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678 Brentwood Lane Use BLUE or BLACK Ink I 'For Office„ I I C ity Of Ea I Permit `V. Permit Fee: ` 11 3830 Pilot Knob Road Eagan I VIN 55122 I Date Received: I Phone: (651) 675-5675 j Staff: Fax: (651) 675-5694 L---------------- INFLOW & INFILTRATION PERMIT APPLICATION Plumbing I Sewer & Water Date: Site Address: Tenant: Suite RESIDENT OWNER Name:-/<0-64X S OR k L G/A D Phone: & S/ 3 n ?.040( / Address/ City /Zip: 4;7f & W-&,0 AN MA/ S%A3 Name: 4,q r/S A,,J License Address: / a7 /7d- J51?I j;,trR LL/Ay City: A f,04 e 114A4eY, /1 AI CONTRACTOR _ State: MAJ Zip: Phone: S a 3 3 `1 Contact: A4.CaC Email A!Fc>/g AILT).VA)J _ Ptvytl3iA;4 °C4" PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description ofwork:/Z49Vau Sv4 DESCRIPTION pc~rvt~ Ame 12,r O ro 4oa Gti.rsil7r To vie FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aopherstateonecall.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 a permit; that the work will be in accordance with the approved plan in the case of work which quires a revis w and approval of plans. r~ rPs~Z~/G x RO C't; /t 13,1`6 1,1<4-wyn x Applicant's Printed Name A icant's S' nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Final INSPECTION RECORD Control No. 0101 CITY OF EAGAN PERMIT TYPE: RvILDINa 3830 Pilot Knob Road Permit Number: 000064 Eagan„ Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: Ir BLOrKI I APPLICANT- F-70 BRENTWOOO LANE MONTGOMERY DESIGN S 8UILD WIND MT E 71H (6t2) 661-1713 PERMIT SUBTYPE: TYPE OF WORK: 3F DUG ti INSPECTION TYPE DATE INSPTR. INSPECTION TYPE . ITI F00TLN0 FRARINO INSULATION WAL I.tMARn FINAL CIREPIAI.t IIFMARK<i: YAI I I'V PLURBI119 ,t_, Sol _ Permit No. Permit Holder Date Telephone M s^^ i~G~/ ciQ ~Eli4 3Ces/r PLUMBING ol/ v v HVAC ELECTRICL js[3• 9 //,VY C~F'. i/~~. ~it/~° ELECTRIC ' Inspection Date Insp. Comments Footings 1 3-2"? Foundation 3- 3)cpZ Framing S 7 Z Roofing Rough Plbg. Rough Htg i OAWC-t [Sul Fireplace J ~~`}3 Final Htg. Orsai Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final G ` Z /r BL Deck Fig. l L Deck Final L Well Pr Disp. DATE: MAR 25, 1992 RE: 678 BRENTWOOD LN (MONTGOMERY DESIGN & BUILD) _ x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 678 BR MWOOD LAM Lot 12 Blk 1 Sec/Sub W1NDTREE 7TH These items were/were not complete at the time of the final inspection. ➢ : 6/8/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry V Permanent driveway Permanent gas Sod/seeded grass J~ Trail/curb damage Porch Basement finish 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. vcvuEO w[c White - City copy Yellow - Resident copy Pink - Contractor copy f34339z Request Date Fee tlo. Rough-in Inspection Required? ❑ Ready Now 111 Naldy Inspector s G No When Ready? I Ice ed contractor ❑ owner hereby request inspection of above electrical work at Job Addr (B x or Route city )ocv Section No Township Name or No Range No. County Occ ant tPRIN I _ Phone No. ower Su r Atltlre - ss Electric ontraaor (Company N e) Contractor ioense No. Marling Address ontraclm or Owner Making Inst alionl Avt ooze 5 aWre IGOniractonOwner Making Ins[allaho Phone 1 mbar V O~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-172 BE ACCEPTED BY THE STATE BOARD 1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Y`.*,l'"°J~~• EB-0000 -08 T ► See msirunhons for completing this form on back of yellow copy /OS~j~ j j X" BeM Work Covered by This Request ew Type of Building Appliances Wired Equipment Wired ome Range Temporary Service Home" Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only TOTAL U Irrigation Booms Special Inspection I 'V" J Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-,n Date certify that the above inspection has Final Dare been made. OFFICE USE ONLY ID,s request void to months from CQ RESIDENTIAL BUILDING Permit Application 1 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs RemodeiReoair 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 Can of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _Y _N I set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -0-- / _,L_ / Construction Cost 6`J`6OC7 Site Address (p116 g(p~~l pp~ p MO Unit/Ste # Description of Work ~PIr~fex-~F Multi-Family Bldg n- Y N Fireplace(s) _ 0 - 1 - 2 Property Owner nQ A: e-_)r", A AA A Telephone # ( ) Contractor &y OF , n2 Address JL O~5 zhJ AJ da city 01MCr.t K State Inl1 N Zip 555 Ljl.j Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _'i _ N if so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ppI Sewer/Water Contractor Telephone D I^ 1 5 II V/ 6 1 L' Tit;, ' I hereby apply for a Residential Building Permit and acknowledge that the informa 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. Applicant's Printed Name Applicant's Signature PERMIT Control N 0101 CITY OF EAGAN 3830Pflot'KnobRoad PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000064 (612) 681-4675 Date Issued: 03/24/92 SITE ADDRESS: 678 BRENTWOOD LANE LOT: 12 BLOCK: 1 WINDTREE 7TH DESCRIPTION: Building,Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning VN Building Length 47 Building Width 56 v rr , REMARKS: eD►7q~ VALLEY PLUMBING FEE SUMMARY- VALUATION $105,000 Base Fee $657.00 MISC FEES $1,610.50 Plan Review $427.05 Total Fee $3,447.05 Surcharge $82.50 SAC $700.00 SAC 8 100 SAC Units 1 Subtotal $1,836.55 CONTRACTOR: - Applicant - OWNER: MONTGOMERY DESIGN & BUILD 16811773 MONTGOMERY DESIGN & BUILD 11350 ALBAVAR PATH 11350 ALBAVAR PATH INVER GROVE HTS MN 55075 INVER GROVE HTS MN 55075 (612) 681-1773 (612)681-1773 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 Mn. L St,4tutes and City -ofQ Eagan Ordinances. J L~APLIGAMT/PERMITEE I ATU Ml-- ISSUEDB S NATU E INSPECTION RECORD Control No. 0101 CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000064 Eagan, Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: 12 BLOCK: 1 APPLICANT: 678 BRENTWOOD LANE MONTGOMERY DESIGN & BUILD WINDTREE 7TH (612) 661-1773 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE „ INSPECTION DATE INSPTR. SITE FOOTING FRAMING INSULATION WALLBOARD FINAL FIREPLACE REMARKS: VALLEY PLUMBING F- L J - - - - - - - - - - PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 WAR 1 9 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural& structural plans, 1 set of specifications, 1 copy-of energy calcs. Penalty applies when typing of it is requested, but not picked up by last working day of month in which request is madr lot than a is re guested once ermit is issued. Date a~~c/ l I "I l A Valuation of work e Location: Irp~n+L ,"a L-c,,,..z_ STREET II n/ STE # Tenant Name: LOT i ~ BLOCK SUBD.I I.,; 1 ~ P.I.D. # Descri tion of work: W v~U The applicant is: ❑ Owner ontractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE M City State Zip Company Phone ~~~-173 Contractor Address 1150 AL~IkUI~~ ~1~T~1 License o? 3 Exp.'3~ i City State ! N Zip SS0~5 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ~a Processing 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 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _bC~ aLIA=~PK.A-~ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural P 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 12 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy Q-3 IW-/ Basement sq. ft. MWCC System Zoning 1st Fl. sq. ft. y 3 City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump of Stories / Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth 59 On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ® Site M Footing ,3 Framing Z Insulation ® Wallboard ID Final ❑ Draintile ❑ Fireplace Permit Fee S7 VakWticn: : /O_~ Surcharge s z,s0 as Plan Review c/zl? kv?, ?Sz License lDk z 0 Gar. ~D.G~~zox/~•. MWCC SAC ~ z / City SAC /p0 Water Conn. (a 7S ~g~h /y, 11~632 Water Meter 9 r Acct. Deposit 30 2sr S/W Permit '30 S/W Surcharge 50 t/'7k z 9 = j Treatment Pl. 300 z~ k 3 zo l Road Unit 9 25, I/ 3,40 /oy z = Park Ded. 8h a Trails Copies Ded. 9k~y z~ Other jo y 40 Total: Plfi L_rS3 Y r~ SAC % SAC Units Pioneer En's i Weer i ng 6819488 P.01 .1f. 2422 Enterprise Drive Mendota Heights, MN 55120 PIONEER -LANG SURVEYORS • CML ENGINEERS I(612) 681-1914•F'ax 681-9488_ * an~~nieer~ng LAND PLANNERS • LANDSCAPE ARCHITECTS li 625 Highwoy 10 Northeast Bleine, MN 55434 k * * I(012) 783-1880•Fox 783-1883 Certificate of Survey for: Montgomery Design & Build Co. House Address: 678 Brentwood- Lone Eagan, MN BRENTWOOD. LANE R = 492.51 Z 01 °49'02° 5 88°23'18" W = L=15.6270.38 - - - - DRIVEWAY 1 0 -I---~ - ~~5 • 1r`'lI N , 1 ~i qE4. - 2D.0D - T.DD I 29.95 ~g3Z0 j o 'GARAGE a• 14.0 I QY 2 I o y v. m a ~ NI N n° f FROFUSEp HOUSE 0 12 COURSE UASEMENT 5 ON I Q 01 ~Q 10.0 610. c O In a O X10-G0 - p r- 31,75 it. 0 N ae°231a'"~ I f'l 93, I II I I I -J <r ~S 90,76 S 88°23'18n `+v i...1,a E.~GAW ENGIP T _ ~EivRINa rF;_-, 9G0.D Denotes Existing Elevation PROPOSED HOUSE ELEVA71oN • 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 929.55 - - Denotes Drainage & Utility Easement Top of Block Elevation: 937.66 Denotes Drainage Flow Direction Garage Slab Elevation: 937.33 .-.-c- Denotes Monument - -B Denotes Offset Hub Bearings shown are assumed LOT 12, BLOCK 1 WINDTREE 7TH. ADDITION DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report w s prepared by1m~e or undsr my direct supervision and that I am duly Registered Lax! Surveyor undsr the laws of the State Of Minn¢SOte. O8ted thlS day of A; GI` Scale: 1z=30fact R08ERT 9.51KiCN,L.VREG. NO.1A69A Y EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION MONTGOMERY DESIGN & BUILD CO 11350 ALBAVAR PATH IGH, MN 55075 MODEL BJORKLUND AREA U U X AREA REQUIRED 1. TOTAL WALL AREA 1674 .11 184 2. ROOF AREA 1640 .026 43 ACHIEVED A WINDOW AREA 263 .33 e? E DOOR AREA 40 .077 3 C SLIDING CLASS AREA 35 .33 12 D FIREPLACE AREA 0 .5 0 E WALL FRAME AREA 167.4 .041 7 F NET :PALL AREA 1168.6 .049 57 C RIM JOIST AREA 138 .0436 6 H FOUND WINDOW AREA 0 .5 0 I FOUND ABOVE GRADE 83 .135 11 3. TOTAL WALL AREA 183 J SKYLITE .5 0 K ROOF FRAME 164 .032 5 L NET ROOF AREA 1476 .022 32 4. TOTAL ROOF AREA 38 SUM OF 1.+2. 227 SUM OF 3.+4. 220 L_L t EL / CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. tivtd (612) 681-4675 RECEIPT /LqJr' 94/40 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 l f~ LAVATORY 3.00 OWNER NAME: b.'\4Ct*3vv\vNl ~J2~• 1 KITCHEN SINK 3.00 u- u 13_~Q 2` c L~ _I LAUNDRY 33.00 .00 SITE ADDRESS: 0 1 lets, CA1uo 3 - WATER HEATER 3.00 FLOOR DRAIN 3.00 1 1 c GAS PIPING OUT. INSTALLER: V IJ 1\t (MINIMUM - 1) 3.00 3 3 ROUGH OPENINGS 1.50 ADDRESS: ~r7 C 1 cv L OTHER _ rr WATER SOFTENER 5.00 CITY: U C~ A ZIP: S 3 > Z PRIVATE DISP. 15.00 11 rr U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 LL 1'w STATE SURCHARGE .50 SIGNATURE F PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY ` 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #Z,05~19,) W1'3O.'VMT. DATE : 9 tt>SID N AS PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST L ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: Y l SUBTOTAL: $ L SITE ADDRESS: STATE SURCHARGE: .50rc~.~ LOT: BLOCK SUBD. INL L TOTAL: $z~~JO INSTALLER: r ADDRESS: 9303 Plymouth Ave. Na SOF PE ITTEE Widen Valley, MN. 55W CITY: 11`` ZIP: PHONE OfERCIAL =13STRTAT PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN a a Tntif irate of (Or.rupaury Citp of (Eagan Depa rtu M of BuQitto , ertinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the Yarious ordinances of the City regulating building construction or use. For the following: Ike a.. ir.6. 5F 1C/GAR Bldg. Permit No. 64 O-p,ay TYM p3 I'M 1 Zon* Dia,iet R I Type Cnmr VN owoeroraotuiog MffGa~W DESIGN Add,,. 1135Q ALUM PAIN, IGH Oath % Aadr= 678 E`PMM LINE l;ty L 12, B 1, TrIC1~T_Rl~ 7TH 6/8/42 sw7ang , POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN p 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 _ I DATE J 19 ' RECEIVED i i r r, AMOUNT L$ & DOLLARS 100 ❑ CASH CHECK son f V 7 % r t FUND OBJECT AMOUNT I i II Thank You BY a C 1 5 c) White-Payer COPY yy~~0/2~''~`~-~ Yelko Posfng Copy Pink--FdaCopy SEWER & WATER PERMIT OFFICE USE ONLY 1 CITY OF EAGAN METER # Vl9 r 712 71,2L PERMIT DATE 03/25/92 3830 Pilot Knob Rd. r Eagan, MN 55122-1897 CHIP # 1Z 9a2 7~f PERMIT # 12641 METER SIZES f u B.P. RECEIPT # C 01 7950 DATE ' MAR 25. 1992 ISSUE DATE Z B.P. RECEIPT DATE 03/25/92 PRV - BOOSTER PUMP SITE ADDRESS 678 BRENTWOOD LN PERMIT REQUESTED LOT 12 BLOCK 1 SEC/SUB WINDTREE 7TH X SEWER X WATER _ TAPS APPLICANT: - COMM/IND X RESIDENTIAL ADDRESS: G CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters. CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-2121 I AGREE TO COMPLY WITH CITY OF OWNER: MONTGOMERY DESIGN & BUILD EAG N ORDINANCES ADDRESS: 11350 ALBAVAR PATH CITY, STATE INVER GROVE HTS MN ZIP 55075 PHONE: 688/1-177 f SIGNATURE WHEN METER ISSUED PLEASE /ALL W 4( WORKING DAYS FOR/PROCE SING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY`OF F-IbAN METER # PERt✓I1- DATE 03/25/92 3830 Pilot Knob Rd. Eagan, MN 5ai 22-1897 CHIP # PEiirv~! i # 12641 METER SIZE B.P_ RECEIPT # C: n179 0 ISSUE DATE B.P. RECEIPT DATE 03/25/ 92 DATE A3Ai2 25, 1992 - PRV - BOOSTER PUMP SITE ADDRESS 678 BRENTWOOD LN PERMIT REQUESTED LOT 12 BLOCK 1 SEC/SUB VINO TREE 7TH SEWER X WATER -TAPS APPLICANT: ADDRESS: GOMM/IND --X- RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters. CITY, STATE JORDAN hN ZIP 55352 PHONE: 492-2121 1 AGREE TO COMPLY WITH CITY OF OWNER: MONTGOMERY DBSI(Al & BUILD EAGAN ORDINANCES ADDRESS: 11350 ALBAVAR PATH CITY, STATE INVER GROVE ITTS MV ZIP 5507.5 PHONE: 681-1779 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA099098 Date Issued: 05/17/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 678 Brentwood Lane Lot: 012 Block: 001 Addition: Windtree 7th PID: 10-84476-01-120 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 Ashley Orman 130 Plymouth Ave N Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Standard Heating & Air Conditioning Roger P gorldund 130 PIN-mouth Ave. N 678 Brentwood Lane Minneapolis NIN 55411 Eagan NIN 55123 (612) 824-266 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature s J iL' Use BLUE or For Office Use QQ I r.: MAY ; Permit City of Ea a - E Permit Fee: SOS, 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 rd~a~~N Site Address: 1A W11/ s it/ S~S~a.! Unit Name: &6&_L ,g i 0 Phon 'V)`f 7O26F32$~' Resident/ Owner Address / City / Zip: ~~~~UQE LA) off, Applicant is: Owner Contractor R nl ~C~/ S Type of Work Description of work: 14 h Construction Cost: ez?< (o 17 Ja Multi-Family Building: (Yes /No ) Company: Contact: J0r/E<4.~~.v Contractor Address:' City: "S_)74!>~5- State: 441 Zip: 54 L4 Phone:(/ !J3 -~5,30 License t&K 7q q r Lead Certificate #f 2LI .9~ / S 7 70 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 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.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 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 'p'ermit issuance. Applicant's Printed Name App ' ant's Sig i~c,1E 1 3 DO NOT WRITE BELOW THIS LINE 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 _ 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL PERMIT City of Eagan Permit Type:Building Permit Number:EA163494 Date Issued:09/02/2020 Permit Category:ePermit Site Address: 678 Brentwood Lane Lot:012 Block: 001 Addition: Windtree 7th PID:10-84476-01-120 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 - Roger P Bjorklund 678 Brentwood Lane Eagan MN 55123 (651) 470-6838 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177692 Date Issued:07/13/2022 Permit Category:ePermit Site Address: 678 Brentwood Lane Lot:012 Block: 001 Addition: Windtree 7th PID:10-84476-01-120 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Mary Kapke 678 Brentwood Ln Eagan MN 55123 (262) 312-0737 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178420 Date Issued:08/16/2022 Permit Category:ePermit Site Address: 678 Brentwood Lane Lot:012 Block: 001 Addition: Windtree 7th PID:10-84476-01-120 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 - Mary Kapke 678 Brentwood Ln Eagan MN 55123 (262) 312-0737 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature