3739 Brown Bear Tr
Use BLUE or BLACK Ink
Foi Office Us- I
City L on Permit#: ~ I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 SAY 2)( CC~ I I
Fax: (651) 675-5694 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION dc,- I
Date: Site Address: ~39 groi>n 1 &2 Unit
n f
Name: M,1P Q C-T~ L Phone:
RESIDENT / 1
rf~
Address / City / Zip:
OWNER
Applicant is: Owner Contractor
-e-C ~ --V~ - <
TYPE OF WORK Description of work: S C co J W'V J'~^
Construction Cost: k S QDo .6t) Multi-Family Building: (Yes / No )
Company: 1 Contact: kki
CONTRACTOR Address: City: b3 f~
State: V Zip: ~J O S Phone:
License Lead Certificate
Does this project require Lead Remediation? ❑ Yes Rk'No (see Page 3 for additional information)
If no, please explain:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.om
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; t t the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
_1111 -
Applicant's Printed Name Appl a 's Sign ture
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition O® SAC Units
(25%_ 100%_ Zoning A.-! City Water
Census Code (~$y Stories Booster Pump
# of Units - Square Feet - PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing J Siding: Stucco Lath -Stone Lath _-Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
61 Y
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA098097
Date Issued: 02/28/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 3739 Brown Bear Tr
Lot: 7 Block: 3 Addition: Blackhawk Forest
PID: 10-14325-070-03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector.
952-445-2840
Crystal Cochran
7501 Washinaton Ave S
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Mark 1oluckerheide
788 Washington Avenue South 3739 Brown Bear Tr
Eden Prairie NIN 55344 Eagan NIN 55122
(952) 835-7777
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
I
Permit j
City of Eaoar~ I
d b I Permit Fee: T
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
L ~ -tom
Date: (O Site Address: 5-7 3 Iq t pow ~ Q~e
Tenant: Suite M
A
RESIDENT / OWNER Name: ~ 1\j 4C) r n-E_ Phone:
p~
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: )e_Oo t"
Construction Cost: q4V Multi-Family Building: (Yes / o
CONTRACTOR Name:"1 2l~S1~lzA7"5 ON &tGQP 'License#: -2_06 --3-72-3;2-
Address: 1 QIN-17 kJ0i1-71- CST- City:
tq Phone: ej S-2-"
State: ~-kh-j Zip: 5,:;V{
Contact: &f-Cb SY6 i,J Email: &0--06> t~'~ ~ TI
M
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I he by acknowledge that this information is complete and accurate; that the work will be in confor ance with the ordinances and codes of the City of
Eag ; that I understand this is not a permit, but only an application for a permit, and work is n t, to start without a permit the work will be in
acco nce with the approved plan in the case of work which requires a review and approval of plan .t
x Nx
Ap c ame Applicant's S at e
Pa e 1 of 2
INSPECTION RECORlY
f I i
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
I
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
0 10
Permit Holder Date Telephone #
PLUMBIN c~ 9
u HVAC rofr
Inspection ate Insp. Comments
FOOTINGS
FOUND JQ(e
FRAMING ~l
ROOFING
ROUGH ~dt/~ ~ffL
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC/
TEST
j0
INSUL~ 7/17 Ae ji[•Q~
GYP BOARD
FIREPLACE
AIR TEPLACE EST ~
AIR TEST C
FINAL PLBG p
FINAL HTGy
ORSAT
TEST
BLDG FINAL
6
DOMESTIC O
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
B&T R.I.
BSMTFINAL
DECK FTG '
DECK FINAL
T . .
KertitOwe
tca#e of CCC1L tutc~
cfit~ of eagan
r Zepactment of f$ttilbing Zn5pection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Ciusifitation: SF DWG Bldg. Permit No. 32504
0-P-Y -type R-3 U-1. Zoning District R-1 Type Const. V n
OwnerofBuilding VARIETY HOMES Address 4130 BLACKHAWK RD.. EAGAN MN
Buildin -Address 3739_-BROWN BEAR TR fuc i, L7, B3, BLACKHAWK FOREST
f rk,l'
Building Offici /
POST IN A CONSPICUOUS PLACE
f` ~ ICE.
Address, 3739 BROWN BEAR TR Zip 55122
Lot 7 BIk 3 SubBLACKHAWK FOREST
THESE ITEMS RE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Q J Yes No Inspector. L*f
Final grade (6" from siding)
Permanent steps (garage) f✓
Permanent steps (main entry)
Permanent driveway 1✓
Permanent gas
Sod/Seeded grass ✓
Trail/curb damage
Porch V
Basement finish q/
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
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
R City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 L rI d
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Reoeir Requirements Oft,15e"Chrfv
3 registered site surveys showing sq fl of lot, sq it of house; and all roofed areas 2 copies of plan Cert of Survey Recd- Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree.Pfea_Plan ROCd Y N,
2 copies of plan showing beam & window sizes, poured found design, etc i site survey for additions & decks Tree `Pfe rRaoul N
1 set of Energy Calculations Addition - indicate if onske septic system O"ite septic sy'stam
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date -.9, l 10 l 0 Y Construction Cost X/~ . /00
Site Address r9 Wn ~ttr T/ / Unit/Ste #
Description of Work a' !_x(
Multi-Family Bldg - Y N Fireplace(s) - 0 _ 1 - 2
Property Owner g j/p,,/ Telephone # (&51
1 C3 O -
- C5
Contractor ` ^ rc. =SoM /
r
,F
OF; z
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateizorv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25 o plan review
fee applies.
Licensed Plumber Telephone
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone
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 will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name App icant's Signature
OFFICE USE ONLY
Sub Types >A
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. An - Multi
❑ 03 01of_plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn.(4-sea.) ❑ 33 Ext. AR - SF
❑ 04 02-plex ❑ 10 08-plex 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg-Y or_ N ❑ 25 Miscellaneous
Work Types
❑ 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 (Entire Bldg) - Give PCA handout to applicant
Valuation 62 Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~[K_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
Y Footings (deck) Final/No C.O.
7 Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. -Air Test -Final Windows
Insulation _ Retaining Wall
Approved By: 4 Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES
City S
SAC
City SAC /
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/ I
CERTIFICATE OF SURVEY V10-18-98
for
VARIETY HOMES
cop
P 25
I _ I
WEST fgg39f Ua ~1r7`f C)
9 ° C.sss.J 8 a o
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1
101
20.33
L 8
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I ` 5
EAGAN
REW
DATE
ILDING INSPECTIONS DEPT.
Scale: 1" = 30' 3739 Brown Bear Trail
DESCRIPTION
I hereby certify that this survey, plan, or Lot 7, Block 3,
report was prepared by me or under my direct BLACKHAWK FOREST
supervision and that I am a duly Registered Dakota County, Minnesota
Land Surveyor under the Laws of the State
of Minnesota. Plat bearings shown
o Denotes iron monument
Date Z9 JVN 199R -Reg. No. 8140 Existing_,.,
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
V10-18-98
2004 RESIDENTIAL BUILDING PERMIT APPLICATION -3 ~Y LA
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 / -
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelfReoair Requirements rJfhda IJSenx
3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas 2 copies of plan G Ot yBY Reed
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addtionsieell'[`e;Pl~iif(ecd;~
2 copies of plan showing beam & window saes poured found design, etc. 1 site survey for additions & decks 'freePres'f3er~urcpd--:..-._-.„
I set of Energy Calculations Addition - indicate if onsite septic system Cii ileSsptitSyalems
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
nit
Date Construction Cost
Site Address &j2_--,n d L T^6 'I Unit/Ste #
Description of Work -c~~
Multi-Family Bldg y_ Y ~N Fireplace(s) _ 0 1 _ 2
Property Owner 'c`ow ✓x.42.>C a~~va- Telephone #(/~r~) . apt
S a 1~ ~•av`c~e: cG
Contractor l ,n Address 7d3J /d f04 City fib!✓<N/ rpo"o
State Zip 7 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y ~ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone
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 will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
A ticjj~~nt's Printed Name Applicant's Sigru re
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 18-plex ❑ 20 Pool ❑ 30 Accessory Bldg
A 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea) ❑ 31 Ext. AR - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plhg_Yor-N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int improvement ❑ 38 Demolish Interior ❑ 44 SidingA14 rAlt 1217-oi~s/z
11 32 Addition 13 36 Move Building ❑ 42 Demolish Foundation W 45 Repair
❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 0,1~ Occupancy -3 MCES System -
Census Code Zoning City Water
SAC Units Stories 2 Booster Pump _
# of Units Sq. Ft. - PRV
# of Bldgs Length _ Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs - Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace - RI. - Air Test -Final _ Windows
Insulation - Retaining Wall
Approved By: Building Inspector
'2 T
Base Fee .2-3 7 -
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 0 4
(612) 681-4675 Date Issued: 07/14/98
SITE ADDRESS:
3739 BROWN BEAR TR
LOT: 7 BLOCK: 3
BLACKHAWK FOREST
P.I.N.: 10-14325-070-03
DESCRIPTION:
u._ Permit Type SF DWG
u1141.tsg ,irk Type NEW
R-3, U-1
Garrs'CriA.'"fie VN
g R-1
70
8idin.hd `P~ 38
~Iaackcgst4Ssp` 2
ao" 1 , 9 2 7
' 101 1 - FAM. DETACH
REMARKS:
PLAN REVIEWED BY JOE VOELS
S&W PLUMBER: GENZ RYAN
FEE SUMMARY:
VALUATION $171,000
Base Fee $1,242.25 MISC FEES $1,592.50
Plan Review $807.46 Total Fee $4,727.71
Surcharge $85.50
SAC $1,000.00
SAC % 100
SAC Units 1
Subtotal $3,135.21
CONTRACTOR: - Applicant - ST. LIC OWNER:
VgARIETY HOMES 14548330 2003634 VARIETY HOMES
4,130 BLACKHAWK RD 4130 BLACKHAWK RD 114
EAGAN MN 55122 EAGAN MN 55122
('612) 454-8330 (612)454-8330
h€tiaade~ is rd h'1bn~~,x sta t mt
4n a m t +xy~ys}}#c#'1hriy? I t Fyrt/c{, s~ l eE al~y v Ith A a 1~~i b 1~a e- h tti
FP
s C S 'Z f "ST G t ` t"a t ~ C 5K g} t tE
$ y ia-art.t.Ts`e" 9 P l l4C 1 h#~ N# l T Ll
3 ) I3 L b F 1 A•. Y L, t it 4 F 4 k t
_ Kfi ya F rci >{APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE
8 BUILDING PERMIT APPLICATION (RE8IDENTIAL)~LDZI Ii!
CITY OF EAGAN
3830 P1lLOT KNOB RD - 55 122
681-4675
New Construction Requirements Remodel/Reoair Requirements (I
♦ 3 registered site surveys ♦ 2 copies of Plan 1
♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 6 decks)
♦ 1 energy calculations ♦ 1 energy calculation's for heated additions
♦ 3 copies of tree preservation if lot platted after 7/1183
required: _Yes No
DATE: z- CONSTRUCTION COST; R Z~ 3 00
DESCRIPTION OF WORK: (~6~~~y~(L~P L~p"r
STREET ADDRESS: 37 3`j Sr OW A) ~sw~- rtti
r BLOCK: 3 SUBD./P.I.D. ~L A-c V4#,rj r~ -'Vo n,S T-
Name: V ALi<,Ty Phone Ll S - 3 3
PROPERTY Last Fist
OWNER
Street Address: r t
city ►~y Nom) State: w1 zip: 5Sl G
Company: Phone
CONTRACTOR
Street Address: License # Zo O 3 (o3 q3
City State: Zip:
ARCHITECT/ 65 3-- `i b7d
ENGINEER Company: pn6 ,J 9f, Nt At !:-13 Phone
Name: A-0 A, Registration
Street Address: / 3 13 1 f; lwJor °dy-
City Pc W ott-f- 1 State: Zip:
Sewer $ water licensed plumber (now construction only): V p~ Penally applies when address chang
and lot change Is requested once permit is issued.
r
1 d this application and staff that the information is correct and agree to comply with all appiicabl
ty of Eagan Ordinances.
A 2 1~R Signature of Applicant
~ilj/l6
I 2:es Y
Certificates of Survey Received No
Tree Preservation Plan Received Yes No of Required
OFFICE USE ONLY
tic Fit
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16, -Base ent. Finish
J02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. 17 Sw,,im. Pool,,.
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Publid,Fatility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace. ❑:,.21 Miscellaneous
❑ 05 SF Misc. ❑ 10 _-plex.. ❑ AS Deck
WORK TYPE
A3~31 New ❑ 33 Alterations-' • . ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~N Basement sq. ft. MCNVS System
(Allowable) MainI sq. ft_, , /Z City Water
UBC Occupancy / L ^ sq. ft. 4,~18 Fire Sprinklered
Zoning sg. ft. 51i~o PRV;k 1.
# of Stories Z sq: ft. Booster Pump
Length 7 sq. ft. Census Code. /o
Depth ?8 Footprint sq. ft. f Z SAC Code
,Census Bldg /
APPROVALS Census Unit /
Planning Building Engineering Variance
Permit Fee Valuation: s, 17(104
Surcharge
Plan Review
License /43: ~C~ C~ I~tli ~~S
MCIWS SAC
City SAC '
Water Conn.
Water Meter
C
Acct. Deposit r 3 3 x, /F. 17 - 61
SIW Permit
S/W Surcharge
Treatment PI.
Park Ded. CID,,,~ I
Trails Ded.
Other - JG ~6r + 6
Copies fflffl
Total:
% SAC ~J
SAC Units Zip 3 Z, O ZS D
` I
EXTERIOR ENVELOPE AVERAGE 'U' CONIPL-rATION
Plar * Due /ZS~RP
Owncr
Contactor A R I T-T rn L S tit c
Site Address 3'739 BrowN 5-TA*L -TpwiC. Crty
1) TOW Exposed Wall Area 194 sq. ft .11 = 35.O. Z
2) Total Exposed Roof/Ceiling -z- (.o g, so. ft. .026 - 3=.fl
Wall Calculation
Total Window Area Fz ;g sq. fL 35 = 116-13,
Total Door Area 3g sq. ft .07 = z .7
Total Guts Door Area 4cp sq. fL 35 = W.o
Total Fireplace Area t- A sq. ft 36 = r
Total Wall Framing Area 21o sq. ft .09 = 11Sf
Net Insulated Wall Area I Scio sq. ft .043 = 51-3,
Total Rim Joist Area zst(a sq. L .04 = I t. $
Total FoundatSon Area h z- so. ft .14 = z- z. cp
Total Foundar,•on Window N-4 sq. ft. 35 = /
3) Total 74.6
If item 3 s the same ai, or less than item 1, you have met the intent of 2
MCA.R 1.16008 A and O.
Roof/Ce' tng Calnilation `
Total Skylight Area :-L~ sq, ft 35 =
Total Roof/Ceiling Framing {2.(P sq. ft .026 =
Net Insulated Roof Area 1142 sq. ft .022 - z5
4) Total 2-S.-3'
If item 4 is the same as, or less than item 2, you have met the intent of 2
MCAR 1.16008 A and O.
Alternale Building Envelope Design
To utilac the total envelope system method the stst of items 1 and 2 shall be
greater than the sum of items 3 and 4.
1) +2) =
3) +4) _
I hereby ccniy ttat the building here described meets or exceeds the state of
Minnesota Energy Conservation Act
Signed
1;.
i
rt
CERTIFICATE OF SURVEY V10-18-98
for
VARIETY HOMES
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EAGAN
REW P tiLl
BY _
DATE
ILDING INSPECTIONS DEPT. Scale: 1" = 30' 3739 Brown Bear Trail
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 7, Block 3,
supervision and that I am a duly Registered BLACKHAWK FOREST
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
d~ o Denotes iron monument
mate 2-9 .TV& 1998 Reg. No. 8140 ` Ewsting/ Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
V10-18-98
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
UILDING PERMIT APPLICATION
PROPERTY LEGAL:
-DA A OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
13 • Registered Land Surveyor signature and company
y/❑ • Building Permit Applicant
D/q ❑ • Legal description
m/y ❑ • Address
❑ • North arrow and scale
❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
a' ❑ ❑ • Directional drainage arrows with slope/gradient %
ari ❑ • Proposed/existing sewer and water services & invert elevation
0-~' ❑ • Street name
[f ❑ ❑ • Driveway
ELEVATIONS
Existina
e o ❑ • Sewer service (or Proposed)
o---~b ❑ • Property comers
m3 ❑ • Top of curb at the driveway
[a 3 ❑ • Elevations of any existing adjacent homes
Proposed
❑ ❑ • Garage floor
❑ • First floor
.a---~❑ ❑ Lowest exposed elevation (walkoutWndow)
❑ • Property comers
lz~❑ ❑ Front and rear of home at the foundation
/ PONDING AREA (if applicable)
❑ t3 ❑ Easement line
❑ • NWL
❑ r✓ ❑ • HWL
❑ ❑ • Pond # designation
❑ d ❑ • Emergency Overflow Elevation
DIMENSIONS
q/❑ ❑ • Lot lines/Bearings & dimensions
t~❑ ❑ • Right-of-way and street width (to back of curb)
❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. 0.e. all structures requiring permanent footings)
❑ ❑ ❑ • Show all easements of record and any City utilities within those easements
❑ ❑ ❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ D-/❑ • Retaining wall requirements, if an
Reviewed: (7
N e
January 1996
GRAIGIOGGIBLDOPRMTSM
9 CITY USE ONLY
LOT BL a RECEIPT ry
YLJ9~ ~ RECEIPT DATE: ~/I 9 0
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NN 55122
a~ (612) 681-4675
8`n-d
Date: /
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: C46.
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: pp
OWNERNAME: /Jj PHONE#:
INSTALLER NAME: rilz-6 PHONE#: o~c 3~ /y
STREE DRESS:
CITY: STA ZIP fS/
IGNATURE P
JS/FORMS RLD/MECH PERMIT (RES) - 1998
1107 v
✓L I BL CITY USE ONLY RECEIPT 9,5C2 as
SUBD. Im61Y4C 1 RECEIPTDATE: 5 -
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-6675
Please complete for: ➢ single family dwellings
➢ townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x i = -
Water Closet 3.00 x :3 = g=_
Bath Tub 3.00 x 1 = 3-
Lavatory 3.00 x 3 =
Kitchen Sink 3.00 x I _
Laundry Tray 3.00 x 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 3
Floor Drain 3.00 x t = 3-
Gas Piping Outlet * minimum -1 3.00 x t = 3-
Rough Openings 1.50 x_
Water Softener * for dwellings under construction 5.00 x =
Water Softener * for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler * for existing dwelling 20.00 =
Alterations * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC lic 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE L~, (.50
TOTAL I"I
I hereby acknowledge that I have read this appliption, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance Zactivities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: _ J 1~J Q~ ~w tl~> a~ J K
OWNER NAME: n Ly I~ - ' /
INSTALLER NAME: t TELEPHONE
STREET ADDRESS: 6 U D, *h yJ -9
CITY: STATE: rip zip: 5s\
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113093
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 3739 Brown Bear Tr
Lot:7 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-070
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 .
Laura Gillespie
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 -
Mark Muckerheide
3739 Brown Bear Tr
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114366
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 3739 Brown Bear Tr
Lot:7 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Mark Muckerheide
3739 Brown Bear Tr
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172200
Date Issued:09/20/2021
Permit Category:ePermit
Site Address: 3739 Brown Bear Tr
Lot:7 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-070
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 -
Mark & Erin Muckerheide
3739 Brown Bear Trl
Eagan MN 55122
(651) 226-2324
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature