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
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• 124!-?" pVC iNV e?a.Bi :
P1RC 0.40'1e • . ? INV. 843.26; • ? ' . . . . . . . . . . .
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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:
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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
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. . . -??.. . . . ? ? : .
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ELEVPTIONS: . . . . . . . . . ?' . . .
. . . . pURPOSES; C`' °?'`'? i ? .
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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
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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
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EAGAN
RF_ vip,wE 9
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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- ?
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9 pe
I:p$ 93° e$.'e
JAME8 E. DANLEY R.L.S.
1298 HUD80N ROAD
ST. PAUL, MN 55108
778-8211
A DIVISION OF
OOMBTOCK '..W m.,?
s-o AV19, INC. ,om 611_,....130
CONSULTINa ENOINEERS i LAND SURVEYORs
30' FRONT SET BACK
10' HOUSE SIDE SET BACK
5' GARAQE SIDE SET BACK ,A LIt__
W
S , ?rl i-
OR0o1?? Y
1
9 ? g
65
2
i _
tE'CV?v4, o ,• ,N
h
cn
f
a 4?:0., ? ?? Wye .aa2 85
o. 3,.'.1--•. a ?
31_ ?t t
?'-__ _ i' .et
112 5 rs ?`?e
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L=16.01 - /
?FIRE HYD.?_\'.t,
R=14.00
-
?=65°31'22?,-. /
854A
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? q s$oo
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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