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3759 Brown Bear TrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3759 Brown Bear Tr Lot: 11 Block: 3 Addition: Blackhawk Forest PID:10- 14325- 110 -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: R. Jeffrey Hom 3759 Brown Bear Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA082690 04/22/2008 ePermit ?.CIT)NM EAGAN - 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 i (612) 681-4675 ' TION RECORD PERMIT TYPE: Permit Number: Date Issued: JI 1 C F?IVLJI'SGa.7: - ? i) ?• , ? } J; ? iif.: ?'? ;• SUBTYPE: APPLICANT: TYPE OF WORK: INSPECTION .. . . 3 k F M Fs ir k':, : ..; F?,f (" 0 N t fr A I'f 1.a!'r !' t t t,r ?. . . , Permit No. Permit Hofder Date Telephone # ELEGTRIC PLUMBlNG HVAC ? IF f?'(? Inspection aate ierap. Comments FOOTINGS FOUND FRAMING r ROdFING ROLIGH PLUMBING ^c°?? ? ? 8 ?? " PL6G AIR TEST ROUGH HEATING !,(w- GAS SVC TEST INSUL a GYPBDARD FIREPLACE ? 6L L FIREPLACE AIA TEST `?D ? ? u F?NAL PLHG l''r G cz,-Tr F3NAL HTG "c' ORSAT TEST ? BLDG FINAL -- -- O??Q? ? ? BSMT R.I. BSMT FINAL DEGK FTG DEGK FlNAL • r S i tticate af ceeujlanc? ??? ? ??gan This Certifcate issued pursuant to the requiremenis of the Uniform Building Code cenifying thar a; the time of issuance this strucrure was in compliance with the various onlinartces of the City regulating building construction or use. For the fallawing: ilse Clusifiauiao: SE ? Bldg. Permit No. ,?(1R5 Oocupancy Type R3/U I Toning District RI 'lype Const. ? ? ? -1111-1-1 Address 3754 sROwrr sEnR uznu, Zip 5512 2 I.of ' 11 Blk 3 Sub s[r?..?'takw rrogEsr THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: (Q a$ f'(p Yes No Inspector: ZW-, Final grade (6" from siding) Permanent steps (garage) 11_-? Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass l/ TraiUcurb damage Porch ? Basement finish ? Deck v Please verify with the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contac[ engineering division at 6514645 before working in righ[of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?'/s' 0 71 873 4?,` ? ._ ? Request Date IL .'f,_Q /_ ? Fre o. Rougn-In Inspectlon Reqwretl (YOU u t call mspector when reaay) Inspection OtherThen qoug0-in ? Reetly N. ?„ WAI Nopfy Inspector 5' 1M Yes ? No Date Reatly I licensed contractor ? owner hereby request inspection oi above electrical work at: Jeb AtltlrBSS ($Ueet, Box or Route No ) 37S9 13.^owiJ Qly ? Sectlon No Township Name or No Range No Count?? ? D ? Occupepnt(PRINT) n ^DI ? e ?'(TrK g (1AS Phone N. Power Supplier b "fCo{-..- auk% Atltlress ?" Sf In' , 430o 020 ElecVicel Contrector (COmpeny Name) CoNramors License No S+-` CrO I . e L r/? ?? C1FO !? I'V Maibng Atltlress (Contractor or Owner Making Installebon) ` t` ' s /k„ ? 1? H 0 D «5 Hs Authoraetl SlnaWre Co a pOwn akm tallation 9? ? Phone Number '43 (o -56k V IGITV I T hone ?8121 ? 2-0BOOSP Pm SMNB S1pq I? N? B? um ?? nm N? ?? p? I? ENCS PROPER INPECTIN EE S P h Q Nm NwN ? REQUEST FOR ELECTRICAL INSPECTION Zepopol-os? ? ..`` q 01 See mstrudlore !or ckimg this brm on back ol yellow mpy 0 07 1 873 "Yr"' BeIN Work Cov r?d by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) ConVactols Femarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimmin Poal 0 ta 200 Amps :LO 0 to 100 Amps Z Transformars Above 200 Am s -Am s SIgnS mspectar's Usa Only ) TOTAI IrrigationBOOms F_06' n s' d Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electiical Inspector, hereby if R°ugh-in D 3, ced y that the above inspection has 6een made. Final . ' oate OFFICE USE ONLY This lBGuesl voiG 18 months from .. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)681•4675 SITE ADDRESS: P.I.N.: 10-14925-110-03 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3759 BROWN BEAR TR LOT: 11 BLOCK: 3 BLACKHAWK FpREST Permit Type SF DWG Work Type NEW y R-3 JU-1 ? a,, ? Y p 2 ;§. V- N _ g,??,??? ° ,a R-1 70 38 101 1 - FAM. DETACH a e , - 4 J?% ' an. nN G/Z05330 7 BUILDING 027085 02/2$/96 REMARKS: S&W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUA7IpN $1,287.25 $643.63 $90.00 $850.00 100 1 $2,870.88 PRV $180,000 MISC FEES Tota1 Fee $1,923.50 $4.794.38 CONTRACTOR: - Applicant - sT. L OWNER: TERRY AIAN HOMES INC 17306647 20035 26 7ERRY ALAN HOMES INC 232 PENORYN NILL BAY 232 PENDRYN HILL BAY WOODBURY MN 55125 WOOQBURY MN 55125 (612) 790-6647 (612)730-6647 ,{ieijv?x$fW3??^"?azeis?r,ki-s., ¢.. . .. ? : pr U r?f?srt#??bz??? ???n??,?s?`-??;??????????.z???? F i ? F7n ?9 ??t ,? ?r#i iee?u ism rh?} n ? ,€ i fsci ? ?.,?' 3 s?F.r ,??.,P ? a U 4d IJ??"'??` cea.,?,rol:{ x . ?a : . s1 ?i??f' y$ r s -n: a zb t Pki x - ? ? ?s ? E ??RMITE S?TURE ISS D BY. PIGM4TURE ? . ??? U 0 S CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) 4 71944r 3g 681-46T5 ?D/o/? ' New Construction Reouiromenls RemodeVReoair ReoWrements ° ? 3 regNStared aite surveys ? 2 copfes of plan ? 2 coples of plana (indude beam 8 window sizes; paured tnd. design; Mc.) ? 2 site surveys (exterior add'Aions 8 decks) ? 1 energy calcNatlons ? i energy celculations for heated additiona ? 3 copies of hee preaervation?pjsn 'rf bt pla requlred: lted afler 711/93 ? _ Yes y?g No `- ` CONSTRUC710N COST: ';DATE: ` ? ? - ? DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK Y _r?$BD.IP.I.D. #: PROPERTY Name: Phone #: OWNER """ Street Address- City: ZV'vopo ' State: Z' Zip: CoNTRaCTOR Company: li 9-LAAl Phone #: Q' 5treet Address: ? ? ???14??iU /?/??°g?'License #• ??d3-'/O?`?? City: U10Op1(fdv State: Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registration Street Address, City; State: Zip: Sewer 8 water licensed piumber. /f?? k?l 7??yPZ/vC = Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this applica8on and state that the informadon is corcect and agree to comply with ail appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received V Yes No Tree Preservation Plan Received _ Yes (/ No , OFFICE USE ONLY . BUILDING PERMIT TYPE 0 01 - Foundation o 06 Duplex ? 11 Apt./Lodging a 16 Basement Finish 02 dqF SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE -31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. ?, yYZ MC/WS System ? N Main level sq. ft. / Y Z City Water L N?- $ q. ft. 11550 Fire Sprinklered ?-/ sq. ft. PRV ? sq. ff. Booster Pump sq. ft. Census Code. D/ '_? Footprint sq. ft. SAC Code oI 4 Census Bldg Census Unit i / 3 s ? ?5 . Building Engineerin Variance Permit Fee Surcharge Plan Review License MCNVS 5AC ciry sAc Water Conn. Water Meter Acct. Deposit SNV Pertnit SNV Surcharge Treatment PI. Road Unft Park Ded. Traiis Ded. Other Valuation: *hrti! /l .k' SU " fs? i,iX 3s = fy? $ /80 o-"e / y Z XrS?= z? JS,f 1: , s---- ??'p?? / yyzXZ? ?1 If Y'/ ` ? ?. ??yyz K?? • 2 1? bSa As r? y?yv 1 1?? ? ?- _ -33 ?rzo = Za K 3 z Copies =?3 t' y x r s e7 Total: X <& /? 7 o x °k SAC SAC Units ?) £CP-- - I?' /, z o0 ? ???? ' ' /!3 0. 030 7 , ? yo = 39 %°? ??L LOT 3URVEY CHECKLiST FOR RESIDENTIAL BUILDING PERMI APPUCATION PROPERTY LEGAL: ? DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS E3 • Registered Land Surveyor signature and compeny ?? o • Bullding Permn Applicant • ? ? 9 ?O 0 o • Legal descriptlon / . Address ? O • North arrow and scale ? 0 • House type (rambler, walkout, splft w/o, split entry, lookout, etc.) er' ? Ei • Directional dralnage arrows with slope/gradient 96 r?o ? . proposed/exisUng sewer and water services & lmert elevatlon 0"? E3 E3 • Streetname Q1-'E3 ? • DrivewaY ELEVATIONS Er' E3 E3 • Exisfing Sewer service (or Proposed) Er ? E3 • Properly comers e-' o ? • Top of curb at the driveway W-?- ? E3 • ElevaUons of any existing adjacent homes Prooosed / C?" 10 E3 d? o ? • Garage floor • Rrst floor E3 • Lowest exposed elevatlon (walkouUwindow) 0 13 • Property comers Q,-'10 (3 • Front and rear of home at the foundatlon PONDING AREA fd aoolicahle) 4," ? 13 • Easement line m' O ? • NWL e''o ? . HWL e' O o . Pond # designation ? 01??C) • Emergency Overflow Elevation DIMENSIONS A5' (3 13 • Lot lineslBearing.a & dimensions ET' O ? • Ripht-0f-way and sUeetwidlh (to back of curb) p'o (3 • Proposed home dimerslons including arry propoaed decks, overhangs greater than 2', porches, etc. 0.9. all structures requidnp pertrrenent footinps) er o ? • Show all easemeMs of record and any CRy utllitles witliin tliace eaaemeMs o' O r' ? • Setbacks of proposed structure and sidey?id aetbsck of adjacent exiatlng structures Q e ? • RetaiNngwatlrequfrert?l, Farr Reviewed: .pnwry ti06 ert.vafaasa.oovnMtFw ? 00 l ? wre • #T 843. 24 8"221/2•0 D gTO#I'S 844.31 00 22 1 ' BEND (O l wYE 3-0;92 mm r mm fa 845.40 5TA 9+22 STA 10+ ? ? ? 1NYE ` w?rt s-i+io 8 0+88 5-0+06 845.92 841.73 842.85 '822V2° BEND \ N7DRANT ? B"GATE VALVE MH 6 B??X 6° TEE STA 11+81 6N GATE EEl + ? PYE O e 2 /2 \ MIYE - 0+0T D ? S-I+23 41.63 845.83 11? - • - ,'? '_? ';r='; _.. ? \ ? , ` _ . . ,V;. f WYE ?ON PR 3-I+I4 -? 845.94 \ ? , . ._ ?=U<-<.? CJ`:;=vs ?::.._A'? \ IT SFi.r,?' ?Z.D 'I' .??=Y TIHS: N \ ?.A T6;E S 1f'i-',. 2d DRAINAGE AND ` EASEMENT UTILITY r . • - ? . • : ? . ?n ? ; . m ? : : ?. ^ ? 3E' .. ......... ........ ........ .... ~ ..:.........:.........:... .. ? : : ; ...:..... Oj M ; . * .....................?I ?' ? . • ~ ......... . ' ?? ........... • H • • ? ........:.........:.. ' . ?" • • ? ' ' I ..................... ? ..............:BSQ ... ?r .....:.........:... .... ......... ......... y ... .:......... ? --;? : ? . .. ?.. ......:. ? ?...,? : . . . . . . ? ,`. ?i . ? . . --: • I!"NCP ' $MR%?` pv.c ................850 . • 124!-?" pVC iNV e?a.Bi : P1RC 0.40'1e • . ? INV. 843.26; • ? ' . . . . . . . . . . . .....:.........:.... iAv'84f.3t;....:....... . ......... .........:.. . . . fii2ii'?1C ,?? m:?-•?;P ? „-. ' . . . . . . . . . ;830 . . . . . . . . . . . . . . . . . . . . . . . . . . . . r . . . : . , . .. -"i ? .r`J? ";<A GY C1F UTILIIY 10C?TION;: : 1:1_EI,'"aTIOF.lS. THIS DATA 13 i G19: ' i0 "1 PURPOSES OINLY Af,'D: : -1NG 17' SHOULD lr E P,:hy . . . . . . . . . ;8L0 . . . .... . : . . . . . . . . . : . . . . . . . : . . . . . . . . . : . . :z•.. -v?:i. .itii;v O'NTHE'glfiE: .....:.........:....? ...:.., .....'........ ? ........'.........:.. ? ....:.........?8F0 ... • : I : : ? ? ' ? ..' .. ' - ........... ............................................. . . .r . . . . . . . . . . . . :800 ' STORM SEWER SCHEDULE STRUCTURE PIATE rf TC INV CASTING TYPE C8 9 230CC 019.31 NEENAH-R3067V CB 10 232EE e49.31845.86 NEENAH-R3067V ? ? 00 V*? C 8 10 Cy) ? /?. r '' cl - vl'i1jiY ' , Cj TNIS D;JA la ? ? ? , ' 90 , a URPOSES Q°aLY AND CB 9 T.?HOULD ? i _ ?a Tr l"??;FY TWE ? ! ? ? r ?f ? 1 _ - ? ., ??. J J STA 9+15. ? ? r?20* DRAINAGf J? ANDSEUTILENT Y \ rs"APROn wi E \ \ °o ? ? . ? 4 CY Tl' P ?.• ` IiIRIPRAP ' aP - 3s \ N,W.L.= S .8 1 ? H.W.L.= 8 • ? f I ?ry ?? .? FEET I ? . ?? 10 ?N FEET SCALE I ? ^ry ? ? °t'Fi EtcaF,tV [34eTILl;fY LOiw?l I?;:? : : . . . '. . . . . . . . t C4`lY O?r ?- fiYC?,URACY OF ? E?., ;•?3` ......:' ........:..... . . . -??.. . . . ? ? : . ? TH1S D?:`° ELEVPTIONS: . . . . . . . . . ?' . . . . . . . pURPOSES; C`' °?'`'? i ? . ' . . . . . . . . . . . . . . • iE'i;=6-hi.%f 60f?!'? E{OUtiD • ; ? ? o ? • : . . . : ?1 . . . . . . . . : . . . • : ? t:.?::?;?;tdS S?T ESITE.: m o ? ar-?^ta1ATlONO.NT? ... . . . ... . t[vr•.ir; ?' : : . '. . . . . . . :" . . . . : . . : ....:........ :..... , :.........' :.........:..........:..... .• :• : '. :. 261 .?.° .. ... : . . : : : : ?? . ......._.. . . . •: . . . . . . . . . . . . . . : . . . . . . . . . :.. . . . . . . . . ... . ?tr,,'APRON/ gAS.86 . . . ?N? .:• i....? .:•................. ?; ?; .•, ?; ?? .......:. ...... • . .......'..........' :.........:............• 539.8 , :. : ; :. '. : '. : ?....J ..:... ... .:... • . '..1 ............ ..' .' •' ,' ..........:... . ...: . .......:.........:........ : : .:.........: : : ' :? : ....:.........:........ : :. :. :. : ?. :?........:..... 3 . 2 acres • Haximum draipage area Top af hi11-/ 'Ol ?+ ? ? . / • / '?Silt fence placed on contour i ? / i / Turn ends upslope to ? prevent F2ov bypass / / ly+pical Layout for Silt Fenc_e Filier fabric securely fastened co post Lay fabric in the ihe aoil ' _ - - Steel or vood pose ? Sackfill over the top _..-1016" bf fabric-and `eompact ? 30" minimum height .'.. -,, ..?. minimum depth Construction of Silc Fence 1. Set posCS and e:<cavate a trench upslope along che line of posts. max ? ?G . ..r i ? 6" 3. Attach the filter fa6ric to the wire fence and ex:enG it into the trench. ?. Staple wire fencl nq [o tne pcsts. •? = ? ' 4. Backfill anC compact the excavzted soil. !1-'.. . Extension of fabric and wire into the trench. Filter Fa4ric ?. CONSTRUCTIOV OF SILT MICE i]ITS S:"POxTiXG HIRE F&vCE 5ource: Adapted from Installation of Strax and Fabric 7307433 . •' 02/21/96 15:44 FA% 7307433 TE 2r21-1996 3=45PH FRQt4 INTEF251"aTELUMBER 61 242971 1 2 ' . ..» . .. . . .., ? s forra tos ase witu 14Luarsola $isies pas[ 7670.6i75, ynap.l a& a FsasffYsmamtw°cE2icb f nsedsoa .20 n?m Cr:term: 8im3aiu: R49trAUbtcu Iiy ii7chS01id wocd QJ O 1 P. S !pj Ol ??s: lcsvla?w! glfsc.llY air syaCC. woeA ei vt?l ba?oe bEtSGT _ "' _ _. STEQ 1 Wi1ldOW &pOQSAtvB J'p2 - ColWwYt¢ imaS A PWCM 01 K'ZLL rvral ,aftw & noar e?era m sq_ Fe,d sax w cw+adew 8c aoor awwaf aividea by Hox s caoral WUMOW$ (inC3MTtag fOltadetiOn W7DdOwY)- W8n AtK1) Li$ES 1oo RQ}fa1.415C W1CdDW md dOOT8Tei1 T]imea5'tdac Qary. Aica us a pc=w of roraI1 aue8 {SWC G7- r? ,?'?a'% ,3•?,?• ? /7.3`O 3n. 06 a'-o" z 3'-p•• z !2 aa a'-s" s s =s^ ? /3 rs so` x s=s° 2. .77.Sv 7tp• x s'-S" 2 i7 00 ?._a.. x ?..6• / .34.no V !oo d0 z Doolts: :.U • G "-?f c.Z ?+-'a a o L "-U E TaW Arca af Rrmdow & DooiS Total vVall Axrs ia SQ. Fs. wett r«W r?attm Evisu ? k?w+.rou 3 o y ' ?s-v 34 74 7csa1 Area 37 AP 8 BaxA Sa3"f :10Do 1/S DO C STEP 3 Desgo Feaw.es raSSMOLY QPTIOV FgpME Wi4I3..: SrATII7AStD FRAMM ? cA.nrr nvsuaArWN R• 2 r MEO""' IESgSF1/?1'I8.5 C? R-s GR AtOitE w41DOw5 Wmqd lomdssioa vrbaowsk UdL?GTO& U' .2- fbe tabfa, dU=MIM IJCnQa?d ea0er ske m aiu iot rhe ? P iu bwc D De1owW. Ti?a?D Bo? C asnat be less tbau or eguaf ta Bax b i .?.? Nc z.agl L IIBL 11 suen.,l'D.Ulbla,,S- Aj? CITY USE ONLY RECEIPT#: L910 DATE• 929(1° 1996 MECHANICAL PERMIT (RE5IDENTIAL) 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 ? New construction Add-on fumace O.r-#e!-L^ 8!r oonE3ft!(1el!(1Q !Wrl-oit sxif.ne'cft!!o°f, !.E. Vgnm avet4sn, P_+C. nate: 3-/y -?1 ? ? FEES Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 Gas Outlets (minimum of'1 required @$3.00 each) / Z`"' State Suroharge .50 70TAL 03G, -5-0 ADDRESS• 3252 640`2`L? L NAME: TtgRq 4?? 4DM-Es PHONE #: ?3e)-(E'6`P ERNAME• AP?U'0 HIEA-n&3& ADDRESS: (2_SI C) h) ,HWY 3/ BISJD - : DWAC..E STATE: MfLI ZIP: S_S(2-7 ? . - CITY USE ONLY BL _? RECEIPT #: S ? SUBD. ??t? , DATE: • ?-? ? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each.unit FIXTURES EACH tLQ, IOIAb. Shower 3.00 x 1 = 3-" Water Closet 3.00 x --T- = GZ. ? Bath Tub 3.00 x 3 = 4- lavatory 3.00 x 5 = 1-5- Kitchen Sink 3.00 :c I Laundry Tray = ?x 3.00 ;c 2- _ ? • Hot Tub/Spa 3.00 x = Water Heater 3.00 x I = 3? FCoor Drain 3.00 :c Gas Piping Outlet' minimum - t 3.00 x 1 =-3_ Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to extsong 20.00 = Water Tum Around 20:00 STATE SURCHARGE .50 TOTAL SITE ADDRESS:1 ? :?2 ? >??c?? ? ???`?-? ? • OWNER NAME: INSTALLER NAME?dAu-s}Alr-R ?C.? • STREET ADDRESS' ?• CITY: STATE: ? ZIP: 145S0'?"?-_ ? PHONE #: (G?Z)ff .39•- Z)2-21 ? ? y LAKE & LAND -SURVEYING SURVEY & HOUSE STAKEIEXCLUSIVELY FOR: ? TERRY ALLEN HOMES DESCRIPTION: LOT 11, BLOCK 3, BLACKHAWK FOREST JAME8 E. DANLEY R.L.S. 1298 HUDSQN ROAO 87. PAUL, MN 56108 T78-8211 A DIVISION OF M9TOCK CRAVIBs INC. „om .?.-,.._?H. CONSULTINa ENGINEERS 1 LAND RURYEYORi SET BACKS: ELEVATIONS: ADDRESS,?1759 Brown Bear Trail 861.9 = ELEVATION TOP IRDN PIPE MONUMENT (TYP.) BM a TbP NUT NYD. SOUTH SIDE CUI-DE-SAC = 858.58 TOP OF BIOCK = 835.00 BASEMENT FLOOR = 811.00 GRADE$ FROM 6RADINO PLAN BY SCHOELL 8 MADSON, SURYEYORS 848.0 - Denotea Flnlahad Elav. 847.0=13asement Floor Garage Floor=854.67 , EQGE OF WETLAND 30' FRONT SET BACK 10' MOUSE SIDE SET BACK 5' GARAGE SIDE SET BACK lALn.. w /???t AS QtAAA 14'1 ?a2 g5 wye- EAGAN RF_ vip,wE 9 mVo r.?r ?. ? I hereby cettify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. MINN, R.L.S. NO. Ib+f.T? 23rd on the Z1? day of ?'a 6 ru.a19qL ,This certificate valid only to party named hereon when stamped with impression seal. - ?? ORTH SCALE: 1" = 40 FEET -BOOK 96-2 PAGE p FILE NO. B2•100-98 O Indicates Iron Monument Set & Marked R.L.S. • Indicates Iron Monument Found, Set By Others Bearings Are on an Assumed Basis Improvements Located Only When Requested , DES.= DESCRIBED REC.= RECORD MEA.= MEASURED DESCRIPTION: 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 4-70, o0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nevr Conshuction Reauirements 3 registered site surveys showing sq. it of lot, sq. % of house; and all roofed areas (2096 maximum bt crnerage aflowed) 2 copies o( plan showing 6esm & window sizes; poured found design, eta 1 set of Eneyy Calculations 3 oDpies of T2e Preservatlon PWn'rf lot platted e%er 711/93 Rim Joist Depp Options selection sheet (buildings wiN 3 or less unBS) Minnegasco mechaniralventBaNonform RemodeUReoairReouirements b(ficeUs"i n _ ._ 2 ropies of plan showmg foo6ngs, beams, joisls CeA of'S?I_rPeY3tecd.?? ?`t ?•_Y-§_N t sef of Erreryy Calwlatiais for heated add'd'ans Uee:Pres;Pk?n??ctl:?,?: Y;? N i site su?Y for additions & dedcs _? --' ?-_-..^°=°'---? Add'?ion-indicateMon-sdesepticsystem OnaiteSepqc?,.Sy"stemf=.,;,;°,?7,==N ls -ao- , 94l.-1-w.AQ -Jk-k Date ?? ? Construction Cost IQ?Q00- Site Address 3 7 5c1 pJlc w n? &R G -TiaI l- Uuit/Ste # Description of Work Ilt-ek Y\DDfTIG'j Muld-Family Bldg _ Y_ I N I Fireplace(s) _ 0 _ 1 _ 2 Property Owner SETP S' N i1NGy ?w rlokva TelePhone#(Gr)1 ) 4U?-??'Zy Contractor ??1C ?c?c 9- 1G'? ?w,pqwy Address ???(?SZ P , kpcW ji ii?- City Ik)\)Ck GIPGVE 171h41fi State W1 YJ Zip Telephone #( 952 ) 432 -23 0 LX7 l9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesom Rules 7672 Energy Code Category . Residential Vendlation Category 1 Worksheet • New Energy Code Worksheel (J submission type) Submitted Submitted . Energy Envelope Calculalions Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor II'? '?!. i 1 2006 SeweNWaterContractor JUN Telephone # ( Telephone #( ) 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 ordinazices and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicarion 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. I k t IZ v b)-, ApplicanYs Printed Name 1"V-7 e?q ApplicanYs Signature DO NOT WRITE BELOW THIS LINE I• ? Sub Tvpes ? 01 Foundation ? 07 OSplex ? 13 16-piex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF 0 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) O 36 Muld Misc. ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvement O 38 Demofish Interior ? 44 Siding ? ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair 0 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demolitlon (EnBre Bldg) - Give PCA handout to applieant D@SCfiDt1011: Water Oamage _Yes ??? Valuation Occupancy MCES System Plan Review 100% or 25% Census Code L4 4114_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width - Footings(new bldg) ? Footings (deck) _ Footings(addition) Fouudation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIREDINSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: I v , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai ??7?1L 2?l9i9?? ? ?V ? LAKE & LAND SURVEVING SURVEY & HOUSE STAKE EXCLU31VElY FOR: TERRY ALLEN HOMES I DESCRIPTION: LOT 11, BLOCK 3, BLACKHAWK FOREST ELEVATIONS: ADDRESS -1759 Brown Bear lYall 881.3 = ELEVATION TOP IRON PIPE MONUMENT (TYP.) BM = TOP NUT HYD. SOUTH SIDE CUL-DE-SAC = 858.58 TOP OF BLOCK = 855.00 BASEMENT FLOOR = 847.00 6RADE8 FROM 6RADINQ PLAN BY SCNOELL 8 MADSON, SURVEYORS 848.0 - Denotes Finlahed Elev. 847.0=88aemeot Fioor 10 Garage Floor=854.67 EDGE OF WETLAND SET BACKS: DRAINA6E ANO UTILITY EASEMENT Pond #38 QD?O NWL-839.8 .AIWL-847.4 ? I /68 p ? EDfiE OF WETLAND- ? / EAcAN l '6 a2 -? o / b as oo,• ?ae y 4 ? \y' ? V2 w ";0 I10 i¦RNe ki / R=55.0(1 9 pe I:p$ 93° e$.'e JAME8 E. DANLEY R.L.S. 1298 HUD80N ROAD ST. PAUL, MN 55108 778-8211 A DIVISION OF OOMBTOCK '..W m.,? s-o AV19, INC. ,om 611_,....130 CONSULTINa ENOINEERS i LAND SURVEYORs 30' FRONT SET BACK 10' HOUSE SIDE SET BACK 5' GARAQE SIDE SET BACK ,A LIt__ W S , ?rl i- OR0o1?? Y 1 9 ? g 65 2 i _ tE'CV?v4, o ,• ,N h cn f a 4?:0., ? ?? Wye .aa2 85 o. 3,.'.1--•. a ? 31_ ?t t ?'-__ _ i' .et 112 5 rs ?`?e rA J S e? ^ 3J v 0/ b / ?+ ? ro v i ? L=16.01 - / ?FIRE HYD.?_\'.t, R=14.00 - ?=65°31'22?,-. / 854A i / ? q s$oo 1ir 4cc), d /..1! L aa EAGAN F? E.vl?,wE ID lY Z 3/s& I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. By MINN. R.L.S. NO. /dq5/ 23i'd on the 2.j day of ?'a6rce,arc., 19'7z-3_ This certificate valid only to party named hereon when stamped with impression seal. ?I ORTH SCALE: 1" = 40 FEET BOOK 96-2 PAGE 2 FILE NO. 82-100-96 O Indicates Iron Monument Set & Marked R.L.S. • Indicates Iron Monument Found, Set By Others Bearings Are on an Assumed Basis Improvements Located Only When Requested DES.= DE5CRIBED REC.= RECORD MEA.= MEASURED DESCRIPTION: ` PERMIT City of Eagan Permit Type:Building Permit Number:EA115260 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 3759 Brown Bear Tr Lot:11 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-110 Use: Description: Sub Type:Reroof & Siding 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. 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 - Rolandas Kaunas 3759 Brown Bear Tr Eagan MN 55122 (248) 921-5490 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122156 Date Issued:04/28/2014 Permit Category:ePermit Site Address: 3759 Brown Bear Tr Lot:11 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Tina Rykiss 6510 Hwy 36 Blvd. N. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Rolandas Kaunas 3759 Brown Bear Tr Eagan MN 55122 Apollo Heating 6510 Hwy 36 Blvd N Oakdale MN 55128 (651) 770-0603 Applicant/Permitee: Signature Issued By: Signature