3723 Brown Bear Tr
INSPECTION RECORD
J
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ; „ ! ! APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
I
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
I
;,4!`7i'j 911p'F
i -
Permit Holder Date Telephone #
WATER ~S
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS jl
FOUND ZJ c~
FRAMING y
ROOFING
(ROUGH V160.0 Ori -ND +;J
PLUMBING I>7 $ ry~4~ a 1
PLBG ~-r
AIR TEST
ROUGH J
HEATING
GAS SVC
TEST _f
Al#
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
i
(Ft of tCate of cccuvanO 0 1
With of Wagan 4..
Zoartmeut of Suitbing anocctiolt
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classifiquion• SF i Bldg. Permit No. 31 1pa,, r Type R3/U I zoning Drsnia-- R I Type Const. VN
Owner of Building VARIM MES Address G ~ } F.AI,AN
Building Add.,= 3723 BRIJWId SEAR TRAIL l..arality Lai. B3, ENUXIAWK FOREST
Due: '`/~rf~'(J f
- f Building Official
POST IN A CONSPICUOUS PLACE
Address 3723 BROWN BEAR TRAIL Zip 5512 2
Lot 3 Blk 3 Sub BLAMIAWK FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 / Yes No Inspector. Ite
Final grade (6" from siding) v
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway 1
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck ✓
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off 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
~
CITY O EAGAN PERMIT
PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 034197
(651) 681-4675 Date Issued: 1'2 / 15 / 9 8
SITE ADDRESS:
3723 BROWN BEAR TR
LOT: 3 BLOCK- :3
BLACKHAWK FOREST
P.I.N.; 10-14325-030-03
DESCRIPTION:
8u'ld1n6-Permit Type SF DWG
B~I ldino Wo k TVpe NEW
BC Dccuoanccy R-3.U-1
/Construction Tyffi~ VN
2'u0 n i Id_ - R-1
8lino Lenqth 64
Buildinq Width' 56
Building stories 1
~f re Feet:. v- 2,781
Ce ~ ~ 101 1 - FAM. DETACH
1j _ n rl_
-ju
REMARKS:
PLAN REVIEWED BY WAYNF MILLER.
S & W PLUMBER IS VALLEY PLUMBING #492-21.21.
FEE SUMMARY-
VALUATION $149,000
Base Fee $1,132.25 MISC. FEES _$_1..,592.50
Plan Review $735.96 'Total Fee $4,535.21
Surcharge $74.50
SAC $1„000.00
SAC % 1,00
SAC Units 1
Subtotal ~ $2.942.71
CONTRACTOR: - Applicant - ST. LIC. OWNER:
VARIETY HOMES 14548330 20036343 VARIETY HOMES
4130 BLACKHAWK RD 4130 BLACKHAWK RD
TAN MN 55122 EAGAN MN 55122
X121 454-8330 (651)454-8330
I hereby acknowledge that I have read this application and state that the
information is correct and aqree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE
~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PnOT KNOB RD 55122 <1 y 3S' ,
`i 9 681-4675
New Construction Requirements RemodeUReoairReguirements
to
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ t energy calculations ♦ I energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7!7/93
required: _Yes _ No
DATE: " V - (7f? CONSTRUCTION COST, 4/S 9, ooo,
DESCRIPTION OF WORK: _ &O-111C Aw" 4Veg/ G m Sfrvc lt,b~J
STREET ADDRESS: 3'2.?s , 1`04- 04,%r T'e..rl
LOT. 3 BLOCK: 3 SUBD./P.I.D. .a~~ ck/S/aa.X ~orES 7~
Name: SCt N7 a Phone
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company: (J~ i F~~ HO~a 4 S S» Phone &57-'yam' .P-7-7&
CONTRACTOR
Street Address: Y/ja 417/44400-014k 194, 19ai4 /IV License # .tom 3~a 1 S~~
City : aM State: I4►.!a Zip: j;T7Z 2;
ARCHITECT/
ENGINEER Company: S CL A"+ -e- Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): UG* Our 6.'rs Penalty applies when address dtang
and lot change is requested once permit is issued.
4t°rz-ar a/
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant- r
OFFICE 7ye Y RECEIVED
D EC 0 41998
Certificates of Survey Received s No
Tree Preservation Plan Received - Yes No ZNot Required BVA-
OFFICE USE ONLY
.
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Baseme, n4,Finish
02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool`
❑ 03 SF Addition M 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility,
❑ 04 SF_Porch- ' 09 12-plex ❑ 14 Fireplace ❑ 21': Miscellaneous
❑ 05 SF Misc. ❑ 10 _ plex ❑ 15 Deck
WORK TYPE
Tf 31 New O 33. Alterations-,'.. ,tJ❑ 36 Move i r
13 32 Addition 13 34 'Repair .>v. ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) ) _ Basement sq. ft. MC/WS System
(Allowable) _ ✓ ,J Mai level sq. ft. Z g36 City Water
UBC Occupancy ¢ sq. ft. sr24/,ti Fire Sprinklered
Zoning Z- sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 10/
Depth 5~Z, Footprint sq. ft. 2 s~ 1 SAC Code c>/
k\Census•Bldg~ _t
Census Unit /
APPROVALS, . k .n.
Planning Building Engineering -Variance
Permit Fee --LLD a . a Valuation: $ /Nj, ooh
Surcharge Skeet . .
Plan Review 7 co 6H J~o27 ` = /7 7~
License
MC/WSSAC -TUU Dt X 6
City SAC X 'I - ~Z
Water Conn. / 5 6 X 1y = a q 3 /c~, ae1
Water Meter 1
Acct. Deposit WlCSC- ~ S U
S/W Permit
Z'q,
S/W Surcharge
Treatment Pl.
Park Ded. R L H J $2y 5 - X /6= `13J
Trails Ded.
Other
Copies /95Sj/5 6 ~U
~ Total: i , r-(S 3'~ , a
% SAC
SAC Units
t~flll'IJLU~--
SITE ADDRESS: Cn f,;
ZUU.DEV
• UI~RI~TY Nom£,S DATE.
waimum Crft*&: Rant R-3a wilh energp truasee or Rai t saandord ernsaess
Rim ToW: R•19 Tasuladoa Foundation Windows: bxdated glas4 IX air qw% wood of s+ttgl frame.
Fnfty : 1 34 inch solid wood with storm of bears
STEP i Window &.Door Area STEP 3 Dea v Festmsa
Total Window, g Door Area in 4 Feet
WD"WS (laciudicS bandation windows): ASSEMBLY OPTION
Ditssttmions QGV. Area FRAME WALL:
20 (oo cXt7
3 17, STANDARD FRAMNO
zo X 4d 1 t S
28 X 4 S z ADVANCED FRAMING'
1 X T! .o
-PC X a
CAV17YINSU1.A710N
X
DOORS: SHEATMNG:
X cc 3r zo LESS THAN R-5
7-X G i Ea R-5 GR MORE 1 {
CO fo
X Wi IDOWS (except foundation windows):
Wi dowArft of &Doors 145 A v-FACTOR =35
'Cool Wall Ataa in Sq. F't.
Wall ToW Perimaw Nei& Area From she table, determine the maxim= peCtxnt window A door '
area for the design options selected and eater the ralue is box D
{ S Z 6 3 8 below.
TOW Ame 13l0$ 1i
otwell
Step 2 Cakulate arts u a peress{t of waA
Sox A (window g door area) divided by Box R (total wall
arc) times 100 equals the window wad door aces as a percent Box C must bt lest than or tgttat to Box D
of wall area (sox C).
;a><9 "--Q5 x100 ly,3 lq.3 f6. o
BoxB 13(08
-0 B
c- .n .:cr.+ of r.. .mac _
w
4. CERMCATE OF SURVEY
V10-35-98
T VARIETYr HOMES
10
I ~
I ~
~
so -
I ~ ~o~ s•• ~lo% ~
t/
J~ 1
r 4p`' /v%
zm
I ~ g °p ti d $ i^ y
.A~5y s _ /g 7
!
~ ~g o 0
8 2,~ ly!
.40 roN!! Q~o~y ! c ^ 9 Co
! e~ C,
10
DW81 13"W
Scale: 1" = 30' 3,7 Z_3 Brown.-.B-ear Tr..afl-
DESCRiPTIF3Pd~ _
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 3, Bloct,;
supervision and that I am a duly Registered BLACKHKWK~ .F ~ :~j t d 'A
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
Date 19 AIJV )999 Reg. No. 8140 Existing Proposed
9-6V '7 D&C CR
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
LOT SURVEY CHECKLIST FOR RESIDENTIAL
B LDIN{GPERMIT APPLICATION
PROPERTY LEGAL:
o DATE OF SURVEY: 77 a LATEST REVISION:
m DOCUMENT STANDARDS
z EZ
❑ Registered Land Surveyor signature and company
a~❑ O • Building Permit Applicant
e ❑ Legaldescription
❑ ❑ • Address
❑ • North arrow and scale
C+a~~ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc)
C3 ❑ Directional drainage arrows with slope/gradient %
Cf ❑ ❑ • Proposed/existing sewer and water services & invert elevation
[lam ❑ Street name
❑ Driveway
ELEVATIONS
Exis in
J ❑ ❑ Sewer service (or Proposed)
❑ ❑ Property corners
2,0 ❑ • Top of curb at the driveway
❑ ❑ • Elevations of any existing adjacent homes
Proposed
W ❑ ❑ • Garage floor
13"'~❑ ❑ First floor
❑ • Lowest exposed elevation (walkout/window)
Qi-- ❑ ❑ Property corners
G]~❑ ❑ • Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ td' ❑ Easement line
❑ ❑ NWL
❑ ce, ❑ HWL
❑ L3~/❑ Pond # designation
❑ to ❑ • Emergency Overflow Elevation
DIMENSIONS
b ❑ • Lot lines/Bearings & dimensions
❑ • Right-of-way and street width (to back of curb)
❑I ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
t~❑ O • Show all easements of record and any City utilities within those easements
g Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ O • Retaining wall requirements, if an
Reviewed: Z
Nam / Da
January 190
C 10.1906BLOGPRMT FM
MECHANICAL (RESIDENTIAL):
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings -
Townhomes and Condos when permits are required for each unit -
Date ?i l3 i (rG j~
Site Address 3 7~ 3 10 v-n lgec(r / (G 1 / Unit #
Property Owner 5kL)a Ro Telephone # (Cp$ t) "T Jr"
Contractor VGGT HEATING 8 AIR CONDITIONING
325D UORRAM AR.
ST. LOOTS PARK, MN 55426
Street Address SALES 929.6767 SERVICE 92adiNt City
State Zip Telephone # ( )
od
The Applicant is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit q AUG 15 2003 $°I 30A0
;tw, x 'e
_ furnace replacement
air exchanger f p S rJ By
_ air conditioner ` I 7 ' /
other. (9 rb yck k\ 13"no VYI- 1 Y lcAlai u r
State Surcharge .50
Total g r x~7~
e V:'
I hereby apply for a Residential Mechanical Permit and acknowledge. that the information is complete and accurate; "that le, work`w,ill
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 'I understand (this [s'no't a:y..;
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accgrdancetiwith.the
approved plan in the case of work which requires a review and approval of plans.
L. Lo Y-& ~i =iaoL k
ures*=i
Applicant's Printed Name Applicant's Signal
l
CITY USE ONLY / / ry
LOT BL` p RECEIPT
SUBD. L~CR l~_kPL W L JrQAJ-k,-r RECEIPT DATE:
1999 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Qp (651) 681-4675
Date: 9!
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 $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New _ Replacement _ Repair _ Other
Furnace Air conditioning
Air exchanger, i.e. Vanee system, etc. _ Other ,14W 'SO~NSI~ 6
eidee
Reminder: Call 681-4675 for inspections. $ 30.00
State Surcharge:
Total: $30.50
SITE ADDRESS: ✓7~'12
OWNER NAME: PHONE d51- 5V Y330
INSTALLER NAME: PHONE#: -aIIoar
STREET ADDRESS: / l
CITY: ST ZIP: 5 r3 7 a
IG ATURE OF PERMITTEE
1S/FORMS BLD/MECH PERMIT(RES) - 1999
L gL CITY USE ONLY / /O 5
RECEIPT ! ry
SUBD. (J~ RECEIPT DATE: a
PERMIT #
1999 PLUMBING PERMIT (RESIDENTIAL)
crrY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55122
(651) 6$1.4675
Please complete for: > single family dwellings
> townhomes and condos wnen permits are required fc aach unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x - $
Floor drain 3.00 x = $
Gas piping outlet "minimum .l 3.00 x - $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished * requires MPC tic. 75.00 x = $
Private Disposal S stem abandonment 30.00 x = $
RPZ new installation/repair 30.00 x = $
RUU h opening 1.30 A - $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $ o
Water turnaround 30.00 x $
State Surcharge .50 > > > $ .50
Total > > > > $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- - -
I hereby acknowledge that I have read this application, state that the -information-is,
nformation is correct, and agree to comoly with all applicable City of Eagan ordinances.
It is the applicant's responsibility o 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 p..rope~~rty/right-of-way/easement.
SITE ADDRESS: 32 -3 eea bollo ° lLa4 7 ; -t4,/ ✓
OWNER NAME:: - F~;Wlz- S d -e f/Le TELEPHONE 4: f /2 ` 9Y
(AREA CODE)
INSTALLER NAME: 0 ~5f'ITELEPHONE / - 22
f' `i
/B-'~~ (AREA CODE)
STREET ADDRESS:
CITY:()rce-t/-Pf STATE: 414 ZIP: O
SIGNATURE OF MITTEE
/L BL CITY USE ONLY of EIPT
SUED. ( 1(2y1(M f tY f1 i RECEIPT DATE: ~I
1999 PLUMBING PERMrr (RESSIDENTLW
CITY OF Emm
3$30 PILOT KNOB RD
EAGAN, RUN 551 EE
(651)6$1-4675
Please complete for: D 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 t = 3-
Water Water Closet 3.00 x = G=
Bath Tub 3.00 x t_
Lavatory 3.00 x 21
= f=
Kitchen Sink 3.00 x = 3 -
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x t =
Floor Drain 3.00 x I
Gas Piping Outlet ` minimum -1 3.00 x I = S
Rough Openings 1.50 x 3- _ 'i.cJ
Water Softener ' for dwellings under construction 5.00 X =
Water Softener for existing dwelling 30.00 - x..
U.G. Sprinkler for dwelling under oonst. 3.00 =
U.G. Sprinkler _ for existing dwelling - 30.00 _
Alterations to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 68114675 for inspections of water heaters,
water softeners, alterations, etc. 2
- TOTAL •1
-
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: ~ -1 a7~ Y 1 14 &t T "
OWNER NAME: i , i -r
INSTALLER NAME: (U o P f-, C u - TELEPHONE
STREET ADDRESS: Y C C I( 1~ I
CITY: d ° < << y STATE: `n ZIP:
f /1n
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
/ CITY USE ONLY
l/ LOT BL RECEIPT fE7c~ ~~9/~~d3~Oy
SUBD. X7(!' 1 RECEIPT DATE: y/as/9 p
1999 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3$30 PILOT KNOB RD '
KAG" MN 55122
(651) 681-4645
Date: -,;p 'q!7
Complete this section oJily if you are installing HVAC in single family, townhomes or condos 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.) fD
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement _ Repair _ Other
Furnace Air conditioning
Air exchanger, i.e. Vanee system, etc. Other
Reminder: Call 681-4675 for inspections. $ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: 704 1-1C/ CJ•
OWNERNAME: 4k at X1i `16
INSTALLER NAM gyp Oka VA~IL PHONE #:/yC7/-
STREET ADDRESS: pi p5
CITY: ~aCOj1~l)ZA~Lt STATE:/ ZIP:_
S GNATUR OF I E
JS/FORMS BLDNECI-I PERMIT (RES) - 1999
For Oiiice Use
l 7D
Permit#:
I
City of E
I
3830 Pilot Knob Road i Permit Fee:
I
Eagan MN 55122 I
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
----------------J
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: V✓' 1 ,,~I Site Address: A row n Bee r Trrk&
Tenant: bV ei R G Suite
orjl-
RESIDENT / OWNER Name: ? /p' le, Phone:
1J y ~ J
Address / City / Zip: c4v
CONTRACTOR Name:yo4 License
:
~ IIr1~1 a ld~Yj~
Address:, r~GorKIJO i' 1 G1,1/f'~IrrlVIA- ~j
City:
(,QQ State: 7~ Zip:
Phone: Contact Person:
TYPE OF WORK _ New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) l- Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ 50
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 plan
x .~Ghr x p --6~z
Applicant's P ted Name App cant's S gnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test -Final
a
p -
1 For.O(fice Us'
D 1
A I Permit
City of Ezaos 1 Permit Fee: s(J'sa
I
3530 Pilot Knob Road 1 I
Eagan MN 55122 1 Date Received:
Phone: (651 675-5675 1
Fax: (651) 675-5694 I Staff:
,1 2009 MECHANICAL PERMIT APPLICATION
Date: 0 Site Address: 3 w n
3 I~~ &Ctp- Tic U
Tenant: Vas' ! Suite
RESIDENT / OWNER Name: Phone: (0 c! 1 ' `t
Address / City / Zi .
CONTRACTOR Name:-''License
Addrees+]s: Gprham {
City: OJT . Louf s? WL" State: MN Zip: 5 5q a~
Phone: ^tl° Ild' Contact Person:
V1~
TYPE OF WORK New Replacernen ' jL-Additional Alteration Demolition
Desc o work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace - New Construction - Interior Improvement
r~ I~Cf? "t a~~"' Air Conditioner Install Piping Processed
~I tde
~~y'~~~((( !!l _ Air Exchanger _ Gas _ Exterior HVAC Unit
hou'% ctiumb-c y- _ Heat Pump Under / Above ground Tank Install / _ Remove)
~e
~,Q S112'+ Ida' When installing/removing tank(s), call for inspection by Fire
V OUIV6 Other Marshal and Plumbing Inspector
RESIDENTIAL FEES: '
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surchar
0. 0
$
0 TAIL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a per ' • at the work will be in accordance with the approved
plan in t e case o rk which requires review and approval of plans.
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FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
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I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 3, Bloct,;
supervision and that I am a duly Registered BLACKHKWK~ .F ~ :~j t d 'A
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
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Date 19 AIJV )999 Reg. No. 8140 Existing Proposed
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BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127086
Date Issued:09/19/2014
Permit Category:ePermit
Site Address: 3723 Brown Bear Tr
Lot:3 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-030
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap 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.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Stephen J Fong
3723 Brown Bear Tr
Eagan MN 55121
(612) 327-5576
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:Building
Permit Number:EA178789
Date Issued:09/01/2022
Permit Category:ePermit
Site Address: 3723 Brown Bear Tr
Lot:3 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Stephen J Fong
3723 Brown Bear Trl
Eagan MN 55122--119
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature