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3754 Brown Bear Tr Y CITE" OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: z H Eagan., Minnesota 55122-1897 Date Issued: s (812) 681-4675 a SITE ADDRESS: APPLICANT: PE.RM,IT,SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ] r. r Permit Holder Date Telephone # PLUM,~IN ~ Q 9 . ~a 4 HVAC Inspection Date Insp: Comments I FOOTINGS FOUND FRAMING ROOFING ROUGH Ap~~/~^ PLUMBING / ,}a PLBG AIR TEST IOC ~b A ROUGH HEATING GAS SVC TEST INSUL I GYP BOARD JI I FIREPLACE I FIREPLACE AIR TEST FINAL PLBG y FINAL HTG ORSAT TEST BLDG FINAL pJ DOMESTIC / G METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ rwy Werti 'Cate of ccc"ancV W" of Wagon Toartment of zKobing 3"Pection i This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Ciassification_ SF M BMg. Pumit No. 32895 7 1 Occupancy Type -3/ U/~~ 1 Zoning Ihwict 'R- I Type Con-IT. VN Ow of Building SHADE 'L'RF,E ISLRLICTI(' Nwd,. 18530 ULYSSES ST EAST BETHEL BuildingAddr, 3754 BROWN TRAIL. Locality L1$ B3, FOW-M D.: B.t orc, POST IN A CONSPICUOUS PLACE ' 3 Address - 3754 B!ZlIV BEAR TRAIL Zip 5512? Lot 18 Blk 3 Sub >31W FOREST THESE ITEMS WERE / RE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: y' Yes No Inspector: Final grad (6" from siding) j' 'RA 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 shutoff 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 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan U a 3830 Pilot Knob Road, Eagan Mn 55122 l0 1 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings p, Townhomes and Condos when permits are required for each unit Date/a 49 ? - n Site Address g 7r_,5 Qd e lz/ unit # Property Owner . /G e- ,L - 4e-e- Telephone # Contractor R Address /{i - ~/J ~~tO~jzLQ City State Zip _L Telephone # The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system Water turnaround (+5/8" meter if needed -$121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener _ Water heater $ 15.00 X replacement _ additional $ .50 State Surcharge 'I I 7 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that mfo ron is complete and accurate; that the work will be 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 planin the ca a of work which requires a review and approval of plans. App icant's Printed am p icant's S' ire PERMIT# RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION C1TY OF EAGAN 3$30 PILOT KNOB ftD flk6AN, MN 55182 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backftow preventer for irrigation system SITEADDRESS: ~Z_o~ Sy ~ir'~~7 In { V OWNER NAME:: 1 rpAAIA,Cl S ~Cc7 TELEPHONE n (AREA CODE) - INSTALLER NAME: TELEPHONE STREET ADDRESS: -f5-1 'duct u~v 1_?-e.01 C ~iT ~9 j (AREA CODE) CITY: Ca CL I, STATE: ZIP: !SEI -D,- SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system ,r. Replacementladditional: _ water softener _ water heater $ 15.00 State Surcharge D I[ u u $ .50 Total U $ L I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City dfiEagan ordinances It is the applicant's responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages caused by theiCity'during its normal operational and maintenance activities to the §cilities constructed under this permit vithin Ci[y.p~Operlylright-of-wayleasement. SIGNATURE OF P RMITTEE 1702 t PERMIT CITY GF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 032895 (612) 681-4675 Date Issued: 08/17/98 SITE ADDRESS: 3754 BROWN BEAR TR LOT: 18 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-180-03 DESCRIPTION: BU ldinq~Permit Type SF DWG &ui1ding Gi`ork Type NEW ~dBG Occupancy-v R-3/U-1 Construt on Tpe VN Zoning R-1 r Building Length 48 i. Build«ing Width ~ 42 l Buiidiri-V tortes 1 ° dx re Feet , 1,620 n W=1 Ce~ei~rs .Goe-- 101 1 - FAM. DETACH C? L qt~....~ (--4;- i 'y, 33 i g 'vY: ~ a s t L] F ~.:.s to t,.W , ~ i*..a1 iJ REM#~N:REVIEWED BY BILL ADAMS FEE SUMMARY: VALUATION $80,000 Base Fee $762.25 MISC. FEES $1,592.50 Plan Review $495.46 Total Fee $3,890.21 Surcharge $40.00 SAC $1,000.00 SAC 100 SAC Units 1 Subtotal $2,297.71 CONTRACTOR: - Applicant - ST. LIC. OWNER: SHADE TREE CONSTRUCTION 17087821 6112 SHADE TREE CONSTRUCTION 185'30 ULYSSES ST 18530 ULYSSES ST EAST BETHEL MN 55011 EAST BETHEL MN 55011 (612) 708-7821 (612)708-7821 I hereby acknowledge that I have read thle, ap.plj„cati.on,.and state,tflat the, information is correct and afire to'comply with all applicable State of Mn., Statutes a,-nd° Cites of Eagan °Ordi'hances. - ' APPLICA ITEE SIGNATURE ISSUED aY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' µ r 3830 Pn= KNOB RD SS122 3 ~g`3 tJ'° 681-ae75 New Construction Requirements Remodel/Reoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if lot planed after 7/1193 required: _ Yes _ No DATE: - CONSTRUCTION COST' DESCRI ON OF WORK:'~~- CD~fif~ltvylo~ S ETADDRESS: 3 ~Sy ~/z~e7[vy fe,&t LOT: l BLOCK: 3 SUBD./P.I.D. /~~4GG K ~~¢w~oResr. Name: Phone PROPERTY Last First OWNER Street Address: City State: Zip: Company: Phone 70tj' 7~'~ CONTRACTOR Street Address: 573 VI-Y SSeS -54 License # City 0.OS7- Ae 7;leC State: 04---, zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): ° 414 A f ' ggL,* I~ Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY \oi ME Certificates of Survey Received Yes ~N Tree Preservation Plan Received Yes V No Not Required OFFICE USE ONLY , BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish A 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex _ ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE X 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION , Const. (Actual) , N Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. C/,9 City Water UBC Occupancy - / sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories Cry M / _ sq. ft. ec~ Booster Pump Length sq. ft. Census Code. Depth fi Footprint sq. ft. SAC Code in / Census Bldg APPROVALS ~s Y0 ` Census Unit Planning Building 4459 Engineering Variance Permit Fee Valuation: $ ,Za ce7 Surcharge ,y Plan Review A?s'e cJro C x l.r= G d;/lJO License MCANS SAC MQ,ti /oyo X C GQ City SAC Water Conn. G G ro Y, f 1 Water Meter J Z Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. OthW Copies Totals % SAC SAC Units r CERTIFICATE OF SURVEY for SHADE TREE CONSTRUCTION Site Address = 3754 Brown Bear Trail ❑ Denotes Wood Stake Set For Excavation Only Denotes Surface Drainage Scale: 1 40' Q°E ( ) Denotes Proposed Elevation a x Denotes Existing Elevation X65 9 855,9 Tap of Block Elevation 854.8 gage floor Elevation 8653.7) 852,7 Lowest Floor Elevation MHQQQ T/0 Type of Building: Wood Frame Split Entry '~b49.6 o Benchmark: 7NFH at Late 14 k 15. Bloak 3 \ ~o Elevation = x58 O 65.60 10 1 \ \ \ it Denotes iron pipe monument found, D ' \ 77 marked RLS 17006. II \ A1s The orientation of this Bearing System F is based upon the recorded plot of 51 0 b rbl \ \ \ \ BLACKH ; FOREST., 1 U7 I \ I i. According to the city D of Eagan the existing nj sanitary sewer Invert Op I) To o1 Hub, Is 843.24 feat. EI.Z854.39 K7 T/0 LW I Sr 851 8 jV ~7e.10 o 9& I , Bu.z`;.".,•x`'OOEPTG~\TIs.:;YIQIvDF. 7 ; 854.0 854,4 \ x \ t~ 1 b` la J e ?s ov \ l~ 10 I ~o k~ 3 `ryl 854.5 \ Y- r8s~ 0 h. / { 854.8 / quo Y a9 S \ A 54.§/ X18 \ ~860.0 ) ro A ~ •lL sir 9 i8 \G Alsm 2=Qi/ ~ti d~FdBISB~+kESJ~~EPT. 656.6t,,O i AND FLOOR ELEVATIONS MUST ~ BE VERIFIED BY BUILDER. °~~RSa.ss`~28 ,~P/cr~dy~a// Lot 18, Block 3, , r~ \~~rv o ~~a BLACIMWK FOREST, ' Dakota County, Minnesota. 88a o) Revised 7-24-98 3.0 1 hereby certify that this survey, plan or report was prepared by me or under my I I direct supervision and that 1 am a duly Registered Land Surveyor under the laws MIDWEST of the State of Minnesota. No certl0cotion whatsoever is extended to subsequent owners. mortgogeee or title Lend Surveyors & Civil Engineers, Inc. and insurers. unless this survey has been redated for this purpose by the surveyor. 199 Coon Rapids Blvd. Coon Rapids, Mn. 55433 Dates this 6th day of July 19 98 Ph. 612-786-6909 Fox: 612-786-9208 By Registration No. 19421 Blake L. Rivard - Minnesota Licensed Land Surveyor Job No. 149=194 Book-Page DCF Acad File 149-194 AabuAt Dated this day of 19_ ©1999-M/dwest Land surveyors s Civi Enithems, me - AN Riot, Reeerswd NOlE• 0r6cW Copies o/ fiia Survey we t:rMrp Sealed. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: OOCUMENTSTANDARDS s ~-i 3 ❑ ❑ • Registered Land Surveyor signature and company Ca--,13 ❑ • Building Permit Applicant M'13 ❑ • Legal description ❑ • Address p ❑ • North arrow and scale Z'1 13 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ~ ❑ ❑ • Directional drainage arrows with slope/gradient % t-'❑ ❑ Proposed/existing sewer and water services & invert elevation ta-'❑ ❑ Street name ❑K-'C ❑ • Driveway ELEVATIONS Existina p-'❑ ❑ Sewer service (or Proposed) OK"~C] ❑ • Property corners EY'E3 ❑ • Top of curb at the driveway ❑ • Elevations of any existing adjacent homes Proposed p ❑ ❑ • Garage floor ❑j❑ ❑ • First floor ❑ • Lowest exposed elevation (walkout/window) ❑ Property corners ❑ ❑ ❑ • Front and rear of home at the foundation PONDING AREA (iapplicable) ❑ 0--'0 Easement line ❑ [f ❑ NWL ❑ M-' ❑ • HWL ❑ CK, 13 Pond # designation ❑ ❑ • 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. (.e. all structures requiring permanent footings) ,ems ❑ ❑ • Show all easements of record and any City utilities within those easements q/❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ m ❑ • Retaining wall requirements, if a Reviewed: Na e / Dale January 1996 CRMG19•FBL0GPRMr.FM ap/04/1998 16:40 6124346640 6124346640 SHADE TREE CONSTRUC 02 l Co j aa~5t 00%0" NF CERTIFICATE ~E RV for OT APPRO TREE CON CTI 3754 Br dor Troll SITE SURVEY 'O Deno Stake Set ~ xcawHan Donets age EVWAWED FOR MgE ; rc~ Proposed Elevation RESERVATION 5o gds ems Denotes Existing Elevation COMPLIANCE NLY ~ N153e ~ ~4 fl Top of Black Devation 3617- Garage now Elevation F~ aw.7 Lowest Floor Elevation i~ Type of Building: Mood Frame Solit Entry 0.9 o Benchmark: 1f•M at tots 14 a It Moab J t, IN 1o Elevation . 868.66 O $5.410 90to ~ 1~ \ s`rOd Denotes bon pipe monument farad. marked RLS 17006. x1+ The orientation of this flooring Syetom I F is booed upon the recorded plot of bcj o curb` BLACKHAW FOREST. of box Accessing to the any ~ U monkery n the eebtbq hi \ , ~I Is 843. aee Insist Is N3.24 /Mt ~ ~ Tp~t e N , v,$ ?s ✓ •pyp~DC ^w~ Few k,V 76.10 O a I 664.2 l 054.0 ~ - ~r a°.A mow/ WlM'~ ~t C ee4.s 11 1 91070 , d►oat B~Fo2 e qjw db_r ~ / Ctxt~GK'a.. cW1 9 / (OJ S ALL BUILDING DIMENSIONS 4b AND FLOOR ELEVA ms MUST BE VERIFIED BY BUILDER. 'IV Lot 18, Block 3, ?B \ / BLACK WK MRBST. Dakota County, Minnesota. Rerisoa 7-24-96 ~e~ a) I hrMy certify that mw ewrey, plan er report was prepared by me ar under my dWwt nlpw"w and that Iran a duly Registered Land Surveyor under tell lase UMVESf of the Slate of Mbwreeote. Lead Surveyors At Civil Snglnaara, inc. He Ineeet~ ~Nt~r iis t~ ~o wit~enu pr: by tthe ilgastlv or title weloll, 199 Coat A Rapids AM. Blvd. Adv , 19 AL. Coon Rap7d; Nn. 354J3 Dotes this day or PA. 81?-798-6809 Fox: 6 12-788-97178 X y Registration No. LNlt Job No. 149-194 Book-Page DCF Acad Fire 149-194 Blake L RIWrd - Minnesota Lker"d Land Surveyor re-- Asbuat oaten MM aay of © ises-MMewt Lend g.nerwe a f:nr rn9hesr, we - Ad w40fe wwer..a NOW OpkAv! Aar of thN Axvv w► d Se0e4 6124346640 fB$104/1998 16:40 6124346640 SHADE TREE CONSTRUC PAGE 61 18530 Ulysses St. NE SHADE TREE Phone: 434-7962 East Bethel, MN 55011-9526 CONSTRUCTION Pax: 434-6640 FACSIMILE TRANSMITTAL SHEET TO PROM" City Forester Mark COMPANY' DATE City of Eagan August 4, 1998 FAX NUMBER. TOTAL NO. OP PAGES INCLUDING COVER- 651-681-4694 2 PHONE NUMBER- SENDER'S REPERENCE NUMBER: 651-681-4600 Ra' YOUR REFERENCE NUMBER L18, B3 Blackhawk Forest 17 URGENT 0 FOR REVIEW 13 PLEASE COMMENT ❑ PLEASE REPLY 13PLEASE RECYCLE NOTEWCOMMENTS! There are several Pule trees around North and Fast property lines of which none should need to be removed for construction of home at L18, B3 Blackhawk Forest. Any Questions call Mark 363-7821 i ORESTRY DIVISION 1~~EV40vtl D P? V 10 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ CITY OF D- 3830 PILOT KNOB CR+D- 55122 ~v . to O 651-681-4675 New construction ReaulremeMs Remodel/Reoatr Reautremenfs D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and a roofed areas (20% maximum tot coverage allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam L window sizes: poured fnd. design: etc.) 1 she survey for exterior additions b decks D 1 set of energy calculations D 3 copies of free preservation plan it lot platted after 7/l/93 C' DATE: \N I S 19 1 l i CONSTRUCTION COST: l 0.1 n n P,-L U L'2.U-s-1 DESCRIPTION OF WORK: ~ STREET ADDRESS: In Q) (nez~ v ~ V~ LOT: 5 BLOCK: SUBD./P.I.D. ~J SC 0.C l/ Q 6- 2 /s9Fs -SASS Name: ZDin eve t2 V1 V( ex C~iy Phone 6S \ - 9c( y PROPERTY Lad First y~ h O W V1 ecz y T ~'Q ~ ~ J ' 6 OWNER Street Address: Y1 ELI ti City L-1 State: PLiA-) Zip: ~S ZZ Company: Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone fie: area code ( ) Streel Address, Registration City State: Zip: Sewer i water licensed plumber (required for new construction onlvl: Penally applies when address change and lot change Is requested once permit Is Issued. I hereby acknowledge that I hcf a read this application, slate that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: c l OFFICE USE ONLY NOV _ Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) X 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors X 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 , Demolish (Interior) ❑ 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) iV Basement sq. ft. Census Code 4 (Allowable) Main level sq. ft. SAC Code UBC Occupancy L-~ sq. ft. No. of Units I Zoning sq. ft. No. of Bldgs en # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance n6-6 Permit Fee Valuation: $ ( 71nw 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 / CITY USE ONLY V LOT /J BL~ RECEIPT 1 / SUBD. ~y Z 1 RECEIPT DATE: d/0 ~/S O ~y 199$ MECH"ICAL PERMIT (1't1 SIDENTIAL) C" OF F AGAN 3630 PILOT KNOB RD F FAGAN UN 55122 /Q - Z 7 (61£) 581-4875 Date: , Complete this section oniv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) 9 C-D • State Surcharge: .50 • TOTAL: 53. 5 D Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 37~~ SITE ADDRESS: A`+/I OWNERNAME: lAA/f ~~R(`~ I~(! r~_/• PHONE#: ~V/" 7f~Z INSTALLER NAME: PHONE STREET ADDRESS: I S" Z f.J,4 N ^ ~R CITY: eooe STATE: N NJ ZIP: r 4 SIGNATURE OF PERMITTE JS/FORMS BLD/MECH PERMIT (RES) - 1998 VVV/-L ~ BL f, n Q yOCITY USE ONLY RECEIPT C Q ~O SUED. X7/sS . r hFRECEIPT DATE: t 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF KAGAN 3830 PILOT KNOB RD EAGAN, IN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x a = ~p Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x I = Laundry Tray 3.00 x Hot Tub/Spa 3.00 x _ Water Heater 3.00 x = Floor Drain 3.00 x = -3 Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under cont. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations . to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems "Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 S TOTAL ~l0 acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: S f ' c n.' OWNER NAME: S l/ca it- e- 60 ✓1S 1 INSTALLER NAME: )A 1 ,A y A-2 TELEPHONE :D G STREET ADDRESS: pb' o M r9c -.5 T` CITY: e- ST TE: yv(, s zip: 550 79 TGNNATUIO OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 RESIDENTIAL 170• h 0 BUILDING PERMIT APPLICATION Called b-19-01 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 rl ll 651-6814675 New Construction Requirements RemodelfReoalr Requirements • 3 registered site surveys showing sq. It. of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • keel of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions 8 decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detal Options selection sheet (Ndgs with 3 or less units) DATE(,"-/ VALUATION JOB SITE ADDRESS S~f Al c?t X71) P5,2zY t< TI.- 'C-~? i-7 IF MULTI-FAMILY BUILDING, HOW MANY A?, UNITS? PROPERTY OWNER Cl -P 2', t~L- Yl e-1 TYPE OF WORK (A u% L FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 04CXd l- / SfZ-~OV)E+A PHONE# ADDRESS ~j S LI i -rQnJh &2 nr- ZIP CODE >7 PAGER # CELL PHONE # ~i I Z -S~-S ZSS~FAX # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Pho , All above information must be submitted prior to processing of application. `71 19, I hereby acknowledge that I have read this application, state that the informati 8 is correct, an comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Mufti ❑ 03 01 of _ plex ❑ 09 07-plex 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex IIV 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation a/9 Iv~ ate- Occupancy MC/ES System Census Code 2 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs - i' Length Fire Sprinklered Type of Const =A/ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) 0 Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other - Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final - Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco _ Stone - Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee~W~___~ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies S Other Total t e CERTIFICATE OF SURVEY for SHADE TREE CONSTRUCTION Site Address = 3754 Brown Bear Trail ❑ Denotes Wood Stake Set For Excavation Only Denotes Surface Drainage Scale: 1" = 40' 0°~ ( ) Denotes Proposed Elevation x Denotes Existing Elevation \ 0513 855.9 Top of Block Elevation ~dj 853.7 854.8 Garage Floor Elevation P~'j1 /1115. 853.7) 852.7 Lowest Floor Elevation MH_ Type of Building: Wood Frame Split Entry ~~T/4\9C 9 S Benchmark: INFH at Lots 14 k 15, Mock 3 o Elevation = WIL58 Q 65.60 70 10 1 \ \ \ SS Denotes iron pipe monument found, D ` \ \ j/~ marked RLS 17006. 111,,,... \ Rya The orientation of this Bearing System F is based upon the recorded plat of 0 I \ \ \ SLACKHA WIC FOREST curb \ i According h the city box sanitary Eagan the existing N \ - sower invert T of is 843.24 is feet 00 EL>.854.39 e T/C (A a 851 a fV ,y0i ` ~ _ 85 78.10 0 y 6, 854.0 854.4 \ lam! I% a .e ?x o/A \ 0 TO Iry0g h~ ~1 J3 11 .5 \ \ / ha. yti 854.8 G .q p Q~ov 4.. 860.0 0 1. cTya duo "fie?. T ~'lL l~if 5978 \V / ~ L~j'Bf}I~OIN6 D(alfFl~Sld7Sf~FQT. 658.6 A, 0r1 AND FLOOR ELEVATIONS MUST ro BE VERIFIED BY BUILDER. Mass as32 /3r/ Lot 18, Block 3, Ar; v BLACKHAIYK FOREST, Dakota County, Minnesota. W&0) Revised 7-24-98 3.0 1 hereby certify that this survey, pion or report was prepared by me or under my MIDWEST of th supervision and that I am a duly Registered Land Surveyor under the lows of the Slate of Minnesota- and Lend Surveyors & Civil Engineers, Inc. Na arti6catlon whatsoever is extended to subsequent owners. mortgagees or title insurers. unless this Survey has been readied for this purpose by the surveyor. 199 Coon Rapids Blvd. Coon Rapids, Mn. 55433 Dated this 6th day of July 19 98 Ph 612-786-6909 Fax: 612-786-9208 sy R~ Registration No. 19421 Slake L. Rivard - Minnesota Licensed Land Surveyor Job No. 149=194 Book-Page DCF gcad File 149-194 Aabugl Dated this day of 19- ©1998-MMwest Land Suraywa is civil EngM., Mc. -Alf Rights ReaerwW R07E- Officio! Copies of This Survey are Crhrp Sealed. 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 Neer Construction Reaumements RewdelrReoalr Reouirements -offi&usi onN 3 registered site surveys showing sq. ff. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing lootings, beams, joists Cad of Survey Recd _Y, _ N (20%mauimum lot coverage allovced) 1 set of Energy calculations for heated additions Soils Report, , _ Y _ N 1 Sals Report if proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pras Olab Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition • indicate Norrsife sepfk system Tree Ores Reglfaed _ Y: _ N 1 set of Energy Calculations Or site Septic System -Y -N 3 copies ofTree Reservation Plan'd lot plated after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegaseo mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date 1 61 / S / d 7 Construction Cost 006 Site Address 3 7S e/ 2-iro wh Nemec Unit/Ste # Description of Work RLo r0 01C• Multi-Family Bldg - Y _ nN r Fireplace(s) - 0 - 1 _ 2 Property Owner 1 (rtavi1, U Ln Telephone #((a5/) yDS'p 2 3S Contractor U bejr an --z Address '776& TGAfah 7tUt City M&p7f'r'Cell,3 State M Zip 5-5-562 Telephone # ( 76g) 2 7 / - -1106 5 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approval of plans. clufor I h614PS01 Applicant's inted Name - Applicant' ignature PERMIT City of Eagan Permit Type:Building Permit Number:EA113636 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 3754 Brown Bear Tr Lot:18 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-180 Use: Description: Sub Type:Reroof & Siding 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. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Thanh C Nguyen 3754 Brown Bear Tr Eagan MN 55122 (651) 405-8288 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature CtiCt PORATE@ 203 LITTLE CANADA ROAD SUITE 280 SAINT PAUL MINNESOTA 55117 TEL: 651-490-9266 FAX: 651-490-9265 PROFESSIONAL ENGINEERING CONSULTANTS INCORPORATED January 20, 2014 Dino Marino Krech Exteriors 5866 Blackshire Path Inver Grove Heights, MN 55076 Subj: Residence 3754 Brown Bear Trail RA) r' # 1/3 CX Eagan, Minnesota PEC #9835 RECEIVED JAN 21 701U Dear Mr. Marino: This letter concerns some restoration performed at a single family residence with the address of 3754 Brown Bear Trail in Eagan, Minnesota. It is our understanding that Krech Exteriors contracted to repair the front of the house at a front window bump -out to the left of the main entry. At this location, the main floor level flat trusses extended out approximately 18" beyond the building front wall to accommodate an architectural feature which included a Targe window assembly for the first floor level. Our firm was requested to look at the remediation work and provide repair recommendations. ion. In is The front bump -out feature measured approximately floor flattrusses widextend d out inscantilevher extension area, we noted that four of the first fashion for general support of the wall and window assembly. The front sheathing and a portion of the wood framing had deteriorated from moisture conditions. At the time of our visit, the framing members had been replaced with new sound wood material. Our recommendations for repair were as follows: 1. Truss Repair - The four involved trusses were repaired using new framing lumber. The individual truss plates were in good condition. However, the blocking wood beyond the truss ends was replaced, together with some of the individual chord members. In order to further assure capacity in the bump -out area we advise that- jj - 1 /2" thick CDX plywood gussets be attached to each side of the four trusses o a 3/4" thick plywood gusset be attached to one side or the other of the four trusses. The gussets should be full height and extend at least 20" back from the outside framing surface. A structural adhesive should be applied at all contact surfaces with each truss. Initial attachment should be by nails or screws or staples until the adhesive is fully cured. 2. Bump -out Sheathing - New fiberboard sheathing should be applied to the front of the bump -out, extending from bottom to window sills. On the sides of the bump -out, the fiberboard sheathing should be replaced by 3/4" CDX plywood glued and stapled. 3. Insulation - We advise that all fiberglass insulation be replaced by new product. Further, we recommended that a 1" thickness of foil faced extruded polystyrene be added behind the new truss end blocking between the individual truss members. This insulation board should have the foil facing to the interior of the building. 4. Remainder of Framing - Review of the remainder of the framing on the front of the house found that although the front face of the house is somewhat busy with the various projections and eyebrows, it is our opinion that the front wall framing is of sound design and construction. As you proceed with the restoration, you should keep the Building Official in full contact. Call with any questions. Respectfully, Professional Engineering Consultants, Inc. Brian R. Dobie, P.E. President cc: Mr. Jeff Wheeler, Building Official City of Eagan �p,� : tG%STERk. 16 :PRoFFSs,oNA1: : (1 C NE S i`r�•..� 9/98 . f@ PERMIT City of Eagan Permit Type:Building Permit Number:EA139772 Date Issued:11/08/2016 Permit Category:ePermit Site Address: 3754 Brown Bear Tr Lot:18 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Thanh C Nguyen 3754 Brown Bear Tr Eagan MN 55122 (651) 405-8288 Hammered Solutions Llc 16064 Excelsior Dr Rosemount MN 55068 (612) 298-6620 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173861 Date Issued:12/09/2021 Permit Category:ePermit Site Address: 3754 Brown Bear Tr Lot:18 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Thanh C Nguyen 3754 Brown Bear Trl Eagan MN 55122--119 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature