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3786 Briarwood Lane PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096706 Date Issued: 10/29/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3786 Briarwood Lane Lot: 12 Block: 1 Addition: The Woodlands PID:10-75875-120-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Minnesota Exteriors Paul D Palmer 8600 Jefferson Hwy 3786 Brianvood Lurie Osseo MN 55369 Eagan MN 55123 (763) 391-5514 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076653 Eagan, MN 55122 . Date Issued: 02/08/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3786 Briarwood Lane Lot: 012 Block: 001 Addition: The Woodlands PID 10-75875-120-01 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal. Gemuenden @ServiceExperts.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $50.00 0801.4088 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Paul D Palmer 8910 Wentworth Ave S 3786 Briarwood Lane Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature INSPECTION kgCORD~ CITY OF EAGAN PERMIT TYPE: t rf , , : w,; 3830 Pilot Knob Road Permit Number: i a Fagan, Minnesota 55122-1887 Date Issued: (612) 681-4675 SITE ADDRESS: i • t s 4 6i + APPLICANT- 14, 1 i tti tn.f f I A 'i It lrtir ! AH' t~f~li 'rill h,1~i)t f f i9(~ PERMIT SUBTYPE: TYPE OF WORK: Al If 1*-"Al TOM 11 A"I"t I 011s,li 10 1 1!41 p+tlciii f r ,l, ! ! rtAl I<'1 ~td~{: P' t 1 Ilt: ,l i : 1 t 1f 11 il~= i { 1 ' ! i• I, ri r 1`r I. 1q r t ICI tiff I ur 11 h I t PaemltMa Pew Molder Dam Telephones ELECTFW PLC FNAG Dam hop. Coa moft FOOTR6 FOUND FRAM (0/ 6/q ROOFING ROUGH PUMBING PLOD Apt TES f RLU#1 HEAT OAS IM TEST INSUL WM BOARD FIRIMACE AIR TM FWL PLW FK4L. HTQ ORSAT TM LtLO(~ FK4L Lt13fYIT R.L. LENT FK4L DECK FM DECK FK4L CAW_ t ~ PECTION RECORD CITY OF EAGAN PERMIT TYPE: k:kk ! t 111 r•,1; 3830 Pilot Knob Road Permit Number: k), ~ t t Y Fagan, Minnesota 55122-1887 Date Issued:. (612) 681-4675 SITE ADDRESS:' APPLICANT: t i,: 1;:; s,~r sl~i~~i t stilt pt111: ?1ti IiE hkekk)i'{ `Nf+; fill kk+1611k M31i PERMIT SUBTYPE: TYPE OF WORK: ~tflk tt ? f's~ i e. AIM I; f I1M nt+i k r!' t • r, Ri ! t~ s , F 1 ' i 44 i IL ' - - - Perms Uto. P Roder Dow T 4 EttCTPW PLt ti w Hvnc ~j MoTme FOI ND FRAMING ROOFING tl PuAffm PLOD AIRTESr ROUGH HEATING cans svc [Poe TEST Mme. &&t FOP!" AIR TEST . FINAL. MM FMUU. M ORAT TEST et oa I N& BSMT FINAL. DOW FM DEgc mm i I~ 'i i ~i R ' i (Stru#tritt of Orrup urs I tit? of eagan i I 77* Cep hwedpwamw go re#Wrm" of Sermon 306 of dw UWvm Adft ~ Codecgow atofaedda*aslsem&dwmows - i ordbmww of AW CI!W negulfg or use For dwm u„ 8F DTi /GAR M.mn*xo 14839 0, 0, ca .n. R-3 phata R-1 swmbs 3786 UTA D LN L129 sit To VOODLOW Lamft NNW= 3, 1988 I ru: P n OMM 1 j POST IN A ( PI XMM PLACE i i f ) • BLDG. PERMIT NO. 01-3210, Bldg. Permit Cp 89 co 01-3422 Plan Check Co 4 4 01-3445 Surch./Adm. ZE 01-3446 SAC/Adm. 01-1155 Surcharge GZ -7& -3860 Road Unit 00 20-2275 SAC 1544 20-3865 Water Conn. 5Z-0 20-3868 Water Trmt. c~?Z)4 ®CD 20-3716 Water Meter Co -7 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 793866 Sewer Conn. 3855 Park Ded. TOTAL <O1'! Y OF EAGAN 3830 Pilot Knob Road; P.O..Box 21-199- Eagan, MN 55121 PHONE: 454-81'60 u` k s' BUILDING PERMIT Receipt# To be used for Sf X)/C-Est Value. $104 Date Site Address 7861. OFFICE USE ONLY On Site Sewage Lot Block Oxupancy Sec/Sub.`_ ` MWCC system zoning Parcel No. On Site Well -~L (ActuanConat, -1 c Name. 7 3fi City`Water, (Allowable) to 49 ~ , A. PRV Required # of Stories z Address ° City ' Phone" Booster Pump Length Depth - 51 101 c 4Nabi to _ aw, S.F. Total o Address' Footprint S.F. City Phone APPROVALS FEES Engr./Assess.. Permit W Namesl#4`3'~ 4f F E ' Planner Surcharge x E Address u.Z fiA Council Plan Review 344.00 Iw city I? Phone Bldg. Off_ SAC; City Variance. SAC, MWCC. I hereby acknowledge that F have read this application and state that the. infoation is correct and agree to comply with all applicable State of Wafer Conn. Miart iota Statutes and City of Eagan 0 In#Vs. Water Meter 16 Sig -a++FFtyr~of Permittee Road Unit ' A Building' Permit is Issued to:* Treatment P1 on the express condition that all work shall be done in accordance with all Parke applicable State of Min~sota Statutes ndgCity of Eagan Ordt 'ances.~. DOTAL Building Official ara +P Y 4" _ C/0 tMU ELF APPROVES 5/8/88; HOOD UP 6/28/88CITY OP EAGAN 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for Est Value Date OFFICE USE ONLY Site Address ',;p n H,;r 6 On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual)Const q,p City Water ~Ya (Allowable)-~ s Name W+ G ; E PRV Required # of Stories 3 Address o r s Booster Pump Length o City. ° Phone Depth c* , + t P,; f c Name S.F.Total 0 E Address Footprint S.F. I- City Phone APPROVALS FEES W Engr./Assess. Permit W W Name z z Address Planner Surcharge Council Plan Rev %W City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Vari nc SAC, MWCC r Information is correct and agree to comply with all applicable State of yc 4,~ „ Water Conn. Minnesota Statutes and City of Eagan Ordinances. Z7 r Water Meter w ' Signature of Permittee' ~G~ Road Unit A Building Permit is issued to:v Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official Permit No. Permit Holder Date Telephone # Plumbing i v Electric fj`,~ c+ INS Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. 3 Rough Htg. _ Isul. 30 ,fy43~ 00 Fireplace Final Htg. . 460 A Plbg. Bldg. Final t y D .2~ Cert. Occ. < < ® v sf' Temp. LP Deck Ftg. Deck Final Well Pr. Disp. rw°s 0 PERMIT# MECHANICAL PERMIT RECEIOT # CITY OF ICAAAN a-lo 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 3 CONTRACT PRICE PONE: 454-8100 77 1& --a Site Address 40,9,9 BLDG. TYPE WORK DESCRIPTION Lot/4-1 BlockSec/Sub am' C~~Cx 5 E! .y Res. ~ New A? SEDGWICK HT a. & AIR . Vv. Mult Add=on Name Address 8910 dU 1'' AVL. SO. Comm. Repair c City Other ~ Phone FEES Name RES. HVAC 0-100 M BTU $24.00 c Address ' ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON f" CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. , TYPE OF WORK COMM/IND FEE - 1% OF CONTRA ,07 FEE L'! APT. BLDGS. - COMM. RATE APPLdkS Forced Air M BTU TOWNHOUSE & CONDOS - RES RATE APPLIES Boller M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 A1r,. Cond. M BTU MINIMUM COMMERCIAL FEE - - 20.00. STATE SURCHARGE PER PERMIT 50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # -So BEYOND $1,000) Other "FEE: ~r S. dd sr t g S/C: SIGNATURE OF PERMITTEE v, TOTAL' fOR CITY OF Ei4GAN ° , PERMIT # PLUMBING PERMIT RECEIPT # 9 °L CITY OF EAGAN Jr o7~ p 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: O CONTRACT PRICE PHONE 454-8100 Site Add ~ 7 S (0 1,3 re ®f Woo ' BLDG. TYPE WORK DESCRIPTION Lot , Bloc Sec/Sub 3 Res. New m Names Mult Add-on Addr IS 'd / a Comm. Repair c City Phone _2J Other 7 G » FIXTURES Name Water Closet - $3.00 ~TAL c c/> S ~v~c L a $ Address Bath Tubs $300 -.3.0 p City C" I Phone I'll- d(023 Lavatory - $3.00 hower - $3.00 2. Sink - $3.00 ®0 FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 O MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 -1 ~9 MINIMUM - COMM/IND FEE _ 20.00 Floor Drains - - • C® STATE SURCHARGE PER PERMIT - .50 Water Heater - $1-.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ! SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL- rne.'rea s5 _ - e,; T7 is e 4f _ PLUMBING PERIV,''~~~~ _ For Office Use Only CITY OF EAGAN PRMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, 7MN 5512a ¢IECEIPT # PRICE PHONE 454-8100,k - DATE: $LDG,_TYPE WORK DESCRIPTION Site Address Lot BI k Sec/Sub Res. New Mult. Add-on Name Comm. Repair Other Address 5 RES. PLBG. ONLY -:'COMPLETE THE FOLLOWING: c City Con - Phone - - NO. FIXTURES TOTAL Water Closet - $3.00 $ Name Bath Tubs - $3.00 Address Lavatory - $3.00 City Phone Shower-$3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,090 Of ,RERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNA• OF nmri- E~ PERMIT FEE: -IM 4~1- o STATES S/C: Jry FOR: CITY OF EAGAN GRAND TOTAL: SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TEST RECORD 4~~ ~'q.o~a• l'j ADDRESS `Qr CITY OCCUPANT Q OWNER HEAT LOSS D TE HTG. INST. SOLD BY --rC INSTALLED BY Electrical Work By e1-,5 Gas Line By _5 e TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT TR. OTHER GAS DESIGN CONVERSION MAKE L e i j MAKE OF BURNER ff, rd 3a -/G Q Model Serial S'R q C C(2 ~ 'Max. BTU Rating INPUT _ { C%0 ; 660 / T U MAKE OF FURNACE w11 r *_4?'CONTROLS Model THERM STAT a Heat Plug . Vent Size 3 Valve KIND OF LINER _ SIZE NONE Limit 2 L. Draft Hood n tJ C t®, Regulator unit Setting Filters Size Number " Farr Setting go - Chimney Location Inside ! ''f Outside Pilot Type Chimney Construction G S S Pilot Make w Not Model L Smoke Bomb YU%frurtg F%ot Timing / Draft Test Tag- L.W. Cut Off Door Pressure Lighting Inst. Pressure •C Percent C02 7 Date Tested 91, Input GFH Percent 0 2 Company Testing Stack Temp. Q Percent CO U Name of Tester V 4`1 H f r er' Form 235 Header I 0 ' - - Eagan, MW 55121- Owner. "1a..1- canson. CoTist. _ Site Address: ~ ~rvooi.~ Lane Id"BI Voodl Conn. Chg• - Zoning: - Acct. Dep: jj~~19. of Units: g Ca local Utltltl@S Permit Fee: Or® 11 Surcharge: P • ELF GASaikiee to comply with the City Tr. Plant . D B, Y Lf~pnces. Meter. ,L 11 Misc.: By WATER SERVICE PERMIT 0 2 8 2 I R st Date Fire o. R gh-In Inaction Required Inspection Other Than Rough-In - 1 (You m t call inspector when ready) ❑ Ready Now A Will Notify Inspector Yes ❑ No Date Read I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) ` City ,37 o (v v r c.j_ WL~od~ IN Section No. Township Name or No. Range No. C14~t O ant (PRINT) Phone No. a\ \ fi Vc,~\cll ?q\MC_r' (!a -~8~- ?830 Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. ci Fr ~lcc /~~~c c~ po~9a Mailing Address (Co:Wo, or Owner Making Installation) a - 11a3 c,601 S'f/o Ao Auth ed Signature (Contract r/Owner Making Installation) Phone Number AJJQ-1~ (Q V?b -o'~SS MINNESOTA STATE BOARD OF ELECTRICITY T 1829 Un vesity Ave., Sto Paul, MN B 5104 I III( II III II III p III ~I I I II IN II III II II~ II1II I IIII UNLESS PROPER INSPECTION F BE ACCEPTED BY THE STATE BOARD EE Phone (612) 642-0800 ENCLOSED. '1 I' 11 /r`~ ~RREOUEST FOR ELECTRICAL INSPECTION EB-00001-09 - 00, See instructions for completing this form on back of yellow copy. lr /~,5T "X" Below Work G~;vered by This Request Ne Add Rep. ape of Building Appliances Wired Equipment Wired. Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm:/Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: T 1 S c21V\ Ckk 1 R Compute Inspection Fee Below: ~'V~ 5~ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee 'Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL ~+b Irrigation Booms D 6 J Special Inspection l Alarm/Communication THIS INSTALLATION MAY BE O E ONNETCTED IF NOT Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby Rough-in Dat CA0 certify that the above inspection has Final Datt 7, 2! ry been made. OFFICE USE ONLY This request void 18 months from This request void % 410: 18 months from / V C! TT"o0 E 5293,G/, L00-6 Request Date Fire No. Rough-in Inspection R .red? Ready Now I)R Will Notify Inspec O yes [3 No " l [or When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address Box or4ledta. O- a C ity ectuon o. Township Name or No. Range No. County Occupa PRINT) Phone No. --=4Z11q1U5 Power Supplier I Address Electrical Co or (Compan ame) Contractor's License No. h ate-n- c ~ Mai mg Ad ress ontractor or Owner Making Ins~Jnation) Authorized i ature (Contractor/Owner Making Installation) Phone Number a c MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-oooo~-os See instructions for completing this form on back of yellow copy. Il, 855 E 5293 "X" Below Work Covered by This Request Add p. -~.TVpe of Building Appliances Wired 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 Other (Specify) )her (Specify) Other Specify Other Other Compute Inspection Fee Below p Fee Service Entrance Size tt Fee. Feeders ISubfeeders q Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swim Yling Pool Above 100_Amps Above I00_Amps Transformers Irrigation Booms "Othpr Fee Signs Special Inspection $ TO Remarks L FEF~ Rough-in Date the Inspector, hereby certify that the above Final t j inspection has been (0 made. This request void 18 months from This request void 01 9leF 0 90 / 18 months from E 15 7 2 2 (Z4 9 a-° Request Date ,.w Fire No. Rough-in Inspection Required? Ready Now APIV, Notify. Inspec- Yes ❑Noor When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address. Box No. City 6 W all' ectlon o. Township Name or No. -Range NL. County Occupan RI NT) Phone No. -A'C's 6)j 1 Power Supplier y Address Electrical o ractor ( any ame) Contractor's License No. _ G~£ f3S` M g Ad s (Contra or or Owner Making InWionl ~ Authorized Signature (Contractor/Owner Making Installationf Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-0 OO1-Os T~ 1 See instructions for completing this form on back of yellow copy. 9 E 1~ + ' 2 "X•" Below Work Covered by This Request Add Rep. Type-of Building Appliances Wired 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 other (Specify) Other (Specify) t .r pecify Other Other Compute Inspection Fee Below #r Fee Service Entrance Size # Fee Feedets/Subteeders # Fee Circuits U to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100`Amps Transtormers Irrigation Booms Partial,'OthLer Fee Remarks Signs Special Inspection $ TO AL E Rough-in the nspector. hereby certify that the above Final te/t inspection has been made. This request void 18 month from SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.i~ 8910 WENTWORTH~AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD FEB 2 6 2007 ADDRESS Trkrwood- Lp't~ CITY F,-,CAV CIVIL OCCUPANT &AV !~t ( V" 't OWNER - SOLD BY INSTALLED BY MAKE ► MODEL v 19 SERIAL NO. ~y / -7 / INPUTl 0 THERMO'TAT_ V VENT SIZE VALVE l4leO TYPE OF LINER , 6 LIMIT $ uP~' of LINER SIZE L I LIMIT SETTING ` --I V J FILTERS: SIZE '4~~ NUMBER ` FAN SETTING WIRING 6 PILOT TYPE IGNITION MODEL PILOT TIMING DATE TESTED .2 ko /0 PRESSURE 3,L-5 W.C PERCENTC02 .~p~ CJU INPUT CFH V O PERCENT 02 COMPANY TESTING `P STACK TEMP. PERCENT CO NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 15 3830 PILOT - 55122 51, Z J 651-681-4675 New Construction Requirements RemodeVReoairReauirements ~l Z~I D ) • 3 registered site surveys showing sq. ft of lot, sq. fL of house; an II roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions $yl • 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 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE a 0 / VALUAION I C~ U t~ JOB SITE ADDRESS 31 9(orlc~irGrl~lzn.~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 21iU I ' - Pf V/fi-- Pac /Ma-r_ TYPE OF WORK SOrU~ aLA 9- ~e-UGz- FIREPLACE(S) ZO _ 1 _ 2 APPLICANT - IQEC-I&Y~ 1atvt1,01 r vi Tvi . PHONE* GAS/- ~,L? -0-7 5,P ADDRESS 3G 4 3 (~U0c ~cvv~~ Two ~a~lex v~_ im ZIP CODE 'LSI L3 PAGER # CELL PHONE # (©1 Z - IE - 127 S FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning D Heat Recovery System 0 Sewer/Water Contractor. Phone ~!u All above information must be submitted prior to processing of application. 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 O inances. Signature of Applicant _Q'/~ R~~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 1/01 OFFICE USE ONLY yam, 1 ❑ 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 `0 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 C31 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 m 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 Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. -Air Test -Final - Siding _ Stucco _ Stone Insulation - Windows (new/replacement) Approved By L4,/Q , Building Inspector Base Fee Surcharge Plan Review l ~lv Z S~ MC/ES SAC ca City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total `,AYOR'S CERTIFICATE MARK JOHNSON - - WppDLA o 4,w `-ND TRAM A, 5 0139 22~ L R= 445.21 R: X83 ~47," ` --39..06 - X2.02 I N-0-1 - 1 ° SO. 3 5 X34 OTa I - ORA/pq~r / . 6 9 W EASE,NF.IyT P LA., to ° 893s~ LOT 12 o ~ w 1 ` J / ~ O j 1 1 1 /q~ 1 rt , ~i q1.S) !q3T0 / Q~ I I I I g11'S 52'S~ Z I P Na%SE 0 w t f a to 01 w ~0 1 i,► / * e; w G Aft' 17.6 8q ~ I 3 N 00 t 2?.6 ~p.te 0 < a oELEC. 65`66 TEL. s r05-00 is J~ 4 6,.5-r 52 9 000 BR~ARW 1_ANE f------ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 89/. 5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Fly' 1 FEET (000.0) DENOTES -PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 112.2 FEET WE HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1 2 , Block] , THE WOODLANDS, .,.according to the recorded plat thereof, DAKOTA County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS !8TH DAY OF Mnff 44 119$8 SIGNED: JA ILL, INC. BY: HA OLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 ° w m ~ N ao v ~.~~~owo .~1v~D James R Hill inc. 0 0D ~ N N o m Z PLANNERS / ENGINEERS / SURVEYORS OT 0~ zw m cch 100wi 9401 JAMES AVE. S. 9.1 BLOOMINGTON, MN. 55431 o 612-884-3029 A h O 10 CITY OF EAGAN Permit No: ? Date: ~j_ 3830 Pilot Knq~~Road Meter No: Size: P.O. Boz 21`199 Reader No: Date: Eagan,' 55121 Owner. r ! o:.t l t P_1i3"`E9L3:ilt? i a.i. ?;7 SC)~i3 Site Address: ~Plumber- Conn. Chg: Zoning: Acct Dep: ' i',. No. of Units: Permit Fee: Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY OF EAdAN Permit No: Date: - 3830 Pilot Knob Road B/P No: - Date: P.O. Box°2t1p§>- Eagan, O1u55121 Owners Site Address: Plumber: - v ° "F ^ Y3 MWCC: Zoning- City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT i CITY OF EAGAN Permit No 0511Z Date: 4-20-92 3830 Pikot Knphi~Road Meter No: Size: P.O. Bo 21iss Reader No: Date: Eagan,`l 55121 Owner. Mark Johnton Court. Site Address: 3786 Briaxwead Lase LIZ E1 Titloadliknds Plumber ftbil,tica& Pl> jng Conn. Chg: 550 C *pd Zoning: Acct. Dep: 't5.copd No. of Units: Permit Fee: i 0. apd Surcharge: Sopd 1 agree to comply with the City of Eagan Tr. Plant: 204 Q1 t 4 Ordinances. Meter. 67 0!3p Misc.: By WATER SERVICE PERMIT CITY OF. EA61N Permit No: 10667 Date: 3830 Pilot Knb Road B/P No: C 2L Date: P.O. Box1211 Eagan, 55121 Owne'r' Mark 3olm:son ^O U . Site Address: 37F6 Fria. ool 'tee Lie T j Woa a s Plumber: Sc ,ulLies Plumbing MWCC: Zoning- City Chg: P No. of Units: Acct. Dep: 1 . !Crgd 10 . fy~ , 1 agree to comply with the City of Eagan Permit Fee: t, Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT PERMITi CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 025,833 (612) 681-4675 Date Issued: 05/22/96 SITE ADDRESS: 3786 BRIARWOOD LANE LOT: 12 BLOCK: 1 THE WOODLANDS P.I.N.: 10-75875-120-01 DESCRIPTION: Swilding Permit Type GARAGE/ACCESSORY Building work Type ADDITION 'REMARKS; PEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge 12.00 Total Fee $65.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: WARIAH REMODELING 14383463 00005834 PALMER PAUL 721 N 3RD ST 3786 BRIARWO60 LANE STILLWATER MN 55092 EAGAN MN 6Er123 (612') 430-3469 (612)688-7830 I hereby acknowledge that I have read this application and state tflxttt' tho information is correct and agree to comply with all applicable State of Mn. Statutes and City of E a tlrci=lna~nces. APPLICANT/PERMITEE SIGNATURE ISSUED SIGNATURE, ---INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 1 3, 02563 Ea Eagan, Minnesota 55122-1897 . 9 Date Issued: 05/2'2/96, (612) 681-4675 SITEADDRESS:P.I.N.: 10-75875-120-01 APPLICANT: LOT-. 12 BLOCK: 1 3786 BRIARWOOD LANE MARIAN REMODELING THE.WOODLANDS (612) 430-3469 PERMIT SUBTYPE: TYPE OF WORK: GARAGE/ACCESSORY ADDITION INSPECTION DATE INSPTR. • TYPE DATE IN-'PI-R OOTINGS FRAMING INAL CITY OF EAGAN m Y 3830 PILOT KNOB RD -55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Remodel/Rgnair Requirements t- ♦ 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 CONSTRUCTION COST: ZC~~ GcG' DATE: ~Ct~~~ l X n C ! - DESCRIPTION OF WORK: ccc) G~ tz c ~ ~ & l C-D'rz c ~ 5 L r STREET ADDRESS: -7-~' f~ 1-Gc I ~n y1 F r ; c y~ P n~ ) Z LOT t~ BLOCK 'SUBDJP.I.D. ~i2- PROPERTY Name: Py l rY1 /--e- ~ Phone OWNER LIST F FIRST e_ - G a wcr, Li2 LL Street Address E2 3 City: State: Zip: S S ~-2 CONTRACTOR Company: v11c~e ~1 n4 Phone ~I Z L~ 3a 3 I^cl d a, Street Address: 21 ~l v,) License City: S+ ! f c ~ State: Zip*77 ARCHITECT/ Company: l C.~-'~1 15 r n 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 co ct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY i w Certificates of Survey Received Yes No ' MAY 10 1994 Tree Preservation Plan Received Yes No 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN f,SINGLE FAMILY DWELLINGS f3f INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 51A$ Valuation: Date: Site Address 3'n(" uriar -C-A OFFICE USE ONLY Lot JA Block f On site sewage Occupancy YW:: MWCC system Zoning I~-2 Parcel/Sub On site well Actual Const V-N City water Allowable V° N Owner MQ,-l( ;~~~n .1 t •tS PRV required # of stories Booster Pump Length Address Depth i.r- S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Alcyt Engr/Assess Permit Planner Surcharge C- Ll 4t, Address fq, S rr~u:~e~sr~ %,~i Council Plan Review - 47i Bldg. Off . SAC, City City/Zip Code ~S1T~ ~cw Variance SAC, MWCC Water Conn Phone 445 - Water Meter Road Unit Arch. /Engr. )113av► MaVIS91(a Treatment Pl E Parks Address Copies TOTAL 4,_ _ City/Zip Code ~~C@i'hi~rn Phone # y - 5 VA L VAT/OW 22>c2y= 5Za iW = 8392 )ST fZooi;,l- x 14 = 3~ .2'7 x ► y 3 $ z X ig 3G 2 ~ J 19Z x 07- . 93904 ZN O FL- obi l4Y- ~3s 13 x ~~t = z001 Y, lqyz. 21 l28 ~Z~ ` Wj ,a- 4 t. EXTEI-11011 ENVELOPE AVERAGEI "U" COfiPUTATION i SITE AD612ESS Ite~gpxL-4 A--V- 5...----------- DATE PHONE `L CONTRACTOR Determine corking square footage of each. 1, 't'otal exposed wall area q ft. x -02G 2. Toto roo = -x'11 I f/ceilinc area /4 2 CZ' J so. ft. x .OS = ------/-~---1 3- Total floor/cant. area L_-7o--- Total Ext)osec :all I.rea %bove i loot = - a . Total wall _ _nco ar' a • • _ • - y.L_---- J. lota1 Do or area . . . . - y-- . al nC, Glass COO' a*ea . . C To t d''. Total f l'ep1aCC all c.'Ca e. 'iota1 ,a fra--.nc arei'. (aver ^otal net v all area a-O•: C. Tot :.1 rim o i s t area . . . . . . . . • - TOtal h. Total foundation -,incov area - i. Total net fo-indat2Gn area above grace Value of each :all seem nt. Ut t,.r,~_ne "U" d. U x "U" x "U" i . -----i Y 0. _ - - - . SUBTOTAL q, TOTAL _ JJ If item 6.4 is the same as, or less than item fl, you have met the intent of SBC 6006 (e) 2 Total Exposed Roof/Cei l inc3 Area __-.___-~~1.e~i j Total skylight area . . . . . . k. 'Total flat roof/ceiling framing area 1. Total net inslted flat roof/ceiling area in. Total vault roof/ceiling framing area-10% n. Total net inslted vault roof/ceiling area Determine "U" value for each roof/ceiling segment. x "U" x "U" x "U" in. - x U" - _ n. x 5. TOTAL If item t5 is the same as, or less than item :2, you have net the intent of S%C E005 (c) 1. Total Exposed Floor/Cant. Areas f lcor/cant. framinc area (avrc. 10) o. Total n. Total ne_ insulated locr%cant. area 1 De teruiine "L'"' va_ue for each floor/cant- secrlent. _ 6. TOTAL If total of ::6 is the same as, or less than ;3, you have net the intent of SBC 6006 (c) 3. AL'i'ERNIATE BUILDING ENVELOPE DESIGN To utilize t''^e total envelope system method, the values established by the sum of items i4, :5 and =6 shall not be greater than the sum of items V1, t2. and f3. -300,70 2 3 5 C27. 6- Prepared By - Date To to 1 Exposed 1 a 11 Area Above Floor a. Total wall window area . . . . . . . . . . b. Total door area . . . . . . . . Total sliding glass door area . . . . . . d. Total fireplace wall area . . . . . . . e. Total wall framing area (avrg. 10%) f Total net wall area above floor g. Total rim joist area . . . . . . . . . Total Exposed Foundation Area Total Foundation Window Area Total Net Founda; ion Area ;above Grade Determine "U" value of each wal'1 segment. a. s ---=yam--- " "U" - ---/~Z~t~ b. x "U" a. Y. "U" c A. . _y~o_ Y "U" _ ----~Llpp~~/-~ SURVEYOR'S CERTIFICATE MARK JOHNSON ~,A = 5° 0 139" d N~ TRA 2 2°3/ R= 445.21 A? 47a ~L X39,.06 T 183.1 c 2.02 ` LSD ° ccnr ° s1 LOT 12 . W / LA. i ~10 qhs) _-g3,70 % 41 1 1 52.60 2 3. & HD SEED a w GAR- 17• ggl•S , ti 22.33 A/ 1 w w ° . 8 V` oELEC. TEL! 6 ~u r05'60Q~ g R=6&,it 5g • p 1•~ °s571 p, Rw - ~ ~ BR LANE ' DENOTES PROPOSED SURFACE DRAINAGE O. DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND • PROPOSED GARAGE FLOOR - f9/. 8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Yly.l FEET (000,0) DENOTES -PROPOSED ELEVATION PROPOSED TOP OF BLOCK -11Z. t FEET WE HEREBY CERTIFY TO M A R K JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12 , Block 1 , THE WOODLANDS, according to the recorded plat thereof, DAKOTA County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS !ar'rH DAY OF M"f_4 , 19s$ SIGNED: JA ILL, INC. BY.. HA OLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 cn r: :h R T~ansHI'l, inc. R., O m Gp O < N v D NO So z o, m o Z m m > , i s PLANNERS / ENGINEERS I SURVEYORS In N m e 9401 JAMES AVE. S. wBLOOMINGTON, MN. 55431 • 612-884-3028 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 3 4 BUILDING (612) 681-4675 Date Issued: 05/22/95 SITE ADDRESS: 3786 BRIARWOOD LANE LOT: 12 BLOCK: 1 THE WOODLANDS P.I.N.: 10-75875-120-01 DESCRIPTION: Building Permit Type SF (MISC.) Building Work Type ALTERATION REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED FEE SUMMARY VALUATION $12,000 Base Fee $135.00 Plan Review $87.75 Surcharge $6.00 Total Fee $228.75 CONTRACTOR: - Applicant - ST. LIC. OWNER: MARIAH REMODELING 14303469 00005834 PALMER PAUL 721 N 3RD ST 3786 BRIARWOOD LANE STILLWATER MN 55092 EAGAN MN (612) 430-3469 (612)688-7830 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 o Eagan Ordinances. AP I-I/AN PERMITEE SIGNATURE ISSUED BY: NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025634 Eagan, Minnesota 55122-1897 Date Issued: 05/22/95 (612) 681-4675 SITE ADDRESS: P . I . N 10-75875-120-01 APPLICANT: LOT: 12 BLOCK: 1 3786 BRIARWOOD LANE MARIAN REMODELING THE WOODLANDS (612) 430-3469 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. RAMING ROUGH IN PLBG OUCH IN HTG FINAL T ,REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED 04/13/95 10:24 cLrne-5 R C 002 4-13-95 IPALMEA eEsjo&CE . Page 12 12/1 -ME wo©avgNVs FftfbSF-p 9 x Z4 320 5TA Y a ah * CITY O F E A G A N PL CATION DOE FIVE AT TIME TUTS APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AID/OR MWM m i'Ar-T•A' iws WILL NOT BE scam- SEWER AND/OR WATER CONNECTION ULED Mum PERMIT HAS BEEN APPROVED. * (Please Print) - 1) PROPERTY ADDRESS: 3 rJro!~ ,00d » LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year} C"ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL ❑ R-2 DUPLEX (Two Units) Q INSTITCITIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTmMgT/CONDOMINIUM ( Units) NAME: ADDRESS : L CITY, STATE, ZIP: PHONE:- 7EY . S(Q7~ 3) • " NAME. For City Use - - Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired ! Not recorded PHONE: MASTER LICENSE# Staff Utial 4) • - - NAME: _~.L?! ~n hY~ f~ .n., ( ru ei any ADDRESS :f CJ )T) dam) r L~ CITY, STATE, ZIP: 13' PHONE: _ I CONNECTION TO'CITY SEWER CONNECTION ZO CITY WATER OTHER - 6) • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) a• ~ • • • ~ • i- • • - 1a,,:~• • ,u • a~-..ice • • of i,-i~►"e•~Ti;s rise •+.r• ••ro-. • a• - ..'FP,R CITY USE ONLY PERMIT # ISSUED v Pd w/Bldg. Permit FEES: $ $ /D S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ / d WATER PERMIT (INCLUDE SURCHARGE,) $ (O ~©d $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ~i~ ~'d ACCOUNT DEPOSIT SEWER` ACCOUNT DEPOSIT WATER` WAC $D ! "go $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ d D $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 1~4 71, 4 © $ 7, TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING E:f NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: I`a CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Reauirements ♦ 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: ~l~~c~ CONSTRUCTION COSH' DESCRIPTION OF WORK: ' Ca,7 G Pry -3 n C acTy~p STREET ADDRESS: + yI LOT r` BLOCK Imo, Tk-L_. t , PROPERTY Name: •r m ~ Phone L'~' " ? 6 OWNER LAST FIRST Street Address' 'x`75 L- rI wc~~ ~ City: 7- State: Zip: CONTRACTOR Company: y~c rl Phone E-i z Street Address: S License 5F, City: i 1 c,;- P State: zip: ARCHITECT/ Company: Of 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. ee to comply with all I hereby acknowledge that I have read this application and state that the informayisco ct and agr applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:l OFFICE USE ONLY e r i Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No r M--------------- 8f3.7 L I BL Cirf USE "ONLY RECEIPT SUBD. ~ l~ DATE: ~ 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: 1 S-4S FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 /Add. itional 50 M BTU 6.00 74/4 ► Gas Outlets (minimum 1 required $3.00 each) J0'20 ► State Surcharge .50 TOTAL o~1~ So - - - SITE ADDRESS: 2 710 ,l ~%/liilyooalT OWNER NAME: PHONE INSTALLER NAME: SEDGWICK HEATING & AIR CONDITIONING CO. STREET ADDRESS: 8910 WENTavORTH AVE. SO. MINNEAPOtl, 881.9000 CITY: STATE: ZIP: PHONE ( ) ~J> CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : E WTCK HT G & A/C ADDRESS 8g 10 WENTWORTH AVE SO MTNNEAPoLT , MN 55420-2853 LOCATION 3786 BRIARWOOD LANE L12, B1. THE WOODLANDS RECEIPT # / DATE 45206/7-7-a5 REASON FOR REFUND OVERPAYMENT OF MECHANICAL PERMIT TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ 3.00 SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITYACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: $ $ TOTAL $ 3.00 1 declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 11_~ 019.5 Sig r Date CLAIM VOUCHER - RE-rUND REQUEST CITY OF EAGAN CLAIMANT-MARK JOHNSON CONSTRUCTION ADDRESS 4149 STRAWBERRY LANE EAGAN_ MN 55123 Location 3786 BRIARWOOD LANE L12 B1 THE WOODLANDS Receipt No./bate 82861 - 4/15/88 Reason for Refund 0 E CHARGED ON PRMIT 1114839 Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit- 20-3743 $ Account Deposit , 20-2252 $ Utility Account Over-payment 20-2250 $ Other: _Bt_ 1TJ DrN~ P1 RMTT $ -29.50 TOTAL $ 29.50 I declare under the penalties of law that this account, claim or demand i that no part of it has b n paid. is dust and Signature -_May I9RR Date CI4 OF EAGAN No 14 8 3 9 r R 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# ~P To be used for SF DWG/GAR Est. Value $129,000 Date APRIL 15, l 9_88 Site Address 3786 BRIARWOOD LANE OFFICE USE ONLY Lot 12 Block 1 Sec/Sub. WOODLANDS On Site Sewage Occupancy R-3 Parcel No. MWCC System X Zoning R-1 On Site Well (Actual) Const V-n or Name MARK JOHNSON CONSTRUCTION City Water X_ (Allowable) V-n z Address 4149 STRAWBERRY LANE PRV Required * of Stories 0 City EAGAN Phone 454-0623 Booster Pump Length 52' 611 Depth 451 10" 0 SAME. S.F. Total Name 0o Address FootprintS.F. U P City Phone APPROVALS FEES W CC Name DAN MANSFELDT Engr./Assess. Permit 668.00 ~ z Planner Surcharge 64.50 _ Address g W z City BLOOMINGTON Phone. 854-4522 Council Plan Review 334.00 a m Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 550.00 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 Water Conn. 550.00 Minnesota Statutes and City of Eag n 0 inn s. Water Meter 67.00 Signature of Permittee Road Unit 395_00 A Building Permit is issued to: JOHNSON CONST. Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Min sota Statutes and City of Eagan Ordinances. Building Official llL~ TOTAL $2,862.50 04/13/95 10:24 e- 002 Pl~.n~~r-s E~~~Y,e~rs S~rveu~orS 4-13-05 1~ARJME{~Q~ Page 12 I2~1 ENE 1NOOpc~NVs PRoibsEp 9 x z4 3Qo emu.. 0 ~h PERMIT City of Eagan Permit Type:Building Permit Number:EA138647 Date Issued:09/12/2016 Permit Category:ePermit Site Address: 3786 Briarwood Lane Lot:12 Block: 1 Addition: The Woodlands PID:10-75875-01-120 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Richard W Lundgren 3786 Briarwood Lane Eagan MN 55123 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175802 Date Issued:04/15/2022 Permit Category:ePermit Site Address: 3786 Briarwood Lane Lot:12 Block: 1 Addition: The Woodlands PID:10-75875-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Richard W & Laura J Lundgren 3786 Briarwood Ln Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature