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