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3772 Brown Bear Tr PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA089968 Eagan, MN 55122 . Date Issued: 06/30/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3772 Brown Bear Tr Lot: 14 Block: 3 Addition: Blackhawk Forest PID 10-14325-140-03 Use Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Permit closed without required inspection(s). Letter sent to applicant on 12/11/09. (pf) Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Toni A Dembski-Brandl 130 Plymouth Ave. N 3772 Brown Bear Tr Minneapolis MN 55411 Eagan MN 55122 (612) 824-2656 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Address 3772 Brown Bear Trail Zip 5512 2 Lot 14 Blk 3 Sub Blackhawk Forest THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME O THE FINAL INSPECTION. Date: )-12-q 0 Yes No Inspector. ~A/D///O~t//NL 7 fS Final grade (6" from siding) AWOUF D Af F9CA4 ;6404- V/420 Permanent steps (garage) Cp/t~O/ C-~Af£ L Permanent steps (main entry) Permanent driveway l~1U5T ?-All- C'CJRMC &3 CLr f& F1125-- Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ✓ Z-IAIF, 7V Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAN ' 260-60 I O I ~ ~ 3830 PILOT KNOB RD - 55122 Ca~~ tf~ 51;z4/00 New Construction Rewire manh ~ 1ZJ~:CRq 1 651-681-4675 S ~ 5, ob r y~M n 3 registered site surveys slowing sq. ft. of lot. sq. ft. of house 2 copies of plan ! and Sill roofed areas (20% madmum lot coverage allowed) 1 set of energy calculations for healed addit ons 2 copies of plans (slow bean & window sizes: poured Ind design: etc.) I site survey for exterior additions tt decks D 1 set of energy cclcWatlau s/ 3 copies of ree prefer Hon plan If lot plotted crier 7/1/93 Qp~Ir9 3t ~ DATE: CONSTRUCTION COST: J DESCRIPTION OF WORK: 1r ~B I STREET ADDRESS: 3-7 -7 a 'BiaLoA) 'E ax-- Trc. , J LOT: --IA- BLOCK: 3 SUBD./P.I.D.#: htj4Mv'wk torg9f Name:bk mt )Sb" d twin Phone bsl-6$S'a~SS PROPERTY Last First OWNER 3`l~ a Sheet Address: ~YS't`'r city a~ rl state: lY)YJ Zip: Company: Phone (area code) CONTRACTOR Sheet Address License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: I~ Name: Telephone C ( ) Sheet Address: Registration qy State: Zip: Sewedwater licensed plumber (N Installing sewerhsater): Phorw L____) pplicable State I hereby acknowledge that I have read this applicallon, slate that the info n of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No MAY 2 2 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY - BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft = Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex -18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plea ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg _Yor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 36 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 # of Stories sq• ft. No. of Units 0 Length zn sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code //SL (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: 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 JPH-25-2000 22): 43 FROM MOORE FIN"IPL GROLP TO y.y. 4058M P. 03/09 • c ` ; ~ • Y~ni IrYyr,Y.Yie"i ~~11 N 011 IN FA1O[M~N!! MMOO ewosprYr ~ • y + IM~~~ay..0ylyyp Rllil 7NFF.1 Fyp~g061 Certificate of Survey tor; _BL BUILDERS INC. d( NL M nrw Ide m+w W& I., a ' i ~ 61YSin \ v .2A •s rrwY r...eare 42D I (t4r..ass r? 13 YA111f ,q40 1 ~r 1 , ~ mr I ~ IY) / / iMMMM~ r 14 1- z _ / Y~ / ,may 1Cd1~ / / 10 I / / .r~eoee ~g r rv neu m. is /01 I ! / / 40KS7 rLOOII VAr D0Y: 47 L W Or 1=9 tLCVAW* WAGE SLIM 4sVALOY 1 ' Toe O 100sOVf Ci(WTOYI I J/ / r YYro Ywe. YYm Nlrlal a MORI~r~AYrle I / / a C ---ronw i:. / / wa Inwega.w Yrll wI Yrao nY re nlw • Iwa ~I, y'3 ~yyoe) rrKY M1 I~n~[[e MI auVrIOM. r K W.a •NC ~ m•10106.rAlrrA Afr Y r'A. ry1AN,f Iew r41 On. ea+r w r.•I sw. w~.e. rrx YTi. rV.•ri rw..n Mil Y r A>•rM YAY A[ mmleY CPWV To &"I G Uam 1k~. mAT Ims d . MI -0 aMq(eT II n"Tri,a 01 e WAY or oa 0*04 A a W. pOOTTA14~~.3. BLACKHAW FOREST IT u0(1 nor PYe1o11 To 61104 mvoommrs 04 P oxeVAC+rchm LNUFT As mow. At OAVS,EO Or Y( ON WW~A WO! YY O01(oT NIKiMS00 " 2M OAT or A•C Is" SCALE ! 1 101 . 40 FW s c m E. IV. 0 Me. it * WEN mA8Nww'OMFJ=rpmwq ~ Certiflcata of Surv*y tor; LAKE BUI DERS INC a" Si .MPOL M'iWrw r yu.' rq h ~ cA - t` r1 .~$~16 i A A r. 13 j;jfL 8"W" ELCY.sBa& p 13 g 15 .0e /dk* owl i M.i i NDr~ ..f / 1 ~ Rol i 20 II to rpm t P. bp, • / / ,4 / ? b 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) r`7 Ic /a . ~J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681.4675 New construction Reauhemenh Remodel/Repair Reaulrements I V D 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and gii roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam d, window sizes; poured Ind. design; etc.) 1 site survey for exterior additions i decks D 1 set of energy calculations D 3 copies of free preservation plan 0lot plaited after 7/1/93 DATE: 7-069 ' CONSTRUCTION COST. 164), 000, DESCRIPTION OF WORK: ~p~ STREET ADDRESS: ~✓772- yunJ &CAje--T727- / LOT: BLOCK: :3 SUBD./P.I.D. 9"" Name: vC-Ak 9L,~GG4GIo-'C //'/C - Phone 657- 5'03- 370 3 PROPERTY Last at OWNER Street Address: City State: Zip: Company: !/LA/G~ ✓~/.YS~ r~IAIC - Phone (area code) CONTRACTOR Street Address: 3~2 /)7lnln/o5-07-;7 ST. X11099 Ucense# 5-9 Exp.9-31'0° City 5f• n<tvL State: Al At. Zip: SS! ° ! ARCHITECT/ ENGINEER Company: jQ/en196-fZ- Zrn!!,s • / Name: b r-(' t"-s a-4 Telephone area code (6 r/ • Street Address: `1q ZS f~fL02c t~. IX Registration > g .12-9 /yfA[Pt7-A ti/rn-. Stanek: NtV Zip: Ss/Zo City r Sewer S water licensed plumber (reaulred for new construction only): J 7 OcC-AV*T-, N G Penalty applies when address change and lot change Is requested once permit Is Issued l I hereby acknowledge that 1 have read this application, state that the Information is correct, an agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. I Signature of Applica LIM" OFFICE USE ONLY Certificates of Survey Received Yes No C )Ul8 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE q❑~/ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) x02 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 X 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 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) Basement sq. ft. Of3 O Census Code (0 (Allowable) Mean I~vel sq. ft. I O G SAC Code UBC Occupancy ~--U i _ sq. ft. 11 No. of Units Zoning m= sq. ft. (o? No. of Bldgs # of Stories 4 CC sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 155, Surcharge Plan Review Ogpx lS = ~6~ Z License MC/ES SAC l OG K 5t= S 8-32o City SAC 144 S4 = 7177 r, Water Conn. l 133 X sy = 6I , 182 Water Meter R K Acct. Deposit b~ I (o S/W Permit S/W Surcharge Treatment Pl. f T Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 2422 Enterprise Drive Mendota Heights, MN 55120 *~L (851) 681-1914 FAX:881-9488 PION@ER uxo wR Troas • am, 0w0s 5 E-mail: PIONEEROPRESSENTER.COM 4K engineering W D P NWRS• LA SCM M WCTS 625 Highway 10 N.E. * Blaine, MN 55434 * * >f Tt (812) 783-1880 FAX-M-1883 E-mail: PIONEER20PRESSENTER.COM Certificate of Survey for: BLAKE BUILDERS INC. I~w t, 3772 BROWN BEAR TRAIL LOT AREA = 50,709 sq.ft. s55.a RO(~ HOUSE AREA = DRIVEWAY AREA 1=71,513q sq.ft. 8555'$` N 21 COVERAGE =6.459,' 7'YI. of NceaiE = z n'n5 . srtY ,ta,Bc[R ess 856.7 SERVICE ~M ELEV.=845.9 5 N 5 O Go 10 0 W 13 4 o 9.43 N 859.4 C9 HOOT/NC O T ~JF. BENCH MARK SF Z ^ 85 .9 TOP OF PIPE P,~ 859'417,2 60fC 15 ELEV.=859.25 O ,7 a59 7 ~$5 \ SA Ch O ~1 }60 / Quo \ e 859.7 BENCH MARK ei/ --TOP OF PIPE ELEV.=859.44 90 / 0.37 T 86 1 ew 8) r 20 S~L T 0- E_ x$63.2` p1660.4 GARAGE o \ e60.6, / \ 1 864.8 / PROPOSED e 01 1 #,ikIPff'1* N ~ ~65 HOUSE \4 1 / /0 860 44 20.00 0 3 40 00 _ _ 1 / 860.66 / 5 oN PROP L2N~S TU Iro $41.SS ORC 860.5 9~0 * / k 5 x860.7 .2 liRee-- ~~7. I ,F.r@65.4 CO~r~) x Be / \hG02 14 20 1 ~ ~ ~~4 ~ ~ X10 ' >_Q x•'t65.2 867.0/ p~ Q 4O' =!a -TREE LINE _ ~ ~?o ~ / Py5 ooc, 866.8/ 31a"-N8686 d aw / off. / / C etiC? A5 41 06 Kw 00 <~a§-5. / C14 I Ow / ~69 / / ~rQ~~l2 e6S4 / / - PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: a5g,I TOP OF BLOCK ELEVATION: gCvZ Z GARAGE SLAB ELEVATION: , TOB ® LOOKOUT ELEVATION: R1 14 D %000.00 DENOTES EXISTING ELEVATION (000.00) DENOTES PROPOSED ELEVATION z - DENOTES DRAINAGE AND UTILITY EASEMENT 1- / I n DENOTES DRAINAGE FLOW DIRECTION / -r- DENOTES MONUMENT TTm''d'` T'L'7 DEPT, i -O- DENOTES OFFSET HUB NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: SCHOELL & MADISON NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. V x0741 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 'r .SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE.SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM WE HEREBY CERTIFY TO BLAKE BUILDERS INC. THAT THIS IS A TRUE AND CORRECT- REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 14, BLOCK 3, BLACKHAWK FOREST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF JUNE, 1999. SIG D: IONEER ENGIN RIN P. A. SCALE 1 INCH = 40 FEET B.Y. Il/F ~ '11'Ilr>.8 Y ohn C. Larson, L.S. Reg. N0, ~ M '358 t {9935400 NJK 9 Y ~~•~~;I~~1~ r_~s~~ X13 L ~ .~i~." ~ . LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 14 -a S 2txu'+ DATE OF SURVEY: -ZS 99 LATEST REVISION: DOCUMENT STANDARDS ~/p ❑ Registered Land Surveyor signature and company oooo~~~~yA~ ❑ Building Permit Applicant ~O ❑ Legal description g/❑ ❑ Address ❑ North arrow and scale ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ Directional drainage arrows with slope/gradient % 0 ❑ Proposed/existing sewer and water services & invert elevation V11^❑ ❑ Street name q/❑ ❑ Driveway bl ❑ ❑ Lot Square Footage ❑ Lot Coverage ELEVATIONS ExisGina ~y ❑ Sewer service (or Proposed) ❑ ❑ Property corners 2-,❑ ❑ Top of curb at the driveway L~'C] ❑ Elevations of any existing adjacent homes ❑ m"'❑ Adequate footing depth of structures due to adjacent utility trenches Proposed m"o ❑ Garage floor uy~ ❑ ❑ First floor ❑ ❑ Lowest exposed elevation (walkoutWndow) ta/❑ ❑ Property comers UK ❑ ❑ Front and rear of home at the foundation PONDING AREA (if applicable) ❑ V"' ❑ Easement line ❑ e ❑ NWL ❑ m' ❑ HWL ❑ O!r' ❑ Pond # designation ❑ 2' ❑ Emergency Overflow Elevation DIMENSIONS La'❑ ❑ Lot lines/Bearings & dimensions t-'❑ ❑ Right-of-way and street width (to back of curb) ❑ - Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ra-'❑ ❑ Show all easements of record and any City utilities within those easements ❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ iK ❑ Retaining wall requirements, if any Reviewed, 7/I Name / Date March 1999 CR 1OffiLDGPRMT FM i CROIX CUSTOM CONCEPTS ,NC. v EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION PLAN W 99181 DATE: 6-7.99 OWNER: BRANDL RES. CONTRACTOR: BLAKE BUILDERS SITE ADDRESS: 1)TOTAL EXPOSED WALL AREA: 2964.48 soft x "U" .11 = 326.1 2)TOTAL EXPOSED ROOF'/CEILING AREA: 1279.00 sqft x "0" .026 = 33.2 WALL AREA CALCULATIONS: TOTAL 4IN11OW AREA: 362.83 sgfl x "U .39 = 14115 TOTAL DOOR AREA: 37.78 sgfl x "U" DT = 2.6 TOTAL GLASS DOOR AREA: 73.33 sgft x "U" .39 = 28.6 TOTAL FIREPLACE WALL AREA: 0.50 sqft x "U" 0.00 = 0.0 TOTAL WALL FRAMING AREA: 194.21 sqft x "U" .14 = 19.4 NET INSULATED WALL AREA: 1747.85 sqft x "U" 1045 78.7 TOTAL RIM JOIST AREA: 452.98 sqft x "U" .043 = 19.5 EXPOSED FOUNDATION AREA: SD.50 sqft x "U" 382 6.6 TOTAL FOUNDATION WINDOW AREA: 15.00 sqft x "U" .39 = 5.9 (3)TOTAL 302.8 If item (3) is the same as, or less than item (1), you have meet the intent of 2 MCAR 1.16008 A and 0. ROOF/CEILING CALCULATIONS: TOTAL SKYLIGHT AREA: 0.00 sgfl x "U" DAB 0.0 TOTAL ROOF/CEILING FRAMING AREA: 127.70 sqft x "U" .026 = 3.3 NET INSULATED ROOF/CEILING AREA: 1149.30 sqft x "U" .022 = 25.3 (4)TOTAL 28.6 If item (4) is the same as, or less than item (2), you have meet the intent of 2 MCAR 1.160118 A and 0. ALTERNATE BUILDING ENEVELOPE DESIGN To utilize the total envelope system method, the sum of items (1) and (2) shall be greater than the sum of items (3) and (4). (1) 326.09 +(2) 33.20 = 359129 (3) 302.75 +(4) 28,60 = 331.3G I • I hereby certify that the building here described meets or exceeds the Slate of Minnesota Energy Conservation Act. 2964 139th Avenue N.W. 9 Andover, MN 55304 • (612) 323-8411 • Fax (612) 323-8660 711,, WALL FRAMING SECTION (1 INTERIOR AIR FILM 0.68 (2 1(2 _ GYP. BOARD. 0.45 --(3 5 1/2" SOFT WOOD 6.87 (4 % .14" CJ~ VO -(5 -SIDING _ 0.62 (G EXTERIOR AIR FILM 0.17 TOTAL R 9.45 U=I/R .10 WALL SECTION (INSULATED) (1 INTERIOR AIR FILM 0.68 (2 _1/2" GYP. ETOARD. 0.45 (3 5 1/Z" DATT INSULATION 19.00 (4 -17-it it n &G~ (5 SIDING 0.62 (G EXTERIOR AIR FILM 0.17 TOTAL R 21.8 U.11R .045 RIM JOIST SECTION (I INTERIOR AIR FILM 0.68 (2 5 1~" TT INSULATION 19.00 (3 1 X1/2" SOFT WOOD 1.89 (4 111 e2'661 - (5 SIDING 0.62 (6 _tzTE(~101~ AI(~_F[L~~ 0.17 TOTAL R 23.02 U=!/R_, .043 FOUNDATION SECTION (1 INT_E•RIOR AIR FILM 0.68 (2 2" S1YR0_INSULATION 10.00 _ .a ' • (3 12" CONCREIEDLOCK 1.28 _ (4 EXl ERIOR AIR FILM 0.17 TOTAL R 12.13 U-1/R .082 CEILING SECTION (INSULATED) (1 INTERIOR AIR FILM 0.61 (2 5l8" GYP. 80ARD. 0.56 4 (3 BLOWN INSULATION 44.00 3 (4 -EXTERIOR AIR FILM_(oko 0.61 TOTAL R 45.78 U=IIR .022 CEILING FRAMING SECTION 5Q 2 (1 INTERIOR AlR_FlLM 0.61 1 (2 b/8" GYP. BOARD. 0.56 (3 BLOWN INSULATION 44.00 (4 INTERIOR A!R FILM 0.61 (5 3 112" OF SOFF WOOD 4.55 TOTAL R 39.13 U=11R .026 CEILING SECTION (INSULATED) (1 INTERIOR AIR FILM 0.61 (2 (3 - (4 EXTERIOR AIR FILM _(;57&L 0.61 TOTAL R U=1/R 4 Q 3 5 CEILING FRAMING SECTION (1 INTERIOR AIR FlLM 0.61 (2 (3 (4 INTERIOR AIR FILM _(STILL 0.61 (5 OF SOFF WOOD 5 TOTAL R 4 - U=1/R CEILING FRAMING SECTION (1 -INTERIOR AIR FILM _ 0.61 (2 - © (3 - (4 - - (5 EXTERIOR ~IIR FILM 0 1 Z- TOTAL R U=11R k CITY USE ONLY LOT BL 5 RECEIPT O a q SUBD. 1(~ ~(y L y R RECEIPT DATE: a ' l G - MECHANICAL PERMIT # `7 9 O a 1999 MECH"ICAL PERMPP (RESIDENTLALL) CITY OF EAGAN 8680 PILOT KNOB RD EAGAN MN 551 EE R Date: (651) 681-4675 ~ Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100MBTU (t.t co°$`4r"~~i° $ 30.00 ADDD TONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) q' ao State Surcharge .50 Total $ 3 Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. I New _ Alteration _ Repair _ Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 n Minimum Total Due $ 30.50 SITE ADDRESS: 37 7 2 Oy"~ fJC~G ✓ L- OWNER NAME: PHONE #~:foInDE) -SP aRO (AREA ~ INSTALLER NAME. ; fW C e- w~l~t h PHONE S1- L (a Ste' --141 O/ (AREA STREET ADDRESS: 2 ►hln.~eSu ~i Sc. W ioGSgoE> CITY: Yom( STATE: M43 ZIP: ~ / O / SIGNAT PERMITTEE ~Q CITY USE ONLY LOT BL RECEIPT lam SUBD. a W~ RECEIPT DATE: I'am O~ I MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3850 PILOT KNOB RD EAGAN MN 5512E (651) 681-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) -L-00 State Surcharge .50 Total $ 3~f :5-0 Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other Reminder: Call 681-4675forinspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: 3 77 a ( ~~O~11 S71 p,V Q/ ~ t ' OWNER NAME:(( CyllA QC7uCI PHONE#: Lc!&l - (AREA} C-O'~E,) INSTALLER NAME: 7 I lr P LJ► ILC rLLC G(~! _ lJ i~ PHONE #:-c~~ u~ STREETADDRE 10(411 e ~~~DO~~I Inn~~RR A__CODE) jSS1: n Z-t CITY: r-A STA E: ZIP: ~J JIB ~t SIGNA RMITTEE > CITY USE ONLY RECEIPT 4ab L -d BL SUBD. `i~,('~{ V~WMI11~ V y;?J~ RECEIPT DATE: ~I -3- 7 PERMIT # ,5 1 -t 1999 PLUM$INfi'Puma (P.Es1DENTiAQ CITY OF EAGAN 3830 PILOT KNOB ftD EAGAN, MN 55122 (651) 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 Bath tub $ 3.00 x $ .00 Floor drain 3.00 x $ 6-00 Gas piping outlet * minimum - 1 3.00 x $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x $ Laundry tray 3.00 x = $ 0 Lavatory 3.00 x = $ .00 Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x 3 = $ 5d Shower 3.00 x = $ 06 Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x 3 = $ 900 Water heater 3.00 x I- $ 6-019 Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 > > > $ .50 Total > > > $ ~3- Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. 1 hereby acknowledge that I have read this application, state that the infonnaiion is correct, and agree to comply wish 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: OWNER NAME:: TELEPHONE /oSI Jf0/- Jr(o~'~ (AREA CODE) / INSTALLER NAME: TELEPHONE (o5l Y~3 -1,321~W (AREA CODE) STREET ADDRESS: 1,5~3a a • iD~s-. CITY: l N iii \ STATE: 7,Y Z) ZIP: 0370W 1, I 5EP 2 4 SC12 ' SIGNAT RE OF FERMI TEE i CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Air Mechanical ADDRESS: 16411 Aberdeen Street Ham Lake, MN 55340 LOCATION: 3772 Brown Bear Tr P.I.DJLEGAL: L It 813 Blackbawk Forest RECEIPT #/DATE: 117272/9-21-99 VALUATION: - - REASON FOR REFUND: Duplicate permit PERMIT 37921 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ 36.00 Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ Other $ TOTAL $ 36.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. Laa 12-10-99 SIGNATURE DATE 7 2007 RESIDENTIAL BUILDING PmvHAPPIICAmm City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Can of Survey Reod Y _ N (20% maximum lot coverage allowed) l set of Energy calculations for heated additions Soils Report _ , _ -Y, _ N 1 Soils Report 9 proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y' _ N 2 copies of plan showing beam & window sizes; poured found design, etc. Addidon - Micate Non-site septic system Tree Pres Required _ Y _ N 1 set of Energy calculations On-site Septic System . -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form . Plans are considered public information unless you state the are trade secret and the reason. Date I I l Z- Lf l a -7 Construction Cost •f Site Address 3 7 7 7- /3,/ o t, i ~c / C Y Unit/Ste # Description of Work ! Multi-Family Bldg _ Y ?j~) N Fireplace(s) ` 0 - 1 - 2 Property Owner T Telephone # (GS Contractor U C-G Address City dt[ a State Zip SS11g Telephone # (6s1 ? d 9Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber 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 plan in the case of work which requires a review and approval of plans. ,4 ge rrr~~ w yo Applicant's Printed Name ppltc is Signature -J City of Eayn Permit# g ®~o I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C4 Date: ~J [ D t Site Address: n a ~YO w n '-~`~Z ti Tenant loYll -Def nbS4 - Y-c..,J Suite RESIDENT I OWNER Name. 1 n't mb /s~lcx - ~j, rL~ ~ ~ I Phone: ~QS I- Lei a- a~~S Address /City/Zip: rJYOWYI ~ rC0.r ` t'-) Applicant is: Owner Contractor W k ld, i 73 e) _s) TYPE OF WORK Description of work: F11 )c V P ffe~ Construction Cost: Lbtr , k y>1~52 Multi-Family Building: (Yes No CONTRACTOR Name: l-C ~Ql uJt lk V\l re 6~ r'1 License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer a Water Contractor: Phone: NOTE: Plans and`sirpporting,dgclumerits that'you submrf are considered to be pu"blic informatfora PorGorts'of tithe mformabofr may be ciassrheol ass non pubhe rf you"pFo"vide sp'ect#reseasons-that woair# ehait the11C'gj Lw.i___r1I _consJudeltthe =~arefradesecrets l(.,';:. 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 t to start without a permit; that the work will be in accordance with the approved plan in the case of work which requuiirees a review and ap oval of I n . x kw l l I~t' r-c ~CX Applicant's Printed Name RE C I 0 a ure Page 1 of 3 FEa ? ~ 2009 DEB 18 2009 I /f I • I ~~a~ 3 I City of Eatu , Perm it : `7' I Permit Fee: I 3630 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675.5675 Fax: (651) 675-5694 I staff i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: D Site Address,: 7/~7 X At'i 11~ 6,M1,111 Tenant: 7~? t. y - .~J~t.IX,• dA Suits RESIDENT / OWNER Name: Phone,464A~8 -a3 8 Address l City I Zip:37'7A Zk~ &OaA J TA ij i /-7 n• 5s-IA a Applicant is: , Owner 7)(- Contractor TYPE OF WORK Description of work: aiYt~J~11 -GwW G~ft~ a~ -Ale ~ Construction Cost: , s~ • Go Multi-Family Building: ('Yes X / No CONTRACTOR Name: I , n - License '7/ Address: `Oi'71~ [ L< ~r1 P.{o A11c- ~ City: OS /iYl d eaj&a-J State: h!! Zip:a~ Phone66 1-7 8e-1 244(/ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW B ILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? Yes _No M yes, date and address of master plan: Licensed Plumber: Phone; Mechanical Contractor: Phone; Sewer & Water Contractor: Phone: iiii I hereby acknowledge that this Information Is complete and accurate; chat 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 p rmil: that the work will be In accordance with the approv plan in the case of work which requires a review and approval of plans, x J u =L /-l D WI x Applicant's Pri d Name Appllc Slgnatu Page 1 of 3 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - 9 -For Office Use I I I I Permit City of Ealan i Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 ! - - - - - - 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 377,2 Qrou?r~ar Cr~ Tenant: Suite RESIDENT / OWNER Name: 1'nn m S r Phone: Address / City / Zip: 77,2 b` w- " -&-a r- Eq!26~n .O a2 CONTRACTOR Name: Qr) V-+ In 0 c- rt 'P'~ tv~n b ,n ry, License Dk y ~&io tP M Address: Cen1r',!5,L \/Enue City: ~fiGtle State: `O Zip: 55- r{3 a Phone: Contact: \)n(,C, IF5 i is Email: TYPE OF WORK - New Replacement _Repair -Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater -j- Water softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures C_ Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8'meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gopherstateonecall.ora 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. xQ ®aA x d- i°5 Applicant`s Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground ,_„_Rough-In _ __,Air Test __~Gas Test ,,,,-,Final Cid of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: a -D 1'' 3 Staff: 00 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: OOP C 3 Site Address:' -1-7 P)O Uv n 3ecx' T r 1 Unit #: Name: T o n 1 Je' 1 i \ S Y I PhonL Address / City / Zip: 311d i3CL$ l.w`) r I y 0un t I ) J 64313 Applicant is: Owner %A Contractor Description of work: I ''6 ► �} mor J t Construction Cost: Multi -Family Building: (Yes / No X ) Company: G US I V I 1 1 V- e/ 1 tcl�ll. t rS I ft -Contact: di(i I I V I 1 I S Address: 1414 ftp)) I O tJ r(\� City: L i I J V LV1 V S State: EIN_ Zip: 'Ja.J l — i PhoneftO5 I fl U `1 -d(940 License #: G Qa 0 111 b Lead Certificate #: N A—T c7101.04—) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 & Water Contractor: Phone: NOTE; Plans and supporting docu eats that you subm ` arse considered to ire"pu o f information ons: o! non-public if you provide spec fic rleasons ' wot t/tI perllrrrt t#i #1 to conclude that the arra trade secrets. tion,,maybe classified CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must e completed within 180 days of permit issuance. x J�du �lyIA Applicant's Printed)Name x Appli Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115247 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 3772 Brown Bear Tr Lot:14 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-140 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Toni A Dembski-brandl 3772 Brown Bear Tr Eagan MN 55122 (612) 696-2573 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature KoofY) tT)1$1.5-E. Mei Kr fi kiLs4 •‘ SMOKE DETECTORS ARE REQUIRED ON EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM AND IN EVERY HALLWAY LEADING TO A SLEEPING ROOM ARE STOP SOFFITS AND ALL OTHER DEAD SPACES. I (7 1::) r 0 v-1 f') r jx A CARBON MONOXIDE ALARM MUST BE INSTALLED IN ALL NEW SINGLE FAMILY AND MULTI FAMILY DWELLING UNITS. X.?ijNaA 'HON WALL MOISTURL 3ARRIEP • r-2 -REQUIREDBETWEEN - NSLILATION AND FOUNDATION WAU. 7ROV (-)P TO GRADE- . . A VAPOR BARRIER rvildar OSTALLED QN TeE WARM St; ALL VVALLS .NO A\TT;C ClEtrG EAGAN REV ED - INSFZCTIONS DIVISION Use BLUE or BLACK Ink -----------------, � For Office Use i . I � 1 �}� Ol nA��� �s I Permit#. ���_ / I i lIQ ����...�. �` �::.:.� I i � Permit Fee: � 3830 Pilot Knob Road � �t� ��� I ' ./� I Eagan MN 55122 J�' � Date Received: � Phone:(651)675�675 � � I � Fax:(651)675�694 � Staff: , � i �v�� . L.___�_��_��__ ��`�J� � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��-� _ _ � ��,� sb Date:� / � Site Address: G Unit#: ' Name: Phone: Re81d@#1t/ Qy�ngr '' Address/City I Zip: : Applicant is: Owner Contractor Type Ofi WOTk- Description of work: �/1�S L� �Gt s�I�►� 1�1 �" ��7�'� ►^O o �'7 Construction Cost: ��i ��0• � Multi-Family Building: (Yes /No_) Company: �i�'_P 7"� rr�('O r'/O�!C%/"�S Contact:✓Ah �C o�L'l COR�r'dCtOC Address: �l��O .��e��q� �t� city: �v rr�S r�'/ ��� State�Zip:� .S'" 7Phone:9�o�73�-'�E ai� �J'�✓�o✓ /a • �N P�G,�Q� C��7 . License#: �G o2�-3�l � Lead Certificate#: �-- l" _�� �S'���0 "��D3� If the project is exempt from lead certification, please explain why: (ses Page 3 for additional information) , ,t�� � / � a.�'t'rv- /97� �� COMPLETE THIS AREA ONLY IF CONSTRUGTING A NEW BUILDING 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: N�TEr Plarrs and supporting�locumerrts t�rat you submit ane cons�der�d to;b�publFc inf�mnetiQn. Portira►�►s of fhe informatian may be ctass�fied as non�ublic�`you provide specit�c re�sons�at wout�l permit fhe City fn cot�clude t�ta�t the ar��a�1a�ecrel�. CALL BEFORE YOU DtG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orp I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordanoe wi�►the Minnesota Sta ' ing Code must be completed wi�in 180 days of permit issuance. x_��f s�l /�l �d T�l Applicant's Printed Name App icanYs Sig, Page 1 of 3 e DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3Season) _ Exterior Aiteration(Single Family) � Single Family _ 6arage _ Porch(4-Seasonj _ Exterior Alteration(Multi) � Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellar�ous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building W_ORK TYPES �j � _ New ^ 'J�terior Improvement _ Siding _ Demolish Building* , Addition _ Move Building _ Reroof _ Demolish Interior _ Afteration _ Fire Repair _ VUndows _ Demotish Foundation � Replace _ Repair _ Egress wndow _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout#o applfcant DESCRIPTION Valuation � �+� Occupancy � MCES System Plan Review Code Edition n,�; SAC Units (25%T 100%� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buiidings Length Fire Suppression Required Type of Construction _�� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deek) Final/C.O. Required Footings(Addition) �C Finat/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests ,_,Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath ,Brick ' �C Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: � � , Building Inspector RESIDENTIAL FEES Base Fee Surcharge � � Plan Review �� �{� MCES SAC � City SAC ��1 � Utility Connection Charge � S�W Permit 8�Surcharge � � �,� Treatment Plant � � �;'�'"V t � Copies �yrY TOTAL Page 2 of 3 Jun.24.2015 10:57 Hessian Plumbing Services 6516818306 PAGE. 1/ 1 �, � � Use BLUE or BLACK Ink k � � � �• /�=�' � �--------- —t ��.1 Gu� � � For Offlce Ue� ------^ I /'ti � � � I . �j �'.n 4'� � O�f � / q � Permlt#; � Caty � ���n �r` .� -- / � ' j Pannit Foe; ��_ I 3830 Pllot Knob Road � S:� ��� � � � I Date Received� Eagan MN 85122 � � Phone:(861)676•6676 � stafl; � Fax:(661)676-668A -----------------�- 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION /� s � ,� w y� ���' ��, De►te: l.�`r� � 3^/ 3ite Addreas: � � � ro � '" � � � Tanant: $����� � _�._ —__�_�......._..�. ' Name; Vt c-� ` Phone: Resld�ntlOwner � � . .. ��. ' Address/Cit�/Zip; '—'—"— ,..� -�.�-a__ : � � ' . . Name� Q.S �'a r� 1�r. ► n J�Q r v i c:.��' I,�anse�: (u 4.,�!� .� S� �' �Cont�actor �adreee• � o. ��►( o`? Q? � "� �. c�y: ' ' �• �. �✓ 21p: J .S /o? 2 Phone:�� � - � g I • �'S 2--S^ Z • � � . , Siafe; ' � � , .. , , ' ' . , CoMect; 1�'� 1 V�c Email; �� ,�'�1 o h .,r,.51 � • �. �� �'ype of Work� .—New _Replacement _Repair _Rebuild �Modify Space ____Work in R,O,W. I�� , ' � ' ' Descrlptlon of work: ,,..�.,::.,.::".:--�:-: �..,...,.� ' � , . ' ' � RESIDENl'IAL Z , L,,p vw ������'1 i�'► i J' . , , � . We1er Heater �� ' � _Lawn Ir�ioatlon(_RPZ!_PVB) Water Softener �: 'Per�111�T�t'p• ' Add Plumbine Fixluras(_Main!�Lower Level) , _Sepilc Syatem � , ' � � ' � ' . �,NeW Water Tumeround .�.�...:,.�... , , _Abend_ °nmen�,._..�.....__.__._ .�...,_,_,.,... . RESIDENTIAL FEE3: $60.00 Weter Heatar,Weter Softener, or Weter Heater,�,�Softener(inetudes$5.0o State su�cha�ga) $60.00 Lawn irrigetion(Includas$5.00 minimum Sieta Surcheryej $60.00 Add Plumbing Fixtures,�eptic System Abandonment, Wate�Tumaround*(Includes S5.00 Staie Su�charpe) •Water Turneround(add$200.00 If e 5/8"moter ie requirad) $115.00 Se�tis Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcherge) / TOTAL FEES$ (� V • UG �--___._.._..,,._.. .M �,,... GAL.��RE YOU DIG. Cell Oopher 9tata One Call et(8b1)464-Op02 for protectlon agelnst underoround utiliiy demage. Cell 48 hours before you intend to dig to receive locates of underground ulilities. vwvw.aooh rstaieonecell.ors� I hereby acknoWlodpe t�at thle Info�matlon le complete entl a¢ourate;Ihat the wo�k wlll be In conlormanoa wlth the ordl�anees end codoe of tha Glty ot Eapen;that I underetand thla le not a permit, but only an appltcatlon for a permlt, a�d wo�k is not to et�rt wlthout a pa�mit;that the work wlll be In accordance with the epproved plan in the case of work Wh1Ch requlfes a review and apprava)of platte, Y , J C. � % � x / �'iG'v ' Appli nt's rintad Name Ap �canNs 3ignature FOR,OF,FI,GE U$p. . . .�, • . ., ., � •...:, . � ' . , �Revlewed�By: ' .Date:�,,,,� � ,. ; ,; ...;. :. . . .. � . . .. , . ., .. , Rsqul�.d IH�pactlona: ��l�nder.C3round� '� Rougli-In �,Alr 7est�, ,�Ges Tes!� , ��,,,;,,,,,_Flnal �',. .~ �Met�r R�I'ated �:e�he: ;, ...M�t��.Sl�e .�� . . Radi��R�qd � , Manomete� � •. � .3t�P(:. . �. . � . Use BLUE or BLACK Ink .,, For Office Use LI 0 ' ..‹)--,01 D.., V (---- Perm # 1 City of Eaall 1 ,? Permit Fee: (.2-1 ,„ 3830 Pilot Knob Road Eagan MN 55122 RECEIVED _ Date Received: Phone:(651)675-5675 Fax:(651)675-5694 FEB 0 1 2017 Staff: \ (—CA. 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 9- - Date: -;) 1 7 ,,, , • • - r, v, , , Site Address: 3 27 1- 1) '1,- to'l ' -3 f . .-4'''' -At"''' A unit#: )i-,' ( *^ ik s 1 I Name: / --4 °•-"A'' Phone: t Resident/ -!. Owner I Address/City/Zip: ??2. i—r1w--,---..- ev*/ Th ,k ck a ci.i. Mit; 1 I i I l Applicant is: Owner / Contractor r 1 _ 1..,,, ..,, 71,..124,, )(--1,rt i., 41 Description of work: P---0-0•40C 1 , i-i.t C,,,,.,-'s- /.:::. Type of Work , Construction Cost: -00,00(...., Multi-Family Building: (Aser. /No(:)‹ ) , ---, ••, .. , --, i i I i Company: 1 -- .Vt V., * Contact. 't -C. i _ i t . A Cik, \.'" "' g ' Address; \k"-t ;, Si.,..N., - 'JL ' City: i 0 144-0 IN*L- ,1 Contractor _ ... i State: MN') Zip: SCYy/ Phone:702'33)-3 Email: ria n'-vtp,"\Af-e -it pi,(cal '1 I ! ( License#: 2C. (22 >i 1.- Lead Certificate#: ---1 , .. If the project is exempt from lead certification, please explain why: = i ,,. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: .." , i., Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: - , Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to , I conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x F--etrA ie_ LL 14t 61/ x -----;-C.. . Applicant's Printed Name plicant's Signae Page 1 of 3 DO NOT WRITE BELOW THIS LINE I M 1.1-1(')Ci SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) _ , Single Family Garage ______ Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior de Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage __. Retaining Wall "Demolition of entire building-give PCA handout to applicant DESCRIPTION -70O4 Valuation Mar" Occupancy j.n C.-1 MCES System — Plan Review Code Edition AtiirSAC Units — (25% 100% / Zoning j2, -) City Water _..... Census Code /31/ Stories Booster Pump _..... —.. #of Units / Square Feet PRV _ #of Buildings ...-4 Length — _--- Fire Suppression Required — Type of Construction ...14-4 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Al • Final/No C.O. Required Foundation Foundation Before Backfill X-' HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final /i-- Framing 1, ,30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 71-0-6441-"g7; Base Fee Surcharge 2 31 Ri ,Zo 64 Afoa.-- - Plan Review e.:15•___-__ MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies ''/( LC (-0:' •-2 Se4/9 TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use Permit#: / �p/ ,-,'7` City of Eakall Permit Fee: l ' " C 0 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: a2-02 r. P Site Address: 37 70Z Q fp'wn ,y( Tray1 l Tenant: Suite#: Name: Phone: r Resident/Owner 5 Address/City/Zip: F Name: SiApfer1 t i[EU )t' /T)� l u�?�`I I., / License#: /✓)�67/VS-_1 i 61 1 i Contractor Address: / 2I Cion}/gt(S L.Gke IJIJj- 1v l✓ City: A,ico'pc 1 State: MN Zip: S S 309 Phone: 7 61- H'13-' 05)O Contact: 'rnn �to �fi�e6 su fQ�t �✓ _,_,._, ,,,a, w, ,,. ._,a Email: y', a .w �A�. � '� °�.� � s / New Replacement Additional '/ Alteration Demolition ct Ai Type of Work Description of work: Move() -�,nger VPS{-pVPr. RPI% Su0 a1 ovtJ A-4k-, atr C}� Y�' I i NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by,City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL i Furnace ) New Construction Interior Improvement i Permit Type i Air Conditioner ; Install Piping Processed 1 Air Exchanger i Gas Exterior HVAC Unit t — I I Heat Pump Pmt- Under/Above ground Tank ( Install/_Remove) i A OtAC5 �J Other �r t { RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 1 $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee 1 Surcharge= Contract Value x$0.0005 =$ Surcharge ; If the project valuation is over$1 million, please call for Surcharge =$ 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 j)rican --Tb-(1.S x --s Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test > Gas Service Test In-floor Heat Final HVAC Screening JOB S?7l to,./4A- J3 , T,r , ,J����.. SHEEET NO. OF III R Horne Building&Remodeling Experts CALCULATED BY DATE ICI j) 7 CHECKED BY DATE ``r...r+��/ l /q ^5 2- SCALE I PERMANENT RECORD jr«~'' DO NOT DESTROY _Jr- e�x.5 �� 1 teto k r t . LICENSE• D ENGINEER ; r For Office Use C ivSID Permit#:AG A w ••__ •••• O 1 2019 Permit Fee: /22.e7 CC JUL Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(cr�cityofeagan.com niF i_ _ 2019 RESIDENTIAL BUILDING PERMIT APPLICATION 1 /9V - Date: 72(/2oi q Site Address: 3 7?2._ SR*Wk) Sevtie. rL•/l'1`- Unit#: Name: a/AM- CAW-1,-So tV Phone: 651-s-28-306 y Resident/ Owner Address/City/Zip: ?'2- pRWJ i lLA I4- foul%) A4A/ crIV— Applicant is: Owner Contractor Type of Work Description of work: svIo-oK- R et7o1—.- r Construction Cost: 'I�Multi-Family Building:(Yes /No Company: bpI N *mote,I I4. Vb Ottmaih ontact: ko l.t Contractor Address: WMI L)/ '211'w '%Wp City: 51 {o U4S ()Aver(-- �� State:MO Zip: 2X.# Phone:fa"V/Iff� Email: tibI Q dreaw,k htte.i Tuun•c.M License#:fP)G2,0 Y 0 S$ Lead Certificate it: JT— 2 17 -2- If the project is exempt from lead certification, please explain why: n �' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t. - •out =rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p. . xAIM 413 °`S‘ Applicant's Printed Name .plicant's atu • 377 bro&il 4A T / x4„( C b DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) vi Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior X Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation J24 c7 Occupancy a-04,r MCES System Plan Review Code Edition 1,0!$/"tN Tax- SAC Units (25%_100% V) Zoning R-I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1E6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ) ' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final X Framing )( 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: OS— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ti ce'e, MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 „,„„„,,,,, 1 For Otto.to; ::....,'''i'':::',i”:47,::::',,i..., , , ,,, , , i N i ,L„ „ --, ' E 1 j Date R 1 3830 PILOT KNOB 1 OAD EAG'il,t, MN 551 It i 1 i t I . -5875 t TOO, t,$,1)4rat,t535 f AX jrfiid1 67`.x fa # t Stat 019 RESIDENTIAL PLUMBING PERMIT APPLICATION::,. yg[ . iA yer. :..,„ r' Site Address: Tenant: Sutt� r°'' ,, Resident/owner ntlt”' wrner N e r k,c, �, :1141414: AdcireSS d`City tip. ' r, .. ,, Mdre ' rt �y; r _ t", r'T-s� cc J x f" �J 1�� A Contractor _ ._ Y _ , State _-'141,,:.,,.... Zip �5-/.2 R?r�rr>�= i' ? '" �-- f' 1 r cr►iact' E`rttaai: t a- *. Type of Work New -K.Rep icemen! _.Repair _ Rebuild Modify Space _Wo*in FLOW, Caarscrtpda?n of work: +►r .« Water Heater , fi t , ; ,jter Softener 'MO' is :tttaescrlP n S pG System nalterkeinev Ne s — Ahanda nrxl a nt . . uorinecpuri to dl',,,,, �r v r w t" a.0.-,?i,;"._ " RESIDENTIAL FEES �myua s `' " " a w.; l"pit '' 6 ata w.ta ii.t ,ilii : 1Pi $60.00 Water Heater, Water Softener, Car Water Heater Staff `' �� �S $60.00 Lawn tmgation (includes State Surcharge _ = � " $60.00 New f xtur s, adding or removing piping (includes State S r J„,‘,,,, E� $60.00 Septic System Abandonment s,A $ 00.00 New Residential (fee collected with Budding Permit} x, , $115.00 New Septic System (includes minty fee and State Surcharge) l $60.00 Connecting to City Water from Wel'!` + $290 for Meter and x190 fear Radio Read=$540 & Water Permit also required for connection charges tcrrALFEES$_ 6'0 ALt �E S}� � ptaot State One Celt st( Sty 4: 4 RAY #or "., s .,r hours beforeYou ^vze may saib crit ar to receive un mound trute3catta a�from the City of ordinances by signingIli up tor an email update ort the City's mend to at 10 reoove A. �s.�z r^r :.a.'t i ,.4..11 asst:. in l r r ti s :• ,. is caanptst*and ra d to wort tw to in conf a imam a with the ordinances, ams ci ,Cay ct,; E ; a t t r it s #s rias t ntd only an hx and t sit a p:' ' its w act�lo w ► �v,d In the a a andPte; �' `"'4''''''':''e--' ra � ^sem ^�� �, :.., sea "rei'S� a � ' �e { ,�1 �y m� ' , � 11i P'l tftt f+l'�11na11 ' g, ' K tri x o "i' 'p�'''''11{"�ua f , ;w v r s 74 w c xn 0 I`ii o;,,,,,','„P VIII a,, ;% xe' a .„;',,!°,/,',. :9 a � \ x xr x S Wa "` , , A m:3R;`° PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165381 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 3772 Brown Bear Tr Lot:14 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Regina Simone Carlson 3772 Brown Bear Trl Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature