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3743 Brown Bear Tr___ _ __ _ INSPECTION RECORD GITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ? ?. (612) .681-4675 . SITEADDRESS:? APPLICANT: , . 0 11 F #5ta -iF" ( 3'? ? 6 F: i?,: 11 A W ?;, V0R F '?J' ?f PERhAIT SUBTYPE: TYPE OF WORK: MI I I.k 6:1"i 1 N s_i :? I :?° W :i?i F -'.; P 1.(t N f26`V 7E=W E1'3 C:v hk.f f: F F+6iEtE 1. Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FDUND FRAMING ROOFING AOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVG TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CDNDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECKFTG v nFCu ?I r,aa,i_ ------. . " - - .. INSPECTION RI ' :C'tTYyDF EAGAN , 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 (612) 681-4675 _ : i. ?• . ' i ; ?rl .+?? ?? . V . . . A.? . # y.;? .. h ..i .?, . .. .. ta, . i • ,.r ?, ? ? ? . 4 SITE AQDRESS: APPLICANT: . . ? ? 11;4N t0AP {a<_ PERMIT SUBTYPE: TYPE OF 1Nl7RK: ta F` 411 I Permit No. Permft Holder Uate Telephone # -ELECTRIC ?PLUMBING HVAC . 1?} C :?tP.k3?l`?f • ??? ?P ?a?of"???? Inspection Date Insp. Cornments FOdTINGS l? r ? FOUND FRAMiNG ?'? RQOFING fr? 2i kG ?'?? RC}UGH PLUMBING PLBG AIR TEST lt ?t ROUGH HEATING S ct ,$` C[-• c c-?r e f ; E ? , /-? i,? GAS SVC rEST //511? G? ?c?+C?: f .," -,r?c,. • ?. iNsuL f???4` r?^? ? "5?,? - .?? f? -?r'? ?`? 6-h ? GYP BOARD FIRE?LP,CE tk' ? FIREPLACE AIR TEST . FINAL PLBG FINAL HTG ORSAT TEST :.1va.?eYr?I BLDG FINAL 3 t!S f7' - L3coc?v.?F a,s1?uCi b.a. ?y BSM7 R.I. ? Q RoC?. ?/?wi ?4Na?RL4+??oulw(`??b fy-?pr&. Tic tA4F (.r?t LrLt46l= L?u9.er40" i? -- ------ - -- - BSMT FINAL / ?/ 'f AsKC oecx FrG ? -- - -- - -- - DFGit FINAL i - - - ? a ? -?- ?' ..w l ? • ? ? ----- ? iF 11-- . 4-yvs''`., ?? t? a? ?agaxc . ?• M019 This Certificale issued pursuant ta the requireirtents of the Unifarnt Building Code certefying thal at the ti?ne of issuance this structur+e was in eompliance with the variaus ordinances af the City riegulating 6uilding corrsrruction or use. For the fallowing: bw cussir. -? SF DWG/GAR @ug. Perin;t No. 28051 R-3 U-1 Vn Oocrpancy 7ype . 7unioa Distrin R-1 ' Type Canst. owner ofH„ud;,,g TAM'S INC Addn= 1160 F1RESIDE AR., FRIDLEY MN Balding A"e,, 3743 BRO{iiN HEAR TR Ltiry L$, B3, BLA:;KHAWK FOREST ? ( .,, 6T IN A CONSPfGUOIJS PLACE ? f ? a f / • Address 3743 BROWN BEAR TR Lot , g Blk Sub BLACKHAWK FOREST Zip 5512_ THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: At? Z Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch ? Basement finish Deck Please verify with the 6uilder the removal of roof test caps from the plum6ing system and the shutoff of water supply , the outside lawn faucet before freeze potential ewsfs. \ 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 ? 319 -O 15 ? USE ONLY This request roid 18 monMs fmm wlidaM1On date pnnt? in ?is bax. OFFl E7 8?E?? 103?5 / ?97 . ?7D 9 lo 3 i PLEASE PRINT OR TYPE , vant' Requnt Dare Rough.im m?penion reqmred2 Yes ? No Inzpechon OlhwThon Rough-la R Will Call 'R _ a _q (Yoo most mll the inspecmr whm reody) Dala Reody. I, 10 licensed contradar [] owner hereby requesf inspe on of ihe a6 e el Job Pddress IStreat, Boa, or Rouk Na.) Gry 2ip Cad Seclion No Townzhip Name or No. Range No. Fiee Na. n-Kcla Occupant Phone No. ? K? L- Ng PowarSuppLer cbl 0. E?C,GA s=I C Address Ll-5 oO- a-o?O?h `?A - 1'UrM\ ' o Electnml ConhaMr (CompanY Name) , Conkador limme No. Mastr Lc Na (Planl EY .Only) \ \ 17 ` ? G 't• c- Mailing re.. ?com?no?o, o.me, v' ??oa i?.mnono?l ? JJy-SI Aulfw' Sign nIC clor erPaAormiiglnsmllafion) PMroNO. a-i?a\ EB- A-06/95 ATEBOARDCOFY•SEEINSTRUCTIONSONBACKOFYELLOWCOPY IIII IIIIIIIIIiIIiIHI! II I III ?I I? III REQUEST FOR ELECTRICAL INSPECTION ? Minnesota State Board of Elactricity 1821 University Ave., Rm. S-128, Si. Paul, MN 55104 - * 03 1 9 0 7 5 8* PhoFle (8#?; 642-0800 8` ?? Home Duplex Apt. Bldg. Other. New Addn Commercial Indusirial Fartn Remod Re air Air Cond. Htg. Equip. Wofer Htr. Load Mgmt. Ofher: D er Ran e Elec. Heaf Tem Service "X" obave the work mvered by tM1is request Enter remarks in thts space and on the back of the whde copy only. ? 'J ? Calculofe Inspecfion Fee - This Inspechon Reqvest will not e accepfed wdhouf fhe correcf lee. Olher Fee # $ervice EMrance Srze Fee 3t Crails/feeders Fce Mobile Home Pork Stall 0 to 200 Amps i3 0 fa 100 Amps Sheef Lig./TraHic $ig, Above 200 fvnps Above 100 Amps TmnsformedGenerator INSPECN ' tlSf ONLY TOTAL Sign/Outline Ltg. X(mr. S -?6 Alarm/Remofe Control y Swimming Paol i h?a ?h? dend?al ??:mlkno? d?:??bed h?2?? o? ?h? dak: r?rtd Irrigation Baom Ro?h-In ?ak Speaal Inspedion Investigafive Fee ? ool _ -'IS INSTALLATION MAY 8E ORDERED DIF NOT COMPLETED WITHIN 18 MONTHS. FERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUZLDING 032389 @7/01/98 SITE ADDRESS: 3743 BROWN BEAR TR LpTc 8 BLOCKc 3 BLAKCHAWK FOREST P.I.N.: 10-14325-080-03 DESCRIPTION: B?44i;:n? ?permit Type DECK < ,??k Type NEW ?ti7"siC.-??" ?t??. 434 ALT. RESIDENTIAI mt? f ? __iF,`^ Mfin 4? ? ? # ?°? ?u m n ?w ?R$gIa" a$?A? s?"?„ ?[i ??dn?? g?a.k tut ?„i ?p?? YIS4? ip $iK v WI&'YS `m ?E i"?.a ?. REMARKS: PLAN REVIEWED BY MIKE BRRCK FEE SUMMARY: Bese Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: , !TIP MITEE SIGNATURE PPLIJAP OWNER: - Applicant - LUE VU 3743 BROWN BEAR TRAIL EAGAN MN 55122 (612)405-6967 ? ^ $ ..?J >-. 3 8 BUILDING PERMIT APPLICATION (RESIDENTIAt.) S?0rt CITY OF EAGAN w ? 3830 PII.OT KNOB RD - 65122 681-4675 Naw Construction Reouirements ? 3 iegietered site surveys • 2 wpies of plans (inGude Eeam 8 window saea; poured MG. design; etc.) ? 1 energy calalations • 3 copres of tree preservation plan if lot pletted aRer 7l1/93 required: _ Yes _ No DATE: b /a?' 1GIB ?f RemodeUReoair Raauirements ' /? ?"??N ? 2 copiea of plan 'WM^" `? ? 2 stte aurveys (exteriw adtlkions 3 decks) ? S energy nlalations for Mated addkions CONSTRUCTION COST; DESCRIPTION OF WORK: bPGiL STREETADDRESS: n'T/1- ? L"-)IOLVYI S' k/t/OT: BLOCK: _4 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ?" V t,( Phone #: ? o ?5 ? b ? -? 1 , t.ast F;rn ffCrr s - l-7 5(? Street City ?.GZ? State: M(? Zip: Company: S G.VVk-e,- . Phone #: Street Address: License # City Company: Name:_ Street Adi City _ Sewer 8 water licensed plumber (new construcdon only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and sTate that the iniortnadon is correct and agree to comply with all applicabl State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY D L? l?'> L'`-? l1 V Certificates of Survey Received _ Yes _ No ,,JUN 2 610 ? Tree PreservaUon Plan Received _ Yes _ No _ Not Required ALlS State: Zip: Phone #: Registration srau: r OK VV o BROVV iV LAND S 8030 Cedar Avenue South Suite 228 Bloomin ton, MN 55425 President Phone 612) 854-4055 Survey For: NORTH Fax (612) 854-4268 Scale: 1"=30' Oliver Tams 0 Denotes Iron Monument. • -161.1 Denotes Existing Elevation. ? 861 .1) Denotes Proposed Elevation. I L 0 T 7 I N zs ras a s 8ss West ?ss ?sss?? co `'" C13 '?;SS o I '8i 134.61 43.09 29s co O ?J u? ?_1?Ty? cn ?9.5 to 10.2 10 ? ir 20.33 ?ao I ; ,a' ?4 4 Z o%? t?/ o I ?1 ?° m I ..?D 1 Q3 ?o . O ? gg4.3 m%o ?-?°? Of N ?p ' z I m . N ? N Ll Lik t U ? WI ` ? ? Z• -P. W W m ?, p.2 ? x?ro 57\ -A O? I ? o ?? O 0/ ?? l?P m ?5 C?x ? s o 3 \??a p? ? 11? n CO ? ? -48 N? ?? R f'• ?••k ?...,? ? N 1 cr ? ? o , ?- _.. _-. ? - - ? 4 05 oo j 4 88 3' " lza?QG ?E 9 - ? 14(4 ?:.... r£ ?h' N6g Proposed Elevations: Garage Floor=857.0 Basement Floor=849.5 84s p 0 ? Top Of Foundation=857.2 (a45 a? ? - -•, ? G' ? i -u ?G '? NOTE: No Search Was I Made For Any PROPERTY DESCRIPTION ?Q Easements. Lot 8, Block 3, BLACKHAWK FOREST, Dakota County, Minnesota. 1 hereby certify that this survey, plan or report wos prepared by me or under my direct supervision and that I am a duly Registered Land Surveyar under the laws of the State of Minnesota. W. BROWN D SURVEYING, INC. Dated: June 13. 1996 Woadrow A. Brown, R.L.S N0. 15230 59/ 16 Revised: June 17, 1996. URV JL/ JL WO9 WC0 x CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-14325-080-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 3743 BROWN BEAR TR LO7: 8 BLOCK: 3 BLACKHAWK FOREST w599? ? IfifflNG 07/01J96 DESCRIPTION: 6?ildi'nrg Permit Type uflding`"Work Type ' tlBC Occupancy, Construetfon`4y,pe Zonzny '8'uildiCrg iR ngth' .? Bwiiding Width 8 ul'I dling stories JP? r e , F,e'wt n'us `Cade? SF DWG NEW R-3 U-1 VN R-1 70 42 2 ,2,064 101 1 - FRM. DETACH r` ?? I;t ^': ?.. ; ?: .. .._ '` REMARKS: S&W PLUMBER = FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units 5ubtotal VALUATION $1,262.25 $631.13 $87.50 $900.00 100 $2,880.68 PRV $175,000 MTSG FEES Total Fee $1,923.50 $4,804.38 CONTRACTOR: - Applicant - sT. LzC.OWNER: TAM'5 INC 17844402 0009338 TAM'S INC 1160 FIRESSDE DR 1160 FIRESIDE DR FRIDLEY MN 55432 FRIDLEY MN 55432 (612) 784-4402 (612)784-4402 _ -.-?„ • I hereby acknowledge ChaCI have raad this;application and state that the information i's corNoc??ar?ii `ti?gre??i C& c5mp:??y '?s3,t?i` a?? applieable St?'te "o'f 'Mn:' , Statutes and.City ot F?agan Q.rdinances. ? ICANT/PER TEESIGNATURE ISSUED BI SIGIVATUREI I, CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) 7 + ! 681-46 5 New Construdion Reauirements gemodeUReoair Reavirements ? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design: elc.) ? 2 sHe surveya (exterior addHions & decks) ? 7 energy calculationa ? 7 energy wlcula[ions 1ar heated additions ? 3 coples of tree preservation If lot platted afler 7/7/93 required: _ Yes No ?? DATE: CONSTRUCTION COST: ? 1 ?i O oU ? DESCRIPTION OF WORK: N &`r STREET ADDRESS: ? LOT ? BLOCK 0 () SUBD.lP.I.D. #: f:iaa4- PROPERTY Name:?u« Phone#: '" OWNER 'T Street Address- 9?06 i-- A*5 City: ' N State: Zip: CONTRACTOR Company: FdAly? s-L1,3 c Phone #: ?T L 2 Street Address: ? 16o F(Lev,ioeD2 License #: iCity: ` t oL State: Zip: ? ?2-- ARCHITECT! Company: S ?h w 1 efie24; . e?'dv'Phone #:?BS 2? OS ENGINEER `- Name: Registration Street Address-, City: l.-(21.A State: Zip:_57-Sq'3 Z_ Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicable Staie of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? oler(kUev- 7e%Yr. ? OFFICE USE ONLY / / Certificates of Survey Received ?? Yes No ? ? ? Tree Preservation Plan Received ` Yes v No I " _ x I? ;v OFFICE USE ONLY BUILDING PERMtT TYPE Foundation o 06 Duptex ? 11 Apt./Lodging ? 16 Sasement Finish 2 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 5F Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 31 New o 33 Alterations o 36 Move o- 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) '10-? Basement sq. ft. MC/WS System ? (Allowable) N Main level sq. ft. /t 3Go City Water UBC Occupancy ?? Z? sq. ft. /z z9S Fire Sprinklered Zoning sq. ft. PRV # of Stories 29nsur, sq. ft. Booster Pump Length Z sq. ft. Census Code. Depth ? Footprint sq. ft. Z oro SAC Code C Census Bldg r /? ,??y Census Unit v OVAL5 w? 7 ??1 ' qq Planning Building Engineering Variance Permit Fee Surcharge Pian Review License MCNVS SAC City SAG Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unft Park Ded. Treiis Ded. Other Copies • Totai: °k SAC SAC Units C•rr. Valuation: ZO.33 ,X 7? 71c 3?•33 ° Z y , Z K 7 ' 35' _ 73, yy? Z ?h 0(a7 Z,` 7 3s yx C,tv? ? - ?77) ? l7sooo ` ????G " ? ? ? 3YGx /s l9•?? xJi,e7 = /v23 i •• _ -EYTiauu6 cwruim 'irE+uwt iwrswlTiW PAGf 1 . , snwwro ? i1t? AydMi{' cw?we?_Z".+?n's iHC. a?.. L?t? 4.uHG-- wi?mno ? u?r w Ae Fmitr owlttp pq?, I ?? ??7 ?D?aeMW tYW Y? TaCI* ? - :ne.. ,?,• - qe tK Ar..uJA) IFY?Iw Y s 4 Igl o o •?r+?f ' ?M?M ?R?Mf !t/if* I 0 ?. ? 6 . . ,....,» y G A ra Ya ? UaA A Iro"m 1 4 ??"? Q MRrM 6 We utred U-Yalue lro? teat ft?Yr?t • M?fM 11 Lfu? 2 Is yratt? t0M Line ]. or Llnt f 1 Itwing A daternim ? Y?MtM' tAY LIM S. toWleq W tat4b] axt rlw ? N'a (Liw Arw (Liw 1). ?? ? _? ¦ . 0 YrA (L1M 1) ? WA(l1M ?). ? ? . urrurr (LIM 1) Y Y-Yalw (L1M 3) ._ s ,?_ • ?s? 10 I4a (L1M 4)'r Y-YIIlw (Lf.6) ? s __ • +,H,rM , 11 •914496. L1a 9+ llae 10 12 AltweatlYg Y-YSlw. L1w 11/uw ? ?rr?re If 1.1n? i 16 9?utar tMu Liw 11. Arw ?wpilts u !un wt ?xca0 L1N H. nW11M q L1M ? • .»_ . .. ..? ? • n ? • !l:ana u lkifldg? nu ar 1. c ua - a w Fd.u- I/'• '? 's/ ? •,7p ncenw r mp a w e? • ? eria ?r m ue N raw Z 21 aa ss?m a stinee ss s K-V&iU@ .60 y" , ys' S " 9•? k J Y A/ W et/)iNq ?YcC ? .(.L ?uena v m w e? • or r m- aw M e ? Oa !7l1n y ffL?C? ff ? ueja i s - a ue .A st o J %L" qp A?un y MOna r P-lim eria r m ma :semo ?2ic? w N aot ? a ue 4e P%q* anu n snnq - T'S= 7 embiv nn a a ¦ s - a ull IIttl10f I Film - • Yf !! ! 74Mi01 / rtim -• W q f oa saano uM n sonee 8 ssem a rc si - a ue VI?~ ? /? R/ •SO ? or n? - • w a r K-vaiig u oh atane es s s3 lnimax?j - a ?r . ? ot /.2s C ? y Z, Ilt Of Air 111 -M W N a rim - a uc ma : a snnu SMR QW-41 a tumcnow kna : - a ir IItv10I IR - • W N e C?Or ?f I-tlffl -VS uf ed ss?mo at sunee e f W. ???? ? SURVEYING9 INCo 8030 Cedar Avenue South Suite 228 WOODROw A. BHUY 8loomin ton, MN 55425 President Phone (?612) 854-4055 Survey For: Fax (612) 854-4268 Scale: 1°=30' Oliver Tams 0 Denotes Iron Monument. 561.1 Denotes Existing Elevation. (861.1) Denotes Proposed Elevation. UtE 68-96 S9/16 EAGAN ENGIIdEERIlVG DEPT. ?I Proposed Elevations: Garage Floor=857.0 'S! Basement Floor=849.5 /G Top Of Foundation=857.2 . NORTH 0 'i NOTE: No Search Was PROPERTY DESCRIPTION Made For Any Easements. W. BROWN D SURVEYING, INC. Dated: June 13, 1996 Waodrow A. Brown, R.L.S N0. 15230 Revised: June 17, 1996. [;? t O .. Lot 8, Block 3, BLACKHAWK FOREST, Dakota County, Minnesota. 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision ond thot I am a duly Registered Land Surveyor under the laws of the State of Minnesoto. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATIIDAI PROPERTY LEGAL: fN0,?.G?C.? ? Y 6 S ATE OF SURVE : LATEST REVISION: T/ 7/ g?? ? F t; DOCUMENTSTANDARDS ??? ? • Registered Land Surveyor signature and campany G-10 ? • Building PertnitApplicarK w--b ? • Legal description EI?o ? • Address &-'o ? • North artow and scale ?'13 13 • House type (rambler, walkout, split w/o, split entry, lookaut, etc.) [i/{7 ? • Directlonal drainage arrows wiTh slope/gradient % ?o ? • Proposed/edsting sewer and water services & invert elevation a • Street name ? ? • Dfirewey ELEVATIONS Exisdna o% D • Sewer service (or Praposed) ?o ? • Property comers Cr'13 o • Top of curb at the drivevreyr 12"'113 ? • Elevetions of any inassting adjacent homes ?O O • P14posed Garage floor O ar' o • Flrstfloor / [?I ? o • Lowest exposed elevation (walkouUwindow) ?/n ? • Property comers L7 ? ? • Front and rear of home at the foundation PONDING AREA (if aodicable) ? W"?O • Easement line ? 0' ? • N1NL ? Z' ? • HWL ? d' ? • Pond # designation ? ? ? • Emergency Overflow Elevation 41'0?/ C3 ? • Lot IinesBearings 8 dimensions ? ? • Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater ffian 2', / porches, etc. (.e. all struclures requiring permanent footings) Q ? ? • Show ail easemenLs of record and any City utilides wilhin those easemeMs I? ?? • Setbacka of proposed structure and sideyard setback of adjacent eristing sUuctures ? 2f ? • Retaining wall requiremenfs ff any Raviewea: ? 4?hp6/ ? N e ! Date Jarnreiy 1988 cRAaiweieLoavnMcFM O (T N : VALVE N TEE WYE WYE S- 0 +i5 3-I*97 A40.94 835.24 '1 221/ . ? ? W YE S-0 +-66 841.42 8" 221/2• eEM WYE S-0*98 \ 841.TS !l7DRAN T Q"CsATE VALVE 8" X 6" TEE 8° VALV WYE O ? MM MH D 5-0+07 ? i ? S +00 STA + 841.63 Y g E ag WYE WYE 934.46 I 3-0*10 3-0+07 I ? 840.96 841.35 ? I 00 pW PROPE Y LINE io I I I km i ? _ PLUti . • • o : ti ? • • ' N . ? ' ? ? ; . . • f ? p ? ' ' . • ? I . ? !F .....:......... ~.... ...........? ...:....... :.........:... I,:IF?,6 t+'1 e??:G???? j o l?.ni??f;?i?{i? ? i?l ?V ?Tl -LE?,:?TI TH20 ; : : I ' . . . . .. . .i ? ?. f.:. F11R0??"• - •C:._, ;'.:? . . .....:......... :......... : .... ... : i ',::.'..:.:: '.i?i?G IT ?HO?LC? ...,,,`ti' : : : ? • I :'=? t;.E?=.? l??f ON TH SITE: : : ? . . ? . . . . ? . . .. . . . : . ? ..... ? i • • : I . j ? ? • ' - ? ?? ? . . . . . . ? • ? • ? 31Vr _- ? ? ? • ? . • ?? • • • • - .. - ?- - - .?, •....? e??e.,r ws en J . 147? = 8"P1FC _ 0 0.40 : , , •? ? ? : • . . d ' ': ? ' • • • mCD o? •. . .... . . . ... ........ : ..:.... ' : ' s ? : . ' . . , ..................... ' ?IF . • s, : : . . : . ..:.... ...:.........:........??? ? I ? ' : • : • : :....... .........:. . : . ....r ...:.........:.........:... ...:.........:........ ?' .•-- ? ? • ' - __ _ ' ' ?- ? : iNY. 840.44 ; . INY.940J8. . . . . : . . . . . . . . . . . . . . - • ? IN : . . : iAv'84l3t; .... ......... . ...... :.........:.... '...:.........:.........:....? ...:.... ....:........ ? .. '? rTARY SfWER TO BE PVC SDI 35 . ...:..... .................... ...:... ? ............ .:......... ? .. .... Y I:......... :.... ? .............. .............. ? .... .......... 1 . . . . . ......... ... ? , : n . " ? ? r 0 ,= = ??.cr; a D 6l /? t4tJ-? V,,., ..,l) 0 ^ ? ? • ?? . , • , i < <1.^' ? ;?..•t??? ? ;GY OF .... ? :.. . . . . . . . E'LEVl;710NIS. THIS ; . . . . ... . . . . . . . . . . : . . . . PURPO.?..Ej ; . : ? ?'c;=:"i?i,c??U"IN ,•" . . G? ir ?si-iouiD' v?:;:; J OM THE SITE. ? ... ............. ? ..' .........:.........:... ? .... ........ .,......... ? o? • : m • • . • • : . . 4'1 ; N • • „. .?:a -- 7+00 . . . . . . . . . . . . . ? . 8+00 . . . . . . : . . . . . . . : . ?.? . . . . : . . . . . . . ' - -: : - 9+00 10+00 - .:raw?=?.?• ?, ?.:. i CITY USE ONLY L ? gL ? RECEIPT #: -?ellll SUBD. DATE: 9/e/nLr 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 65.00 ELOL x ?._ x 3 Y z x 3 ? i TOTAL = 3, M = 9.? _ 3r _ Uo = 3,20 _ ?r•Sw Gas Piping Outlet * minimum - t Rough Openings Water Softener PflvOte DispOSal ' Dakota Cty. Iicense (new and refurbished systems) U.G. Sprinklet ' home under const. AlterationS ' to existing Water Tum Around 3.00 20.00 20.00 STATE SURCHARGE TOTAL .50 /y/ 117 SITE ADDRESS: 371,f3 8&W? ?W-W1L OWNER NAME: T?M S /A/. INSTALLER NAME: !?PT??V &UM`3/N6 Sfl2J1GF. ?B /?iF/E+P. ? STREET ADDRESS: _T CD- 7 CITY: OR/N?Fl?rt? STATE: ll?N ziP: s??7J PHONE r- ?t?krd??? x ? x I .c = I ?y CITY USE ONLY L b BL 3 RECEIPT #: SUBD. ,,.??2 ?u?L{ DATE. gO7 G 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction Add-on tumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. oate: R ' d-(o -r{ b FEES ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 250000D Additional 50 M BTU ? Gas Outlets (minimum of 1 required @ $3.00 each) 3 900 ? State Surcharge .50 TOTAL 33 .?? SITE ADDRESS• ?ILAS 2n c)L-jrJ 22l-J1-2 ca A.? c_ OWNER NAME: Luc> \IV.3,nI5, PHONE #: 4O 9 , INSTALLERNAME• 2SX/-s--L 'vr` F. t"' STREETADDRESS: - ? (?L9 q 4?4 A U A-t J Cp?vN APi? s' CIIY: S PHONE#: ((pI'-) LfZZ- f-7;I ziP: 55;43 ?i SUBD_ &8. ,??? Ad09,:t" ? 9ywat NEW RECEIPT 0 lID`!.3(p BECEIPT DATE_ I/ I7 _ Tp ? IlA1'E ouxEx PLr^ASE BE ADV75BD THAT THME IS A FEE SHaRTAGE QN TN.E,' APQVE 7r.FrTRICAL I2STALLATIOH IN TfM AMOUNT OF $ SHORTAG., MLST BE PAID VHITHIN 14 nAYS. RE?URI6 0 to 100 amo service= 101 to 200 amo. serviee= L?= TOTAL FEE DUE= ? ?tETURN A COYY OF TflIS FORM WISH REMITTANCE. ....M..,. . ?- -- . .... . . .r- 31 to 100 amo. circuits= ?^ i PE?tMIIO??_?j ORIG. BECEIPTJ RECEIPT DATE' (??aag RESIDENTIALBUILDING •.? , +?} Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 ? Wus 4 rUV_ a(iqq? New ConsWction Reouiremenis RemodeVReoair Reauirements OKce Use OnN 3 registered sde surveys showing sq. IL of l06 sq. R of house; and all roofed areas 2 capies of plan Cert o( Survey Recd _ Y _ N (20%maximumlotcoverageallowed) 7setofEnergyCalculationsforheatedaddNOns T2ePresPlanRecd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks Tree Pres Reqd _ Y _ N 1 set of Energy Calculations Addrtion -indicate Non-site sepfic system On-site Septic System _ Y _ N 3 cop'ie,s of Tree Preservation Plan if lot platted atter 711/93 Rim Joist DehalOptbns seledian sheet (bldgs witli 3 or less units Date J Construction Cost Site Address :3 7 4-3 /grp-wn R -e o-/" Uni USte # Description of W ork J cYe G? v?-+ J-C-t_/Z r? m !?L CXQl? ? A?'? Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 ProperTy Owner LC L l,C li. Telephone #(?? ' CO / lo / 17'05- Contractor I n d6 L- ? Address e4( 0 ? ?gfi i City gmt K?on Q rA:L- 5tate nI h Zip Telephone #(Z.3) 11-93 ?Or?` Pl/S1?er COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission rype) Su6mitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #.(_ Telephone #I` N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the infoation is cVffrpi ieand a'rrcurate; that the work will be in conformance with the ordinances and codes of the City Rf -Eagan=and`ttie State of NIN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a pernrit; that the work will be in accordance with the approved pl in the case of work which requires a review and approval of plans. Lo)21 J P1LS-,J? p ?? Applicant's Printed Name Applicant' ignature Sub Types OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool [3 02 SF Dwelling ? OS 06-plex ? 16 Fireplace W 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New X 32 Addition ? 33 Alteration ? 34 Replacement Valuation 66LV Census Code pI -Sy SAC Units - Nbr. of Units ? Nbr. of Bldgs Type of Const , ? 30 Accessory Bldg ? 31 Ext. Ak - Multi ? 33 Ext. Ak - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demalish (Interiar) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)` 0 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant occupancy l2 -'J Zoning Stories ? Sq.Ft. Length Width / ?- MC/ES System City Water Booster Pump PRV r Fire Sprinklered ? Foorings (new bldg) ? Footings (decy _ Footings(addirionIr Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fueplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS ? FinaUC.O. FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests ' Fina1 _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By ------ ------------- ------- ---- / ?/At 40 3 JiZH$°'Y k ,G r M ; Building Inspector ? f•».i"?ij.'?,?uauuwrai+e?ssWS?var..re.v.?annnua? ?a.?.=m.?.v?uxur?rruaasu+.'wassus.uvla.u -.m.??vmsc?mr.?.. _...?.?. _.?-- ' .?xu'J! , .. . . i? `? V V Y O BRO• ri ? ???? S? Y ?rI Y 8030 Cedar Avenue South Suite 228 Bloomin ton, AIN 55425 Phone 612) 854-4055 Survey For: ; Fax (612) 854-4268 Oliver Tams NORTH NOTE: No Seorch Was Made For Any DESCRIPTION Al$e?m Easements. i?i r ?l/O President Scale: 1"=30' 0 Denotes Iron Monument. -r .? .-_. I :..?i LV .?..i. `?y I Proposed Elevations: Garage Floor=857.0 'S! Basement Floor=849.5 /C ,Top Of Foundation=857.2 ,.? . Lot 8, Block 3, BLACKHAWK FOREST, Dakota County, Minnesota. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision ond thot i am a duly Registered Land Surveyor under the laws of the State of Minnesota. W. BROWN 0 SURVEYING. INC. Dated: ?une 13,'1996 ( fi8-96 Woodrow A: . "- . ,ne: '. Brown. R.L.S N0: `15230 Rev ised? `Ju ? S9/16 - ,. ? .. ... ' ? ,. ,, . 1,7!' 1996 . ' _ - -i61.1 Denotes Existing Elevation. i ti61. t) Denotes Proposed Elevation. 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -% 30-? NewConsWcfionReauirements RemodeUFtenairReouirements ??'? ' r 3 registered sle surveys showing sq. ft of l04 sq. il of house; and all roofed areas 2 mDies of Plan ?,of``a ? u y;,,ek??: ?<???-?" ?.?..,. (20% maodmum bt coverage allowed) 1 set of Energy Ca?ulations for heated addNOns Trea F?eS?Tso 2 copie.s of plan showing beam & window s¢es; poured found design, ela 1 site survey (or additions 8 decks Tree,Pzes?,,,e,yuiretl?`,?.?-. ?=Y>A `N lsetofEnergyCak?uletions Addifion-indicateiion-sifeseppbsystem @,',?Y?%;:.M 3 copies of Tree Preservation Plen if lol platted afler 7M193 Rim Joist Datail OpUOns seledion sheet (61dgs wNh 3 or less units 4-1 3 SOU.Od ? '? " ? ° Date / / 6? Constr - - - uction Cost ia" SiteAddress y 3 L_(2flwA r342 14 (2 j IZ . ' UniUSte # Description of Work Z'_Se »so.? ???2cH 'Frv? 5h'? o8rzwi%a- Ft' ,61ZZB vST tl-13ePov+ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 t O !V 1/t " Telephone # ( 05 wner Proper y Contractor Z L'VAe - u wA F 2 ? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesob Rules 7670 Cate2orv 1 _ • Residentlal Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work 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 wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ?9 21 Porch (&sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ???Z2,8 U 1 +1 1>0"? i'ie went0V'T0? 13,js?4e55 WorkTypes T? F:v,?'Sh j?b ft'me 0.,JnC'2`T? #A''?3.i2 ?a?i?nc?f Nn? c4nSra?c, P?ST&BeRh ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (En6re Bldg) - Give PCA handout to applicant Valuation 1 i Da ° r'a ? Occupancy R-3 MCES System Census Code 4-13? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V n Width _ Footings (new bldg) _ Footings (deck) >e Footings (addition) Foundation Drain Tile RooF Ice & Water Final ? Fiaming - _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ?f1 FinaUNo C.O. , _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: /WI , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL BUILDING rERMIT aPrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cqnstrucllon Reauiremenis 3 registered site surveys showing sq. ft of lot sq• R of twuse; and all roofed areas (20% maximum lot cove2ge auowed) t Soils Repoft if proposel buildNg is lo he placed on disWrhed soil 2 copies of plan shawing beam & window sizes; paured found design, etc. 1 set of Energy Cakulations 3 copies of Tree Preservallon Plan if lot platted aRer 711193 Rim Joisl Detail Optlons selection sheet (buildings with 3 or less uNts) Minnegasmmechanicalventilationform ' RemadeVfteoair Re?uirements 2 copies of plan shovring foolings. beams, jaisis t set of Ensiyy CaVculations for heeted addifions t sife survey for addi0ons & dedcs Addition -intlicafe il onsite sep6c sysMm 22???1 C' pf$uar??== .??Y<:; ?-N ? r..??eti.%?-=?' ?k S?IS;?Y N T(Is t3#rarie SeDfie Sysfeni`?;"".`'?Y;?_.N DateI l 2> / 01 ConstrucGanCost ?Lb?3ou)45(ly?AOa?= 2b?300- Site Address 3'1u3 In r7y Dwµ P-wU ? Ir ei / Unit/Ste # Description of Work 'I ek' 0a ?"'' d Jf , v4,S iJQ Multl-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner V a ? U u, _ Telephone #(q ?-2 ) Contractor Address City cj 1/7 114IJGt16v State /?) Al_ Zip Ur?S?Fa Telephone#(G57) 1?3ri. COMPLETE THIS AREA OMLY IF CONSTRUCTING A NENf BUILDING - Minnesota Rules 7670 CateQOrv I _ Minnesota Rules 7672 Energy Code Cat6gOry . Residentlal Ventilallon Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagon issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Pemvt and aclrnowledge that the inforxnation is complete and accurate; that the work 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. Maya ®rel2 Applicant's Printed Name ?? S,4, Applicant's ignature PERMIT City of Eagan Permit Type:Building Permit Number:EA115994 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 3743 Brown Bear Tr Lot:8 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Vu T Luu 3743 Brown Bear Tr Eagan MN 55122 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ---------------, � For Office Use I i��Eev� ' i�y��i � Clty of�a�a� ' . ` � Pertnit#: i � Permit Fee. C��• �� 3830 Pilot Knob Road JUN 2 5 2014 � Eagan MN 55122 I �Jd�� Phone:(651)675-5675 � Date Received: � I Fax:(651)675-5694 BY' � � I � Staff: � ��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: �4�'��``'°I Site Address:~�� `'(��1 `�'��Z.\• Tenant: Suite#: Resident/Owner Name: �U�,iA VlA Phone: ��--��—�-�� Address/City/Zip:� � Cl� �`- -! Name:��'�C1��Q-- l_�`�lYL.� Q.LYI(Uf�,��lA..� License#:�'i/�C�C�� ContraCtor Address: � (� 1p - �� City: �/1.�t!-F:�� State:�Zip: � Phone: U�.�►`��Q'ulS��3 Contact: �Y1� i'\,v�SS EmaiL �i,�-UT11(�� ' �C� New Replacement Additional Alteration Demolition Type of Work Description of work: t `�1 NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Piease contact the Mechanical Inspector for information on permitted screening methods. RESIDENT/AL COMMERCIAL Furnace New Construction Interior Improvement Pe�mlt-�ype /�Air Conditioner _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_Install!_Remove) Other RESIDENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ � ��Z_TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 "**If the project valuation is over$1 million, please call for Surcharge =$ 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 permit;that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans c x �� .,r� X ApplicanYs Printed Name App cant's ig ture FOR OFFICE USE ' Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening ;: PERMIT City of Eagan Permit Type:Building Permit Number:EA125828 Date Issued:08/05/2014 Permit Category:ePermit Site Address: 3743 Brown Bear Tr Lot:8 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Vu T Luu 3743 Brown Bear Tr Eagan MN 55122 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:EA125829 Date Issued:08/05/2014 Permit Category:ePermit Site Address: 3743 Brown Bear Tr Lot:8 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Vu T Luu 3743 Brown Bear Tr Eagan MN 55122 (952) 217-2801 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature ` � � Use BLUE or BLACK fnk #------------------k I For Office Use � . � �/ a�� Ol ��it � Permit#: � � I C �i��,� � Permit Fee: �� t 3830 Pilot Knob Road RL.� � � f � Eagan MN 55122 - � Date Received: �� Phone:(651)675-5575 pUG G`� ''�`'��' � � � Staff: I Fax: (651)675-5694 � � �-------------��,� � 2014 RESIDENTIAL BUIL.DING P RMIT APPLICATION , � Date: Site Address: �� R4M+a � t�1� Unit#: �� Name: /u �u Phone: Resid@t1#/ Q�yn�r Address!City J zip: C37��J �tr� �?e+l-( Applicant is: O�mer k Contractor T�E O#W01'k Description of work: l �k � 3`-�`i�SdN W l� �l�� ' Co�sh�uction Cost.`'�� Z�✓ Multi-Family Building:{Yes /No�j Cn►npany: �1Al�0Gt� � �� Contact: T/�9 ��3�'� C011rt1'1C�OM' Address: J`�� 7i � J C�.� City: /�� scate: 1�� zip: Sv�4'Zg Phane: ��d" Email: License#: � Lead Certifi ate#: N'�? ��i�! � lf the project is exempt fr�m lead certification, please explain why: {se Page 3 for additional information) � � � ` CQMPLETE THtS AREA ONLY IF CONSTRU TlNG A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar pl n based on a master planT Yes _No i€yes,date and address ofi masier plan: Licensed Plumbew. Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor. Phone: Ai�TE:F'(ans attd�upp�qrtin�r dacutrr�fs tha;�you sub�it arae�on iler�d#v be pubfic irt�arrr�at[on, Pvnt�ot�,s c�f �ire infirrmation r��y�e class'rf'ied as nc►n-public if yrw provide s i�ic reasc�n.��ra#wauCd permit#he C�f�t� ` conciude that#he`, are trade ecre�s. CAlL BEFORE YOU DIG. Catl Gopher State Qae Call at{6S1)45d-0002 fw prote ion against underground u61ity damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www. o herstateoneca I.o I hereby acknowledge that this infortnation is complete and accurate;that the work will be in confortnance 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 ork 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 approv I of plans. 6eterior work authorized by a building permit issued in accordance with the Minne tate B 'Iding Code must be completed within 180 days of permit issuance. X ��ivt (/JH2r� x Applicant's Printed Name Appli a 's Signature Page 1 of 3 . . , �J7`�<J �'j�r.Jr� � � ��- ��(p�'�� DO NOT WRITE BELOW TH S LINE SUB TYPES _ Foundation _ Fireplace � Porch(3-Season) _ Exterior Alteration{Single Family) _ Single Family _ Garage _ Porch(4v�eason) _ Exterior Alteration(Multi) _ Multi ! Deck _ Porch(Screen/Gazeb Pergola) _ Miscellaneous _ 01 of�Piex _ Lower Levei _ Pool _ Accessory Building WORK TYPES _ Idew _ Interior Improvement _ Siding Demolish Buiiding* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation � Repiace Repair _ Egress W ndow _ Water Damage _ Retaining Wall • *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation �� Occupancy �IZC- � MCES System '— Plan Review Code Edition ,�C�7 SAC Units �" (25%_100%� • Zoning -1 City Water — Census Code y3t( Stories / Booster Pump — #of Units ! Square Feet �( PRV ' #of Buildings / Length � Fire Sprinklers — Type of Construction __� Width / REQUIRED INSPECTIONS Footings(New Building� ' Meter ize: Footings(Deck) Final I .O. Required � Footings(Addition) � Finai/ o C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test �G Roof:�Glce&Water �Final Pool: Footings _Air/Gas Tests _Final � Framing Drain le Fireplace:_Rough In _Air Test _Final Siding:,Stueco�ath _Stone Lath _Brick Insulation Windo s Sheathing Retaini g WaIL•,_Footings_Backfill^Final Sheetrock Radon ontrol Fire Walls Erosio Contra! Braced Walls _..- Other: Reviewed By: , Building Inspe tor RESIDENTIAL FEES �y4 ,� �`,��j fo,,v �9 �D/C� g"G y'O~ Base Fee '7'7 Surcharge Plan Review �/ �' °�,r_' - MCES SAC City SAC Utility Connection Charge S�W Permit 8 Surcharge Treatment Plant Copies � ,Z,�f' TOTAL Page 2 of 3 . . . t � �� iTo l�l�.��''��i�T ��1� � 4� ��'�'�a ' �T�. � 8030 Ged�r Aven�ss Sor�th �te 228 t� YY+f�ORQW A. BRQWN, R.LS. 8loomin ton, �1N 55425 j� President Phc�ne �612} $54-4055 �, � F� {s»� a�—�zss �urv�y' F�r �''� f s��: iA=3a� �v� otiver � Tam. � '�'� :t ` t� Denotes Iran � ' �� ; Monument. • � O ;."�'� �i61.0 Denotes Existing Ete�atian. `"� Z C�� {�61.1} Denotes Pf47�'lC39��I �IC�VQ�IQ[l: tn �`''� v �./ C � L D T 7 c�' ! �25 �-�s �e West '�s's �z � N i� `Q�,�� '��134.6'1 43.09 �i� .� �-'� � u�,. �7 -� cn � tn �9. 1� 10.2 � 1Q � � �u,� -a . . �a � � ��/ �� p.i3� 7� c � aa �� °'i a� a'� � a r � b/ c°Ai� .c°o. �'' ,�0� � �. �, ��'` � ��.� �� l .�p� a� �; o ti �' � �o -y, � + � 2° .i,�/��`'` 25•� � �,��' �o i !� —� ��,N,a o i t �'� � �•+��t � � � G ` "'�" °u��1 � � �; � w t,+ ,�:.: z �' � „ � /�'�� -� l� � .�► � � � y u� _ ��-� r� tiZ W � c��a � �' b � � _ 1 �� '�� a 0 3 � ` p �� .r � � � �� n � C�t G�#� �' ��'' �` �- �'.� : --� '� ��' � � �� a R� Y EV� E � X �. �� 4 t�s Q . `' - ' � _. _ ` _ N'Y � �. �8g � �� «t+@_ ��"C�'�.._t�� .�, �� . .•' .,,,. ''� 1�g�4�'� g �jGAN ENGIIdEERING DE,PT, ta 4 l �'� �.y Pr pos�d Elevations: l� .� �� Garage Ff�or=857.D , �asement Fioor=849.5 ��} � �� _ , . . ,Tap t7f Found�ntion-$5�.2 ' �a�� W>__ �..; . : • • ' G� 's NOTE: Na Search Was � Made For Any PROPE SCRI 0 � Easemen#s. Lot 8, Block 3i BLACKHAWK F4REST, D kota Caunty, Minnesota. • t hereby certify thot this survey, plan or report was prepared by me ar under my direct supervision and thot ! om o duiy Re istered Land Surveyar und�r the laws of the State of Minnesota. W. HROYVN D SUFZ'VEYING, INC. � fi8-96 _ _ Dated: June 13. 1996 S9/16 �aodrow A. 8�own. R.L.S NO. 1523� Revised• Jur�e 17� 't998. PERMIT City of Eagan Permit Type:Building Permit Number:EA170721 Date Issued:07/14/2021 Permit Category:ePermit Site Address: 3743 Brown Bear Tr Lot:8 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-080 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: 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 - Vu T Luu 3743 Brown Bear Trl Eagan MN 55122--119 (952) 217-2801 Hoffman Weber Construction Inc 2155 Old Hwy 8 NW St. Paul MN 55112 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature