3719 Brown Bear TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3719 Brown Bear Tr
Lot: 2 Block: 3 Addition: Blackhawk Forest
PID:10- 14325- 020 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Thomas T Varghese
3719 Brown Bear Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA081070
11/14/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
}
-IA*
U. ci.?ir,aW.: SF DW siag_ r«mrc no. 269B0
o-v.ncy Type R I/U 1 zo,;ng uistri ct RI Type const. VN
ownuofawung SFASONIEIL ffi?RS Add,,5 4580 900TT IR, EAG#1N
s.staingnaerc. 37 1c1 EFDA E:AR TRAIL Loc,sty 12, B3, KAMMdZ F'OwT
All
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Daft. /'?
' s,+iidmg aftzat
, .: POST IN A CO
. NSPlCUOUS PLACE
?
?
.: WeL`oftCQte of cCCIIpRnC4
??t? ofi ?agau
?cparta?cat a? ??Gbi?g ?a?crtiun
This Certifrcate issued pursuant ta the nequireieeents af the Uniform Building Code
cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ciry regalatiag builrling construction or use. Far the follawing:
'??. ? INS]
` "CIT-Y OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
' (612) 681-4675
SITE ADDRESS• ?
i: ?_ > {'tt?tiE??i°# C3?'. r?i; i Ir
PERMIT SUBTYPE: ?',
k. _.
PERMIT TYPE:
#.Ii ! t ir 9 Md+?
b?,`?;?,???4?
0
APPLICANT:
TYPE OF 1NORK:
1''1 i._ R?1
INSPECTION DATE INSPTR- INSPECTION TYPE DA
?c ??ir I r 1-4 r' f -?it,
? i
Permit No. Permit Holder Oate Telephone #
ELECTRIC
PLUMBING l fD ????
HVAC
Inspection 61bale Insp. Camments
FOOTINGS
f l `7
Ff]UNU
G?
FRAMING
r?
ROOFING
RGH
PWMBING
PLBG
AIR TEST 7
??
ROUGH
HEATING _ 6L
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIRTEST
FINAL PLBG
/
fU
FINAL HTG
>
ORSAT
TEST
BLDG FINAL .15 .
8Si4fT Ft.f.
BSMT FINAL
DECK FTG
DECK FINAL
Address 3719 sRQwtv sEntt mAII, Zip 5512 2
Lbr ?2 Blk 3 Sub mAacFiawK rro?tm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 51,"A Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) V_?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ?
TraiUcurb 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.
ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contraaor Copy w
2 1 6-16 4 0 OFFIC USE ?"??/9?ONLY Thrs request void 18 monihs from validahon dak pnnkd in ?is 6ox
'
4 ?
?
PLEASE PRIN7 DH TYPE Xf
/
, LZU1K ?7?/?8I / /
Request Do Rough-in insp«tion requvedP Y. ? N. Inspechon OtherThan Rough-In 0 Ready Now Will Call
- (You muat mll t6e ?mpacfor w n reody) Oote Neody
I, licensed con}radar ? owner hereby request inspecfian of }he above elecfritol work at:
Jo6 Addmss (SkM, Bor, r Ravle No.)
"e
4 i Gry Zip Coda
5n No Townahip Name o, N. Ronge N. Fire No. ounty
?
Occopanl Phone No
Power Supplie /; n?.p Pddress
Ele i?i I Conhacror (Compony Namel Conkacro se No.
? ?
?° Maa r Lc Na. (Plam EIM Only)
09
C
Mail'n Pddrcss (Canhamr O.mer Parlorming InsMlloNan)n
(.?
nmd S?gnaNm (Coptmclor o, Owner Pui«mmg InsmllaM1On)
LJ ? P?+(4
?J
EB- 1A-10 6/95 STATE POhD COPY• SEE INSTNUCTIONSON BACKOF VELLOW COW
IIII II I ?II11 I REQUEST FOR ELECTRICAL INSPECTION ? ?
? Minnesota State Board of Electricity
1821 Universiry Ave., R JGB, ,St? ul, MN 55104
* 0 2 7 6 1 6 4 L s phone (612) 642-0800 //
Home Dupex Api. Bldg. Ofher: New Addn
ommercial Indusfrial Farm emod Re oir
Air Cond. Hfg. Equip. Water Hfr. Load Mgmt. Ofher:
D er Ron e Elec. Heat Tem . Service
"X" obove fhe work covered by fhis request Enfer remarks in ihis spa<e and on ffie back of the whiro copy only.
?
J ?_lA-y',
...0-+??-?1.
C JtN?..-,? T?rl?.p?(f.?.???. . ??? LM-??,??
alculate s chon - T is Inspettr?xo R q sf wv i11 n3f`be acce' pted wi7fia fu5' h?"tifde"tY?
Olher Fee # Service EMrance $ae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps 0 fo 100 Amps
Sireet Ltg./rraHic $ig. Above 200 Amps Above 100 Amps
TranSfofinef/Genem}of INSPECTOH'SUSEONLY TOTA?
Sign/Ou}line Lfg. Xfmr.
? ?f ?O
Alorm/Remote Confrol 7
Swimming Pool i h? am thar hn,ied?d Lmi 7 x eJ.d he o? the da? zmrcd
Y
Irriga}ion Boom Roogh-in ?a O
Special Ins
eclian ?
p
Investigahve Fee ?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
1Yayia
2007 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
c-V - 5e)
Please complete for modifications to existing residential dwellings. uo nor combine insiae ana ouisioe
plumbinq on the same anohcatiorr cPnaratA annr?nn? nnri r?v..,lfc ?.o o .oa
- -- - _.._.._ _.._ ...... _.., ... ..,......
Date 9? I i`l l
D±-
-
-
??'?
Site Street Address Unit #
Properly Owner -'Rm( b \ 1 V, Y Aq ?'l/ Telephone # ?Q? ) • ?-f ?'
liance Connectians nc
A
t'
pp
Contractor 1313 D'??Gr Telephone# ka)U?1?. lJKPJ
Address _ shakoPg9 MN 55My State Zip
The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
- $ 100.00
Per as-built $ 10.00
Flre Repalr (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installa6on of a water softener and/or water. heater at the same time. !( you are
insfalling onlv a wafer softener and/or water heater, do not complete this section;
move to the next section and place a checkmaric next to the appliance(s) you are
installing.
_Septic System Abandonment
_ Water Tumaround (add $136.00 if a 5l8" meter is required)
Other:
i
Water Softener ? Water Heater
$ 15.00
_ new " replacement
_ Lawn Irrigation _RPZ _PVB _new _repair ,_rebuild $ 30.00
State Surcharge " •• $ 50
Total ?
I herehv annlv fnr ? Ro?ide..nei ?i....?.:..., o.._:. _'' ".__..._ ?_ . ... .. .. . . .. . . .
---, -'?-, --. -••--.__....... ..,.,,,.,.,.y , ,,,? a,,,, o,,?,,,,,,,.,cuyc tnui ine iruormanon is compiete ana accurate; that the work vnll be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a pennit, work is not to start without a permit and work will be in accordance with the approved plan in the event
a plan is required to be reviewed and approved. ?
,;-%*\\,CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
0"6-o?9.s.s
BUILDIN6
026980
02/12/96
SITE ADDRESS:
3719 BROWN BEAR TR
IOT: 2 BLOCK: 3
BLACKHAWK FOREST
P.I.N.: 10-19325-020-03
DESCRIPTION:
SF OWG
NEW
R=1 U-1
V-N
R-1
57
A'8
2
2,076
101 1 - FAM. OETACH
-
°
,
?/ ? ._ _
b\
t?•-?l?
???
?' „
-
+°`L??a -- -?--
f?}{`vr' ?
???'???'l? ?]
4 {
.
i ? 1
Building.Permit 7ype
$uilding 44ork Type
rUBG Occupanck,,
? ConstruCti9n 'I"y;q-e
iZoning n
?
Build3ng Length
{ Building Width, `"?
B,uildIng s,tor-.ies
Sq
pare
?-<
C'6-n5 < k1s?o1cl ea
?
?
REMARKS:
PRV
FEE SUMMARY:
i
S& W PLBR - GENZ RYAN PL6G
Base Fee
Plan Review
Surcharge
5AC
3AC $
SAC Units
Subtotal
VALUATTON
$1,212.25
$606.13
$82.50
$850.00
100
$2.750.88
$165,000
MISCELLANEOUS $1,923.50
Total Fee $4,679.38
CONTRACTOR: - Applicant - sT. LzC.OWNER:
SEASONAL BLDRS INC 14545971 0001652 SEA30NAL BLDRS
4580 SCOTT TR 210 4580 SCOTT TR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-5971 (612)454-5971
?
.
I hereby aaknowledge that'T have"read this applicatian and state thaG the
informetion-is"correct and agree ta comply,ud:th all appdicable 9tate af Mrc. 3tatutss and Gity of Eagan Qrdinances. P?ERMITEESIGNATURE
A(Pta AD ,.Ir?
ISSUED B : SIG URE
iLqlo CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Conshuation Reauiremants
n?
? 3 rogbtered tite suneys ? 2 copieB o1 plan
? 2 capies M plens (indude beam 8 window sb.es; poured fid. design: etc.) ? 2 sHe surveys (exAmbr addiNons 8 dedcs)
? 7 energy calalationn ? 1 energY celct+lations tor healed edditions
? 8 copies pf hea p?I rvation plpn N lot r 7/1/93
?squired: lYes ? No ?,yl?Q?( /-?
DATE: I 4?? ?` CONSTRUCTION COST: I(4 ?) . v OO
DESCRIPTiON OF WORK:
STREET ADDRESS:
LOT oQ BLOCK ?
(1)n
SUBD./P.I.D. #:
M?K ?orPs?
PROPERTY Name: Phone #:
OWNER `"" `"m
Street Address•
City: State: Zip:
CoNTRACTOR Company: n tDr)??? Phone#: 45 y-5q7?
Street Address: '7?50 6?O-q-7'e License #• 1 ?O SO?
ARCHITECTI
ENGINEER
C-4
City: FQ?h State: M A? Zip.
Company: J6ho Phone#• ?53?96970
Name: -hraC) (?( (Y1 kD ?I?_
Street
Registration #•
4P / av
C;ti: 1°l u mo?--? State: rn kf Zip: 55q
5ewer & water licensed plumber: V? /2 I?? h +??lf ?? T- Penalty applies when address change and lot
change are requested once pertnk is issued.
I hereby acknowledge that I have read this application and state that the infortnation is co and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certificetes of Survey Received _ZYes _ No DEC 18 1995
Tree Preservatian Plan Received _ Yes _ No
OFFICE USE ONLY
? -
'
a..
BUILDING PERMIT TYPE
0 01 FoundaGon o 06
a-'02 SF Dw
ili
o 07 Duplex a- 11 qpt./Lodging o 16 Basement Finish
p
e
ng 4-plex o 12 Mufti Repaid Rem. 0 17 Swim Pool
0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
a 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
New o 33 Alterations 0 36 Move
0 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION .
Const. (Actual) Basement sq. ft. 11-190 MCNVS System
(Allowable) ? Main level sq. ft. Y9e City Water ?-?
UBC Occupancy R- i -? Z°"' $q. g, if p?0 4 Fire Sprinklered
Zoning sq. ft. PRV
# of Stories Z 4/?ur• sq. ft. Booster Pump
Length s-Z sq, ft. Census Code.
Depth ? Footprint sq. ft. z, 0 7c,
? SAC Code o/
e S Census Btdg i
-y Census Unit ?
APPROVAL5
Plannin9 Building Engineering Variance
Permit Fee
Valuation:
$ Cp ?DOo
Surcharge
Plan Review
Licensa
MCMfS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
r---
Z X Z? = Yy
Z,,?{os = 6/
2?? s y = /,"z??
/ x Z?.55 =
3 y ?Y ?
z A_
z,f
yz
6
.BPz
Z?x yo.s = /,os?
?
/
.r------
?( y p o x l.s-:
Zz, 3S°
.;7,)e s = f
lY?r z? = S°y
a,k
< 7 X/") S"?
?
? . ?
EXTERIOR ENVEI.OPE AVF'.aGE 'L° COMPtTPATlON
Plaa i
Owaef
Conaaetor
Siu Address
G105141 Date rr-ky-QS
1) TotaI F.xposed Wall Area 2-7 E(o sQ• ft -il =239,-7
2) Total Fsposed Roof/Ceiliag f Z-cZ2 s9. R.U26 = 3 f, z
wau catculadon
Total Wfadow Area
Total Door Area
Total Glass Door Arca
Totat "laee Area
7otat Waii Framing Area
Net Insulaud Wall Area
Total Rim Joist Area
Total Frnmdasioa Area
Total Fouadadoa Wiadow
2l07 sq. ft 35 =134
3e? sq. ft .07 - 2.'7 .
q.o sq. fc. 35 a 14r. o
w a- sq. ft 36 = /
(?Z SQ. R .04 a 1?.3
•t??e4 s¢ fs. .043 ? 75-E6
2b1 sq- ft .04 = o.
jg¢ sq. 8. .14 = 21.
ww.- sq. iti. 35
3) Total 232. t
If ium 3 is the same as, or las ttran ium I, you have mei the mtent of 2
MCAR 1.16008 A and O.
Roof/Ceiling Calculatioa
Total S{ryGght Area
?otal Roof/Caing Framing
Net Insulated Roof Area
„a A_ sq. ft
IZa sg. fL
tv? sq. ft:
4) Total
35 a /
.026 = 3• 1
.422 = z;.'7
7X,,• F3
If ium 4 is tbe same as, or less than item 2, yae have met the iatent of 2
MCAR 1.16008 A sad O.
Aitecnate BuEding Eavelope Daiga
Ta urilize the total eavelope syscem method ct+e sum of iums 1 and 2 shall be
greacer chan the sum of iums 3 and 4.
1) +Z? .
g) +4) ?
I bereby certify that the buiiding here ducribed meess or exeeeds the state of
Minaaota Energy Conservation Act
Signed
CITY USE ONLY
L BL -q RECEIPT #:
SUBD. ?On_PlYaj DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exahanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State 5urcharge
TOTAL
SITE
OWNER NAME:_,/ lf)7?1/???Ya.1 XmV,
INSTALLER NAME:S ?Adu_? (s-'aai ev
CITY: STATE:
PHONE #: rz
$ 20.00
24.00
6.00
? ON
.50
PHONE
P: ?5
,%
i
.L I BL CITY USE'ONLY
SUBD. cQmea4?
RECEIPT #: &c
DATE:_1 f"T_
1896 PLUMBING PERMIT (RESIDENTIAL)
C{TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55121
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NQ. TOTAL
Shower 3.00 x
Water Closet 3.00 x
6ath Tub 3.00 x
Lavatory 3.00 x
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 -1 3.00 x
Rough Openings 1.50 x
Water 5oftener 5.00 x =
Private Disposal * Dakora Cty. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations ` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
,
J/// q ?r?a), ) Ar Im / z
SITE ADDRESS:
OWNER
INSTALLI
STREET ADDRESS:
CITY: ,l'M!/Gf1 STATE: M/( _ZIP:.
PHONE #:
.. .. .::..,
LOT SURVEY CNECKLIST FOR RESiDENT1AL '
• ?
._ .._.. ...
BUILD NG PERMIT APPLICA710
?
W o
W
N
PROPERTY LEGAL:
j u ¢
ATE OF S RVEY:
? ^ N LATEST REVISION: /;2-/.2042 S?
< i C
DOCUMENTSTANDARDS
r9- ? O • Ragistarad land Surveyor sipnature and company
[3?0 0 • Building PertnitApplicant
FYO 0 • Legal descriptlon
?a O • Address
O • North artow and scale
[? o C • House typa (remblar, walkout, spltt wlo, splR entry, lookout, etc.)
? O o • Direcdonal drelnepa artows with slopelqradient %
O?'o O • Proposed/axdstlng sewer and water sarvices 8 invart elevatJon
?o o • . Street name
Z?'O
O
• ,
' Driveway
ELEVATIONS
13-?o
O
• Ebstlna
Sewer service
0-'o 0 • Properiy comem
12? 0 ? • Top of curb at the dfirewey
, ?Dl"10 • ElevaUons of any ebstlng adJacent homes
Prooosed
H'O O • Garage floor
ti'o ? • Fust floor
? a o • Lowest exposed etevatlon (walkoWwindow)
? O • Property comers
? O • Front and rear of home at tha foundaBon
Cr O
0
• PONDING AREJ1 Maoolicablal
Easement tine '
Cl' 0 O 1 NWL '
Cr' O 0 • HWL , , .
0 9? 0 • Pond # desipnatlon
a [3-'a • Emergency OveAlow Elavatlon
W' 0
0
• pIMENSIONS
Lot IineslBearings S dimensions
13? o a • Right-ofanray and sVeet width (to back of curb) '
d'?o ? • Proposed homa dimandons Includinp any prapoaed decks, ovefianps preatar ihan 7,
porchas, etc. p.e. all structures requirinp pertnanent foocngs)
?? O • Show all easemanls of record and any City uuli6es within those aasements
e' • Sethacks of proposed sbvctura and sideyard setback of adJacant exdsdng sWctures
;e D ? ' • Rataining wall requtremen
p
r
' /
Raviewed:
ti ,,,a / Da Juy 1995
*-#'CONSTItUCT MH I ?
OVER EXiSTiMB 9"
YCP SAN. SWR. ?
EX. INV 796.71 (11tRIF1
PRIOR TO CONSTRUCTI
RES7URE ROBIN LANE
EXISTING SECTION
WATER
e
,/ erE
?- S- 14.9?
805.36
ROBIN LANE TYPICAL
I" 2331 tYpt 41 MIX
BITUM) NOUS MIEARING COURSE
2?'233I TYPE 31 MIX
BITUMINOUS BASE COURSE
CL. b(MODIFIED) 100°/.
CRYVED QUARRY S iON
???vl ??? 1 1 LIIYL \ 1
OJ
WYE
S-0+05
W.62
DEFLEC T
WAtER SERVEE
7U AVOID ODNFLICT
WITH S7C7RM SEWFR
8° 4SP BEND
WYE
S-0+67
817.72
1
d'
SANITART SENER AND NATERMAIN
SERVICES SHALL BE INSTALLED
15' INTO PROPERTY IN ACCORDAMCE
NITH CITT STANOARD DETAILS IN
SPECIFICATIONS.
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411? Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
i ---- {n ---------- i
j Permit #: ?
?
? Permit Fee:
I ?
? Date Received: I
I I
I Slaff: ?
------------------'
2008 MECHANICAL PERMIT APPLICATION
Date: J',V'V? ?S1jte Ad ress: 37??OIIJ??Uf 1 V'???r Vaill
Tenant: F`CXXIAA va v lle5c.- + Suite
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Phone:C/JI C?C/Ul l?
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ame:
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TYPE OF WORK Replacement _Additional _Alteration _Demolition
-New V
Description of work:
RESIDENTIAL COMMERCIAL
PERMIT TYPE v/Furnace _ New Constmction _ Interior Improvement
Air Contlitioner install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
' HVAC unlls must be screened
Heat Pump Under! Above ground Tank L Install /_ Remove)
Other " When installing/removing tank(s), call tor inspection by Fire
Marshal and Plumbin Ins or
RESIDENTIAL FEES:
$50.50 Minlmum Add•on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fife repaif (replace bumed out appliances, ductwork, etc.) (inClUdes $.50 State SurCharge) 50
•?
$ TO7ALFEE
COMMERCIAL FEES:
$70.50 Underground tank installatioNremoval OR Contract Value $ x 1°/,
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than E1,000, surcharge is $.50.
- If P rmit Fee is >$1,000, surcharge increases by $.50 lor each =$ State' Surcharge
$7,000 Permit Fee (i.e. a$1,001-$2,000 Permit fee requves a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledge ihat Ihis information is complele and accurete; thal ihe wnrk will be in conformance with ihe ordinances and cotles of iha City of Eagan; that
I untlerstand this is not a permit, but only an apphcanon tor a permit, and work is nol ro staA without a permrt; Ihat the wurk v.ill be in accordance with the approved
plan m ihe case of vrork which ieqwres a review and approval of plans. ? a ` ??
X n
l.ida ??Px r10?.nckY X l R lV Ww
AppllcanYs Printed Name App cant's Signat4ria
12/13/5 12/ 93/95
, r
~ a
~ ~ ~ ~
i~ ~ ' ~ ~ 'I i ~ ~ ~,I . i
~ ~
prepared for: . .
phone
~ ~ ~ ~~r m 454-597 ~ 2 ~ ~ ~ 3 ~ ~OT ~
~ ~ ~
l sutte 2~0 ~3LACKHAWI~ FOR~~i
45~D Scott Trall
,2 Ea an, Minnes~¢a accordin to the recorded plat thereof. ~ xA~ ~ g 9
q~ DAKOTA COUNTY, MINNESOTA
~
~ ~~a~} _ . ~ . .
RESIDENCE E OR: . I , _
NVdL 797.4 ' ~
HV~lL 799.1 Th~mas 8c Susanr:~a Var hese ~ ~ .
~ ~ ~
~ ~ ~ rND o
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\ residence acldress: :
o ~ 1 \ ~ ~ a a
o ~ ~ 3719 Brown E~ear Trai) ~
o ~ ~ ~ ' o ~
. ~ ~ Ea(~ an, Nlinnesota ~ ~ - ~ ~ ~ ~ r ~ ,-1 ( ~ - , ~ , ; , , SANITARY ~EWER SERVICE
r~ N~ ~ ~ ~ ~ A ~ ~E~~ ~ ~ ~ ~
ination Elevation ~ Term
~
~ ~ ~ elevatian = ~ 10.0 ; ~ i . ~~n
_ _ _._.__..J._. _M,a~.r ~~~.r ~ ; ~ ~ fE1"~A;~'~~ ~ - ~ ~er Schoe~~ ~c ~~~~dson; inc. ~
~ i ~ ~ 12/13/95 „ ~ ,
~ SCALE .1 ~0
L~i- ~ ~
~ ~ T ~ noil elevafion = NOUSE ~ ~ ~
~ ~ ~ ~,pq,~o ~ , ~ , ~ ~d
~ ~ ~~o ~9,~ E ~ o Denotes iron monument found f0Ui7U'
~ / , g~ 2 ~
~ ~ ~ , ~ 1~ ° ~ ~ r ~ ~ ~oo.a x Denotes exisfrn elevatio~~ 2-, g ~ - r~ 1~ f7
, ~ A~ , G t~ 01.6 /e vafion ~ ~ Denotes ro osed e DRAlNA6E 6e UTILITY ~ 4~ ~ ( ~ p p 6~. ~ `~p ~DS ~ yd E D O/7
EASEMENT PER PLA7 / e~`?'' d~ nail :i~~4~~pn = R~ y~ lndicates drrection Of SUrfQC~ drall7t ~ / -face drainaqe
~ ~ ~ , ~ ` ~,s,~~ a~ ~9 ~ ~
, c• ~D ps ~ ~ ~ 0 ~ ~322,~`~ = To of block elevatioi~
~ o : ~ ~ Q ~ p i~ ! ~ h ~ ~ / ~ 2~,~ ti'~ D c,~ z~ ¢(o : ~22,ov = Top of finished garage floor elevatio ,Ol" El2 VCI t10/7
, ~ g ~ ~u~i ~ ~ o ~ ~ •oo ti ~ g ~ ~ ~ FP ~T'~ ~ ~ ~ VC7 tlOl'J
oo ~,UO~,~ .~~a ,.Q,,~,~g, ti J~ ~~q~.(~ Top af basement floor elevat~on ~ ~ ~ o v~ ; ii ti `~i a ~ \ ~
C ( ~ ~ ~ ~ ~ ~ ~ o ~ h.~ q ~ ~ ~ _ Ro ~ 1~ o, ~ , ~ Deno tes Off Se t natl ` O M 2p 0 C~~ ~ a.~ / Y ~~0 O ~
~ o o a~ ~ oo h. ~~o, r a ~ ~ o ~ i ~ ~a' ~ ~ ~ ~ q
l Q~ 0 ~ < ~ ~ ~ o ~ ~ . ~ ~ ~ h ~ ~ ~ . / ~ . 4 ~tii 1., ~ ~ 0~ ~ ~ 0
~ ~ ~ ~ ~ ~ - / , c~` I , ^ . ~
NOTE, I ~ ~ ~ ~ ~°o ~ ~
~ ~ ss a c~w 1 2 i l,~ ' soo ~ oi o,o P~ P~ ~PII ~~.Q~tM P~ ~ Yt~a ~ ~ ~ o o tlJ 9
VERIFY ELEVATIONS & 06:, ~ . ~ ~y S~ , ~ ~ Cs 200 . / 1~. ~
DIMENSIONS PRIOR TO fy ~ ~ 'es~ o° . ~ ~ oti / LAND SURVEYORS , ~ ti ~ ^o~ . ~ ~ ~i. Q~ ~
CONSTRUCTIDN m M, ~ F v' ~ ~ Q h o~ ~ 9 5 0 0 2 1 0 T H S T R E E T W E S T L A K E V I L L E, M I N N E S O T A 5 5 0 4 4 .
. _ ~ / ~ a• Oj ndi! e/evatron - ry ~ PHONE ;(612) 469-1899 FAX: (612) 469-1899 ~
i'1~~2 ~ r ~y ~ I
~ h ~o, ~ . ~ D
~ c.~' ~AGAN GI~'EER,ING DE FEERZNG DEPT.
noil elevation = M M ;ORDANCE WITH THE CURRENT
~ ~,jN~~ I HEREBY CERT~Y THA7 TMS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION,~IS CORRECT TO THE BEST Of MY KNOWLEDGE AND BELIEF, WAS EXECUTED W ACCORDANCE WITH THE ~'A Z ~'J ~ 0~' RECOl~ENDED PROCEDURES FOR THE PRACTICE Of LAND SURVEYING ADOPTED BY THE ~1WNESOTA SOCIETY OF PROFESSIONAL SURVEYORS, AND THAT I AM A DULY LICENSED LAND SURVEYOR U :D LAND SURVEYOR UNDER
~ N BENCHMARK.' 7 ~ THE LAWS OF THf STATE Of MIr6JESOTA. THIS CERTIfICATE SHOWS THE LOCATION OF AlL BUIIDMGS ATTACHED TO SAID LAND, AND THE LOCATIDN OF ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR f IF ANY, FROM OR ON SAID
L O T J ~ ~ THIS SURV Y WAS PRfPARED HIS HE9tS ANO ASSIGNS, AND 5Am IIABILITY IS ASSUMm ONLY FOR THE ACTUAL COST OF THIS Sl ~ LAND. NO LIABILfTY IS ASSUMED EXCfPT TO ?HE CLIENT FOR WHOM E , ~ IAL COST OF THIS SURVEY.
, ~ / ~t 1~. 3 NO NOUSE R.O.W.50_ , qS ~w. _ > > Q I ~ o I Z(Z~ 1
~c~ ~r ~Z s . ~ DATED THIS ~AY ~ OF~~ 2'1995. ~"Lrds:. .-1995.
~o~rv 806,20 „ ,Mn~ ~ji~ / f~ 1 23 55 a~d~ P ~ ~ , Field ~~ok
; i p, , ~
~ ` ~ J1916 Mrnnesota Registratron No. °gistration lVo. 1979
JOb # Dan R. Wesfergren
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116539
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 3719 Brown Bear Tr
Lot:2 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas T Varghese
3719 Brown Bear Tr
Eagan MN 55122
(651) 206-2314
Main Street Exteriors
9406 Riverview Ave S
Bloomington MN 55425
(651) 214-6901
Applicant/Permitee: Signature Issued By: Signature