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4378 Bent Tree Lane (FtL'ttfiCQte of cCC1tvQliO . wi" of Cf agan 'zoartmeat of Znitbing au#P¢criott This Certiftcate 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 bui[ding construction or use. For the following: Use Classification:_? Bldg. Permi[ No. 7?fi() Occupancy Type Zoning District R) Type Const. jN Ownerof Building PQRTQ[I MARA'F'[ tA7; R T1F.M. Address 179A RT2TAj,ME, F.MIAN- Building Address4,*17.8-RF.A1T TRFF' T.AT3f: L«a?iry T.eu?,?,pTTILfl?1 RITXE_"RD s' Date: Building'Offic. POST iN A CONSPICUOUS PLACE Address 4378 BEDTT TREE LANE Zip 5512 3 Lot b Blk 2 Sub AUTCM RIDGE 3RD THESE ITEMS WERE I WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspectar: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ' Sod/Seeded grass Trail/curb damage Pvrch Basement finish Deck Please verify with the builder the removal of raof 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 Yeilow - Resident Copy Pink - Contracior Copy ? CeiTY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Bu'rLraxNG 022605 12/03/93 I SITE ADDRESS: P. I o N. a 10--12302-060-02 4378 i3ENT 1'REE LANE LDT: 6 BL.CICK: Z AUTtJMN F2Iqt'.,E 3RL] V,13 I DESCRIPTION: sF OwG NEw u--3 M-1 v--N R-3 60 52 ? ?? oc - ? ? _v ? REMARKS: PRv FEE SUMMARY: S& W PLBR - LAKESICIE PLBf Eiase Fee plan Reva.ew 5urcharge 5AC SAC % 5AC Units 5ub Cotal VALUATICIN $797e 00 $518.05 $72e50 $750e00 100 1 $2,137.55 $145, 00tb hiISCELLANEqUS Tatal Fee ..?.?.__?.? 1,744.50 $3,882e05 9ARTSFSM"& qEVEL CQRPN 3799 BRIARWqOq LN EAGAN MP! 55123 (612) 462-6644 14526644 0001e54 ?'%jrftW"HKrG & aEv caRP 3799 BRIARWOCID LN EAGAN MN 55123 ( 612 ) 452--664A REACT I VAT E ?ERKiT E ? vED ? 2141)ON52 3 1993 ?? ???.? ? CITY OF EAGAN 1993 BUILDtNG PERMtT APPLiCAT1UN i681-4675 mm,rI 12-1 SINGLE & MULTi-fAMILY 2 ssts of plans, 3 registered site surveys, 1 copy ofenergy calcs. COMMMERCIAL 2 sets af architectural5 structural,plans, lset of? specifications, 1 copy af energy calcs. Penalty applies: 1) when permit is typed, but nat picked up by last warking day of month- in which request is aaade, 2} address is changed or 3) lot change is requested once permit is issued. QatQ 11 f 22 ? 93 • Valuation of work - Site Addressz 4378 Bent Tree Lane fiTREEt itllTE # Tenant Name: (cartunercial anly) LbT ,6 BIACK 2 SUBD. Autt¢nn Ridge 3rd p• I• n•? Descri tion of work: Single Famil Home The appl i cant i s: ? Owner iM Contractor CI OLh@1" tDeccribe>. Name Parish MarketinQ & Development ?Corp. PhOt1e 452_644 Property LAST flRS7 - Uwner Address 3799 BriaruMd Lane STREET CtE # City Eagan State Mirm. x;p 55123 Company same Phone CO[1tC8Ct01' Address license ? Exp• , City State Zip Company Phone Architect/ Engineer Name Registration # Address City State 2ip Sewer & water licensed -plumber Lakeside Plumbing - 894-7600 . Pracessing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the tnformation-is correct and agree to comply with all applicable State of Minnesota Statutes and City of . Eagan Ordinances. Signature of App1icant: _ OFFtCE USE ONLY 8UlLDlNG PERMIT TYPE O OI Foandat i on O 06 Dupl ex R'02 SF Dwg. ? 07 4-Ptex ? 03 Sf Addition O 08 8-Plex ? 04 SF Parch O 09 12-P]ex D 05 SF Misc. ? 10 Multi. Add'1. ? 11 Apt./todging [] 12 Multf. Misc. O 13 6arage/Accessary ? 14 Fireplace ? 15 Deck .? • . . . _ ?? . xr O 26-Sassiaent.finishO 17 Swim Pool [3,18 Coam./Ind. ? 19 Camrr+. /Ind. Mf sc. CI 20 Publ i c f ac i l i ty ? 21 Miscellaneous WORK TYPE k31 New El 33 Alterations CI 35 Tehant finish E3 37 Demolish ? 32 Addition O 34 Repair ? 36 Mave GENERAL lNF ORMATtON . Const. (Actual) V- N Basement sq. ft. MWCC System i? YES - A1lowable) anc Sccu UBC v• -3 ?,r?•i lst F1. sq. ft. 2nd F1 ft sq ater City PRV Required y p toning . . . Sq. ft: tatal Sooster Pum p f of Stories Footprint Sq. ft. fire 5prink 7er length 6 o? On-site well Census Code ' Depth _ ' On-s i te sewage SAC Code QL_. ? APPROVALS ?. Planning Buiiding Assessments Engineering Variance REQUIRED lN SPECTlONS ' O Site O Footing ? framing ? I?r+sulation ? Wallboard ? Final ? Qraintiie ? Fireplace Permit Fee v.tLati«n: $ 1146,000 SUrcharge , ? mr-e- Plan Review ?A_ C-irs' ? C XZ Z : Lt 6 `{ ltcense ?f/XZZ = Mwcc sAC I b ?C2 2 ; ? ? ?x 1q?iz, ? t? C i ty SAC Ll Water Conn. ...... -?-- 73Z%X.. ~ Water Meter Lsf 912. X I C? 1 Acct. Deposit xzy= `7?.o i'4) S/W Permit Z2?c 3(o = 79 2 S/W Surcharge q X Y7 ? . Treatment Pi. Road Un i t ! ?c lj r ?o Park Ded. Trails Oed. Copies Other w----•--- .-? .• q q 7otal: / N°) ? Y,? ? SRC x 100 SAC llnits 1 ?1'?2k2W .' ?,5`?a r7 4 a! L.""Ll ? ? ? ¦ . ? ? ? . 10. Lii,'g-, 16: ?Ll 25 00 m ? z OD ? wi 0) z SURVEYOR'S CER'??????ATE r?10M US ?v.v I s X4 ? ? I57/8 r_ '^ 3r'? nn -?,?- r ? ? N 0 N PAR3SH MARKETIN4 -? N667°33'03" W . ID ? 36.33 i LU tV ? ? Q UI ? ? io ? ? ? .? 30,40 -- q? 14 l9571 ? 3 ? t, (^y r 4*1 \ • L /?, j 1?rJ O? ? '? ,0 x ? w ? ICU ? 22.33 95?.0- - :?0' • A? ?? h J 52,33 0 9 ? 1? ?t8 ??"(?? I(?? ?I D.02 N6733 03 W ?;?r?.:,v'?I a rR r???E . r 1 sec3?t? ?" L ? '044. -052'zo ?-iL?? ? ! t I ? ? 1 V OTE' F!U SPECF'tG $ OILS thlVESTIGATION F1A3 BEE" COMF{.E'r'ED ON 7HIS G0TSY THE SURVEYOR. THE SulI':481I.ii'Y OF SbILS TO SUPFOR7 THE SPECiFiG 1i0U5E PAGYOStiD tS N07 THE RESpONSiBIL17Y bF THE SURYEYbA. No---- DENOTES PRpPOSED SURFACE ORAINA.`.,E Q DEN4TES IRdN MONUMENT SET • DENOTES IROIV MONUMENT FOUND XO¢p.a DF-NOTES EXISTING Et,EVATIQN (000•0) DENQTES PROPOSEQ EL.F-VA7lf]N REPRESENI'A'1 fUN OF A SURVF-Y al= THE 80UNDARiIES OF;. t..ot 6, 81ock 2' , AUTUMN RIDGE..3RQ ADD17ION. accQrdinq to the reearded plvf tMereof, Dokota •County, Minnesoia. DA7Ei? B-? 22-90, EAGAN IT DOES NOT PUFiPdRT TO SHOW IMPROVF-MENTS OR ENCROACHMEN'CS, EXCEPT AS SHCaWiV. AS SURVEYED BY ME UR UNUEFi MY DlRECT SUPERVISiON THfS 25'ft-i QAY OF Sf..f'T, , 199:3. PROP05ED GRADE5 SNOWN WERE .-•" '-•., . TAKEN FROM THE pEVE1JJPMENT SIGN (ov. .l ME R. HILL, INPI.AN FOR AU'fUMN RIp6E Pt?E- pAp51) Bv aIOHf?f? £NG. LAST l ? ,?, ? ? S17019`36 liw .12.44 ED DEPT. NOTE; BUtLDING DIMEJ+tSlt1N5 SHOWN Af2E FQR FK3RiZQHYA 9 VEATtCAL LbCA7fON OF S7'f7uG'fURE UNL7 SEE A"!'r$C"1'URL F'LANS POR BVfLD1NG 5 FQUNpA'i'ION DIMF-hSIPNS. S(:ALE: 1 lNGH F^- 30 FEET PROPOSED GARAGE PLOt?R -- q j I=EEI PROFOSED LdWEST FLOOR =L?16- k FEET pp. E??TOP?...fJ? ?I?GK?». 7 .-,?EET ?t s a WE HEREBY CERTIFY Tp i'Af215H MARKETING TNAT TH1S IS A TRUE AND CORREQT JOMN C. IARS(7N, LAND 5URVEYOFt M1NNE$OTA L.IGENSE NUMBER 18828 ? 0 O ? o o t' F n z O > m ? m . . ?, . James R. Hill, inc. PLANNERS / ENGfNEERS / SURVEYORS 2500 W. GTY. RD. 42 • gURNSVILLE, MN. 55337 • 612-$90-6044 I ? w < ? ? ? 41C a m < ?. 0 CI' ? 0 0 t??0 0 0 0 ? ? LOT SIIRVEY C$ECRLIBT FOIt RESIDENTIAL $IIILDING,PXRMIT PROPERTY LEGAL: Date of 8urvey: UOCUMENT STANDARDS 44r , ? / // ?'?3 • Registered Land Surveyor signature and company • Building Permit Applicant ' • Legal description • Address • North arrow and bar scale • House type (rambler, walkout, sglit w/o, split lookout, etc.) • Directional drainage arrows with slope/gradient t. • Proposed/existing sewer and water services • Street name • Driveway ELEVATIONS entry, Existinq ? 0 0 /d • Sewer service ? t? 0 0 • Lot corners 0 D • Top of curb at the driveway C] ? 0 • Elevations of any existing adjacent homes Prooosed ?? 0 • Garage floor ? 0 0 • First floor 0? ? 0 • Lowest exposed elevation (walkout/windaw) ,0 ?? 0 • Property corners ? 0?' O' 0 • Front and rear of home at the foundation PONDING AREAS (if applicable) ?0 • Easement line ? 0 0^ ? • • NwL HWL 8 '? • Pond # designation ? L] H' 0 • Emergency Overflow Elevation pIMENSIONS B""D 0 • Lot lines 01? 0 0 • Right-of-way and street width (to back of curb) 0 0 0 • Proposed home dimensions including any progosed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) -Ef 0 0 • Show all easements of record and any City utilities within / those easements ?1 ?? • Setbacks of proposed structure and setback of adjacent ? existing homes D ??' 0 • Retaining w re ir ents, if any ?5 Reviewed: ? N e / ate October 1992 . ? ? ,?pGV/zG&' 7T A,?•--'? EXTGf2IUit GNVL•'CAI't: AVI:It11Cr "U" CUMt'U7'ATIO11 GW W f: R SI'fi; ADDtt1:JJ . jLC,>C- ;? ? K? ??- fi-c K f ? i , coNTRAc•rou %?/1/?/?/ /Y'lA/I,L'E77.tJG ? 1?t7?• _ OATE PItONL . ? Octermine Working square footaqc of each. 1. Total expased wall arca .......l7 sq. ft. x 2. Total roof.ceilinq area ...... _%?''~.r?D.d sq. ft, x •025 =?1g•O Total exposed wall area above floor a. Total wall window area .................................. b. Total door area ........................................... c. Total slidinq glass door'area ........................ .... ci. Total fireplace wall area ................................. l3?L'CrPe- e. Total wall framing area (averaqe lOt) ..................... f. Total net wall area above floor ........................... 19ZL•O . g. Total rim joist area ...................................... f?/.Gb Total exposed foundation area = ?„3•? h. Total foundation window area .............................. i. Total net foundation area above grade ..................... // ?.3 Determine "U" value of each wall segment. a. X .. U.. .?-s = 9?• ___. b, yZ.B X ..u.• . o7& ?. 3 3 c X .,u.. , ?s- _ ?/• 3 a. o x °u-• - a = v e. o,z y/• O X ..u.. •/d? = o??' 9 `, _/f?/'?-?--- .. ?u•• . _?-_U .y.? _ _ -_ ._ _..?o ?.7. _ .._ . .. ?r.?- 3 . ... , 083 9 y . .. , . .. . , • .? . I .. ` , . 6',Fd/c, G,P7T4GU iV _ A 4-//_1 3 _. f f itcm N3 i, thc same as, , or lcss thaii item ql, yo h.vt: m?•.?h?<<:?t A oc sBc 6oo??ccyz. ?yI .3)4 ?ry,?`/ ?s.?? ? . ? ?.? ?5?3G G?UIn'?.?L Total exposed rouf/cciliny area = `,?Aq• ? j Tota1 skylight area ....................................... k. Total zooffceiliny Eraminq area (avc:rayc Lr'?) . • . • • • • • • • • • 1. Total net insulatcd rooE/cuilin(j arc:i ..................... _/3bB•O_ 3 ..................................... ToLal Determine "U" valuc for each roof/ceiling scqmenr_. .. ?. 0 X1.U.. k. x@. U,. , d 2 3 _ .?- •? x,.U.. 4 ............................ . ......Total If total of #4 is the same as, or less than #2, you have mct t}ic inCent of SBC 6006 (01. P,6,, Wy r?3-3,'-- 949f? V& -7 C38 a-) ?e*a` ? S j3 c Goo !o ?C') / Alternate Building Envelope Design To utilize the total envelope system methocl, tlie values establish•.d by the sum of items a3 and 04 shall not be qreater than t2ie sum of items NI and 92. + z. 3?, d _ .703,, . 3. ? y/ 3 + 4. 33/ G? ? 7S` ,s?? G a•e?o-?? -., ?? - . ?• ? ":? ? ry? $ #Y•F:'. P ^?"?} ks * c ? ?^.. •3 r ?,'?? $'T,?'?4h^ d ?,w: ? ? ? P ? Z A ? , ?• ? ? .. - . & ' R M " ' .. .. ? . r . F, ?-. , ? r °.. ,- .. ? . , . _? ? . ?WAUXt ! NAM E: : ? . ? '? ? ? ' ? .? ?, "? ," ,?" # ,x? . " ?* • . y? t ? ? ? ? + ?' - ?¢ ?, ". -_ ; '_ ; - , $. • .'? ?? - ? ? ' 4b ? i ?Y 'xhF ."s ' ` . . - . _ ;. ? ;• ?? VJ ?? ?'?:? .? Wy,: F .p.: t lC . ? 4 k u„ r. . '> ! _ >. 1+ ? • '- ? n . . .. , F'.?Fy ? ?: 3 - s ? ' ., ? ? « . . ? . r , k w ? f ow k A r '6 t. i " w ? ? ? *?. ? Vi/?'1+l?,? • _ , -, fi RE5IDENTIAL ? BUILDING PIERMIT APPI.ICATtON ? ?', C1TY Of EAGAN ? 3830 Pli.flt KNOB Rti - 35122 6S1-681-"75 V RWMWMMk 0 3 reQistered s'de sunreys ahawms s4. R at bt, sq. n a nouse: and gj moted areas . s copka a plan (2076 mtximum bt covera4e aNnwed) . i set ot Enengy CaWedons torheated aftars • 2 Copes d ppltt showing beam & window sizes: Poured fownd design, etc.) . 1 siNS survey for extet4or sddl6ons & deft • 1 set of Enpgy Cak;,lations • S capies of Tree Preservation Plan if lot plaGed after 7/1193 ? Rim Jast Demi'I Options selection sheet (bidgs wfitt 3 or less tuft) DATE 3-201 VALUATION (?XCEUOINC3 uNa) l l?? .; J8 SlTE ADDRESS y 3?8 aN T_ -7-P a 04 IF MULTI-FAAAILY BUlLD{NG, HOW MANY UNITS? 1 PR4PERTY OWNER I-?b-f (7 , T1fPE OF WORK RCr FIREPLAcE(s) 0.`1 -2 _.3 APPLtCANT _W QUV?t, C??? Z SC???LPHQNE # ?L3 ?q/ _ b-??"? ADDRESS g "700 13 n' /f Vt- ZIP COt3E ? PAGER # CELL PHONE #?¢? FA,X # NE1V RESlDENTIAL BU1LQiNG' ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATECpRY 1 (check one) - ResidenBa# Ventilation Category 1 Worksheet Submitted - Energy Ertvelope Caiculatrons Submttted _ MINNESOTA RULES 7672 - New Energy Code Workshee# Submitted Ptumbing Conhactor. . Phane #: - Plumbing System Includes: ? tiVater Svftener Ia.wn Sprinkler Fee: $90,04 ? Water Heater ? NQ. af R.I. Baths _ No. of Baths Mechanical Conhactor. Phone ? Nlechanical S}•stem Includes: ? Air Conditioning Fee: $70:00` ? Heat Recovery System Sswer/Water Contractor. Phone # Ali above information must be submitted prior to processing of app{ication. I hereby ocknowiedge thot 1 have read iNs applicat'ron, state thot the information is correcf, ond ogree t? comply with oll app{icabie State of Minnesofia Stafiutes and City of Eagon Ordinanc . Signatwe of Appiicant ? Certifiicates of Survey Received _ Tree Preservation Plan Received _ No# Requirsd _ ,.. tlpxlatod I l0l OFFICE USE ONLY 0 01 Foundation ? 02 SF Dwetling 0 03 01 of _ plex O 04 Q2-plex 0 05 03-plex O 06 04-piex 0 07 05-plex O 13 16-plex ? 08 06-piex ? 16 Fireplace O 09 07-plex ? 17 Garage D 10 08-plex ? 18 Deck ? 11 10-plex 0 19 Lower Level O 12 12-plex Plbg Y or _ N O 20 Pool ? 21 Parch (3-sea.) ? 22 Porch/Addn. (4-sea.) 13 23 Porch (screened) 0 24 Storm Damage 0 25 Miscellaneous O 30 Accessory 81dg; ? 31 Ext. Att - N6iii8 ? 33 Ead. Att - SF O 36 Multi D 31 New O 35 Int Improvement 0 38 Demoiish (Interior) O 44 Siding r? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair O 33 Alteration C3 37 Demotish (81dg)• ? 43 Reroof 0 46 Windows/Doors ? 34 Reptacement 'Dtmolition (Entlrs Bldg only) • Glve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning C+ty Watet SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklereti Type of Const Width ' REQUIRED INSPECTiONS _ Footings (new bldg) ? FinaUC.O. Footings (deck) ? FinaUNo C.O. _ _ Footings (addition) ? Plumbing Faundation ? HVAC Drain Tile Roof Ice & Water Final Other _ Framing Pool _ Ftgs _ AirJGas Tests ^ Final _ Fireplace _ R.I. _ Air Test _ Final ? Siding Stucco Stone InsuIation , Windows (new/reglacement) Approved By , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supp{y & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanicat Permit License Search Copies Other Totai 3,77 ? ??J .?im ?? - ? ? it NunY#w: +` rr ?? VM 1 ?? . ? ? ' Date Issued: ? 675 t F?: . . ? . . . . . . . . .. . . . - ? i? ' S. ,A¦ PUCAR !T. ? #'4 t # F`. ih V t. t1 fit u P# it, R 0.1 . 1`A #,f1 V4n (.?:° , p?? } ('?t ?'??R-?.I?F9¦°T' iS,?3?,#1"Ac? .???1) . ' 4 {;e.'..Y..`rCA"! . , > _ . ., . TYP ? OFW VRK , • ! Y ?3w ,A a r : - .. ? i'` OtJ ND14 1 I f'r N a? a y? h .F=OW P E, ? l-, Y.? . .. . ' ' . . ? ' . . .$ P #-t£j F°??N A C' ? .4 1,1 6' t 6#a t-i . ? . ?, I/ famm"aft ?...?,?.-._ Ft PAROPO fk%O Pto, ; orut. 3 ? FkW Wo. t3rsat Too ficid Plbg. . Cotot. i?e+ea' s EiWJPbn r Oft FkW Do& no. Dllcit FiW wed Pr: t?p, Pk)9• Irspeccu' - PMfr Ph,wrd)sr ?w r. . ? ? ... . ? PERMIT Permit Type: Building City of Eagan Permit Number: EA106088 Date Issued: 08/09/2012 Permit Category: ePermit Site Address: 4378 Bent Tree Lane Lot: 6 Block: 2 Addition: Autumn Ridge 03rd PID: 10-12302-02-060 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Comments: Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Renewal Andersen Nancy Kay Berg 1920 County Road C West 4378 Bent Tree Lane Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA111340 Date Issued:06/19/2013 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117949 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126591 Date Issued:09/02/2014 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 (224) 456-0452 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r . For Office Use CIA`P .6 City EaftallO1 :::ee : -e20 •�� 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received:r2 _/ 7 Phone: (651)675-5675 Fax: (651)675-5694 FEB 1 6 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 i I b f l7 Site Address: 437 8-e,n+ Tr'e - L on& Unit#: Name: C,-/1,1(1C3 (/(//)C@)c Phone: I i Resident/ Owner I Address/City/Zip: `{37' 6Ct7'f Tre f' L,1 tl r .4 ) 1_,, 1 Applicant is: Owner i Contractor I Description of work: r'le t,' 20 XII d k („/'fh ,,YmirS l',- r04 I I Type of Work 9 1 r I' Construction Cost: 2, 600 Multi Family Building: (Yes /No ) 2 Company: .. • ' - • Contact: /y1 e'1 Contractor Address: 122.7 7 N c,a 11-c1- Ave, S City: , �^,r f 5'v'; 1 1-(- State: t N Zip: 5633) Phone: 'S2 73fo 33`1 Email: Tyle-j"C� 114/11-Ain4< , Coin 4 1 License#: 8,52oo 15 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes, date and address of master plan: 1 1 Licensed Plumber: Phone: I 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 classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I 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.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x T(�J sir wct/) x it� 4., �✓l c Applicafit's Printed Name. / Applicants Signature Page 1 of 3 Z,?7 glLlL 7(7-6-6: �' DO NOT WRITE BELOW THIS LINE /L///t E SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi `y Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* yAddition 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 Y.±9,,i_i 0 Occupancy h,,,L,, MCES System Plan Review Code Edition id SAC Units (25%_ 100%>' ) Zoning k /y,. City Water Census Code / Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vt) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: `�f Footings (Deck) Final I C.O. Required (" Footings (Addition) Y., Final/ No C.O. Required Foundation Foundation Before Backfill f HVAC_Gas Service Test Gas Line Air Test 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: j , Building Inspector RESIDENTIAL FEES Base Fee ( L/12' ir Surcharge " Plan Review MCES SAC iyA illi City SAC Utility Connection Charge .) C6' 4)�.. 4/ 2,00 S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 10.'01.. a.3 1 ,:20 001 ' 41 -7 &- F ....6- lf 4411844 PARISH MARKETING SURVEYOR'S CERTIFICATE ,itpri q r \ (1... n(-1,0(/ W fir 1\r rEi,E-PI1 ' alb$ LOT I 7 \ L (-II 3, 1d: 25 cq{ 451) ) 3"w 6'Ws-1 g1701913811W �` !5?:/18 N 67° 948:$ ;-12,44 0 0: ! ` 1nI co : .r.— St •0 1:::.,, .....,-. ,,,-7.-„,::...e..... ....1-- ___,../ ......-- ___. ,.-- ............. .,...--- 15 1 ildillr N- 36,33 ` 1 I l 5.1 U WI ID ii t4:-\\4$ lig CI II c"\\ I . (i) ' !I :11r4)4 N I 952,3 r 0� t 1 . iisswi 0 t \a , Q ci-S2'° \ it`i It a 0 _ N tf5 0 \i, iiii to to 122.33 90.0_ - :j(h is '5 • cd (.4 l 10 ' _��. .1-_.-• --•-12.5°-."'---,.x- — — // J ; `�- 8 gl ,` -� 30,00 - 1 - 3�""3"..."-� 98 9 , 11 / �� 9s3,i� r\I °°l(9,5, 148.02 N 67°3S 03 W �A, rtI �..1 Y�I 3 i • 25 9) rr fc; ..EL �y 1 r f+". "-IN, L.I TO 13F P1PE L v . v l� f^ID I'1-1, N I 'KV.. 6230 /-�L..L. 1 1 1%..11N .,..1.01,_. 4 i ErD It B I Pro•r. ///z..r/p OTE' NV Sr✓ECirIC ;OILS .INVESTIGATION HAS BEEN COMPLETED EAGAN END1NEMING DEPT. ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOTE; BUILDING DIMENSIONS SHOWN ARE FOR N3RIZONTA NOT THE RESPONSIBILITY OF THE SURVEYOR. 8 VERTICAL LOCATION OF STRUCTURE ONLY. SEE 4----- DENOTES PROPOSED SURFACE DRAINAGE ARCHITECTUAL PANS FOR SUILDINO e, FOUNDATION DIMENSIONS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR ---'+7 3-' / FEEI X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ---•=g 46•i' FEET (000.0) DENOTES PROPOSED ELEVATIONP Pft It OPr..LSF--BLOC.K i'`I 4 -FEET i WE HEREBY CERTIFY TO PARISH MARKETING THAT THIS IS A TRUE AND CORRECT REPRESENTA1 ION OF A SURVEY OF THE BOUNDARIES OF: Lot 6 , 8(ock 2' , AUTUMN RIDGE..3RD ADDITION, according to the recorded plot thereof, Dakota ,County , MInneSota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF SEPT, , 1993. PROPOSEDGRADES SHOWN WERE . TAKENFROM THE DEVELOPMENT SIGN J' ME R. HILL. INC. PLAN FOR AUTUMN RIDGE PRE- DATED BY22-9PION G. LAST JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 )?,1\i lO JaniesR. Hi11, inc. o 8 O ^) -1 a hTTwz s m `' z PLANNERS I ENGINEERS / SURVEYORS T DI O m C { v,. 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 , rrr- PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA141971 Date Issued:04/10/2017 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 (224) 456-0452 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146996 Date Issued:11/30/2017 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 (651) 348-2253 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161871 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161871 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 4378 Bent Tree Lane Lot:6 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Charles Iii R Wilcox 4378 Bent Tree Lane Eagan MN 55123 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature