1782 Brant Cir
Use BLUE or BLACK Ink
r----------------
For Office Use
of I I
City Ol on Permit#: I Permit Fee:
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received: I'D
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: 64-f-N 19 Phone: t ,5I -A~~~~
Address / City/ Zip: / /'j
Applicant is: Owner ✓ Contractor n
TYPE OF WORK Description of work:'
Construction Cost: Gds Multi-Family Building: (Yes No
CONTRACTOR Name: 1 ge-. License#: 26b33ooel
Address: 1?C City: jdao(e
State: M/u Zip: 55~ / I Phone: to f!' 36J - s-'F 449,
Contact: Vet IVt t L mail:
- I 4Lak~j
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 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without , ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X x
Ap icant's Print d ame Applic s 1 ature
Page 1 of 2
Parcel Files Cover Sheet
Unique ID: 2153
1782 Brant Cir
104725305002
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: 0 .t H
(612) 681-4675
I
SITE ADDRESS: I
APPLICANT: ~
•
t HO., A'6 I ":c -A). i it ; t i 131fsf Y I NI I ltr! l
t+I;'`Iilt t Ff•e lIII ~t i.' 1 i tf
PERMIT SUBTYPE: TYPE OF WORK:
I fit It, Jf it
INSPECTION DATE INSPTA. • TYPE DATE INSPTR.
~ fill f t t~tl~', F• ittli~3j1/i I 1
f
t t i; ' ~ ! t l t'. ! t ~ ~ td t' 'i i' "r I !11 t
t`fltllyi{ t it 11; Ir l~ffi'vlt ! i 1i
i f i't 4i I I!:!.
2: } 1 Vd i- I t t_.t { E. t: I, I F t f I P > t (f i i , ? b; 1 r ; I_ j
r-
r Permit No. Permit Holder Date Telephone #
ELECTRIC qT
PLUMBING
HVAC S/ J~ ~p ~lj
Inspection Insp. Comments
FOOTINGS e
FOUND
FRAMING 1-11 7 ~ `6/Q7 ~L
ROOFING / {
I~
ROUGH
PLUMBING ,tL
PLBG
AIRTEST ,.y
ROUGH
HEATING
GAS SVC fatllel,
TEST
1
INSUL
GYP BOARD
FIREPLACE
AIRTEST CE 4 J, IF
~
FINAL PLBG -3-11-7730-
FINAL HTG
ORSAT
TEST
BLDG FINAL "ft/f l
BSMT R.I. i
BSMT FINAL
DECK FTG
i/
DECK FINAL
T
1
i
C~► ericate a~ ~ccpa~c~~ - s
(OM Of 0"-
r
This Certificate issued pursuant to the requirements of the Uniform Building Cade
certifying that at the time of issuance this structure was in compliance with the various ij
ordinances of the City regulating building construction or use. For the following.
use boa SF DWG BM& PaaKt No. 28779,
Y TWO R-3 U-1 Zooia~ fJistriec Va TyI.C..M. R-1
OW.Oesam" BUTLER HOUSING CORPAd&,. P 0 BOX 24597, APPLE VALLEY, MH
1782 BRANT i;IR t aw«y LS, B2, MALLARD PARK 477
Daw
POST IN A CCNNSPIUMS PLACE
1782 BRANT CUR Zip 5512
J1 5 Blk 2 Sub HALLAU PARK 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: / 97 Yes No Inspector:
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 L/
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 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor COPY
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
353-450 ❑7
~0
PLEASE PRINT OR TYPE,L4r,6
Req to Rough-in inspection wired. Y
es No Inspection Other Than Rough-In: ❑ Ready Now Will Call
X
(You must call the inspector when ready) Dale Ready:
I, lic nsed contractor ❑ owner hereby request inspection of the above electrical work at:
Jo do (S at, Route No.) CRY Zip Code
Section No. Township Name or No. Range No. Fire No. CountyI
Oc
"OR +ier Pho
3 t 3 Z-►
pier re r
Elect ractor( mpa m
V-A
M {C e) Contr r N Master Lie. No. (Plant Elect. Only)
" _Yontracr 'N
tor or Owner Pe mi Ins= do
cop
un r ntr or r O rfor ing Inst a ion) Pho
EB-000o1A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
P } REQUEST FOR ELECTRICAL INSPECTION 69
Ave., oRm of Electricity
IIIIIIIIIi1t1~~NI~~Rllll~lllllll~~IIIN~I~IIIII Minnesota Board
821 S-128 St. Paul, MN 55104
* 0 3 5 3 4 8 0 7* Phone (612) 642-0800
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
li
Calculate Inspection Fee - This inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps IiAho 0 to 100 Amps
1901-10-
Street Ltg_/Traffic Sig. Above 200 Amps bove 100 Amps
Transformer/ Generator INSPECTOR'S USE ONLY /1 ~/►1 ,~j TOTAL ® -40
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control J
Swimming Pool I hereby cert fy that 1. sped ica latio described herein on the dates t
Irrigation Boom Rough-In
Special Inspection
--jwm
Investigative Fee Final Date
I
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTH
i'
. ~ ~ ~ 9~~1'_.i~i!~~~)iir II Vii, ~r • :1., -
0 5 6 ? 6
COY OF EAGAN
CASH:[E'6= C T'E:RHTNAK Non 539
IIA7E: O9./36 7IMEe 1 ;.00;.'.,6 "
NAME: PF HPLOTNG CO ;~,d Il,
j "
2256 9001 022 BRANT CIR 4,708.38
I- i
S I
~ I.
~
Total Receipt WOW : 4..70S.38
USER T;'i;; NANCY C„
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1 11
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4 PERMIT
CITY OFEAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 7 9
(612) 681-4675 Date Issued: 09/18/96
SITE ADDRESS:
1782 BRANT CIR
LOT: 5 BLOCK: 2
MALLARD PARK 4TH
'P.I.N.: 10-47253-050-02
DESCRIPTION:
B~ildin Permit Type SF 0WG
uilding abrk Type NEW
lJ'<9C flccupncy R-3 U-1
.''CpristYUCti)o`n`'7}e V-N
Zoning =z R-1
Building Aenqth; 51
8ui„1<41n9 .W*tlth 55
B i d e ries 11,61E
LAIL, F~et
Csc~G,vi 101 1 - FAM. DETACH
R
f r
If
N! tzl'
REMARKS:
PRV S & W PLBR - WELTER & BLAYLOCK PLBG
FEE SUMMARY:
VALUATION $163,000
Base Fee $1,202.25 MISCELLANEOUS $1,923.50
Plan Review $601.13 Total Fee $4,708.38
Surcharge $81.50
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $2,784.88
CONTRACTOR: - Applicant - ST. LIC OWNER:
BUTLER HOUSING CORP 14314132 0001715 BUTLER HOUSING CORP
P 0 BOX 24597 P 0 BOX 24597
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4132 (612)431-4132
I hereby acknowledge that -I have read rthis application and stare that the
=nforinaona tarot an`egrF tc csinply 't;nth a$: aPP1i,1~b1B=;tate,f
ILI
Statutes and city of Eagah--Ordinances.:
f ~~tE
PPLICANT/PERMITEE SIGNATURE BY. S NA R
CITY OF EAGAN 41 1 0 U. M
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)~~
681-4675
New Construction Reouirements Remodel Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ♦ 2 site surveys (erdedor additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservatio:9 n d lot stied after 711/93
required: _ Yes No ~ o -Frz ,i S po
1
DATE: -P-> ~c2Co CONSTRUCTION ~CgOS~T-~~
DESCRIPTION OF WORK: 77 11 n -e-Qvyl i U3 ` f a
STREET ADDRESS: r p 5 Mallard fC f
LOT BLOCK SUBD./P.I.D. a~rlL41~ `
PROPERTY Name: l er I Ou!!~ Phone 45(-4132-
OWNER XST
Street Address- o E)CQ ZASCI-7
Arbe V--!7 State: Zip: zq-
City
CONTRACTOR Company:/ ~ClS( Phone#: ~~-`7`4(3Z
Street Address: ` 1. D,1 -?->C)X, License I~~r 17- City : t1 In~2 lc~ l~U State: VV' ~ zip:
ARCHITECT/ Company: 3z~ L~ t' 1~ D r Phone 0L2ffi
ENGINEER / ~Ij 1A ~
Name: k R IJ Cic1~~ l~ Registration --1-~-
Street Address- CCM
City: 630✓Yll Vl ~O State: I Zip:
Sewer & water licensed plumber: /•lPenalty 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 information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: /
OFFICE USE ONLY R EC E MME DD
Certificates of Survey Received Y No
Tree Preservation Plan Received Yes No
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
)a- OR31 New ❑ 33 Alterations ❑ 36 . Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) VrJ Basement sq. ft. go4/ MCNVS System
(Allowable) 1i d Main level sq. ft. 1,104 City Water ~
sq. ft. -7 114 Fire Sprinklered
UBC Occupancy 3. U_ Lemm
Zoning R i sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length 77sq. ft. Census Code. lot
Depth sal, 9 - Footprint sq. ft. I.(, + 8 SAC Code 61
Census Bldg l
Census Unit l
APPROVALS
Planning Building MP3 Engineering Variance
Permit Fee Valuation: $ 3, vvo. -
Surcharge Bast, J--
Plan Review
License 2-,. s u S~ y o z- r
MCNVS SAC 13 x 3 C. 3 3 H 7 L_ 3
City SAC u, 33 2 -
Water Conn.
u s = ~r tea' s
Water Meter ~ a o 3 , s
Acct. Deposit s t
SNV Permit
SNV Surcharge 4" S y o3, s u sy = + o z , ~9. -
Treatment PI.
Road Unit
Park Dad.
Trails Dad. 20U
Other
Copies , s. 3 3 G z
Total: 'a7.33+r ~q 57G • 3
21zzz.6~ v5.3
%SAC 7/ ' 0,`= fl, `/7.G
SAC Units 1 Z,, 1i 9 N I o
- ' Siur~r's C~ittftaanGe
SMge~Y FOR : Butler Housing Corp.
OESMIBM AS : Lot 5, Block 2, NALIg1% PSBR 4TH ADDITION, City of Eagan,
Dakota County, Minnesota and
reserving easements of recor 2633 20, cc
1
~ tr a
L_ I. I 1 998.
X42. e N870 32' 33' E 70.57
30
~p.~P~` y- 0606 / ~ 1 1}11
• A~ / / e 2A
5A~ ' I1gp n: n~ry!
991. s// t ° y 8. o czG 1U. d g r I aT 1 I °o a M C U 1
o I I ° 26.00 0 30.00
I I I 2. DO -may,
.ti I o
26.33 ,,rape o yxx~ni ` q~-1'l.0
w I 9?2~ 1"
~r an
I I peek 1
~ 9. 33 3 u
J I I • 1
r
--e- Proposed I ~
o e I C1~
I ° Raa lar iO
13ea. ■ia e 950. to
C{3ci,~ y 2.00 iw I ti I
440,0 a 114~
Q
Q4 3 I f
47.00 n f
y e o I 1
BSS o /
114, lz~
G4ku..5 /
946. 5
ca,~3 i
LOT SO. FOOTAGE = 18, 323E ~S
PROPOSED ELEVATIONS BENCHMARK,
Top of Foundation .951.3 rwm @ 4318 W to
Garage Floor °950q Fleu•4glo.4~
Basement Floor =942,5
Aprox. Sewer Service Elev. °a3v.o*-
Proposed Elev. ° O MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions Front -ao House Side -Io
Denotes offset Stake ° SCALE : i inch ° 30 Feet Rear -2s Garage Side -5
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION %R-295
I~EOL~//1/0 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOW! Planning Engineering Surveying
9201 Fpt el°wlMt p prMwe"I2e, MInOO°L 5120 Date JE Y L OPEN. LANG SU EYOR CADD FILE: IC N AML NUMBER 4376 ~,«ICr9o
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BLAMING PER IT APPLICATION
PROPERTY LEGAL: S Z
DATE OF SURVEY: .rZ
I Ell-
LATEST REVISION:
m
DOCUMENT STANDARDS
a z°
❑ • Registered Land Surveyor signature and company
❑ ❑ • Building Permit Applicant
❑ • Legal description
El ❑ ❑ • Address
51 ❑ • North arrow and scale
p/ ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc)
❑ • Directional drainage arrows with slope/gradient %
❑ • Proposed/existing sewer and water services & invert elevation
>r ❑ ❑ Street name
a---❑ ❑ • Driveway
ELEVATIONS
tin
V ❑ ❑ • Sewer service (or Proposed)
❑ ❑ • Property comers
❑ • Top of curb at the driveway
❑ ❑ • Elevations of any existing adjacent homes
Proposed
d ❑ ❑ • Garage floor
Er ❑ ❑ • First floor
12" ❑ ❑ • Lowest exposed elevation (walkout/window)
0~ ❑ ❑ • Property comers
❑ cr-'a • Front and rear of home at the foundation
PONDING AREA (if aoclicable)
❑ [d' ❑ Easement line
❑ M' ❑ • NWL
❑ tr ❑ • HWL
❑ g" [3 Pond # designation
❑ ❑ • Emergency Overflow Elevation
DIMENSIONS
er' ❑ ❑ Lot lines/Bearings & dimensions
❑ ❑ • Right-of-way and street width (to back of curb)
Er' ❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
❑ ❑ • Show all easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ y~ ❑ • Retaining wall requiremen
Reviewed:
N -a' m e Date/
January 1998
CRA1G1990aLDGPRMTFM
S-1+42
MH 20 ~93P.
45
MH 19
r
\ S-0+94 935.0
i 1 F -!ig EEN 93s.5 43
6`1132 BEND D \ \ 44
HYDRANT
6"x 6" TEE / \ H
s-o+78 !
1
939.0 / ~
4 \ 43
T CIRCLE
44
1
Hi 19 f
I f ! ( MH, 18
345 6'PO
SED GRROE
MAT .
C, E
9E 2 3D . PVC 1 t \
1. i i 1 $ PV .li 1.2Qf -
j 83 LF 8.' PVC
f` E 9. Q
n rL+ 4: 3 _
j i
is S-1+95
9445 16 ,n ==i
E" f 1 iE BEND 28 ! 5 s
27
NT WORKSHEET FOR 1 & 2 FAMILY DWELLINGS
ENERGY pCODE
SITE ADDRESS p ~l ( y sCry 0126z~ aa .CITY A Y9J4N
//COMPLETED BY: r C PHONE q J I- 232 DATE :O
BUILDING CLASSIFICATION: ❑ category 1 (must include ventilation) or ❑ category 2 (standard)
MINIMUM CRITERIA
Foundation Insulation-R10 Walla & Windows Roof Attic Insulation:
(See table on reverse side
Slab on Grade Insulation-R10 for allowable percentages) R44-With Attic No Heel
Floor over unheated 5paces-R24 R38-With Attic Raised Heel
Foundation Windows 1/2" R38 & R5-Solid Rafters
insulated Glass.
-Wood or Vinyl Frame
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall
A. Total Window & Door Area in Sq. Feet
WINDOWS (Including Foundation Windows):
WINDOW MANUFACTURE NAME: p ~/f'0= C. From Step 1 divide box A (Window & Door
D - 14 1CL Fo Area) by box B (total wall area) times 100
WINDOW MANUFACTURE TYPE: Ge(t) - equals the window and door area as a
e 3~/ percent of wall area (box C).
WINDOW MANUFACTURE U FACTOR: 3~~•9
R. O. Quantity sq. ft.Area BOX A _I X 100 = C = /
Dimensions BOX B3 193 ~ l (D
X STEP 3 Design Features
X ASSEMBLY
X FRAMING TYPE: Q
X STANDARD FRAMING 16 studs 16" o.c.
X ADVANCED FRAMING studs 24" o.c.
X CAVITY INSULATION /
X
SHEATHING TYPE: ✓
X LESS THAN < R-5
X R-5 > OR MORE y[Q
X U-FACTOR D 7 /
DOORS: From the table, (reverse side) determine the
maximum percent window & door area for the
design options selected and enter the 4 value
X in Box D below based on the window mfg. U-
factor:
X 7/• ,p D
Total Area of A!= 78q• t.
Windows & Doors
B. Total Wall Area in Sq. Ft. The % value from the table in Box D shall be
equal to or greater than the % in Box C
Wall Total Height Area
Perimet
let 4~9_c~
Total Area of Walls B= sq.ft
w
Page 1 OF 2
CALCULATIONS EQ$p_ 1251 @$ANI CIRCLE EAMR, W.
WINDOW AND DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
0 BASEMENT 27 X 14 2.60 0.00
0 PATIO DR 6 X 6 36.00 0.00
3 CASEMENT 20 X 38 5.30 15.90
0 CASEMENT 24 X 48 8.00 0.00
5 CASEMENT 26 X 60 10.80 54.00
3 CASEMENT 26 X 36 6.50 19.50
3 CASEMENT 26 X 44 7.90 23.70
0 CASEMENT 16 X 48 5.30 0.00
0 TRANSOMS 20 X 24 3.30 0.00
0 DBLE HUNGS 32X24136 15.80 0.00
2 DBLE HUNGS 26 X 26 9.40 18.80
0 DBLE HUNGS 20 X 20 5.60 0.00
12 DBLE HUNGS 36 X 26 13.00 156.00
0 DOLE HUNGS 32 X 16 7.10 0.00
2 SIDE LTS. 1 X 1.3 6.20 12.40
30 TOTAL GLASS AREA: 300.30
DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR DOOR
OPENING
2 THERMATRU 3'-0' X 6 19.00 38.00
2 THERMATRU 2'-8° X 6 16.80 33.60
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
TOTAL DOOR AREA: 71.60
Page 2 OF 2
TOTAL WALL WINDOW AREA: 300.30 U-VALUE 0.361
TOTAL PATIO DOOR AREA: 0.00 U-VALUE 0.367
TOTAL BASEMENT WOW AREA: 0.00 U-VALUE 0.421
TOTAL WINDOW AREA 300.30
TOTAL DOOR AREA: 71.60 U-VALUE 0.066
TOTAL AREA- WINDOWS & DOORS: 371.90 (A]
TOTAL AREA OF WALL: 3,193.00 (B)
ACTUAL. WOW & DOOR AREA AS % OF WALL: 11.65% (A] \ [B]
[STANDARD WALL FRAMIN61
SNEATHIING )R_5, INSWL, R14~ WINDOW 14.00% MAX WDW/DR AREA
CALCULATIONS M. 1781 9RW CIRCLE. EAriAN, Ma
CITY USE ONLY
L _ BL RECEIPT
SUB a l v~_ DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ► single family dwellings
► townhomes and condos when permits are required for each unit
Iol New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ati-clL
EM
► Minimum Fee: Add-on/Remodel (existing residence only) $20.00.
► HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
► Gas Outlets (minimum of 1 required @ $3.00 each)
► State Surcharge 22 zz .50
TOTAL ar-i SO
SITE ADDRESS:
OWNER NAME: "I PHONE
INSTALLER NAME: n '
STREET ADDRESS:.
CITY: /I'/rI~ STATES ZIP: 55-107
PHONE (
CITY USE ONLY
L _ BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ► all commercial/industrial buildings.
multi-family buildings when separate permits are IIQt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ► $25.00 minimum fee 91 1% of contract price, whichever is greater.
► Processed piping - $25.00
► State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
~ ~
' - L Bl. CITY USE ONLY RECEIPT#: tI 73
oS o~G
SUBD(q!, ~ ~y ry DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES EACH )YQ. TOTAL
Shower 3.00 x = 3,60
Water Closet 3.00 x 13 = 17,00
Bath Tub 3.00 x = 6,00
Lavatory 3.00 Y /a.00
Kitchen Sink 3.00 x 3,00
Laundry Tray bQ r s i; 3.00 x -;z _ 6,60
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 3.60
Floor Drain 3.00 x 00
Gas Piping Outlet " minimum -1 3.00 x 2.00
Rough Openings 1.50 x _
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations • to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL yS, Sy
C i N r~
SITE ADDRESS: / $ a ~dP44
OWNER NAME: ,d u f /e t- HO 14 S l N ry Co ✓ bo
INSTALLER NAME: fee a- 6 /a /o e ~Zh c_
STREETADDRESS: /S-0 9 Hwy /3
CITY: 1:14 rOs vi //-e.> STATE: A/1/ ZIP: 5-5337
PHONE (~i a) 8!3 a - B b SS l
OFFICE USE ONLY '
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: w all c:ommercialfindustrial buildings.
W multi-family buildings when separate permits are nW required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULTIN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
1
~-----ce------------ ~
I For Offi Use
j Permit
City
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received; j
Phone: (651) 675-5675
Fax: (651) 675-5694 Start:
2009 J
RESIDENTIAL BUILDING PERMIT APPLICATION 130
Date: U - 15 -09 Site Address: 17 SA r- 0. eL+ <-; t` E a.a m,y. may.
Tenant: Suite
RESIDENT/ OWNER Name: GG.ru i tAlLrv CAav-. Phone: &51 ' J.05 0 7 ~ L
Address/ City/ Zip: 1 a.n 1r' <:.r Igd,a a, h 55 12-2,
Applicant is: Owner Contractor
TYPE OF WORK Description of work: R r_ %.,U X g n g e-z-k LO / e.,,.1 RoLk n15
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: 0 ~ws vn,i r License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • 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?
_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 the are trade secrets.
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.
x MOD'E'4", - it, )h. 9~~ - -
4.^A kv~a
Applicant's Printed Name Applican ignature
Page 1 of 3
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 *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation -7k- 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
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge iu
S&W Permit & Surcharge
Treatment Plant '
Copies
TOTAL
l 62 Page 2 of 3
suneorsrWI
SURVEY FOR : Butler Housing Corp.
DEM,W AS , Lot 5, Block 2, MALLA64.93 PARR 4TH ADDITION,- City of Ewan,
Dakota County, Minnesota and
reserving easements of recor • 26.33 28.00
c
1 1-r- a
L
99$.
91
qN870 32' 33° E 70. 57 7
< to 30
- --1 10
o D0 / / to 1..-1
N
99I. Z / /q-,w o m
G uU.~ / y t---+
J
0 4r 4T 4p
^m 26.00 °o N 30.00 + t`l
L,
o f II
~y~ c°o I p 2.00
I 26.33 Garage o ~ ` V l
%
Deck
v
1 ( I 9.33
Apro><
~ I I 6
° I Proposed I `-I
CD v w1 ° IIaND I or o ` cvc~
-Sir ".z t 13cs. will C, 9 0, to
C1. s
47 2.00
49Qo I~
a
G92,Z ' 47. oo rr
o o
cil
S4 --I
~ / oo
.x:~ ~~t., .x a:: 946. 5•
Gt°'
qy`3 U
LOT SQ. FOOTAGE = 18, 323-+ a S
PROPOSED ELEVATIONS BENCHM11 S"
Top of Foundation = 951,3
Garage Floor =4509 Frees -C14(o.9-7
Basement Floor = 942,5
Aprox. Sewer Service Elev. =%(q-o3
Proposed Elev. = C) N MIN. SETBACK REQUIREMENTS
Existing Elev. _ I
Drainage Directions Front -3o House Side -1o
Denotes offset Stake _ o
SCALE L Inch 30 Feet Rear -2s Garage Side - s
: •
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND `CORRECT REPRESENTATION 9(oR-295
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
A A CA OLUN® BY WE OR UNDER WY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOW
Planning Engineering Surveying
9201 East 9looolngton Promy alooolnoton. Minnesota 95420 Date
Telephone 16121 W-0289 JE Y L GREN, LAND SU EYOR CADD FILE: DWG. CHK.
N 0 LICENSE NUMBER 14376
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA099916
Date Issued: 07/01/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1782 Brant Cir
Lot: 5 Block: 2 Addition: Mallard Park 4th
PID: 10-47253-02-050
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Josh McGuire
1424 3rd St N
Minneapolis. MN 55411
612-604-4285
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Benjamin Franklin Plumbing GaiTv P Hoden
1424 N 3rd St. 1782 Brant Cir
Minneapolis NIN 55411 Eagan NIN 55122
(612) 604-428 X61
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 Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106053
Date Issued: 0810812012
itj of 0n Permit Category: ePermit
R
Site Address: 1782 Brant Cir
Lot: 5 Block: 2 Addition: Mallard Park 4th
PID: 10-47253-02-050
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Wenzel Heating & Air Conditioning Garry P Hoden
4145 Sibley Memorial Hwy 1782 Brant Cir
Eagan MN 55122 Eagan MN 55122
(651) 894-9898
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:EA114843
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
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.
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 -
Garry P Hoden
1782 Brant Cir
Eagan MN 55122
(651) 293-7148
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120131
Date Issued:01/21/2014
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Garry P Hoden
1782 Brant Cir
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PF. r SHALL NOT RF SUPPORTED SY
C :212D 1
WI I riCIUT SPECIFIC ENGINEERING.
WALKING SURFACES GREATER THEN 30"
AB VE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH 'THAT A 4" SPHERE WILL NOT PASS THROUGH
4
r-- e
s r-trn rrr f9.1 P7.117,41
, w S
ittf a I r141 V Gil t id"
STAIR TREADS AND RISER&
7 % MAXIMUM RISER TREAD
• 10" MINIMUM TREAD DEPTH
36719-7(D
Stairs of four or more risers shall have a
graspable handrail between 34" & 38"
measured vertically from the nose of the tread.
STAIRS SHALL BE PROVIDED WITH ILLUMINATION IN
THE IMMEDIATE VICINITY OF THE TOP LANDING.
TREATED WOOD MAY REQUIRE SPECIAL
.-.STEVERS, HANGERS, AND
:NI -ACT YOUR LUMBER
SUPPLIER FOR MORE INFORMATION.
d-6
17'
EAGAN
REVIE
,NSP
0411511
10' -
S DIVISION
Use BLUE or BLACK Ink
�------------ --,
� For Office Use/� /� �
,�( 7 �
j Permit#: /`�_ � � �I
���� ������� � Permit Fee: �• � I
3830 Pilot Knob Road � �_ �/—��
Eagan MN 55122 ������, t
Phone:(651 j 675-5675 � Date Received:
Fax:(651)675-5694 j
AUG 1 1 2014 � Staff: �
I����������������J
2014 MECI� IT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applicati si
Date: �~���� Site Address: / �����fl�'� �/�G'�� �
Tenant: Suite#•
tF <`y'
R�Sldefl't/OYVfIe[ Name: `►4� Phone: ��` ��� '�� / 71
' Address/City/Zip: � � �
,.+���: �s�.�. ��,n�
� � � ��
, � ��� ;�'�,
; � ��� Name: � 2i ��. G. O� License#�
� �
� � � w� Address: {� � City: �'S�
�'At7tCa3CfqT :°
s- p�.. �� . . k� � �/ Or� / p� .
.
� State: �Y► Zip: JJ 7(�� Phone: ��O�4�✓(7�J �
�
� � � ta�p.�. �
a � ��s� r . --�
�_��_���a . . e..�"� .�. .,��.� Contact: EmaiL �
� ��� ��
�`� � �������� < ������� � New Replacement Additional Alter ion Demolition
� �
1"yp�p�U►�pt'{( Descript�on of work tJ�kf��t �l.�L..� �7�
µ� 1�
?h
�v
� z � ����"� .������ T yINQ'FE R;oof�rr�unfed�r���i'au�d�eunted,C��=��an�cal eqiriprnent ts�eqc�c��d�t��i�e scr+�er�sd b�Qitji a
� � . � � �'& R6r° 1 - j ,a,w,� +»' i � ix x�a.
::�x �, �,e' t�;;sa �m�Cpd�,;��lease�anta�t�E�e N�echanic'����nspector for'[nform�flon dr�p����ited sereer��t�g ir�ett�ods, xr�;
`�"� �����'� � � � � RES/DENTIAL � � � � �� COMMERCIAL
��� � �°�� � � �
y , z� ..`+;v:.?��s � � . .
� ��s "�� : ���; 1%Furnace New Construction Interior Improvement
�� k��- — —
` Air Conditioner Install Pi in Processed
� ��1'l�11������ a,,� — � — P 9 _ �
����� � ' ��,����` ���� � _Air Exchanger _Gas � _E�erior HVAC Unit �
� „�,�� �,y,�, .
Heat Pum
' �� �i�� `x'�`��•� — p � _Under/Above ground Tank (_Install/_Remove)
_,�� � � " ���
�`-� � ' ...�..,.�� Other
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �
$100.00 Residential New(includes$5.00 State Surcharge) _$ �, TOTAL FEE
COMMERCIAL FEES . Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge*
"'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
***if the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is compiete and accurate; that the work will be in conformanc the ordinances d codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start ' a permit;that the rk will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x � �i � �r � X �
Applican 's Printed Name Applican s Signature
FC7F�O�'FIG�l�� � � ' �,��v � �� � �� � �� � � ` d
�� �,� � � �
}ZeC}t�IF�L�FT1$(�@�C�bdS����. :'����r � , .,�:� M . fi� � x � ai`� .�"�! ��'' 0 , = ;
z f z c �3 - ���` � "i ii i� ����s�2U1@WQC��� r �'��8, >
r �n
�=-Unc�erground"`� ' * �F2ou�h E�r�f �„�ir Test x� '�a.s�er�aee 7�t ;;�(r�f�o�ar Heat � � °"?; �inal::: � H�/��.�Scre�nrng ;° �
.�,-�--
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161205
Date Issued:05/12/2020
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Tyler Johnson
1782 Brant Cir
Eagan MN 55122
(763) 442-4694
Overhead Door Company Of The Northland
3195 Terminal Drive
Eagan MN 55121
(651) 683-0307
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163323
Date Issued:08/26/2020
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Tyler Johnson
1782 Brant Cir
Eagan MN 55122
(763) 442-4694
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166476
Date Issued:01/12/2021
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
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 -
Tyler & Deirdre Johnson
1782 Brant Cir
Eagan MN 55122
(763) 442-4694
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171860
Date Issued:09/03/2021
Permit Category:ePermit
Site Address: 1782 Brant Cir
Lot:5 Block: 2 Addition: Mallard Park 4th
PID:10-47253-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Tyler & Deirdre Johnson
1782 Brant Cir
Eagan MN 55122
Appliance Connections Inc
12850 Louisville Road
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature