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3767 Brown Bear Tr A INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830'Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT.SUBTYPE: ' TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC !r o7~'~?,S'7 Inspection /Date Insp. Comments FOOTINGS FOUND FRAMING Iq ~ / A LL ROOFING J ROUGH PLUMBING Z f PLBG AIR TEST ROUGH HEATING -7- A(-/q • 1 GAS SVC TEST - INSUL GYPBOARD ff f! FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ECK FINAL v Wertifica#e of CCc"anc~ lKirg o pagan Mepar, ent of ZKOing ;3nipection 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 _ I ordinances of the City regulating building construction or use. For the following: Use Classification: SF 17I+TC: Bldg. Permit No. 315M F~3 U- I 1 VN Occupancy Type Zoning District Type Consc Owner of Building RIE'TY HCMES Address 4130 B !i !ESN, M D~A ~ _ Building Address 17-8-7 BROW i7LL:Rf~ & Locality L ! ! 'Uate. Building Official 117 POST IN A CONSPICUOUS PLACE a jx I l t , i6 I j. Rai 1 ~JI'4; Address 3767 BROWN BEAR TR EACAN- M Zip 5512 Lot 13 Blk 3 Sub BLU AWK FOREST THESE ITEMS WERE / NOT COMPLETE AT THEME OF FINAL INSPECTION. r,A Date: J y' Yes No InspectFinal grade (6 from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please ver' 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 fill Il j Perit# City of Eafa I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: / l I C' I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I ----------------1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '4 L IS Address: 371607 /frown Qtar 77&11 Tenant: Suite RESIDENT I OWNER Name: 111to Phone: ~bn) 7/& - Q®rc/ Address I City I Zip: 3747 6fyo✓g (,Aa 77/ c~^~^ / Applicant is: _ Owner Contractor TYPE OF WORK Description of work: 77.0--Construction Cost: 5,W& Multi-Family Building: (Yes -I No CONTRACTOR Name: ~ro+~iu n License "jr'F7a41d Address: 970 /Par ma~.ae ov* - City: S-A 101.✓/ State: M.) Zip: 4r Phone: IA.S!~a®9-3130 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 (J 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 & Water Contractor: Phone: #NOTE Plans andsupport1h#j documents that you submit are consrdered fa be,pt{bhc in ormiatroitylj PotYton4, of ; the m!o[ma#ro"n!riiayheipassffis as non publec# you provrde sgecr~creasons, at~w%uuld peAftl t Xr#y o _ _?A 3I v3~, m' i loom cancWde,€hatttie>are.traafesecrefs~..:~- 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. A"00 sv. X X Applicant's Printed Name Applicant's Signature Page 1 of 3 city of eagan 1 11 THOMAS EGAN Mayor PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Council Members March 30, 1998 THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk VARIETY HOMES 4130 BLACKHAWK ROAD EAGAN MN 55122 RE: 3767 BROWN BEAR TR LOT 13, BLOCK 3, BLACKHAWK FOREST TO WHOM IT MAY CONCERN: This letter is to serve as follow up to concerns raised by the adjoining property owner of a home you are constructing at 3767 Brown Bear Trail. These complaints are in regard to the excavator infringing on his property by stockpiling soil and disturbing the yard that has been power seeded. In talking with the excavator and Variety homes representative, Mark, I was assured the affected seeded area would be replaced with sod. A silt fence is to be installed immediately to keep the eroding soil from entering the back yard of the adjoining property. As a contractor, you are responsible for the actions of your subcontractors; therefore, the City of Eagan is asking that you follow up on this concern to the satisfaction of the adjoining property owner. Your anticipated cooperation is appreciated. If you have any questions, please do not hesitate to contact me at 681-4676. Thank you. Sincerely, William Bruestle Senior Inspector WB/js MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY EAG 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE (612) 681-4600 PHONE (612) 681-4300 FAX. (612) 681-4612 Equal Opportunity Employer FAX: (612) 681-4360 TDD (612) 454-8535 TED: (612) 454-8535 PERMIT ,>'~-/CITYOF EAGAN PERMIT TYPE: BUILDING 3$30 Pilot Knob Road Permit Number: 031504 Eagan, Minnesota 55122-1897 03/02/98 (612) 681-4675 Date Issued: SITE ADDRESS: 3767 BROWN BEAR TR LOT: 13 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-130-03 DESCRIPTION: w B"Gi2ding Permit Type SF DWG ZBuiiding Wkork Type NEW UBC:'Occ-u~aP R-3 U-1 ConstructioPe VN __Zorting: _ R-1 Building Length', ~ 66 Building Widih..:e 50, BUfAdfh'6 stpridi's``' . 2 S,gcare Peet di 's, nus . Gde 101 1 - FAM. DETACH REMARKS: S & W PERMIT: GENZ-RYAN PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $144,000 Base Fee $1,107.25 MISC FEES $1.592.50 Plan Review $719.71 Total Fee $4,491.46 Surcharge $72.00 SAC $1,000.00 SAC % 100 SAC Units 1 Subtotal $2,898.96 CONTRACTOR: - Applicant - ST. LIC.OWNER: .VARIETY HOMES INC 14545971 20036343 VARIETY HOMES 4130 BLACKHAWK RD 114 4130 BLACKHAWK RD _ EAGAN MN 55122 EAGAN MN 55122 x(612) 454-5971 (612)454-5971 I hereby acknowledge that I have read this application and state that the inforoto-tio,n is-correct..-end.agrd4 .toiz,c0mpriy;s'ath:ai1 aR,p cak atauof Statutes and City of Eagan Drdinances. ~ C APPLI NT/ ITEE SIGNATURE ISSUED BY. SIGN E ©l '1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) G'`r ~I CITY OF ILAGAN `Y~ 3830 PII.OT KNOB RD - 68122 681-4675 1~ 6Q New Construction Reouirements RemodeVReoair Requirements ~IGC ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Include bream & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ t energy calculations for heated additions ♦ 3 copies of tree preservation plan If lot platted after 7/1/93 required: _ Yes _ No , 1'? `700 DATE: ZlZ S H 9~ CONSTRUCTION COST; 3 / DESCRIPTION OF WORK: M f"J Ca V sT SbL- ~A'µr I Y STREET ADDRESS: 3'1 browt,l Bsaw. T2t4li. LOT: BLOCK: 3 SUBD./P.I.D. Nj-ACl-lrFAW k - F fLS.S T Name: Sot V /J SO M Phone 1o S r 19 3 PROPERTY Last First OWNER 11,, Street Address: Li o 8 d 4A, GlTt Lj r City State: r'G Zip: 5,9 2,2- Company: V ~TY 4rn~S Phone ~S y - S`l /7 I CONTRACTOR / ~ ~ I-". , Street Address: 1~31t) h AoJIL- ~ 4-1(q License # Zo or3C4.3143 city 1 A State: yo tj Zip: _1 1 2 Z ARCHITECT/ U6- ENGINEER Company: It / Th/ 0 g f S b~ Phone i 3 - R 7 Name: Registration # Street Address: City ~1 State: Zip: Sewer & water licensed plumber (new construction only): l?SAl Z_ IC `1 A'a Penally applies when address chang and lot change Is requested once permit is issued. 1 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 xo* Certificates of Survey Received Yes No ® 0 Tree Preservation Plan Received Yes No Not Required ii 0~ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish -02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Publiefacility ❑ 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) oul Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. Is ?Z :City Water UBC Occupancy J-1 2,4 - sq. ft. ao Fire Sprinklered Zoning GAS sq. ft. 5111 PRV # of Stories :Z sq. ft. Booster Pump Length sq. ft. Census Code. 101 Depth so' Footprint sq. ft. i L SAC Code. nr Census Bldg ! Census Unit I APPROVALS Planning Building /1/1,Q Engineering Variance Permit Fee V luation: $ Surcharge Plan Review zz. src : •1. S11 License y x s J MC/WS SAC Y +y ILI City SAC Water Conn. c i Water Meter z Acct. Deposit `4 -70 Q S/W Permit S/1N Surcharge -70f Treatment Pl. cvex i ~P i,U,°3 y F17. Park Ded. rx,te . A y Tri ils'Ded. ca V d Ot#,ie~!`;•J~j 3112. ry P -7q SA 4 S ti s,°. ss s 1 T♦ r o f irate of § u r u r q 2120198 Prepared for: VARIETY HOMES, INC. 4130 BLACKHAWK RAOD - SUITE 210, £AGAN, MINNESOTA - PHONE' 454.5971 b,pe R6,:pttan LOT 13, BLOCK 3, ADDRESS BLACKHAWK FOREST : 3767 BROWN BEA/7 !2 ~ry according to the recorded plot thereof. BROWN EAGAN, M/NNESO.F.~1~pCJ DAKOTA COUNTY, MINNESOTA ~I~ 7 NZn BEAR BY C.~as°o L H TRA IL DATE---__Z - 2- 213 j' +e55 ys' gds , BUILDING INSPECTIONS>~ i HOUSE~GAR. ~ a) 8559 /BITUMINOUS SURFACE LOT 12 I I 10 J 185592 'to 1 y ~85~~~ _ l?8y1~J I+/i 'o. M~`~ca 7 Y CURB & GO' 0 . o ,858 nail elevation = / ~ ~ (8$Ya, 1 ' ~ nail elevation 856.69 I 1s Bs o) 6.9 A515 fV/ a K ' / J+~' 9 1 5 - o 8I I g? f Es 65 GS I 4k nail elevation a. ' a 857.10 o' ' A s 11 O D +58 a G ~ 50 'o. ' 851 0 Si? Im 06015 I I ! O ~-~,g', 10 I 85~-\ (Z) 211 .0)_ 10 / Q I 2 -I ~ ti 4 I ' nail elevation = I I 85 Z 08 NO HOUSE Z4 LO/I' 13 / I +a51~1g1 LOT 14 SCALE : 1"= 30' O o ~O 3a 7~ BENCHMARK.' o BLOCK J gap n-i x t- Q fat 13 & 14, . 3, 2a- I ok QLAalior 858.58 50' 10 Ls~a>I ` " ~`f I' NOTE.' VERIFY ELEVATIONS & 061 DIMENSIONS PRIOR TO ($(Qp,3) CONSTRUCTION He E AG kjy ~jy;Tg{RqG DAFT'. o Denotes iron monument 983.5 % Denotes existing elev. MPstergren & AzzariatP$, .3nr. (987.0) Denotes proposed elev. ® enotes Off-Set hub LAND SURVEYORS & ENGINEERS (SSa dv-1rBVOJ_Top of block elev. Top of fin. garage floor 8500 210TH STREET WEST LAKEVILLE, MINNESOTA 55044 - Top of basement floor elev. PHONE : (612) 469-1899 FAX: (612) 469-1899 g4~ dicates direction of surface drainage ,1' ST aRILY IMA1 IN4 9NVEY VAS W PAAM W NE OR 1 W OWCT SIpEAV6YM. 6 COWCI EO IAE BEST OF NY %1lpYLEpGE AW B f• MAS E% WED N ACCg10ANCf MIrv TA C ENT RECOY N)EO PROCEPIIES IM ME PRACTICE Of LNC ANVEMC AOCVIEO BY M I SOTA SIXZTT OF PMEESStlML SWVEY AW TMI I AM A OLLY 1N8E0 LAND SMWYOR V 1XE LAMS a IIE STATE OF N ESOIA TNS MTf E 9qM TIE LOCAIM MALL B D CS ATTACHED TO SAM) LM AD THE LOCAT%IM Of ALL V EMf1gACM 75, E urt, TRW NL p SW LAM. ,b LWLIIY IS ASSWEO f%CFPi TO THE I E WIEy INB $MVEY nA5^PRfPMEO, M6 IENS. AHO ASSOHS, ANJ SAO LIABLIlY 6 ASSAED MlY FOR iME~ACIIM4 M ll~SyNVEQY,L)E.LLy~~~ ` / ` DATED TH {/r DAYOT~,SJ~ P- 998, Field Book Job No. J234B Minnesota Registration No. 19790 DTm R. Westergren LOT SURVEY CHECKLIST FOR RESIDENTIAL ILDING PERMIT APPLICATION PROPERTYLEGAL: DATE O SURVEY: 2 LATEST REVISION: DOCUMENT STANDARDS <s 12~❑ ❑ • Registered Land Surveyor signature and company W'*~❑ ❑ • Building Permit Applicant tL"~❑ ❑ Legal description la~❑ ❑ • Address [Y ❑ ❑ • North arrow and scale t~ ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 ❑ • Directional drainage arrows with slope/gradient % ❑ • Proposed/existing sewer and water services & invert elevation ay,~ ❑ ❑ • Street name G7' ❑ ❑ • Driveway ELEVATIONS Exidpg Cr/❑ ❑ • Sewer service (or Proposed) M~' ❑ ❑ • Property comers ram ❑ Top of curb at the driveway ❑ ❑ • Elevations of any existing adjacent homes / Proposed tY ❑ ❑ • Garage floor ar' ❑ First floor t ❑ • Lowest exposed elevation (walkout/window) ❑ • Property comers ❑ • Front and rear of home at the foundation PONDING AREA fif applicable) ❑ la/❑ Easement line ❑ er, ❑ NWL ❑ t3"❑ • HWL ❑ • Pond # designation ❑ ❑ • Emergency Overflow Elevation / DIMENSIONS [3' ❑ ❑ • Lot lines/Bearings & dimensions B/'❑ ❑ • Right-of-way and street width (to back of curb) E ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', / porches, etc. (.e. all structures requiring permanent footings) c ❑ ❑ • Show all easements of record and any City utilities within those easements 0`0 ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ 0--~O • Retaining wall requirements ' any Reviewed: me / Date January 1996 CRAIG19MAKDGPRMf.FM TEL: EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION Plan # SIN~+~tie L-itNwad Date _ 'l!I o Owner Contractor l£ - 1-{omf 5 r- Site Address 317 (o l grow, i3 -rrc 1) Total Exposed Wall Area sq. ft. .11 2) Total Exposed Roof/Ceiling 11 O sq. ft..('16 = Z$ 7 Wall Calculation Total Window Area (o(p sq. ft. 35 = /rg Total Door Area -,,log sq. ft.07 = g .7 Total Glass Door Area 44c:? sq. ft. .35 = 14 •o Total Fireplace Area _ N i„ sq. R, 36 = t Total Wall Framing Area 183 sq. ft .09 = Net Insulated Wall Area lto~3 sq. ft. .043 = ! • / Total Rim Joist Area i yp sq. ft..04 = Total Foundation Area 0047 sq. ft .14 = y2- Total Foundation Window WAr sq. ft. 35 = 3) Total ICY • Z If item 3 is the same as• or less than item 1, you have met the intent of 2 A1CAR 116003 A and O. Roof/Ceiling Calculation Total Skylight Area y4 4r s q. ft. 35 = / Total Roof/Ceiling Framing t t o sq. ft. .026 = •R Net Insulated Roof Area !M4 sq. ft. .022 - "-t . 8 4) Total Z4--l If item 4 is the same as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and O. Alternate Building Envelope 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) +2) _ 3) +4) _ 1 bereby certify that the building here described meets or exceeds the state of Minnesota Energy Conservation Att. , 1 Signed Q CITY USE ONLY LOT / -4~' BLS d~ RECEIPT SUBD.aj4t tU1TC J RECEIPT DATE: /&319 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN mMm 55122 Date: (612) 681-4675 ~J Complete this section only 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 r 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) (P &D • State Surcharge: .50 • TOTAL: 5T Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reouired 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 SITE ADDRESS: 45q-547-71 OWNER NAMEPHONE 4//INSTALLER N pp VIA," 47,1 aM PHONE M &2 /S Y STREET ZRESS: I -IO CITY: TE: " ! I GNATURE P I JS/FORMS 13LDN ECH PERMIT (RES) -1999 CITY USE ONLY g r~ RECEIPT 3 1) 4 SUBD.~ BL RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 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 = 1 ov Bath Tub 3.00 x = /2.OU Lavatory 3.00 x = 2 KitchemSink 3.00 x = UO Laundry Tray 3.00 x 5100 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 "for dwellings under construction 5.00 x = a vv Water Softener ' for existing dwelling 20.00 x' _ U.G. Sprinkler ' for dwelling under cont. 3.00 = U.G. Sprinkler 'forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC Iic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 ~j x TOTAL mot! ✓U I hereby acknowledge that I nave read tnis application, state that the information iscorrect, 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 activities to the facilities constructed under this permit within City property/right-of-way/easement. normal operational and maintenance SITE ADDRESS: _ 'y!(!/~ / >rDVVN/WJry^/ / ~h~~ /,~~9 2 OWNER NAME: S 4I3G E.t +~UIL ' ~J INSTALLER NAME: TELEPHONE STREET ADDRESS: 114146 , CITY: D STATE: ZIP: - SIGNATURE O PERMITTEE JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use U~ y I City of Ea a~ ; Permit I I Permit Fee: V 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7' 1 ~~Z I Phone: (651) 675-5675 ~s Fax: (651) 675-5694 L Staff: - - - _ - - - 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: f t' r Phone: (7l~`' ` ~39v Address / City / Zip: O-~ a RIRV Name: - License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK -New _Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Lawn Irrigation RPZ / _ PVB) Softener PERMIT TYPE Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) '"Water Turnaround (add $189.00 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) 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.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. X C (q Lj` ' 14 X Applicant's Printed Name Applica is Signafure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use i SLI i I Permit #: Pemiit Fee: 1b(40 - Date Received: ? /2 -13 Staff: AC--) 013 RESIDENTIAL //BUILDING PERMIT APPLICATION Date: (3 Site Address: 17 l.fl T 5t: ou..34 Bccr // PC, 1 Unit #: Name: y� sLz, Phone: (7(0- 33l _ I760 13ecr 4r;, i// 64 5-S702— Address / City / Zip: 3 4 Cc 7 Erd ✓t Applicant is: Owner DC. Contractor Description of work: /C,C'(-) T / Construction Cost: Company: Address: Multi -Family Building: (Yes _ / No S e.' PC - - i' (..(- I-�ei'- coos(- Contact: k--2_0() C,i p �� CtdU�_- City: OM aid ICS Ate 4-'S State: A- Zip: 537Z6 Phone: Sl — 2-'2" ! v License #: C I ? 2' C) Lead Certificate #: /U4T— z 2 7 Li ' 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. CaII 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.00pherstateonecall.org 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 ,' de must be completed within 180 days of permit issuance. Applicants Printed Name x Applicant's Sign Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use I � � Permit#: � � �lfi`F V I Clty of ����� � �s � � Permit Fee:��� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received:���_ � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ���Oi�—ZO�� Site Address: 3�6� bantan �WI� /�'tN��Unit#: Name: ,��T� ��LIV �- Phone: C�j2�'�,2i��—�2� � Resident/ ' �"' Owner ' Address/City/Zip: .3'��� �oCv�'i �a.p- !�l�1 � Pf(S. Applicant is: � Owner �Contractor Type of WoPk Description of work: S����� � ' Construction Cost: � ��O — Multi-Family Building: (Yes /No� Company: Contact: Contractor Address: City: ' State: Zip: Phone: EmaiL License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) , 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are cansidered to be public information. Portions of the information may be classified as non-public if you provide specific reasons:thaf would permit fhe City to conelude that the are trade secrets. 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.aopherstateonecall.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 � � �- ��� X � � ApplicanYs Pri ted Name Applic nYs Signature Page 1 of 3 For Office Use ;i? 9 ___ Ili, t •„ e a ® a o a aEAGA Permit#: eters � t1 N 00, Permit Fee: 1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com L 2018 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. t I i �c3 S3 762 '''0�=�. fh r- T,-4 , � � Date: � ite Address: � 'v Tenant: Suite#: Name: r i l Ct t Phone: L' / °I RQ .Sident/OWIner , nt 3 7C 6r l3<� — ,�-v,� ( 1 Address/City/Zip: r, Name: I /A- 3-6b4,1 5 a N r A / 'License#: v 9 %V% /74' es �e SI-� — CO / i € 66.1) ,1 t Address: / City: boli ract = G/6 (o f I — ,. 3 766 4 C State: M Zip: -C- Phone: • J 1 Pi)�, , :Contact ) TO 4 s 6_ Email: /° C)t-4-i---;t-4-i---;dl `t i 74I/ y !C. �y c New ) . Replacement Additional Alteration Demolition Type of Work Description of work: ,Y '%-' r”�[ t l�� '�� c. Y ^ -` ' a bescxy Cit DTE Roof mountedd ground rt o n d mechancalqepme ®: to _a)" f ' : d-,e .4 ,CodePlease contat the hariical Insa ® a 'a ati©Inn gi ' scree!'" osv d n RESIDENTIAL COMMERCIAL. Furnace New Construction Interior Improvement Air Conditioner "' � �� ' �� �' Install Piping Processed Permit" / Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install/_Remove) .,},; s Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value$ x.01 $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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. 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 s --t 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. T x Applicant's Printed Name Applican Signature FOR OFFICE USES. �t 0'4? 4 ,,,/ , Required :; 1 ,. -. , x. q Inspections: � ; . Reviewed ,..5.-it„,,„'?, 1 � er Underground iii # to Air Tes fil.6 eat ;.w -.final - :' HVAC Sc n n ' " Mr .. . ..:� ��? � Gas Service Fest fix x �# � x.�� h�� � , ., <;0'