3861 Big Timber TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3861 Big Timber Tr
Lot: 4 Block: 2 Addition: Gardenwood Ponds 4th
PID:10- 28803 - 040 -02
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Dryer
Comments:
Fee Summary:
Contractor:
Bruckmueller Plumbing & Heating
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686 -6696
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Thomas L Mart
3861 Big Timber Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA080160
10/01/2007
ePermit
PLUMBING (RESIDENTIAL)
Permit Application
ev, C4 City Of Eagan
3830 Pilot Knob Road Eagan Mn 55122
40 Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fa ' y Dwellings
Townhomes d Condos when permits are required for each t
?D.ql
Date 03 l l D "J
\
4 M (. Unit #
Site Address RD 1 6
Property Owner lom MaA Telephone # ((i f) ?? J?-?
Contractor
'J rrun Address city 1? ll X51 p.
State I Y I Telephone #
The Applicant is Owner Contractor Other
Septic System - New _ Refurbished Submit sets of pla s and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alteions To Existing Dwelling Unit, Including $ 50.00
, \ Adding fixtures to lower levels or room additi ns, excluding water s ener and water heater
_ Abandonment of septic system
- Water turr)around (+ 5/8" meter if need - $121.00)
Other: Lo W
RPZ new installation repair rebuild
$ 30.00
Lawn irrigation system
Water softener ater heater 15
00
.
_ replace nt additional
03 ;
State Surcharge gY? U $ .50
' '?.. ?. , z55D
Total $
i hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
oe in conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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.
(ikiisP fz/LS
Applicant's Printed Name Applicant's.Signature
Address 396 1 Rig Timber Trail Zip 5512 3
Lot 4 BIk 2 Sub Gardenwood Ponds 4th
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
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 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
31C? G J 3830 PILOT KNOB RD - 55122 '? r 1
l O I 651-681-4675
3
Now rem Remodel pd331r1RjegX-AlL--,,- ?56
> 3 registered site surveys showing sq. ft of lot, sq. ft. of house
and yp roofed areas (20% ma durum lot c overoae allowed)
2 copies of plans (show beam & window sizes; poured Ind. design; etc.)
> 1 set of energy calculations
n 3 copies of tree preservation plan H lot platted after 7/1/93
DATE: 2 -:2 _ __
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT:
BLOCK:
COST: t/?3 995
. ELr66(A)(-TQC1 T-Ord's 4?
Name: Phone #:
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company- f4c k)r4n Phone #: f a'? 1 2 ' /2
(area code)
CONTRACTOR
Street Address: 1-161 d license # `? Exp. 3
city State:. 2 D Zip: : i aa 2-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Street Address: Registration #:
City State: Zip:
Sewerfwater licensed plumber (if installing sewer/waterl: Milk) S-e r-i- Phone #: (Z ?I J :S
I hereby acknowledge that I have read this application, state that the information is , and agree to comply with all a Ecabie State
of MirNnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No y Not Required
2 copies of plan
1 set of energy calculations for heated additions
i site survey for exterior additions & decks
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Valuation: $ r7o v
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 - Accessory Bldg.
? 31 Ext. Alt - Multi
? 33 Ext. Aft - SF
? 36 Multi
WORK TYPE
31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFOR MATIO
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. / 21 Census Code
(Allowable) Main level s4. ft. ,10 MC/ES System
UBC Occupancy r , sq. ft. 1/1191 City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 'r i'-- Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 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 Units
% SAC
? 13 16-plex ?
? 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Plbg Y or _ N ?
? 20 Pool ?
Ab4<h-"*- 17k k k? -%-- '. / 165-0
01
%t,3'1O
ysy
71 U
?t?t2?? l ?/NXSZI =.
5`703.x-7
14750 Galaxie Ave-.. Suite. 104
Apple Valley, Minnesota 55124
(612) 432-2044
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
r?AME D, iZ H c? t? '"a ,,j PLAN NUMBER 14 A i 7t 'At
Determine working square footage of each
1. Total exposed wall area...... 3 9"? sq.ft. X
2. Total roof/ceiling area...... q-z z.. sq. ft.*. ::X .026 90.77
Total exposed wall area above floor = 3' `
a. Total wall window area ..................
b. Total door area ......................... -,.
c. Total sliding glass door area...........
d. Total fireplace wall area ............... --
e. Total wall framing area (average 10%) ...
f. Total net wall area above floor......... <'I
g. Total rim Joist area. ... 7 `-l
Total exposed foundation area = ?`7
h. Total foundation window area............
i. Total net foundation area above grade... ,7
Determine "U" value of each wall segment
a. X fluff .52 ?,vr3
b. X fluff . 139
c. X fluff .52
d. X fluff .68
=
e. X "Ulf .096 = (4. `4 q
f. X "U" .043
-
= It 9.0
g. X fluff Al
h. X fft1rf .52 -
i. X "U" .082
3. TOTAL .............................9`t
If item #3 is the same as, or less than item R. you have
met the intent of SBC 6006 (c) 2.
-1-
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L PROPERTY LEGAL: Z> ? /? ?r'?DE/?ll?v??Q ?O.ti`.r5 ? A'77/
I
h DATE OF SURVEY:
N
LATEST REVISION: 2' -
o DOCUMENT STANDARDS
0 4 4 `
? ? Registered Land Surveyor signature and company
,? ? Building Permit Applicant
r? ? ? Legal description
vv-'. 0 Address
? North arrow and scale
? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? Directional drainage arrows with slope/gradient %
?? ? ? Proposed/existing sewer and water services & invert elevation
? ? Street name
? ? Driveway
Eff ? Lot Square Footage
la' ? ? Lot Coverage
ELEVATIONS
Existing
g/ ? ? Sewer service (or Proposed)
V? ? Property corners
rV ? ? Top of curb at the driveway
? Elevations of any existing adjacent homes
? Adequate footing depth of structures due to adjacent utility trenches
Proposed
? ? Garage floor
C?? ? First floor
?? ? Lowest exposed elevation (walkoutMrindow)
? Property corners
?/ ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? ? Easement line
? ? NWL
V C1 0 HWL
g/ ? ? Pond # designation
? LY? Emergency Overflow Elevation
DIMENSIONS
/? ? Lot lines/Bearings & dimensions
? ? Right-of-way and street width (to back of curb)
? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
V ? ? • ' Show all easements of record and any City utilities within those easements
V ? Setbacks of proposed structure and sideyard setback of adjacent existing structures
?' ? Retaining wall requirements, if any
Reviewed:
March 1999
CRAIG/BLDGPRMT.FM
0
ti
CERTIFICATE OF SURVEY
for,
D.R. NORTON
Big TI
tuber
!SiL-T FENCs,
M32-2228-00
r
24'08'02 E 11 EE
1 4 _ 8.05,33.
0
W"-)
o S??V, o
j 11 E7go
12
22.so 9 ?I/
a.?7 _5792
to Gar slab
'SU
ffff?6?6;
S I N ,,Op 0 412.00
,. J WALgOUT- .,/
Proposed house g tl
Bsm t el ??4r3g o
1'3.86 I so.- 3
49 ''1 ?.00 C
4 All
ry,
00 ?? v O
10
LO
Ole N j 1.--
???o? ,'6bb?
dtnage &
utility
easemen
X6'91 /
/ 71.79
N 26'00'06" W
?.a za•3
eVIL C. 0 7,D
g 1-2
}?y?t
dpi
Top curb to Gar slab
Top block = _2°1
Lowest bsmt fir = 114s.3fi
3861 Big Timber Trail
DESCRIPTION
I hereby certify that this survey, plan, or Lot 4, Block 2,
report was prepared by me or under my direct GARDENWOOD PONDS FOURTH
supervision and that I am a duly Registered Dakota County, Minnesota
Land Surveyor under the Laws of the State
of Minnesota
Plat bearings shown
.
7
- o Denotes iron monument
X'?
-
V
'
Proposed
Existing
,,
a e
ZQQQ Reg. No. 8140 _,
??D00
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 M32-2228-00
CITY USE OILY
7?.Y
iri
L .....+....+' PERMIT*
RECEsPTt ...
@Y; t TOR RECEIPT DA
Yr•-?s
_ ?
+ Icy _. _ µ. .:. •.? ,5'.?
ON" bill"
-?? 1
-? -.. - i
C,?(,,... S50 foroub may oq
ONj RNAME: PHA :_ -
S
TENANT NAME POVEMOM
OW".
WAS ARE A PF VIOUS TENANT IN TM W
- ?. INS' A R:: ;w .
,g PHONE
( C ODE)
STATE:"
SILT Aid*P 1' rm
CITY USE ONLY
Ic" USE ONLY
PERMT,
L BL
sum.
APPROVED BY.?
*oX
3830P1
651-681-41375 ,A
for an ..
pi i
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bWk)?Wvhft "Mob POO! * W*
VATS- - - - - ' t'
Took wil?
Now amk*dm *W, U4
ns,
! .muvt * CezU., I+ I ? 1
E pit a?g inspeactor.
Das option of work:
40 its i `
Pis: I% of p tca?
5
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Corot prke: T_ 4 I%
akulm at L.7 ,Jw Stt0w71T
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.n.o+.w...+a•.r..wf....y...w-.+..f+«r?.w?.nr...r+nw
SITE. AJ)i*ESS
_ tr
OWNERNAME: IH?
AAR"
'
a
TENANT NA
f"tOVEMSON .
Y)-
WAS THERE A PREVIOUS TTNANT IN THIS SPACE? V 14.. i
INSTALLER
ADDRESS: PANE #:?_,,?_?..
(AM CWE)
,. STAT&
S43MTUREOF PERIL
14745 South Robert Trail Rosemount, Minnesota 55068 Area 651 423-1144
July 23, 2003
City of Eagan
Bldg. Inspection Dept.
3830 Pilot Knob Rd
Eagan, MN 55122
RE: Permit refund
To Whom It May Concern:
((i TM
We will not be doing any work at 3861 Big Timber Trail; therefore we will not need the permit
#58340. We are requesting a refund for this permit of $50.50. Please let me know if you
have any questions. Thanks.
Sincerely,
Genz-Ryan Plumbing & Heating Co. Inc.
Christi Falls
Permits & Inspections
RESIDENTIAL BUILDING
l(/ `( Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$-1o.aa
C't,U -t -114o-3
New Construction Reouirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas -2 copies of plan - Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. _1 site survey for additions & decks -Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / / Construction Cost
Site Address .3 ? I , /'4' Ti 'm 8 rR R 4 /'/- Unit/Ste #
Description of Work C&AIS7-R UL T Q EC.. f'/>C (
Multi-Family Bldg - Y __IN Fireplace(s) _ 0 2
Property Owner T Ilid pi X1-5 t{ /l l yY' /17$ (I Telephone # (GS"?/)
s o b
Contractor 4- S I L30 /I F_
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Catego
• Residential Ventilation Category 1 Worksheet
('l submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor ;1
Sewer/Water Contractor
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone # (
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 approved Ian in the case of work which requires a review and
approval of plans.
T-4 m &
Applicant's Printed Name Applicant's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace
? 03 01 of_ plex ? 09 07-plex ? 17 Garage
? 04 02-plex ? 10 08-plex ) 18 Deck
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level
? 06 04-plex ? 12 12-plex Plbg_Y or
Work Types
? 31 New
32 Addition
//? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
_ Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
Drain Tile
Roof _ Ice & Water Final
- Framing
- Fireplace _ R.I.
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Air Test Final
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool Ftgs _ Air/Gas Tests -Final
Siding Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By Building Inspector
----------------------------------------------------------------------------------------------------•
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
CERTIFICATE OF SURVEY
for .
D_R_ HORTON
Big
ale)
`897, k 61
D
1-2 S
}AWL
X62
M32-2228-00
ry //
v .
05
Top curb to Gar slab = I ,s _
Top block = --R32,09
Lowest bsmt fir = ' a `?_?}i'
Scale; 1" = 30'
N 26.00'06" W
3861 Big Timber Trail
DESCRIPTION
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 Mij sota.
F3ate _J 4-VOO _____Reg. No. 8140
Lot 4, Block 2,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plot bearings shown
o Denotes iron monument
Existing-,,, Proposed
BRANDY ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 M32-2228-00
T/
8?0 l Troil
lou??
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
,Iqo? V_?,
Office Use Only
Cert of Survey Recd _Y _N
Soils Report _Y _N
Tree Pres Plan Recd - Y N
Tree Pres Required - Y _ N
on-site Septic System _ Y _ N
nr_.._ _..,. ,.,..,..:,a.,r..A r...kk ,- inf,rw.a+inn iinlnec ynur ctatP they are trade secret and the reason.
rtaJJD alc %,J"Q 'usV uvna. ....s..¦.w ?...., .. -- -- - -
/ 07
Date I / ' Construction Cost 65 1 0O
_
Site Address c Unit/Ste #
A)J
Description of Work Vre Lag-
Multi-Family Bldg _ Y Xv N Fireplace(s) 0 2
O Telephone # 7 l
wner
Property
Contractor
Address t cYJ )/) ?-
elz_u
City
Zip SS C' Telephone #
State
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
(J 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
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone #(
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 approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Appl' V's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code 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) _ Sheetrock
Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation _ HVAC
Drain Tile Other
_
Ice & Water
Roof Final Pool _ Ftgs _ Air/Gas Tests _ Final
_
-
_ Framing _
_ Siding ` Stucco Lath - Stone Lath -Brick
Fireplace ^ R.I. -Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
----------------
for Otfice U
Permit V. City of EaQau
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
----------------
2009 MECHANICAL PERMIT APPLICATION
Date: C -D_ ZLZ? Site
Tenant:
Suite #:
RESIDENT / OWNER
D( ? '1e- Phone - 7 71 - C7
Name:
Address / City / Zip: be-r Tn 1
CONTRACTOR License #: iii l ?S 7 q 8 7
Dan Wohlers Southside Htg. & A/C
6950 W. 146th St., #106
Apple Valley, MN 55124 state: Zip:
(952) 431-7099
l t ,
...,.,;t person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: 14C.
NOTE: Both roof mounted and ground mounted mechanical-equipment is required to
be screened by City Code. Pleasee_contact the Mechanical inspector or one of the
Plan ors for inform rn on ermifted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
New Construction _ Interior Improvement
Furnace
Air Conditioner _ install Piping _ Processed
Air Exchanger - Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank (_ Install / _ Remove)
** When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 50• SD TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ X1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If it Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
i nereoy acknowledge that this in ormation is complete and accurate; that the work will be in conformance with the ordinances and codes or me uicy 01 cayai i, U? 141
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 Chct k-\k1Cx-5
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date
Required Inspections: __Under Ground Rough in _Air Test Gas ServiceTest In floor Heat Final
Exterior I-fVAC Screening inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165903
Date Issued:11/30/2020
Permit Category:ePermit
Site Address: 3861 Big Timber Tr
Lot:4 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-040
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
David & Christine Raiter
3861 Big Timber Trl
Eagan MN 55123--247
(612) 817-7592
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168202
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 3861 Big Timber Tr
Lot:4 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
David & Christine Raiter
3861 Big Timber Trl
Eagan MN 55123--247
(612) 817-7592
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature