Loading...
3763 Brown Bear Tr INSPECTION RECORD 'CITY OF EAGAN PERMIT TYPE: ' ` ` " k i''i' F 3830 Pilot Knob Road 0 ~ t f, s Permit Number: F Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1,; H _.9R66 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION r` ;'°.i~q>i.'.:r J,P t!#+}f,F! i-' (IQ's+,pe l s, 17;'x;?; S $d9: I r Permit No. Permit Holder Date Telephone # ELECTRIC k PLUMBING? - HVAC Inspection Date Insp. Comments FOOTINGS jf7 [b !9 j ~ FOUND FRAMING •1I`q'7 403 pc ICP, Z-GG~7 /Lt ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING 7-f-f? 40 GAS SVC TEST y ~/y /~e INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG r~ / c c e FINAL HTG C7vi ORSAT TEST ~af~t BLDG FINALL BSMT R.I. ~+V 8SMT FINAL DECK FTG DECK FINAL j i [ el`tt cafe 0 cc"(Utc~ . ~tt~ o~ ~agatt ~e~oretmettt a~ ~9;tti[bing ~tt>~~ectian , i i This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various i ordinancest of the City regulating building construction or use. For the following: Use G7assificetion: SF DWG Bldg. Peanit No- 30153 [krnpancy Type It-3 U-1 Zoning Distrigi R^ 1 Type Const. Vn 1 Owner of Building ^LASIC NOME DESIGN Addn;ss 1630 M 10 NE, SPRING LAKE PARK Building Ada. 3763 BROWN BEAR TR; L,:wi,y L12., B3, BLA KHAWK FOREST Date: . Building ofr isi p POST IN A CONSPICUOUS PLACE i Address 3763 BROWN BEAR TR Zip 5512 Lot 12 BIk 3 Sub BLACKHAWK FOREST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: aQ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass tU Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. white - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT Ck 7 y,9cs-7 CITY OF EAGAN (0-14-911 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030153 (612) 681-4675 Date Issued: 06/03/97 SITE ADDRESS: 3763 BROWN BEAR TR LOT: 12 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-120-03 DESCRIPTION: 1341d;~~rg~-,ferrrlit Type SF DWG uildi'ng trk Type NEW U$C Oc-cupan'tzyx R-3 U-1 Czv'n s t,ti'krc t.L<"L T e V N Zoning R-1 Building Length: s~ 58 tii diit W dth 66 3,056 {7;Frygf:'°.C6 }e> µ 101 1 FAM. DETACH t)i (/'w--a- wyc, `'k'id re p{ L... f ♦~r r7 j ..m, 1 [fii.~l {T.~..fl~•.~" REMARKS: S&W PLUMBER - PLYMOUTIi PLUMBING FEE SUMMARY: VALUATION $155,000 Base Fee $1,162.25 MISC FEES $1,539.50 Plan Review $755.46 Total Fee $4,489.71 Surcharge $77.50 SAC $950.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $2,950.21 CONTRACTOR: - Applicant - ST. LIC. OWNER: CLASSIC HOME DESIGN 17839866 0005867 CLASSIC HOME DESIGN 2.630 HWY 10 NE 1630 HWY 10 NE SPRING LAKE PARK MN 55432 SPRING LAKE PARK MN 55432 (612) 783-9866 (612) 783-9866 I hereby acknowledge that I h4V,e read phis application and state that the in urf,aa ior. d ire alb: ag. 4 tv, cor~;;Ly 1 #a.P3; ob e. State o ~ °M n, Statut" an4 City of Eagan Drd nanbes. ~ Pit M1 APPLIC lPERMITEE SIGNATURE ISSUED Er. SIGNATURE F~ , i 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 r C CITY OF EAGAN f J 3830 PILOT KNOB B RD RD -55122` 681675 New Construction Reoulrements RemodeVRaoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; air.) • 2 site surveys,(e#erlor additions & decks) ♦ 1 energy calculations • 1 energy calculations for heated additions a 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: 5-~7- S7 CONSTRUCTION COST: c7A~c~ DESCRIPTION OF WORK: r STREET ADDRESS: cYIB~~c~ . _~en r~ LOT ! Z BLOCK SUBDJP.I.D. T PROPERTY Name: Phone OWNER Street Address: City: State: Zip, CONTRACTOR Company: Phone ? Ira- 5 ~6 Street Address: License City: State: Zip: ARCHITECT/ Company: Phone* ENGINEER Name: Registration M Street Address: City: / State: Zip: Sewer & water licensed plumber (new construction only): 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 comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ,cu=e OFFICE USE ONLY C D Certificates of Survey Received ✓ Yes _ No MAY 2 71997 BY, Tree Preservation Plan Received Yes No (i Not Required _ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,I` 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Y Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy UT sq. ft. Fire Sprinklered Zoning •1 sq. ft. PRV # of Stories sq. ft. Booster Pump Length 4t sq. ft. Census Code. 102- Depth /#,o Footprint sq. ft. ,-905U- SAC Code Census Bldg Census Unit APPROVALS Planning Building EL Engineering Variance Permit Fee Valuation: $ IS5Jow. Surcharge Plan Review License MC/W, AC I~b~X IS 27/ quo City SAC Water Conn. Water Meter I5T Acct. Deposit - S/W Permit 5fS X s4 = I ODI 33Z ~S SM► Surcharge Treatment Pl. Road Unit Park Ded. I Zoo , ofd Trails Ded. Other 7 Copies - - Total:. I q~x = 1r~~~S 00 % SAC OPi7a'` SAC Units X Iq~• pp iO ? I& = ~Z,o&4.oo OZ3E, TO,Od Pld8I :E0 L6-6Z-90 %56=8 2422 Enterprise Drive 4t Mendota Heights, MN 55120 * WION68F1 (812) 681--1914 FAX-001-9488 LAMO V-gwy Re - OML aflimim 'k Ong ® LAND PLAVNERe. LR raz ARaIITECm 825 Highway 10 N.E. sloine, MN 5434 aF * (6 12) 78351880 FAx:783-1883 Certificate lpf Survey tor: CLASSIC HOME DESIGN, INC. 3759 BRROWN BEAR TRAIL POND AP-3537.9 Ne$ i Q eV~hSo PAR P0pT NWL=839.8 + TaN Of WF HWLwB41.4---__ I 8~ .5~ EpGE BENCH MARK I _ -TOP OF PIPE 997~r•0 ELEV.=849.93 D w1 if r ~ 41 855.3 843.3 L 70 N 85512 1{ r0 855.3 ig848.8G1s4gc'13 SERVJJCE D f 10 tx2 °''t I.0 3 o C INV.=845.9 A BRO`.N (jl (A / /8 J, 1855.0. I % 855.5 1 f~AIL TRAIL L F ?3 1 24.00 N 45 f RRp QR1 P O Ni 835.7 0 A 2- r'Y r 1845 2 0 37.8 $ 22.8 7O 855.7 W~' al 849 850.5} p- 855.2/ w~ L / BENCH MARK ' }852.2 ELEV. 954 O, Z I N~ r`/ p p I I Ln ! 'moo ✓ 7~ T / CT ~S/J C~ f OA'r t w"14 L PJ C!,-J tD Ngg E E V V D 145 ~y 860.8 fiLfld L N~ R NW, F IIVC~! ]EPT NOTE: PROP05ED CRAPE SHOWN PER GRADINO PLAN BY: SP 001 & MA09DN PROPOSED EJOUSE V NOTE: BU0.0W0 DIMENSI S SHOWN ARE FOR HORZONTAL AND VERTICAL LOCATION 13 OF STRUCTURES LY. = ARCTNTECTUAL PtANB FOR BUILDING AND LOWEST FLOOR ELEVATION; FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: 05.11 NOTE: NO SPECIFIC 500.8 INVEITIMAOON HAS BEEN COMPLETED aN THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SORB TO SUPPORT WIE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBRITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT To SNOW CASEMEN73 OTHER THAN R 0=00 DENOTES ENISDN9 ELEVATION THOSE SHOWN ON THE RECORDED PLAT, 1 0011.00) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT NOTE CONTRACTOR MUST VERIFY DRIVEWAY DL'RON. DENOTES DRAINAGE FLOW DIREGION NOTE HEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -0- DENOT[e MONUMENT -Q DENOTES OFFSET NUB WE HEREBY CERTIFY TO CLASSIC HOME DESIGN, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 12, 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 19TH DAY OF MAY, 1997. NEC: PIONEER E NEE P.A_ SCALE : 1 INCH m 30 FEET C _ _ 13J8 98217.02 SWK REVISED 8-29-97 Ohn C. Larson, L.S.YReg. No, 19828 Told LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPUCATIO PROPERTY LEGAL: DA OF SURVEY: :Z 99 7 > LATEST REVISION: DOCUMENT STANDARDS L~ ❑ ❑ • Registered Land Surveyor signature and company 2-'❑ ❑ Building Permit Applicant ❑ Legal description O'❑ ❑ • Address 6'0 ❑ • North arrow and scale t- ❑ ❑ • Horse type (rambler, walkout, split w/o, split entry, lookout, etc.) tf~ ❑ ❑ Directional drainage arrows with slope/gradient % fG' ❑ ❑ Proposedlexfisting sewer and water services & invert elevation 2-~ ❑ ❑ Street name ❑ Driveway ELEVATIONS Existina 0-- ❑ ❑ • Sewer service (or Proposed) er' ❑ ❑ Property comers zr' ❑ ❑ Top of curb at the driveway 01~ ❑ 13 Elevations of any existing adjacent homes Proposed P-- ❑ ❑ • Garage floor M' ❑ ❑ First floor Zr' ❑ ❑ Lowest exposed elevation (walkoutWndow) 0,0 ❑ • Property comers ❑ ❑ Front and rear of home at the foundation PONDING AREA (if aoolicablel ❑ ❑ Easement One P-~ ❑ ❑ NWL Q--❑ ❑ • HWL ❑ Pond # designation ❑ El' ❑ Emergency Overflow Elevation DIMENSIONS 21`~'❑ ❑ • Lot lines/Bearings & dimensions 0-' (3 ❑ • Right-of-way and street width (to back of curb) ❑ Proposed home dimensions including any proposed decks, overhangs greater than Z, / porches, etc. p.e. all structures requiring permanent footings) R ❑ ❑ • Show all easements of record and any City utilities within those easements e` ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ Retaining wall requirem if any / Reviewed: to a 4 F- :z ame Datili January 1998 CRA1619QMLDGPAWrFM 4r LOTI BLOCK 21 TO WN VIEW Pf 8 BM-TOP NUT EXISTING HYDRANT CORNER OF LOT 9 & 70 BLK 3 -810,52 IST ADDITION EXISTING DRAINAGE 6 UTILITY ESMT. SERVICE \OVER ENTIRE LOT J ~ SEE SHEET 2608 U E%.OATE VALVd 4 SA ~A 23 m c i^ d a MA 1 E%' 10'0. ,4Q QO~ 0 50 100 150 18 \ \ w _ _ ' ' I O EX CB f STA 0-01 ry\ SCALE IN FEET J J WYE 9 5-0.5, a 17 25, 9 N {FA0. 843. 24 =I T H 917.16 P S f.G WET TAP CONNECTION 1M-'C ai HYDRANT EDUCER e" !%2•B 10 WYE MF~igh 8"GATE SPLIT VALTEE VE ~ Is FO" B"VALVE #^EL844, 31 x N "221 • \ w fA ANGLE SEWER SERVICE BEND 1 1. 10'00 T 6 TO PROVIDE 8031NV. AT ~C V \ sp UTILITY r ON0U1T WIM h PROPERTY LINE 22 TN 848.03 21 20 19 CONSTRUCT MNI NY RANT UTILITY LONOUI IM` C 31 WYE OVER E%ISTIN0 9" \ 1 \ / \ 1 1 g-0.92 B 6" TEE EX INV ¢ . PY OA sic I I \ \ Q3T - 1 MH MH B' €L645.90 EX. INV T96.71 ]I (VERIFY 0 3 g DEFLECT WYE WYE \ PRIOR TO CONSTRUCTIDN) WATER SERVICE WYE WYE S-0-15 5-0.66 I phf. J ^~,r,s STA 9.22 I STA 10.50 ''0 {•N. /XI RESTORE ROBIN LANE TO \ 5-1.91 EL a49R4- 64bOD.64}:r pr W _ ✓ O 1 EXISTING SECTION a T3f TO WITH BI CONFLICT AVOID CONFLICT EL.-S 5-0.9263200 EL.-0ii.8-1=840.00 84500 WYE 10 1 t h I v 8" 221/2• BFya 3 \ W' WYE WYE 0160 ^ W' EP i 1 S BEAR %`4 #a a V S 1 1 ' \ WYE WATER SERVICE B 45P BEND 8 ,7. sv TR L Y" 8 4 Y .8 .93 j / 845 92 EL. EIS--O803,900 4L75 8 EL. .]a 4Y , ^F I „_a \ / / 1 NH 955.09 812V2• BEND \ \1 0. i✓7 ; _ P / , 1 5. 0 \ 1 \ -~,I HYDRANT 855 ~Mw NITAPY / 5 wA E NH 2 _ , " 1 ` MH 6 8"X S' TEE MN 9 / nrDRAN WYE S-1 9] TA STA 11.81 / 5-1.19 EL 9811,66 810 ' Q tl, ! YALV t• Twf / . - EE EL.B95.91 \ ROBIN LANE E TYPICAL f Y i \ / tea" ] WYE / MN 4 MHOS 6-0107 B 2 /2• 1al INN 858. 14 1°2331 TYPE 41 MIX se MH3 \arr e9r Y. 1 I ri ND] / N. ~Y\ \ u~+e $T~330 WYE 1 I ST •DO x, STA 6.85 f7. 841.63 BITUMINOUS NEARING COURSE >t# 5-0.93 5-1 e .89 v 10 / 'L •1 aAl \ WYE 1,2331-.PE 31 MIX WYE WYE 949 q~ {TF I \ AD SLY 23 BITUMINOUS WYE EL.Bia.P2- EL~6#4YF4 la 5-0.10 1)' EL.045 BASE COURSE S-0.6T 632.00 UTI ITY 840.00 IE .840.94 S-O.OT WYE 9"CL.5(MOOIFIED)100% WYE EL i1i~R: - CO IT IF EL. 845.00 EL 847.35 3-IH4 RUSHED QUARRY Sro ON PROPERTY L E \ 6-0.05 82504 ' EL.943.94 \ 301 ADDITIONAL WATERMAIN C 1 1 EL 9D9e6E" 81T.50 3 9 8" 45• BEND 2 3 4 5 ( ON v9ovE rr LINE 8 \ 13 Io ' 7 12 zauTI lTr \ DI F I Y SANITARY SEWER AND VIN SERVICES SHALL BE IN$-IkLEDH ESMT -.1 l` \ BP 4S• SEND WATE ANI -r Pm 15' INTO PROPERTY IN ACWRpANCE _ 1 ; 20 DRAINAGE WITH CITY STAHO Y SPECIFICATIONS.~O DETAILS IN 1 16' PLUG BROWN AR TRAIL AND UTILIT Ek EASEMENT n m b o o: 20' DR41HA6E AND UTILITY _m wow n en nq mm nm mlm ~1 EASEMENT PER PLAT m 1 m m~'m ZIF ZIF f ~m .yIF SIM XIr ~I~ 2 Y I : I 1 I 1 . 860 0 1 I 1 I R: I~ y-, I 850 . . . 0 4 6 EXISTING 0.39 157 U 59 .....v 0.59 130'-R" PVC TSMIN. 1~PVC O ,"4 FB2, 1 5 B.4Lf/ 1 fb-e"PVC®840 147-8"PVC 4~'R%/ IV 943eCB NV 914 IH F ° i [ 1 COVER 1 6 -8"PVC® ° IN 640 ...842.80.........:...1...844.29. 64 . Q INVS0 He ;INV.t4O4p' INV.9q:TS INV.$0(:'3f... l .ll 1 ; : 1 83B.93 839.33 A38 BO 040 I 6"6IP CL 52 WCT ERMAIN ' w 830 ` 6Y . 0 y 2 C 1 35: 1 I 820 PROPOSED .6RAOf C. .2A ALL SANITARY S ~W. ER TO BE PVC SDI $Q1 <stt",t,. :820y'1: v INV. Ifr i,f-I e159 f vY U 15 810 , I n . INV 687.On .810 BOY 26 ' Pu:, - - _ ! 1 . . . . . . . 2~%Q'- B P`K [ f I f I [ [ ] 1 f !i.._ e ti h.7 IT 800 . . . . . . - 800 y u_.. ..J. IV + 1' _ I. vile:` INV. 796.71 EXISTING INV. 9435 7963-S 6 ; I 1 1; I I 1 1 790 ~ ~ _ : AS-BUILT: 2-2 S 96 rl n CONTRACTOR: .R.: WFIDE D o.oo o"" z.oo 3. 00 4.0<1 5.00 600 00 B.oo 9.0o w.oo S uwa' i:oo CIT'( PROJECT 95=S - _n..r" 26U_ Planning Design Inc. COMM. NO. 86138 1611 Highway 10 NE Minneapolis, MN.' 55432 612-780-1920 Minnesota State Energy Code Calucations Based on Chapter 5 of the Model Energy Code 1983 Edition Adapted 1/1/84 Owner: Comm. No: 66138 Site Address: Phone: 783-9866 Contractor: CLASSIC HOME DESIGN, INC. Bldg. Class: Al AO for Single Family/Duplex A2 Residential 3 Stories Over 3 Stories Other GENERAL INFORMATION: Note: The section designations ("Section A", "Section B" etc) are for convenience in calculations only, and are not related from one set of calculations below to the next. 1. Bldg. Walls Perimeter Wall Lengths Area Ground to Eave Section A: 62 14.24 882.88 Section B: 104 9.54 992.16 Section C: 0 0 0 Section D: 0 0 0 Gross Wall Area: 1875.04 2. Building Dimensions Floor to Ceiling Length Width Area Section A: 26 16 468 Section B: 16 18 288 Section C: 30 12 360 Section D: 0 0 0 Total floor or ceiling Area: 1116 3. Rim Joist Perimeter: 166 Floor Joist 2 by (8", 10", 12", or 16") Rim Joist Area: 166 4. Doors Area, 47.8 Thickness (inches): 0 Perimeter (feet): 0 Type of Construction: New 5. Total door's perimeter: 0 -6.' Windows CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING 0.61 Air Film 0.61 36.00 Insulation 44.00 4.38 Joist .56 Ceiling .56 0.61 Air Film 0.61 44.55 Total R 45.78 r .024 U R .021 FLAT ROOF OR CATHEDRAL CEILING R VALUE R VALUE FRAMING CEILING 0.61 Inside Air Film 0.61 Ceiling Joist Stud Insulation Air Space Roof Decking Insulation Built-up Roof 0.17 Outside Air Film 0.17 Total R Window infiltration :5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot/door & minimum code requirement. Non-residential door infiltration•11.0 cfm/lineal foot of crack 12" concrete block no insulation = .47 R 2.1 12" concrete block insulated cores = .26 R 3.8 12" lightweight block = .32 R 3.1 12" lightweight block insulated cores = .12 R 8.3 Single glass = 1.13; with storm window .54 Double Glass = .55 Triple Glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 per max.) Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. WALL"SECTION R VALUE U VALUE Inside air film .68 Interior Wall .45 (Wall) U 1/R Insulation 19.00 Sheathing 2.06 .043 Siding .67 froutside,qir film .17 R Total= 23.03 STUD SECTION Inside air film .68 Interior wall .45 4" Stud 6.50 (Framing) U 1/R Sheathing 2.06 Siding .67 .-Outside air film .17 R Total= 6.53 2ND WALL ECTION Inside air film .68 Interior wall insulation (Wall) U 1/R Sheathing _-Exterior wall covering Exterior air film .17 R Total= RIM JO ST Interior air film .68 __--insulation 19.00 1 1/2 Inch soft wood 1.88 (Rim joist) U 1/R Sheathing 2.06 .041 Exterior Wall Covering .67 xterior air film .17 R Total= 24.46 Interior Air film .68 nsulation 10.00 _ Foundation 1.28 (FDN) U 1/R Exterior air film .17 R Total= 12.13 .082 Exposed Block .,Manufacturer: U Factor: 0.52 State Approved: YES Type .Height Length Number = Total (inches) (inches) of glass units (sq. ft) Doublehung 24 28 8 37.33 Doublehung 24 32 2 10.67 Doublehung 20 32 4 17.78 Doublehung 30 28 8 46.67 Casement 60 20 2 16.67 Casement 36 20 3 15 0 0 0 0 0 0 0 0 7. Window Glass area (square feet) = 144.12 Type Height Length Number = Total (feet) (feet) (units) sq. ft. 8. Patio Door 0 0 0 0 9. Atrium 6.85 3 1 20.55 10. Fireplace Area Width 6 Height 4 Total Sq Ft= 0 11. Exposed Foundation Height area A: 0.71 Perimeter area A: 164 Sq Ft Area A= 116.44 Exposed Foundation Height area B: 0 Perimeter area B: 0 Sq Ft Area B= 0 12. Sq Ft U Factor U x A Gross Wall Area 1875.04 Minus: Window Area 144.12 0.52 74.94 Patio Door Area 0 0 0 Atrium Door 20.55 0.44 9.04 Rim Joist Area 166 0.041 6.81 Door Area 47.8 0.14 6.69 Fireplace Area 0 0.14 0 Exposed Foundation 116.44 0.14 16.3 *Framing Area 187.504 0.095 17.81 Equals: Totals for net wall= 1192.626 0.043 51.28 Totals for Gross Wall Area: 162.87 * Framing area is 10% of gross wall area 13. Gross wall area factor below = U A per code Factor is .11 for A-1 single family & duplex .23 for A-2 and other residential .23 for all other buildings .28 for over 3 stories Factor is 0.11 BTUM= 206.2544 Must be > or = 182.87 (calculated above) T 14. _ .Gross ceiling are="~ ~ 1116 15. Ceiling framing area (10%'of ceiling area) 111.6 16. Joist Area ( 10% of ceiling area) r 111.6 17. Net ceiling aree'(Gross ceil.'larea.- joist area) 1004.4 18. it Ceiling: 0.021 -,Net'Ceiling,area 21.0924 19. U Framing: 0.024 'Joist area 2.6784 20. Total'of.''item 18 item.17 23.7708 21. Gross ceiling area facto below U,x A per code Factor is .026 for A-l"single family and duplex ".033 for A-2 and other residential .06 for other buildings Factor is: 0.026 BTUM= 29.016 Must be > or = 23.7708 #(Calculated above) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) h CITY OF EAGAN 3830 PILOT KNOB RD - 55122 % ~ 0 (P 651.681-4675 New construction Reauirements Remodel/Repair Requirements > 3 registered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) 1 site survey for exterior additions a decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 CONSTRUCTION COST: 'Peero0 DATE: " I(q 99 DESCRIPTION OF WORK: tkfil~'9-z~3C'Jt /rte` ` Ioyt STREET ADDRESS: ?1r1(P3 ~MP1~ In ~~1 LOT: BLOCK: 3 SUBD./P.I.D. d~I1~CK JK~ Name: I b ' I4 0)I~ LPhone I 7~~-~5(0~ PROPERTY Last First OWNER q Street Address: 32-e-3 aI,,,-on r~ ~✓^ux.~ City E "~(i~ State: Me) Zip: 5s~ ~ ;L. Company. ~(L f I U m~L 1JZJI~IYI Phone #:)L_~ (area code) CONTRACTOR Sh I u ~ / ~p n 5g(g~ Street Address: j0~~ -~1 +iIC.G.~IR-1 1~-Y~C License # Exp.3 3f Moo City ~1 i' USX State: Zip: SSy ARCHITECT/ ENGINEER Company. Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer a water licensed plumber (required for new construction anlv): Penalty applies when address change and lot change is requested once permit Is issued. f 1 hereby acknowledge that I have read this application, state that the informaflo , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Z~K OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No APR 2 6 1999 Tree Preservation Plan Received - Yes - No _ Not Required BY: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck A[- 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments )k 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code Y? L (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units C3 Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC oCert'i"fir,Qte f Survey for: CLASSIC. HOME DESIGN 3710 BROWN BEAR 7RML 837.5 NO8 VAS QtyZt'P~p P Q: t0 AP- :6 1.4V,%=s-39,8 OILS (it ol WNL=841.4 BEND lr~ ID Do TOP N ELEV. 7 0 I i QZ a~ .r r S0 885.3 elr~ - 0 843.Yj'/ft- r I i 855.2 t i0 i e 845.8 C ~Z~,y+ - SERV~GE 10 n p'r ro . 3 + INYr845.9 rn a,.2~~ i~ 8.0 L v _L, L i w r t 855.4 30 4 LLI Z ~ 0.00 ~ pp ~s ~3 "t o Ab o 5 $ 2.1676V 10 0 855.7 848.2 r.t a t 13as1 65~, B 12 E Z Ile 0; r i ~aa 10 L ro 8 fi0.5 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF E:AGAN O , 3830 PILOT KNOB RD - 55122 lJ 651-681-4675 New Construction Reauiremenh Remodel/Reoatr Reaulremenh Y 3 registered site surveys showing sq. lt. of lot, sq. H. of house 2 copies of plan and gll rooted areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions a 2 copies of plans (show beam R window sizes; poured ind. design; etc.) 1 site survey for e)ledor addffions J. decks D 1 set of energy calculations D 3 copies of free reservation plan R lot platted after 7/1/93 DATE: l q I CONSTRUCTION COST: DESCRIPTION OF WORK: h VV\4.W STREET ADDRESS: LOT: BLOCK: SUED./P.I.D.#: y xsx ~n e~l Name: 4- ~ o VV--' Phone PROPERTY Last Past OWNER Street Address: City State: Zip: Company: C -Q ( ~1 p Phone (area code) CONTRACTOR Street Address: L:~C) License # XP- city W State: Yom/ Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 6 water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit Is Issued. i hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Alf OFFICE USE ONL Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments X 19 Lower Level ❑ 24 Storm Damage 13 05 3-plex 13 10 8-plex 13 15 Lodging 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors A 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code Z? L (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units 0 Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV APPROVALS Fire Sprinklered Planning Building Engineering Variance Permit Fee Valuation: $ d~ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY USE ONLY rl RECEIPT 7 / 9 11V// SUBD, DATE: A71-7197 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: single family dwellings townhomes and condos when permits are required for each unit FIXTURES EACH N4. TOTAL Shower 3.00 x A.1 Water Closet 3.00 x 3 . = 9 Bath Tub 3.00 x _L = -3,0M IM- Lavatory 3.00 x = 9 Kitchen Sink 3.00 :c 3 ve Laundry Tray 3.00 x = s s Hot Tub/Spa 3.00 x / = a Water Heater 3.00 x = G Floor Drain 3.00 x Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 x 3 = 9 Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (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 7 $O SITE ADDRESS: &2B/Car- OWNER NAME: INSTALLER NAME: P. /'t ~riY STREET A/D~~DRE~SS:g09 CU C dV CITY: I - / 0/C JI. STATE: ZIP: SS A S~ PHONE ((/~L) 53 3 -~~s 7 SIGNAILIRE T1fITT CITY USE ONLY ~ 9 LOT c~- BL 3 RECEIPT 7 90 SUBD. 001te RECEIPT DATE: / I ! 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)681-4675 Date: Complete this section only if you are installing HVAC in single family; townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) 3 I • State Surcharge: .50 • TOTAL: 6~z~•so Complete this section only if you are remodeling adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: 3763 ©evred c- OWNERNAME: SAS ~~Cls QNE#: INSTALLER NAME: S-r, rn r' f ~ JY~~ 1/ /}JET IQ~L PHONE /~5~J STREET ADDRESS: I NO A/G *k I ©i ~r CITY: c~JT ~NG ( / ~r-y'j-E= STATE: AI, ZIP: .J 5g3Z di~" SIGNATURE OF RMITTEE RECEIVED MAY 2 7 1993 2422 Enterprise Drlve * * Mendoto Heights. MN 55120 PIONSE i NW w vDns. "Irmll Em (812) 881-1914 FAtI:881-8488 * Eang near ng no ^Aa " 0tl"E ~m 625 Nighwoq 10 N.E. * Blolne, MN 55434 * jL f (812) 783-188o FAx:783-1883 Certificate pf Survey for: CLASSIC HOME DESIGN,--INC. 3759 BROWN BEAR TRAIL •35 837.9 11 µ PLP'l Pbii PI-0 39. S roe B ~-v"'E of wl,P Q('1 , 4 BENCH MARKK 0 9 9> i _ n t r t ~LL r ~ ~Y _ 0 855..5 855.2 ' ]0 855.3 (V ~I 1 r ~t ~R48. &451C -i SER a: j{(A~•q ~tr .33 BROWN of 1~i1' "4 'I ebDga5s.4 855.5 TRAIL AR I jm g g/$ 24.00 !AE t N _ RSS.7 a 19 I g p TO a` LV ~ ' N t I 8 37.6 26778 essa N~, ~I56•c r ~tk'r 84652-' 5~-p 855.2 ~y^ ~.G ~C 8491s T2 g / BENCH MARK $L / h' } 852.7 ~y-- TOP OE PtF[ U ELEV.=956.01. Z I Ins YLE~ Ff^U _ /CK eL°`n I G L ~ LAS( ~OvLSI 13 1 SaE~,1.td-ic~- I,' ,tl yya ~yh ~5'e h ~ ~ L e c>~ ~d'Ua° t ~~~G B60.S ~GG2~~ yLa5 O;?"her /Jrs Nsn: naaOSEU CRAItt BMDYIM PFII ERMOIG PL.W br.' SCNDQEW 1uO30N 3@ORQS~ T9S4tL Q t.~ eG- r ~/i NG1G BULgNO gN015 4TIDle~ ARE FOR Mde2p1TAE ANO IFNTIGL EAC111NiN : Y 1 ti`~ a sTS.A;TO9ES x sEE AACMnECTY1M f1AM9 FER NagNO AND LOWEST BOOR ELEVATION: LLI- ~L NOV, w srEC rK 9DEaN tcsnanax K" Burr CCMRETEO Px Wea E9r By THE TOP OF BLOCK ELEVATION: - d SUR1£YDR THE SWTABMTY OF BOAS To 410PoRT " WXWC MM OMAOE SLAB ELEVATION: $ %Q ,WOVD3o 14 NOT Wit 9PsroNS9AHY or 1ME SONE"E - Npll: has CENM1FK'Ai[ DOES Net F WEWI W 911D1, EAfgIENTS 611" auM % MM tItM S VKDNO DZYAMP MDSE &,CMT ON ME NECOFM PLAT. (WQDO) DDMM P90FOSED R vxA MTV CCNn1ACid? EN,Si VEMOY DAIVFWAY m" DQbRS DRAEEACE ANe UTNTY EAXW"T --r- cmas WmACE ROW DWEC" W, Ma,,,-CS SNDY,1 at BASED M NE ASWKQ DAIW 0 DENOTES MONUMENT -13 "MM DFTSET MW WE HEREBY CERTIFY TO CLASSIC HONE DESIGN, MIC. THAT THIS IS A TRUE AND CORRECT REPRESENFATON OF A SURVEY OF THE BOUNDARIES OF: LOT 12, BLOCK 3, BLACKHAWK FOREST OAKOTA COUNTY, MINNESOTA IT OOPS NOY PURPORT To SHOW IMPROVEMENTS OR ENCHROACMMENTS. EXCEPT AS SHOWN. AS SURVEYED AY ME OR UNDER MY DIRECT SUPERVISION THIS 19TH DAY OF MAY, 1997. ~r SIdaRD; ONEER EN HG P.a SCALE : t INCH = 30 FEET 1336 96217,02 SOUK n C. Eamon, L.S. Reg. No. 19828 101A 4~>-dty of eagan ENGINEERING DIVISION PUBLIC WORKS DEPT. FAX TRANSMITTAL 3830 PILOT KNOB ROAD EAGAN, MN 55122 nn n FAX NO. (612) 681-4694 TO: ATTENTION: 6,e& A to H4 g u t s t DATE: 27 FAX NO.: 711A - 7 y 7 1 TIME: COMPANY: NO. OF PAGES TO FOLLOW: FROM: TU W,~. Cl I Le et PHONE NO.: ` v I, 3S SUBJECT: I-or 12+ I;leatt 3 91ac-kl.a.wl4L horres-0 rr COMMENTS: live See w a``hf- fe./As iae4,fe +Li- 124.,4-~i-eajeI_ 64 ~ p~aJfi ly arl lC eat GIQ~.JVa..f ~U1w a } BH 9.37 *(hl.rt /5 OI[.. ~r e+ l ple ( 7 vJd~ltl ~r1uw 1`~ J£Si4 i+L1 N16L. Wa_f!M E'IEV I~ AAI~(•~Jl~/ . Ltu e9 a N% c aueVlla.wJ 41 ow ele U. 6'f ST, O I• q e IMl are being transmitted as checked below: C a II 6-wy 8vei f/as&s As requested K For your use/info. Originals forwarded by mail For publication High priority For review and comments Originals not forwarded Note to Facsimile QUerator. Please deliver this fax transmission to the above addressee. If you did not receive all the pages in good condition, please contact us at (612) 6814646. THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer G.MISCELIANEOUS GFAXFORM3/97 41//jb City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 105 -Y') - �J 2013 RESIDENTIAL BUILDING+PERMIT`�APPLICATION Date: / / n u 1/3 Site Address: 37(3 of ®Wn v J �� � / Unit #: J Resident/ Owner Name: 7-AerrtaS 4 i zAr7 Iota e- Peder -g4? -e1 Phone:‘ -4-1-4 5 '-53 7 ^�7�3 f>' / Address / City / Zip: �-' L�Ppi,,n — Tari Applicant is: Owner /l Contractor Type of Work Description of work: U icmdl `b Rep/ace sA,-.49/es (tri Construction Cost: 4'I3©Q Multi -Family Building: (Yes I No ) / C.� -' ContractorAddress: Company: r (time y/e d�+'alo4' 4Pelf Contact: /'f 7"Ci` i/►n5/1ik 3 7 L)OtJcI f /t .54. City: e tttl.5 y-ge State: Al /� Zip: 5-7533 7 Phone: 9-5-q- 9 9171-- 39 -fa License #: (C q..5 -4S-419 Lead Certificate #: i/ If the project is exempt HO me from lead certification, please explain why: (see Page 3 for additional information) Wes ,I4- i n 17 97 In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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.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 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. x Applicants Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117155 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 3763 Brown Bear Tr Lot:12 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-120 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 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mary Jane Pedersen 3763 Brown Bear Tr Eagan MN 55122 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-143/7$,+ -./$%'63/7-.189::;<9 =*%-'!>>3-5199?9D?A@9B -./$%'#*%-+(.&1--./$% C$%-'855.->>1'':<D:''2.(G,'2-*.'".''  8(#$%& ''!)**++, ''#$3%&53N&'B0/4 267 89:8"!(U:9!:8(9' <4/ =->H.$0%$(,1 =>?'@1A/ \\/4+*/,+3$ C0&'@1A/ \\/A$3%/ 7/4%0+A+, C3/0'Z/3/0 P//0'=+a/P//0'@1A/P3,>L3%>0/0=/0+3$'Y>I?/0\\/I/'Y>I?/0+,/'=+a/ 2$/34/'%3$$'#>+$*+,F'6,4A/%+,4'3'OXU8\]'X\[U:UX\[U''4%5/*>$/'3'L+,3$'+,4A/%+,J #(//-,%>1 -30?,'I,M+*/'*//%04'30/'0/G>+0/*'N+5+,'89'L//'L'3$$'4$//A+,F'0I'A/,+,F4'+,'0/4+*/,+3$'5I/4'OP+,,/43'=3/' #>+$*+,F'-*/\]J 2':'2/0I+'B//'OC='^K0'CZ\]SUVJ99'9;98J"9;\[ I--'C3//*.&1 =>0%530F/:B+M/*S8J99'V998J(8VU "(%*41 JD@K@@' #(,%.*H%(.1LG,-.1 :'')AA$+%3,'': #/,d3I+,'B03,&$+,'2$>I?+,FP301'c3,/'2/*/04/, U\[8;'6,/0,3+,3$'230&N31!\[X!'#0N,'#/30'@0 Y/N'ZA/'PY''UU"(;W3F3,'PY''UU8(( OX8(\]'X9":"(;U'eX8OXU8\]'"U":UUX\[ 6'5/0/?1'3%&,N$/*F/'53'6'53./'0/3*'5+4'3AA$+%3+,'3,*'43/'53'5/'+,L0I3+,'+4'%00/%'3,*'3F0//''%IA$1'N+5'3$$'3AA$+%3?$/'=3/' L'P+,,/43'=3>/4'3,*'-+1'L'W3F3,'H0*+,3,%/4J )AA$+%3,K2/0I+// '=+F,3>0/644>/*'#1 '=+F,3>0/ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148105 Date Issued:03/06/2018 Permit Category:ePermit Site Address: 3763 Brown Bear Tr Lot:12 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Mary Jane Pedersen 3763 Brown Bear Tr Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature 37(93 6coc,.,r. c3ear ra;1 9H�! oS d 1� (e1 N tSW ti7i art GOz �9 Cif. PPP* .c or, :Y;: 14,,3; Ret , 94, •