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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. J. V17 h Ze x (.Ta),5 X'A~7 Ap icant's Pr ed Name Ap i ht' 016nature 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 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 C'S 0 z o b w ti m 00 d m cc W 1 S cl) z r CIA m z N z w c~_ [C y U. y Q [7 ti Z r z o w z a w U p z z > J fi 4S r 6 V co `Q ~ N O t" ~ E O t4z ZV og S vy r l r w W z w w O o 5 7 l'~ M u~ Q PA :_I Lai tu t- co z a z _ (5 cc > N 0 cc in w C U O W S Q T2 T2 J J CC > cy 4 O co N t- 7 3 ti d a CL W t 'd 622 'ON iDOA AV 16 :8 6006 .tiZ Deb 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