3738 Brown Bear TrINS]
CITY OF EAGAN
3834 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 6$1-4675
' SITE ADQRESS:
PERMIT SUBTYPE:
, r kt?,k•.
j'CORD .
PERMIT TYPE•
Permit Number: ? ?Date Issued:
APPLICANT:
h.
I.i?? ! I I,f +. ;?; 4 1}{.I'; 1 ?tllY € S k?t
TYPE OF WORIC:
INSPECTION DA • D•
ti' d'r?4 l i!0t
f
C'
6 P
r
..e
4
Permit No. Permit Holder date Telephone #
ELECTRIC
PLUNIBING
Hvac
Inspection Da 3nsA. Comments
FppTINGS
! -44
FOUND
-Lz-,qd.
13
FRAMfNG
f?
ROOFING
ROLJGH
PLUMBING
PLBG
AIR'fEST
? ??
ROLJGH
HEATING
?
GAS SVC
TES7
INSUL
l l
GYP BOARD
FIREPLACE
FIREPLACE
A!R TEST
FINALPLBG
FINAL HTG
4FlSAT
'fEST
SLDG FINAL
BSMT R.I.
BSMT F(NAL
DECK FTG
DFCK FINAI_
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: Q ' a' •' '
(612) 681-4675
SITE ADDRESS: ° "n t f) t : .,0
13 k Fs f? i i?
?I 111. 11?.V 14 t'iIA h' i-f)i,.lf
PERMIT SUBTYPE:
I 1 st:i"t 4 ri C4
... ,: V7 13 M;, ..
fil APPLICANT:
( P; ! 8 .., / r:: 1;4 ri
TYPE OF INORK:
h# P 4 l
! iPi rl,!
' J
Permit No. - Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Uate Irtsp. Comments
FOOTINGS •
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TE6T
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
JF'Z-q 7 _ Co.y,..? fa ? i ..a.n,. yt
S ?:/'!(P •` 70,
/ • ?i 5 5?rwr
DECK FINAL 71
1s /
!
?^ k,4,
}. .
?.
This Certifeeate issued pursuant to the requiremenis of the Uniform Building Code
certifying that ar the ttme af issuance lhis strueture was in compliance with the variaus
ordinances of tite City regulating building construeiion or use. Fnr the following:
Use Classification: SF DWG stdg. Permit No. 28527
- OccnpuN.y 7ype R- 3 U-1 Zoning DisltiG VN Type Const. R-1 COLLEG$ wITY C"ONST 14750 GALAXIE AVL,. APPLE
LOCAity
Dam:
P0.5T IN A CONSPICUOUS PLACE
.. , , , ... ,
?.
VALLEY "
Address 3738 BROWN BEAR TR Zip 5512 ?
Lot ?20 Blk
5ub BLACKHAWK FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
i ..
Date: Yes No Inspector:
Final grade (6" from siding)
Petmanent steps (gazage)
Permanent steps (main entry) LZ
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch v
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad 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 (o
3 2 6- 540 ?-.
21 oFF, E U9E NLY This requesl vond 18 months !mm vaLdatian daM prinkd in Ihu bo . /
G (L.
?
t1
PLEASE PRINT OR TVPE O S
qeq
Oole Rough.in inepection roquned2 Yes ? No Inepectia^ OMerThan Ravgh-In? Ready Now Wil Call
q (Yoo muzl mll fhe imper.lor revdy) Dak Reody
I, jeflicensed confrador Q owner hereby request inspection of the above elecfrical work at:
Job Pddress (Skeey Box, a' Route ) Gty
:- Zip Coda
373g ?_
Sedion N. Taxnship Nome or N. Range No . Fim N. Counry
Occupo Phone No.
PovnrSupp' Pddmss .
Elernic nhnMr (Company Nama)
I
Contmclor limnse No
?
Masler bc No. IPlant Elect Only)
a
Mailirg /ddmFS ( ntmtlor or Ownar Performmg Inslollation)
?? ?
Auihorised ?9n (Contractor rPeAormInsloilanonl Vho No. ?36114
EB-OOOD1A-10 6/95 STATEBOARUCOPY-SEEINSTPUCTIONSONBACKOFYELLOWCOPY
II? IIIIII I?IIIIII ??III III I?I II?II?II RE"UEST FOR ELECTRICAL INSPECTION
Minnesota State Board of ElecVicity
1621 UnNersiry Ave., Rm. S- 28, t. Paul, MN 55104
s 0 3 2 6 S 4 0 2* Pnona (612) e42-0e00
y'3?jG
Home Duplex Apt. Bldg. Other: New Addn
ommercial Indushial Farm Remod Re av
Air Cond. Fkg. Equip. Water Hfr. Load Mgm}. Ofher:
D er Rnn e Elec. Heat Tem .$ervice
"k above the work covered by this requesL EnMr remarks in this space and on fhe back of the white mpy only.
Cal<ulate Inspecfion Fee - 7his Inspeclion Request wrll not be accepfed wdhouf fhe corred fee:
Olher Fee # Service Entrance Sue Fee # Grcuiis/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps Q' 0 to 100 Amps s"
Street Ltg./Fraffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generalor INSPECTOB'SUSEONLY OTAL?
S?
$ign/Oufline Ltg. Xfmr. ?
/ ?
Alorm/Remote Control
Swimming Pool i h. mm tnmxin, „,d n ihedatez sbted
Irrigation Boom pou9h.1n / Dam
S
ecial Ins
ection "
p
p
Invesfigahve Fee Final ?b •
THIS INSTALLATION MAY BE ORDE DISCON TED IF ItOf COMPLETED WITHIN 1 MONTHS.
o ?i ?-
3738 Brown Bear Trail has extensive mold, resulting from a
broken water pipe in the master bath. I have been out there
three times to look at damage (thru the windows) and have
placazded the house as uninhabitable
?_03
q? 0 3
Scott Peterson
Building Inspections
,-..1. ,
CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
euzLozNG
029869
05/01/97
F SITE ADDRESS:
3738 BROWN BEflR 7R
LOT: 20 BLOCK: 3
BLACKHAWK POREST
p.I.N.: 10-14325-200-03
DESCRIPTION:
?0'ildln4r,Permit Type
Type
?t,?Census C'ode
??=
f? t_ •, .
j? i
t4?
t
b
DECK
NEW
434 ALT. RESIDENTIAL
}^" ? +
?Vt }???-ll??f 1?JJ?f 'ti7i? ?5
?,..3 1 Ca?
? C?
REMARKS:
FEE SUMMARY:
Base Fee $50.80
Surcharge $.50
Totel Fee $50.50
?
CONTRACTOR: OWNER: - Applicant -
6ALLES PAUL
3738 BROWN BEAR TR
EAGAN MN
(612)688-7584
I I
T here6y acknbwledge that I" h4Uee6-4 C1ii5'-appiic-aCZan anct:gtate tha'C tha
4nfarmatian is csarre,oC arrd;,agr,ee _to ra11 ?.PPlicatble. SGs?te a?'f t9n.
Statutes and '6itp of Eaqan?Ordina rsCeS.
APPLICANT/PERMITEE SIGNATURE
Lru,n u I_
ED (: SI NATU E
' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
^ CITY OF EAGAN
8830 PILOT KNOB RD - 65122
I o `P , 6814675
New Construction Reaulrementa RpmodeVReoair Reauiremerka
? 3 registered alte swveys
• 2 copfes of ptans (Indutle beam 8 window saes; poured fid. deafpn; etcJ
• 1 errergy celculatlone
? 3 eopiea of tree presenaUOn Plan N lot plaqed eRer 7H193
required: _Yea _ No
So -SQ
v
/?
? 2 copies of Plan
? 2 aile surveys (extedor oddition6 8 tledca)
? 1 errergy celwlaUons for heated adEitions
DATE: 2 1 _ CONSTRUCTION COST:
??
DESCRIPTION OF WORK:
.FREET ADDRESS:
LOT ? BLOCK
3 SUBD./P.I.D. #:
Tetrt /,L
PROPERTY Name: Gtc1 ?- 6r16 L£ S Phone #: (am
OwNER Street Address:
City: 1??G fNv State: Zip; ?? a a
CONTRACTOR Company: Phone #
Street Address: , ? ?f ~?nse #:
C' . tate:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
Ciry: State: Zip:
Sewer & water licensed plumber (new consWction onty): . Penalty applies when address change
and bt change are requested once permit is issued.
i hereby acknowtedge that I have read this applicatlon and state that the iniormation is correct and agree to compty with ali applicable
State of Minnesota S'tatutes and City of Eagan Ordinances. ?
Signature of Applicant
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No APR-Z 5 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required BY.
i .
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-PA
2t P?---l??
-?Au- GItcCtS
3738' BAOw-U QVAtTM
EnGW MN SSr ZZ
pr+
?Coilege City
??• Lot 20, 81ock 3, B,LACKHANI( FpBEST, City of Eayan, Dakota
County, Minnesota and reserviny easements of record.
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LOT SQ. FJ07`AGE = 129 017f
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PERMIT
,
CITY OF?AGAN ?
3830 Pilot Knob Road PERMITTYPE: aurLoiNs
Eagan, Min nesota 55122-1897 Permit Number: 6 2 8 5 2 7
(612) 681-4675 Date Issued: 0 8/ 13 / 9 6
SITE ADDRESS:
3738 BROWN BEAR TR
LOT: 20 BLpCK: 3
BLACKHAWK FOREST
P.I.N.: 10-14325-200-03
DESCRIPTION:
BuiLdi-ng Permit Type SF DWG
?Building l4p_rk Type NEW
UBC OccupancY-,, R-3 U-1
?Cons`t?`u'atibti-' T3-pe VN
r?.
? Zo-ning? R-1
? - ?Buildi,ng: l.,en,gth 64
? Building, Width ; . ? 37
? e'e' 1.885
Oh5tis ?ide??? 10 1 1 - FAM. DETACH
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REMARKS:
S&W CONTRACTOR = STAR PLUMBING PRV
FEE SUMMARY:
VALUATION $176,000
Base Fee $1,267.25 MISC FEE3 $1.923.50
Plan Review $633.63 Total Fee $4,812.38
Surcharge $88.00
SAC $900.00
SAC % 100
SAC Units ° 1
Subtotal $2,888.88
CONTRACTOR: - Applicant - sT. LIC.OWNER:
COLLEGE CITY CON3TRUCTION 14311211 0001209 COLLE6E CITY CONST
14750 GALAXIE AVE 100 14750 GALAXIE AVE 100
APPLE VALLEY MN 55124 APPLE VAILEY MN 55124
(612) 431-1211 (612)431-1211
? . , , I hereby ackn w1 dgio that I #iaaEe? read thi,s ,,appl,iaat,ioP ?nct eta.te xha,t the
= fnformation_ i c rrect andtiagree, ta complyowith_all applicable 3tate of ?In,
?}(j? tAu,tes an`d City`" of Eagari flydinanees. " L / V/1-.
ISSUED BV: I ATURET ? ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
NeW Cormtiudinn Reouirements RemodeVReoair Reauirements
? 3 regislered sfte aurveys ?
? 2 eopiea of plans (tdude beam 8 window alzea; poured fid. design; etc.) ?
? 1 energy calculetbrre ?
? 3 copies of trea pieservatron plan H lot Platted efter 7/1193
requlred: , Yes _ No
DATE:
DESCRI TION OF WORK: ?
STREET ADDRES
LOTI- BIOCK ? SUBD.lP.I.D. #:
is
PROPERTY Name: Phone #:
OYVNER `"•Street Address•
City; State: Zip*
coH'rancTOR Company: ??U Cny HoIAFS' 'Nc.
14
MR 55124
WW Phone #:
??
Add Apple V
Y' License #:
ress:
Street
Ci{y; State: ZiP:
ARCHRECTI Company: Phone #•
ENGINEER
Name: Registration #
Street Address,
Citv: _ State: _ Zip:
Sewer & water licensed plumber:
change are requested once pem
D
I hereby acknowledge that I have read this applica6on and state that the
appUcable State of Minnesota Statutes and Cily of Eagan Ordinances.
Penaity applies
i
Signature of Applicant: 41
OFFICE USE ONLY
Certificates of Survey Received Yes ,
Tree Preservation Plan Received _ Yes _ No
Y'
2 copies W plan
2 sRe surveys (exMrior addkions 8 decks)
t errorgy calcuWtfone for heated additions
;TION COSA 162Ovv
change and lot
comply with ail
?
yIJG n 6 1996
-----L= =?S"
OFFICE USE ONLY
BUILDING PERMIT TYPE
1 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
2
V SF Dwelling o 07 4plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-piex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 = plex o 15 Deck .
WORK TYPE
ar' 31 New
a 32 Addition
? 33 Alterations
0 34 Repair
0 36 Move '
0 37 Demolition
GENERAL INFORMATION
Const. (Actual) VN Basement sq. ft. MC/WS System
(Allowable) v N Main level sq. ft. City Water ?
UBC Occupancy ?-3? J -i ? sq. ft. I t i Fire Sprinklered
Zoning R - I sq. ft. PRV
# of Stories z sq. ft. Booster Pump
Length 74/ sq. ft. Census Code.
Depth 3 71tiFootprint sq. ft. 1885 ? SAC Code 01
Census Bldg i
' "'is11?lFc7". A( Census Unit ?
APPROVALS
Pianning Building t M/0- tngineering Variance
Permit Fee Vatuation: $ 1 -7 oao=
Surcharge
Plan Review ?q scn,«..?-
License ?-
MC/WS SAC 31. ?`x ??-ss = 44211
CitySAC S2 Y v jH• 33 = ?yS
Water Conn.
1 -7 N
Water Meter
Acct. Deposit
SIW Pertnit ??•.^-•-?- ?r? s ? i ? ?
SNV Surcharge io Y i, 5.
Treatment PI. 7 v i - , y
Road Unit q
Park Ded.
Trails Ded. 2-d z t (.q$ _
aner ' --- ?s x s1 _ -7 5? o
Copies
--
Total: _ -
r, rt S8q.-
4M.? ?
?
SAC Units 7O ? ?? Y 3 a. 3g : G G?
z i, GG x z = -1 3. 3 3
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.
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9"•?' ?Coilege City
MMIMM AS • Lot 20, .Block 3, BLSCBHBNK PO$BST, City of Eayan, Dakota
County, hiinneaota and rea2rviny eaeements of record.
evist Heme
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L_?i t i 1
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13. W s 2
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9 4
MOoOI6E
10 2•MarY
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857. T? I?roO?
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w " "? ?? sa d
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Sbd
LOT SQ.
R AGWN
ED
PAOPQSED ELEVAiIOWS
top of Foundation
Garape Floor
Baseeent Floor
Aprox. Sewer Servlce Elev,
Propased Elav.
Exlstinq Elev.
Dralnage Dlrectlcns
Denntes otfset Steke
- asi.9
' 857.5
' 649.8
• 94S o•
• C?
. -.
• o
?L ROAM
PlannfnQ snqtrtur7np furreylno
t1o? w? nwintan rnmy 11e0160r, MlxueL 1640
?1"how ltill ..om
d--. . .
00' 00' E 135.24
?
_--? g o `!,.? ? i
D?. k??
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355.1 ? (
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Nsa• UO''00' £ 143. 02
F007'AGE _
$q,
DEp1;
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?VAGPNT-
2 2, 017-+
9ENCHMARK, TNN @ „/3
£ko• 648.03
I
SCALE : t Incn • 30 feet
I HEREBY CEATIFY TMAT THI
OF THE 90UNpAAlE6 Uf THE
BY ME ON UNDER MY OIREf
SHOM 1NPROVEMENTS OA ENCF
oate 8 Jk/-%
MIN. SETBACK REQUIREMENTS
Front -zo House Slde -to
Rear -15 Garaqe Side -s
JOB N0:
9tbR•24A
AS '
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BOOK: 1 PAGE:
9NI2i33NIJIJ3 QN(11Q31-1 6S:2S
caoo F i LE: i Dwc, CHK.
•t1nd
^ LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
:
PROPERTY LEGAL: `-?
DATE OF SURVEY:
LATEST RE1/ISION:
DOCUMENTSTANDARDS
°z
/-
Gi0o ? • Registered Land Surveyor signature and company
mo"o ? • Building Permit ApplicaM
m?o • Legal description
? ? • Address
m?-'O ? • North arrow and scale
al" ?13 ? • House type (rambler, walkout, spift w/o, spl'd entry, lookout, etc.)
m,'-'63 ? • Directional drainage arrows with slope/gradient %
3000?13 ? • Proposed/existing sewer and water services 8 imert elevation
?o ? • Street name
?o ? • Driveway
ELEVATIONS
Eastina
? p ? • Sewer service (or Proposed)
B?g ? • Property comers
LR??7 ? • Top of curb at the driveway
L3? ? ? • Elevatlons of arry eristlng adjacent homes
Prooosed
[a"? ? • Garagefloor
0, ? ? • First floor
0---? ? ? • Lowest exposed elevation (walkout/window)
13-' ? ? • Property comers
tl" ? ? • Front and rear of home at the foundation
PONDING AREA Crf aoolicablel
? d 0 • Easement line
? ur? ? • NWL
a e'
? • Hvw.
/
? C3/ O • Pond # designation
? ? ? • Emergency Overflow Elevation
O ?
00 ?
? ?
?
6Y ? ?
? IYO
• Lot IinesBearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porohes, etc. (i.e. all sUuctures requiring permanent footings)
• Show all easemerHs of record and any Cily utiliBes within those easements
• Setbacks of proposed structure and sideyard setbeck of adjacern existing structures
• Retaining wall
Reviewed j
i
January 1986
cnWiweG=anr,rt.FM
/
W
CI7Y OF Er1' 2AN QoC-U t?!x??
ir: („,?i?!'
'?"??pF UTILf tY Lo-
POT
IONS.
THlS
isJiu
• _ . PUr,?Ppscn
`c::7 _,+? p^• ,?. ?+ a-o .,. , ". .. ; ,' ? ' 17
j
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?
0 50 ? ? 150
SCA1 F
IN -'FEET-
'E
0 *92
1•86
6'r A? O
8 ? E VALVE r' N
TEE N ?
?
WYE
g' i ?9T ?0 *13 WYE
@33.24 $140.94 S-0 *66
841,42
ftA rr8 " E2 f/2° 9flbna
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934.46 ?
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65-8" PVCm 0.40P/ i ?96'-6"PVC G;0.41) I 4f- 8"PVC ? 0.40 96 ?
? INV,Bqp.ip :INV.890.44 ; INV.990.78 ..... .... . ...... .
.........:.........: ? ......"::....... ? :.........:.... ? ..:.........:.... .....:.
ALL Sf1NRARY S? IMER TO BE PVC SD R 35•
........:.........: ?
: . .......'....... ?:.........:.... ?
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ES ?JOTGUARAfv`i
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?'??%?%URA?%1' OF ?
UTIL
iTY LOCATlO??a •
' . . : .? . . . . . . . . : . . . . . . . l?;?.-?iO?; ELE1/ATIONS!
................
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THIS
DATN
1S
FnA :
PUR .
.
.
. .
OSES OPJLY kPJD . . . . .
. .
•
USING IT HOUtD VE^;i=Y !NE ?
.......
.........
?.......
....... OiV THE
?:.........:.... ? ITE.;
..:.........'....
.....:..
:
:
:
.............. • 4-1• • ??
. ......... . . ,
.... .... ............?
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6+00 . 7+00 ...................
8+00 ... ...
9+00
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L\TI:RIUIt BNVL•'[AI'l: AVIi1NCC "U" C0:41'U7'ATIO17
Oetecmine vorkinq ::quare footagc oC cach.
1. Total exposed :+a11 arca ....... /{r98.0 sr{. fc, x •ll = 1?j(p.8 2. Tota1 rooF.cciling arca ....... l)o'?, o sy• ft. x •025 ' f G
Total exposed vall area above floor =/&98.b
a. Total vall window area .................................... 101 B•y
b. Total door area........................................... yo. 8
c. Tota1 slidinq glass door'arca ............................. 31.7.
d. To[al Cireplace wall area ................................. O
c. Tota1 va11 framing area (averaqe lOt) ..................... Ile R.R
f. Total net wa11 area above floor ........................... 3 Z ?_
g. Tota1 rim joist arca ....................•.•••.............' IIZ ?o -
Total exposed foundation arca = 99.0
h. Total found3tion aindoN arca .............................. b
i. Total net Pounda[ion area aEove qractu ..................... $¢.O
Getermine "tl" value of cach wa11 segment.
G/
d. ras,y x ..U,. _.ss = :76•tp
n. Yo • 8 X ..u" . o7b =. 3.1 .
C. :91.2. X ..U,. .ss. _ 17.a
d. O X "U" p ? d
e. 11„8-13 x ..U.. 17, 20_2 _
13m?
c.
_
_
?r• 112.o x ••u•• ., oY7 - S•3
??. o . ..,,.. p , a
84.0 . .. .. . o aa 7.y
CONTRACfOR r??lec,p r;f, C-onStrUCtiOn
onTe ?_? U?/ ruorie 431-121 i
3 .... ................................Tntal ' 17_(e.__.._
IC item ql i. the samc as, o[ lc:::: chan itum qL, you havo met ch" intent
of suc 6006 ccf2. Sti,,,,, 4 3e ?71. (,) < $tew,
b oo G(C) Z.
Total exposed roof/ccilinrI arca = ll0q•0
j. T4ta1 skyli9ht area ....................................... O .
' k.' Tota1 rooC/ceilinq Eraminy aroa (avcraqe l01•) ............. 11 O•,6/_
! _
1: Total net insulated roof/ceilintj ace.i ..................... 923.
Detecminc "U" valuc for cach roof/ccilinq segnenr,
j p x..U., p = b
k. b, tf X ..U-- ? b ZS- _ ?7•e,
i. 293,{. x ..u,. . o.ai ?0.6
4 ............................ . ......Tota1 = .Z 3• 6
If total of H4 is the same as, or less than k2, you liave met tlle intent of
SBC G006 (c) l. oQ(y,,,, ikC23, 2 C27•
? Ses (. GOO !, l •
Alte[natc Buildin9 Envelope oesign
To utilize the total envelope system mechod, [Lc valties r.stablish•.3 by tllc
sum of items HJ and NA sha11 not be qreatcr th«n tlie .um of iCems 91 and k2.
1. + 2. 27• ? _ _Z ???_, . . . .
,3. !?9?` + a. Z3•L =
_ Zo3•x. . :
(Z ,-/. v 7 >
?
cin? use oNLr
L o?O BL ?_ • -? RECEIPT #:
SUBD. ?°?aL?/I?f2- , SK9r?a?T DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551,22
(612) 681-4675
Please compfete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NQ TOTAL
Shower 3.00 x 1 = -?Z) 9-0
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 ;c
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x
Floor Drain 3.00 :c
Gas Piping Outlet * minimum -1 3.00 x I = 3°2-
Rough Openings 1.50 :c
Water Softener 5.00 :c =
Private Disposal ` Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ??
SITE ADDRESS: 3? ?? Erlo"? ? ? Tr°'?r l
OWNER
INSTALLER
STREET ADDRESS: 14-114S 5a.,,-14S, Ko6c4- 1-w..'1
CITY: ZoSt? yJ STATE:1,(AJ ziP:
PHONE#:(4vG)L-)
'GTuA'A TTtF
CITY U5E ONLY
L o?0 BL RECEIPT
SUBD. A6&0? DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
4-New construction Add-on fumace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: (7 V I b %
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU T,{.,,,? 66?,seo 6.00
4.00
? Gas Outlets (minimum of 1 required @$3.00 each) 3.60
? State Surcharge .50
TOTAL 3cl,
_ bEz
SITE ADDRESS: _ ?? 3b :B''?•"V 5=-C T?°' J
OWNER NAME: oIL c-D C"tf PHONE#: 431 ' ?I
INSTALLER NAME: U?z ?v?.., ??v.•,?Y? tC ??a;I-3Y-?
STREET ADDRESS: 141 Q`) '{-"i' n..,k"A' Tr,`° I -
CITY: STATE: 'AIV ZIP: ???cp)
PHONE #: ( f,l,?L.. ) 114l
Dec 19 13 02:58p Lance Bainville
4101b City of Eaaall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
763-784-1895 p.1
Use BLUE or BLACK Ink
For Office Use
Permit*:
Permit Fee:
Date Received:
3'17 -
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
I ` 1
3 Site Address: -7 35 Ar‹"--, " -- Unit #:
II
Resident)
Owner
Name: in�! ),,,r_,,,I I
Z Phone: b51 t)7 7 Ci23 -
Address / City / Zip: 37 S 3 e..-4-1-3,-)" IYs. f 77:,', r 64,:41.1...--(,-(-71
Applicant is: Owner )(Contractor
Type of Work
1( f
+
Description of work: (('0 Sto G -e r1ucf ,rid%.w rt p1�.c {r: -c,-,
Construction Cost: 1;O' q,cp Multi -Family Building: (Yes / Na
Contractor
1
Company: BC..t 3d i ,t v';) le
(V i I\ & x e y"'I c/ 5 X? C. Contact: %1G-__)
7
Address: / 1' 1JI J I r l Cly ii J City: r 4 C'55 1lrc C:-0
t)
State: ] 7/ Zip: ,c---5— l 1:I-
s2 - Phone: 76 3 7g ' 3 31 cr t/
License #: Xj 2O b a j Lead Certificate #: ;l`- / S 1 % I u 0/ ( 0
If the proiect is exempt from lead certification, please explain why: (see Page 3 for additional information)
1
II
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY
has the City of Eagan issued a permit
yes, date and address of master plan:
IF CONSTRUCTING A NEW BUILDING
for a similar plan based on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www_copherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorize • • y a building permit Issued in accordance with the Minnesota State Buildi Code must be completed within 180
days of permit issue,
x 4140 64, n lJ, ie
Applicant nted Name
x
Applican
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140600
Date Issued:01/05/2017
Permit Category:ePermit
Site Address: 3738 Brown Bear Tr
Lot:20 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-200
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 -
Daniel T Schrantz
3738 Brown Bear Tr
Eagan MN 55122
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
For Office Use ( �I (/
„i ::: :
it ( "Iee: c2c7� -671
--7
Date Received: / /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E I VE .
(651)675-5675 I TDD: (651)454-8535�FAX:(651)675-5694 Staff:
buildinginspectionsCa cityofeacian.com JAN 1 7 2019 L J
2019RESIDENTIALBUIL I: : ►►^ APPLICATION
Date: 'tI-'� CI 1 Site Address: T3 fyecw1J 'Xt9-- Unit#:
Name: Dl Ir't, c t ft—pleat- S c_Aiv„, 2- Phone: 6„s-i_lot(—7(.1(2.c?
item, otitu
-*Aoki Address/City/Zip: 3 /8 1;9-04.011-)"SeYL ^R-A16-
4 9 I/
J
Applicant is: Owner Contractor h `I /j- /i*C i )119-(4)g- / f-
-.
Description of work: Kk 1tX -) ( ) )
Type ofConstruction Cost:21 000 Multi-Family Building: (Yes /No>C5
Company:0011\) Pitt"=D(Z(A,,Amer" Contact: ��
Address: 6 DOI W AYVACW /WO City: Si •(tet 2A144‹,
, 40ntrac ., State:MO Zip:' #2-Co Phone:pc'/17-jiYrkmail: Wcti 1 n
eltr...'{,4d4i .()CCTiq• Cc•A".
License#:13 L20(0573 Lead Certificate#: N n t — 23'11K,- 2
If the project is exempt from lead certification, please explain why:
let, tJi ,e_ C.ovAlv.vczof
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:
Fire Suppression Contractor: Phone:
NOTE'Plans and supporting documents that you submit are considered to be public:i to Portions oftheinnrt on nair be
classified as non-public giant provide specific reasons that would pennIt the City to conclude that they ere tra&ams
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl.•=.
x ll /fit) \ 7
Applicant's Printed Name pplicant' igna ' -
DO NOT WRITE BELOW THIS LINE S 7 g 82006 &i Q TT - /5- 7
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
ySingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
_ Addition
—
Move Building _ Reroof _ Demolish Interior
4,Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ^� 4Valuation �� V Occupancy MCES System
Plan Review Code Edition Y I SAC Units
(25%_100% /) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1 'J Width
REQUIRED INSPECTIONS J
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required —
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS
)( Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1N1-/ , Building Inspector
L� t
RESIDENTIAL FEES (r 3) �J
Base Fees �
Surcharges ✓
L
Plan Review 0 �
MCES SAC
City SAC 9 (j- X 9 o ` 0 qo
v
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3