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1870 Bear Path Tr Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - For Office Us City Q U f Ea Permit#: I Permit Fee: $ s 00 I I 3830 Pilot Knob Road Date kceivedd:&_27__ Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L Staff: - INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 1 Site Address: Tenant: Suite Name. lck ISUY~- _ Phone: RESIDENT / OWNER Address/ City/ Zip: Name: il U~ License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: ltrr\IJ Lx, ~X Q~ DESCRIPTION FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an app 'cation for a permit, and work i of to start without a permit; that the work will be in accordance with the approved plan in the case 4icant's w Nchrequires a review an in approval of plans. i ~Gki_k C \0. ter 1~- x JAen, Applicant's Printed Name A Sign u FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final This request void ye r ~7 C J soya months from VV Request Date Fire No. RQquiEen Inspection ired? Ready Now rll Notify Inspec- es ❑ Na r When Ready ❑ Licensed Electrical Contractor ! hereby request inspection of above ❑ Owner electrical work installed at. - - Street Address, Box or Route No. r City it 7e, XY, c2 r> E4 e la Section No. I Township Name or No. Range No. County / DeL ~Z GI ~L~ Occupant (PRI T) Phone No. 7 5 zG& 0 139 3-6 Power Sup Fier, Address R Lew z 1"LZ-t 3~t ~ Yt Elec) i~1I Con ractor (Cpmpany Name) Contractors License No. Mailing fAd~dres (Contractor or Owner Ma ng Installation) Phone Narrtrer L2k Autho` ed +SIT-ABOARD (Contractor/ caner Making Installation) MINNESOTA OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT Griffis-Midway Bldg. -Room 1-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. &7 ,?S REQUEST FOR ELECTRICAL INSPECTION Ee oooot os See instructions for completing this form on back of yellow copy. 3'2 J U "X" Below Work Covered by This Request ,Add Rep. Type of Building Appliances fllired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then pecify Other (Specify) Other Specify Other - Other Compote Inspection Fee Below N Fee Service Entrance Size ff Fee Feeders /S ubteeders It Fee , Circuits O to 200 Amps O to 30 Amps O to 30 Atims Above 200 Amps 31 to 100 Aft)s 0 31 to 100 Arrips Swinxning Pool Above 100_AmpS Above 100Amps Transformers Irrigation Boorrs S Partiaf,`Other Fee Signs Special Inspection s Remarks 33 TOTAL t~EE v Rough-in Date 1_ the E r ~rt2/ Inspector. hereby certify that the above Final ate t inspection has been wade. This taquest void IS months from CITY OF EAGAN `t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for Est. Value Date a 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. ? Remodel ❑ Zoning: Parcel No. Repair ❑ Type of Const Enlarge ❑ No. Stories g Move ❑ Length Z Name Demolish ❑ Depth z Address 4620 W Grade ❑ Sq. Pt. City ~H Phone Install ❑ Approvals Fees RAW ~9 Name Zoo Address Assessment Permit ~8 S1 Water & Sew. Surcharge 3~~ City Phone Police Plan Review ue ' w Name Fire SAC to .0 AV, 'Z Address Eng Water Conn. uo --S~. 0 <W City Phone Planner Water Meter e Council Road Unit _ I hereby acknowledge that I have read this application and state that B C. Off. 1011 the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Var. Date 02l^ 009. Signature of Permittee A Building Permit Is issued to: % " agamm maim an the express condition that, all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i sad Permit No. Permit Holder Date ' JTele honcey# Plumbing l%S ~'S 33 HM A.C. 14 z --~-,J, LL- ~g gs 7-C5 o Flo Electric 3<^~~J~~,,.~,p"•L,t,rc..%~.✓'~ (a~0 ~~,,C..~.~a Softener Inspection Date Insp. Other Footings Foundation ' I Framing Roofing !o Rough Plbg.- Rough HVAC Insulation r Final Plbg. Final HVAC Final a Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. J Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address. Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New 0 Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type III 11. No, Eauiwient BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mfg. 'Mach. Exhaust . Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets I 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing s 9overn~n9 this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date_." z~> 2. Installation Cost 3. Job Address r'' 'Lot Blk. Tract 4. Owner rf-. 5. Contractor e- t . , Phone y f~ 6. Address: 7. City State 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: NewU Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 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 -sue for Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 II 2004 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/condos when permits are required for each unit Date Site Address-4d- 447 7W. Unit # Property Owner a ate' Telephone # (WI)O111,3_877 Contractor _ Street Address _ City State I J _ Zip _ Teleph ne # / ) Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional Replacement air exchanger air conditioner New _)CReplacement other State Surcharge $ .50 pC~GC~Qd[~ Total J U L 24 - 2004 M $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 in accordance with the approved plan in the case of work which requires a review and approval of pl Applicant's Printed a ne Applicant's Signature CITY OF EAGAN Remarks UistuYr ~fG3e G - ~ Addition SUN CLIFF 2nd Lot 3 Blk 6 Parcel 10 72976 030 06 Owner Street 1870 Bear Path Tral State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, c 1985 369.3 24.62 15 ILL-75 min2w; L--1-2-85 STREET RESTOR. ~p7g 1986 i 5 7-. 53 431.51 5 /0!0 9 p - -~S GRADING /7 ,S3 SAN SEW TRUNK 1 ~0 48.64 - 1,95-- 29 1-7.6o (1010205 L-12-85 SEWER LATERAL 198 265 6.3 5 3 12) 212-51 ffllnM5 4--12-85 SEWER LATERAL 999 1986 829.62 16532 5 C-/6 6, 7- O- WATERMAIN WATER LATERAL 1000 1986 942.60 188.52 5 q O - /09 6 ~~S WATER AREA WAT LAT BEN 1862079 1986 57.88 11.58 5 , EF /0 O - S STORM SEW TRK Q 1971 161,72 8 09 20 40,152 C 010205 11 -12-8 STORM SEW LAT S/W SERVICE 959 * 1986 808.77 161.75 5 9-09,77 -/D 9 CURB & GUTTER SIDEWALK STREET LIGHT 10- "~S STORM SEW LAT 1006 1986 610.14 122.03 5 /0,/17( - 7 2 Pnad Unit- 280.00 50 sa rr WATER CONN. is BUILDING PER. n rr rr rr SAC 525-0 PARK CITY OF EAGAN N°_ 1 0 0 6 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # ~ ~ 7~ ~ To be wed far SF DWG/GAR Est. Value $62,000 Date APRIL 11 19 85 Site Address 1870 BEAR PATH TR Erect Occupancy R Lot 3 Block -&-Sec/Sub. SUN CLIFF 2ND Remodel ❑ Zoning R1 Repair ❑ Type of Const. V Parcel No. Enlarge ❑ No. Stories ZACHMAN BROTHERS CONSTRUCTI6%ve ❑ Length 0 W Name Demolish ❑ Depth 46 z Address 4620 W 77TH ST., STE 104 Grade ❑ Sq. Ft. City EDINA - Phone 893-0755 Install ❑ SAME Approvals Fees Name 2t Assessment Permit ' 00 Su Address uI City Phone Water & Sew. Surcharge 31.00 Police Plan Review. 159.50 W Name Fire SAC 525.00 Address Eng. Water Conn. 500.00 <us City Phone Planner Water Meter 63-00 Council Road Unit 2,90 __00 1 hereby acknowledge that 1 have od i rcc ian state that Bldg. off . 4 f 4 / 8 5 T . P . 132.00 the information is correct and re o with o le State of Minnesota Statutes an C' n i nceu ` APC Total $ 2 , 0 0 9 . 5 0 Var. Date Signature of Perrnittee A Building Permit Is issued to: ZA ERS CONST on the express condition that all work shall be dorm in accordance with all licabie Spatepf Minnesota Statutes and City of Eagan Ordinances. Building Official J S ALL CONTRA TORS MUST BE LICENSED WITH THE CITT OF EAGAN 4 INCLUDE ® SETS OF PLANS, © CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS r To Be Used For:,, r Valuation: Date: Site Address: Lot:,,= Block:~2 Sect/Sub: Erect: X Occupancy: Remodel: Zoning: R-C Parcel Repair- Type Of Const: Enlarge: # Stories: Owner: Move: Length: Address: ' jl. { ll Demolish: s Depth: J7 C-L r11,V Grade: 'j Sq. Ft. _ Code: Phone # : _3 6)7 Contractor:, E~~ Address: Assessments: _ Permit: Water/Sewer: Surcharge: City/Zip Code: Police: Plan Rev.: LS.% Fire: SAC: Phone Engr.. Water Conn: 57zb % Arch. /Engr Planner: ter Meter (O3. Council: y~ Road Unit: 2$(~ = Address: Bldg. Off.: = Tf 132.'° City/Zip Code: APC: Variance: Phnn~~~ 4-7 -7 69 Sa W A. w y~ t . 6 .L V . 6 f nr. C. R. WINDEN 3 ASSOCIATES, INC. LAND SURVEYORS Tel. 645-3646 1361 EU5T15 ST., ST. PAUL, MINN. 55108 FOR: ZACHMAN HOMES r~ 108 6~/ R ' ~ o 0 cr) l Scale: 1 30 Denotes Iron Monument NOTE: ~o n Denotes Wooden Stake rr' yogis /a rrrposed Garage Floor El.- S SEC Q' Xi (90.6 Denotes Proposed o `T PO Finished Ground E1. r~j t) -f Denotes Direction `Q Of Surface Drainage Vertical Datum - N.G.V.D. 1929 ~ J J c " i Lot 3, Block 6, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION Of All BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND Doted this 1 n-I day of ; . A D. 19 C. R. WINDEN b ASSOCIATES, INC. r . by t- : k acr:r_.~;~rt Surveyor, Minnesota Registration No i' i k S - . . - . - - J U" i - ~F S _ _ Acqa of COCK 2. ,...al n , ' . ing 3rsa ~ en t. X a. Total all YI&vw area l < Total Our _,_a - c. 7_41 shd'Eg glass Wvr -a a. _aI __v ,11 area e. al ..l _ a 07) - - - - f. _l . -Al = -'Y= ;or v g. Al Km --si Sna h. Total oarla ion win-'"ow a, a 3 i. Total . t _ , i~j . Dn area _,c qra~ 12 a. x bull •i~ _ T x :!Ulf X U,; e. 1 ? X U = ? _zl = s,r l =1 _ a - U11 Ue For 7` s u _ J x ` ' ut1n 2 j7 - k x 'v, x 4 _ Total = z if Wal of 7 is s" ~a as, or Oss than 42, jru t:--e of 2 ynj 1:103 ;4.3.2.2) .'.l w to Building fir? i . 12si gn 10 ilk 7, ~ i_ yr,%. total _ ..;r1e system trlOd, the e$t3_i1 :Shed by the s ir, of K .:s 03 and shall not be ,f ater ti-,}n w.n of -I and 2. 2. r- - ' A r 1 I" . Y 'l my As I'd a was, . 1 , ` d n- n1 t` 3 Q ~~s i9, p ~ '~70 - - / :~~I it _ ~i"~_, •~r ~7-~`~----/f- ---.i3 - (still) n 01 E - -I_`-- L- ' ' Y - - o _ COW! L ~ fSJ D 7 } L, - c_ o I Y . t 0. 17 - i ? f _ ra _ nN. n: k I ~ _ Il ~ z . _ .is 6 tip ti-~ C t u/ ' I 1 (~.5> t~ T n_.3 0. 17 12 FiW' ' t Y Ps j r- o air fi :A 17 On _40 w filin - 21; Y f - Ahn - - ~1. _ii - - - - - Total 76 tog a; ) - ~ Jar J--~`` • - ( ii - - ± ~`k+ 8Q'ovR,,L,µ rjp,~, ,r y~,~,,.,.,{ 411 F' i' art e * o hJ Eagan, MN 55121 OAT G 85 N Its: 1 &ng• R1 ' Owr'Or _*Shman BAN . A)t:reAdd 1870 E &j*jpQ-j:OP3 Sun c dreo PlumreNo.: - •f'•3 Connection ('merge 1 asm to w4h the C" of Eegaa Surchorge: -50 ;u - WISC. Chorgest 1 Q T) Totcl, ~13 3 1 (3 :pd nin r gr s 8 ~ at am+y Dote. PoW r Dote of Insp.:-~~-- 1~ to 7 t O E vaT i s ru "It --mow E 3830 Pilot Knob R-ad 6106 P. O. Box 21is_ PERMIT NO.: Eagan, MN- 515121 DATE: Zoniftg: RI, No. of Units: 1 Owner: Zachman Bras Const Address: Site Address: 1370 Bear Path Trail 1.3 B6 Sun Cliff 2 Plumber: `ti'estorika Meter No.: Connection Charge: 500.00 pd Size: Account Deposit: 15.00_ Reader No.: Permit Fee: 10.00 I agree to CWM* with the City of Begs Surcharge: .50 0"Um" eea Misc. Charges: 132.00 Rd Total: 63.00 Sid meter By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 7295 P. O. Box 2,1199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R1 No. of Units: 1 Owner: Zachman Bros Const Address: Site Address: 1370 Bear Path Trail L3 B6 Gun Cliff 2 Plumber: es on a tou.00 pd 4--11-85 50783 agree to eomoly with the City of Eagan Connection Charge: 425.00 pd Ordinance& Account Deposit: 15.00 10.00 Permit Fee: Surcharge: ' S BY Misc. Charges: Date of Insp.: Total: insp.: Dote Paid: 2/84 I CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'T'Y ADDRESS: ~ ~t r LEGAL DESCRIPTION: o Z O (Lot/Bloc ubdivision or T Parcel I.D. Number) IF EuYIS'I_::G STRUCT'=E, DATA OF ORIGINAL BUI =I G PEP-IT' ISS' : _ '~:Ms:a~~- PRESET' =TD-r,/PROPOSED USE: E R 1 S TGLE FP'i== ❑ R-2 DUP= (TI NO NITS) ❑ R-3 Gi qj iCUSE (THREE + UNITS) ( UNITS) ❑ R-4 APARTP=/CONDCMINIUM ( UNITS) ❑ CCi = IAL/`'T.ETAIi//GF ° ICE Q IMUSTRIAL Q INSTITUTIONAL/GOVET2NN= 2) APPLICANT (PLEASE PRINT) NAME : Cie ~~~1~zz ADDRESS: CITY, STATE, ZIP: ~'YLCd J 3 PHONE : C172- 3) PLUMIBER NAME: PLEASE PRINT) FOR CITY USE ONLY ADDRESS: ERS LICENSE: jAct ive CITY, STATE, ZIP: 0 Expired _N2 14f Record PHONE: y7Z -ggS9 PLUMBER LICENSE # C~ 4e a nitia 4) OCCUpANT/CF4NER (PLEAS PRINT) NAME : ADDRESS : q, 2-D 7 -7 t CITY, STATE, ZIP: PHONE : 3 o -?S:~- 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER E] OTHER (PLEASE DESCRIBE) 6) INDICATE ONE : [GYPI.EASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIQ,IATURE : A~Ai.6;7~ DATE : V-/?- a L_ •E ~erwaE~ws~;~u j. pn irit ~re:ae:~,r~,,, ~.,t r'rk ~~••~a.~■ia.r ,f ~r.a,..cas=i+~war i~ wEr~,~rt.~ror~.}rar.~.r ~w yet FOR CITY USE ONLY } PERMIT u ISSUED FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) i $ /0. WATER PERMIT (INCLUDE SURCHARGE) $ (Q 3.---~J WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE,dER TAP $ I~ G? d : • ACCOUNT DEPOSIT SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ So? ~ • SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ 5 u(" AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C~ YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE TSSUFD BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: i TITLE: DATE: HEAT LOSS CALCULATION ° 'TEMP. DIFF. - Z Ctatonier Name . Type Construction City Windows Storm Sash Dealer Na;;;.OEF UAr~I EATING AIR CON.D17lc?`t!r~ . are: Walls Ins. Street 2615 Coon Rapids Blvd, Ceiling Ins. Cny _ COM Rapids, Minn, 554~~3 Floor - FI.1 Room i Length Width Height FI.1 RoorniLwqth Width Winnows and Doors-Cradcage and Area Windows and Doors-Cradcage and Area W1AM. H*g No. of I L, ft. A"a Width Mei~hf Ne. of L1nNf h. At" No nf Pont of M Light, of egek 64. h. No. of M Lf erw% h. /0 '570'' Y 14 Coef. Btu Coef. Btu Infiltration Infiltration Glass Ap- Glass 9 Exp. wall 199,2 Exp. wall - Net exp. wall Net exp. will Int. wall Int. well Ceiling Ceiling Floor Floor Total Btu. 570 Total Btu. FI.1 t i Room IL Width Hoot F1.1 Room ll Width HeisM Windows and Doors-Cradcage and Arm Windows and Doors-Crac* and Area No. w1dt11 M Me/M1t No. of Lbwf h. AN>• No. ~ ienl ~ef~are No. of OWOO h. A# at of M L n of ate" on. h. t" Coef. Btu Cam. Btu Infiltration Infiltration Glass Glaze Exp. wall Exp. wall Net exp. wall Net exp. wa! o Int. wall Int. wall 8 Ceiling Ceiling e t Ioor Floor Total Btu. _ Ja Total Btu. FLI RoomiLevillth caZ Width O Height F1.1 RoomlLyWh /,:2 Width c~ Wenclaws owl Doors-Cradcage and Arse Windows and Doors-Cradcage and Anse Nr. nW.04. ,Mt Me. of M Wh. M h O Ne, ew/mPam_ of go" L4ahft h ffeiellt No. of ~ M1 ff. AnM 9 Chef. Btu Cost. Atu Inf iteration Inf iteration Glass _ Glass Exp. wall Exp. wall Net mp. wall Net exp. wall i2Z -L- Int. wall Int. wall Ceiling Coiling ~ Floor Floor Total Btu. b=t I Total Btu. HEAT LOSS CALCULATION ° TEMP. RIFF.. customer Name - Type Catstruation City Windows *arm Sash DaNr Name. Wails . Int. Stran Ceiling Irft. City Floor FI.I Room I Length 13 Width Hoot F1.1 Room I Length Width Windows and Doors-Crackage and Ara Windows and Doors-Cradcage and Ara Width fNpht No. of Lined h. ABM Width fleipht No. of L~ n. ARM 14.4 t.2m NO of V#ft O/ M Of p. ft. No n f pan% of ene L » of CHCM Coo. Btu C00• Btu Infiltration 41-7 Infiltration Glass Glace _ Exp. wall, o Exp. wall Net exp. wall Net exp. will Int. wall Int. wall Ceiling Coiling Floor Floor Total Btu. Total Btu. FI.) Room I Length Width 17 Hoot FI.1 Room I Length Width Heillht- Windows aAd Doors-Cradtage and Ara Windows and Doors-Crai* and Ara WMM tfegnt No. of Upset n. ARM l~Q Width Mbi~ht No. of U010411 h. ARM No. of M of n• l of efe" p. h. v?Z 9 7 No. h. 4-70-!of yam 7 ICAO. Btu Caef. Stu Infiltration Infiltration 1= A oft A 161 Glace Glass Exp. wall E W E Exp. wall Net exp. Net exp. wall Int. wall Int. wall Ceiling c:Q b Ceiling F lax p Floor Total Btu. Total Btu. F1.1 Rain I Length Width Hoot F1.1 Room I Length Width How Windows and Doors-Cradcaga and Ara Windows and Doors--Crackaga and Ara Lwd n. Nr. WMN. Menial NO. of Lon" h. ARM No. Width R No. Of pow M NM.. of fiuae Lqh" Of erKk N. n. of coo. Btu W'w' 010 Infiltration In! iltration Glass _ GI Exp. wall Exp. well No exp. well Net exp. wail Int. wall Int. wall Ceilml; Ceiling Flax Floor Total Btu. Total Btu. r - - `7 - - - - - - - - - - - - - - - - For Office Use I '7 / Permit City of Ea Eare I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received:' A Phone: (651) 675-5675 I i I Fax: (651) 675-5694 I Staff:{ I I I C41 UV---6 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I 1 Site Address: 1 70 Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: L,L / a Applicant is: Owner X 'Contractor TYPE OF WORK Description of work: o`er - G 'C fA Construction Cost: Multi-Family Building: (Yes / No ~ CONTRACTOR Name: ~ License Address: cJ City: V 1 5~ State: Zip: Phone: Contact Person: J 151 f l Ii COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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, the are trade secrets. 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 ork which requires a review and approval of plans. C X X~. / i l10. ppli t' P Na a Applicant's Signature Page 1 of 3 s 4 CASH RECEIPT CITY OF EAGAN F r P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ! aR1...4~ 19 RECEIVED ! f s f AI4OUNT $ f ~ t. DOLLARS 100 ❑ CASH ❑ CHECK r/ F G °•~+.-mac„' r ,*,a„_'`~ -FUND CODE AMOUNT r L_~ 7 r {f Thank YOU B f 9OIt' 8 3 f White--Payers. Copy Yellow-Pasting Copy Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA116847 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 1870 Bear Path Tr Lot:3 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Derek Lindsey 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 - Patricia L Madison Gruber 1870 Bear Path Tr St Paul MN 55122 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161152 Date Issued:05/08/2020 Permit Category:ePermit Site Address: 1870 Bear Path Tr Lot:3 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan K Nygren 1870 Bear Path Tr Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162501 Date Issued:07/16/2020 Permit Category:ePermit Site Address: 1870 Bear Path Tr Lot:3 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan K Nygren 1870 Bear Path Tr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176846 Date Issued:06/03/2022 Permit Category:ePermit Site Address: 1870 Bear Path Tr Lot:3 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-030 Use: Description: Sub Type:Gas Line Work Type:New Description: Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan K Nygren 1870 Bear Path Trl Eagan MN 55122 (612) 799-8976 Peterson Plumbing Llc 4209 Diamond Dr Eagan MN 55122 (612) 655-4022 Applicant/Permitee: Signature Issued By: Signature