3746 Brown Bear TrCITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagarr, Minnesota 55122-1$97 Date Issued:
(612) 681-4675
SITE ADDRESS: ? + ?? r P<? ??;? t r. APPLICANT:
; ,J ;::
, 4; 6::; t?' 6i 1' ft ; ,
,
PERMI,T.;SUBTYPE: TYPE f3F WORK:
? _ of W.
INSPECTION ?. . ..
4?;
e
e ?'•}a?l? ?'1 .? . ?' +,i;: ? i
?
t,? , 14 .' I. I 1 M `e! 9 ii .
t
Permit Holder Date Tetephone #
PLUMBING ? A?
HVAC t- ??/ 1 ??' lo?I1
Inspection Date I Comments
FOOTINGS , /???Q
w FLX
w•y D?^? ?S II' I4•'?f?1
FQUND
f 7
ar?'4'
FRAMING
ft0?
ROOFING
ROUGH
PIUMBING
1 .?
PL6G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BQARD
FIREPLACE
FREPLACE
AIR TEST ?
FINAL PLBG
FINAL HTG
dRSAT
TEST
BLDG FINAL
r? /
DOMESTIC
METER
IRRIGATION
METER
FZl1SH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
aECK FTG
DECK FINAL
? J 1 1 . I • ' t ' ? 'a? ? ?! r .lt'? ?n§?? 't{
.
ln!toflV
Wievtificate of ccc"ancv
wi#? of C?agan
,
?9e?rart?aettt o?j BmCbing aubpection ,'??''?`,?i"
1
This Certifcate issued pursuant to tYee,,,zquireraents of the Uniform Buildrng Code
certifying that at the time of issuance this structure was in complianee with the various
ordinances of tfee City regulatirtg building construciion or use_ For !he following:
Use Ctassiticatian• CW TM Bldg. Permit No. 32800
0--vancr Tra 13/U 1 zonMg asoict Rl rype const. VN
,,,,.. _...,.,.. .... ..... ....r ?
.. .... . .. 'I'f/.G 'uDlL7AT QL'AD TQATT
mx?al
P[]qT IN A CnNSP1CU0US PLACE
f- .
? , ,.?.,. '. . , .
A?
Address 3746 sxM Mntt rxnu. Zip 55121_
I.ot 19 Blk 3 Sub MArIGIM FoxESr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION.
Date: 02 0?3 99 Yes No Inspector:
Final grade (6" from siding) l.?
Permanent steps (garage) r/
Petmanent steps (main entry) ,?
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcutb damage I?
Porch ?
Basement finisli
Deck
Please vetify with the buildet the removal of roof test caps from the plumbing sys[em and the shu[off of water supply to
the outside lawn faucet be6oce fineu potential exists.
Contact engineering division at 6814645 before working in righto&way or installing underground sptinkler system. ?
Whi[e - Ci[y Copy Yellow - Residen[ Copy Pink - Contrector CopY
? 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122 ,
Telephone 4 651-675-5675 FAX # 651-675-5694
New Constructan Reauirements RemodeVReoair Reauiremenfs 3 registe2d site surveys showing sq. R. M lot, sq. R of house; aiM all mofed areas 2 copies ol plan ,
(20%maximum lol caverage allowed) 1 setof Energy Calculatlons forheated additions
2 copies of plan showing beam & wiMovr s¢es; poured found desqn, etc. 1 stte survey for additions & decks '
1 set of Energy Calculatbns Additiwi - indicete i/on•site sepfic sysfem '
3 copies of Tree PreservaUan Plan R lot platted afler 711193 ,
RimJoistDepilOptbnsselectiaisheet (bulldingswlM3orlessunits) ,
Date ' /W / ? Construction Cost 7GCC/• ?
Site Address Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) _ D _ 1 _ 21:
Property Owner // I i'F CIC?.J/JC Telephone #(fo5'? )?T-
? ?
Contractor
Address City'
State Zip Telephone # ( ?'
? ?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category ,Residential VenGlation Category t WorksM1eel • I?New Energy Code Worksheet
(Jsubmissionrype) Submitted ?Submitted
. Energy Envelope Calculations Submitted I
Oa
Office Use Onlr
CedoiSurveyRecd _Y _N
Tree Prea Plan Recd _Y _ N.
TreePresRequirad _Y _N
On-sdeSepticSystem _Y _N
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Con}ractor
Telephone #?( )
Telephone
I hereby apply for a Residential Building Pertnit and acknowledge that the information is complete and accurate;
that the wark 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.
d .6. Tack
Applicant's Printed Name ApplicanYs Signature ,
FERMIT
CITY•OP EAGAN
1 3830 Piloj Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14325-190-03
PERMIT TYPE:
Permit Number:
Date Issued:
3746 BROWN BEAR TR
LOT: 19 BLOCKa 3
BLACKHAWK FOREST
BUILDING
032800
08J19J98
DESCRIPTION:
Bu,?A41ftq,,Permit Type
8i ,d9?tl4-?l?rk Type
SF DWG
NEW
R-3/U-1
VN
R-1
55
48
2
2,199
101 1 - FAM. DETACH
?35i ._ .
a ? ?
REMjARP:REVZEwEo BY BTLL ADAMS.
S & W PLUMBER ?
FEE SUMMARY:
Base Fee
Plan Revaew
Surcharge
SAC
SAC %
SAC Units
5ubtotal
4ALUA7ION
$1,247.25
$810.71
$86.00
$1,000.00
100
1
$3,143.96
$172,000
MISC FEES 1,592.50
Total Fee $4.736.46
n l . L1L .
?±? - nNNxxuan? - ?{/NFp
1N'NYTA`T???±TVE"T?p 17ESIGN 13051046 20054624 YAiVNOVA?TYVE DESIGW
2T5 MARKET S7 275 MARKET ST
MINNEAPDLIS MN 55405 MINNEAPOLIS MN 55405
(?12) 305-1040 (612)305-1040
( J
F 1;4
?"-
° H 'I
4'qKnQ??????
?..
A ? C4? ?"?Ef??PI
?
PLICANT/PERMITEE SIGNATURE ISSUED BV: SI NA URE
? _.
New Construdion Reauirements
3830 PII.OT RNOB RD - 55122
681-4675
RemodellReoair Reauirements $ Q -7 -?) (, (-( '
t
? 2copiesMplan ? o,.-??
? 2 sfte surveys (erzterior addkions 8 decks), l3
? 7 energy celculetians for heated addklons
? 3 registerod site surveys
? 2 copies of plans (include beam & window sizes; poureA fid. Cesign; etc.)
? 1 energy calculations
? 3 copies of hoo preservaHon plan if IM platted after 7N193
required: 1 Yes _ No
oATE: ? - 3 0- 9 'A
DESC TION OF WORK: e- ) lkn"'z-
S R ET ADDRESS: 3? ? ?? a w
LOT: I Q BLOCK: 3 SUBD./P.I.D. #: 6k-d(? Coc 2 S fi
Name: m\ `Gv +,- 0 , C'` r Phone #: ?)W' g7oI
PROPERTY 1.an Fim
OWNER
Street Address:
City State: Zip:
Company: T nV,\ o v AT -V v E Oe s', 5 ,\ Phone #: 3 O J" J O y
corrrxacroR 3r q y?, ? o
Street Address: A`(L ?C L'? S 1. ?/ S ? License # o? v O s?j
cicy rnV LS ssace: m N zip:
S S `f o S
ARCHITECT/
ENGINEER Company: S c), ".,'. JLVe cS rto r?-e- ? e S? cv? Phone #:
i cS?
CONSTRUCTION COST; 4 a I ( ) / ? ? - O?)
13 ec, c
Registration #: *
Street Address: 1 U N- C
City S R c°, ^c ? L?.'? ? Qc, r?L Sbte: 1," Zip: -?, S? 3 a
Sewer 8 water licensed plumber (new construction ony):
and bt change is requested once permft is issued.
I hereby acknowledge that I have read this application and state that the
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of
OFFICE IJSE ON
Certificates of Survey Received s
Tree Preservation Plan Received Yes
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?D CITY OF EAGAN
Penalty applies when address chang
is correct and agree ta compty with ail applicabl
RECEIVED
_ No JUL 3 0 1998
_ No _ Not Required BY:`?v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt.iLodging
Jk02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem.
? 03 SF Addition ? 08 8-plex O 13 GaragelAcxessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. [J 10 _-plex ? 15 Deck
WORK TYPE
)( 31 New ? 33 ARerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
I_1;J-I:Z*I'1=11P
Planning
Basement sq. ft. J?,?z
Main level-sq. ft. °?Zy
- 4 sq. ft. ZN?
sq. ft. Gc,.. .fiZA-
sq. ft.
sq.ft.
? Footprint sq. ft.
Building _As Engineering
Valuation:
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other '
Copies
Total:
YC
?
X
? ,De+c Ke
'? MN
Variance
?? G?3'
G 7Yx
?'/??oo
/
---- ?
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscelianeous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
/ d `$° d
?/ -? oa
?71?4 Z
?
OI
?-
?-
°k SAC
SAC Units
Eatablished in 1982
LOT SURVEYS COMPANY, INC.
LAND SURVEYORS
REGISTERED UNDER THE LA1i8 OF 3TATE OF MINNESOTA
7801 79rd Avenue North 81$_580_3093
Fa: No. 680-3682
llinneapolis, 1[inneaote 66426
bururi4vrs (ffrrtifirtt#r
INNOYATIVE DESIGN Property located in Sectian
? 17, Taarship 27, Range 23,
`*---, Dakota County, Minnesota
Property address: 374X?Brovm Bear Trail
?
IV
e64•"
gSS.? ?
as65-r
10
?
N ?
r.p$. asa.?
\ h-?-1
?
Y-? x
INVOICE N0. 50278
F.B.NO. 795-67
SCALE: 1 " = 20'
o Denotea Iron Momnner,t
? Demtee Waod Nub Set
for ezcwatian only
x000.0 Denotea Exiatirg Elevotion
000.0 Denotec Propotsd Elevation
?- deiwtea Surfxe Ora(nage
HpTE: Propoaed yradee ae subject
to rewte ot soN testa
Proposed buiMing iMormation
mimt be checked with approved
buNding plan and development ar
? ?? t aiwe excovotion
propoesd Top of Bixk
PrOPOsed Garage Fbw
.b Proposed Lowest Fbor
Type of Buikring
4-.j,v-;vC-L
Sanitary sewer inrert elevation=
?A??T -
?--_-
?"
DaawqtiE ? U?nury - --qer?+[ ? ? -- - - =
SASEF4E1.IT
ey23, ???
?
Top
85"1. bb
? (tIBo?1
\ ?O
?
.\
.
., .,F'_- \
,.
?
?y
/
,
e?[ • n, . .
Pi,.TE 8 3r'?
E'JItDING INSPECTION
.
?
i ?
X
?
l
)S
?
??
O
G
,
,
°
? N
?'? P1-?29 !
?'°
85l .b
?
4?lr
U.6,
?v
1?..
V
.
,
?? .
?D
_ ,?P?
lot 19, Block 3, BIACKHAHK FQREST
t \
?
?
The only easements shown are from plats of record or information
provided by client.
We hereby certify thet this is a true and correct represenlotion of
a survey of the boundaries of the above described land and the
locatian of oll buildnga ond visible encroachments, iF any, from or on
said lond.
Surveyed by us this 24th day of JUly 19 98
:
b? -:4,P.ik'sD:.m?rz»
-,,6,e- ^
;-
?,
?
1
Sigrad
Charlea F. Andxaon, Mhru Reg. No.21753
- -----------
CZt"C P?Z G SECL vA -\ Qo ti
.
IV
6r*99
Eatabliahed in ?`/
LOT SURVEYS COMPANY, IPIC.
LAND SURVEYORS
REGISTERED UNDER THE LAWS OF 3TATE OF MINNESOTA
7801 73rd Avenue North 812-680-3093
Fez No. 680-96EE
Hlaneapolls, Yinneeota 65428
?urv.e?ar?a (drrtifirtt#?
INNOVATIYE DESIGN property located in Section
17, TorTShip 27, Range 23,
Dakota County, Minnesota
Property address: 374? Brown Bear Trail
?
T.o,13. Yi$S.o
iip?-
TOE
e?
L
\
.bi
\?.
Sanitary sewer inrert eleration=
? - L --- 6A??T .
} Y x ? _
?A?HE ?.tT a
8523 <<- C)
/
?
i
Top
cjleo?
?\? fR
? .
-- ? .
.
.
.
?
?
,t)
?PECTI???? _ : ?.-
?
EIOGAfd FOREST6i,Y DIV- N`??
\? \\
' i4ED4
d \\ \
ATEf?-Z-?1,F \`..
.4-?
Lot 19, Block 3, BIACKHAHK FUREST
?
The only easements shown are from plots of record or informotion
provided by dient.
We hereby certiTy thot this is o true and correct representation of
a survey of the boundories of the above described land and the
location of all buildings ond visible encroachments, if any, from or on
said Iand. '
Surveyed by us this 24th day of JUly 19 98
? S
? l?
.?
CL
0
I NQ
/
6p ?'? PSZ9
,??• / ?\S
.
. ,
?
\
,
,
0
INVOICE NO. 50278
F.B.NO. 795-67
SCALE: 1 " = 20,
o Derates kon Monument
? Daiwtes Wood Hub Set
for excwation only
x000.0 Denotes Exiating Elevation
ooo.o Denotee Proposed Ebvclion
- Denotes Surfcce Drainage
NOTE: Proposed 9radea are eubject
to resWts of soA testa.
Proposed buiaing l,rarnaeion
muet be checked with approved
buNdhig plan arW development or
gradtnq plvn before ezcavation
g,? and conetruction.
v75•? Proposed Top ot Blxk
?J, Proposed Garage Fbor
154816 Proposed Loweet Fbor
Type of BuikJing
d--mvie1.
0
,
.
? 'Q)\?
?' a5e9
>
;
r?
D
? I ID' i? I
;? ?`d
0 ?
Ilk '
,4
.
?a`?,; - ?s. ?? d
ab ?pri J 1?^`
Tftc c-S
? ,3 RE6S
?
? ,?US ;
13e
?L z ?i ee)
??\ ti ?
J N.,v ?
?
^J?
?
E
,
;
`; .
?'` In1
\ ? p??fi?, ?Kv
`;
$,le? `V ?U>L,? iG(? COykl??
To J
?
1
Siyned
piarbn F. Ardxeory Mim. Reg. No.21753
LOT SURVEY CHECKLIST FOR RESIDENTiAL
BUILDING PERMIT APPLICATION
?
?
E, ?
IY /O ?
?? ?
E7--?13 ?
m?'[J ?
w-'/? ?
? ? ?
0*?b ?
&-?'o ?
R/o ?
PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
Z
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legal descripUon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, spl"d entry, lookout, etc.)
• Directional drainage aROws with slope/gradient %
• Proposed/ebsting sewer and water services & iovert elevatian
• Street name
• Driveway
O??r? ? •
C3 O ? •
Er' ? ? •
ET, ? ? •
ELEVATIONS
' tin
Sewer service (or Proposed) -
PropeAy comers
Top of curb at the driveway
Eievatlons of any ebsting adjacent hames
Proposed
Z'? 0 ?
?? ?
?? ?
? 0
? ?
? O??
? ? ?
? ¢' ?
L3 1?f' ?
? 9?'O
• Garage floor
• First floor .
• Lowest exposed elevaBon (walkouUwindow)
• Property corners
• Front and rear of home at the foundation
.
.
o ? •
? ? ? •
C?/, ? ? •
Q ? ? •
o O/ ? •
PONDING AREA fif aoolicablel
Easement line
NWL
HWL
Pond # designation
Emergency Overflow Elevation
DIMENSIONS
Lot IinesBearings 8 dimenslons
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. atl strvctures requiring permanent footings)
Show all easements of record and any City utilitles within those easements
Setbacks of proposed sVucture and sideyard setback of adjacent eristing structures
Retaining wall requirements, if any ?
Reviewed:
January 1986
CMIGiGGUBIDOVRFR FM
i
.
' ,.
.
.
.
c
I 1. Sd: po:?_S dnr: J?C.iC' d.,• „
I Crenc7 ut,sfope .?lon?j ,tit!
0 f POS ?5 .
:ia:<
? -' - .'1
?'? -•- - ??
J ?? ? i •
6"
3. Attacn the filter fabric to
the wire fence and extend it
into the trench.
r.
? ??d0 @ '4 : .. n i?'1i.i11': .,.
G9L pCi:_
4. 8ackrill anC comoac_ the
excavatet soil.
-' ?
? l
Exte-ision of fabric and
wire into the trench.
Fil
CONSTRUC:IOV OF SILS FEYCE SiIT3 Sy^PORSIIG 572RE F°_iCE
Source: Adapted fram ;nstallation of SLraw and Fabric
Filter Barriers for Sediment Cnntrol. Shezwaod
3
2 ac:es
. ' Haxlmum drainage area
Top of hill-?y/
a - i
?
? - ? •.
/ "'Silt fettce placed an concour
k ?
Turn eaas upalope e
praveat flov bypass
? . ...
'LSmiea! Laqoat for Silt- ffeaee "
Filter fabric seenrely
? fastmed to post
Iay fabsie ia che
- Steel or vood pase
I
30^ miaimum heighc
Baekfill ovar the top ? 614 bf fabric-aad'easpaet
the aoil ? ?° mtaimum' dapEh
Constructian of Si1t Fenee
.
CITY USE ONLY
LOT Aq BL ?
SUBD. L70_/Y?
RECEIPT #:
RECEIPT DATE:
199$ MECH"1CAL P£fiMIT (RUIDMIAL.)
CffY OF Ei4fiAN
3$30 PILOT KNOB RD
EkHAN MN 551EE
1 ? ? (61E) 6$1-4675
Date•
Complete this section on[v if you aze 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 BT'U 6.00
`e_?Jn3 ox - /oo oc,o 3T-0
• Gas outlets ( minimum of one required @$3.00 ea.)
J'I'Jr-)AUL i- I ? ??reP?SeE
• State Surchazge: .50
??
. TOTAL: .
Complete this section onlv if you are remodeling, adding to, or repairing existing single fanuly dwellings,
townhomes, or condos. Note: Mechanical permit is not re uired for alieration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace
_ Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surchazge
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS: S 7'7 (n l 71' 5 Unl I?Pc?r i rc ??
OWNER NAME: Z/?Wp?qTi02 t..p cc•?__ PHONE #:
INSTALLER NAME: _4EJe- PHONE #:
STREET ADDRESS:
CITY: r.c,e.J Prclkd iL STA : N_ Z :3M7
N 1\ \Ck', -
S PERMITTEE
1S/FORMS BLDMIECH PERMIT (RES) • 1999
CITY USE ONLY
L ? BL ?-- RECEIPT #:
SUBD. RECEIPT DATE:
1998 PLZINIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FINOB RD
EAGAN, tMI 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 = 3 CXD
Water Closet 3.00 x = 9• ?
BathTub 3.00 x = 3,00
Lavatory 3.00 x = Z ia• e-o
Kitchen Sink 3.00 x 3•U°
Laundry Tray 3.00 x 3•-T-D
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = I 3-?
Floor Drain 3.00 x
Gas Piping Outlet " minimum - 9 3.00 x = J_ 3• ?
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 `fordwellingunderconst. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and reTur6ished systems)
Private Disposal Systems'nbandonmant 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL "r/6 & 0
---------------- ---------------------------------------------------- °-----••-••----------------------------------------------------------
I hereby adcnowledge that I h-averead this application, sWte thet the infortnation is correct, and agree to compry with all applicable City of Eagan ordinances.
it is the applicant's responsibility to notify the property owner Mat Ne City of Eagan assumes no liability for any damages causetl by the Ciry during its
nortnal operational and maintenance adivities to the (acilities wnstructed under this pertnk within City proper[y/right-of-way/easement.
SITE ADDRESS: J`% Id &Own DQl-,/ // .
OWNER NAME: /m, Ao/Gi
INSTALLER NAME: VaIG/e //U/4 ?19 TELEPHONE #:
STREETADDRESS: ?? ? 26??
cirv:
STATE:
ZIP: Lum
PERMITTEE
CDIPERMIT FORMSlRPLBG PERMIT (RES) - 1998
ð
þýüýû
ÿÿ þ ýðýü
ûþþÿÿ ðñòóò
â ý
ýóé
â
ÿ
ÿø
úùø÷
öý
õ
ý
çöý
ú ð
ö
ø÷
ô
ó
÷ öý
õ
ý
çöý
ú ð
ò
úñ
ò
ø÷
òýùðý ù
ú
ýôù
ï
ôù
úñ
íý
øÙ
ÿ
ìý
øá
ù
ô
ð
ûòô
é
èöúçæ
öõåäêìêì
÷û
úù
äêâê â
ëýùý û âê
öõ
ø ôó
÷÷ý
Þýé
ýùüô
î
ò
î
ìý
ó
ý
ô
þýüýòô
èå
øý ó
ü
ý
ýá
ý
ý÷÷ý ý ý
ý
ð
ý
ýýü
÷øó
ýý÷÷ý
ú ý
ðò
ýú ý ù
ýà ø ðþýüýß
ý
ê
÷÷ý æ
úüý ù
ù
ø úüý ù
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116690
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 3746 Brown Bear Tr
Lot:19 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-190
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
John Mitchell Jr
3746 Brown Bear Tr
Eagan MN 55122
(651) 994-0779
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120010
Date Issued:01/09/2014
Permit Category:ePermit
Site Address: 3746 Brown Bear Tr
Lot:19 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Tina Rykiss
6510 Hwy 36 Blvd. N.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Mitchell Jr
3746 Brown Bear Tr
Eagan MN 55122
(763) 571-1133
Apollo Heating
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 -FL*,$F*2
-./$%'53/4-.1 67897@9
=*%-'!>>3-?1:@A7NA@:7<
-./$%'#*%-+(.&1- -./$%
B$%-'6??.->>1''8;O<''M.(K,'M-*.'".''
6W#$ %& ''1)**+ + , ''#$/%&M/R&'S 20<
345 6!7691"(7!176W!'
;<0
=->F.$0%$(,1
=>?'@AB0 C0<+*0, +/$
- 2&'@AB0 C0B$/%0
50<%2+B + , S>2,/%0'T')+2'O ,*+ + ,02
b>0< + ,<'20./2*+,.'0$0% 2+%/$'B02I+ '20Q>+20I0, <'<M >$*'?0'*+20% 0*' '= / 0'Y$0% 2+%/$'4,<B0% 2\\'E/2&'),*02< ,'/ 'JW("K'
#(//-,%>1
99(7"89!N
O/2? ,'I , P+*0'*0 0% 2<'/20'20Q>+20*'R+ M+,'6!'G00 ' G'/$$'<$00B+,.'2 I' B0,+,.<'+,'20<+*0, +/$'M I0<'JE+,,0< /'= / 0'
EY'7'302I+ 'S00'JC0B$/%0I0, <KV(WN!!'!8!6N9!88
G--'B3//*.&1
=>2%M/2.07S+P0*V6N!!'W!!6N"6W(
"(%*21H<:I::'
#(,%.*F%(.1JK,-.1
7'')BB$+%/, ''7
@ /$'O IG 2 'D0/ +,.'T'O $+,.\[ M,'E+ %M0$$'\[2
9!!!'-+,,0 &/')X0N'H'\]6!!1L9:'#2 R,'#0/2'@2
c $*0,'`/$$0A'EH''((9"LY/./,'EH''((6""
JL:1K'18178181J:(6K'WW97!LLW
4'M020?A'/%&, R$0*.0' M/ '4'M/X0'20/*' M+<'/BB$+%/ + ,'/,*'< / 0' M/ ' M0'+,G 2I/ + ,'+<'% 220% '/,*'/.200' '% IB$A'R+ M'/$$'/BB$+%/?$0'= / 0'
G'E+,,0< /'= / > 0<'/,*'O+ A' G'Y/./,'Z2*+,/,%0<N
)BB$+%/, U302I+ 00 '=+.,/ >204<<>0*'#A '=+.,/ >20
. ,
For Office Use
,, Ø
6/ c_EAGAN PeRnitFee: __
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 r- CIVE Date Receiv • '
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-4644 Staff
buiidtnainsAections( citvofeasan,com ' JAN 0 2 2019 L J
201e RESIDENTIAL LD1NG PER APPLICATION
/jDate: ig Site Address: 374/6o &ow"hg-P-44.41-22-4'e Unit#:
• iName: mG{/L / ��"i"'e' Phone:i;'sr��3-7�3SSV
Resident! 2 //J /� � �r
----eweer 1 Address/City 1 rp: 374 4 CJS//�) Ct/L,7�r(.C�cic.,
I _y I glCgh, -w�- ( ;+o
Applicant is: Owner,JContractor /
Description of work: 7 //4 /oY OF� n ,Ci?/�Gr
Type of Work ; !
•• i Construction Cost_4 0 Vo Multi-Family Building:(Yes_I No x )
r l
•
Compan ! ./h.0./...i7L i
•
a� � ) 1
Contractor Address: (pQ,33S1,/s /a / city: �o
. I O >' pp pp
state nix/515 Phone:3 036VA/P/Em '• 4 Sz 1
License#6 C 7 7 IP 7p 1 Lead Certificate#:/V17-456,?D- —.R i
' If the project is exempt from lead certification, please explain why:
l
1
c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI e
1
In the last 12 s the City of Eagan issued a permit for a similar plan bas • - master plan? i
Yes _Na If yes,date and a er plan:
E
Licensed Plumber. Phone:
i
Mechanical Contractor Phone: i
' Sewer&Water Co ,. r. Phone:
i
• Fire ••pression Contractor. Phone: i
i
NOTE Plans and supporting documents that you submit are considered to beat/bile information. Pardons of the information may•e
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.eityofeagan eom/subseribe.
Extortor 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(851)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge mat 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,tart 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 ghti.5717n6 Sl-,/w, x & 4 u�
Applicant's Printed Name Applicant's'Signature
•
Z 'd 9682 '°N AVLE:0l 6102 •Z ver
3744 /3rb&c) .&GI — /(4I'l �3���
DO NOT WRITE BELOW THIS LINE
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
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 .4 3, Occupancy S-i26- I MCES System
Plan Review Code Edition y►'1n 2-015— SAC Units
(25%_100%> ) Zoning R- 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1/13 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) r 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
Framing 30 Minutes 1 Hour —T Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick_EFIS
A Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan ,�J /// Other:
Reviewed By: �O�/2 i,k4 , Building Inspector
RESIDENTIAL FEES ,� ,+�
Base Fee f_�'9/ / e e-
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3