3762 Brown Bear Tr? ?CITY OF EAGAN
?. 3830 Pilot Knab Road
I Eagan, Minnesata 55122-1897
(612) 681-4675
3PECTION RECORD
PERMIT TYPE:
Permit Number:
` Date Issued:
?ITE ADDRESS:
, c..; i, k3R•;4? ??.?`,?4"?, 4's ? .
, . . ?' . .
'ERMIT SUBTYPE: ` ,
APPLICANT:
i r 3 1` , ' S:'stt' -
E OF WORK:
.: 3.?
INSPECTION D, .
?. ..
K'`3i' `r A li P Q.cl Et - R?41f..1l.4?,l u t#y m 1.4:?d
Permit No. Permit iiolder Date Telephone #
ELECTRfC
PLUMBING
HVAC
inspection ate lnsp. Comments
FOdTINGS ?^
„?`?
??
FOUND
7
FRAh+IING
ROOFING
ROUGH
PLUMBING
• " ??
PLBG
AIR TEST ??
ROUGH
HCATING
GAS SVC
TE5T
INSUL '?-!?!?AC' •-?? LG6??(/ ? vr ' ? -
GYPBOARD
FiREPLACE (/,?
F1pEPLACE
AIR TEST ?
FINAL PLE3G ?? fl1G1
??tt '? ?
FiNAL HTG t ? ((
ORSAT
TEST
BLDG FINAL i
Fl '
G
BSN1T R.I.
BSMT FINAL
DEGK FTG
DECK FiNAL
?
?
?
?.
Liq ofi Lagatt
?e?artptettt of Ztci[bing 3n50¢ctian
This Certifecate issued pursuant to the reqr+irements of the Unifarm Building Code
certifying thai ai the time of issuance this structure was in co?npliance with the various
ordinances of the Ciry regulating building construcrioa or use. For the fotlowing:
SF DWG 3105].
ux aassircat;o,: aia$. re?it rva. ?
-
Occ„p,,,?Y Type Zoan, D;uric, - rype const.
HAPEEQMD DE?V & 59ST 3030 GRANADA AVE., OAKQALE, MN
aw"TOrBuiiain8 3162 .8 R L1.6, B3, BLACK1iAWK FORLST
BuiWing,Address . L,oaliry
o,u-
' . Building Official ?? .. . . .
POST IN A CONSPICUOUS PLACE
i?,? , ?? ?. ??; ? ->. ? -•, : ? _`:: ... 7'?7 , ,'. l:: ?.,1 ? i:iF ?...'??t'?"i,;•i:S ??
Address
3762 BROWN BEAR TR
Zip 5512,42,
Lot 16 B 3 SUb BLACKHAWK FOREST
THESE TTEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: (o ! Yes No Inspector:
Final grade (6" from siding)
Pernianent steps (garage)
Petmanent steps (main entry) V-1
Peimanent driveway
Permanent gas ?
Sod/Seeded grass .?/
TraiUcurb damage ?
Porch ?
Basement finish 1/
Deck
Please verifv with t6e builder the romoval of toof test caps from the plumbing system and the shutoff of water supply W
the outside Iawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rig6tof-way or installing underground sprinkler system. ?
White - Ciry Copy Yeliow - Resident Copy Pink - Convactor Copy
?q
2006 RESIDENTIAL PLUMBINCi PE12M1T APPLICATIOIV
? CITY OF EAGAN
3830 PILOT Kh1C?B ROAD, EAGAhI MN 55122
651-695-5675
Please complete for modifications #o existing residential drroellings.
:. ,. ?
Da?e ?/?2 I ? I ? .?
Site-:Straet Address ? ??.??lltC1? ,?'J?,2 Unit #
Property Owner C?'4 e- G??-f' f7 B/L? _ Telephone #?.?
/kddress
I The Applicant is: _ Owner
2 sets of plans and
Alterations to existing dweliing
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at tFre same time. if you are enstalling on a water softener and/or raater
heater, do not camplete this section; move to the neut seckion and check the
appliance(s) you are instailing.
? lX 1?? Telephone #
City 4U StateNQL zip55201
xContractor _Other
$
10.00
$ 50.00
_Septic System Abandonment
_ Water Tumaround (add $130.00 iP a 5/8" meter is required)
Qther:
? Water Softener
new
_ Wa4er lieater
$ 15.00
_ Lawn Irrigation _RPZ
3tate Surcharge
Total
I hereby apply for a F
,.....?. ..:??
replecemenE
_PVB _new _repafr _rebuild
E c ?E
$ 30.00
$ .50
$
complete and accurate:
-- -- ----• i..?? alw wuns ol me ulry oT tagan ana the plumbing COdeS; th8t I
understand this is not a permit, but only an application for a permit, work is not to start w'tthout a permit and work will be in
accordan with the appr lan in the event a plan is required to b eviewed and ap oved,
j.
Ap c nYs Printed Name Applica s Signature
CITY OF CAGAN PERMIT
3830 Pilot Knob Road PERMITTYPE: auzLoiNG
Eagan, Minnesota 55122-1897 Permit Number: 031051
(612) 681-4675 Date Issued: 12 /B q /g 7
SITE ADDRESS:
3762 BROWN BEAR TR
LOT: 16 BIOCK: 3
BLACKHAWK FORE3T
P.I.N.: 10-14325-160-03
DESCRIPTION:
FlVfc7;tk?mPermit Type SF DWG
."M
OiY?. Type NEW
R-3 U-1
j? hs'F,t`lu???c?r? V-N
R-1
56
56 .
??? -??? a rzw rrr n u auve .ES`u,,;..
?? 2.149
Ce?s?ste 101 1 - FAM. ?ETACH
i"l o
REMARKS:
S& W PLBR - WOODBURY MECH
FEE SUMMARY:
VALUATION
Base Fes
P1an Review
Surcharge
SAC
sac ?
SAC Units
Lic. Search Fee
Subtotal
$1,992.25
$709.96
$70.50
$950.09
iea
1
$5.06
$2,827.71
$141,000
MISCELLANEOUS t1A539.50
Total Fee $4,367.21
CONTRACTOR: - Applicant - sT. Lzc OWNER:
MPyPLEW00D DEV/CONST INC 17776869 0001011 MAPLEW000 DEV & CONST
3030 GRANAOA AVE N A 3030 6RANADA AVE
OAKDALE MN 55128 OAKDALE MN 55128
(612) 777-6869 (612)777-6869
E '-
y,..
£
? .
A
nss eoev: i N u e
? ? CITY OF EAGAN
f
Off 3830 PILOT KNOB RD - 55122 ?a
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) C?
681-46T5
New Constuidion Reouirements Remodet/Reoair ReouiremenM
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 sile surveys (exlerior edtlitions & decks)
? t energy celculatiare ? 1 energy nlculaGons Tor heated additiona
? 3 eopiea M bee prosena[ion plan H lot plaHed after 711/93
rcquired: _ Yes _ No
DATE: 10/24/97 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
3762 Brown Bear Trail
LOT 16 BLOCK 3 SUBD.lP.I.D. #: Blackhawk Forest
PROPERTY Name:
OWNER
State: Zip:
?,..
.im
Street Address-
City:
CONTRACTOR
Phone #:
COmpany:Maplewood Development'& ConstructiorQhOng #: 777-6869
Street AddreSS: 3030 Granada Ave. , Suite A License #:
City: Oakdale State: MN• Zip: 55128
ARCHITECT!
ENGINEER
Company:
Name:
Phone #•
Registration #:
Street Address•
City: State: Zip:
Sewer 8 water licensed piumber: Woodbury Mechanical
change are requested once permit is issued.
I hereby acknowtedge that I have read this appiication and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Appticant:
OFFICE USE ONLY ?
Certifiqtes of Survey Received Yes No
Tree Preservation Plan Received _ Yes _ Nv
is corr#t,dnd agree to^comply with all
241997
Penalty applies when address change and lot
OFFICE U5E ONLY
BUILDING PERMIT TYPE
11- .„ ?
?? ??
_,.. ?.
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0
03 SF Addition ? 08 8-plex a 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch a 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
)( 31 New o 33 Alterations ? 36 Move
o, 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) VN_ Basement sq. ft.
(Ailowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning -1 sq. ft.
# of Stories ? sq. ft.
Length
Depth
57? r sq.
Footprint sq. ft.
ft. Z??1
APPROVALS
Planning
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Cfty SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
SNV Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
?m Engineering Variance
Valuation: $ 14 1 1 m4. QQ
?KEM? ?,UNFINKI??P
laSOX 15_ ilso.oo
?i %zsT RxoR
1381 X 454-1 q , 5'H. 00
?RRtg1?
SEC.Ai D `Fi?
7otal:
%SAC `r?
5AC Units
. ?.,..?.. .
-77 qq I 0(a4.0o
?
T.?
Iq °r ??? &10
101-
?_
FRV?`it :SCHDELL E. MGDSON 612 546 9065 1997.10-24 09:48 #814 P.02/03
SURVEY FOk: MAPLEW000 OEVOPMENT
1
DESCRIPTION:
Lot 16. &xk 3. BIACKWIWI( FpqE$T
RFNCHMARK•
ToP o( irpn monument os sMwn
EleroGon m ( Dotum)
r- ?
1( ? /
?,/,? /
/ ?/ ?
5
(85.15)
, INC.
wacis
?mnssunc i
9o1D
[#W
?
/
/
`q,
?Q? ,?' •? ? • ????, ?
] hlRby CefU(y ftt ZhiS 9YfV6y MOS
(XCpOfBd uWv mr tu0emWOfl Ond thOt
1 om o Ucenxd I.anW Surveror under tM
rawa of Me State of Ninnaaoto.
TMeodore D. Keineio
. -Dote: 24 OCT 1997':.LiGme NO.':17006 .
'q? \ 9
?" _7"ry`?
? s
EAGAN y^ ?
gY EgjWI,L.fi/Ie? 1'V11R1?JflA?
+?_.? _?,.. _.
JIL D INr 1 INS ?? -
?•
GENFfLI NOTES'
t. • - Darotas iron monummt.
2. :890.0 - Denotea esisting spot elevotioe. ` ?[\ r
3. x(890.0) - Denotd proPosad spot elewtion.
<.r- - Demtes cOrcction vt aurfoce droirwga 5. Propasetl qoroge floor slsration= 854.0
6. PMposed DOSl+nMt flow alevplipn= 8$1.5
7. PropoSeO top ot fourWotion ekvaCwnt 859,3 e. ExiaGng grodes token trom groconq pion.
4)^? . p
Tnta drovdny hes been cMcuw one
rmiewad th? L•? ?i dpy of
Or ..? ?....'?.? .
.'
30 D ' 30 60 90 Feet
,
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION /
?
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g
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2-? ?
m--'o
[3? ?
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m
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0
DATE OF SURVEY:
LATEST REVISlON:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permit ApplicaM
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, splR entry, lookout, etc.)
• Direclional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services 8 inveR elevation
• Street name
• Driveway
ELEVATIONS
Existina
?o E
l • Sewer service (or Proposed)
11 • Property comers
13 • Top of curb at the driveway
o-'o ?12 13 • Elevations of any eristing adjacent homes
Prooosed
o% ? • Garage floor
?0 ? • First floor
?/? ? • Lowesi exposed elevation (walkouUwindow)
? ? • Property corners
? 13 • Front and rear af home at the foundation
PONDING AREA fif apolicablel
? C3, ? • Easement line
• ce, o • NWL
o [a-' o • HWL
11 d o • Pond # designation
o ff-, o • Emergency Overflow Elevation
DIMENSIONS
p' p ? •
8/y ? •
B?O ? •
? O •
2l/
?? •
? [3? O •
Lot IinesBearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. aIi structures requiring permanent footings)
Show all easements of record and any City utilfies within those easements
Setbacks of proposed sVucture and sideyard setback of adjacent ebsting struetures
Retaining wali
Reviewed:
PROPERTYLEGAL:
January 1996
CRAIG7890IBLOGPRMf FM
• .x . „
SITE
EXTERIOR EtiVEI,OPE AV£RAG& "U°COMpUTATION
i?0 Z
/,,40tG
CONTJtACTOR
2. Total
2. Total roof
A. Total wal
E. Total doo
C. Totai sli
D. Tota! £ir
E. Total wal
8. Total R3.m
G. Total Net
H. Total fpu
x. Total net
;? ??PHO21E
Daiermine working aquare footega of each.
wall area ...... Z.sq. ft. x
linq area ...... so. ft. X, v2.[v I ?? 71
window area .......................... I hZ
area .................................
ng glass door area ................. ][P
?ZdCO wall area .......................
framing area (averaqe 10l) ........... --ZZ'?5
oist area .....................•••....
?all area abave floor.••••••••••.•••••
Tatel exposed fosanddtion area - j 7dc>
window area ....................
:ion area above grade........... ?7on;?
betermine "U" value of each wall seqment.
X „U„ xz-_
b 3 X "U"
C x "Un
d I X HUn n,?l n
.,..??-
,
?
Z-,7? x
toU1?.
g j ? sz .7 X
i-- "Ull
y ?
L? X
? .,u„ . oa
h ?x X "U" . fj
? ? .
i-J-12 x
.,u„
5
? ?
3 .............. I...................Total ° 2 G•
Tf item 03 i.s th same as, or less than item 02, you have meti tha intene of
SBC 6046(c)2. I
RECEIVED FROM 612 786 2746 04.07.1993 19:11 P. 1
Total enposed roof/ceiliag area - 1'3•?7
J. Totei s ylight ares ................................
k. Total r f/ceiling framinq azea (average 10%) ......
?'? 4._._
1. Total n t insulated rooP/ceilinq area .............. 1? r? I
Determine "n" valne for eath roaf/ceiling asgmenx.
' X
13a- ? x Ra" , b Z.Z .
X"U" No
4 ............ ............ ? ? Ca, G 4
If total of pq s the same as, or lesa than N2, you have met the intent qf
ssC 6006(c)l. '
Alteznate Building Envelope Desiqn
xo utilize the ilotal envelope aystem method, the values established by the
Bum of items #3 d N4 shall not be greater than the sum of itiems #1 and #7.
l. + 2.
3. + 4. ?
?? I?? ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
arr oF eaGari
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucrion Raaulre ments I_7, ,1 50? Ramodel/Raoa{r ReaulremaMs
?
$b0. 50
GaNed 7 j11 1ao
? 3 registered dte wrveys Ehowing cq. fl. ol lof, aq. fl, d houae 2 copiet of plan
and Qtl rootetl oreaa C10% maximum bt covercae allowetll ?7-t7-oU i tet of energy CqlculaHOna for heatetl atlclXan
? 2 Coptes of plans (show beam 8 wintlow sfzes; powetl 1nd. Aedgn; elc.) 1 aite wrvey for extedor addlHons 8 decks
? i sef W energy calculaMOns
D 3 copies of tree Preservofion pian H IW plaMetl aHer 7/1/93
wm
DATE: 7?/D?GL?S CONSTRUCTION COST: ?.7i 888 '?
DESCRIPTtON OF WORK: /8 I( multi-famity bld9., how many unffs?
STREETADDRESS: .37G.7 AZQGt111A64.C Z.Q/
IOT: -$-- BLOCK: 13_ sUBD.,P.I.o. #: BIac kh a w khirerfi
atoPERIv
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: hf.9.C!/EY -j'1154 Phone #: GS/ S/DS-8/?9
Last RrEt
Sheef Address: .37G2
B.PL?GUN?f?9,? T.?4/L
Cify EA6r411 state: !Y/Y. zip: SS/?.7
Company: &D/Y.E .2Fi>'zF4Y. Phone r: TG 3_ T?Q •flO3O
(area code)
Sheet Address: ?GS/G t//GdMS' License #2d6BGdRo Exp. ZA?/Axl
CMy /5.4A7'/ Stare: Lp: ss6410
Company: Name:
Telephone #: (
Sheet Address: Regishaflon M:
CHy
State:
Sewerfwater licensed plumber (if installirw sewerlwaterl: PFrone #:
2fp:
1 hereby acknowledge thot I hove read this ppplicaHon, siate that Ihe infortnation is conect, and agree fo comply wNh all applicable State
of Minnesota Sfatutes and City of Eagan Ordinances.
Signafure of ApplicaM:
Certificates of Survey Received ? Yes
Tree Preservation Pian Received _ Yes
OFFICE USE ONLY
_ No
_ No
JUL I 0
! \ N.ot Required ???
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 05-plex O 13 16-plex O 21 Porch (3-sea.)
fl 02 SF Dwelling ? OS 06-plex O 17 Garage ? 22 PorohlAddn. (4sea.)
O 03 01 of _ plex ? 09 07-plex 18 Deck O 23 Porch (screened)
D 04 02-plex O 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 45 03-plex ? 11 10-plex Pibg V or_ N ? 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool D 30 Ac.cessoryBidg.
WORK TYPE
Ef 31 New O 36 Move 81dg. ? 43 Reroof
p 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
13 33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair p 42 Demolish (FoundaUon) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code a 1, # of Stwies sq. ft.
No. of Units 0_ Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowa6le) Main level sq. ft. MC/ES 5ystem
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning B uilding ?Q Engineering Variance
#4
O 31 Fxt. Alt - Mutti
O 33 Ext. Aft - SF
0 36 Mufti
?
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies l.0 0
Total:
Valuation: $ /0,00
5AC Units
% SAC
?
?
s ?
5ITE PLAN
m r = Ar
w
WR71RiL11JJ U? M REI'ICIJI. IL
CM & LLSA !{ARYEY : NSTM IK
3'J62 Ht3WN BEAR 1RAl ; Sll€Ef
EA6AN.Ml 5511771 : OIY
851-405 -9'184 : }OE NE
N1/A : 4iu 4tQE
9 x V II&TEo omK : MOmOoi+ ?ff
eW rM , tMMrMM
r?RY ?M : WAwN ar
aTE
-A1 - fl
BM 8EAR ZRAI
- - - - - - - - - - - -
BL CITY USE ONLY RECEIPT#: $560 15--
v
SUBD. RECEIPT DATE: 00
1998 PLUNMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGP.N, tMt 55122
(612) 681-4675
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 t, OT-
Wafer Ctaset 3.00 x 3
Bath Tub 3.00 x 2 =
Lavatory
3.00
x
3 ?
=
Kitchen Sink 3.00 x ! =
Laundry Tray 3.00 x ( = 4.r?
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x „A Q[L
Floor Drain 3.00 x f = ti ?0
Gas Pipirtg Outlet ' minimum - 1 3.00 x I = ?1
Rough Openings 1.50 x =
Water Softener "for dwellings under construction 5.00 x =
Water Softener * for existing dwelling 20.00 x =
U.G. Sptinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AIt2f2fI011S ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ` Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL 1 1o
I here6y acJcnowledge lhat I have read this application, atste thst the mfortnstion is conect, arW agree to comply with all spplicable City oT Eagan ordinances
tt is the applicanPS responsiGili[y to notify the property owner that the City ot Eagan assumes no Iiability for any damages caused by the City during its
nortnal operetional and maintenance activtlies to the facilifies constructed under this permft within City propertylright-of-way/easement.
SITEADDRESS: BYOw? ?Qa-r Tr0.? 1
OWNER NAME:
INSTALLERNAME: TELEPHONE#: LI2, 7"Z3 Z?
STREETADDRESS: Z I Z(o - 2"'? ??Q--
CITY: 17 vi d I? STATE: /+'w ZIP:
SIGNATURE OF PERMITTEE
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
? c-32_r?l
? -.
L//_ BL J CITY USE ONLY 8'5a?0
? RECEIPT #:
SUBD.(???Q_.l?r??'? jv,'teQ,t DATE: 4?9ov'
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB- RD
EAGAN, MN 55122
(612)681a4675
Please complete for: ? single family dweltings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
i, 'w"" • ' .ji7 bi4i..51w.i lbal ?.e?. ary ??*i+i?.?? ?1L.
Date: l 2--3I -`11
FEES
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 4.0
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) O°
? State Suroharge .50
TOTAL ? 33 SD
SITE ADDRESS• ?6?W6GkE IQ .
OWNER NAME:PHONE #:1LrO?
lNSTALLER NAME• APo'--'-o ;}'h24TrNU
STREET
tl
d?
CIIY: 17AkAA-c.c,
STATE: M l?l ZIP:
PHONE#: (02- )7-70-0(cl 03
)C)la?
2007 RESIDENTIA.L BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reaulrements
3 registered sile surveys shovnng sq. R M lot, sq. R of house; and all roofed areas
(2046 maximum bt coverage aDowed)
i Soils Report if propa5ed builtliig is to be placed m disWrbetl sdl
2 copies of plan shovnng beam & vrindow saes, poured faund design, etc.
i set of Energy CakWadaais
3 copies of Tree Preserva6m Plan if IM platled after 717193
Rm Jdst Detail Op6ons setection sheet (6uildings with 3 or fess units)
Htinnegasco mechamcal verNlafion form
6 ,Cz)
a `^' _
RemoddfReoair ReouremenLS -O&Us9Onlv
2 coples of plan shovring faofings, beams, foisfs Cert o( Stirvey Recd '
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On•site Septic Syslem
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Date Construction Cost
Site Address Unit/Ste #
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor lJ?
Address • ? CitY mny?
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeory I _ Minnesota Rules 7672
Enefgy Code Category . ResideMial Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Su6mided Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan 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
apply for a R'esidential
and acknowledge
Telephone #(
Telephone #( J_
Telephone #f
iat the information is
accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the stste ot 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. ? t /-If? 1/
pplicant's Printed Name ? Appiicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113322
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 3762 Brown Bear Tr
Lot:16 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-160
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 .
William Krech
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 -
Joseph M Mcmahon
3762 Brown Bear Tr
Eagan MN 55122
(651) 452-5490
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119119
Date Issued:11/15/2013
Permit Category:ePermit
Site Address: 3762 Brown Bear Tr
Lot:16 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Joseph M Mcmahon
3762 Brown Bear Tr
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120241
Date Issued:01/28/2014
Permit Category:ePermit
Site Address: 3762 Brown Bear Tr
Lot:16 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-160
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Joseph M Mcmahon
3762 Brown Bear Tr
Eagan MN 55122
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136901
Date Issued:06/06/2016
Permit Category:ePermit
Site Address: 3762 Brown Bear Tr
Lot:16 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-160
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Joseph M Mcmahon
3762 Brown Bear Tr
Eagan MN 55122
(612) 296-8917
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139552
Date Issued:10/27/2016
Permit Category:ePermit
Site Address: 3762 Brown Bear Tr
Lot:16 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph M Mcmahon
3762 Brown Bear Tr
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature