Loading...
3844 Big Timber Tr PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA098373 Date Issued: 03/28/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3844 Big Timber Tr Lot: I Block: 4 Addition: Gardemvood Ponds 2nd PID: 10-28801-010-04 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Jon Post 1408 NORTHLAND DRIVE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Valuation: 5.530.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Scott P Anderson 1408 Northland Drive, Suite 310 3844 Big Timber Tr Mendota Heights MN 55120 Eagan MN 55123 (952) 881-9000 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: EA085171 Eagan, MN 55122 . Date Issued: 08/11/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3844 Big Timber Tr Lot: 1 Block: 4 Addition: Gardenwood Ponds 2nd PID 10-28801-010-04 Use Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Permit expired without required inspections. 4/9/2009 CE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Scott P Anderson 8910 Wentworth Ave S 3844 Big Timber Tr 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 l 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd ' _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 71M3 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Ze_14,awO Site Address Unit/Ste # 9KA__- 72:71/6921 Description of Work 1A6m i Fins 15 H / Multi-Family Bldg _ Y '-/"'N Fireplace(s) - 0 2 Property Owner 6Cb,rF- q/ eA ei /`iA)sE 6oAJI Telephone # (,&mil) Contractor RQ P- Address '-f City State Zip L5~S3 S'- Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (~l submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 State of MN Statutes; 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 approv plan in the case of work which requires a review and approval of plans. =e923 Applicant's Printed Name icanfs SignatmlC- OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code L Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 x HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding - Stucco - Stone _ Brick Fireplace R.I. -XAir Test Final _ Windows Insulation i- Retaining Wall Approved By: Ty-, Building Inspector Base Fee Surcharge Plan Review / MC/ES SAC City SAC Utility Connection Charge A S&W Permit & Surcharge Treatment Plant License Search Copies° Other Total CERT MATE OF SURVEY M 3 2 -16 0 3- 9 7 ti for JOE MILLER HOMES C rde Govern f -7a1 370.00 r°I1~ c~b~ R .115. 7 ~~V l \ \ - , ~ lNU, 907, 5 k t-r. t 9 ~q ~l S, 4 v L- r i ~ 1 I f -CJ-~~ % I 9~~ t d{~tD ` IIw 32.00 W 0 U3 D ~I zoo W \ i~ I 9 I g 3a 2.0 I ` I 8 " '^~i N.~ \ rn W I OI17.0 9.00 _ o ~ J C pomp I Nco 2 \ or 17.50 Er Phon 130x ° - \ N _ `9t5,aJ 8144'53"E Top curb to Gar slab = Z,4 Top block = J99-413 Lowest bsmt fir Scale: 1" = 30' 3844 Big Timber Trail DESCRIPTION I hereby certify that this survey, plan, or Lot 1, Block 4, report was prepared by me or under my direct supervision and that I am a duly Registered GARDENWOOD PONDS SECOND Land Surveyor under the Laws of the State Dakota County, Minnesota of Minn sots. Plat bearings shown o Denotes iron monument Date 2 5-&P' 1997 Reg. No. 8140 Existing Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 M32-1603-97 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ` 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. 1 A Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING ri - 9 !t Inspection Date Insp. Comments FOOTINGS _I~'~7 sJa S e-11 j FOUND el -7 "(,%A t;ke1 s ~vr.5 r~trZ FRAMING ROOFING ROUGH L PLUMBING PLBG AIR TEST _ ROUGH HEATING L-26,17 GAS SVC TEST INSUL I GYP BOARD FIREPLACE FIREPLACE fje AIR TEST p*~ FINAL PLBG FINAL HTG i ORSAT TEST BLDG FINAL BSMT R1 BSMT FINAL DECK FTG DECK FINAL f F CccupaucV CVit~ of *agan Zcpartracut of fnitbing Zn, Vcction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Uu Classification: SF DWG Bldg. Permit No. 30767 Occupancy Type R-3 U-1 Zoning District R-1 Type Const. Vn Owner of Building JOE MILLER HOMES Address 3459 WASHINGT DR., EAGAN MN 55122 ~ - 3844 BIG TIMBER TR L1, B4, GARDENWOOD PONDS 2ND M Building Address Locality Date: Building Official . POST IN A CONSPICUOUS PLACE i Address 3844 BIG TIMBER TR Zip 5512 3 Lot 1 BIk 4 Sub GARDENWOOD PONDS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: / Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ' Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Y ~ N l' Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 7 6 7 BUILDING (612) 681-4675 Date Issued: 09/16/97 SITE ADDRESS: 3844 BIG TIMBER TR LOT: 1 BLOCK: 4 GARDENWOOD PONDS 2ND DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 U-1 Construction Type VN Zoning R--1 Building Length 65 Building Width 32 Building stories 2 Square Feet 2,291 Census Code 101 1 - FAM. DETACH REMARKS: S&W PLUMBER = M&W SEWER & WATER FEE SUMMARY: VALUATION $210,000 Base Fee $1,437.25 MISC FEES $1.539.50 Plan Review $934.21 Total Fee $4,965.96 Surcharge $105.00 SAC $950.00 SAC % 100 SAC Units 1 Subtotal $3,426.46 I ' CONTRACTOR: - Applicant - ST. L I c OWNER: NORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES 3459 WASHINGTON DR 204 3459 WASHINGTON DR 204 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 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. atutes an of Eagan Ordinances. APPLICANT/PER IT E SIGNATURE ISSUED BY: SIGNATURE ` 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL A "s CITY OF EAGAN , ' 7 3830 PILOT KNOB RD - 55122 681.4675 New Construction Requirements RemodeUReoajT Reouirements ♦ 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: q'- l0-~l ►7 CONSTRUCTION COST: 1`.9 7L, DESCRIPTION OF WORK: STREET ADDRESS: T L, r %r-~, f i/ LOT BLOCK SUBD./P.I.D. r S b1 PROPERTY Name: Phone OWNER Street Address: City: State: Zip: CONTRACTOR Company: -T-P f~S Phone Street Address: 30f aaskt iL7 b4i License #:42UX-'9A;U City: _e~4n State: /1IZ Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): /Y7 V wJ r ug Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D v D Certificates of Survey Received Yes No SEP 9 1997 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY : BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. o 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex n 13 Garage/Accessory ❑ 20 Public Facility o 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace D 21 Miscellaneous ❑ 05 SF Misc. o; 10 = plex ❑ 15 Deck WORK TYPE 5:~ 31 New 33 Alterations o 36 Move ❑ 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION ON) Const. (Actual) -ZIA Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy 01 sq. ft. Fire Sprinklered Zoning Iz-1 sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length 145- sq. ft. Census Code. Depth ~ Footprint sq. ft. 2 SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~GIOi•Q~Q Surcharge Plan Review License MCMS SAC /mil Z . 2S !S ~ X '3, ~'5- City SAC 5~- Water Conn. t ;,0 Water Meter Acct. Deposit SM Permit SM Surcharge 7 S X _'~Z 0~~ d~ Treatment Pl. I Road Unitas Park Ded. Trails Ded. Z:r Other Copies Total: T~ % SAC SAC U - ~ bINNESOTA STATE ENERGY CODE-CA UTATIQU BASED ON CHAPTER 5 OF THE Lug MODEL ENERGY CODE - 12fl3 HrlITION (I Adoption Effective Owner ~/V C Phone pate Site - Address Contractor Ti` (~ti,,•(, .:._r f~? P one building Classification; Type Al (single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) _(Other', NQTE1 Complete pages ,3 and 4 first. GEHEIIAL 1HFORMATIOH 1. Building Parameter ft. t^ 2. Wall height (ground to save) ft. 3. 2. X 2. (,above) gross wall area 3 2 sq. fC. 4. Building dimensions (L) X (W) 1`" ; ((Ps 4g.ft.roof 6 floor area . 5. Sq. foot area of rim joist - Floor joist size (2 X_ 0 X Perimeter) _ ~sq. ft. 2 6. Doors - Area C Thickneus in U. factorsl4l,,41 Type of Conatruction Perimeter. ft. Manufacturer 7. Total doorts perimeter ft. B. Windows: Manuracturer /)J~ UL, L 71.E State approved. U factor 76~2 p .TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL UNITS SQ FEET 9. Total by. ft. Glass l -z- 10. Fireplace area: Width X Height 7 sq.ft. 11. Exposed foundation: Height X Perimeter LJ X ~sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE EIIERGY, OTHER THAN VIE MINIMAL CODE ALLOWANCE, IS USED. H SO/TO'd 6S92 ESP ZT9 T DNI IOoNuld 82:ST t766T-T['J-d3S 94 - Z~04 1~. 1'faming area 10t of gross wail area. 13. Gross wail area sq.tt. Window area A+ sq, ft. U windows .UxA a'7 Rim joint area A _s9. ft. U rim oist-_. UxA Door area A sq. ft. U door area= UXA = Other doors area h a Bq.ft. U other doors= '4 / UXA 1 Exposed fndn A sq.ft. U foundation-- UxA Framing area A eq.ft. U framing area=,A UXA Net wall area A~~. bsq. ft. U wall UxA (13H) TOTAL . . . . . . . . . UXA R ZIP/ 14. Gross wall area x 0.11 (A-1 single family & duplex) ~ allowable UxA/Code (13. above) x 0.23 (h-2 other residential) x .23 (other buildings) x .28 (Over 3 stories) BTUH must be larger than or same X U Coda A . ~ °F. as 13H above 15. Ceiling framing area (Af) equals lot of ceiling area 15A. Gross ceiling area = (L) x M I= 1(1~5 -1 sq.ft. 15B. Joist area (A.) A lot ceiling area _L_ sq.ft. 15C. Net ceiling area (Ac) (15A 158) - A V sq.ft. U ceiling x Ne M x OZL.a n17 U framing x A f e x 15p. TOTAL U x A 16. Ceiling area (15A) x 0.026 (A-1 Mingle family 4 duplex) allowable UxA/Cpde x 0.033 (A-2 other residential) x 0.06 (other) BTUH must be larger than or same X(15A)t I b ?'x U Code_ 10 Uv~! °F. as 15D above HOTEL Use U anti A values obtained from pages 11 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "Rn values herein and that the building here described meets or exoee.ds the state of Minnesota Energy Conservation Act. bate Signature SO/EO*d 6S92 ZSb CT9 T 'EMI `ODHU-1d 6c-:ST b66T-T0-d3S - . 1 . E1 If . ,5,k AL. _m-L x i~ ~3 - -2a---- 6-0-T-All S0%E0'd 6S92 ZSt- Zi9 T 'DNI 'OONU ld 6~~SS 1~65ti-'ff'i-d3S -VALUE " U VALUE air film .68 WALL xiaEdrtar wall • ` 5; '.'(Nall) U » A SECr1ON 4 Iawatatton `1. Stl;e■thf.ng ~,c~to #tding l 1'• Outside air film .17 V C> I Inside. air f llm ( ,68 STUD ioierIor wall .45 StrCrxoW 44'.5tud ~ R' (Fr aming)'U - R • Z .P(O 5h as th i ng outside air film .I7 V. R TOTAL ~r,> titter tar wall s SEGT[OH. Lpsylatton aIt) U g » -''r^ I xtertat wail cover n Exterlor•atr, film' R .11 R TOTAL ~ntertar air film R~ .68 • Rill lnbulatton 19.00 JOIST lnth soft wood R=1.88 (RIM ti a Sheatliing xo~' :oiSt) jxterlor; wa~l covering txtarlor' air film R= .17 - . . , R' TOTAL Z-.' . 46 R" fib enter Lot ' a lr film 'Insulation IFoundatlon 7"$ (Edn. U = - 1xter for a Ie film •R° .17 It TOTAL I k' 1 xpased Block t. Grade 3. SO/Pold 6S92 ESP GT9 T JhII `O'DW-Id OP:ST t,66T-' 1-d9S _ @SiYE R VALUE R VALUE FRAMING CEILING O1..fi I ~l~• d -Insulation-AL 4 Joist -0,56 --Calling Q.,56 AirF i l>Q ~....fi.l_....... . ~ otalR__r__r: Window infiltration 0.5 ofm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement lion--residential door infiltration 11.0 aft/lineal foot of crack Ub 12" concrete block no insulation s .47 R 2.1 Ub 12" concrete block insulated cores .26 R 3.8 Ub 12" lightweight block _ .32 R 3.1 Ub 1211 lightweight block insulated 6orea - .12 R 8.3 U single glass a 1.13; with storm window .54 U double glass - .55 U triple glass - .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm Max.). Vapor barrier must be on the inside (heated side) of wall. vapor barriers of the polyelthelexne thin film have no R value. SO!SO•d 6592 ESP ET9 T 'ONI `ODHO-ld OP:ST b66T-T11-d3S LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ~ PROPERTY LEGAL: ~ DATE OF SURVEY: Z7 9~Z_ LATEST REVISION: a rw DOCUMENT STANDARDS F a °z zz M" ❑ ❑ • Registered Land Surveyor signature and company ❑ • Building Permit Applicant Er"^❑ ❑ • Legal description :~[b ❑ • Address ❑ ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 2--`0 ❑ • Directional drainage arrows with slope/gradient % ❑ • Proposed/existing sewer and water services & invert elevation m-'❑ ❑ • Street name ❑ • Driveway ELEVATIONS Existinca ❑ • Sewer service (or Proposed) ❑ Property corners ❑ • Top of curb at the driveway ❑ o • Elevations of any existing adjacent homes Proposed ❑ • Garage floor W"O ❑ • First floor ff"' ❑ ❑ • Lowest exposed elevation (walkout/window) Property corners ❑ ❑ Front and rear of home at the foundation PONDING AREA (if applicable) ❑ 0'4'~// ❑ • Easement line ❑ ❑ NWL ❑ [r ❑ • HWL ❑ r-i • Pond # designation ❑ O • Emergency Overflow Elevation DIMENSIONS El' ❑ ❑ • Lot lines/Bearings & dimensions Q,-,❑ ❑ • Right-of-way and street width (to back of curb) ce, ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ❑ ❑ • Show all easements of record and any City utilities within those easements V, ❑0 ' ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ • Retaining wall requirements 'f any Reviewed: 71101 ame / ate January 1996 CRAIG199&BLDG PRMT. FM 707 , PATE 07/?1/98 TIMEn t5 % 11 s " ~,ir K` ( TIMBF9 50v011 3219 9901 1044 R155 9001 5s44 Big TIMBER 000 e.., a i ..,..H. Amount- ~ 50.50 r. . i..R1..195i: 2 i .t. N.MPx PERMIT CITY OF EAQAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 6 3 8 (612) 681-4675 Date Issued: 07/31/98 SITE ADDRESS: 3844 BIG TIMBER TR LOT: 1 BLOCK: 4 GARDENWOOD PONDS 2ND P . I . N 10-28801-010---04 DESCRIPTION: Buildihq Permit Type DECK Bu.Jdinq Work Type NEW ` Census Code 434 ALT. RESIDENTIAL REMARKS: PLAN REVIEWED BY BILL BRUESTLE. FEE SUMMARY: Base Fee $50.00 Surcharge _..m_ So Total Fee $50.50 CONTRACTOR: OWNER: - A p p l i c a n t CHEN KEVIN 3844 BIG TIMBER TR EAGAN MN 55123 (651)737-9914 I hereby acknowledge that I have read this application and Mate that t,he, information is correct and agree to comply with a.l.J, applicable State of Mn. I Statutes and City of Eagan ordinances. I eus APPLICANT/PERMITEE SIGNATURE ID ED BY: SIGNATU E - - - - - - - - - - - - r' P. 414 CERTIFICATE OF SURVEY M32,1603-97 for JOE MILLER HOMES a G ovr Cyr lgIE75~ 17 ) 370.00 %.0 L 11 7 C~ 1 INV, i} zoos O ~ Imo.. z.a (D o W .0 0 V ~tti 10 Q N81 Top curb to Gar slab 2,0 1 - Top block J19, 43 7~?,Z -fir Lowest bsmt flr - 9)17? L Scale- 1" = 30' 3844 Bich Timber Trail DESCRIPTION i hereby certify that this survey, plan, or report was prepared by me or under my direct Lot ' e Block 4, ' supervision and that l am a duly Registered GARDENWOOp l'ONp~ SECOND Land Surveyor under the Laws of the Mate Dakota County, Minnesota of Minngsota. Plnf hpnrinn-- ;-,hnwn _2 S CITY USE ONLY L BL ~ RECEIPT SUBDr~,~?~.I~O((~tt,~ RECEIPT DATE: / 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system - - - - - FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = JOIN0I111% ner * for existing dwelling 20.00 X = 26. U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC Iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ZQ . Ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the fae tias_mnstructed under this narmit within r;t% nroperty/right-of-way/easement. CHEN, KEVIN SITE ADDRESS: 3844 BIG TIMBER TRAIL EAGAN, MN 55123 OWNER NAME: (612) 452-3931 INSTALLER NAME: ~'PHONE Z27- '4055 STREET ADDRESS: SO CITY: STATE: Mn ZIP: 55`!0? SIGN RE RMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 V CITY USE ONLY LOT ~ BL ~ RECEIPT SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: t C OWNER NAME:' PHONE ~-t ~tD tG INSTALLER NAME: PHONE _<Voc ; STREET ADDRESS: ~~-cam CITY: - C - STATE: zip: J S GNA OF PERMITTEE I r CITY USE ONLY L BL RECEIPT: SUED. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for all commerciaUndustrial buildings. ► multi-family buildings when separate permits are W required for each dwelling unit. I DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee gj 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of nerrr ti fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE # TENANT NAME: (IMPROVEMENTS ONLY INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE* SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 5 1 RESIDENTIAL BUILDING 0 Permit Application c( rt City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodeUReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. it of house; and all roofed areas 2 copies of plan Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ~ Tree Pres Plan Read 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks , Tree Pres Not Reqd 1 set of Energy Calculations Addtion - indicate if on-site septic system Y On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bidgs with 3 or less units Date Z / 10 / 2003 Construction Cost 1106o-c" Site Address ,t8 q Ll ~ 1 _T f ►'h R ~ tZ ~ DMA) L Unit/Ste # Description of Work _DE (k ND l-l )cki C AELACE ~-X 151 WZJ Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2 Property Owner Sc CT7 AN) k h f / N DL P C aQU Telephone # ( ) Contractor =Ht Dpoll AND Dcx,& _ GAg f Atk Address 48-IS R> S C h mc A v c city t_ K A Iy State l zip 55 m23 Telephone # (G 51) 32 2 - "C i EXT ld COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate-gory 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calcula ' Licensed Plumber Telephone ) y Mechanical Contractor ! Tele~ one ) Sewer/Water Contractor 1By one ) I hereby apply for a Residential Building 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 State of MN Statutes; 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. A I HAC L. eILPN Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ti Sub Types ❑ 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 k 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy -il - =6(j- MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck)` Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace T R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector - - - - - Base Fee Surcharge Plan Review / MC/ES SAC G City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CER"nnCATE OF SURVEY M32-1603-97 for JOE MILLER HOMES Govern Circle f 370.00 R .115. 7 0 9~ y!J iNU 907-5 C.Q o M ~ \ ---36 lu I 9/8 9 " -00 \(j ~ or ~I zoo c Ii ~I I i o 3 °v -7 I 9 1 g CD ° cos \ p` ° I 200 f - to C J 1 0)6 F- I _ 0 )6 8 t7.0 9.00 =o LV' hy.Y .•aayt err \ a ao - m 0 I (.I Ch \ f.,o o o CD % 1 01 Er 17.50 772. I s 41) gis I F.r~ - tm° 0 Ption SOX a I w ~'vto 10 cr q 159.92 \ ~q 15~a J Ng1'44'53 E ~ EU Top curb to Gar slab = 2~O I _ 1 Top block = 9)9-- 43 Lowest bsmt fir = 911i'7 Z _ - .4 N71F ICU IMN Scale: 1" = 30' 3844 Big Timber Trail DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct Lot 1, Block 4, supervision and that I am a duly Registered GARDENWOOD PONDS SECOND I rind C.IIr%/P\/nr imdnr +ho 1 n%4- -f Dnkntn f'nunty. MinnPen+n 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date. Site Street Address ld< k-r-r- ~Y- Unit # Property Owner je -S Telephone # ( ) Contractor VK 0- Telephone #V, Address 7 2c) P6 I-X a City ev`1- State (t_ Zip The Applicant is: - Owner Contractor -Other Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener 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. /)Avro T4,~rc- Applicant's Printed Name A ant's Si at e 2005 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 05 4 ' { ~ / Unit # .U Site Address 09 Q ! ~CJt'.r ~~a~ Property Owner 3co r f Andzr~Q &k Telephone # ( ) Contractor , Q V t t U '-j7 Street Address Ca 5 Car t501~_t r~ City r► State M KI Zip Telephone # 0,r--,)z) N zI Bond lam- L l D b l l L05 Expires: (';3 D The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional _ Replacement New air exchanger air conditioner _ heat pump other M! 426- do t cf W 0 k W`2E It LLJ lu«h State Surcharge $ .50 Total $ 0 J v I hereby apply for a Residential Mechanical Permit and acknowledge t t the i mation i lete a ;that thew k wil be in conformance with the ordinances and codes of the City of Eag and with th chan'c Code ; t ers i not a permit, but only an application for a permit, and work is not to sta without a pe it; that e work will i accor c w th e approved plan in the case of work which requires a review and appro al of plans. Uro. I Applicant' rinted Name App 'cant' Signat 2005 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 permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) 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 _ Underground Tank _ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee $ State Surcharge If permit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial 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 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: Required Inspections: - U. G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat - Final CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit ► backflow preventer for underground sprinkler system FIXTURES EACH NO T TAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x _ Kitchen Sink 3.00 x Laundry Tray 3.00 x L _ Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x _ Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * yak Cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 6 OWNER NAME: / el- ltme~ INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING TELEPHONE* 423-1144 STREET ADDRESS: 14745 SO ROBERT TRL CITY: ROSEMOUNT STATE: MN ZIP: sSmg NATU E OF PERMITTEE 1998 BUILDING PERMIT APPLICATION RESID r ( ENTIAL) CITY OF EAGAN rte' 'r 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements 7 ~ I ' ~ " ~ ~ ~ 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: - / S - CONSTRUCTION COST; DESCRIPTION OF WORK: i -2 STR ET DDRESS: L } LOT: BLOCK: SUBD./P.I.D. 3 Name: C Phone `t ~2 3 31 PROPERTY Last First OWNER -7-~ Street Address: 3 ~ ~1-4 Trot, i [7a j~ ,L A111V -51r12' 3 City State: _ Zip: Company: Phone -3 / CONTRACTOR Street Address: Sl,p License # City State: Zip: ARCHITECT/ p ENGINEER Company: " Phone Name: Registration Street Address: Q- -5 City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required BY. - OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex 1~3 15 Deck WORK TYPE R 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~f. INSPECTION RECORD F, CITY OF EAGAN PERMIT TYPE:'`'' 3830 Pilot Knob Road 6# a x = Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612)1681-4675 SITE ADDRESS: t,,. , APPLICANT: a f t ( t s S t #~11 F i # t ~ = 6; t; ! 1'41 M ?°i €4 _ er p PERMIT SUBTYPE: TYPE OF WORK: INSPECTIONlYPE DATE INSPTR. INSPECTION TYPE DATE (NSPTR. # tli4 1d 9 °t #tt€ i€)t.tag 1 _[4 111 !i { 1 'I N A$ 6~ i F"# i"s f H f gg ~p rr y ♦ tt ' s"S ~~Y"~4. _u Y'r .i #,•I p'~i, i.##`~#?! ~~X st:~# C r 1~c'21~ Ti ~ 1 N Permit No. Permit Holder Date Telephone # ELECTRIC w PLUMBING _ HVAC Inapse3on Date h"P- Comments FOOTINGS ~7 Sv t 5 C.~GMI FOUND p d~rw5 v~Z FRAMING ROOFING PLUMBING PLBG AIR TEST d_ AV- ROUGH GAS SVC TEST A-7 -97 9A i INSUL 5~i GYPBOARD FIREPLACE FIREPLACE AIR TEST hl~ FINAL PLBG tl FINAL HTG /v ORSAT TEST BLDG FINAL .7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL >fTY OF EAGAN iNSTECTION PERMIT TYPE: ~ ~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I €P1 0I >t 4 APPLICANT: H4• r_' ts, r frii. rt c'it to Kr ` IN ' (:d 16f~drF t~iE-ftfCri'a E'~+ 1's". (40 i t ► 7-* i PERMIT SUBTYPE: TYPE OF WORK: N'PECTION TYPE • Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE' AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL / /a PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA103738 Date Issued: 04/11/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3844 Big Timber Tr Lot: I Block: 4 Addition: Gardemvood Ponds 2nd PID: 10-28801-04-010 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final. the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: hrech Exteriors Inc Scott P Anderson 5866 Blackshire Path 3844 Big Timber Tr Inver Grove Heights NIN 55076 Eagan NIN 55123 (61)688-6368 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 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - - I For Office Use ICJ 7 City Ol j1n Permit E I Permit Fee: / , (s~ 0 1 3830-Pilot Knob Road _ - I_ Eagan MN 55122 REC frf7 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 JUN 18 2p12 I Staff: I ILL 2012 RESIDENTIAL BUILDING PERMIT APPLICATION .v /L l~ Date: ~ f` /r Site Address: 7-)MACV ) Unit M m Name: zf Phone: RESIDENT / OWNER Address / City / Zip: > /I'I ► P / Applicant is: Owner Contractor i Description of work: I NA) h) ~ CJK r 1 7L- lit q- t ~6 (y►t~~ r°1 TYPE OF WORK rr ~x 6 Construction CosCS560 7t ~TR~e1~ AL Multi-Family Building: (Yes / No Company: aS /rh' q l_ Contact A f~ City: CONTRACTOR Address: State: Zip: Phone: L am' / ~192 License* W3 2, S S SS' Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fit/ 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 to State Bull ing Code must be completed within 180 days of permit issuances. x SZ 67 SZ ?4 6CAII x Applicant's Printed Name oQFV11icant's Sig re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) T Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex Lower Level Pool Miscellaneous - Accessory Building WORK TYPES 96ro M 0541 ISM* - New - Interior Improvement _ Siding _ Demolish Buildin _ Addition - Move Building Reroof _ Demolish Interio Alteration - Fire Repair _ Windows - Demolish Foundation - Replace - Repair - Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION tt~ ~r ~r Valuation l/ Occupancy , MCES System Plan Review Code Edition AI;~ 2 SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) *je Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:~ , Building Inspector RESIDENTIAL FEES a -OvAt Base Fee Surcharge Z(? Plan Review MCES SAC 1 " ~2 o u t> City SAC avv~ Utility Connection Charge 3 i S&W Permit & Surcharge f Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA105286 Date Issued: 0710612012 itj of 0n Permit Category: ePermit R Site Address: 3844 Big Timber Tr Lot: 1 Block: 4 Addition: Gardenwood Ponds 2nd PID: 10-28801-04-010 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney /flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Valuation: Surcharge - Based on Valuation $3K $1.50 9001.2195 3,000.00 Total: $90.00 Contractor: - Applicant - Owner: Fireside Hearth & Home Scott P Anderson 20802 Kensington Blvd 3844 Big Timber Tr Lakeville MN 55044 Eagan MN 55123 (952) 985-6675 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 07/11/2012 01:53 6519948701 JANECKYPLUMBING PAGE 01 Use BLUE or BLACK Ink I____,- For Office use >f: os3 41~ i Cat A ; Permit My of Eaua E~ l00 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Date Received; Phone: (651) 675,5675 1 I Fax: (651) 676-5694 Staff: /2/0112 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `rC ! d Site Address: 3 ~Llq / r~ L t Tenant; Suite S. Name: Phone: LXS/ Q'J? c/ 10740 RE~Ik>kFl~" ~ 'DER Address / Clty ! Zip: L / A4 Name: License Gdd('m ?COWAddress: City; State: Zip: Phone: ~-PS~ Z Z 7 c~_ _1 ~f Contact !4'V1 Emell; Zl j~'n dt/r n + ~ w New L-114placement Repair _ Rebuild w Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation Water Softener RPZ / ` PVB) Septic System Add Plumbing Fixtures L Main / ^ Lower Level) ,.s . _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 nimu Water Neater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Se tic S stem Abandonment, Water Turnaround' (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 $gotic Svstern New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES 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. erst o ecall. I hereby acknowledge that this information Is complete and accurate; that the worts 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 f plans, Applicant's Printed Name x 1F~Jpl• Applicant's Signature 'IItrl~lthnaF / DOW. >potY: ,,,1,~rfd~rQror~rrt~1 ,.,brfr~ltt ,,,.;:IIr 7C bas~i't... Use BLUE or BLACK Ink For Office Use ~3-7 1 1 I Permit I o~ City of Evan I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I Phone: (651) 675-5675 i Date Received: ' 12- Fax: (651) 675-5694 Staff: I 2012 J MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Z. Site Addre s: 3~y y ~ ! 2 C'• t1t k. Tenant: C-d 7~4 Suite _ Name: J~4 c a Phone: 0;_39'__ C} Qy~ 7 RESIDENT I OWNER aa Address/ City/Zip: Name: TAB • License / CONTRACTOR Address: City: 1J u 24js'V' Ae State: Zip: SS"33-7 Phone: 45Z- 7 y6 • S Z.cJ Contact: ti Email: Q4'! IIA'~@ Gi rr 6~ct ~lC~. c.i+~- New Replacement Additional Alteration Demolition TYPE OF WORK I Description of work: 'Md ./`C G40 e/- L'/e e A- . NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code Please contact the Mechanical Inspector for information on permitted screening methods RESIDENTIAL COMMERCIAL F Furnace New Construction - Interior Improvement PERMIT TYPE - Air Conditioner - Install Piping - Processed - Air Exchanger - Gas - Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) I Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ w TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%0 $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.aopherstateonecall.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. x x A /pli<cants Printed Name Applic Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use I CI i Permit#: it Eap Y of Per mit Fee: n ~.15 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 .5 1 ):9 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 ~ Staff ° - ° ° - - - ° - - ° - I~ i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f k /7 Site Address: 3&411 j?JL0 T/ J7 Fe -F(Zt) L- Unit M Name: -SCOTT- iJF~LSON- Phone: _65-1 303 ° 7 Z ) iv Resident/ Owner Address / City / Zip: ~ s4-i q 31 to af, ; 2 Tel #3 L Applicant is: Owner ~ Contractor Type of Work Description of work: r'No Peat.-/ lst- P/4f cSl cv- OP 15; V_/ST/A~G L l Construction Cost: ~j 0 Multi-Family Building: (Yes / No )-C) Company: I, /,t.i Contact: _~n~~y+ 1 21Pt,c-TT- Co tractor Address: ?Vgcp Dooy) P-p City: f_A(oAtit State: Mk -Zip: ``j~123 Phone: 3 t ¢~stt3 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~vILD (o t~+~ ~3 vt GTr'L c., t- rL- _ ~ ~~1 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 the 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.aooherstateonecall.on 1 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 B ' ding Code mu a completed within 180 days of permit issuance. x / Applicant's Printed Name Ap nt' ign r Page 1 of 3 Copies TOTAL Page 2 of 3 DO NOT ITE BELOW THIS LINE, SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation T HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge OW(W Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant / Copies TOTAL Page 2 of 3 P 4/4 s•+• WWA OF SURVEY for . 1603-97 JOE U HOMES ~ Govern i rt Av 1 %.0 CD 7 CD1 # V. qo7. 5 32-00 \ + t It u -7 LA P I 4V0 10 rTYAr ACA #~i 159,92 1 CAGAN Top curb to Ggr slab 1E%mF Top block = '1343 I ~ .w19~1~1! Y i~+Illr"MM~' ° Lowest bsmt Or = J t 7 DING IN PF`. State- 1" 30' 3844 Big Timber Trail aESCRiPMN i hereby certify that this survey, plow. or Lot 1, 81r,ck 4, report was preppred by me Or under my direct Lott E~~©fl l~t?Nt~S SECOND super+risaor~ and tirtcst ! om a duly Registered £1aks~ta County, A~snnesc~ta Land Surveyor under` the Laws at the Mote of M:P1n SG fJ- tint Konrennc chemn , r Use BLUE or BLACK Ink .--�---------------� I For�ce Use � . I ����� � ��}� �� �� �� � Permit#: � U `' D I T� I �E��,M� � Permit Fee: � 3830 Pilot Knob Road Eagan AMN 55122 �+'� 4 8�.� � Date Received: b'��� �� I Phone: (651)675-5675 I /�- � Fax:(651)675-5694 I Staff: 1`"1�-'� I ' � ---------------�-�� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C` � � � �,��' ��� Date:- V~ v � Site Address:���"! -rrvnr 1`�'�r� L's'�� �P Unit#: � �� - ;.� Name: ��� ��" �"' ' �n Phone:�"/��''��7if ��' t�� ,,,,,L�,,� i �` �fC��` Address/City/Zip: _ c���� ��5 �"'� "l�n'J �-��/1 /'�'� � � Applicant is: Owner ��ontractor Description of work: I'�a�'��D�►�''^'' �'��' "Cr11+S� ,�}c.1-c+}t, jJLi.,I' l��f��C�-��+" "��p��'���� _ � t - -:� Construction Gost: �� Multi-Family Building: (Yes /No ) .: Company: L�Pi Contact: �i�rr�� t�'i� r ` - Address: �c�]Z � � City: �`�t'#'�1'��#t��" ; ; State�'�Zip�� Phone:d�L'���! Email: �1`�G�1-�� ` .�� �< License#: �Jv�SS�_�ead Certificate#: h=����"1 �✓� If the project is exempt from lead certification, please explain why: 1�W1� ��'" 1�I7�'f' ' �'� COMPLETE THIS AREA ONLY 1F 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 8 Water Contractor: Phone: Fire Suppression Contractor: Phone: �7`��at�.���c���r�t���i��'+r�i���,��a�,�t�.��m����;,�i�T�r��i����f��r�����+�� �f����` #��i�f�r���'�rt�����I�s���d����an��bf�����r��prr��r���������+�r��a���,��p�r�`i���t�r , . } �������e t���� ` �r��+��.��t�,' � 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 af underground utilities. www.Qoaherstateonecall.orq I hereby acknowiedge that this information is compiete 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 ptans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mu t be completed within 180 days of permit issuance. x ��i�f� �(�li x ApplicanYs Printed Name Applicant's Signature Page 1 of 3 � � �o�� D�1�1'R�ITE BELO T S LINE � J 3�� � SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) �C Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi ` Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level , Pool _ Accessory Building WORK TYPES _ New � Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair �4 Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ���� /��= t�� Occupancy �(2C-1 MCES System Plan Review Code Edition ry�� ZpfS SAC Units (25%_100%�) Zoning ��� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Buitding) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile � Fireplace: �Rough In �Air Test �` Final Siding:_Stucco Lath ^Stone Lath _Brick � Insulation �Q Windows Sheathing Retaining Wail:_Footings_Backfill_Finat Sheetrock Radon Controi Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: � �� I� � ��`�/� , Building Inspector RESIDENTIAL FEES fYJ�ST,efL �jec�lza�i� j�,•t1oDE'j c}-�loS�� Base Fee �"�ft� S"f. F�" � Z�t�o �g � �fi Surcharge Plan Review �X t'�`l��'�5�/i3�'�,zo�.�-. MCES SAC �!°j` S f'�'r�C Z o,t� � S 9,1�J". c�ty sac �2��►ae�� G9�+��e � aa�S �3) Utility Connection Charge ��`dDi�r�a �c fA,T �'Lo� S�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � I �/ � � � Permit#: � ��` � I Clty of ����Il � � � � Permit Fee: � •� � I � 3830 Pilot Knob Road � Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 � � Fa�c: (651) 675-5694 L Staff:--------------i 2015 RESIDEIVTIAL PLUMBING PERMIT APPLICATION Date: � a Site Address: � L G�(/�'ri(, �J..2 � V , Tenant: Suite#: ReSiden#lOa�vner Name:_��l (�t.�-U'� Phone: G�,,,? —�G.3 -�-�8' Address/City/Zip:__ __ � G�.-�. Name: �C�. .¢C� p L� License#: �"�c�'�"-i�/� � Address: 1 �C� "7 t � � c Ciry: /`'t9"��� �� Contractor . State:_�_�Zip:_�[ 1-G Phone: L� �'"-�1 7 -' `rt'�-�� Contact: Email: Tj/�3e Of 1I�/+DTk —New _Repiacement _Repair _Rebuild �odify Space _Work in R.O.W. Description of work: < RESIDENTIAL Water Heater Water Softener �� � Lawn Irrigation�RPZ/ PVB) G( Permi#Ty�e �� — Septic System �Add Plumbing Fixtures�Main/_Lower Level) New Water Turnaround Abandonment �r,X`'�1 �"�"� ��''� �u�< �_ RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'`(includes State Surcharge) "Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Septic SvStem New(includes Counry fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq 1 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 wi proved plan in the case of work wh�ich reguires a review and approval of plans. X r�,� Jk�� X Applicant' Pr' ted Name � Applican s gnature f�R OFfICE USE Reviewed By: Date; Required lnspections: Under Ground Rough-In Air Test . Gas Test �inal Meter Related items: Meter Size Radio Read Manometer Staff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se BLUE or BLACK Ink �-----------------, � For Office Use I C�t of�a a� ' � ��3 �� � � � � Permit#:' I � 3830 Pilot Knob Road � Permit Fee: ��" �� � Eagan MN 55122 I � � Date Received: � Phone: (651)675-5675 � Fax: (651)675-5694 � I � Staff: � . . _________________J . 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. �/ /� �/--; / �- Date: .� �`� �� Site Address: � � y / /J� � l�/�'►����� �2�t� , Tenant: �J �� �"�+"l�x�"1 Suite#: � �,�� � y� � , �` _/ /� � ' � � �� Name �J '��T ���"��'Z�-, Phone: .. R�'td@�'t/{������ „ , , �-, � Address/City/Zip: .��y � ��• 6e/L, 2� `.�� ��� � , \ \ �;' Name: / ��t c. License#: � � � � ��� � �� `\ �� � Address: �Z 5 /Vic-. /�t-�" • -�' City: �'C.►1S✓'' LsL' �`it7�C��'c't'� �;� � cy � �\�_ ' State: �� Zip:-�T.j 3 7 Phone: /.SZ' 7 yro- S ZO �O >,�,��. : Contact: Email: / 4�� �n ��'� . cO-'� �� �� F - ` . ' .. � � .�' ' ��� New Replacement Additional � Alteration Demolition ,���:> �\�� Ty���i��+�N�� Description of work: !'" c� a tiY �� �.��\ TE R�sc�f�nc��n �, �� \ Y � � , \"�� [� ��r�und m�un�d rn+�cf�an���l ��� ��f�r�r��rired ta be scr�ened t�y t�r n = �,� � �,o,de. P1e�se��r e�techar�i�a[Ir��pe�€�rfc�r�nf� ��c���per���ted�s�re�n����ne� �� � : . ... ... ,,..W_. :. , ��..... ; ��� RESIDENTIAL C09VIMERCIAL �\� � � ��- � � � � �:. . . �� � _Furnace New Construction Interior Improvement ��\ � � Air Conditioner Install Piping Processed f�e. �� � — �� _Air Exchanger Gas Exterior HVAC Unit �� � � � � "�\� � �Heat Pump Under/Above ground Tank (_Install/_Remove) �� �,.��\ \� �� � Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New,includes State Surcharge =$ �V — TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee Surcharge=Contract Value x$0.0005 -$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , x ✓�2�+'1 a.., .. x � �L'�----��'_ Applicant's rinted Name Applican ' ignature `�� �. �`.�� \��'^ , \ �� ' � �� �\\\ � \y � �� \`��'��\ \� . ������� ���\� � �: •.#i� ���7a��I3�� s \\\���� " \� \ � F.�YI �F! �^�"� \ e.lf� Y�. �� � %GR 4"� y��FF' - � -:. �'`\ �., i �` : � \• "���\��\\\ \\ \ � .� S"� : -: ... \ : '.: \� � \� � �� ''�A'��. � : � �r��r��un� . '�`R��€�; �° �ir Tes� ����a�. �1� ,..:ti����..� °. €ta�He�t �arra�,.. I-�� �:��r���ii� � � .� �... �� PERMIT City of Eagan Permit Type:Building Permit Number:EA146778 Date Issued:11/13/2017 Permit Category:ePermit Site Address: 3844 Big Timber Tr Lot:1 Block: 4 Addition: Gardenwood Ponds 2nd PID:10-28801-04-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Scott P Anderson 3844 Big Timber Tr Eagan MN 55123 (651) 994-1076 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152767 Date Issued:10/31/2018 Permit Category:ePermit Site Address: 3844 Big Timber Tr Lot:1 Block: 4 Addition: Gardenwood Ponds 2nd PID:10-28801-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Scott P Anderson 3844 Big Timber Tr Eagan MN 55123 (651) 994-1076 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:EA176398 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 3844 Big Timber Tr Lot:1 Block: 4 Addition: Gardenwood Ponds 2nd PID:10-28801-04-010 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Scott P & Kari L Anderson 3844 Big Timber Trl Eagan MN 55123--247 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature