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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 +Rum 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 y ??/ Corot prke: T_ 4 I% akulm at L.7 ,Jw Stt0w71T "TAL t .. '- - - .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