Loading...
3766 Brown Bear TrINSPECTIQN RECORD CITY OF EAGAN RERMIT TYPE: 38?0 Pilot Knob Road Permit Number: ?agan, Minnesota 55122-1897 Date Issued: . (651) 681-4675 SITE ADDRESS: APPLICANT: PERNIIT SUBTYPE: TYPE OF 1NORK: INSPECTION =? ., ., . D. . .A ?; _ . , . . ,?? , ?.. !•I, . ? 'i ': . I Ci t 'Pi A p K S ? (' 1. A Pj k V C ;' tm' t i v:a? y iq C3 !4i t' '; 1d t4 t t i'`r` 1"' 1, ?.,p?0?'i kr???? ?"ti4 (?i l?.a'ki ;:?t`d??? '1??,1, "j.' ??'F?: ?i??' ?} f ? J 3zlo Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC p •7??p(1lj6e2 inspection Date Insp. Comments FOOTINGS ?L/3 ! ? .. FOUND FRAMING dot ( ( 4?J ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL <z i GYP BOARD FIREPLACE FIREPLACE AIRTEST FINAL PLBG FINAL HTG ORSAT TEST BLdG FINAL DOMESTIC METER IRRIGATION METER ' FLUSH MAINS caMaucrivirr 7E5T HYDRdSTATIG TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ni ? f r tt ix issrs{?•li, i-ti : .t,i ? I: (fer#ifiCate of Cecupancv Kit4 of Cfagan ?e?rartraeut v? ?xitbing ?n???ectian ':.??j ?`{? This Certificate issued pursuant to the requirements, vJE tiee Uniform Building Code certifying that at the time of issuanee tfus structure was in compliance wirh the varrous orriinances of the City regulating building co?srtruction or use. For the following: Uu Qassificacion: SF'+ jLC SMg. Parmit No. 34M2 Type R3 7aning Address Address 3766 rsxcxatv EEAx LRAu, Zip 5512 3 I.ot i= Blk 'I Sub n.nnmar.nr :nuFCr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: Yes No Inspector: ? Final gta e(6 from siding) Permanent steps (garage) Pecmanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement Snish • Deck Please verify with the builder the removal of toof test caps from the plumbing system and the shutoff of water supply to the ouuide lawn faucet before freeze potential exists. ConMad engineering division at 681-4645 before working in rightof-way or instalGng underground spriakler system. White - City Copy Yellow - Residenl Copy Pink - ConVactot Copy w PERMIT CITY OF EAGAN 3830 Pjlot Knob Road 'Eagan, Minnesota 55122-1897 (651)6814675 PERMIT TYPE: Permit Number: B U I L D I N G Date Issued: 0 3 4 0 8 2 .17.124 /98 SITE ADDRESS: P.I.N.: 10-14325-150-03 3766 BROWN BEAh l"fi LOT: 15 BLUCK: 3 BIflCKFIAWK FOREST DESCRIPTION: Bu: dinq"P?rmit 'iypF Bpilding Wo'?k Tvpe kY6C pcCUpancv \ Construction TY01Z o n i n q ??,---? 8uildinq Lenqth ? 8uildinq Widr,h eulidin4 stnries? fW-w.5 COde _ SF pWG NFW R-3 5N R-1 72 32 `L 101 1 - FAM. DETACH r- v'_l?? REMARKS: PLAN ftEVIEWED BY CRAIG NOVAI:7YK. 9& W PLl.IM6ER iS VALLEY pLUMBTNG PHOIVE ik492-2121. FEE SUMMARY: Base Fee Plan Review Surcharqe SAC SAC % SAC Units Subtotal vALuArrori $1,127.25 $732.71 $74.00 $1.000.00 1.0@ 1 $2,933.96 $145.0(A0 MISC. FEES .50 1'ota7 Fee $4,526.46 CONTRACTOR: - Applicant: - 5r. L]:C. OWNER: HOMES BY ChIASE 18955337 0001619 HOhIES BY CNASE 166^q E CLIFF ftCJ 1668 CL.TFF RO E BURdSVSLI.E MN 55337 BURNSVILLE mN 55337 (612) 895--5337 (612)895-5337 F I T hereby acknowledge that I have read Y.hks So[rliCation and state that the information is correct and aqree to comply with all applicable State oY Mn. StaY.wtes and City of Eaqan.Ordir•ianr,es. 'APPLICANT11PERVITTEff S ATURE C,4SUED BY: SIGNATURE% 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) , - , CI1'Y OF EAC}AN ?? ?1 3830 PII.OT KNOS RD - 55122 ?-t• y, S-a ?? f -7 681-4675 New Construdion Reauirements RemodeVReoair Requirements CA? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGUde beam 8 window sizes; poured (ntl. design: etc.) • 2 site surveys (extarior addiUOns 8 dedcs) ? 1 energy calwlations ? 1 energy plculations far heated addkions' ? 3 copies of tree Dreservation plan N lot plalted after 711J93 required: _Yes _ No DATE: CONSTRUCTION COST; f??? ?Ov DESCRIPTION OF WORK: STREET ADDRESS: `??? ,GJ ?l?GLo ?. i?2?Nx( ?i LOT: ? BLOCK: ? SUBD.IP.I.D. #: 4?4??/?? Name:???iaa VVr-- Phone PROPERi'Y Leat- Fi*st OWNER Street Address: i/ City State: ? Zip: Company: _ Phone #: O /? 7 .? 2 ; 7 CONTRACTOR Sveet Address: License # City State: ARCHITECT/ ENGINEER Company: 117 Nacne: -- ,_ Street Address: Ciry State: Sewer 8 water licensed plumber (new construction only): ?/???-+? /a'?lf? ???,r • and lot change is requested once permit is issued. C? Penalty applies when address chang 2-1 I hereby acknowledge that I have read this application and state that the inTurtnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank OFFICE USE ONLY Certificates of Survey Received Z"?Yes _ No Tree Preservation Plan Received - Yes _ZNo _ Zip: Phone #: Registration #: _ Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex ? 03 SF Addition O 08 8-plex ? 04 SF Porch 0 09 12-plex O 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck O 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous S-tj Basement sq. ft. e7- Main level s ft 20 o /z MC/WS System q. ., 540 L.? sq- ft. . 6/ City Water Fire Sprinklered sq. ft. G42- PRV S4• ff• Booster Pump sq. ft. Census Code. .o Footprint sq. ft. SAC Code D Census Bldg / Census Unit / Building ? Engineering Variance valuation: $ 7 /V 70 Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units /203XS"? ? 98/ X 1Pb75°== u/!r07 Q .?..?.`. 52 °17?_°? / / D 7Z '? .? ** * * PIONEBA * eng * * * * Certificate of Survey for: LAND VLFNNERS• UNDSCAPE MCNiTECTS 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 HOMES BY CHASE 3766 BROWN BEAR TRAIL 30 n 3 0 N ? ?I ? ? g?PR BR? ZRPA' 85: 0 e o INV sr I I I j s5a. ? i ,.O•.' ' J' i S 3,? \ o ? ?. , ? ?s3 ? , ? BENCH MARK ? ? TOP OF PIPE ?e? ELEV.=859.25 14 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 ? ? !r9 o ,a %\3.y?? ' BENCH MARK 85 S'7 TOP OF PIPE ELEV.=857.88 2q ?4 i? s`? D•1? 858.9 16 858. ? y? SF?c J. ? 858.5 859.0 Al ? 7 ? Xasa.s b• ?ooJ oo / > 858.8 ?g5q.o? ? --?85 .7 6 15 . / ? \ \86:0\ ?. h?o r' 868.5 ?A 9 T1': NOTE: PROPOSED GRADES SHONN PER GRADING PLAN BY: SCHORLL k MADSON PROPOSE D HOUSE EL EVATION NOTE: BUILOING DIMENSIONS SHOWN ARE F?t HORIZON7AL AnM `?R7ICAL LOCATION LOWEST FLOOR ELEVATION: SZ. OF STRUCNRES ONLY. SEE ARCHITECTUAL PLANS FOR WILDING AND nna+ oIMensIor+s . rauNO TOP OF BLOCK ELEVA710N: NOIE: NO SPECIflC SqLS INVES71CA710N HAS BEEN C04PLETED ON 1MI5 LOT BY THE ARAGE SLAB ELEVATION: SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPOR7 THE SPEqFIC HOUSE G PROPOSED IS NO7 iHE RESPONSIBIUiY OF THE SURVEYOR. NOIE: TMIS CER7IFlCATE DOES NOT PURPORT TO SHOw pASEMENiS OTHER THAN % 000.00 DEN07E5 ExISnNC ELEVqnON THOSE SHONN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVA710N DENOTES DRAINAGE ANU VTLITY EASEMENT NOTE: CONTRACTOR MUST VERIFY ORIVEWAV DE4GN. - DENOlES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BpSED ON M7 ASSUMED UAIUM t OENOTES MONUMENT ' B DENOTES OFFSET HUB WE HEREBY CERTIFY TO HOMES 8Y CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 15, BLOCK 3, BLACKHAWK FOREST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS T DAY OF NOy.. 1998. ? U[ 5-? A ?(- 10 79y? SIG D: EER ENGINE ING, ?.A. SCALE : 1 INCH = 30 FEET BY: L 58 98540.00 SWK n C. Larson, L.S. Reg. No. 19828 17V 0 ? 859.4 .?e \ \ / ?Z 15z lt\y 866.3 gG6.*5 Z4Ai i ? p• .?O ?? ? a O 6PQP O =0-?0 / J?{P? ? ? 867.2 gpC??0 Qk,?' ? ?`Q" I 0 crQ O' G, O Q? O A. ?' S . w ? ? ? ? ? ? ? ? ?. ? ?= ? [9? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITqpPLICATION PROPERTYLEGAL: DATE OF SURVEY: ? LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building PermitApplicant • Legal description • Address • North arrow and scale • House type (rembler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exassting sewer and water services & invert elevation • Street name • Driveway ELEVATIONS r ? y 0 ?? ? 0% ? • Sewer service (or Proposed) • Properly comers • Top of curb at the drnreway • Elevations of any existing adjacent homes CQ O • D?p ? • [3??0 ? • g?j? ? . 6 0 0 • ? ? o-'O ? 0-` ? ? cr' ? ? [I"? ?/o ? Ci/' ? ? H ? ? C] 'o ? C? ? ? ? el-? . . . Prooosed Garage floor First floor Lowest exposed elevation (walkout/window) Property corners Front and rear of home at the foundation PONDING AREA fif apolicablel Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot Iines/Bearings 8 dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requidng permanent footings) Show all easements of record and any City utilfies within those easements Setbacks of proposed structure and sideyard setback of adjacent ebsting structures Retaining wall Reviewed: January 1996 CRAIG19Bflf8LDGPRMr FM I . 1& 2 Family Residential "Cookbook" Methoa . SI'fE ADDRE55 - Gty ? Y 776,? ? BUILDER ,r3 Y Date Minimum Criteria: Rim Joisc R-19 insulation Foundaton wndows: Insulated glass. 12" air space, uood ar vinyl 6amc FnM„ d?rt- 1?/? inch solid wood with stotm or better STEP 1 Window & DoorArea Total Window 8t Door Area in Sq. Feet WINDOWS (including fouadation windows): Dimensions Qnty. Area X . ? x (v. U ° x c:+ .? X 1?7 °' x x 3 ° X ° ? . 0 ` x c?x x u x DOORS_ 3 b x x Total Area of Window & Doors Total Wall Area in Sq. FL Wall Total Perimeter Height Area ? 175Y Total Area .,r.,,5n B STEP 2 Calcnlate atea as a percent of wall Box A(window & door area) divided by Boz B(total wall area) times 100 equals [he window and door area as a percent of wall area (Boz G). BozA ?la07 ff!N z 100 BoxB fl7G?/,.3 STEP 3 Design Features ASSEMBLY OPT'IOV FxaME wALL: STANDARD FRAbtIIQG ? ADVANCED FRAMING cnvrryr uNstnAnorr R- q' SHFATENG: L.ESS THAN R-5 ? R-S OR DSORE WBJDOWS (except foundation windows): U-FACTOR From the table, determine the maY;mum percent window & door area for the design options selected and enter the value in boz D below: Boz C must be less than or equal to Box D F. The building must not exceed the maximum wuidow and door area as a percentage of overall exposed wall area listed below for the combination of framing technique, R-value of insulaHon within the insulated cavity, sheathing R-value, and window U-factor. Other components must meet the requirements of this subpart. MAxMLTM WINDOW AND DOOR A1tEA AS A PQtCENT OF OVERALL EXPOSED WALL Cavity Window STANDARD : . . ._. R 13 ' • ' ; , 2R-7 .. ., 13.4% .. -17.8% 21.30/ o 24.3% STANDARD R-15 2R-5 129% . 17.1% 20.1% 23.4°0 STANi3ARD,',.:-" , -'--,R-18?'. .`:- < < <R-S _.,11.1%` ` ;16.0%- ' 1&8% 22 09'0 STANDARD . .._, ? ?. . __.? R-18 .... 2It-5 13.5%? , _ ?? 18.6% ; 21.8% . 25.3°0 ADVA.NCED R=18..:', ,. - <R-5.. il.l% 17.1% ?. ' 20.1% 23.4% ADVANCED R-18 2R-5 13.5% 19.29'0 22.5% 26.1°0 STANDARD <R-5. ,>: "• ` . µs.:ll_8%-` ' `° 17.U°lo' . 19.9% 23.1% STANDARD R-21 2R-5 14.0% 19.3% 22.5% 26.1% ADVANCED R-21 <R 5 " 18.19'0 21.20/a 24.6% ADVANCED R-21 2R-5 14.0% 19.9% 23.2qo 26.9% Subp. 3. Performance criteria. The combined thermal transmittance (Uo) factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ftz °F for walls; B. 0.026 Btu/h ft2 °F for roof/ceilings; and C 0.04 Btu/h ft2 °F for floors. STAT AUTH: MS § 216C.19 HIST: 18 SR 2361 7670.0480 Repealed, 28 SR 2361 / Minn. Ru1es Chapter 7670 26 Jwie 1994 F u'?671? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Now ConShucMon ReauiremeMs ??r /7Lh?- 1?507 RemodeUReoair Reaidremenis Pi ' S registoretl slfe surveys ahowing cq. It. of lot, aq. ft. of house and ? rooted areas t2096 moximum lot covemae allowedf ?" ??' ? O 2 copies ol plans (stww beam & window sizes; pouretl fnd. tleslgn; etc.) t aet m energy cmculations S coples of hee preservatfon pian il bi plaNed aRer 7(1/93 DATE: 2 cople8 of PIUn t sef of energy CalCUtaNOns for heated adtllHOna t sNe survay lor extedor aqdifions & decks CONSTRUCTION COST: DESCRIPTION OF WORK: /V X/'Y rZfAnD DBC..I" It mulN-famfly bidg., how many units? STREET ADDRESS: 37G4 "O&wBEQ.C J72A/L LOT: A-5_ BLOCK: J SUBD./P.I.D. N: Blrckhawk Fnrect PROPERTY OWNER CONiRACTOR ARCHITECT/ ENGINEER Name: G01Y6 yoiY6AI1516 Phone t: l S/• l8G • 7.?SCS Lasf Firat Sheet Address: 3 7G G?/?/JIrY R6•4! TX.4/C cny E??4N srate: np: SS/1?.7 Company: Pnone a: 7G3. 7Ld •:fnlO (area code) Sheet Address: .? S/G d/ F?S ST Llcense # 9608G880 V. 3 3/ .?do! CNy /,SANT/ state: /`94 Zip: 5.S6 S1D Company: Name: Telephone #: ( Sheet Address: ReglshaNon #: citY State: Sewerfwater licensed plumber (ff instaliirw sewerlwater): Phone #: Zip: I hsreby acknowledge fhaf I have read this applicaNOn, stote Mat Me fnformation Is correct, and agree to cwmpy wNh atl applieable Ske of Minneaota Statutes and CNy of Eagan Ordinances. Sfgnolure of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes _ No JUL I 0 Tree Preservation Plan Received _ Yes _ No ?Not Requi2d A $ bU.w0 C41Ied 7/Itla Rw r -, OFFICE USE ONLY BUILDING PERMIT 5UBTYPE5 O Ot Foundation O 07 05-piex ? 02 SF Dwelling ? OS 06-plex 0 03 01 of _ plex O 09 07-plex O 04 02-plex ? 10 OB-Plex O 05 03-plex p 17 10-plex O 06 04-Plex ? 12 12-plex WORK TYPE M 31 New [3 32 Addition O 33 Alteration O 34 Repair O 13 16-plex 0 17 Garage Eff 18 Deck ? 19 Lower Level Plbg _Y or _ N ? 20 Pool p 21 Poroh (3sea.) O 22 PoreNAddn. (4sea.) O 23 Porch (screened) ? 24 Storm Damage p 25 Miscetlaneous 0 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof E3 37 Oernolish (Bldg)' ? 44 Siding ? 38 Demolish (Interror) E3 45 Fire Repair O 42 Demolish (Foundation) [3 46 WindowslDoors ` Giye PCA handout ta applicant for demolftlon permit GENERAL INFORMATION SAC Code 0/ No. of Units O No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Planning Building -4L Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext Att - Muw ? 33 Ext. Alt - SF ? 36 Multi ? SAC Units % SAC 0 Gt. m ? 0 m ? cn ? a ¢ ? a ? 0 0 0 0 N I CD I r ¢ ? aauSMrm er HM WM,?, INL N ? S E SITE PLAN c1'A! F• 1' = N YffiM $ FWVMI UlL'i : Cl6TIM NAhE 3`16b BRM BEAR TRAL : STWEf EA6AM, I4l 5fi'122 : QIY 65I686-780 : FIOFE PtCiE t61W-8671 : WOM PNX 14' X 44' TREAIED [m( : CUWTR'.CTQ! TYPE EIAPI FU : PRDECT MM" OY[I IYtlO : 11f11WN Ol 5r}pp : UATf -A1 - ? ? MA1 BEM TW V ' CTI'Y USE ONLY LOT _/,f_ BL ? RECEIPT it: SUBA RECEIPT DATE: ??i'?•? f / 1998 MEcxMccAL PERMrr tREsinErrriAw crrY oF r.Aem S$SO PILOT KRO$ RD EAHAN MIY 551 YP Date: 1 d``? '? g (618) 6$1,4678 Complete this section onlv if you are instailing 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 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) G,w • State Surcharge: .50 • TOTAL: 3(o - So Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reauire d 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 sii remadei or add-ons of eatis:ing residences v 23.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: VAA?-? INSTALLER NAME: STREET ADDRESS: CITY: / ATE: ?j ZIP: SIGNATURE OF PERMITTEE PHONE#: PHO?NEf#: JS/FORMS BLD/MECH PERhIIT (RES) - 1999 ? n L? BL ? CITY USE ONLY ?CEIPT#: ?f??5d SUBD. ? ?, L ItA,j RECEIPT DATE: 1998 PLUI+BING PERMIT (RESIDENTIAL) CITx OF &AGAH 3830 PIIAT FINOB RD EAGAN, 2M1 55122 (612) 681-4675 Please complete for: ? single famity dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x I._ Lavatory 3.00 x 3 = ? Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet ' minimum - t 3.00 x I_ Rough Openings 1.50 x = Water Softener ' for dwellings under construc[ion 5.00 x = Water Sottener ' for existing dwelling 20.00 x = U.G. Sprinklef ' for dwelling under const. 3.00 = U.G. Sprinkler ' forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System • MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = _op, .50 STATE SURCHARGE , TOTAL `v""` 'zo? •Sv -------------------------------------------------------....------•-• •------•------ I hereby ecknaxAedge that 1 have read this application, state that the iMormaHon is conect, and agree compty with all epplica6le Cily of Eagan ordinances. It ia the applicanPs responsibility to notify the property owner that the CKy of Eagan assumes no liability for any demages caused by the Ciry during its normal operedonal and maintenance activBies W Ne facilities construd der this pertnk within City property/right-of-way/easement. SITE ADDRESS: '? V`+' ? f u c? ? ?&/- OWNER NAME: INSTALLER NAME: V -, TELEPHONE #: STREET ADDRESS: O4 U ? ? ? ?. ?? ? ? CITY: 7 d f_J A' STATE: ZIP: SS 3 T ? SIGNATURE OF PERMITTEE JSlFORMS BLDGJPLBG PERMIT (RESIDENTIAL) 1998 n - - - - - - - - - - - - - - - - - ~or 01 lice Use City of EPermit U JUN 2 2 2009 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: O Site Address: 5 / bG t 'Own B'ecLr Tenant: Suite RESIDENT/OWNER Name: O oct h f h Phone: (oF5I 7 2--50 Address / City / Zip: ~J l.t,~ 7 Cc ~1 5 S ( 22 CONTRACTOR Name: License O ~ / L y Pitt Gbomplon Address: 65 3864340 City: 3670 OW At 0100 State: Zip: Phone: Contact Person: LS lJ TYPE OF WORK -New _/Replacement _Repair Rebuild CC,^ Modify Space _ Work in R.O.W. 3o Description of work: Lt) PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) _ 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 $ 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 C2- -0-uor x~ Applicant's Printed N e Applicant's a ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final 39 c^~ 5 Use BLUE or BLACK Ink r For Office Use j~ I V~~ I non City of Ea~tl Permit#: I Permit Fee: LOG 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I / 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 6//C - J ` i Name: aJ c. r"b D f} Phone: Resident/ Owner Address / City I Zip: ,3 t~ ,d Applicant is: 4 Owner Contractor Type of Work ' Description of work: pT 9 Construction Cost. Building: (Yes / No Company: /2 e' 11Contact: x / Address: Cit : ~~j ~ C.G(/` ~ Contractor ~State: Zip: V~S11/d Phone: Zy- -.7 i License #:,6CZ9,13 j~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. - - - - - - 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.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 Code must be completed within 180 days of permit issua/n~c//e. x bnA/t'_1 / L xk4~:O1 Applicant's Printed Name Applicant's Sign ure Page 1 of 3 Jan 30 14 12:01 p AA Garage Door 651-702-0838 p.1 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. lwrw.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. xDeboioM I�'JaC Applicant's Printed Namg t) �i� jij,Jii Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use %� �,�/'�[I Permit#: 1City of EaaR�p.a� Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2014 RESIDENTIAL Date: 30 /14 Site Address: 31/ (.(',LP L BUILDING PERMIT APPLICATION 3r&oi bear -rrL Unit #: ! Resident/ Phone: jL fi 1 L ( s i hi 0 CO/:�-R 07' 3VGC Name:. - II �r (til, 1 Address / City /Zip: .37 t12 urr I "1�r Yl tf ar l'r` a"9i2t1 , 1t 5 J / Applicant is: Owner�_Contractor i Type of Work Description of work I pi QC'e_.r p (i c+1 i1) QV1 i�Ad ad I�Glr ci alf Construction Cost $ 800. 0d) Multi -Family Building: (Yes / No ) Ii Contractor ) Company: : f � 71&C(c No{ Contact: .I /eh J v y asciL A ' Address: t 01 C`�T/c f L/ City: l� � 4a I -NI& State: f4I - Zip: '5) + Phone. l E,���� rgl. 7l1)?r License #: Lead Certificate #: LS - I Lf 7g -q; i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i s 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? i r If yes, date and address of master plan: _Yes _No Licensed Plumber: Phone: x. Mechanical Contractor: Phone: t Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thf t you submit are considered to be public information. Portions of i the information maybe classified as non-public if you provide specific reasons that would permit the City to concl�de that they 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. lwrw.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. xDeboioM I�'JaC Applicant's Printed Namg t) �i� jij,Jii Applicant's Signature Page 1 of 3 r ' Use BLUE or BLACK Ink r—————————————————� I For Office Use � ' � Permit#: � � ��� ���� Clty of ���a� �� ; . ; Permit Fee: �+ 3830 Pilot Knob Road I /� `�/S � Eagan MN 55122 -- � Date Received: �-� � Phone: (651)675-5675 I I Fax: (651)675-5694 ��y��. .� �� �,,, I Staff: I � --------� I 2015 RE � '�� SIDENTIAL BUILDING PER��IIT APPLICATION �,� Date: �m �S Site Address: ��'�� �Y'1 ��C' �� \ �� Unit#: �� � : �� �: �� , Name: �ct�r�,`��� ���vY10,�'l �' �� 1 Z� ZO°�3�10� �� Phone: ���i{��:� �"����11�C't��`� Address/City/Zip: ���� �-�`L�-�,�`Y�� _�c�+�( < < � � ��1(,�.Y'1 Y/'�� e� SSI 2-"� ;�, �: Applicant is: wner Contractor .'•>i�o a:�: ��� � ����� Descriptionofwork: �e�P��cR.. "�t�.--�- �-�-"�'<� d�+C� � �i�-�i�Cv'f � i`{-� � �'� � Q\�`� = C�2 u� i'�� c�.ea�!T�-��R�i ���, ,�� a�„ Construction Cost:Qw��l 1 a c� Multi-Family Building: (Yes I No� � � ����`,°� ������� ����, a; � ��� Com an : Contact: �\ � ����� p Y - � ' � � � �,�r��,���� Address: _City: ���a` `' a ���\ � � � State: Zip: Phone: Email: � � �� �� ��. I ,, ��, License#: Lead Certificate;�: � If the project is exempt from lead certification, please explain why: 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 b;ased on a master plan? Yes No If yes, date and address of master p n: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: � N� F���€�s�r��I� p ���ng��� �r��tt��t�rc�c���r , r�" ,srd'�r� � ���r ���far � tfc�n ���,��� ��f` ��`;�e���rm �n►»�y b� ssrfi�d �r��' � ��Ef yo�r�rrc� "��p��fic re �� ��v`ct�rld p��r�� ��rty tt� �. . � � ���� ��ac �� �`�`' �' a.. :.�.. .,... �. . ...��.. " � �f#�.. ,,, �., s'��'��` '�' .����54C � �... : , �; � � �, . „ „ �..,'.... 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. o herstateonecall.or 9 p 9 I hereby acknowledge that this information is complete and accurate;that the work will be in coinformance 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 i:s 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 pdans. Exterior work authorized by a building permit issued in accordance with the Min St��te Building Code must be completed within 180 days of permit issuance. ,� x �.�P � ��r�-�r� x � ApplicanYs Printed Name Applicant';>Signature Page 1 of 3 c�/ , � DO NOT WRITE BELOW THIS L.INE �� C�L�J� / SUB TYPES Z�(_p C�p �1��`�h ���� �� 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 f� Occupancy �� MCES System ""' Plan Review � Code Edition !"� SAC Units �—. 0 0 (25/o_ 100/o_) Zoning �--! City Water —^ Census Code $L{ Stories �—' Booster Pump � #of Units � Square Feet �"" PRV ._... #of Buildings 1 Length ` Fire Suppression Required -- Type of Construction � Width -- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) �L Final/No C:.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Fc�otings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation � Windows Sheathing Retaining WaIL•_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire SupprE:ssion:_Rough In_Final Braced Walls Erosion Control ,/�l Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �'f °� Surcharge , Plan Review ',33,,,��.-- MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies /Q� " � TOTAL Page 2 of 3 For Office UsseeI „, ® ,�® Permit#: / / � � .., EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: --S-a A-- \ 'il Site Address: —8'cb F' ) L`--( T r Tenant: Suite#: Name: �� Phone: lac$ - r {ent/ Witerl; ' Address/City/Zip: '44. w 4. 4 , Name: License#: 4# ,7t Contractor v Address: City: ;- State: Zip: Phone: �urn Contact: Email: „;n New Replacement —Repair Rebuild —Modify Space Work in R.O.W. 4 Type adf Work --- — — – '---) .7L-4 - .� �= � Description of work: 4 } m � RESIDENTIAL ; Water Heater 44.4 .4Water Softener t t Lawn Irrigation(—RPZ/—PVB) rmitType , ,,. x Septic System Add Plumbing Fixtures( Main/—Lower Level) 4 ' Water Turnaround ;. New ,,$,, , Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.00pherstateonecall.orq 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 Ea•.•• 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 a Gordan.-(1 the approved 'an in the case of work which requires a review and approval of plans. x �,_'Si , - kfO,� x ir\ 1, Applicant's Printed Name Applicant's Signature Ol F'FICE Woe u Reviewed B9,1:7.5;,,, , rat ' 44:tea Requiredle : w yeder Ground ; Rd :6p-In Air, e :.1..F. =s Test �e Fin *xx ,Meter Related Items � , 11llerize� x � actio ReedManometer r f � .; Y:. till For Office Use tt i i s pa Permit#: ( 176 /1 y► •�',, ,„, E AGA N Permit Fee: // 6- / /� RELIEVED 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: ; ie buildinginspections(c�cityofeagan.com ��� 1 8 LU18 L 2018� RESIDENTIAL BUILDING PERMIT APPLICATION Q-� y Date: .3- 1 0 Site Address: Unit#: .1 Name: pack'(\ () k c Pin 0 rTh Phone: (D 14 -ca.-.4.-3 N5 Resident/ 3 =�- Owner Address/City/Zip: tom, R{ C i '',7---T.-- t Applicant is: Owner Contractor Description of work .'hr.s.SL � 1^l_ SAti ,,e,24 ki-E Type of Work ). v+ Construction Cost: '"x t 0(:)r) 1v O c2.,t, Multi-Family Building:(Yes /N { n 5i Company: 52 \. Contact: Contractor Address: _ x ,,-;.x'': ' State: Zip: Phone: Email: License#: 0 Lead Certificate#: Ai t — If the project is exempt from lead certification, please explain why: . \Jr-- 1c c X14 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a imilar plan based on a ma plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contra Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you s bmit areco#sidered to be , 8">.•rtio»s,of the inforMation may be ' classified as non-public if you provide specific reas ns that:vould permit, - f. . to a .4,.$..$®., that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro al of plans. ti x ...---''' Y\. -1 ' x - A Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE — — 22 (23 `�' /q 7e' 5 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 �L 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 tt Valuation q Occupancy ,4,�L/V MCES System Plan Review Code Edition v,j1 I "--- SAC Units (25%_100%"*) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v-19, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill X HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests Final Framing ' 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS `c Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i._ , Building Inspector RESIDENTIAL FEES (IBase Fee ��/ ficiA�� Surcharge _ Plan Review 709 0 420 - 7 /, vtrd MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162482 Date Issued:07/15/2020 Permit Category:ePermit Site Address: 3766 Brown Bear Tr Lot:15 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel Simon 3766 Brown Bear Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature