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3735 Brown Bear Tr PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA098502 Date Issued: 04/07/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3735 Brown Bear Tr Lot: 6 Block: 3 Addition: Blackhawk Forest PID: 10-14325-060-03 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan. MN 55123 651-686-6696 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Bruclanueller Plumbing Inc Matthew R 1\lehlbrech 3992 Pennsylvania Ave 3735 Brown Bear Tr Eagan NIN 55123 Eagan NIN 55122--119 (61)686-6696 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink -For- O-lic-e-i3s-e - - - - - - - - - - - I l I I j Permit : g My of Eajan N~An I, ; I- I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff- 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C. Date: Site Address: A f 0Ny h 0e4 f / 141-1 Unit Name: AI1I Z.,So /Y/d&&G!n Phone: RESIDENT / OWNER Address/ City /Zip: J7 J 13lGwy, 15eo r Applicant is: Owner Contractor TYPE OF WORK Description of work: OC i-I e t Construction Cost: 50 0 Multi-Family Building: (Yes No A--) Company: o ea l s, Ca ~ s / /U ~ l • ~ ~ ~ C . Contact: /~I CONTRACTOR Address: 1X14 r U. & / !C City: X( State: JV Zip: 5TV 1/c/ Phone: License* "o Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /lv~t 1 vt !t ~ MY 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 8, Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classif ed as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org 1 hereby acknowledge that this information is cornpiete and accurate; that the work will be in conforakince with the oidinances 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. Applicant's Primed Name Appli s Signature Page 1 of 3 uU NU I YVKI I t t5t:LUW THIS LINE SUB TYPES 3 96"fz t1 I - r Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement - Siding Demolish Building* _ Addition _ Move Building _ Reroof V Demolish Interior Alteration' _ Fire Repair _ Windows Demolish Foundation Replace - Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 0,0 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%-7)() Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction T~ Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath _Stone Lath _Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge R'® Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 ECTIONRE CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4J J " cj Eagan, Minnesota 55122-1897 Date Issued: ,I (612) 681-4675 i . k! z tip SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. J I'J t~J J.tJ T tj1: 14 Jai'/a td ~ Permit Holder Date Telephone # PLUMBING 'f A y HVAC Inspection ate insp. Comments FOOTINGS FOUND ; FRAMING t~ Zoo, ROOFING ROUGH PLUMBING ~ the PLBG AIR TEST ROUGH HEATING I GAS SVC ff TEST INSUL lOr~ Q GYPBOARD FIREPLACE FIREPLACE AIR TEST O "7"~ .((fyS/ I FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION n^ETER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL 1 + `y l 1 l Kerby Cate of Cec ancC y ~it~j u~ ~agmt Te#artment of enithing 3n60ection s r 1 This Certificate issued pursuant to the requirements of the Uniform Building Code 1 certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: g - Ilse Classification: SF DWG Bldg. Permit No. 32 507 Occupancy Type R-3 U'-1 Zoning Disuxt R-1 - Type CO.S1. Vn VARIETY HOMES 41.30 BLACKHAWK RD., EAGAN MN Owner of Building Addmss 3735 BROWN BEAR TR L6, B3, BLACK.HAWK FOREST Building Ad& ( l.ocAiry EqBudding Official v POST IN A CONSPICUOUS PLACE 'I dF, a { ijl~ % Addre$s 3735 BROWN BEAR TR Zip 5512` Lot 6 Blk 3 SubBLACKHAWK FOREST TBESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 1 -.)-/3 4V ' Yes No Inspector. Final grade (6" from siding) 12-L 2Y Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiVcurb damage X Porch 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 0 7 Date Issued: 07/14/98 (612) 681-4675 SITE ADDRESS: 3735 BROWN BEAR TR LOT: 6 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-060-03 DESCRIPTION: Btiilcfirf-g Permit Type SF DWG ~uilding'Work Type NEW f-~Y1BC Ucct)paeibc`y~ R-3, U-1 Constructiq,n "I~Y,pe VN Zoning R-1 ! Building Length= 65 Building Width 37 V Buildirg.stories',- 2 ~gA;lare Feet 1,787 C~'eis;i35 C,o d' 101 1- F A M. DETACH N, tM t'4 . s t F; i ,t" ' ' • i ~iw~ l e i lii f 4c~` ~ J REMARKS: PLAN REVIEWED BY JOE VOELS S/W PLUMBER: GENZ-RYAN PRV REQUIRED FEE SUMMARY: VALUATION $145,000 Base Fee $1,112.25 MISC FEES $1,592.50 Plan Review $722.96 Total Fee $4,500.21 Surcharge $72.50 SAC $1,000.00 SAC 100 SAC Units 1 Subtotal $2,907.71 CONTRACTOR: - Applicant - ST. LIC OWNER: VARIETY HOMES 14548330 2003634 VARIETY HOMES 4130 BLACKHAWK RD 4130 BLACKHAWK RD 114 EAGAN MN 55122 EAGAN MN 55122 (612) 454-8330 (612)454-8330 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 Min. Statutes and City of Eagan Ordirtand,es_ APPLICANT/PERMITEE SIGNATURE S ED %Y. SIGNATURE ' 25DI 98 BUILDING PERMIT APPLICATION (RESIDENTIAL) fl'~`2f CITY OF RAGAN i W b 3830 MDT KNOB RD - 55122 -113 681-4675 New Construction Requirements Remodel/Repair Reauiremens • 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation Ian 71ot platted after 711/93 required: _ Yes No DATE: 7 Z, b CONSTRUCTION COST; 1531 ?00 DESCRIPTION OF WORK: S %L- FAvn r`r~t A t i CowST STREET ADDRESS: 3 3 <J Bro w nl BTU- /LOT: _0 BLOCK: 3 SUBD.IP.I.D. bb&r'k4WK- Name: V ~6m '~5 Phone 5 -l "S 3 3 PROPERTY Last First OWNER r yg Street Address: 4 13o P) (Ac L~ 4 A. J Ir- City 2)4(/9 State: Zip: 5 Z2 Company: Phone CONTRACTOR r----- ~ Street Address: License# Z0C)3&3'x.3 City State: Zip: ARCHITECT/ ~ ' ENGINEER Company: -~J aVtA) dJr/tD!&. Phone 5S .3 - ~c 2 V Name: (Lt91~ ~l ULI va Registration Street Address: 31 3 ~Ryw' b roo IL City P kg ok , l State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl D nd City of Eagarr Ordinances. Signature of Applicant ilr i~98 °h- FFICE USE ONLY ed Yes No 'fi-Afto 911 Tree Preservation Plan Received Yes No Not Required 14 g OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,0'-02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ,0-'31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/NS System o~ (Allowable) i• ~t Main level sq.•ft. lib(a City Water UBC Occupancy ?L-S a•/ KP sq. ft. Fire Sprinklered Zoning R• / sq. ft. PRV # of Stories Ll Length sq. ft. 2z Booster'Pump sq. ft. Census Code. /0( Depth '3Z Footprint, sq. ft. /r -7id7 SAC Code c r Census Bldg ' i APPROVALS Census Unit Planning Building Engineering Variance Permit Fee Valuation: s, 00 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter 5-rt"c y' oYy Acct. Deposit ?r(-5 SAN Permit SAN Surcharge N. Z Z X Z g Treatment PI. / ZK Park Ded. ~q- _ Co 2 Trails Ded. Y06 Other Copies i Total: ~'~s (a ~ %SAC 7) SAC Units w ~ I CERIIFlCATE OF SURVEY V 10 -17 - 9 8 for VARIETY HOMES s. to I ~ I 8bb,3 WEST 149.94 j S 10 - - a In,00 10 I % N I L 1 Q4$b 10 :3 %A I rah V Z OD 1 i~ O` Z. 1 (Yl o II1 M0 1 W.-- ~s 00. m s. co _ ° I r° X851_5 a r - BAD u I o` Id°' R I .ao H 0 -1 "C 10 Lo ------~85Lfe dR ~?67, 8 7.2 1 WVESTEST I E-- I I V.1AraTc~wl ~.J o~ L. _ . . pm L a _ i EAGAN 7 oY BUILDING INSPECT Scale: 1" = 30' 3735 Brown Bear Trail DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct Lot 6, Block 3, supervision and that I am a duly Registered BLACKHAWK FOREST Land Surveyor under the Laws of the State Dakota County, Minnesota of Minnesota. Plat bearings shown o Denotes iron monument Date ZI 40 JUN 1193 Rea. No. 8140 ` Existing Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 V10-17-98 w w + LOT SURVEY CHECKLIST FOR RESIDENTIAL BU DING PERMI APPLICATION PROPERTYLEGAL: DATE OF URVEY: ~yJ > LATEST REVISION: W m DOCUMENT STANDARDS o z a- ❑ ❑ • Registered Land Surveyor signature and company t~ ❑ Building Permit Applicant tT ❑ ❑ • Legaldescription ~p p • Address P--~❑ ❑ . • North arrow and scale ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ • Directional drainage arrows with slope/gradient % M-~' ❑ ❑ • Proposed/existing sewer and water services & invert elevation el/ ❑ ❑ Street name 0-'13 ❑ • Driveway ELEVATIONS Exisltdna 0' ❑ ❑ • Sewer service (or Proposed) g'❑ ❑ Property corners ❑ • Top of curb at the driveway ❑ • Elevations of any existing adjacent homes Proposed ❑ • Garage floor ❑ • First floor O❑ ❑ • Lowest exposed elevation (walkoutMrindow) ?"Cl ❑ Property comers R--~p p • Front and rear of home at the foundation / PONDING AREA fd applicable) p p~ • Easement line 13 t7 ❑ NWL ❑ p • HWL ❑ p / ❑ • Pond # designation p d ❑ • Emergency Overflow Elevation DIMENSIONS 0~.❑ ❑ • Lot lines/Beadngs & dimensions p--' ❑ p • Right-of-way and street width (to back of curb) 0-113 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) p ❑ p Show all easements of record and any City utilities within those easements ❑ ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ 0-'❑ Retaining wall requireme , if any Reviewed: Dat ame January 1988 GRAW9;6MLDGPRMr FM EXTERIOR ENVELOPE AVERAGE 'L' COMPUTATION Plan # Date _5 L H-158 Owner Contractor R2lEr nM'S Site Address 3735 j3r6w N Brno- `t IL E M 1) Total Exposed Wall Area 2-71(e sq. ft. .11 = 2) Total Exposed Roof/Ceiling { 2 sq. ft. .026 - 31.2- Wall Calculation Total Window Area Z4P 7 sq. ft. 35 = 134 Total Door Arca 3e> sq. ft..07 = -2.7 . Total Glass Door Area 4o sq. ft. 35 = l4 • o Total Fireplace Area w A.- sq. fs. 36 = Total Wail Framing Area la-z- sq. fL .09 = 1'7.3 Net Insulated Wall Area •l-7414 sq. ft..043 = ?5.13 Total Rim Joist Area 2b ! sq. It. .04 - Total Foundation Area I sq. ft. .14 = ZI . Total Foundation Window wa..- sq. ft. 35 = 3) Total '2.'S61 t If item 3 is the same as, or less than item 1, you have met the intent of 2 MCAR 1.16008 A and O. Roof/Ceiling Calculation Total Skylight Area w L!~ sq. ft..35 = Total Roof/Ceiling Framing 12a sq. ft. .026 = 3. 1 Net Insulated Roof Area !0&8 sq. ft. .022 - 7-3."7 4) Total 7/0.8 If item 4 is the same as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and O. Alternate Building Eavelope Design To utilize the total envelope system method the sum of items 1 and 2 shall be greater than the sum of items 3 and 4. 1) +2) 3) +4) I hereby certify that the building here described meets or exceeds the state of Minnesota EncM Conservation Act. Signed CITY USE ONLY C ccyy LOT ~9 BL RECEIPT S SUBD. J81Q,J RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGP.N 3830 PILOT KNOB RD EAGAN tat 55122 (612) 681-4675 Date: Complete this section pn1 if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) b d • State Surcharge: .50 • TOTAL: 3D' 50 Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: (lr OWNERNAME: dYl? e PHONE -t1~~ INSTALLER NAME: f ALL PHONE Y23 IdQi STREET ADDRESS: (!J y~ ' r~i~y 55 CITY: ZIP: SIGNATURE F P 15/FORMS BLD/A¢CH PERMIT (RES) • 1998 L LP BL J CITY USE ONLY RECEIPT#: 95,291<1 SUBD. 4204r 1n !^'-`:.y{~ RECEIPT DATE: 7 a 9 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, HN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings D townhomes and condos when permits are required for each unit ➢ backflow, preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 1 = '3- Water Closet 3.00 x 3 = c,1,- Beth Tub 3.00 x t = 3- Lavatory 3.00 x I- = g- Kitchen Sink 3.00 x I _ Laundry Tray 3.00 x 1 = 5- Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = 3- Floor Drain 3.00 x 1 = Gas Piping Outlet " minimum -1 3.00 x t = y-rte Rough Openings 1.50 x 13 Water Softener ' for dwellings under construction 5.00 X = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under cont. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems ` Abandonment 20.00 = RPZ (new installation only) 20.00 STATE SURCHARGE .50 TOTAL Li ~4 I hereby acknowledge that t have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 3 35 6 Fug ~ I) Cor ~ 2 OWNER NAME: U L l INSTALLER NAME: /~I~ T' TELEPHONE `iG,~ a STREET ADDRESS: I4,t CITY: n~~ jISTATE:~ ZIP: 5S3S~ l ~n P ' SIGNATURE OF PERMITTEE CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY RECEIPT 9 L ~ B L /?~/J_-,--,yp Q 7 tip p SUED. ~LJJ ~Yvuj f RECEIPT DATE: PERMIT # 1999 PLUMSINfi PEIZMIT CusIDENTIAL) CITY OF EAe" 3850 PU.OT KNOB $D EA6AN, MN 55122 (651) 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 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/repair 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x - $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water 3.00 x = $ ater softener dwel ng under construction 5.00 x = $ er_ if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar a .50 > > $ .50 Total > > $ S11 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - t hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances- It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permits within City property/right-of-wayfeasement. SITE ADDRESS: -7 ?S w -~1rowcJ vlt^ /iol I / OWNER NAME:: d-C/ TELEPHONE 4:411a' 5-6 G- 7.5,0 (AREA CODE) INSTALLER NAME: Aeeitley ` Z h Ki TELEPHONE Gld -IRl Y (AREA CODE) STREET ADDRESS: o CITY: S STATE: - A A", ZIP: SIGNATURE OF PERM EE i~ 3 06 RESIDENTIAL BUILDING PERMIT APPLICATION 22a&City Of Eagan 90 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 l'v New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq, ft. of lot, sq, It of house; and pll roofed areas 2 copies of plan showing footings, beams, joists 6ert ofSurv0 iL6Cd +`~'~`'4",_~' Yr= (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions S&1s Repd~ty =a~~.b;°,=cY,r=N 1 Soils Report If proposed building is to be plated on disturbed sail l site survey for addiflons & decks Tied (;q3 P ,tft9gd g 2 copies of plan showing beam & window sizes; poured found design, etc. Acki fion -indicefe Son-site septic system T40rii-64~,ted?,art ' --;vy" a; N lsatofEnergy Calculations nSife~SepficSys16Af? 3 copies of Tree Preservation Plan K lot platted after711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasca mechanical ventilation form Date I / I -1 / d -R'6 Construction Cost 5, 2/0j - Site Address 3 5 W < Pica,.- Tr A,'/ Unit/Ste # Description of Work lea u F7 { t c o { Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner MAf,< M c Zw / 1)~ ec Telephone # (%5t) ~G 7 57/Q Contractor N2'`%r-eu~a/ a.4' l0/I S17-A e 7 / Address `,J (FY//i~~YlDI /1/ City :S~ 1~Cc a_1t,- State /7) Al Zip 35_PF,;~ Telephone # (/&67) y 3r ~/3 awlo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the 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 Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. . 1-4di a ~n (e ~ 11i/'h Applicantnnnnted Name Applic s Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA094110 Date Issued: 05/25/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3735 Brown Bear Tr Lot: 6 Block: 3 Addition: Blackhawk Forest PID:10-14325-060-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.500.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Matthew R Mehlbrech 2700 N. Fairview Ave 3735 Brown Bear Tr Roseville MN 55113 Eagan MN 55122--119 (61)633-261 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature S' 1 Use BLUE or BLACK Ink For Office Use '4r j Permit ~CJ J City of EqU 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (661) 675-5675 I I Fax: (651) 675-5694 1 Staff. I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C1 f I "30113 Site Address: ?-4'3 g Gee - -rrl Unit i Name: ftrl+ 6a, c►1 rte Phone: - ~o--~--~ Resident/ Owner Address / City / Zip: (i # Applicant is: Owner x Contractor --T T3 9, , 5 ® 1 Description ofwork1 ,33 I Type of Work Construction Cost: . r Multi-Family Building: (Yes No -X~J Company: 1 J- f C.fyK U r►[' Contact: I 1 GCS 1 Contractor Address: =J~ q 1 mdh d-l .1~ City: +e ;State: MN IN Zip: 5503a Phone: (2),S W 201 ` LI'3 gO License Lead Certificate Nt r 1 - ( QSS5 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.Qopherstateonecall.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 perrnit; 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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180 days of permit issuance. x A- `--i nclro x Applicant's Printed Name Applicants Signature Page 1 of 3 t PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137459 Date Issued:07/06/2016 Permit Category:ePermit Site Address: 3735 Brown Bear Tr Lot:6 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-060 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 - Matthew R Mehlbrech 3735 Brown Bear Tr Eagan MN 55122--119 (612) 381-7156 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature • 1 For Office Use _-" ,� I p Permit#: / ...„ ‘„, , ...,., , t, 4 t. EAGAN Permit Fee: *7?1-1+01 Date Received: /" , _/g) 3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 i E C E l(E ill/ (651)675-5675 I TDD: (651)454-8535 FAX: (651)675-56'4, Staff: buildinginspectionsCcr7cityofeagan.com OCT 2 6 2018 L -‘*� 2018 RESIDENTIAL B ' _ 1. PER T APPLICATION - s"- i .1 Date: i c)1 Z.Cy I Zoi S Site Address: ; 5 T�ii w1 ZZ-- `' Unit#: pe E Name: --.1 (..._(;)-7""r- r-.: Lam..... Phone: ��-'. C r �-( � Resident/ Owner I Address/City/Zip: -3' C' -IIS.-u -A .---C—�-f!et L...._. "i;- 4-1 eu-Nj SS► '7-- yL 1 i Applicant is. Owner 7\Contractor 7 _ t l td �`l�" t r�� Description of work: Ni:sib '-�Tf-i-cr rl�ai3 �Si'111-r+?,a 1.44.31,A1)-( r gi,t"' - T)-( I. ,Type of Work p , li iYtc,0El 1 Construction Cost: 7 C)-+✓- Multi-Family Building: (Yes I No I r 9 ) & Company: �i=:)` �-L)C-T / ,.yrvC.: Contact: M LGt= i I Contractor Address: 67 6 eV '42-- 1.4/N4-(i City: Si-t4)., j State:MN) Zip: .5/2-Lo Phone 7LY3°-v�I S" (Email i- TP. ,c r J Z k ►YAW-+I-.C'=6.1 License#: 1 C.. Lis-6/7(,' Lead Certificate#: /Via-=e-1/i(DO� / If the project is exempt from lead certification, please explain why: 1 T)'1t.S f--rt''"' C�r'�S h t (--.i.- /4-/c---7Z7/2-. /9.7. ;. 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 information. Portions of the information may be I classified as non public if.... ovide i.. c reasons that would.emit the Ci to conclude that the are trade secrets _ 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.citvofeaaan.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.ciopherstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confo nce 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 ,r to start without a permit; that the work will be in accorrd/ance with the approved pl�arn in the case of work which requires a review and approval of r . S. Applicant's Printed Name App ica 's Signature .13 DO NOT WRITE BELOW THIS LINE -sj u% �( �K L '�� SUB TYPES Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single 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 Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation (0, O t3 Occupancy .4¢ f MCES System Plan ReviewCode Edition t )a 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 \i/. , Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill 1 HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final Framing '+,r 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: , Building Inspector RESIDENTIAL FEES =, Gt% fL " Base Fee ' vtilu Surcharge .; Plan Review MCES SAC t � ' City SAC Utility Connection Charge ,may 0,, o/ / ( & 70 2 Treatment Plant Copies TOTAL Page 2 of 3 For Office Use :::: i J J ,%,`, `iE AG A N �1UAV - �0 : Date Received: Z1 L 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacityofeagan.com L ll 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10-- / ( � 0 Site Address: �r "'� e� ��` ( 1 Tenant: Suite#: Name: Phone: Address/City/Zip: iy � Name: License#: Address: �: ' S4- {1/cci -' ac WZip:x � 4 ye State: 4,-53-1( Phone: A rod ��— ? 6" s` xx t x i .v a r � , Contact: ` Email: ri prj0�'�r �r� ��1'L��l. Ccs^ —New —Replacement _Repair _Rebuild <Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater q � r � � Water Softener Lawn Irrigation(_RPZ/_PVB) rea r " Septic System Add Plumbing Fixtures LMain I_Lower Level) :4 New Water Turnaround 3 Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.orq 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.citvofeaean.com/subscribe. 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 s - ithout a permit; that the work will be in accordan withie e approved plan in the case of work which requires a review and approval of plans., (5t ( etde x ./ Applicant's Printed Name Applic-nt's Signature FOROFFICEUS 4 ,00i. By: Date: • 44-4,-%A0' n round " R040 In Alr Test t Test Fin I,aN. Me I#, .-). Y e Radio Reath,;c a -i,Manometer PERMIT City of Eagan Permit Type:Building Permit Number:EA154693 Date Issued:04/05/2019 Permit Category:ePermit Site Address: 3735 Brown Bear Tr Lot:6 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael-paul Kipper 3735 Brown Bear Tr Eagan MN 55122 (917) 251-9282 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167549 Date Issued:03/22/2021 Permit Category:ePermit Site Address: 3735 Brown Bear Tr Lot:6 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael-paul Kipper 3735 Brown Bear Trl Eagan MN 55122 (917) 251-9282 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature