V
1. Interior air film 0•60
?O U
3
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o
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s
O? d
4 , ° .
. 4a2
5.
6.
Exterior air film
0•17
otal
2
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1. ]Cnterior air film
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SLAB ON 'GRT.*?E
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Tnc3icat.e tyoe, ,•,-*," value, deuth and- -
plac:rment of i.nsula*ian. •
FR11ME WALL
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Certifi.cate f"or:
Dunn & Curry
. ? Joe Miller Congtruction ?
13015 Cedar Ave. So. _ ?,o
Apple Valley, Mn. SC H N Z /
55124 DELMAR H.
LANDSURVEVOR
Reqistered Untler Laws of The State of Minnesota
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 672 423-1769 ,
gati ? SURVEYOR'S CERTI?ICATE 4$$?'3 0 3p
N 69? t 9` 1 Su 1 J V ?o 1 7 i. 9 9 ? 6 x J
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pt
FA
? N 8g93 ° 3o•c X $g8
? N 8°1° I9' ?'P?" W o 99
. ?
? a $? 8aq ? ' ?..N
gq 30
I herebyr certify that this is a true and correct CjCA
representation of Lot 99, Block 1, MEADOWLAND FIRST
ADDITION, according to the recorded plat thereof, Daltta County,
Minnesota.
Dated: June 18, 1980 ProPosed lst floor elev. 890.0 ft. .
Approved for Dunn & Gurry Real Estate Management, Inc.
_ 8g9.o Denotes existing elevation
by; C)Denotes groposed finished grade
Note: Sanitary sewer and water in street
Reviged to show propased house and elevations November 7, 1980
Benchmark: Top af hydrant between Lots 97 & 98, Blk. 1, Elev. 888,16ft
MiNNESOTA REGISTNATION NQ.8625
RESiDENT1A4
BUtLDiNG PERMIT APPLiCAT10N
CITY OF EAG14N
3830 PILOT KNOB RD - 55122
651-681-4675
New ConsUucticn Raaukemeats
• 3 registered site surveys showirg sq. tt of lot, sq. ft. of hnuse; and all roofed areas • 2 capies of plan
(200/o maximum bt coverage allowed) . 1 set of Energy Calculatioris for heated addituins
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey kr eziem addidons & decks
• 1 set of Energy Catculatiais
• 3 copies of Tree Preservatlon Plan 'rf Iot platted after 711t93
. Rim Joist Detail Opti?ons selection sheet (t1dgs with 3 ar less units)
s
E'?
ATE ?f Z? a I VALUAT{ON (EXPLtldING IAMD) ?"'(??n 6?
1fl8 SITE ADDRESS 41 :_? ( ?,`_?? Ve-AIN
tf MULTi-FAMlLY BUILDING, HOW MANY NITS?
PROPERTY OWNER td TYPE OF WORK ?k64 -460r I?1L rrsbt` '??? _ FIREPLACE(S) .?0 _1 .?.2 3
APPt1CANT SElA R4(yFIN4 & REMODELING, ING- PH4NE #4['Z_43Z3 "''?'Sa `(k)
ADDRESS 4100 EXCECSIOneN ?.?is ZIP CC?t?E
ST. ?L?f.I?UiS PA?iK,
PAGER # CEiPOWSM FAX #
NIE1V RESIDENTIAL BUt1DING ONLY -FILL OUT COMPLETELY
Energy Code Category r MINNESOTA RULES 7670 CAT''EGORY I
(check one) - Residentiai Ventiiation Category 1 Worksheet Submitted
- Energy Envelope Galcufations Submi#ted
_ MINNF,SOTA RULES 7672
- New Energy Code Woricsheet Submi#ted
Plumbing Conhcctor: Phone #:
glumbing System Includes: _ Water Softener ? Lawn Sprinkler Fee: $90.0(}
? Water Heater ? No. of R.I. Bathhs
_ No. of Baths
Mechanical Contractor. phcne #
Mec}ianical System Includes: Air Conditioning Fee: $74.00
Heat Recovery System
i Sevirer/Water Contractor Phane #? ?[n I? I 1?1
,
' All above information must be submitted prior to processing of application.
, I hereby acknowledge that I have read this application, sta#e that the infarmation is corre
? all appticable State of Minnesota Statutes and City of Eagan Ordinances.
1A 06" A,&
Signature of Apptica
' Certificates of Survey Received _ Tree Preservation Plan Received T Not Requtret!
updated 1/a1
OFFIGE USE ONLY
? 01 Foundation ? 07 05-plex 0 13 16-plex O 20 Pooi 0 30 Accesso .ry Btdg
O 02 SF Dwelling ? 08 06-plex 0 16 Fireplace O 21 Porch (3-sea.) 0 31 Ext. Alt.- Mutti
? 03 01 of _ plex ? 09 07-piex 0 17 Garage ? 22 PorchlAddn. (4-sea.) 0 33 Ext. Ait - SF
C3 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (&creeneti) ? 36 Multi
? 05 03-piex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
0 31 New O 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Additian C3 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bidg)* 0 43 Reroof 0 46 Windows/Doors
? 34 Replacement "pemolition (Entire Btdg only) - Qtve PCA handout to appticant
Valuation Occupancy MC/ES System
Gensus Code Zoning City Wa'ter
SAC Units Stories Boosker Pump
Nbr. of Units Sq. Ft. 'PRV=
Nbr. of Bidgs Length s Fir? ;Sprinktered
.
Type of Gonst Width
REQUIRED INSPECTtONS
- Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
- Footings (addirion) Plumbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water F ittai Other
_ Fraxnun8 _ Pool _ Ftgs Air/Gas Tests Final
- Fireplace i R.I. _ Air Test _ Final ? Siding Stucco Stone
_ Insulation _ Windows (newheplacement)
---------- ----- -- ---------
-
-- - Approved By , Buitdfng inspector
Base Fee -
--_ _-- -- ------ -- -- ?-? ------------- - --------- __?..__?-__?-__------------__---____
Surcharge a-• ??
Ptan Review
MCIES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
_icense Search
:,opies
Ottrer
Tatat
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit
?36_su
Date f L? /J -7
Site Address ? a? / zi ?It/A Unit #
Property Owner Telephone #
Contractor
'.3 u rn,5vi?!(,,- Heating &.AlG, Inc.
Street Address 124i;1 Rhode Islatld AWe. SO City
`??uac.,€?b. ?+iN 5537$-1122
State Zip _
Telephone #
Bond #• ? ? ?. ????' ?> Expires:
The Applicant is Owner ? Contractor Other
Add-on, modification or alteration to existing dwelling unit 30.00
furnace replacement C
air exchanger
air conditioner New Repiacement ----
other
State Surcharge $ .50
Total $ 3"?T^
I hereby apply far a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the wark will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. -
i ?-
?1 t1C;, )a_
Applicant's Printed Name App icant's Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate pernuts are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
_ New construction _ Install _ Remove Underground Tank
Interior Improvement Schedule inspection during installation or removai of tank
_ Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Pernut Fee
• Ifpernut fee is $1,000 or less, add $.50 ? $ State Surcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Pernut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and acknowledge that the infoxmation is complete and accurate; that the wark
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
- =? CITY OF EAGAN
3795 Pitot Kno6 Road Eogon, MN 55122 N2 6388
` PHONE: 454-8100
BUtLD1NG PERMIT Receipt #
` To`?r ? ,._' ??','f''?/?'aA?'? Est. Value ?S'7 ? ?? Date 19. a?...
Site Atldress ' '3eaz` PSthT2",
Erecf ?
Occuponcy v
3
Lot ?-0 Btock Sec/Sub. ? t??cio?'tlt?2z??s Alter p Zoning =?1
pQf?l # Repoir ? Fire Zone 3 _
E
l f C
t
T V
n
arge ? ype o
ons
.
Name Jnse;7h ??? 1?11 er ?:onst I2?1e Move p # Stories
w
3 Address - I3n?-7 CedaT A,Ve. ?, Demolish ? Front ft.
0 4-p1P_ Val1e,yaPh?
Cit Gmde p Deprh ft.
y
one
W_ Name Approvals fees
v? Address Assessment
Ci Phone Water & Sew.
H
? Police
? W Nome Fire
?? Address Eng.
QW cj Phone Planner
` Counci l
t hereby acknowledge that ! have read this application ond state th4t gldg. Off.
the informotion is correct and agree to camply with ali opplicoble
Stute of Minnesata Statutes ond City of Eagon Ordinances. APC
,
Permit ?
Surcharge
Plan check
SAC
..ui n,-?
Wcater Conn..•jrl
Water Meter
Raad Unit
Total ? 29??• 09
Signature of Perm±ttee I
A Suilding Permit is issued to; r-`ller Cnn_--t'r• on the express cond'rtxorr itxtt
eU work sha(1 be done in accordance with a!1 applicable $tate of Minnesota Statutes and City ot Eagan Ordinances.
Buiiding Ofticiol ,
Penait # Det* bsusef Parmkiw
Plumbing 11-a P /
Mechonicai
7.37 7?
INSPECTIONS
Foo#ings AT INSP. Rough-In
Date Insa. Fino)
Date insp.
Foundation Plumbing
Framelins. ?y Mechanica4
Finat 00,
Retr+arks:
3 ^ 3
? ?s
?? .. .»
No. 220 1
F@RMIT
Date: 119-•?l
Site Address:
Lot
Name
4331 rear Pat?x ri-t-
Block I Sub/Sec.
J0s. M1.ZZ.E3x Ct?71::?.Y."1.2C#'.].o^
Address 3.?07=? C'.ci.T.' AA?. :.
?.Tc"1??.?v ?" ??.-??
fi.?'??.e ..
C+ty Phone:
Nome
4('3f (."',Li cD,(,,t; Avf?, rt.,
AGICIf255 - ?
''"PLS 7) 5 "C7
Ciry Phone:
iis Permit is issued on the express condition thot oii work shail be
inneso#a Stotutes ond City of Eogan Ordinonces.
C1TY OF EAGAN
3795 Pilot Kwob Road
Eogoe, Minnesoto 55122
Phone: 454-$140
INSPECTOR NOTIFICATION
REQUIRED 8Y LAW
FOR ALL INSPECTIONS
Receipt No.: ?29`101 .-?--r ?
Single
Residential .
Multi Res., Comm.Ilnd. ?
New/Alter.JRepoii
Cost of Instaliation
Permit Fee 0 0
I Surcharge • iE?
I
I
ITOtOi ??•:`?
done in actordonce with oii apptiu,bls State of
Building Official 1-,- -
- CITY OF EAGAN
3795 Pilot Knob Road
?A ??? j< Eogon, Minnesoto 55122
Phone: 454-0100
T'?imbi-'7r PERMIT
Dote: 11-25 -£'O
Site Address:
Lot -19 Bibck ,,. 1? Sub/Sec. ?!ee sio`v lands
:?05. ` :'
Ncme Canstruc.
'
e Address 13015 vf?:i3Y` aVC' . :.: .
?
C+ty Applk: Vp-11ey, t'?Z . phone:
Nome " ?tdwE?$?'i,L?I'Tl ?TE'C?1.
?
Address 9175 '`avenk,Gr't• St.
?
City Filai11e, ?Iri, 5504,
Phone: -I! nrl
This Permit is issued on ihe express condition that ali work shol{ be
Minnesoto Statutes ond City of Eogon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: `,2{)7,5
Single ?.
Residentinl
Multi Res., Comm./Ind. I
I2E.'W
New/Alter./Repair. CosY of Installation
2;) ')t1
Permit Fee
. ?ry
Surchorge
Total
done in accardance with oll applicabis State of
Buifding Official
Use BLUE or BLACK Ink
r
For Office Use
Permit ! O j
City of Ea
R"`n I Permit Fee: 0
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: o
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I Nq Site Address: € - Unit
Name: OckzE,, - Phone:
Resident/
Owner Address / City / Zip:
` Applicant is: Owner Contractor
Type of Work i Description of work: h- c i. DE 6SPE' ACT
Construction Cost: ~l7CC~C~ u0 Multi-Family Building: (Yes / No
Company: 1( Contact:
Contractor Address: al IY SL)N"AA ,r1a?c__ 0& City: yc)d`C_C
State: Zip: Phone:
®1 a3
License 0-.il= C0 3 [ c~- 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 Buildi Code must be completed within 180
days of permit issuance.
x K A1~A& x L s
Applicant's Printed Name App cafit Signature
U Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135611
Date Issued:03/25/2016
Permit Category:ePermit
Site Address: 4381 Bear Path Tr
Lot:099 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-099
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Phanna Kim
4381 Bear Path Tr
Eagan MN 55122
(651) 242-1995
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature