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3758 Brown Bear Tr INSPECTION RECORD Cfi-Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ; Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: w Q,4 yi. 'r Y:.a• ! F iii} 'w } , r PERMIT SUBTYPE: TYPE OF WORK: off f r INSPECTION INSPECTION TYPE DATE INSPTR. DATE INSPTR. l Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING or a~~l HVAC / 0&6 Inspection ate Insp. Comments FOOTINGS FOUND L~ f f FRAMING ROOFING I ROUGH PLUMBING L PLBG AIR TEST l L ROUGH HEATING GAS SVC TEST INSUL/~ll~rf~ GYPBOARD FIREPLACE I 1 FIREPLACE AIR TEST FINAL PLBG FINAL HTG t( SAT TEST TEST BLDG FINAL J- an! BSMT R.I. BSMT FINAL DECK FTG DECK FINAL a y (fie #CatC o CC"aw a (it4 of Waga-n Tepa~t cut of 'Zoming anbo On J This Certificate issued pursuant to the requirements of the Uniform Building Code 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. SF DWG 31198 Use Classification. Bldg. Permit Na R-3 U-1 R-1 Vn j. Occupancy Type Zoning District Type Const. .r l Owner of Building MAPLEWOOD DEV & CO T 3030 GRANADA AVE N., OAKDALE MN r 3758 BROWV BEAR TR L17, B3, BLACKHAWK FOREST , Bwldrng Address Loality q. Date: ,Blinding Off sf~ z POST IN A CONSPICUOUS PLACE 'i Address 3758 BROWN BEAR TR Zip 5512? Lot I1 Blk 3 Sub BLA-MAWK FOREST THESE ITEMS WERE / RE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: `J Yes No Inspector: T Final grade (6" from siding) Permanent steps (garage)' Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff 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 CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 / Permit Number: 031190 (612) 681-4675 !l Date Issued: 12/17/97 SITE ADDRESS: 3758 BROWN BEAR TR LOT: 17 BLOCK: 3 BLACKHAWK FOREST P.I.N.: 10-14325-170-03 DESCRIPTION: ilding~,ermit Type SF DWG Building Wowc,j~ Type NEW UOC Occupanoy, R-3 U-1 Construction Tye V-N Z.onir4g a;, ,4 R-1 I~ BuiladingJ Length,-. 64 B>aildin ~Wi tK54 Bvilding tci;rie5` 1 "Sq~hi'e Feet s 2,556 Cei~sLCtle 101 1 - FAM. DETACH 4 ~ V_W 0- C36 C rL REMARKS: PRV S & W PLBR - WOODBURY MECH FEE SUMMARY: VALUATION $132,000 Base Fee $1,047.25 MISCELLANEOUS $1,539.50 Plan Review $680.71 Total Fee $4,283.46 Surcharge $66.00 SAC $950.00 SAC % 100 SAC Units 1 Subtotal $2,743.96 CONTRACTOR: - Applicant - ST. LIC OWNER: MAPLEW00D DEV/CONST INC 17776869 0001011 MAPLEW00D DEV & CONST 3030 GRANADA AVE N A 3030 GRANADA AVE N A OAKDALE MN 55128 OAKDALE MN 55128 (612) 777-6869 (612)777-6869 i herebyf acknowledge that. hay's t ead'i him( a(5'piig'atibh cladat` th;ert ti's rr, information is correct:and,,agree to comply with all applicable State of'Mn. Sta"WM~/ y 'of Eaja-Ord3nahces:.- L- W ~~p E SIGNATURE ISSUE URE M d 5~~ jqo CITY OF EAGAN a 3830 PILOT KNOB RD - 55122 6 1. 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675,~~tl~' I New Construction Reaulrements RemodetiRmair Reaufrements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ I energy calculations ♦ I energy calculations for heated additions ♦ 3 copies of tree preservation plan Slot platted after 711/93 required: _Yes _ No DATE: 10/24/97 CONSTRUCTION COST: 640,, Le DESCRIPTION OF WORK: 13-7SK STREET ADDRESS: 3r Brown Bear Trail LOT k~~7 BLOCK 3 SUBD./P.I.D. Blackhawk Forest PROPERTY Name: same as contractor Phone M OWNER WT rwsr Street Address- City: State: Zip: CONTRACTOR Company: Maplewood Development & Constructi¢i!t one 777-6869 Street Address: 3030 Granada Ave. N., suite ALicense#:_g93S3 City: Oakdale State: MN- Zip: 55128 ARCHITECTI Company: same as contractor Phone ENGINEER Name: Registration Street Address* City; State: Zip: Sewer & water licensed plumber: Woodbury Mechanical Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the ' on is r and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _ OFFICE USE ONLY Certificates of Survey Received L, Yes N 2 d W7 Tree Preservation Plan Received Yes _v No jT 1 4~ OFFICE USE ONLY 4t.* ~ ~ 'r A BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 02 SF Dwelling ❑ 07 4-piex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-piex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-piex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning KT- sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census de. 101 Depth tF Footprint sq. ft. SAC Code 2-s Census Bldg Census Unit i APPROVALS Planning Building Cf Engineering Variance Permit Fee Valuation: $ 15-2-)000.00 Surcharge Plan Review ~ryryll~~~~ / \ License ~UW=7Nti'?4ED MCNVS SAC I (~`d X Imo- 2 ' 3~•Oa City SAC Water Conn. Water Meter S1~1L1~(z' Acct. I Deposit SNV Permit I X I~2h~to. 00 SAN Surcharge Treatment PI. Road Unit ~Y+IZI l (o ' I 204 Trails DDed. M24 Other Copies Total: Y % sac SAC Units I i. 612 546 9065 70+ : SCHOELL & MPOSON 612 546 9065 1997,12-17 09:49 #37S P.02/02 SURVEY FOR: MAPLEWOOD DEVELOPMENT 61302-206 532/34 MMM~ (85.85) Lot 17Blaekloek 3, 9.04KMAyA( FOREST SCNOELL & MAOSON, INC. aw.son . Mjgk%pq . MWwae 6nc TEPME . DAMMOrM Offift ~ BENC - - dales wMAO SMAMMM SUM I Tap of iron monument as shown 767os 40 re.crarew w +a1 say ~eor r_~ Elevation = 857.30 (NGYO-1929) 1 j J ADDS= 3758 Brown Bear Trail This droving has been chaeked and reviewed that 1 day of E~- 19 , sus sw. by .r eetwnlasr Q I hereby certify that ~ under my n and that this survey was eiA"10101ta°~` a r am o Lleer~an Land Survwyar under the Q' lows of the State of Minnesota, Atft Theodore O. Kemna Date: 16 DEC 1997 License 0❑No. 17005 E, .jam ~ p'b a vz~ 41 ~,p Al \ e y / °s . -Denotes Iron monument. 2. x890.0 - Denotes eamting spot elevation. 0 3. x(890.0) - Denotes proposed spot *Woation. -Denotes direction of surface drainage. PV, H LE 5. Proposed garage floor elevation - 857.4 o m a -11 Lam j ti a LL DROP GARAGE 2 COURSES ^ S. Proposed basement floor elevation - 831.3 S Proposed basement floor elevation - 856.0 7. Proposed bop of foundation elevation - 859.1 30 0 30 60 90 Feet w LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION PROPERTY LEGAL: /_~'S DATE OF SURVEY: 7 LATEST REVISION: DOCUMENT STANDARDS i:~ ❑ • Registered Land Surveyor signature and company ❑ Building Permit Applicant ffO ❑ • Legal description ❑ • Address [~~I ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0❑ ❑ • Directional drainage arrows with slope/gradient % 121"~'13 ❑ • Proposed/existing sewer and water services & Invert elevation qi❑ ❑ Street name C-'❑ ❑ • Driveway ELEVATIONS / Existina [Y/ ❑ ❑ • Sewer service (or Proposed) eT ❑ ❑ • Property comers ❑ ❑ • Top of curb at the driveway 0---~13 ❑ • Elevations of any existing adjacent homes Proposed ❑ ❑ • Garage floor [P-~ ❑ ❑ First floor or' ❑ ❑ Lowest exposed elevation (walkout/window) ❑ • Property comers [a ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ [2" ❑ • Easement line ❑ R3 ❑ • NWL ❑ er' ❑ • HWL ❑ ❑ Pond # designation ❑ ❑ • Emergency Overflow Elevation DIMENSIONS WW❑ 2r • Lot lines/Bearings & dimensions i ' ❑ ❑ • Right-of-way and street width (to back of curb) ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) 0 ❑ ❑ • Show all easements of record and any City utilities within those easements ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ a,--0- • Retaining wall requirements, if any Reviewed: Z~z Z 7 Na e ! ate / Jamiary1996 CRP1019a818L0GPRMr.FM `If` • EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION - 1 1 OWNER SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area 1f370 sq, ft. X II 2 , 2. Total roof/ceiling area sq. ft. X , ril.Cv - A. Total wall window area 14-4- B. Total door area ~g C. Total sliding glass door area D. Total fireplace wall area E. Total wall framing area (average 10%)........... ) c~f3 F. Total Rim joist area 1 G. Total Net wall area above floor Total exposed foundation area - ( 4$ H. Total foundation window area !o 1. Total net foundation area above grade........... 14-1- Determine "U" value of each wall segment. a. 4 4 _ X "D" b ,57 - b- 25A X "U" 17 3 CP -A da C., X "U d. X "U" 7 = x 4- e. JJF X "U., o = 7, 1 SeL. 4 e•_ l v x "a., .04 h• Cr X "D" t. 142 X "U" a 3 I S• 5 3 ...................................Total 2~- Q If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. _ l' Total exposed roof/ceiling area a ) 33g - j. Total skylight area k. Total roof/ceiling framing area (average 10%)...... -1 24. 1. Total net insulated roof/ceiling area ) 2b Determine "U" value for~^each roof/ceiling segment. i x "U" 7 sJ x sun y yZ `Zj. Co l._ .1 7.,94 X SUN f32Z 2~. 4$ 4 Total 3) .1 ° If total of R4 is the same as, or less than /2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 13 and 84 shall not be greater than the sum of items tl and i2. 1._ 2aS 7 +2. ~Sj 240,49 3. Zd?, e .+4.- 31 . ► 235, t3'2t~~g✓ r-v~r,k~,~ ri,~s,~1g ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) as-- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681.4675 New Construction Reaukemenh Remodel/Repair Requirements D 3 registered site surveys showing sq. it. of lot, sq. ff. of house 2 copies of plan and gy roofed areas f20% maximum lot coveroae allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam i window sixes; poured fnd. design; etc.) I site survey for exterior additions a decks ➢ 1 set of energy calculations ➢ 3 copies of tree preservation plan R [at platted after 711/93 1 DATE: (d Z- / CONSTRUCTION COST. %rdy DESCRIPTION OF WORK: z~ le etlL 19X~Z STREET ADDRESS: 7 UI/ A/ LOT: 17 BLOCK: SUBD./P.I.D. Name: W 4' /4' Phone.#: ~ ✓9 PROPERTY Last First OWNER Address:~,~~yWR/~~'/~Fe Street City State: Zip: J~1J/ OL Company gd,40P.0 /,e4-)J A- ,~Lp G Phone (area code) IVA CONTRACTOR Street Address: e u A J' S License # =E-P p00 ~~ldS City I"t/9GS State: Zip; ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only Penalty applies when address change and lot change Is requested once permit is issued. I Nereby acknowledge that I have read this application, state that the informal Is correct, and agree to comply with all applfcabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. OFFICE USE ONLY Pr- Certificates of Survey Received Yes No 'v Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck 23 Porch (screened) ❑ 04 2-plex 13 09 7-plex ❑ 14 Apartments [3 19 Lower Level 4 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code (J UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs / # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq, ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building _X_L^L Engineering Variance Permit Fee Valuation: $ , "w) Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies '5n& Total: i , SAC Units % SAC 512 S46 9065 1997.12-17 09:49 x376 P•02/02 WLEWOOD DEVELOPMENT 61302-20 532/34 (85.85) d: Block 3, BLACKNAWK FOREST 5CNOELL MADSON, INC. commum 9oa ICU= . emmomcaft sokcO fop of iron monument as shown 'ow -ZQA MWsW4 sum Elevation = 857.30 (N vo-1929) Is,» N sllli-ml ark w ~~1111116 d~ a 3758 Brown Beer Trod This drawing has been aeelred and reviewed the /Z64 day of s.rewy saw !L' 19 , by I hereby aertify that W8 Surrey MW Suewueerew ore =redLUndW fond mq= a nd exit of %vWM the km* the State of MinSurvOW nesota. .?Aft Theodore 0. Kemna Date: 18 DEC 1997 ucenes No. 17006 J, \ Ste: 1. • Denotes iron monument 2. x890.0 - Denatee gmdvUnq spot devoton. ` 3. 090,0) - Denotes Proposed spot elevation. 4.r- - -Denotes direction of surface droinoge• p r 5. Proposed 900" floor elevation - 887.4 a ~ a a DROP GARAGE 2 COURSES O 6• Proposed boeement floor elevation _ 851.3 G ProPoeed basement floor elevation . 856.0 7. Proposed top of foundation devotion . 858.1 30 0 30 60 90 Feet CITY USE ONLY / ~ _ LOT BL RECEIPT E~ q / 22,, ~ 8 (o SUBD. 4~ RECEIPT DATE: ~1°~/`1 NC37~~( 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN m 55122 2-25`18 (612) 681-4675 Date: Complete this section only 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 • Gas outlets (minimum of one required @ $3.00 ea.) (=va tjAQC-, ~fc p, q, on • State Surcharge: .50 • TOTAL: 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: _ 3-758 e) nW N 6eA-k 9-. OWNERNAME: Mf}~nP1)=til06A~q~~ C~2APMt~NT PHONE#: -777- L91.9 INSTALLER NAME: A-POLL,-oI ~TW-6- PHONE '-7-7 0--0G-0 3 STREETADDRESS: e51o N.Abu4 3('6LUD. CITY: DA-V,6AL6 STATE: MN zip: Ss~ZB SIG OF P RMITTEE IS/FORMS BLD/MECH PERMIT (ICES) - 1998 V -4L BL 3 CITY USE ONLY RECEIPT O 7v SUBD. RECEIPT DATE: 9 1998 PLUl-MING PERMIT (RESIDENTIAL) CITY OF RAGAN 3830 PILOT KNOB RD RAGAN, HN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Z = (a.°° Water Closet 3.00 x 3 = 9 O° = G °D Bath Tub 3.00 x 2- Lavatory 3.00 x 5' Kitchen Sink 3.00 x / = 3 g° Laundry Tray 3.00 x 3,°° Hot Tub/Spa 3.00 x = Water Heater 3.00 x t = 3.°` Floor Drain 3.00 x 3p0 Gas Piping Outlet ' minimum -1 3.00 x = 3 Rough Openings 1.50 x 3 = y.sO Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 Private Disposal System ' MPC lie. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 e-fl TOTAL I hereby acknowledge that I have read this application, state that the inPormatlkin is ckirrect, eiW agree to corripy with all applicable City of Eagan ordmanoea 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.~A ~g - eyw vtl 13,ew- Eai I OWNER NAME: ~GO/e[r/yod ~eyeeejopfwe. I- F INSTALLER NAME: Y I dvL ak L/ I'CdWe TELEPHONE* q2--2-"Z32-1 STREET ADDRESS: *Z-I-24h - Z "'~4✓e. CITY: "/k !ta STATE: ZIP: gs303 SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 L gL CITY USE ONLY RECEIPT SUED. RECEIPT DATE: 9 9 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD KAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - t 3.00 x = Rough Openings 1.50 x = 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. _ SU Snrinkler * for existing 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 .500/l TOTAL SV - I hereby acknowledge that I have read this application, state that the information is tarred, 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 activitles to the facilities constructed under this p it within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: V Aye -(t C 2L~ ✓v / INSTALLER NAME: ~4f~' L) wL TELEPHONE STRERESS: tf I - L i & c ~C L, 7~D v it Lr9 CITY: TATE ZIP: : SIGNATURE OF PER~MyITTEE[ CD/PERMIT FORMS/RPLBG PERMIT (RES) -1998 7 ~~T -t~JIY O F7 90.E 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoav Requirements office Use only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and al roofed areas 2 copies of plan showing footings, beams, joists Cad of Survey Recd Y _ N (20°% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - _ Y _ N 1 Soils Report if proposed bulding is to be placed on disturbed soil t site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan shoving beam & window saes; poured found design, etc. Addition -indcate if on-sde septic system Tree Pres Required . _ Y _ N I set of Energy Calculations On-site Septic System _Y-_N 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Options selection sheet (buildups with 3 or less units) Winnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. ,per eo Date l 1~ l Construction Cost chi wCl. Site Address ~ (DU4K y Unit/Ste # Description of work c'1 - /12,67 Multi-Family Bldg -r' _ Y _ Fireplace(s) _ 0 _ 1 _ 2 Property Owner , C CAjYN' Telephone # (661) !y ~a Y - ?J( k 9' Contractor Address o f . City q Plfl State Zip Telephone # (/t ) _ ~y b _/f[pGC' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Cade Worksheet (4 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 permit, and work is not to start without a permit; that the work will be in accordance with the app ved plan in ase of work which requires a review and approval of plans. M Applicants anted Name Applicant Signa PERMIT City of Eagan Permit Type:Building Permit Number:EA112550 Date Issued:08/19/2013 Permit Category:ePermit Site Address: 3758 Brown Bear Tr Lot:17 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-170 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. 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 - Isaac C Strain 3758 Brown Bear Tr Eagan MN 55122 Northern Exteriors Minnesota Inc 6677 Timber Ridge Lane South Cottage Grove MN 55016 (651) 230-5103 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137483 Date Issued:07/06/2016 Permit Category:ePermit Site Address: 3758 Brown Bear Tr Lot:17 Block: 3 Addition: Blackhawk Forest PID:10-14325-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Isaac C Strain 3758 Brown Bear Tr Eagan MN 55122 (651) 688-3428 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature