670 Brentwood Lane
Use BLUE or BLACK Ink
-For--- Office-- Use - I
I I
j Permit* 160C197 j City of EaRon Permit Fee: V
3830 Pilot Knob Road I I
Eagan MN 55122 ~~5 j Date Re ived: j
Phone: (651) 675-5675 0-;tl I I
Fax: (651) 675-5694 1 Staff:
- - - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t 7' Site Address: & 7 0 8 r-C,,L ti Qa J 1d- T~ Unit
Name: e k~'i S4::tt S-IA~R-- kS Phone: 76 9- 5-0,2
RESIDENT /
OWNER Address/ City/ Zip !O T` ~ LtAatl~ ~-TI . S`3"7 a 3 - 13 3 3
Applicant is: V/fbwner 1/Contractor
TYPE OF WORK Description of work: I t o r o ~ ~ 't T e -roes , G luk a i S ~t c Sly i "5 Aes. 4,
At a~ O/C
Construction Cost: A/ _?o 3 Multi-Family Building: (Yes / No
Company: -FW+N Weoa4W C S..714L. Contact: 1;4 W; i
Address: T)- __FV4 AV*-Wilt 1A/cs-7 City: ~-PA-1
CONTRACTOR
State: MM Zip: JAI( Phone: --g`70
License 9-00 a z1.3 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: 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.gooherstateonecall.ora
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 ermit issuance. j, ~6
x `l!L%CCG/ x r
Appli t' rin ame Ap c s S' na ure
Page 1 of 3
t
011TV AlF RAGM Permit Na. 10495 Dam 1-?LrU
14vb Road B!P Nc:,.~.,}- f/ Date: 1
F.apan,;~kAFI 55121 I 1 ~
OW[ Erwin Mbntgom= Cnnst__
SiteAddr 670 Brentwood Lane L14 E1 t~7~.ndtree 7.th,
Plurntr . Va 11ey P1 um
vv it rL I's 11-4 %J
MWCC: ` 550.00 pd
City ahg: 100.00 are i Rg 1;d f i4Ug ~W, , „
"Pi 15 - Acct. Dep:_ 00,PTELEPHUNt
r wig 1fii11 crt
Permit $ cf1111DF
a
Surchafoo
Miser: By
SEWER SERVICE PERMIT
9347
CITY[ OF EAR brmlt Na:
030#110140b l cad < M $r . '
star No
& R O. &ac 211 Reader No:, Daw
OtivnRr~tdast:..
Pturnber -
Conn Chg. Zoning: Acct Deb`s. No. of tlnrts;
Pcrmrt,Fee; 3 A Gdod
Surcharge , I agree to comply w11h ftrefilE
rt
Oft
Tr. Plant ' sLtd_ Ordinances,
Meter.
MisC.: By
WATER SERVICE PERMIT
17
CMTV OF BAOAN Permit No:a'10 91 Cats
3#*?-Jlo k*0b Road B/P No: fib - 4 88-.
.0. Box TT95 FE. .s t21
Owner 3d,n Man fm
~t r~ ~C.. ,
Site Add 670 Breaty Fi I,e 1.14 :133
Pl~smi r Vh11eq~ F'? b x
MWCC r Zanng• 100
City Chg~ • 00pd - No. of Units: r.~._
Acct. 0"..
agree to comply with i'JW r of f
P I&M t F iF' J p Ordinances.,
- - Fpd .h
SurcWge: _
Misc.: By
SEWER SERVICE PERMIT
BLDG. PERMII`~ ~`fe IQ
01-3210 Bldg. Permit 62,0 do
01-3422 Plan Check d(
01-3445 Surch./Adm.
01-3446 SAC/Adm.
9
.91-2155 Surcharge
rO--3860 Road Unit ~4 c~
20-2275 SAC
20-3865 Water Conn. 20--3868 Water Trmt. ~Q
20-3716 Water MeterQ
20-2252 Acct. Dep. 6
20-3713 Water Permit 0 06
20-3743 Sewer Permit
79-3866 Sewer Conn. f f/ Q
U-3855 Park Ded.
TOTAL
h'
i
aitp of Cagan
ql.
I.-_-L of lullift
TJFIs Certf=te &sued wmant to the require Aents of ;S'ecabn 306 of th Onifor t Big
Code cer4"g butt at Ae tlme of issaance thu ardct m xws in complian m with tlisWrivus
orduw= of life CO regulating building construction or use. For the fgt **Igs . '
.
s rppgn...' Vs
ATM--- R3
ZOO
ownerafSaok f9 & ~ 1.1350 Al&'VP,AM~TT$,
ewIftAar 670 WOfm`um ~y L14, BI,
_j=, 7.1988
POST IN A CONSPICUOUS PLACE
jo,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454.8100
BUILDING PERMIT Receipt
3
To be used for Est. Value Date
i
OFFICE USE ONLY
Site Address "
Lot Block 2 Sec/Sub On Site Sewage Occupancy
MWCC System Zoning
Parcel No. Site Water Well _ Type eC onst
City _
L, (Allowable) T
c Name
W a of Stories
= Address Length '
City Phone i j Depth-
S.F. Total
Footprint S.F.
o Name
0 < Address a. APPROVALS FEES
P City Phone Assessments Permit
Water/Sewer Surcharge T''
W Name Police Plan Review
W Fire - SAG City , ' _
= v Address Engr. - SAG MWCC
W City
Phone Planner Water Conn
Council - Water Meter
-
I hereby acknowledge thRt I have read this application and state Bldg. Off. - Road Unit
Treatment P1
that the information iscorrectand agree tocomply with all applicable APC
y State of Minnesota Statutes and City of Eagan Ordinances. Variance - Parks
Copies
Signature of Permittee. TOTAL
k Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.. _
Building Official
}
Permit No. Permit Holder Dab Telephone 4F
Plumbing
H.v.aC. 9 Sg
Electric Lo,
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing p
Roofing
Rough Plbg. l~
Rough Htg.
Isul. _ g
Fireplace
Final Htg. ^2.a
Final Plbg.
Bldg. Final
Cert.occ. pKS+ / 4Ya
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
PERMIT J...
4 MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
p 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE L
CONTRACT PRICE Jf PHONE: 454-8100
wife Address ".,T, BLDG. 7PE WORK DESCRIPTION
' Lot /6t
Block S clSub '
New Y
Name L. ! . ' M ult. Add-on
Address t Comm. Repair a
c City Phone y j 3 Other
FEES
~r r
Name RES. HVAC 0-100 MBTU -$24.00
C Address P i i r !~r ADDITIONAL 50 M BTU 6.00
O I j+„ 4i (RE3, HVAC INCLUDESA/"C ON NEW
e . CONS RjUCTfON)-- ,
GAS OUTLETS (MINIMUMm- 1 PER PEi'iilib - 1.5.0 EA
h •-TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU 4 APT. BLDGS. -COMM. RATE APPLIES -I y) TOWNHOUSE CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE- ALL ADD-ON &
Unit Heater M BTU REMODELS 12.00
Air Cond. MBTU MINIMUM COMMERCIAL FEE - 20.00
Vertu CFM STATE SURCHARGE PER PERMIT - .50, si
(ADD $.50 SIC IF PERMIT PRICE GOES
.';Gas. Piping Outlets# BEYOND $1,000)
i
Other $_7 777"
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY :OF EAGAN
y G
PERMIT 7-
PLUMBING PERMIT RECEIPT # cZ& IFr
CITY OF EAGAN
r . 3850 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 4,vl e! BLDG. TYPE WORK DESCRIPTION
Lot rL.l Block Sec/Sub Res. 4 New
Mult Add-on
Name Comm. Repair
r>; _
E Address Other
C City -4Ck,4zo - nE,1 • Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name _3_Watet Closet - $3.00 S 5? gno
° m Bath Tubs - $3.00 Zan=
3 Address __;~._Lavatory - $3.00
O City Phone --/-Shower - $3.00 c~
-,/-Kitchen Sink - $3.00
FEES -Urinal/ Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -,/--Laundry Tray - $3.00 -3 o v
APT. BLDGS - COMM RATE APPLIES _/-Floor Drains - $1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES -./-'Water Heater - $1.50 lam'" c:>
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/lND FEE $20.00 L-Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Weil - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERM117EE FEE
STATE S/C: 4 0.
FOB: CITY OF EAGAN GRAND TOTAL:
x
This request void ~ ~ Vl l
1B monthshs from
D - 79652&/W/ l GrJ.
Request Qat% ire No. Rough-in lnspection' .
Required?Ready Now [WWW.Notify. inspec-
G-~ l Q Yes ON. Eo4 _tlVhen Ready
Licensed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Stree_S.Address, Box or oute No. City
ectiort No. Township Name or No. Range No. Count
Occupant (PRINT) Phone No,
Pb u i Addres
r
Electt faI Contractor (Co a Name) ontractOr' icenss
S~A
Wiling-,Address (Contractor or Owner Making Tnstailation)
Auth' zed Signatur ICn c or Owner ing Installation) _ mber
3~.
MINNESOTA STATE BOARD OF ELECTRICITY THIS,IINSPEdTlON REQUEST iVILL NOT'
Rriggs•Midwev Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.i St. Paul, MN 55104 UNLE$S (ROPER INSPfiCtWN FEE IS
"
ENC O
Phone (612) 642.0600 4 Ste,
REQUEST FOR ELECTRICAL INSPECTION E18-00061 6-
! See instructions for completing this form on lack of yellow COP,
r L7! d
Q' 7-9652 Mow work covered by This Rewest
R811 flap- Type of Building Appliances Wired Equipment W [~d
Home Range _Temporary Sereire
Duplex Water Heater, Lighting Fixtures
Apt. Building Dryer Electric HeatmQ
Commercial' Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Busk Milk T n
Farm rher peer y = ttier lsoecjfY~ '
Other (specify) ter !:Other -
ompufe nspectton Fee Below
Fee' Service Entrance Size H Fee Feeder s/Subfeeders; # =r.Fee direW
IZ7Z
U to 200 Amps 0 to 30 Am s 0 to 30 A
Amps 31 to 100 Amps ~ 31 to ip0'A
Above 200
Svirintlnin Poo! Above 100 Amps Above -1 bQ-AMP~21
Transformers rrigation Booms Partial"..
~th
5igrss Special Inspection $``I
eel TOT fE
emarks 414 Ar•)
r + ~f
IML
Rough-irt to, the ctr
- rI spect - , eEaby
PP ify that the above
Final Q* pection'has bean
• made:
This request void ldmonlhs from
I CITY OF EAGAN N0 _ 14 5 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # lJ
To be used for S.F. DWG/GAR Est. Value $117,000 Date JANUARY 21, 1918
Site Address 670 BRENTWOOD LANE OFFICE USE ONLY
Lot 14 Block 1 SeC/Sub. WINDTREE 7TH On Site Sewage Occupancy R-3
MWCC System X Zoning R-1
Parcel No. On Site Well Type of Const
City Water X (Actual) Vn
a Name MONTGOMERY DESIGN & BUILD (Allowable) Vn
w * of Stories
z Address 11350 ALBAVAR PATH Length 70'
51 City INVER GROVE Phone 55075 457-4075 Depth 33'
S.F. Total
Name ERWIN MONTGOMERY CONST. Footprint SF.
0d Address SAME APPROVALS FEES
l- City Phone Assessments Permit 630.00
Water/Sewer _ Surcharge 58.50
m m Name Police Plan Review 31 5.00
z,-d Address Fire _ SAC, City 100.00
Engr. SAC, MWCC 550.00
aW City Phone Planner _ Water Conn. 550.00
Council _ water Meter 62-00
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 3 5.00
that the information lscorreot and agree tocomplywith allapplicable APC - Treatment Pl 204.00
State of Minnesota Statutes and City ofEag~n Ordinances Variance _ Parks
Copies
Signature of PermitteeT T07At. 2,799.50
A Building Permit is issued to: RWIN MONT MER ONST' on the express condition that
all work shall be done innaccordarip ithalI applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official A/O2(?a u~~e~u
CITY .OyEAGAN Permit No: `%847 pate: 1-27-88
?.930 R_t1ot,Kndb Road Meter No:-3 2 7 D Q Size:
P.O. Box 21199 Reader Novi 0 , Dater
Eagan, MN 55121
Owner. ^rigin n=ontgcc.:ery Const.
Site Address: 67n Bran .wnnr1 Tane L14 131 Bindtree 7th
Plumber. `J-' 1 1 av Plt,mh lti~ 5 e°. ~a~0
Conn.Chg: nn rt - - n.,,zjb'nwjIftilitiPS R1
Acct. Dep: i C nn-11 - ~ No.T6iPUn'tist,e R: 1
rn nn..,~: lur.u,.•..L.u
Permit Fee: - ~
Surcharge: cn., rJ Y'a 1 i I Gt ~i~g6Qee`ito comply with the City of Eagan
Tr. Plant •,n. nn..a -
Ordinances.
Meter.
Misc.: v - pu BY
WATER SERVICE PER6~ (7
CITY OF EAGAN
117-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454.8100
BUILDING PERMIT Receipt
To be used for Est. Value t • ` Date r' • ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. I ' d On Site Sewage Occupancy
MWCC System Zoning 1
Parcel No. On Site Well Type of Const
City Water (Actual) '
c Name (Allowable) '/rl
w 7 { .{Lfi"1 # of Stories
3 Address _ Length -Lw
o city I Phone r} r Depth 1
S.F. Total
p Name ' Footprint S.F.
ou Address APPROVALS FEES
P City Phone Assessments Permit
Water/Sewer Surcharge '
W W Name Police Plan Review - 5
z o Address Fire _ SAC, City
Engr. _ SAC,MWCC ~a`-•'A~'
am City -Phone Planner Water Conn.
Council _ Water Meter j • v„
I hereby acknowledge that I have read this application and state Bldg Off. Road Unit i ;
that the information is correct and agree to complywith all applicable APC Treatment Pt
. Statg of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
'Signature of Permittee TOTAL
A quilding,Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
i . /~zs 3
1988 BUILDING PERMIT APPLICATION CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: S Valuation: ~E~ R' 10gA
//rT 00 0 Date:
Site Address ~7LYQ ti7ltec~Nld S OFFICE USE ONLY
Lot=1 Block On site sewage Occupancy R- 3
MWCC system Zoning
Parcel/Sub - On site well Actual Const ::r 4
City water 7- Allowable
Owneryl-e'viiz~ T~J PRV required , # of stories
Booster Pump _ Length 70
Address t+_L Depth 33 "
f _ S.F. Total
City/Zip Code Footprint S.F.
Phone `fS`~. 1 fp~~ p APPROVALS FEES
Contractor ti l~r ~v. a Cor Engr/Assess Permit 436. °o
Planner Surcharge 5 SP
Address C~UA~ Council Plan Review 3/ S.
Bldg. Off. 41L~-Ily SAC, City O/ 0.
City/Zip Code Variance SAC, MWCC .rSa, "
Water Conn Ss'a-
Phone Water Meter 67.°O
Road Unit saw- ae
Arch./Engr. Treatment P1 °7o+1.60
Parks
Address Copies
TOTAL ~eZ 7 q~9
City/Zip Code
Phone #
:s y/dam _ 3 o X 3 a 96o x s`~l S~~dfl~,
6.sx a,a= iy3 ~ s i~ ~ ka9s.
.?a X 3 0 s ~6 P x - ya ~4 r..r~ G u az c~X 9 S s~?~ x i~ 6 33 G
_ on~~ ~ ~y : oZ S°f!
SURVEYOR'S CERTIFICATE MONTGOMERY DESIGN & BUILD CO.
N BRENTWOOD LANE
°m rn
rn
(930.0) 95.00 N88°23'18"E (927.5)
m;
o rya FJI
o M 5 { 45 9317 J0 32.0
m
/
3 0 22.0 0 0
o / /N Is.o o 8 3
(V a v PROPOSED M a ~
I et a GAR. HOUSE n~ r N s_;
tp 70.0/ M t 31.x) (931.1.1 I M
V 2
LOT 14 ° -
DRAINAGE 9 UTILITY
5 EASEMENT PER PLAT C 5
L
O
(934•U) _ 95.00 N 88°23' 18 "E
WESCOTT ROAD to
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR m 932. 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 924.6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 932.7 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN a BUILD CO.THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 14, Block I,WINDTREE 7TH ADDITION according to the recorded
plat 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 22ND DAY OF DECEMBER , 1987.
PROPOSED GRADES SHOWN WERE p,r , 1,/' LrIr"
TAKEN FROM THE GRADING PLAN SIGNED: /IA's R.
FOR WINDTREE 7TH ADDITION, CI / I r -
PREPARED BY RON KRUEGER & BY:
ASSOC., INC., LAST DATED H OLD C. PETERSON, LAND SURVEYOR
7-27-87. MINNESOTA LICENSE NUMBER 12294
T p ? o
M m O James R. Hill, inc.
A O r- Q~1 0 < OD
Z m z m 0 Z PLANNERS / ENGINEERS / SURVEYORS
O ZO M _
z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
W
N
O
N
A i B ; ; C . ; P'7 E' ; F Ei
1
2 F:X"I'E::FiIOEi E.kVV'cL.flF'L': AVERAGE "!.J" 01f"Ir'I.ITA1iUIV
4 MONI SOMI"_RY DESI SN & BU I L.D CO
5 11350 ALBAVAR PATH
6 INVER SHOVE HEIGHTS, MN 5507
7
S
9 MODEL BRECKENRIDGE_ AREA U U X AREA
10
11 REQUIRED
1:1. 1. TOTAL WALL AREA 3240 .11 56
1:>
14 2. ROOF AREA 1140 .026
5
16
17 ACHIEVED
15 A WINDOW AREA 518 `..5 175
i9 S DOUR AREA 40 .13
20 c SLIDING GLASS AREA 36 .65
21 D F=IREPLACE AREA 75 .2 15
22 E. WALL. FRAME. AREA 324 Q V5 zi
2 F= NET WALL AREA 2447 .035 97,
24 0 RIM JOIST AREA 108 .0436 6
25 H FOUND WINDOW ref=;EA `i .5 0
26 1 FOUND ABOVE GRADE 68 .068 :-i
27
28 TOTAL WALL._ AREA
29
30 ,I SKYL I'1" E .5 0
31 F:: ROOF= FRAME 114 .032 4
3 L. NEf ROOF AREA 1026 .025 26
33
34 4. TOTAL ROOF AREA ~ j.
0
36
ti,.,.
7
38 SUM OF 1.+2.
3E3^
39 SUM OF 3.+4.
* NOTR: PAYmwr OF FEE AT TIME OF
CITY OF. E A G A N APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
* INSPECTION OF SEWER AND/OR MUM
*1 'rnT•rLLATTONS WILL NOT BE SCHED-
SEWER AND/OR WATER CONNECTION DIED UNTIL PST HAS BEEN
* APPROVED. •
~ >t
>E
P ease Print
1) PROPERTY ADDRESS: ~,~~n I,Vec~i~ L~-,_~,
LEGAL DESCRIPTION:
Lot ock Sub ivision or Tax Parcel ID
IF EXISTING SIRLMUTRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
ear
PRESENT ZONING/PROPOSED USE: (Mon
COl41ERCIAL/RETAIL/0FFICE Zj-~R-l SINGLE FAMILY
Q INDUSTRIAL Q R-,2 DUPLEX (Two Units)
INSTITUTIONAL/GOVERNME•NT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APAR=rr/CODIDOMINIUM ( Units)
2) NAME:
ADDRESS: ~'~S(~
CITY, STATE, ZIP:
PHONE: L(S - t f a
3) c: f For City Use
EQ Plumbers License:
ADDRESS: Active
n p Expired
CITY, STATE, ZIP:_ ~)In C&" Not recorded
PHONE: LKI"Z- Z 1 2r ` MASTER LICENSE# Z (CT ~ r! ~ Staf~]ii'tial
4) •a • i:- 1 - O
NAME: 1~ low .~~t `-1 1 1.
ADDRESS:
CITY, STATE, ZIP:
PHONE:
<Q- ZONSEE ION TO CITY SEWERG~--CONL ON TO CITY WATER a OTHER '
6) 1 • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
[,-LASE MAIL APPROVED PERMIT TO 1, 2, ' 3)- 4, ABOVE
(Circle one)
1 1 91` • t• q' • 1
i
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ /(J S~ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ !l $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ `S 07) $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ZU 1'U?~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / S Z $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: .Z
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION /
City Of Eagan SL
3830 Pilot Knob Road, Eagan MN 55122
~-L Telephone # 651-675-5675
Please complete for: single family dwellings & townhomesicondos when permits are required for each unit
Date
Site Address (0'10 W b-N i U\ Unit #
Property Owner t(.Q Q ~j~OIY~D _ Telephone # (1*45 1 ) Lk%-° 03A`1
Contractor (Mteej~rt~,~~'U(,Vrw~YVA
00
Street Address SOS r t iY~ tl AiJ~ city
T
State /yy Mf\ Zip 5SI0 L Telephone # (Vp k ) ~2
Bond ~ f19- Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional Replacement
air exchanger
air conditioner -New -Replacement
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit arid 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name App tcant's Signature U J
FEB Q 2005
E3Y _r.
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Reoair Requirements Office Use Only
3 registered site surveys showing sq. fL of lot, sq ft of house; and all roofed areas 2 copies of plan showing footings, beams, )oists Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Soils Report _ Y _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition -indicate if on-site septic system Tree Pres Required _Y _ N
1 set of Energy Calculations On-site Septic System _Y _ N
3 copies of Tree Preservation Plan if lot platted after 7103
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
3~~ p
Date./ ( / 0{o Construction Cost
Site Address (-70 U(z / jooo L-0 Unit/Ste #
Eft6-rw m +J s-51 z-
Description of Work INS7A-(LL rw o C6-P-ESS 411wP0,aS "?FE of 06y- 1j-`ftA-CrFtW ')c
Multi-Family Bldg _ Y N Fireplace(s) ~ 0 - 1 - 2
Property Owner MA-k(L /-L (-ME 3LAV0e Telephone # ((5 O ~ SY fh21 ~
Contractor C wewnl C.6✓L. r3
Address -3 OF t` 155 r o v 90 w City 6(00nr n'C--r'p•J
State f 1 I A/ Zip 43S 7 LO Telephone # ( (01?) ei~? 3"G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Cade Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 mono s, 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:
N ~`IC`~IIS
Licensed Plumber Telephone )
Mechanical Contractor NOV 0 1 2006 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 mit, and work is not to start without a
se f work which requires a review and
permit; that the work will be in accordance with the appr LSire
approval of plans.
j~
`/A-JI /S 1. 'Jl~}'1'COrvv ~ ~ -
Applicant's Printed Name p tca
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation 13 07 05-plex ❑ 13 16-plex El 20 Pool ❑ 30 Accessory Bldg
N,,( 02 SF Dwelling ❑ 08 06-plex 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Tvpes
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) • Give PCA handout to applicant
Description: Water Damage_Yes
Valuation 2 boo ~ Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Sheetrock
- Footings (deck) _ Final/C.O.
Footings (addition) _vll~ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final
✓ Framing _ Siding _ Stucco Lath _ Stone Lath -Brick
Fireplace _ R.I. -Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: C4"(41___, Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2006 RESIDENTIAL BUILDING PERMIT APPLICATION ~f~
j~ II (Q City Of Eagan ! /p, t t;RA
V 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 IV V
New Construction Requirements RemodellReoair Requirements office Use OnN
3 registered site surveys showing sq. ft. of lot sq ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Recd _Y - N.
2 copies of plan showing beam 8 window sizes, poured found design, etc 1 site survey for additions & decks Tree Pres Required _Y -N
1 set of Energy Calculations Addition -indicate d on-site septic system On-site Septic System _Y _ N
3 copies of Tree Preservation Plan ff lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
betJ
Date/ CC, Construction Cost
Site Address l0 1~ BperyL1=. L?mc~a Unit/Ste #
2R ~J J 1 11 Description of Work 1 ry ^---r Le je,l
Multi-Family Bldg{, ,t -'.Y NN Fireplace(s) 0 - 1 - 2
Property Owner `Y `ZX A h3 ~c,>✓R ?A2ra0 Telephone # ( (051)±J-9
\ _ t
Contractor
Address Z City
State Zip Telephone # ( )
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 Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
. SAE 22lat,du 2 ~
Applicant's Printed Name Applicant's Signatur
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Parch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex l[ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex / _ ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
11-f- 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handoutto applicant
Description: Water Damage `Yes
Valuation Occupancy MCES System
Plan Review 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
- Footings (addition) Final/No C.O.
Foundation ~C HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests -Final
Framing _ Siding _ Stucco Lath Stone Lath Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
T Insulation _ Retaining Wall
Approved By: Building Inspector
- -
Base Fee
Surcharge
Plan Review / tT C~
MC/ES SAC 2/
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA076080
Eagan, MN 55122 . Date Issued: 12/05/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 670 Brentwood Lane
Lot: 014 Block: 001 Addition: Windtree 7th
PID 10-84476-140-01
Use
Description:
Sub Type: e - Fixtures
Work Type: Additional
Description: Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Linda Richie 7676 Jasmine Ave So. Cottage Grove, MN 55016 651-459-05061 richie06@comeast.net
Fee Summary: Surcharge-Fixed $0.50 9001.2195
PL - Permit Fee (miscellaneous) $50.00 0801.4087
Valuation: 2,500.00
Total: $50.50
Contractor: -Applicant - Owner:
Riche Plumbing Inc. Mark J Blando
7676 Jasmine Ave S 670 Brentwood Lane
Cottage Grove MN 55016-0000 Eagan MN 55123
(651) 459-0506
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:Plumbing
Permit Number:EA110090
Date Issued:04/23/2013
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
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.
Jon Hantge
325 3rd Ave. Nw
Hutchinson, MN 55350
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 -
Stephanie K Horvath
670 Brentwood Lane
Eagan MN 55123
(651) 769-6525
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA118904
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
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.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Stephanie K Horvath
670 Brentwood Lane
Eagan MN 55123
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130581
Date Issued:05/01/2015
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Stephanie K Horvath
670 Brentwood Lane
Eagan MN 55123
(651) 769-5025
Wellington Home Improvement
3938 Meadowbrook Rd
St. Louis Park MN 55426
(952) 933-6300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130923
Date Issued:05/21/2015
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Stephanie K Horvath
670 Brentwood Lane
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
•
t ForOfice Use V� 1.,12'v% ;
DO NOT WRITE BELOW THIS LINE (-70 g GeC-iii+0004 L (.. .CD
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement Demolish Building*
_ Siding _
)C' 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
1 DESCRIPTION [,�Valuation yi 18,4 0.1/2- Occupancy T12.6- I MCES System
PIM Review 1( Code Edition 7,',)5 it/IN'(Z SAC Units
(25%_100% ?() Zoning 1.Z.- I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VV Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) JC Final I No C.O. Required
Foundation Foundation Before Backfill HVAC ` Service Test Gas Line Air Test_Hood
2( Roof:_Ice&Water X Final Pool:_Footings Air/Gas Tests _Final
14 Framing 30 Minutes/* 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 1
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
X Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,4 S _.1 h Kia/✓ , Building Inspector
RESIDENTIAL FEES
Base Fee /vG kJCom!4, c- i4dd, )4 /t�
Surcharge
Ad,, e-
Plan Review /4 itache ac4e of /°
MCES SAC 2 C I 22 ' ,40i/14 e nc/
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
SURVEYOR'S CERTIFICATE MONTGOMERY DESIGN & BUILD CO.
7U aid-cocci 2-
� /&C)NBRENTWOOD LANE
In
0 0
(930,0),��- 95.00 N88°23'18"E --. 927S)
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f-...----- o \
M 5 tio. > i �l 5 1 r
1 ;�'a.�'.' f+ !
'' 1'#., I (.9 I i'l) / r
v r'1 931,7) 77 32.0 \ /� I
r m
r• 00 O 22.0 0/c i, 16.0 /C1� 0 8 3'
N 2i r
/ PROPOSED 0 �+
/ N GAR. HOUSE N n �s i
--- 1 J / / , r VN
o � � �� 70.0 / I1��`�
,� 14 t t93i.7) t93i.1) M
2 ca
! 44 2
�
r"'N
_ 0 0
o ° -
To-�4C to+ Cove?-4,5c- LOT I�
DRAINAGE a UTILITY
` L - S 0 5' L
EASEMENT PER PLAT c\\ 5
\ 0 \ 0 ,/
\
(934,0).._ 95.00 N 88°23'18"E ---- 2-7A)
o WESCOTT ROAD
i i
-go-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR — 932. 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR — 924.6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK — 932.7 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN a BUILD CO.THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 14, Block I,WINDTREE 7TH ADDITION according to the recorded
plat 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 22ND DAY OF DECEMBER , 1987.
PROPOSED GRADES SHOWN WEPE C,r7 � '�( r, C /1.)
TAKE! FROM THE GRADING PLAN �,.:NED. A'� R. _, I.!-.
FOR WINDTREE 7TH ADDITION, /
I�-
PREPARED BY RON KRUEGER & BY: �GCt
,,fir/u7,---) ,
ASSOC. , INC. , LAST DATED H OLD C. PETERSON, LAND SURVEYOR
7-27-87 . MINNESOTA LICENSE NUMBER 12294
CocnI
m T m
zHill, nc.
O O ames R rmo, m0 <
o m Z -1 D o m C Z PLANNERS / ENGINEERS / SURVEYORS
-rtZ 0 Z03
I -‹
_ O m Z
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-684-3029
0 •
0
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163846
Date Issued:09/14/2020
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
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).
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 -
Nathan Daniels
670 Brentwood Lane
Eagan MN 55123
(507) 208-8166
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166395
Date Issued:01/07/2021
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Nathan Daniels
670 Brentwood Ln
Eagan MN 55123
(651) 263-4555
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173790
Date Issued:12/03/2021
Permit Category:ePermit
Site Address: 670 Brentwood Lane
Lot:014 Block: 001 Addition: Windtree 7th
PID:10-84476-01-140
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 -
Nathan Daniels
670 Brentwood Ln
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature