3873 Big Timber TrCity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: /67 S
/
Permit Fee: J L17.
/-wog'
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 3 87
Tenant:
Suite #:
RESIDENT / OWNER
Name: J CSO tiT "4'- �0 v &..,(i Phone: tm�/ 487 032-1
Address / City / Zip: - ,E 7 3 (BI- t w w- (V`
Applicant is: r Contractor
TYPE OF WORK
Description of work:
Frof bt,a-
Construction Cost: 2.077
Multi -Family Building: (Yes / No XC )
CONTRACTOR
Name: -IL ftAle' I` ULJ ,( DA -C, - License #:
Address: 3 io 43 013 a. t
ra-t
City: i~a- 4 M ' State: V'1 til. Zip: 53 1 2 3
//
Phone: (o 12 7 S 3?73 Contact Person: Vtu 1 dJV '✓'
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:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions, o
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. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.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 approv- •fans.
X RV1 W1 —Dv -
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
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 _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
*Demolition of entire building — give PCA handout to applicant
Occupancy x'r,- fa. MCES System
Code Edition ;, ;:2 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Roof: Ice & Water _Final Pool: Footings _Air/Gas Tests Final
Y. 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:
1- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
D�t\47j
e5 x/414117
r '
CERTIFICATE OF SURVEY
far fi
S86'25'45"E
M32- 2034-99
for
D.R. HORTON �. � („r `7.q7
F
1
43 5.02,
216.66
0
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S76 37'23.,E
"'"Ni.o
Lot = 18,629 sq.ft.
House = 2,547 sq.ft.
f -Th
\
Scale: 1= 30'
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
Date
"1•�.iU6-6)'9 SQ Y Reg. No. 8140
47*Y )3 I f -f.
I tel
/ i3
?S,
v
t�
Top curb to Gar slab = 2k5
Top block =2901C4
Lowest bsmt fir = .%2Z., ,9.
3873 Big Timber Trail
DESCRIPTION
Lot 7, Block 2,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
Existing_
BRANDY ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
M32-2034-99
RECEIVED AUG 1 8 1999
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA080463
10/15/2007
ePermit
Site Address: 3873 Big Timber Tr
Lot: 7 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-070-02
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414-8199
- Applicant -
Owner:
Scott G Husaby
3873 Big Timber Tr
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
1
Date:
r
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2011 RESIDENTIAL BUILDING PERMIT APPLICATIONcAlT
Use BLUE or BLACK Ink
For Office Use
Permit #:
/Dog&
Permit Fee: /a 9 .62 q
Date Received:
Staff:
� j a - l -1(
1 Site Address: 3 q
81 v 14 \�- Irn^l ` C NL Unit #:
Name: Scei-k , 1GS• c I vs k rgg - Phone:
Address / City / Zip: —3 Q(6 11Y\gtk 11c-A1t-
Applicant is:
Owner 1( Contractor
TYPE OF WORK
Description of work: Pt rt fiCt All ow bort 1WG ()toe W I ►N S I 1\1 15 4 - LIN lut )fix
c..
Construction Cost:OCA.) Building: (Yes / No )
Company: 0114)6" ° Ct; 1S)C" '151411
Contact: --3c) 3{alutiCJI`
Address: 41erg KLEO Kfi 1 City: 'F\ riga MALL 1
State: IM ' Zip: 124
Phone: C51— 23c --OGG
License #: 2_CA GI `Zll Lead Certificate #:
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:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions o
the information may be classified as non-public if you provide specific reasons that wouldpermit the Ci ,..:
concludethat 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.gopherstateonecall.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 jf '' 11^ t 11D H
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
3 7' Ze-6,77(y),L6-6-0 O WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
_ Single Family _ Garage
Multi \,J Deck
01 of _ Plex 1 Lower Level
Accessory Building
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition _ Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% y)
Census Code
# of Units
# of Buildings
Type of Construction
v6
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
fvxt�?
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings
Siding: Stucco Lath
Air/Gas Tests _Final
Stone Lath _Brick
Air Test _Final Windows
Retaining Wall: Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
91 1: v /
�l
l< L�� r N,
Page 2 of 3
CERT'IF'ICATE OF suRVEY M32-2034-99
for
D.R.HORTON
7 ?- 7 /?o. /DC`��%C
� ca
Mar faida
S8625'45"E
0
0co
-r-
oomo 5I
0
z Ot
U)
5.02.
216.66
1:1, etc'
1
0
Lot = 18,629 sq.ft.
House = 2,547 sq.ft.
S7 3423.,E
rtZ1,7
P;�,
JVc
Scale:
30'
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
Dated �1 M6- .2.01
Reg. No. 8140
y VV:ED
Top curb to Gar slab =
Top block. = ._2
Lowest bsmt fir = 22.219.
3873 Big :Timber Trail
DESCRIPTION
Lot 7, Block 2,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
Existing
BRANDY ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206.
Burnsville, NN 55306
(612) 435-1966
M32 2034— 99
RECEIVED AUG 1 8 1999
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166992
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 3873 Big Timber Tr
Lot:7 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-070
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 -
Douglas W & Melissa L Tstes Dean
3873 Big Timber Trl
Eagan MN 55123
(651) 249-8141
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:EA168387
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 3873 Big Timber Tr
Lot:7 Block: 2 Addition: Gardenwood Ponds 4th
PID:10-28803-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Douglas W & Melissa L Tstes Dean
3873 Big Timber Trl
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature