3849 Big Timber Tr411//
City of aaa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
�. —.� `
Date: Site Address: er al
.� � ( i
41.
Tenant: J (1ii'% GAC[ &m i L LifYiel
Use BLUE or BLACK Ink
1
For Office Us
Permit #:
Permit Fee:
Date Received:
Staff:
(D°
J
Suite ft:
Resident/Owner
Contractor
Type of Work
Name: 1 4 I'�f ti NI r r I l 'j . 101 Phone:
Address /City /Zip: _3 859 a!s J lv t rat
Name: E d5 Pl.f Iris � �& License#:Address: )1t) City: La/&( I t
State: ALL) ,550 I n Phone: 651- 3 �/ 5J - 0 S /
,!
Contact: - IA&rG-bin Email: ed 0 eds ptuvn0d 08. it C-7
X New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
Permit Type
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New ba tY1 dt- bA
Abandonment
Water Softener
Add Plumbing Fixtures ( Main 1_ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5)8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) / /'� el"' o
TOTAL FEES$ Civ
CALL BEFORE YOU DIG. Call Gopher State One Call al (651) 954-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locales of underground utilities. www.doaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; That the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accorda ith the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
tiaPr.C4.4 (1'Lf2.16 .
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
1- 1 C9TY USE ONLY
L ! BL RECEIPT
,
SUBD. RECEfPT DATE:
PERMIT #
2000 PLUN?3ING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT IQdOB RD
EAGAN, MIId 55122
651-681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fes
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x f = $ ?'-
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x 1 = $ ?
Laundry tray 3.00 x = $ ,. '
Lavatory 3.00 x = $ ?
Septic System new/refurbished " requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 X = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x
?--
$ ct-I
Shower 3.00 x -z_ _ $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $ --
Water heater 3.00 x = s
Water softener If dwelling under constructlon 5.00 x 1 = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> ---> --> $ .50
Total -> -> -> ---? $ `?
Reminder: Call for inspections of alterations, i,e. water heaters, water softeners, etc. a ---------------------------------------------------------------------------------------- -------------------
------------------
-
1 hereby adcnowledge that I have read this application, state that ihe information is correct, and agree to co-mply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to nofrfy 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: -f.??r?-?? at' te._
OWNER NAME: TELEPHONE #:
(AREA CODE)
INSTALLER NAME: &*-11_117.- i2 i,'l TELEPHONE #: (??! LA7_-,:-I-)_"- I I LI tI
(AREA CODE)
STREET ADDRESS: i----
CITY: _bY")n?.,1.. STATE: IkA? ZIP:
P
?
SIGNATUR PE MITTEE
CITY USE ONLY
LOT I BL PERMIT #:
SUBD. Qrdeo W 0 0?? Pc, n cl RECEIPT #:
RECEIPT DATE:
State Surchazge
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: q' l2_C0
Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• iIVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Total
$ 30.00
6.00
_C,
.50
Complete this section onl if you are remodelin?, adding to, or re airin an existing single-family dwelling,
e indicate if it is a new item, alteration, or repair.
townhome, or condo. Pl ?
?
New Alteration ` Repair _ Other
Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS: c?g'/? Aj,
Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Tota1 $ 30.50
OWNER NAME: ?N PHONE #:
(AREA CODE)
INSTALLER NAME: _nriL°(11t1e0 PHONE #: 6C ?g
/ (AREA CODE)
STREET ADDRESS:,-??/,?/G
CIT'Y: ? T'oj STATE: ZIP?`??CSa
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN MN 55122
651-681-4675
?
- ° SIGNATURE OF P RMITTEE
CITY USE ONLY
L. BL
SUBD.
APPROVED BY: , lNSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECAANICAL PERMIT (COIrMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, rN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwe!ling unit
.
DATE:
WOI2It TYPE: New construciion uisi.ali U.G. Tani:
Interior Improvement Remove U.G. Tank
Processed Piping
R'hen installing/removing underground tank, cal[ 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OVVNER N .A,ME:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y
INSTALLER:
ADDRESS:
CITY:
PHONE #: - •
(AREA CODE)
N. NAME:
PHONE #: -
(AREA CODE)
STAT'E:
ZIP:
SIGNATURE OF PERMITTEE
? L BL CITY USE ONLY
I f,
SUBD.
RECEIPT #:
RECEIPT DATE:
PERMIT # `' "I C/ '
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EP,GAN
3830 PILOT IQN08 RD
EAGAN, MN 55122
651-681-4675
Ptease complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXT[IRES
CsI"u im
VnTS t
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas p'tping outlet • minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $ ,
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $ °.°
Lavatory 3.00 x = $ °
Septic System new/refurbished • requires MPC iic. 75.00 x = $
Septic System abandonment 30.00 X = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler 'rf dwelling is under construdion 3.00 x = $
Underground sprinkler ff existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $ ,. ?
Water softener if exjsting dweuing 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
TOtal ?- ; S71.
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
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- that-
I hereby acknowledge that I have read this application-
- ordinanoes.-
-the inf ortnation is coRed, and agree to compy with all applicable City of Eagan- -
It is the appliqnYs responsibility to notiy 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 propertylright-of-way/easement.
SITE ADDRESS: ? ?? ? 6?? / A,
? - ?
OWNER NAME: TELEPHONE #:
! (AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREETADDRESS: ?2,??--r-?.---` CITY: STATE: ZIP:
SIGNATUft O?-P MITfEE
M?3
?
.?
Site address: 7P. Lot _,1__ Biock Z
Subd. ?4rClY n. WopP ?!?as y rj•
On April 15, 2000 the Minnesota Energy Code, Category i Buifding Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the foflowing information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
?C OR q ? ??r?t? ? R Y Z
This structure: will be constructed to meet more restrictive re uirements of Cha ters 7672 or 7674
APPLtANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
water Neater x 40 sA 1,r.t,, z n ,l
Fumace 6M4arf' m4Xe n! p 5-e91rCcf
pryer v yi r. o vi P"- ! ar0
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM`s VENTED
YES No
Kitchen kiichen
Bathroom 1 04y ` r ?? #A V St s-O ,X
Bathroom 2 V pP e` $6
Sathroom 3 50 ?
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VEPITING
DIRECT ATMOS
mq; ?. x y?,r N C??a .sL 7 5b ,23 000
MAKE-UP AlR MODEL TYPE CFM's
X yE•?? AK. .2.6 1-1E zd5
I hereby acknowtedge that the above informaaon is carrect and agree to compfy with the Minnesota Energy Code and City of Eagan
requirements.
« , r c4.s?z/f/
Signature
D,R , tfoxrdi?
Company Name
Date
I/'/2 -o 0
` This form is the responsibility of the General Contractor.
a
?
Hlg? Effic1enC? ?eat
Rec0ve1? ?????lators
Venmar High Efficiency (NE) heat
recovery ventilators have the best effi-
ciency on the market; up to 95%. The
HE uniYs unique design was carefully
engineered to ensure noise reduction.
Because the duct ports are located on
the top, the units can be installed any-
where and take up very little floor
space, only a 2' x 2' area is needed.
W A L L C O N T R O L S &
Venmar for controlled comfort!
Your lifestyle has an impac# on the quality of
the air you breathe. To help maintain a con-
sistently good level of air quality, the HE units
require one central wall control such as.
The Supra control offers a maintenance light indi-
cator and three operatinq modes:
• Intermittent 20 minute exchange
• Low speed continuous exchange
• High speed continuous exchange
The Ultima control offers three add itional settings:
• Intermittent ZO min. exchange 140 ?-
min. filtration ?
`
• Low speed continuous flttration
• High speed continuous flltratlon ? ?+c
All High Efficiency units have the
patented "HomeShieldT"'" automatic
defrost system and maintain neutral
pressure within the home, no nega-
tive pressure is created.
The High Efficiency units are excep-
tionally quiet; 50% quieter than com-
petitors. All are equipped with the
"SilentSureTM" system which reduces
noise and vibration thanks to the in-
genious positioning of the motor.
REMOTE StiUITCHES
Optional Remote Switches
20/40/60 minute push button:
Press once, twice or three times for up ?,_ '
to 20, 40 or 60 minutes of high speed ??
exchange. Press once more to deacti-
vate. Ideal for use In bathrooms,
kitchens and laundry rooms.
20 min. wire(ess push button is ideal
for renovation projects. This remote ?
control turns the unit to high speed k?°" .
?
when excess humidity is detected. L
The HE uses a polypropylene
crossflow heat recovery core
that recovers the heat from the
stale outgoing air, and transfers
it to the fresh incoming air. It is
a simple, yet etfective way of
reducing window condensation
and providing continuous fresh
air during the heating season.
STALE AIR
DING
I S P E C I F I C A T I O N S I
,- ..? . .:? .;; ...,? , . ?= . _'. .. , ..
. _ HomeShreldTM defrosst?ng system ?; • , • '
? . .. .. __, .. _ ? ,. . . . . ,.. _. _,.: ... ..,, ;_ ..
'-- 5year warran#V ana3) parts ? , - ?. +??
_ : . . ....... . . .. : .... . ... . ... .. ._..: . _....
Lifetime warranty on core • . •
SPECIEICATIONS .
Apparent sensible efficiency at 327
.......... .. ._...
..
_
. 92%
. 95% 94°/4
..
.
..
Apparent sensible efficiency at -13°F
_. __.._.. _....... ...__... ..,. _ ._ ...... ...
..
.
.. ........ .. . .. . ...........
89°!0
_ ......
89°l0
89%
.
.
.
Sensible efficiency at 32°f _.
.. ....._,._......._.. ..
81 % .._ _._.._ ......._,.
84% _.._ . .._,..._.......
80%
Sensible efficienty at -13°F. 69% 72% 74%
Exhaust air transfer ratio .
._.. _,
1% ..........
...
1°fo ....._
........ .
1°k
Airflow at 0.4 in.wg. Maximum speed 730 cfm 197 cfm 265 cfm
Dimensions:
Height
_.......... ....... ...... .................... ._. .. ...... 27 in. (68b cm)
........... ............. 42J5 in. (108.6 cm)
........ ._ .
.. ._...
... 42.75 in. (108.6 cm)
...... ............. _.._..
Width
_..
_...... .._ _.,........_. ....__..... _ .......... 21 in. (533 cm)
............. ... .............. .
.
23 in. (58.4 cm)
_._ .
.. .. ...
..
..
. 23 in. (58.4 cm)
....___,..._.._.......
p
De th 24.25 in. (61.6 cm) .
.
..
.
24 in. (61 cm) 24 in. (bt cm)
Weight 80 Ib. 120 Ib. 120 ib.
<I}ate. QUOTATIO
ame; _
?Idress i '?
"Phcin?:' •
?
:
?
oTt'lops °
s Total instalCation;
I ? - Totai-
1 ?
TYPE CJF T NS'I'ALLA-FC:?:
Fully ducted system
With over 600,000 units
installed, we provide
innovative air quality solutions
vEr-I m RR'
C V US -?fle_ C u1 R?
? ?
Available at:
AVS by Venmar is the next generation of protlucts previ-
ously sold under vanEE by Venmar (U.S. and Japan) and
Flair by Venmar (Canada antl Europe) currently available
through your HVAC contractor.
LO
371 04645 0
0 7111172
FILTERED AIR TO
Exhaust ducted system
Sirnplifieii
:ar -'_.-.?=_ '
'?r?_-?_ _ ? ., . . .. ....
f'i:?i a. _ _
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 718
DATE: 09/22/00 TIME: 11:49:54
.
ID:
NAME : CONTROI,LED AIR INC
3213 9001 3849 BG TMBR TR 42.00{
2155 9001 3849 BG TMBR TR 0.50
Total Receipt
CR137808
USER ID: JAN
Amount: 42.50
?
CITY OF EAGAN
CASHIER:,JS TERMINAL NO: 786
DATE: 08j23/00 TIME: 10:35:53
ID:
NAME: DR HORTON, INC
3716 9220 3849 BG TMBER T 114.00
3713 9220 3849 BG TMBER T 50,00
3865 9220 3849 BG TMBER T 840.00
Total Receipt Amount: 4,680.47
CR136308
USER ID: JAN
*****************************?*********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 786
DATE: 08/23/00 TIME: 10:35:50
ID: p i
NAME: DR HORTON, INC
A
2252 9220 3849 BG TMBER T 30.00
3210 9001 3849 BG TMBER T 1,116.95
3866 9379 3849 BG TMBER T 100.00
3422 9001 3849 BG TMBER T 726.021
2275 9220 3849 BG TMBER T 1,089.00
3446 9001 3849 BG TMBER T 11.00
2155 9001 3849 BG TMBER T 0.50
3743 9220 3849 BG TMBER T 50.00
2155 9001 3849 BG TMBER T 61.00
3868 9220 3849 BG TMBER T 492.00
CR136308 ** CONTINUI
USER ID: JAN ** CONTINU]
--11- y a-?l1-{-
,- yZ 2000 BUILDIHG PERMIT APPLtCATtON (RESIDENTIAL)
y3?
t . , ciTY oF EAcaN
3830 PtLOT KNOB RD - 55122 %M-41
651-681-4675 D S ragisiared dte wrveys showinfl sq tt ai bt, sQ. tt. o/ house
and 91 rooted cmeas W%_msxttm lot coveraae aliowecn
D 2 copies of ptans (show beam & wlndow stzea; Poured lnd desfqn; sfc.)
D 1 sei of anergy c:alculaitona
D 3 copies ot ftae preservaNon plan It bt ploited afbr 7/1/93
DATE:
Re /Reoair a2guhments Culied 9 0
2 copies of plan
i sef of enerQy cdc?aHons for heafed addtfons ?
1 site wnrey for extedof addit(on6 & decks
CONSTRUCTION COST: z4f f
DESGRIPTION OF WORK:
SiREET ADDRESS: L:ZF'S-'1``?
LOT: ? BLOCK: SUBD./P.I.D. i:
Name: PMone #:
PROPERTY Wst First
OWNER
Street Address:
CNy Stafe• Zip:
Company:_ cj? • ? - ?h' ?`?? Phone #:
(area code)
CONTRACTOR
Street Addrass:.3?? Gv>?'ti'?7? aC?? ?'?c??"Ltcense #
Cffy State: Zip: - 6 ??2,
ARCHlTECT/
ENGINEER Compcny: Name:
I Telephone #: ( )
Sheet Addresa: Regishation C
Cfty Stcrte• Zip:
Sewer/water ticensed ptumber (if instatiina sewerhvater?: Phone #: ( 4??A i ?'?'`?? "' ?3& ?3
1 fiereby acknowtedoe thct I have read this applkaHon, date that Me iMonrxtbn is cortect, and agree to comply wiTh aN appBcaable Skts
of Minnesota Sbtutes and Ciy of Eaflan Ordinances.
Signcfure af App!'iccnt
OFFICE USE ONLY E ?°=' '? ?' ?
?- 5 2000
Certiflcates of Survey Received _\?Mes No W
Tree Preservation Plan Receivect Yes No ot Requir
OFFICE USE ONLY
BUILDING PERM{T SUBTYPES
O 01 Foundation ? 07 05-plex
M 02 SF Dweiiing ? 08 06-plex
? 03 01 of ^ plex O 09 07-pfex
Q 04 02-plex ? 10 08-ptex
? 05 03-plex ? 19 10-plex
0 06 04-plex O 12 12-plex
WORK TYPE
31 New
?
32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex t]
? 17 Garage C]
? 18 Deck ?
? 19 Lowec Level 0
Plbg Y or _ N 0
O 20 Pool ?
? 31 Ext. Ait - Mudd
? 33 Ext. Alt - SF
? 36 Mutti
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscelianeous
30 Accessory Bfdg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bidg)* ? 44 Siding
? 38 Demolish (tnterior) ? 45 Fire Repair
? 42 Demolish (Foundation) 0 46 WindowslDoors
* Give PCA handout to applicant for demoiition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable) 5-A1
UBC Occupancy ???
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? 8tucco/Stone
APPROVALS
Planning Bui{ding ?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traits Ded.
Other
Copies
Totat:
a" sq. ft.
sq. ft.
? Footprint sq. ft.
Census Code
MCiES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
?
Valuation: $ ?
?-- 5,'kl 7-
l ? ?? / :g °--
?
O
-7 1 S,k
?
sA
% S Cnits ?-?
/????
Address 3849 Big Timber
Lot I Blk 2 Sub Gardenwood Ponds 4th
Zip 55123_
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
?
Date: f•/R' + a/ Yes No Inspector:
Final grade (6" from siding) V,
Permanent steps (garage) oqele1.- tf-d Dr-
Permanent steps (main entry) ?
Permanent driveway '
Permanent gas
Sod/Seeded grass
TraiUcurb 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
. ?
.`
CERTIFICATE OF SURVEY
for
D.R. HORTON
M 32- 2378- 00
? ?-
S S'? .o. W32
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? Drainage &
utility
easement
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1 r».? ?Gar s1a?
? 5
91?•
? ?J $ 1E1
`TaP q19.zo
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31)vor`v?0-r
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rOp°se?qlbouge
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LOT = Z S, ?9"1 5 Q?.F; ,
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,k
REVI;`
?V`?
.. . .., . .. ..a ?' ?
Top curb to Gar slab
? Top block = -911-IL
Lowest bsmt flr = 9iUI
Scale: 1" = 30'
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
7Il) VG- ZppQ Reg. No. 8140
47•`?? ? ? C)
?
?
,
,
3849 Big Timber Trail
DESCRIPTION
Lot 1, Block 2,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
r -
?
? Existing? Proposed
1 ?? ??
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(952) 435-1966 M32-2378-00
. .
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L ? ?-
PROPERTY LEGAL:
?? DATE OF SURVEY: Cr,'
W LATEST REVISION:
?
p DOCUMENT STANDARDS
1_ Q
4 <
??
? •
Registered Land Surveyor signature and company
o ? • Building Permit Applicant
d ? o • Legal description
ta., ?
?` ? • Address
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? ? ? • Street name
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?` ? ? • Lot Square Footage
?? o • Lot Coverage
EI.EVATIONS
Ew.stina
qa,i ? a • Sewer service (or Proposed)
v ? ? • Property corners
V? ? • Top of curb at the driveway
?''??? p • Elevations of any existing adjacent homes
c a Adequate footing depth o# structures due to adjacent utility trenches
t?r/lo
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• Garage floor
? ? ? - First floor
? o • Lowest exposed elevation (walkout/window)
? ? ? • Property corners
? o ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? lb/ o • Easement line
? IV 0 • NWL
? ? ? • HVVL
? r? ? • Pond # designation
? ?' ? • Emergency Overflow Elevation
DIMENSIONS
? ? ? • Lot lines/Bearings & dimensions
4r ? ? • Right-of-way and street width (to back of curb)
m" ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanentfootings)
q/ ? ? •' Show all easements of record and any City utilities within those easements
w% a
?/ o • Setbacks of proposed structure and sideyard setback of adjacent existing structures
`
o o • Retaining wall requirements, if any -.11 /
Reviewed:
Name
/ Date
March 19A9
CRAIC3/BIpCPRMT.FM
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MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit #
Checked by/Date
COUNTY:
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-14-2000
TITLE: Hazeltine Walkout Lot
COMPANY INFORMATION:
D.R. Horton - Minnesota
COMPLIANCE: PASSES
Required UA = 911
Your Home = 658
27.8% Better Than Code
?
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
---------------------------------------------------------------------------
CEILINGS: Raised Truss 3672 38.0 0.0
WALLS: Wood Frame, 16" O.C. 4867 19.0 0.0 2
BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1204 0.0 10.0
GLAZING: Windows or poors, Above Grade 528 0.370 1
DOORS Sl 0.230
HVAC EQUIPMENT: Furnace, 90.0 AFUE
---------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other cal.culations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer Date
?.
:
CERTIFICATE OF SURYEY
for
D.R. HORTON
.- - -? ? -- -1 s e ?oo•iow Wfc2/
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? 51 utility
easement
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LOT = Z S, ?61 562,F17
400S6 - Z?SSO 5(Q.f'T:
, Top curb to Gar slab
Top block = 9 91 . 2P.
Lowest bsmt flr =
Scale: 1" = 30'
3849 Big Timber Trail
DESCRIPTION
I hereby certify that this survey, plan, or
report wos prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
Cl ?
Reg. No. 8140
Lot 1, Block 2,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
-- - -_
? Existing j Proposed
? ?. ......
Q.
BRANDT ENGINEERING & SURVEYING
, 14041 Burnhaven Drive, Su ite 114
Burnsville, MN 55337
(952) 435-1966 M32-2378-001
r
`4lo I ? V
• 3 roobWed ske surveYs stwwin9 sQ. ft. of lot, sq. ft of twm; 8rtd d roaled aneas
(209; tnax6rxyn Id covefage aNa+NW)
•2 coPies of I? shmkV beam 6 window sizeS, poured found design, etC.)
• t ast d Energy Cadculations
. 3 cppies of Tme Preservafkm Plan if lot platteci aiter 7t1/93
• Rkr?Joist Qefai t)ptions sdection sheet (bldgs with 3 or lesa unts)
DATE
; .
J48 S[fE ADDRESS_?31Yq: _.Bl/1: T)miP_,r
IF MULTt-FAMILY BUIIDIM£. HOW AAANY UNITS?
PR4PERTY OWNER Ltyij
TYPE 4F WORK-&Cj< FtREPLACE(3) _ Q_'I .,..*, 2.
APPUCANT / PHC3NE# 6-13
ACDRE
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?!P CfJt}E SI -Y- `?,?3
.
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PAGER # CELL PHt>NE # FAX #
NE1V RESIQENTIA! Bll1Lt?1NC 4NLY -FtLL 4UT GOMPCETEIY -
Energy Code Category MINNFSOTA RUI.ES 7670 CATEGO?,Y g? ?{
r
(check one) - Residential Ventilation Category 1 Warksheet
- Energy Envelope Cafculabons Submitted
? MINNESOTA RULES 7672
- New Enefgy Cade Worksheet Submft3
Plumbing Conhactor. Phone #:
Plurtbing System Includes: ? Water Softener ? Lawn Sprinkler Fee.$93.W.
? Water Heater ? No. of R.I. Baths
? No. of Baths
Mecfianicc! Gontrac#or. Phone #
Mechanical System Includes: Air Conditioning Fee: $7{? ?0
? Heat Recovery System
Seww/Watsr Gontractor. Fhone #
Alt abpve infarrnation must be submitted prior to processing of applicaifon.
?
I hereby acknowiedge that I have read this application, state that the informatipn is ccnt'ect, and agree fo
with ctil applicabte State ofi Minnesota Sfiatutes and City of Eagan Ordinances. ,
. Slgnatwe of Appliecrnt
CeffrAates of Survey Received Tres Preservatic>r? P{an Received _ fdof Required
. . . . . " . ' . .. . . . . . .. . . . . . . . . t; ... .C
, OFFICE USE C>Nt,Y
? 01 Fountiatbn
? 02 SF Uwelling
O 43 01 01` _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 31 New
? 32 Addition
D 33 Rlteration
0 34 Replacement
Valuation
Census Cade
SAC Units
Nbr. o# Untts
Nbr. af B#dgs
Type of Gonst
C] 07 05-plex 13 13 48-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 C3arage
? 10 OS-plex 1K 18 Deck
? 11 10-plex ? 19 Lower Leve(
CI 12 12-plex PfbgiY or _ N
0 35
? 36
? 37
G 2(3 Poot
? 21 Aorch (3-sga.)
Cl 22 fiorchlAddn. (+L-sea.)
0 23 PaFCh (screoned)
? 24 Stortn Damage
? 25 NUscettaneotts
Q 30 Accessory Bidg
? 31 E4 Aff - IVlutti
0 33 'ed: Ait. - SF
0 36 mutti
Int Improvement 0 38 DernoNsh (interior) ?44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (B1dg)" E3 43 Reroof ? 46 Wtncows/Doors
*Demolition (Entire Bldg only) • Give PCA handbut to appticsnt
Occupancy J '' 141" MClES System
Zoning City Water
...,_.._.._
Stories Booster Pump
Sq. Ft. PRV
length Fire Sprinklered
Width
REQUIRED tNSPECTi4NS
Footings (new bldg)
Rootings (deck) Final/No C:O.
Focitings (additian) Plumbing
Fouadation
Drain Tile
Roof Ice & Water Final Otiiier
_ Frau?ing ? Pool , Ftgs _ Air/Gas Tests _ Finall
_ Fireplace ^ RI. _ Air Test -Final ` Siding Stucco Stone
_ bnsulation , Windows (new/rcplacement)
Approved By Buiiding lnspector
Base Fee
Surchargs
Pian Fteview
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit $? Surcharge
Treatment Plan#
Plumbing Permit
Mechanical Permit
License Search
Copies ??
O#her
Totai
Final/C.O.
?
HVAC
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA106120
Date Issued: 08/13/2012
Permit Category: ePermit
Site Address: 3849 Big Timber Tr
Lot: 1 Block: 2 Addition: Gardenwood Ponds 4th
PID: 10-28803-02-010
Use:
Description:
Sub Type: e-Reroof, Siding & Windows/Doors
Construction Type:
Work Type: Reroof, Siding, Windows/doors
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
BL - Base Fee $12K $221.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $12K $6.00 9001.2195
Valuation: 12,000.00
Total:
$227.25
Contractor: Owner:
- Applicant -
Minnesota Exteriors Timothy H Lind
8600 Jefferson Hwy 3849 Big Timber Tr
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 City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RQRa�141lv
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
LI
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /4.1 q Site Address: 3 y9 ter, -6)88"R , 4/L (4Unit #:
Resident/
Owner
Name: tel L 1 AA) Phone:
Address / City / Zip: 5 8 LI 7- 816- Tr H. 0 t,e. 74t L
Applicant is: Owner contractor
Type of Work
Description of work. indir )4 /i C `vim) eiti t
Construction Cost: 1.441-1062e, Multi -Family Building: (Yes / No)()
Contractor
Company: t 1+U1 ft+ E 0 P2A-Sc wL N
r -r COVP%r 6ntact: 8 1-i iv �Frfe,J°of3�
Address: 7 r ev 6 34 er LS- or2 5 1.1 ') City: ( tow s eii-izik-
State: PrW Zip: CS LI 1( Phone: 7 (L — ---P3- 0,14'0
License #:_? C 1 & 0.7 7 I Lead Certificate #: 6"11-2Y1P 7
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
OU 1 L -r /21P -re 12 -1171
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
CONSTRUCTI
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
MechanicalF
Sewer & Water Contractor:
L do&p--A4,14 ,t L Ushw i // Phone: 1; c 7 '/ / 8 - in??
SO i - ifPhone: c -7' 7 3 oZ`.. LiTOT
Phone:
NOTE: Plans and supporting documents that you submit are consideredto 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 theyare 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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m
days of permit issuance.
ANN
Applicant's Printed Name
Applicant's S' ature
sbe cdmpleted within 180
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ;4
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
_ Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
X39
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
it Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
.Zew7
g-/
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
r
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath _
Windows
Retaining Wall: Footings _ Backfill
Radon Control
Erosion Control
Other:
, Building Inspector
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
q
/073
et/ 580ei-
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122332
Date Issued:05/05/2014
Permit Category:ePermit
Site Address: 3849 Big Timber Tr
Lot:1 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Timothy H Lind
3849 Big Timber Tr
Eagan MN 55123
(651) 456-9334
Allstar Construction Management Llc
5145 Industrial Street, Suite 103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136004
Date Issued:04/19/2016
Permit Category:ePermit
Site Address: 3849 Big Timber Tr
Lot:1 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy H Lind
3849 Big Timber Tr
Eagan MN 55123
(651) 456-9334
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136285
Date Issued:05/05/2016
Permit Category:ePermit
Site Address: 3849 Big Timber Tr
Lot:1 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Timothy H Lind
3849 Big Timber Tr
Eagan MN 55123
Marsh Heating & Air Conditioning
6248 Lakeland Ave N
Brooklyn Park MN 55428
(763) 536-0667
Applicant/Permitee: Signature Issued By: Signature