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3734 Brown Bear Tr
? r . CITY'6F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (611 2) 6 51-4675 SITE ADDRESS i i t tfr I ri 1 114 .{,. (iyv EFLk1? f',{. ?41s 1 f? l?i"? {? f? ! , i I PERMIT SUBTYPE: TYPE OF WORK: NrE1 INSPECTION D. • DA 11A',1!? . I i?',i 1. I : I+! i .? f? ?''. i i.' F ol 11 Ft F b, 1 11 N r,V N :1 14 YnM I"! t'll?; PERMIT TYPE: ' 0" ll I+ a Nr-; Permit Number. 7:3 4 6 Date Issued: f ;' 4 / 9 6 APPLICANT: , ( r. ? ,. • 1 14 -,:t t - 12 1 j Permk No. Permit Holder Date Telephone Y ELECTRIC PLUMBING HVAC Inspection e nsp. Comments FOOTINGS 1 FaUND ?2^ r? FRAMING ROOFING ROUGH PLUMBING PLBG AIRTEST ROUGH HEATING - W GAS SVC TEST INSUL GYP BOARD FIREPLACE AfR 7 S7 E tj?lt?'?(? FINAL PLBG ??/ r? / ?)(J rsc s FiNAL HTG 1 l L( ORSAT TEST BLDG FINAL BSM7 R.I. BSMT FINAL DECK FTG rQ,C? '- '7" /0" k) DECiC FINAL ' .. :. ? . a ? ti ? ,,, : y. PERMIT City of Eagan Permit Type:Building Permit Number:EA154039 Date Issued:02/13/2019 Permit Category:ePermit Site Address: 3734 Brown Bear Tr Lot:21 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-210 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 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory Simelgor 3734 Brown Bear Tr Eagan MN 55122 (952) 201-4761 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature ... . . , 1 , I -T+?w? s1.4??"?'cyK:w=?r'? 4" " . . '*?• '?w?. ?-> ..? - ' ? ?. ? R . .,.? ? I?%Cvfiftcate nf cccupauc? , ?. This Certificate essued'pursuant to the r+equiremenis of the Uniform Building Cocle certifying thai at the rime ojrssuarrce this structure was iM complrance wtth the variaus ? orrlinances of the City regulating bailding corrstruction or use. For the following: " uSE c1a$MfKM1;0n_ SF DWG/GAR ' Hldg. PcrvWt No 27346 oOpancy Type R'3 U'1 2aning aisuia R-1 zyPe comt. V-N , o.. ofiiiang COLLEGE CITY HOMES Addmn 14750 GALAXIE AVE., APPLE VALLEY, N ei,;? Addmu 3734 BROWN BEAR TR , om,;ty L219 B3, BLACKHAWK FOREST 55124 1 Duc: eodding ar - 1 POST IN A CONSPICUOU PLACE -1? • fi ? f . . ..Y?. ?_ - - _. . ,_.Y?,_??....._....??.,,.,....uW.?_..,?.?._,?._....,.._.?,,,.__?_..d,i:,._..._..?,_,.....?._..?....._. .____.._.._.`?.? - Address 3734 BROwN BEAx TR Zip 5512 ? IAt -21 Blk 3 Sub BLACKHAWK FOREST THESE ITEMS WERE / WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECI'ION. Date: Yes No ? Inspector: U\J Final grade (6" from siding) Permanent steps (gazage) Pertnanent steps (main entry) , Permanent driveway Permanent gas Sod/Seeded gress Trail/curb damage Porch Basement finish ? Deck Please verify with the buildet 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 exisis. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? Whik - Ciry Copy YeUow - Resident Copy Pink - Contractor Copy 28 8 - 5 3 2_ 5j OFFlCEUSE ONLY Thn reqoesl void 18 monlhslmm validanon dak prinkd in thrs hor O? PLEASE PRINT OR TYPE Reqaest Dah Roogh-in mspecnon reqmred8 ?Yes ? No Inepeaon OMar Thon Rough.ln0 Ready Now ill Call , - ? (You most wll fie mspecmr wh<n rmdy? Oak Reody: I, )Q licensed confroctor ? owner hereby requesf inspection ol fhe above electrical work at: Jo6 Mdmss (Sheet, Bov, or Ro?te Ciy ZiP Cede ss/a ? Secnon No. Township Name or No. Ra,e N. Fbe N. Counry ?? Oaup Phone No PowerS ar Pddr<ss Eletlriml Co acior (Campan), Nomel Cankotlon c?ense N Momr Lc. N. (Plonl Eled Only) ` as 9 Mailiig Addmse (Co dor or Owner Pehoiming InsMllcno ) & AuIhonxed ignalun (Cantmcror ar Owner Pedaiming IneMllati Phone Na l 8'? ?.? 4 l o D- EB-OOOOlA-10 6/95 STATE BOARO C'OPVI • SEE INSTRUCTIONSON BACKOF YELLOW COVY II ( II ?I?II f I REOUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity * 2 6 8 S 3 2 5 *. Phone (612) 642 V-080D m/? ? Paul, MN 55104 9Home upex Apt. Bldg. Other: New Addn 40 Commercial Indushial Farm Remod Re ir Air Cond. Htg. Equip. Water Htr. Loud Mgmt. Ofher: D er Ran e Elec. Heat Tem . Service "k' above ffie work covered by this requesf. Enter remarks in rhis space and on fhe back of the whiM copy only. Calculafe Inspection Fee - This Inspection Requesf wiII not be accepMd without fhe <orrecf fee: Olher Fee # Service EMrorroe $ae Fee iP Grcuih/Feeders Fce Mobile Home Park Stoll 0 to 200 Amps ? 0 to 100 Amps 1061 $treef l}g./fraffic Sig. Above 200 Amps Above 100 Amps TransformedGenemtor INSPECTOq'SUSEONLY TOTA?SQ Sign/Oudine Ug. Xfmr. ? Alnrm/Remote Conhol SwimmingPool ih,mbcern thaii?n: 4? 'coi , I ( o??hadoe?:wkd Irrigation Boom Ro„yh.m pay? „?{ $ ecial In s etl ion J dC/ 7i p p ive Fe e Investigo} ? Finoi THIS INSTALLATION MAY BE ORDERED DISCONN 9F N OMPL TED WITHIN 18 MONTHS. Clty Of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 ?----- U -----------I ? Pertnit #: ? j Pertnit Fee: ? Date Received: ? i ? I SWB: I L -----------------I 2008 MECHANICAL PERMIT APPLICATION Date: 0-7^DF'O8 SiteAddress: ? l? Y ????n ?eQ'r ??' Tenant: Suite #: RESIDENT / OWNER Name: L?h ?° G S e h'/ Phone: Address / City ! Zip: Name: Ne ay ,'/? ?aO /•" h bej, h License #: y3 Y / 62 CONTRACTOR Address: A9 7 3 /J 1a i/) e state: " zip: SSx/sy ci ry: Phone: 6 I Z' 3 a3-7/'J 2 Contact Person: TYPE OF WORK Alteration _ Demolition l - New _ Replacement Additiona ? / ??e ?'' o h (-af 1,'h e 7L? ri ?? ?4 ?' P ? Description of wok: 1 n 5 .? NOTE: Bofh roof mounted and ground mounfed mechanical equipmeni is required fo be screened by City Code. Please contacf the Mechanical lnspector or one of the Planners for information on ermitted screenin methods. RESIDENTIAL COMMERClAL PERMIT TYPE Interior Improvement New Construdion Fumace _ _ Air Conditioner _ Install Piping _ Processed Air Exchanger - _ Gas _ EMerior HVAC Unit ' HVAC units must be screened _ Heat Pump Under / A6ove ground Tank L Install ! Remove) Ofher "' When installing/removing tank(s), pll for inspection by Fire - Marshal and Plumbin Ins ector RES/DENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FiPB fBpair (replace burned out appliances, duchvork, etc.) (includes $50 State Surcharge) ' $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $7,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surchafge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby aGcnovAedge that this iniorrnation is complete and accurate; that ihe v.nrk will be in corrtortnance wi I understand this is not a pertnit, 6ut only an application for a permit, and work is not to sNart without a psrtnil plan in the rase of rk which requires a review and approval of plans. / X ??t J ? ApplicanYs Printed Name Appl?ant`s SI{ FOR OFFICE USE vRehrieWed BY: rrtne Orain ces ana coaes oi uie uiy ui "yaiy uiaL that the worlit will be in accordance with the approved Required Inspections: _Under Ground _ Rough In _Air Test _Gas Service Test _In-floor Heat Final Clty Of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ---------- I ? ?w Office Use ? I (va I ? Permit#: co 3 , ? Pertnit Fee: ? ? ? I i ? Date Received: ? I ? I Staff: ? L -----------------? 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: ? 1 J( V vO W n L.J 2C+- z R, Tenant: Suite #: 6JZ- ?S ?'? ? 6? ? Ph RESIDENT/OWNER one: Name: Address / City / Zip: Name: ea4,'!1 Ol l.oo De S; 7nL License #: 5 3?- ?/3 y 1 6 Z CONTRACTOR Address: 10?3 ? 0? e S vr5 : •SS /? ?/ zi B / 0. i h e st t p a e: City: p 18OP-1, S t t P 6 /2-3 2 -7( 7 2 C erson: ac 0 on Phone: 0 TYPE OF WORK - New _ Replacement V Additional _ Altera6on _ Demolition Description ofworki WOrr He14 Pvns and r¢??vn l,r Wo BflA VehiJ NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. P/ease contact the Mechanical tnspector or one of the Planners for information on ermitted screenin methods. RESIDENTIAL COMMERC/AL PERMIT TYPE New Construction _ Interior Improvement Fumace _ Air Conditioner _ Install Piping _ Processed Air Exchanger - _ Gas _ Exterior HVAC Unit ' HVAC units must be screened _ Heat Pump Under / Above ground Tank ? Install /_ Remove) Other " When installing/removing tank(s), call for inspection by Fire - Marshal and Plumbin Ins ctor RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FifB 1'Bp81f (replace burned out appliances, duchvork, etc.) (includes $.50 State SurCharge) ? $ ? SOO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installationlremoval OR Contract Value $4/5: x 1% $50.50 Minimum (includes State Surcharge) Perrnit Fee - If Perrnit Fee is less than $1,000, surcharge is $.50. - If Perrnit Fee is >$1,000, surcharge increases by $.50 for each =$ St2te Surcharge $1,000 Pertnit Fee (i e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this infortnation is complete antl acwrate; that me wonc v+ui oe m cornormance wim me oroiiiencas and cwea ?? L"o..' .y .,' ==yar...1,o. I undersfand Ihis is not a permil, but only an applicalion for a pertnit, and vrork is not to start without a permft; ttiat the work will be in accordance with the approved plan in the case of vrork which requires a review and approval of plans. X BOK I J x _,WwKSignat r ApplicanYs Printed Name AppYc FOR OFFICE USE Date: Required Inspectlons: _Under Ground _ Rough In Air Test _Gas Service Test In-floor Heat Final Clty of EapIl 3830 Pilot Knoh Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ i ?OE.C??iCBY,CJ58 ? Pertnit #: '71300c -5- ? I Pemrt Fee: 16p _6n ? Data Received: i ? ? Staff: L ---------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? Address: L Tenant: suite #: RESIDENTlOWNER Name: C 1IVL Phone: a Address / Citv 1 Zip? ??3? r?w N? v r CONTRACTOR lWC-- ticense #: &.?$'?' (67y' ?lv?1 ^4 Nam - e: Address: Zlmh l"L ?V d^^? ' City; ???? State: Zip: Phone: ?? ? ??????'Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESlDENTIAL Water Heater Water SoBener _ Lawn IrrigaUon j!<,Add Plumbing Fiutures ? RPZ / _ PVB) 1104Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) I *Water Turnaround (add $136.00 if a 5!8" meter is required) $100.50 Septic System New ($10.00 per as built) (inctudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ .. . .... . . I hereby aGcnowletlge that this intormation is compiete ana accura[e; mai me wonc win oe in wn?o... law 1- ..? Z" ."a ??"Florczs o .... ........., - will be in accordance with the approved plan in the case of work which requires a review and approval o,pl2fie'?_L x Applicant's Printed Name App' ture : ?. FOR OFFICE USE RewewedBy = Date Required Inspectibns: '_Under Ground ' ?Rough In ;, Av Test ` Gas Test „ "_Final , ? 5 g I? `? RESIDENTIAI. BUILDING = =;, Permit Application City Of Eagan 3530 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 z- New Canstruction Rewirements RemodeUfieoair Renuiremenls Office lJse OnN 3 registered site surveys showirg sq. R af IoL sq. K of house; and a roafed areas 2 capies W plan ' _ Cert of Sunrey ReW (20% mazimum lot coverdge altowed) 1 set of Eireigy Cakulatlons for heated adddons 7ree Pres Plan ReW 2 apres of plan showing 6eam & window sizes; poured found design, etc. t site survey for addlOOns & decks Tree Pras Not Raqd 1 set of Eireigy Calculations Add'A'ron- indicefe ifon-site septic system ' _ Onsite Septic System 3 copies of Trea P2servation Plan'rf bt platted a([er 7l1193 Rim Jaist Dehail Oplions selection sheet (61dgs with 3 or less unils Date Z- ! os Site Address l&vowr) 13 ea r Construction Cost ? V o uu TV-a i 1 UnitlSte # Description of W ork .QAA SdA 1 V CA Cf 4b ?,X IS-h ?I q Li C L k- Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property OWner P_ 1'?t v v 6`'-' Telephone #( b S 1) 4 5 z- 0 5la4 Contractor ?VOrYh ? lW1G} nrl Address ?QADb W RinvVi?,\o (I State M N P City L[VVlGVtI1{, Zip S s3 bU Telephone #( qSZ) 44 b-1`15 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residentlal Ventilatlon Category 1 WaAcsheet • New Energy Code Worksheet (J submissian type) Submitted Su6mitted • Energy Envelope Calalatlons Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor (?lf1 f?I Telephone #( Telephone #( FEB 2 8 2003 Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 NIN Statutes; I understand this is not a permit, but only an application for a pemut, 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. ILaVa Chtitsl-op?, e ? )AWGL Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Owelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types O 31 New X 32 Addition ? 33 Alterafion ? 34 Replacement ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex O 17 Garage ? 10 08-plex K 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N Valuation lOdO Census Code ?I?4,f SAC Units Nbr. of Units Nbr. of Bldgs ? Type of Const vw_ _ Footings (new bldg) _ Foocings (deck) _ Footings (addiaon) Foundation Drain Tile RooF Ice & Water Final ? Frazning - _ Fireplace _ R.I, _ Air Test _ Final 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 ? 20 Pool ? 21 Porch (&sea.) O 22 PorchlAddn.(4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage I O 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 37 Demolish (Bldg)• 0 43 Reroof O 46 'Demolition (Entire Bidg) - Give PCA handout to applicant ? Occupancy MC/ES System Zoning ? City Water _ St ' ? - B p ones ooster ump Sq. Ft. PRV Length ? Fire Sprinklered Width -- N_"' • ? 30 Accessory Bldg ? 31 ExL Alt - Multi ? 33 ExC Alt - SF ? 36 Multi Misc. Slding Fire Repair WindowslDoors REQUIRED INSPECTIONS Finavc.o. ? ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall _ l ?l l Approved By Building Inspector ? lsa6- 2007 RESIDENTIAL MECHANICAL pExMIT arrLicaTtoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pertnits are required for each unit Date12/ /Y /0-? Site Address 373 y /gY ol./n &l4r '' Unit # e Property Owner L.3? e h Q?J c, -/ Telephone # ( ) ?77 l U V ? C? S ? ? ?? 1 ? I , CA ` Il !?' p? `? Contractor ? h ?1 1 O4A3 0 e /rh e /+' ! Cit Street Address y State 11W/v Zip Telephone # ( 02 #• PL / 7 0 7 L/ / o Ex ires: ? J 1 ? Bond p - The Applicant is _ Owner V Contractor _ Other Fire repair (replace buYned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional _Replacement _ New air exchanger air conditioner ? heat pump ' ?1 ? `'S? D/ t -F- other A ki E R n G/ ?l k^ e* k e e, d2 j^ , ? $ .50 State Surcharge Total $ I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordivances and codes of the City of Eagan and with the Mechanical Codes; that I understand flvs is not a pemut, but only an applicatlon for a pemrit, and work is not to start without a pernrit; th e work will be in accordance with the approved plan in the case of work wlrich requ'ues a review and approval of plans. ?ohls , - ApplicanYs Printed Name Applicant's ature ?\ ? AVI 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside _1:..,. ,....k,. .. r?+o n r ?.,Cn+?.,.,c mnri narmitc ara reniiired_ wiu?ni ..?.. ..?..... ?... D 7 e j Q `f OUAJ b`,OQI? Unit # Street Address /7 S te Property Owner Telephone #( ) Contractor 2?N6 V I ?, 4i/V ?= /Telephone# 4 GWIQ ?° StateLdri v Zip E 2-15 Uf`? ze Cit 6 / 7 P l Address y The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alteretions to existing dwelling $ 50.00 ? Add plumbing fixtures to -y- main level lower level. This fee includes installation of a water softener and/or water heater at the same 6me. !f you are instal/ing on/ a wafer so(fener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $136.00 if a 5/8" meter is required) Other: Watsr Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigatlon _RPZ _PVB _new _repair _rebulld $ 30.00 State Surcharge $ .50 $ ?O Total d t? that the work will be I here6y apply for a Residential Plumbing Permit and adcnowledge that the information is wmplete an accura , e 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, woAc is not to start without a permit and work wili be in accordance with the approved plan in the event a required to b reviewed and approved. p pliranYs Prin ed Name ApplicanPs Signature .-> ? - -=- - - - - - - - - - - - - - i j Pertnilil: i Permi[ Fee: 9 76 ' ? Date Received: j I ? ? Staff. I I---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION CAIkd y-7`w Date: 3, 28, d?'' Site Address: S73 y Suite #: Tenant: RESIDENT / OWNER Name: ^ e ?- Phone/4-,j 46j;Pl 7k-W Address 1 City ! Zip: Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Construdion Cost: iw Multi-Family Building: (Yes _ J No ? CONTRACTOR Name: co" license #: " ga' Address: y U/O C? ,QN lQ/ N ?? ?sc/?p7 ?- City: ? '0 ? State: L'M(/ Zip: Phone: ??l L/l0 7??Off Contact Person: ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Ruies 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Su6mitted 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: NOTE: Plans and supporting docurt4ents fhaf'you subrnit are considered tobe pablic info?madon.,; PorYions of , the information may be,classirted es non-public'if you Provide specific reasons tha( would permit the City to- r conclude ihat the are trade'secrets. - ? k, I I hereby acknowledge that this iMOrmation is complete and accurate; that the work will be in conformance with the ordinances and wdes of the City of Eagan; that 1 understand this is not a permft, 6ut only an application for a permit, and work is not to start without a pertnd; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. XIL ? - v &Aw`z ApplicanYs Printed Name I? D ApplicanYe Page 1 of 3 MAR 2 8 2008 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool @ Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Fxt. Alt - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebWpergola) ? Multi Misc. ? 03-Plex 0 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' 0 Addition ? Move Building ? Reroof ? Demolish Interior ? AlteraEon ? Fire Repair C) Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolkion (entire building) - give PCA handout to applicant DESCRIPTION: Valuation -3.57, peo ?Occupancy ?_Zm? MCES System Plan Review „y Code Edition SF-C I SAC Units (25%_ 100°/a ta 2oning City Water Census Code y 3 A Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width _ REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) r Footings (addition) C-A.e f? I ?'^?" Foundation Aic3 ST'n H77? , Drain Tile ? Pol? ??aADs ? Roof: jIce & Water J° Final ?° Framing Fireplace:_R.I. _AirTest _Final y Insulation jj Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total Sheetrock FinaI1C.0. p FinallNO C.O. HVAC Other: Poal: _FOOtings _AidGas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick wndows ReWining Wall Building Inspector Page 2 of 3 SCAPE EAGQN DESIGN AND DETAILING OF NEW FRAMING AND TRUSS MODIFICATIOf?f??OVE THE GARAGE OF AN EXISTING RESIDENCE. CONSTRUCTION IS T DONE IN ACCORDANC ?TH THESE DRAWINGS, STANDARD INDUSTRY PRACTICE, AND THE REQ? NOTES ?rjr/ dS 1. CONTRACTOR IS TO VERIFY ALL DIMENSIONS AND CO???`'c cunwN anT?FV N,IN - R iRF.aNY DISCREPANCIES PRIOR TO PROCEEDiNG WITH THE AFFE?.?i.IPiSPECT101dS DIV?4lpAl 2. ADEQUATE SHORING IS THE RESPONSIBILITY OF THE CONTRACTOR. 3. THE INFORMATION STATED IN THESE DRAWINGS IS BASED ON SITE INFORMATION PROVIDED BY ILYA EPSHTEYN OF ILYA'S CONSTRUCTION COMPANY. 4. THE EXISTING HOUSE AND GARAGE FOUNDATION IS ASSUMED TO CANSIST OF MINIMUM 16" WIDE BY 8" THICK CONCRETE STRIP FOOTINGS BEARING ON SOILS WITH A 2000 PSF ALLOWABLE BEARING PRESSURE AND SUPPORTING A CONCRETE BLOCK WALL. MATERIALS WALL STUDS: SPF STUD GRADE OR BETTER DIMENSIONAL LUMBER: SPF NO. 2 GRADE OR BETfER LVL: 1.9E OR BETTER PSL: 1.8E OR BETTER ROOF SHEATHING: 3/16" THICK PLYWOOD/OSB (APA 32:16 HATING) FLOOR SHEATHING: %" THICK PLYWOOD/OSB (APA 4824 RATING) COpES 2007 MINNESOTA STATE BUILDING CODE w/ AMENDED 2006 IRC LOADS LIVE LOAD = 35 PSF (SNOM) LIVE LOAD = 40 PSF (FLOOR) DEAD LOAD = 15 PSF (ROOF) DEAD LOAD = 15 PSF (FLOOR) 22'-0"t I I ? R=1,800#" 3Y2" x SYi' PSL REMOVE WALL ABOVE & ? i J y COLUMN (GROUT SISTER EXISTING GABLE a p ? SOLID BELOM) TRUSS ABOVE TO NEW . p0 ? ROOF TRUSS i ?' W ° ?fO N w/ 16d NAILS @ 6" O.C. c'3 ACROSS 80TTOM CHORD i i N " ? R=1,800# i i i i (3) 13y" x 20 L VL* ? R=11,000# " 3Y" x 7" PSL COLUMN(GROUT ? 3Yz' x 7" PSL COLUMN SOLID BELOVV) fO (GROUT SOLID BELONn 60 * W12x300RW14x26STEEL BEAM MAY BE SUBSTITUTED FOR LVL's. BEAR ON PSL's SHOWN ** PROVIDE HANGER OR CONNECTION TO SUPPORT LISTED WORKING LOAD , REFERENCE PLAN S7 PARTIAL MAIN LEVEL PLAN SHOWN AT AREA BELOW AODITION I Residential Addition I Ilya's Construction Company I 3734 Brawn Bear Trail 4010 Coumy Road 101 Eagan, MN Ptymouth, MN 55448 5101EatRNerRaadSUpa90B i hmeMuNhMtlftkO?.?flcatlma?epat PeWlai DM Wcviptlai Mlnneapo110.WnnmWa S;M21 by mad,u? PMne:)6]SII.YSW Fu:?635)f.1188 ?matleme0uyllceneetlROfaNwWErginaer uMar tln 4vn N iha S?a of A4nreb4 BilrtBrtk OeNil LWe-Faryo-?inp?o95. $WuFYb Web: w«w.ulleUmm PAMNema: TfBVOf A%flEf ?engineers prnmgY;pm J 1 C?edied6Y' HPA1 ??' Oero: AlerrARSma MaWar: Tiu oa?.: 328/08 umneeN ?nx: 45470 e?„? 1 er 2 NEW ROOF TRUSSES ? ABOVE BY MANUFACTURER 51-00t , 3'-6"t EXISTING TR TOP CHORD EXISTING TRUSS BOTTOM CHORD NEW 2x4 MEMBER 2x6 LEDGER w/ (1) SIMPSON yy" x 3" SDS SCREW @ 16" O.C. 2x10 LEDGER w/ (3) SIMPSON - Ya" x 4" SDS SCREW ?D 16" O.C. ADEQUATE HANGER @ EACH END OF JOIST 2x10's OR 9Yz" I-JOISTS ?,d 16' O.C. EXISTING HOUSE WALL 3/4" PLYWOOD GUSSET EITHEI SIDE OF TRUSS w/ (8) tOd NAILS INTO EACH MEMBER PLYWOOD TO BE CUT LARGE ENOUGH TO FIT ALl NAILS STRUCTURAL BEAM (SEE Si FOR SIZE) SIMPSON LU24 HANGER @ EACH TRUSS CHORD REMOVE EXISTING TRUSS BEYOND , SECTION S2 I Residential Addition I Ilya's Constructlon Company ' 3734 Brovm Bear Trail 4010 County Road 101 E?an, MN Plymoutli, MN 55448 M1 EeM NMr Raetl Su'd3C8 NInMBpols, NImMOG 5fi121 Plrone: J635]12500 Fa:'lq.511.tt6B B4matk.DePUYIaYn-FN]0-Mmpob-SipvFal6 Wm: wwukqemm engineers Drawn 6y: RPA1 c? ey: aaM NWwatl BY: TM I hneEY cerlM NntMe VNI Waf+flra9ma?epat wa? pepara00y me a uMx my 6rect ei{eiWbn aM qutt am aQYy llwMaE PMaeimelSgYear inqBf 6e lews W Me Slem ol Mln? pdMH,,,,,; TrevorAxner sged: 0 , Daee: 3/28/O8 lkanse lumber 45470 PrqedNUrtbx: yMg}y,' (? ^ oa.: w,fchaasom JG &wete: s w x 14'-0° SIMPSON A34- CLIP @ EACH TRUSS CHORD 04/92'20a8 08:38 7635429155 JOFNSTGNE GOLDEN llAL PAGE a1i63 412I20U8 Page 1 ResitlonNal Heat Lbss and Weat Cialn CaICUlation ' In accordence with ACCA Menusl J Rsport Prsperod By: Por. BfiOWN BEAR 3734 BROWN 9EAR TRAIL EAOAN, MN Deslgn CondRioru: MinneapolislSt Paul Indoor: 8ummer lempereture, 75 Wlnter temp¢raWre: 70 Retabva humitlfty: 55 Outdoor: Summer temperature: 95 Wintertempereture: -12 Summer gralns of moisture: 98 Daliy temperstura rengeiVlsdium ?.? SonafWO Bulltling ComponeM Latent Gai" Total Nggt Gain Total Ha Oain (BTUH) (BTLH) (BTUH) (BT? Who{e Nouse E,498 sOL 22,50e 60?oment 3,851 478 All Rooms 1,248 aq,ft. .. _. - -- Irflltrstion - -- - 573 478 - Tighfie6s: Avg•; ?nterACH: J ; SummerACH: .4 , Floor 1?2411 sq.ft. 2' or more below 0 0 prade; Concrete; Not sppliceble - gaeament floor, W 1NaU BelcwOr 20B sq.fC - 81odc or Wick, entends l0 5' belaw qrada; R-11 N Wali 13elow(3r $64 eq.ft. - Block or bridc, extends to 5' below 9rade; R-11 E Wall BeluwOr 208 sq,H• dc bri k extends to 5' below grads; R-11 26,873 64,416 4,329 14,007 4,328? .. . 14,007 _ _ .11 1,051 4,110 Q ..2'468 O ?- 3 112 In.; 8 or 12 in. Block 0 Q 312 in.; 8 or 12 in. Block 0 0 3 92 fn.; 8 or 12 in. Black 0 ?870 ... . 1 fi09 0 -- ..870 - Blo or c , 5 Wall 294.6 sq.R. 417 0 41T 1,449 - Wood hame, with sheathing, siding or brick; R•79 S 1R in ; none 0 1.517 1,403 Window 474 sq.ft. 1,517 - Double pane; Wootl frama; Law emlttance - No inaida Shading; Coating: None (cle0r gl9as); No outside shading: Glaaedoor -} 42 aq.ft. - 1 344 p 1,344 1,243 - Siitling glese door, Doubie pane; Woad or vinyl frame; Low amittance 0410212908 98;38 Page 2 763542915E BuiWing Componant JOFNSTONE GOLCEN VAL BROWN BEAR Sensibie Laterit Gain Qeln (B7UH) (STUH) PAGE 92(03 41?J2008 Total Total Haat Oaln Haat Losa (BTUH)i 1BTUH) N Inside sheding_ CoBUng: None (clear gless); Nc ouESide shading, - . o 1 BSB _.___ 693 19 1,851 ?.... .735 - ...._. , ? T- Flrat Floa' ._ .?..__.._ - 961 5 1 -- . y ?- --- , 1 ..,_.. „_- 888 11 , -- .T 18,593 , , 73 9,248 sq.ft-- - ... All Roome - --- -- -?- - - 6 , 2,287__ 8,887 1,23 InfiltraNan - Tlghtneas: Avg.; Winler ACW, .7_Summer ACH .4 _-- io 2120 --- ---p g People 1,200 ._ ,_ _.... . _ ? 200 1 -.- . 1,200 _ Miscellaneous _,. . , _?_.._, -- 0 • ? _ . , ._- --- ? , 0 - ------ o 248 eq.fL 1 Floor - OVer CAtlditi0lted ep2Ce _._ --- -'- -?'-`---- a 28b ?023 295 W WeA 20S 9q.ft . Wood frame 6112 in._none_? with snaaShlng, slding or bnck; R•19 _ , ......_?._.__,?----?.?.__??_ 405 0 N Wall 286.3 sq.?. 405 1,409 __ - Wood freme, with sheaihing, sitling or brlck; R-19 5 1!2 in none -- '°' 790 Q Windawi__? .28.7 aG,ft. B07 507 - I]ouble pana; W1ood H'ama; Law amlttance - No +nafde chading; Costlnp_ None (elear glass); No outside shading. Window (2) 40 sq.R. 760 Q 760 1,184 - Double pene; Wood itame; Law emiltance - No inelda ehading; Caatinp: None (clmar glass); No outside anading,? __ __ ...__.._ - _' WindoW (3} 10 eq.n. 190 0 190 296 - Double pane; Wood ireme; Low emiltance - No Inslde afiadinp; Coating: None (Clear glass); No outside ahading. ___._._ 792 Door ._- -- 'sy.ft._.-.. _. , .. _ 228 0 Z? 228 -Wood; Saild; Nostotm ._. ,.._.... _._,.. .._._. ? . „_-.._ - __ - 0 . .....- --. , 295 .._,.. __.._. 1,023 295 208 sq.it. E W811 witfi sheething, siding vr brlek; R-19 5 V2 in ; none ,_ - Wood }rame ,. .. -- -- , --- 411 Q 90 B 2 q.tt. l 411 1.427 g, sidin or brick; R-19 5 112 in.; none g Wood frame witn sheathln g -- _ -- , _ ndow 40 S Wi 1,784 - qouble pane; Wootl irame; Low emittance outside shatlin • NO lnalde shading; Coating: None (clear plasa); ? 9. .. ,,. _..,... 1Mndow (2).. 12 sq.1t. 384 0 384 355 - Douhle pane; Wood frame; Low emitfence - No insid'e shading; Goetlng: None (clear glass); Na outside ahading. Glasstl0or 42 sq.ft. 11344 0 1.344 1,243 - Sllding glwxs doer; Dou61e pane; INaod or vinyl frame; Low emittanca - No inside eheding; CoaGng: None (clear glaes); Nn outside shadiny. 04102/2008 08:38 76a5429155 JOHJSTGNE GOLDEN VAL PAGE 93i03 Page 3 BROWN BEAR BuNding Component Sensible latent Gain Osin (87UH) (BTUH) i'otal Heat Gain (B7Uii) 412/2008 Total Haat Loss (BTUH) Sewrtd Floor 8,923 935. -- 9,858-_ ' ?-.2Q,816 - -- --- -- - -- - 935 All Rootns 0 6q.ft. ---- --- _--- 8,858 -_._. ,_..-- - 20,818 - ----- - __ -- _____...._. In8ltradon ------V 4- 1,120 836 2,D55 8,036 • Tightnese; Avg.; WiMer ACH; .7 , Summer ACH: A N Wali u 838 sq.k. 476 0 478 1,653 - Wood frame, with sheathing, siding ar brick; R-18 b 12 in,; nona - J _ Window -'_-- 48 ? ft 812 1,429 - Double pane; Woad freme; Low emittance - Na inside aheding; Coetlng: None (elexr glaae); No autside ahading. --- 0 E W811 ? 208 sq.k. 295 296 1,023 - WoOd freme, with sheathing, aiding or brlCk; R•19 5 1l2 in,; none S Wall 288 sq.k. 365 0 365 1,269 - Wood freme, wiN sheathing, aiding or brick; R•19 6 12 in.; none Window 126 sq,k. 4,032 0 4,032 3,730 . Dou61e pane; Wood ireme; Low emi8enee • No inoide aheding; Coetlng; None (olear gias6)YNO outeide ahading. ! 0 W Wali -?-- 208 sq,k. 298 285 1,023 - Wood frame, wilh sheathing, siding or brick; R•19 6 vZ'n.; nona __ _?._.- _.,,_,,. _.. _._._.._. _ _,. _..? ---- .__ . Celling_.. 1,248 sq.ff. 1,428 0 1,428 2,661 - Undervantilatsd attie; R•38 (10 inch); Dark ,,,_.._ ..,,__.. ,, ._._,..-.... . Whole House 2,486 sq.R. 22,809 5,364 28,873 54,416 HVAGCeIc Realdentfa14.0 by HVAC Computer Sy6tems Ltd. Lel! ala,ia!one wa •aNm4Me enry, neluei laetlg nry vry dW ro wratMr entl wiMKtlcn d!lormmn 1Q1 B /a? 7 2007RESIDENTIAL BUILDING rERvnT nrrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConstrucGonReouirements 3 registered sile surveys shaxing sq. R of lot, sq. R M house; and all roofed areas (20%maximum lot wvaa9e allowed) 1 Soils Report 'rf proposed building is lo be placed on disfurbed sail 2 capies of plan showing beam 8 windaw sizes; paured fawd dasign, etc. 1 set af Energy Cakulations 3 copies of Tree Preserva6on Plan'rf bt plaped after 717193 Rim Joist DMffii Op6as seledion sheet (build"mgs wiN 3 or less units) h9nnegasco mechamcal venblation fwm RemodellRenair Reauvemenls OfAce Use OnN 2 copies M plan shwreg footirgs, beams, jasls Cart utSurvey Reoi ,_ Y- _ N lselofEnergyCalwletimsfarheatetladditions SalsRepat- _Y_N t sRe survey far additions & decks Tree Pres Plan ReW ? =Y _ N. Add6'on-indicefei/onsfeseplicaystem TreePris Required_ ='Y-=N On-sde 5@ptic SYS1em -'_ Y- _ N Plans are considered ou6lic information unless vou state thev are trade secret and the reason. Date // / A / o7 Con stru ction Cost 004?"e G' Site Address .? 7 d? '/ /y?G8 Ls/1a ,s ? p A TlG G?' 'ZC- Unit/Ste # . / ..?LN Description of Work I'L-(??G(.li0 (?C ? w rr Ll?1 K-P ? £ Multi-Family Bldg _ Y_ N s) _ 0 Fireplace _ 1 _ 2 t P O hone #(k% ) O' G1"- 7,FJk Tele roper y wner i/ p ? / ?? CORtI'BCtOC y'I ? 1 ? ` - • • Address Vd/0 CQ.(,Zy « A/ _ City State 'a'e v Zip Telephone#(90Z) 4?1f-ItFy// COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • Energy Envelope Calculations Submilted In the last 12 monihs, 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 #( 7elephone #( 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 w riapproval of plans. ? ? ? ? ? gN 6 2007 Applicant's Printed Name ' Applicant' Signature DO NOT WRITE BELOW Tffi5 LINE Sub Tvpes ? 01 Foundation P'? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvoes ? 31 New ? 32 Addition ? 33 Alteretian ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck 13 19 Lower Level ? 20 Pool . ? 30 Accessory Bldg ? 21 Porch(3-sea.) ? 31 Ext.Alt-Multi ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Aft - SF ? 23 Parch (screen/gazebWpergola) ? 36 Multi Misc. ? 24 STorm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors •Demolition (Entlre Bldg) - Give PCA handout to appliwnt DCSCI'iDti0I1: WaterDamage_Yes Valuation 23_999, od Occupancy ?-- C ? MCES System Plan Review 100% or 25% Census Code y3 Cf Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final 10 Framing , Fireplace _ R.I. _ Air Test _ Final IV Insulation ? I Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge atment Plant eLicense'Search iCSOpIE'W:.? ? Othef ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plax ? 12 12-p1ex REQUIItED INSPECTIONS _ Sheeuock FinaVC.O. ? Final/No C.O. HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector ) :Total T??3 2006 RESIDENTIAL BUILDING rExMnT nrrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsiNCtion Reauiramffis 3 registered site surveys showing sq. R of IoL sq. tl of house; and all rooted areas (20% mazimum lot coverage allowed) 2 coDies of plan showing beam & window sizes; poured found design, etc. 7 set of Eneyy Calalations 3 copias of Tree Preservation Phn N lot platled aRer 711193 Rim Jois[ Detal Options seiection sheet (buildings wiN 3 or less un'rtS) Minnegasco mechanical venLlation form RemodeUReoair Reauiremenls 2 copies of plan showing footings, beams, )oisls 1 sel of Energy Cakulafions for heated addi(bns 1 sBe survey tor add'Nons & decks AddiUon - indicate B on-sife sept7c system Date -L/ qc> / C5 ii?> SiteAddress ?:33?K_?n?? Construction Cost p20 L== UniUSte # Description ot Work ZoZC `-t ?n '-'??fS.fnc?? VdU t Multi-Family Bldg _ Y?° N Fireplace(s) _ 0 _ 1 _ 2 Property Owuer ti-A b ne Telephone #(OOZ) 70 Contractor?'C?-'J?p??N1ro T?e?-tiSAA. Address l,L?oc*nhA° bm?J State P Zip ?51°S f?_ C'tY viloLibc '?.----- Telep6one #(4:;?-l )'7`??_?39-?I[) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I' _ Minnesota Rules 7672 Energy Code Category . Residenlial Ventila6on Category 1 Wwksheet • 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 # ( 4 (SC0,PG -'- ? "UseOri" ?eiq4°iiT .i?^b#? Qnatte Septic Sysi'em:z'?;r-_7=?._' N V ' I hereby apply for a Residential Building ermJit and aclmowledge 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 applicarion for a pemtit, and work is not to start without a pemtit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? ? --, cl« - onogpA .\k ApplicanYs Printed Name Applicanfs Signat?e DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 07 Foundation ? 07 05-plex ? 13 16-plex ?j, ?i 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? ? 21 Poroh (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes 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 O 34 Repiacement •Demolitlon (Entlre Bldg) - Give PCA handout to applicant DeSCfiDttoll: Water Damage _ Yes Valuation TQ? Occupancy MCE$ System Plan Review 100°h or_ 25°k Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V6_ Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundarion Drain Tile Roof _ Ice & Water Final _ ptaming - _ Fireplace _ R.I. Air Test Fina! Insulation REQUIRED INSPECTIONS _ Sheetrock FiaallC.O. FinallNo C.O. HVAC Other ? Pool ? Ftgs j( Air/Gas Tests Final _ Siding _ Stucco Lath? _ Stone Latt- _Brick _ Windows _ Retaining Wall a Approved By: , Building Inspector Base Fee " Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Searoh Copies Other Total p n???, 2006 RESIDENTIAL BUILDING rExNUT arrLicaTioN I ? ? City Of Eagan 4 C16- IX) 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 IT CI'`e? New Construction Reauiremenis 3 registared sile surveys showing sq. ft of bt sa. ft. of house; and all roofed areas (20% maximum Wt coverage agowed) 1 Soils Report'rf proposed building is to be plaCed on dlsWrbed soil 2 capies of plan showing beam 8 window Saes; poured found dasign, etc. 7 set of Energy Calculatlons 3 copies of Tree Preservation Plan ff lot platted aflar 711193 Rim Jast Defail Optlons seled'an sheet (buildings wifh 3 w less units) Minnegasco mechanial ventilafion form RemodeVReoair Reauiremenls 2 copies M plan showing faotlngs, beams, Joists 1 set of Enetgy Caka?lations for heffied additions t site survey for addWns & decks Addfion • indkafe it on•sAe septic system E&forsu?y,??== ?;':_N snils „Reaatz??`?.,:?:??.. y7::?.N sf.-. ' :?. ?".??,.?; N TfBe'PfeyB,?ReQu??w ??U":?=,,i••?? r,4, };_N / S' I7 Date 0? ConstrucGon Cost _ 2 Site Address ?7r3 Z: ,L2l!/ /7 e" 72a-i / UniVSte tF Description ot Work _i 1e?f' 4 ? 4 ft rQ0 ^ Mutti-FamilyBldg _ Y LN Fireplace(s) ,_ 0 2 /'p /l O J ?i14 m e1/ ?' /lY r/ Telephone#(?/)1/w, wner Property a - i Contracror Address ?5 (P 171 City :S'/2 ?Cc'GtrrZ State l?? /v Zip ?'iSCF,2 Te?ephone4(//57) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catezorv 1 _ Minnesota Rules 7672 Energy CodB Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (d submission rype) SubmiNed Su6mitted • Energy Envelope Calalatlons SuCmiHed In the lost 12 months, has ihe 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 Pertnit 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 appro al ofpla s. 7, Ap licanYs Pnnted N e Applic 's Signature PERMIT # 1-? S-? RECEIPT DATE. C) ` ?? - RUIDENMAL ]PLUMING PEOiT A"LICATION crrY og EwsM saso Pn or xxoe sn E?enx, buv saizE POSTED Please complete for: D single famiiy dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for irtigatlon system ' SITE ADDRESS' `? 7??I j?? 2\?i;C\ l JC?A? \ CCv OWNERNAME:: TELEPHONE#:?La- OC-?4 • (AREA CODE) INSTALLERNAME: ta??elf!RF soras TELEPHONE#:?_ q3\-?(01(., STREETADDRESS: 6?5 12tt? Avsnue 6u?- (nR?n.COOe) 55343 CITY: STATE: ZIP: Place a check mark next to the ermit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, mod?cation or alteration to existina dwelling unit, including: $ 50.00 • abandonment of sepGc system • new instailation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work:??c¢.. \,.Yt? YlPn?_ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC Iicense State Surcharge $ .50 Total $?? Reminder. Be sure to schedute inspections of alterations, i.e.,water heaters, Water softeners, etc. cVV I herebyacknowledge Ihat I have read this appliqtion, state wat the information i correU, and agree toI complywith all applicable Ciryof Eagan ordinances. It is the appllwnPS responsibility to notity the property owner that the Ciry of Eagan sumes no liabiliry tor an damages caused by the City during its nortnai operational and maintenance aclivities to Ihe facilities constructed under fhis permi ithin Ciry pr lrigh -wayleasement. 851-891,4875 Updated 1/Ot ,.:. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C2o554P l9 BUILDIN6 027346 04/24/96 SITE ADDRESS: 3734 BROWN BEAR TR LOT: 21 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-210-03 DESCRIPTION: Auildini??.,Permit Type •Building Wq,r.Sk Type UBC Ocoupency$,; C on's C r'u c ti drr'• e 3on3,rtg 80ildihg Lengtwh' Sui,,ld,ip:g Width r i e s SF DWG NEW R-3 U-1 V-N R-1 64 37 2 1,912 101 1 - FAM. OETACH t°? ?j ir-r"? i`? C; p•;m?(.?., j 3 ,c' ?.^? "i ?,.{._?v,., ?ea rt"1 r-t?. i? >'t,a f`3' ?,i'° :`?7? E.i 1`,^.?.-v-• rt?" ?l ???? °`I `t;??? ? ? ?? ? ? .'? u t'w'? ' ? REMARKS: S& W PLBR - GENZ RYAN PIBG FEE SUMMARY: VALUflTIDN Base Fee Plan Review Surcharge 3AC SAC ? SAC Units Subtotal $1,197.25 $598.63 $81.00 $900.00 100 $2,776.88 $162,?090 MISCELLANEOUS $1,923.50 Total Fee $4,700.38 CONTRACTOR: - ppplicant - sT. LIC.OWNER: COLLEGE CITY CONSTRUCTION 14311211 0001209 COLLEGE CI7Y HOMES INC 14750 GALAXIE RVE 100 14750 GALAXIE AVE 100 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-1211 (612)431-1211 ?L I hereb'y acknowled informa n'is cor StatutfAnd.Cxt.y/j ;e that Z have'9read,£hks dp,pl.i'caCicn ` and state that thq rect an_d.. a,9ree'atp c0mP1 y? witb all pRplic.abls $taCe vf Mn. yf.Eagan.4,rdinances, 1 . _ . ° . .? VATUFE SUE I TURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1q54C 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 cA.? t'(t __ n' ._I ,) "?" Z u ? 3 registered site surveya ? 2 apies of plens (indude beam 8 windax sizea; poured Gid. design; ece.) ? 1 energY cekuletions ? 3 eopies M tree proaervatloqn H bt Platted afler 711/93 raqulred: _ Yea No DATE: DESCRIPTION OF WORK: STREET ADDRESS: -(/ Itn ? 1/«AuI I -l? LOT la BLOCK ? SUBD./P.I.D. #: COST: `e6iIM PROPERTY Name: Phone #: OWNER `"" Street Address, City: ? State: Zip: CONTRACTOR Company Phone #: 4?i.izil Street Address: License #: v City: State: ? Zip•( ARCHITECT! Company: Phone #• ENGINEER Name: Registration #• Street Address, City: State: Zip: 5ewer & water licensed plumber: ?hqt'9?w? Penalty applies when address change and lot change are requested once pertnit is issued. I I hereby acknowledge that I have read this application and state that Meimation is ct d agree to comply with all A A/ applicable State of Minnesota Statutes and Cily of Eagan Ordinances. A , A OPFICE USE ONLY CerBficates of Survey Received Tree Preservation Plan Received ? 2 copies of plan ? 2 sNe suneys (ezterior etlditions 8 dedca) ? t energy eelalations for heated additians Signature of Applicant: PJ.. V Yes o _ Yes ? - ? r U v ? R E c ?? V ?? ApR 1 2 1996 --------------- BUILDING PERMIT TYPE OFFICE USE ONLY a.. • 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 31 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ?,f5 MC/WS System ?--, (Aliowable) Main level sq. ft. ? City Water UBC Occupancy 2- '-? sq. ft. ° p Fire Sprinklered Zoning sq. ft. PRV # of Stories 2 4?? sq. ft. Booster Pump Length 16 sq. ft. Census Code. /Or Depth 37 Footprint sq. ft. /?7_ SAC Code w/ el ?? 2q Census Bldg ? Census Unit i APPROVALS , yr (? Planning Building Engineering Variance Pertnit Fee Valuation: Surcharge Plan Review - License ?,M-/3 y la -/ S MCNVS SAC /sx Sz 790 ° City SAC Water Conn. l7 x 3y °??? Water Meter nA,,,-?X i.s' ° 9 = g /62, o00 T Z ??x?.? <9) Cye2x7) /7, , ? yo D 3 Z Acct. Deposit S/W PermR Zb sNV surcharge z e 7-x'7;/ ??, Treatment PL z s?- y?J ?- `G Road Unit ? Park Ded. 2 ? Trails Ded. Other ?sXsZ ? ?80 Copies /3X3Z ? y(6 `? Total: % SAC SAC Units ? X 2y 2/ ??yG .33X 9 . C/? ) ? Cy ) ? O? ? m ? 0 &--'o ? ?? o ? ? fY ? ? ffll? ? ? m-`o ? y+? ? O ? o m---?o o ?? ? ? l9? ? ? l9 ' O Q- ? ELEVATIONS EbsHna • Sewer service (or Proposed) • Property comers • Top of curb at the driveway • Elevatlons of any exassdng adjacent homes Prooosed 110'0'?o o • Garage floor 0 ? ? • Frst floor - / O • Lowest exposed elevatlon (walkouNwindow) ? O • Praperty comers 8"?'0 ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? Er0 • Easement line ? 0-?o • NWL ? m?'0 • HWL ? • Pond # designation C3 ? • Emergency Overilow Elevation DIMENSIONS &I' ? ? • Lot IinesBeadngs & dimensions C+l?'o ? • Right-of-way and street width (to track of curb) ?0 ? • Proposed home dimensions including arry proposed declcR, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanerd footings) C4-'o ? • Show all easements of record and arry Cily u6lfies within those easemeMs ? ?- • Setbacks of proposed structure and sideyard setback of adjaceM eristing sVuctures ? C? ? • Retaining wail requiremenbL,if,arry r Reviewed: PROPERTYLEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Repistered Land Surveyor signature and company • Building PermitApplicant • Legal description • Puidress • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • ProposedJeidsting sewer and water services & invert elevation • Streetname • Diivewey Januery 1988 cfMIwa8LocvnMr.FM LOT SURVEY CHECKLIST FOR RESIDENTIAL ? N J N N M'YE 826,gg Z M'1'E 82g 9293 LO QOi:kg i f'°.77' - ir? y pF u i?iLi Gi?c;,? `TIp 5 UP? ? THIc ' 1 6,^, ?? p?? r. 'p,`?`??ti 17 SFi01J± r '"'_LI THI u , ?V 0; ?-- IIL=. . , k_ i Cu 0 10C SCACE 1! $0 IN s.' ANT 8 TE VqLVE •- p 6 TEE N N WYE 0) g-r.97 s yE •? 833,2q q40 '194 J W Y S" 0 *66 841.42 ?221/p• B S S I _ 0 .. 8" yAI-V ` wrE ' i S 8-1-+89 I +oo t 834.46 1 1 MH a W WYE STA { 3- 84 20'l1 940, g6 (O 13 ?? ?E 3307 84 r ? 1 I pROPE Y LINE (70 I ? PIUa oi • ? 0 ? . ? ty : • ; : . ; • (y ; ti • 4 . • • ' ? M ' ? ' ? V • • • • • ? ? ' Y? ? • ?I • • • • ??? . • • • -I ? • ? Iw ? .v ..:...... .:.........?.........:.........:.........?.........:?I~ ......?.'......?I~.........:....?'F,..... ' ....;...... ? .:................... ......... '.........:.........??................ ?. ........' :• :.....? ..;.. ? : • : : • ; ; ' • e ' ? . • • . • . ' . , . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? 1 I . ? ' f • , . . . . . . . ,I . E%ISTINO G ADE : • ? -?? -..--'. . '- ? ............- : ; ? • : . • : : ; ......:... ' ? ' ' • ? 8?-8"PVC?0.4CP/ • ... ./ .......:....... ........ .................. I 86'-8"PVCO0.40 141=-I • : • ? : • ? INV.890.(0 :INV.8A0.44 ' INV.840.; : / ' : • : ' • : ' .....?.... ? ... • ? ' ? : . ? : / . . . . . . . . . , 8 ???'? • • . . / : . ......... G m. ..:. .................: ?......::....... ?:.........:.... ?...:... e J . . .p Q4 . ' . . . . . . : . . . . . . . . . : . . . . . . . . . : . . . . . . . . . ' : i ALL SANITARY SqWER 'iO BE PVC SDt? 38 8 -IO ; ?... ? .^ee- ',•.{ ? E??,r•r7 ° ' • • • • • • • . • • • . • a? 62 Iav 919.5 : i : ?.: :..?7'r ?. 1 ??: ??'_:.. : . . . . . . . : . . . . . . . . . : . . . . . . . : . . . ! ,CY Grr? UTI'LfT`a` ?;.,•-.1!?, a,:., ?3??.? ,_, . ? . • r• ,?f'{"-`- • '- , ? • , ? .......... • r,. ?.', , 0.. Rur:,_, ??,....? . , . . . : . . . . . . . . . : . . .t,t...; . . . _i,:,',i.`•,^.: •IT? (U; `•', , ... . . : . . . . . . . . . : ? . . . . . • ? , ; ? ? iv;C,'l TF;] ?'?°i ?. : . . . : . . . . . . . : . . . . . . . . . . . . . . . . : . . . . ..'.'.'».:...i............ ................... .........' . Owiarn si•rt: ADDRE: CONTRACCOft DnTE ? ? Total exposed wall area above flooc = 1(y 9B?G = 18?v•8 _ . ' .G a. Total wall window area .................................... loa g .y b. Total door area ........................................... #0•(3 c. Total slidinq glass door'arca ............................. 31. Z J. Toeal Cireplace wall area ................................. O e. Total wall framing area (averaqe lOt) ..................... ILe R.8 f. Total net wall area above floor ........................... 13 2 8•6. g. Tota1 rim juist area ...................................... IIZ #o Total exposed foundation area = 91, O h. Total foundstion windov arca .............................. O i. Toeal net foundation area above gradc ..................... $9.0 Cetermine "U" value of each wall segment. d. IPLR,q X ..U.. .55 70.(p ? b. Vo•8 x .,U.. .07b . 3./ _ C. 31. Z. 7( ••un . .SS. d. d % e. 1t66•B X r...13_ iS-i5-_ ;; ?,. 112.0 . 1t. O •r r-uotie 43 -1Zt 1 Octermine vorkinq square footage of each. 1. Total uxposed wall arca ...... IbQB.O ay• Et. x •1? 2. Total rooF.cciling arca ....... JJD q, O sq. ft. x •025 ..U.. 0 z d ..v•• ) z = 20. Z ?•u•• O Z? - SZ.R ..u.. . oy7 5•3 ..,?., 0 , p ..... . 083 7•4 • " EX1tiRIUlt fiNVL[.OP4 AVIifiAGCi "U" CONf'U'1'ATSO11 ] ......................................TO Uk l 17q, (6____ IC item q] is tllc same as, or lc:::: than item ql, you hav.: mar clit, knCaut oc suc Goor,(c)z. 8U444 , 'V g 1179'. ?.? c$UL^ -A 1 (/BG?B? 4 i44"4 e{ SfiL 4 00 4(C) Z, Total exposed rooE/ccilinri arca n /lo q• O j, T4ta1 skyli9ht area ....................................... D • Y.. ' Total root/cciliny framiny arva (avcrayu 10'e) • - • • • • • • • • • • • 0 1: Total net insulated roof/ceilinq arc:n ..................... 9 9 3 Detcrmine "U" valua for aach roof/ceilin.l seynenr. ? n x..U.. p = O k. ??b•?f R..U" ?OZr = a•P - i 2g3- x ..u.. . oaI = ?0.6 a ............................ . ......Total .9 3• 6 If total oE H4 is the same as, or less than 112, you have mct ttte intenC oE . ssc 600e (C) i. # y (S3, c.? c 9.? * -Z (27. ?? ?.....* %lA.. a-l? .. L ? ? v Alternatc Building Envelope Design 1To utilize thc total envelope system methal, tlw values astablish•.3 try tlie . sum of items b] and A4 shall not be ryreater than tlie sum o: items kl and P?. RESIDENTIAL BUILDING PERMIT APPLICATION ' 3830 PILOT KNB RDN 55122 ?V? U. v V 651-681-4675 U? NewConstruction Reauirements RemodellReoairReauirements • 3 registered site surveys showing sq. ft ot l04 sq. ft. of hause: an?ll roofed areas • 2 copies of plan (20% maximum lot coverage aWwed) . 1 sef of Energy Calculalions for heated additions • 2 copies of plan showing beam 8 window sizes: poured found desgn, etc.) • 1 site survey for extenor additions & decks • 1 set of Energy CalculaGons • Indicate d home served by septic system foradditions • 3 copies of Tree Preserva6on Plan rf lot pWtted atter 711193 • RimJoistDetailOptionsselectlonsheet(bldgswdh3orlessuni45) DATE NOUEmB-Fe 5. 0,00 1 _ VALUAION *30,000 JOBSITEADDRESS 3"73`{ BPOwN BEftR "rRfllu IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER 3_0Nf0-k Su-t6 N6RR0lJ TYPE OP WORK bASEm6NT FIN isi4 FIREPLACE(S) _ 0-k 1_ 2 APPLICANT j 'ol.l 1EC-G- GIT9 PHONE# ADDRESS _7 9a0 L14KZ0(C..te 25?.UD? LA.IcEl7l'--l--G ZIPCODE SS'v PAGER # CELL PHONE # PAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNE50TA RULES 7670 CA'I'EGORY 1 (check one) - Residential VenGlation Category 1 Worksheet Submitted----- -- _-? - Energy Envelope Calculations Submitted ??'?,;? ?; _ MINNF.SOTA RULES 7672 N ov S, aool - New Energy Cade Worksheet Submitted (LI ^_„ ??? Plumbing Contractor. Phone #: ?" -- - __ Plumbina System Includes: ? Water Softener _ Lawn Sprinkler ree: $90.00 ? _ Water Heater _ No. of R.I. Baths No. oFBaths Mechanical Contractor: Vlechanic:il System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee $70.00 All ahove information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature o( Applicant Certificates of Survey Received _ Tree Preservation Plan Re ed _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 07 Foundation ? 02 SF Dwelling ? 03 Oi of _ piex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition L33 Altera6on ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous O, 30 Accessory Bldg ? 31 E#. Alt • Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation dU U Occupancy R" 3 MC/ES System Census Code "q Zoning ?- ? City Water SAC Units d l Stories Booster Pump Nhr. of Units 0 Sq. Ft. PRV Nbr. of Bidgs Length. Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing ? F'ueplace Y R.I. _rAir Test ?( Final _j( Insularion _ Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By ? P , Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex IF 19 Lower Level ? 12 12-plex PIbgyY or_ N REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. ?j Plumbing 1? HVAC CITY USE ONLY L ?? BL .? RECEIPT #: ??6? SUBD. Cd"L4MI" vDATE: All 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD , EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EASH b..4. 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 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) ' U.G. Sprinklel' * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ?- SITE ADDRESS: 3734 Brown Bear Trail OWNER NAME: COLLEGE CTTY CorrsTRUCTION INSTALLER NAME: GENZ-RYAN rLilMBIrrG STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: Mm ZIP: 55068 PHONE #: ( 612 ) 423-1144 • -. L og/ BL -f CITY USE ONLY SUBD. Laer4d 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace _ Add-on air, condi#ianing ? Add-on air exchangec, i.e. Vanee system, etc. Date: .? ' '1 [D RECEIPT #: DATE: FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 13, ?C/ ? State Surcharge .50 J/ TOTAL J?0 SITE OWNER NAME: ( U//rGC (/ l7l Cb/.r-?rf-. _ PHONE #: INSTALLER NAME: L? " STREET CITY: STATE: ? PHONE #: (GjIA) ? PERMIT# YN9 RECEIPT DATE. I ?? _01 USIDEPTLAI. PLUM$INra PEtMTT APPLiCATION ci1'Y oF F-AsAx 3$30 PII.OT KFOB RD £ABRF, MA 551 EE 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 12- :152AHL- OWNER NAME:: TELEPHONE#: (orO I US: Z- dl?`10" (AREA CODE) INSTALLER NAME: STREET ADDRESS: 4?,`) - (lu? CODE) CITY: 1?f' ?(Y1D\ ?=V STATE: VuQ) ZIP: SSUOK- Piaee a cheek mark neYt in the nermit work tvue New residential dwelling unit under construction and not owner/occupied $ 90.00 x Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system .= -- ild f RPZ • i t lt l i / b ti a 7,2, new ns a repa r re u o a on • lawn irrigation system ,i ( 1' ?_ ?•jU1 I?' • water turnaround Nature of work: 31 y `QJ0-V.01.R? (SA' 1-AE CP/ '?? - - -_ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 SD SQ - Total s Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applicalion, state that the informatlon is correct, and agree [o comply with all applicable City o( Eagan ordinances. I[ is the applicant's responsibility [o notify the property owner that the City of Eagan assumes no Ijability for any damages caused by the City during ils nortnal -°ratlonal and maintenance actlwties to the faciliGes consWCted under this permit within Cityjprope.?ty/right-of-way/easerAent. SIGNATURE OF Updated 7/Ot dAllb. City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax:(651) 675-5694 ?----------------- I ForbffceUse ? (T C/ I ? Pertnit #: O???P I I I Pertnit Fee: ?Q ? I ? ? Date Received: I ? I ? sra8: ? `-----------------? 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: '"1 0S Site Address: 3' 3LI ???? ? 6e(,Lr I Y al ? Tenant: Suite #: RESIDENT/OWNER Name: Phone: Address ! City / Zip: CONTRACTOR Name: License #: COMINEpg CpNDIT10NO WATEq Address: 0+50 w3OW 9E R1116EBq?/E BLAINE MN 55449 ?? City: Stat .? Zip: 77- Phone: /? S' •??? ?? f?(G` Contact Person: - ? TYPE OF WORK ? New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMtTTYPE RESlDENTIAL WaterHeater ? WaterSoftener Lawn Irrigatlon Add Plumbing Fixtures ? RPZ /_ PVB) Main _ Lower Level) SepticSystem _WaterTurnaround New Abandonment RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burne(J out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowletlge that this infortnation is complete antl accurate; that the worK vnll be m coniortnance wttn me oromances ano coaes or maCiry or Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permik that the wwk will be in accordance with the ;ap?proved plan in the case of work which requires a review and approval of plans. x n1 x ApplicanYs Printed Nam A icanYs Signature FOR OFFICE USE Reyiewed,By: D'ate: ' Requiredinspections: _UnderGround; _Rough-In-,'_Air?Testk GasTe'st''.`..Firial , . ; - ?. - - - - - - - - - - - - - - - - - - For 00im Use Permit M City of Eaaafl Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date ReceiveMm 200 It Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff. L-----------------I 2009 MECHANICAL PERMIT APPLICATION Date; site Address: ?raj, l r Tenant: ii Suite RESIDENT 1 OWNER Name: S i ~c~.1 Q©( Phone , 201. Ll%e I Address/ City /Zip: 3 l fl N c CONTRACTOR Name: License Address: 7~oo !2 ' #:QS C~I(~ pd \ City: State: Zip: 55~5b- Phone:g "~lU~ _ tV U y Contact Person: ( ( t'1 TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: f^ c NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction - Interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install J_ Remove) When installingiremoving 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) $ ) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installationtremoval OR Contract value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Egg is less than $1,000, surcharge is $.50. If Pemtlt Em is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1.001-52,000 Permit Fee requires a $1.00 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 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground - Rough In __Ai r Test _Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA115227 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 3734 Brown Bear Tr Lot:21 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-210 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Nathan Franta 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 - Gregory Simelgor 3734 Brown Bear Tr Eagan MN 55122 (952) 201-4761 Reuter Walton Construction Inc 2919 Knox Ave S Suite 200 Minneapolis MN 55408 (612) 823-3489 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119829 Date Issued:12/20/2013 Permit Category:ePermit Site Address: 3734 Brown Bear Tr Lot:21 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-210 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 - Gregory Simelgor 3734 Brown Bear Tr Eagan MN 55122 Reuter Walton Construction Inc 2919 Knox Ave S Suite 200 Minneapolis MN 55408 (612) 823-3489 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157399 Date Issued:08/19/2019 Permit Category:ePermit Site Address: 3734 Brown Bear Tr Lot:21 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Gregory Simelgor 3734 Brown Bear Tr Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature