679 Brentwood Lane11 a?
?i?S,s?
? )4
G 45988 .
Requasi Oate ?-?_ ?? Fre No Rough-in Inspeclion
Reqmretl?
Reetly Now ? WJI Notdy Inspeclor
? Yas No When Reatli
I'X licensed coniractor E) owner hereby request inspecnon of above electncal work aC
Job Atltlress (Sireei, Box or Route
-7 ci '•??"?'`-'? ? ? Qty
Seclion No Township Name or No Range No. County
l 1 w ??yn
Occupant (GRWT) Phone No ? S^
d
Pawer Supplrer Adtlress
?
EIBCIOCdI ; DnV8C10r (CDTp2nY N T¢)
? • Contraolors License N.
??0??? ?
Moiling AdOress (COmraolo• o ner Meking Inetallavon)
?-?j O n rn n
F-Ol .
Nmnp?ytetl S?ure ( ac :?Own r Makmg Instailat=on? hone ? ber -/? (a (y /
?
P e
s
U U
MINNESOTA STpTE BOAHD OF ELECTPICITY THIS INSPEGTION REQUEST WILL NOT
Grlggs-Midway Bldg. - Hoom 5473 BE ACCEPTED BV THE $TATE BOARD
1821 Universily Ave, 51. Paul, MN SStOd UNLESS PROPER INSPEGTION FEE IS
VMn (6121_692-0800 ENCLOSED
"I
REQUEST FOR ELECTRICAL INSPECTION
? See inslructions lar camplelmg this lorm on back ai yellow copy
S45988 . "X" Below Work Covered by This Request
•Y?.'?`'.'?y EB-00001-07
9?So f?
1
. ?e.
ew Ad jlep._ . _ TypeolBwltling AppliancesWired EqmpmeniWireo
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Bmldmq Dryer Other (Speafy)
Comm./Industrial Furnace
Farm Air CondRioner
OIM1er(s0eaN) Gonimctor's Femerks. ?
Compufe Inspecnon Fee Below:
# Other Fee N ServiceEniranceSize Fee S Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps B,QQ
Transtormers Above 200 _ Amps Ab Amps
SignS Inspecror's Use Only. ^ TOTAL
Irngahon Booms
'J • `
??7 i?
Special Inspeaion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
I, ihe Elecirical Inspector, hereby Rough-in oaca
certify that the above inspechon has
been made F,,,ai oaie ^
OFFICE IISE ONLV -?
TNS reQuest vatl 18 monlhs Irom
r-
? 58746
,
C
.
g
a
Request Date
1 Fire N. ough-in InspeCtion
Requiretl? /y !?
[dReatly NowCJRW?II No0}y Inspaclor
?
16
? s ? W When Reedyo
? I ?
I icensed coniractor ? owner hereby request inspection of ebove electrical work at:
Job Adtlress Slreel, Box or Rout o? Qry
Sechon NO Township ame or No. Raige No. Counfy
Occupanl(PRINT) . Phone No.
Pa.ver Sup r AWffss
?
Eleqrkal ContradOr (Company Name) Contr r5 Lkenae No.
4,7
?D
Gw?.S-
AAailiig PAdre (Conhactor or Owner Making Installation)
/?-
AutM?¢eU ' nature (CoMractw/Owftr Mekirg Insl611alion) Phone Nu r
IdINNE30TA STATE BOApO OF ELECTFICfTY 7HIS INSPECTION REOUEST WILL NOT
Griggs.MWwey Bltlg - Room &773 BEACCEPTED BYTHE STATE BOARD
1821 Universlry Ava, St. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Vhone(812)843-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
jl? $Be msVUClwns (or complBhig Ihis fortn on back Ot yHimv oopy.
V 5 8 7 4 6 X" Beibw Work Covered by This Request
AVeiA EBA0001-0]
" g!¢ //
Ne% Atld Rep - TypeotBuiWing AppliencesWired EquipmenlWiretl
i Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Speafy)
Comm./Industrial Furnace
Farm Air Conditioner
OIM1er (spedty) Coniraclor5 Remarks:
Compute lnspection Fee Be/ow:
# Other Fee # SernceEnlranceSrze Fee # CucuitslFeetleB Fee
Swimming Pool 0 to 200 Amps (?? / j 0 ta 700 Amps Z-
Transformers Above200_Amps Aboveloo_Amps
Signs lnspector§ Use Only: ?? TOTAL ?
Irri9ationBooms ?,d0 7U
Special Inspection
Alarm/Communication
Olher Fee g
I, the Electrical Inspector, hereby
if R°uqn-ni r?re -d-7
y that the above inspection has
cert
been made. F,wi
OFFICE USE ONLY
This request voi0 18 mOnths fmm
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT C0903
PERMITTYPE: euzLorNG
Permit Number: 024808
Date Issued: 11 / 0 2/ 9 4
SITE ADDRESS:
679 6RENTWOOD LANE
LOT: 8 BLOCK: 2
WTNDTREE 7TH
P.I.N.: 10-84476-080-02
DESCRIPTION:
?
(GAS)
Btiilding,Permit Type
Building Wdrk Type
?..
.
\
?
?
FIREPIACE
NEW
n ra
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant -
AUTOMATIC GARflfiE pQOR 18913667
14690 GALAXIE AVE
APPLE VALLEY MN 55124
(612) 891-3667
L
OWNER:
WAGNER PAUL
679 BRENTWOOD LN
EAGAN MN 55123
(612)683-9128
I hereby acknowledge that I have read this epplication and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
ICAN ERMITEESIG
Acx, a 9.??i? P rn,,?
--ISSUED BV IG URE I?
J
. r +
14101
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
4 ?_6 •J 9
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 11 Valuation of work
Site Address: ?P l cl ?2L?'JT?.10?? i-I4/J?
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. rl -}J?
u? irta?Ll?az? •r ,u P.I.D. #
Descri tion of work: S-ilV,LA?) (0.^J JF O,t2t? Z,'`' ;?r' /1S ?iQt"'P (.? L Lr
The applicant is: ? Owner B Contractor ? Other (Describe)
Name (j{}(?D!?C?_ pf}lAL_ Phone GB`3- 1 J 2-3?
Property LAST FIRST
Owner Address % Vz ^-i-u'??? LIQ
STREET STE M
City l:)/-{G6N State /"j J
Zip
Company 1?LCM11\N_-i4c D,)JL ?- ?lRCPt$LE Phone 8'9! - 3C,(o 7
Contractor Address IU42_3 GALF1)K- 1b? A\(t' S7-!,)V License # 00014`9? Exp.
City - MPLc- Ufl{.w"7 State {`'\ p2 Zip SSfZ-`4
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 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 applic le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
? -? C&Y 6F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
e P? ? 0343
eurLozNG
030700
09/03/97
SITE ADDRESS:
679 BREN7WOOD LANE
LOT: 8 BIOCK: 2
WINDTREE 7TW
P.I.N.: 10-84476-089-02
DESCRIPTION:
1d
c;?nsu ?' Ca
,?. ..
a„Q:" ;;P?r ?
a. °?E ?
?
LOWER IEVEL BATH/BED
rmit Type BA5EMENT FINZSH
rType ALTERATION
434 AL7. RESIDENTIAL
??e?'i.0- t?
? Y
REMARKS:
CONTACT STATE BOARD OF ELECTRICITY AT 496-9615 REGARDING ELEC7RICAL PERMTT
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
T J B SUPER ENGERY HDMES 17802944 1845 WALTER MICHAEL
13455 CENTRAL AVE N 679 6RENTW000 LflNE
HAM LAKE MN 55304 EAGAN MN
(612) 780-2944 (612)454-2602
F
J
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$?? L' .?'?fR ????? WM ?"M1f
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.
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L?. . ?
?
ISSUEDB. IGNATURE
APP NT ERMITEESIGNATUFE
? 1997 BUILDING PERMIT APPUCATION (RESIDENTIAL) ?Sv
CITY OF EAGAN
3830 PILDT KNOB RD - 55122
681-4675
New Construdion Reauirements Remodel/Reoair Reauiremants
? 3 registered s@e survays ? 2 copies W plan
? 2 copies of plans (InGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior ad0itions 8 deeks)
? 1 energy calculatlons ? 1 energy calwlations for heated adddions
? 3 wpies of tree preservation plan ii lot platted after 711/93
required: _Yes _ No '
DATE: C6"2 S"T? CONSTRUCTION COST: -
DESCRIPTION OF WORK:
STREET ADDRESS: _(c) / 7 1 JI ?/l ?i-.?C'rr•\ ` V\, LQ5 C1 v-,
?
LOT ? BLOCK .?- SUBD./P.I.D. w-?jO?tr ? ? `''
PROPERTY Name: WG I 1-z f O`1 K c Phone #: q?22- 2 L).)-
OWNER
Street Address: 9 V\ •
City: , ci.. State: Zip:
CONTRACTOR Company: 1 ?c) rnr S Phone #: 110"22Yu
Street Address: ( 3?/ SS C,en?rat ?x. ?J License #: I?y ?
City: i?01 rn State: Zip: 3'
SsLVq
ARCHITECT/ Company: Phone #:
ENGINEER
' Name: Registration #:
Street Address:
City: State: Zip:
?
Sewer & water licer.-ted plumber (new construction only):
and lot change are, equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information
State of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Penalty applies when address change
to comply with all applicable
.
RECEIVED
AUG 5 1997
$Y:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex o 14 Fireplace ?
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New x 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building -glh- Engineering
Valuation: $
101. .a
16 Basement Finish
17 Swim Pool
20 Public Faciiity
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
-rb ?,-
-L
% SAC
SAC Units
yo,r
V 0
bITY USE ONLY
L l BL ? RECEIPT#:
SUBD.I???? RECEIPTDATE: Y09 9A
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 887-4675
Please complete for: . single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
FIXTURES EACH
Shower 3.00
rYGiCi viv.?ac: n
:l.VV
Bath Tub 3.00
Lavatory 3.00
Kitchen Sink { 3.00
Laundry Tray 3.00
Hot Tub/Spa r ? 3.00
Water Heater ? 3.00
Floor Drain 3.00
Gas Piping Outlet ` minimum - 7 • 3.00
Rough Openings 1.50
Water Softener " for dwellings under conatrudion 5.00
Water Softener ' for existing dwelling 20.00
U.G.Sprinkler ' fordwellingunderconst. 3.00
?J.G. Sqrinkler ' forexisting dwelling
,,,,,,_,,,?,?,...._ _---?-?O:UO?-•
AItCf2tIOnS ?,
.....,....»..
to ezisting residence
20.00
Private Disposal System ' Dak Cty Iic. 75.00
(new and refurbished systems)
Private Disposal Systems' neandonmeM 20.00
STATE SURCHARGE
x =
x - 0
x -
x
x =
x =
x =
x =
x ? _
x =
x =
x =
x =
? s0 .50
t CiraL
CPW(/
I hereby edcnovvledge that I have read this epplication, stete that the infortnation is corted, and agree to comply with all applicable City
of Eagan ordinances. tt is the applipnPs responsibility to notify the property owner thet the City ot Eagen assumes no liabiliry for any
damages pused by the Ciry during its nortnai operational and maintenance activities ta the fadiities mnstructed under this permit wilhin
City property/right-of-way'-------•
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 9t5i'<
CITY: ??et.L,cA STATE: ZIP:
0
SIGNATU F RMITTEE
fi.Q?D??vex? TELEPHONE#:7%
?7
CITY OF EAGAN NO 17047
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 q1 q
BUILC4ING ?RMIT Receipt # c1 0 ?i-
Est.vaiue $106,000
Site Address 679 BRENTWOOD LN
Lot S Block Z Sec/Sub. WINDTREE 7TH
Parcel No.
W Name MONTGOMERY DESIGN & BUILD
3 Address 3786 WINDTREE DR
? CitY EAGAN phone 681-9230
o Name SAME
g¢ Address
? City Phone
ww Name
? ; Address
aw City Phone
I hereby acknowlege that I have read this application and state that Ihe
information is correct and agree to comply with all applicable State ol
Minnesota Stalutes and City of Eagan Ordinances.
SignaWre of Permitee
A Building Fermd is issued to: MONTGOMERY DESIGN
on ihe ezpress condrtion that all work shall be done in accordance wrth all
apphcable State of Mmnesota Statutes antl City of Eagan Ordinances
Building Official
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zoning R=1
(Actuaq Const V-N Bldg. Permit 660.00
(Aliowable) V=N Surcharga 53.00
B ol Stones
60'
Plan Review 330.00
Lenglh
Depih Z81 SAC,CiIy 100•00
s F. rotai - snc, MCwcc 575.00
S F. Footprints -
On Srte Sewage _ Waler Conn 580.00
On &ta Well - Waler Meter 90.00
Mwcc system xx
XX
Accl. Deposit 30.00
Cdy Water
PRV Required - SM/ Permil 20.00
Booster Pump - S/W Surcharge 1.0
?
' TreatmentPl 228•00
APPROVALS Road Unit 340.00
Planner - Park Ded.
CouncA
BIdg.ON. _ Capies
Vanance - TOTAL 3,007.00
? ? •?
v
3INGLE FlMILY DiIELLIBGS
?Ja`TS OF PLANS
i3EGISTEAED SITE SOR9EYS
9 9ET OF ENEAGS CALCS.
1989 BIIILDIBG PERMTT APPLIClYION
CITY OF EAGAN
1/ 11
10
MATLTIP DiiELLIliGS
2 3ETS OF PL?NS
BEGISTBAED SIiE SOR9EI3 -
(CBECH iTTTH BLDG DIV.)
1 SEf OF E6ERGT CILCS.
C
COM'lERCIAL
2 SES3 f1f' IHCHIiECfURAL
i SlHOCPORAL PLlNS
1 88T OF BPECIPICATIONS
1 SET OF EBERGS CALC3.
MULTIPLE DiiELLINGS EPTIL WIISS FOH SALB 08IT8 f OF U6ITS
YOTEt LDDRFSSES F08 CORNER L023 - C091YI11Ct01t/SMDWNER lm DFSIGFIiE liBICH IDDRFSS
IS DFSIAED. AO C$ANGF3 iTII.L BE ILWHED OdiCE Bt1ILDIAG PERMTf 23 I33QED..
SEitER 8 iiAS£R PEAlSTf FEES lND 1CC00NT DEP03IT TSSS iiII..L BE INCLODED YTfH 2HE HOILDIN6
YERNTT FEE. PAOCFSSING TIlg FOR SEWER AND libTER PEA!lI15 IS TfiO DAY3 ONCE A PEAMIT H!3
BEEB COMPLEYED INDIClTING A LICENSED PLtilIDER.
PENALT-Y APPLZES WFiEN: PEEiHIT IS NOT PAID FOA IN SAMF. MONTH IT IS REQUESTED.
LOT CAANGE IS REQUESTED ONCE PEAMIT IS ISSUED.
?$EL' 0 7, i989
To Be Used For: Valuation: 106,nOD- Date:
-:e Address i? '7
Lat ? Bloek Z--
Parcel/Sub , ZOL??„ 7 ?
ofrr,er '-PcuJ 4-
Address
City/Zip Code
Phone
Coatractor
Address 3 ??
?
;ity/21p Code ,2:64? (r}y,..,,
1PPB(TAI.S
Phone ?') 30 P1a?er
? 177 3 cauncil
Arch./£ngr. Bldg. Off.
Varianee
Address-
City/Zip Code
Oecupaney R-3 M_I
2oning R -I
Aetual Const V-N
Allowable v- nl
# of atories
Length O'
Depth ZB'
S.F. Total
Footprint S.F.
On site sewage
?St@ M@11
SysEem r
City water ?
PRV requircd ?
Booster Ptmsp _
FFFQ
Bldg. Permit p,ao
Surcharge Oa
Plan Review o m
3AC9 City ?1 ,p.Ao
SAC, MWCC 1575,ca
iiater Conn 500,00
Water Meter o,oo
Acet. Deposit O,po
S/W Permit yD,oo
S/il Suroharge 1,00
Treatm?ent Pl. 22 W. W
Road tlnit 340,00
Park Ded.
Capies
808TOTlL
Penaltq
lOTAL
?
5? d ?'
Phone 4
2'?, SS0?
Q?? ? x ZSI,
?b? = h?Kht
8 h b
c--------
"y1Oa`a Q ?f ?f'?
004 L f7 = QS X R h!? ??t?,? Sf?
?Joo'1? LS (
2(,Z?.I =hl X $hh
=6? >>
Zlb ? ?? ? h2
- Z.Z X Zz
319 `d?I NdC)
? r NOilbn?b/1
??P eq v? T V tt '? ?,? 1°6 ( I?° 1?.: 6?? 1?
(903.0)
i V
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'r 0 PROPOSCO ? u.o q ??+? P 4
S ? ? h O1,156 ? o ? 1
DiNCNMwRK..7rjpOPIROJ 91:.'1
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, Euw. s qw.94 ' ? ? <9 34.D ) G'u/e.O? ?
? T P1 N"`+' ?auuc .nAaa. e ro? of i Ra'J
,t ay t?d8d a 4)L.98
?Ns E3 ,? a 1
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'` t7 -°.?.°"r"•'a*-'.,?.`?? 91^f??.?39•b •
O
?" '`"?•--?.L'Z?.?.,,?..???(7.?.._.?...... -L ?? _?.
9sa.l4---- DENOTES PROPOSED SURFRCE DRAINAGE
O DENOTES iRON MON! 1MENT 5ET SCAIE: t fMCN - 30 FEEf
• DENOTES IRON MONUMENT FOUMD PROP05FD t;ARAGE FLOOR -- Q36.3 FEEf
XOOO.D DENpTES EXISTING ELEVATION pROPp$ED LOWEST FIpOR - 92b.4 FEET
(000.0) DEPlOTES PROPOSED ELEVATION
, PRQPG9ED TOP OF BLOCK - 134-7 FEET
WE HEREBY CERTIFY TO NtvWTtJOMERY bE516N THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lot Blodc 2, WINC'iREE TTH ADDITION, occorA to the reccxded plaT ih?eot,
Daka4a County, Minnesota. ????
IT DOES NOT PURPORT TO SHOW lMPROVEMFNTS OR ENCROACHNI T
SURVEYED BY ME OR UNDEF MY DfREC7 SUPERVfSION THIS StST'
?3y
SIGNED:_„,AMES R. 1iILL, tNC,;
PROPOSED GRAPES 9HdNN WERE TpkF_N FROM
T11E GRADIND PLAN POR W W0TREE TTH 9 0TH E?T
rIR ,
AOO?TION FF?PARED BY RON KRUECFR a g:. ?? R tV(a j71,.raT,
A89oCiATE4, iNC, 6qs'C DpTEp 3-12-07 JOHPI C. LARSON, k.AND SURVEYOR
MiNNES07A LlCENSE NUMBER 18828
11
iat ?es R. Hill, lnC,
'PLANNERS / ENGlIVEERS / SURVEYORS
8401 JAMES AVE, S. • BLOOMINQTON, MN, 55431 o 812-884-3029
L A 1,4 ?
6=XTL.RTi:iR EhIVEI..CtP'E: AV[_RAGE. `IJ' C:CqMFLiI"Al'7:C}N
GFSHI:li7 tJAF::4 PEVF.!_t7F'MENI" i::CA°I1='F1NY
I"IUDL:'L TR-EL./ '1'1 AFiF=F1 ! I VALUE: U ri FiWL.(-d
1°IAX):I°IUI'1 tit...t_.nw[:r kfY GC:I[}E
TGl'FSI.. WALL T i`iErl :376 .11 261.36
l'O'1"AI_ FiCit:]F (-if'iF::A 944 .i):a 24..544
1"0 fNSL.. l-N_.I...Ci6,JIS17 2£35. 9U•a.
tai :F1 ]: f::l'f=A1
WAL.I_ r=ilzk_Fy
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:
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hlEl' Fi(7Llf.-
175 . 3 B;' .
40 .077 3. [ici
39 .48 I.£e., 7•;.r
30 „,_,:. 7.5
237.6 .041 , 9. 741 b
?.::p .0436 9.392
70 .0769 S. 38Gi
1364.4 .0378 59.13432
,.s0t%.i]5{ltl7
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94.4 .032 ... U:4:0£::3
1?49. c, .0227 14. .'.-:8.':S`,'S=
1"U7'AL ROt.JI= 22.2:0672
l'UlFrl_ eat:.If7:I:iVIa:L) ,;,,,' ?p°?,,.
._...... . ,._ i ?.?
I`7ARL1hl :f.IV-EHC:I.:.:iS Clr CC7DIc_ ?,:'.°Jrli:,::if:
:: I''i t=)Fi C-i T N .T. P,I 1:;: i{ C E_B S ;: i' ., !> :l 66 :I
?
?
SINGLE FAMILY DWELLINGS
HULTIPLE DWELLINGS
a
U?J
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE,
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLESED.
PERMIT MUST SHOW A LICENSED PLUMBER. -4AY Q? RECO
To Be Used For: 'Pe c/C Valuation:
Site Address G 71 Lot P Block ?? ?
Parcel/Sub 7r`
Owner ??M+ ? WQQ..v-2.4Z
Address 60?1 L,/4-
City/Zip Code Po-q,o..J
Phone CPl???J ?C/?o2d
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date: ? /13'/?i
CE USE
FEES
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage`
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
?/,??7
?
1990 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
Planner
Council
Bldg. Off.
Variance
B1dg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty ?
TOTAL
a?aarBr?Ialn a7 %sr. N"LIlf 14.eMIC
(9a3.0)
t
D
i airr%les . Hill, inc. ?
PLANNEF3a / ENGlNEERS / aURVEYORS
n
S
N
n
8401 JAMES AVE. S. e 6LOOMINQ7QN, MN. 55437 e gl2-854-3029
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EAGAN
REVIEWEO
BY? ??h1
DATf ? ? ? ? g I J
?... _
1
I'' 1
.....d
R9aNCx mi,aa : mV oarRea
L?"Y. n qsi.48
6
? 0 ? 4,???7? f/ "'?I'w. ??1?? ?'?1DII•?0?..e.?a?. ?er????.
? ?, R=43z ? N 88'23'I8"E
M
E:
'a DENOTES PROPOSED SURFRCE DRAINAGE
O DENOTES iRON M4N!.1MENT SET
0 ' QENC)TES IRON MC7NUMcNT FQUMU
X000.0 UF.NOTF,S F.XISTINGI F! EVATION
(OOO.U) DENOTES PROPOSED EL£VATIflN
SCALE: t INCH - 30 FEET
PROPOSED UARACE FLOOfi •rt qW3 FEE7
PnoPOscn I rawrsr 11-0011 -- (1.9%.4 FeE7
PROPOSED TOP OF BLQCK - Q36.7 FEET
WE HEREBI' CEpTIFY TO NcoNTt-joKER`f DE51c,N THAT THfS IS A TRUF AMD CORRECT
REPRESENTA710N DF.A SURVEYOF TNE BOUNDARIES OF:
Lot 8, 91oqi WjNDTREE TTH ADD1TlQN, accorAinQ to the e er,d d o
llakota County, Minnesvtq, '?,,,,
IT DOES NOT PURPORT TO SMOW IMPRaVEMEN7'S OR ENCROACHMENTS, EJ`tC? ? S"
SURVEYED BY ME OR UNDER MY DIRECT SUPERVI510N THIS 3IsT DAY OF• m, ?8gq,
SIGNED: MES R. HILL, INC.
PROPOSEOGRAbE9 SHC7WN WERE TAI?N PROM
TI1E ORAUINO P'LAN FOR WINCYTREE 7TH Q BTH r r C=1?1T E'?GI 3
AOOIYION PREPqREp BY RON KRUEGEf7 5 g:
AS90CiATE9, iNC, tAST DATEp 8- 12-87 JOHN C. LAR50N, l.AND SURVEYOR ?
MINNESU7A I.ICEN3E NUMBER 15828
r y
(gertifirate of (Orrupttury
titp of (Eagan
appartmrn# of luilbing 3nopPrYimt
This Certicate issued pursuant ta the requirements of Section 306 of the Uniform Building
Code certifying that a1 the time of issuance lhis structure was irt campliance with the various
ordinances of the City regulating building constructian or use. For the following:
Ux Classification ??/CA-? B(dg. Rrmit No. 17047
Occupency Type R3/l'A1 Zoning District R1 Type Consl. VN
Owner of sudaing 03RUREM DESI -f' & BIMDndde,3786 WEM7'f'TT' nR T'(,1F:. FQ[`,AN
BuildingAddress 679 '?? ??,T,1 C,ocality L8• B2, jMA1-fi'?' 71H
/ i -_ - ' ! Datc: a u ,
Building Official!, 7
POST IN A CONSPICUOUS PLACE
? CASH RECEIO7 -t _ 0
CITY OF• EACmAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 79
RECEIVED
FROM
AMOUNT $
DOLLARS
ioa
? CASH ? CHECK
FOR
. .., . _ . _ ...._
REACTIVATE FOR DEr'.AK-PLAN REVIEWED 5/9/90
i".AUL Wq-,?F-R (HJ 683-9128 CITY OF EAGAN
' 3830 Pilot Knob Road, P.Q. Box 21-199, Eagari, MN 55121
- P H ON E: 454-8100
BUILbING PERMIT Receipt #
To be used for Est. Value $106+00a Date SEF
42 17047
ys 89
Site Address 519 gFLNTWt,'Op LN
Lot ` 81ack 2 Sec/Sub. WINDTIREE 7TP
Parcel No.
W Name ?'9ONTG(?1?ERY t3ESIGi? & B'tYll.ti
3 Address 3736 ?7I?vDTE?:? Dr:
0 City E'??AV, Phone 681--9230
?
o Name 5M`=1
Z
OU a Address
cc
City Phone _
Name
I hereby acknowlege 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.
Signa[ure of Permitee
A Buiiding Permit is issued to: ',`vNTGOIliERY i)ESICP-;
on the express condition that all work shail be done in accordance wlth all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Oificial
OFFICE USE ONLY
i
Occupancy FEFS ?
Zonin9 ?=1
?
V`x 660'00
(Actual) Const BIdg.Permil
(Allowable)
v-N
Surcharge 1
S?'? i
# of Stories
601
PlanReview '
33?•? i
Length
DePih ?
28
SAC. City
100.00
1
S.F.Total - SAC
MCWCC S75.{22f? ?
S.F. Footprints - , g$0
00
< On Site Sewage Water Conn .
?
= OnSiteWell WaterMeter 90•00 !
MWCC Syslem xx
.',
30.00
City Water XX Acct. Deposit
20.00
PRV Required S.M/ Permit
Booster Pump - 5/W Surcharge 1•00 I
228.00
Treatment PI
APPROVALS Road Unit 340.00
Planner - park Ded.
Council
BIdg.Off. _ Copies ?I
??'?
3
'
Variance - TOTAL '
,
Permit No. ?Permit Holder Date Telephone J/
WATER v CZ
SEWER ? ?-
PLUMBING
r
H.V.A.C.
ELEC7RIC
Inspection Date Insp. Commenis
Footings 1 /
l ?
Foundation J?
Framing
Roofing
Rough Plbg.
Raugh Htg. /;; ,,?G e,
Isul. l0 AP
Fireplace
Final Htg.
Final PIb9.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final ? (J
Well
Pr. Oisp.
CONTRACT PRICE:
Site Address
Lot Bloc
? Name
? Address ?
c City •,7r" :r?
? Name _
c Address _
p Ciry
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHQNE: 454-8100 DATE:
L.-
BLDG.TYPE
Res.
Mult.
Comm. -
Other
WORK DESCRIPTION
New
Add-on Repair
Phone
Phone
M BTU
M BTU
° M BTU
M BTU
CFM
FEES
RES. HVAC 0-100 M BTU - $24,00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDpS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.56 S/C PER EACH $1000.00 OF PERMIT FEE)
PERMIT FEE:
SlC:
QG/ ?fdOF PI
TOTAL: FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY 8F EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SITE ADDRESS
LOT ' BLOCK -•-? SEC/SUB
APPLlCANT:
ADORESS:
CITY; STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP`-
PHONE:
.,
'
owNER: --
' ADDRESS:
, CITY, STATE ZIP
I PHONE:
- PRV - BODSTER PUMP
OFFICE USE ONLY
METER # S a3J (0 PERMIT DATE '< 1 41s
CHIP # 6 v 73 33 3 y PERMIT # r, •'?,?
METER SIZE B.P. RECEIPT #?? t83
ISSUE DATE B.P. RECEIPT DATE
PERMIT REQUESTED
i
- SEWER `---WATER - TAPS
- COMM/IND `-?RESIDENTIAL
L,- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
CITY
ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER # -
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE % 1 1 ! .' ^
PERMIT# B.P. RECEIPT #
B.P. RECEIPT DATE `
- PRV - BOOSTER PUMP
PERMIT REQUESTED
- SEWER _ WATER - TAPS
- COMM/IND _ RESIDENTIAL
- NEW _ EXISTING
PLUMBER:ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: `
ADDRESS:
CITY, STATE ZIP
PHQNE:
OFFICE USE ONLY
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE
DATE:
RE:679 BRENTWOOD LANE. L8. B2, tidINDTREE 7th
? 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 a6ove 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.
? i DATE: 9111189
RE: 7R BRENTtJ00D LAiVE, L$, B2, WYIJDTREE 7th
xx Your $ewer & 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.
.
? You1 Sewer & Water Permit for the above property cannot be completed for the following
reasons:
s
Your Sewer & Water Permit for the above property has been completed, but the meter eannot
be issued or occupancy allowed until further notice.
Cd1VIMERCIAL PROJECTS ONLY: Please pay for meter at City Hail. 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.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
' INSPECTION RECORD
CITY QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: -
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
? SITE ADDRESS:
i?s ? l.?}?r??3 i nr:g;'
PERMIT SUBTYPE:
APPLICANT:
i ... ?i • . . ... ....
TYPE OF WORK:
A f I € PaA 1 rrI N
t M..tt V I rVt 2 i-sAT tl rP€: ti
INSPECTION ., • DA
Permit Na. Permli Holder Date Telephone t1
ELECTRIC
PLUMBING . ??
HVAC
Inspeciion Date Insp. Cvmments
FOOTlNGS
FOUND
FRAMING ?Q4"7 ?
HQOFihlG
ROUGH
PLUMBING
PLBG
A{R TEST
ROUGH
liEATING t
GAS SVC
TEST ?
INSUL
GYPBdARD
FIREPLACE
FIREPLACE
AiR 7EST
FINAL PLBG
FtNAL HTG
URSAT
TEST
BL.DG FINAL f q ?
!
BSMT R.I.
BSMT FINAL
DECK FfG
DECK F7NAL
I
r-
• , • PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
5ite Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
? Narne Mult. Add-on
°-' Comm. Repair
m Address
Other
c City Phone
?
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
MINiMUM
1 PER PERMI'n -
GAS OUTLETS 1
50 EA
TYPE OF WORK -
(
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air M BTU $ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & GONDOS - RES. RATE APPLIES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $
PERMIT PRICE GOES
Gas Piping Outiets # t $ BEYOND $1 ppQ?
Other $
FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN
CONTRACT
PRICE
Site Addl:ess
4?
Lot l
? 114ame _
.
Address
? City -
PLUMBING PERMIT
CITY QF EAGAN
3830 PILOT KNOB ROAD, EAC•AN, MN 55122
PHONE 4548100
Sec/Sub
r.r•
1 c .ti 1 ?
J C. (t
Phone
^' S.IJ n• . ? t3A ? . . .
3 I Address O Clty ?-'-,, - • „
« .:j r
Phone
FEES
COMM./IND. FEE - 1°k OF CONTRACT FEE
APT. BLDGS. - GdMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMfT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
; `_ 71"--.
Other
For OfficeGqse Only
PERMIT #
RECEIPT # y
I DATE: '' '' `'
WORK DESCRIPTION
New -?
Add-on
Repair
RES. PLBG. C1NLY - COMPLETE THE FQLLOWING:
NO. FIXTURES
? TOTAL
Water Closet - $3_00 $
' Bath Tubs - $3.00
?
? Lavatory - $3.00
Shower - $3.00
- '
Kitchen Sink - $3.00
? '
Urinal/Bidet - $3.00
-r
-
Laundry Tray - $3.00
T
Floor Drains - $1.50
-r
Water Heater - $1.50
Whirlpool - $3.00
' Gas Piping OuUets - $1.50 '
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10,00
Private Disp. -$10.00
' Rough Openings - $1.50 `
PERMIT FEE:
STATES SIC:
GRAND TOTAL: ? `' ? `
' INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
I SITE ADDRESS: APPLICANT:
! PERMIT SUBTYPE:
i .
TYPE OF WORK:
,,: - .I ! ; i i, I I 1+N
,., ..,
INSPECTION D . .
?
Permit No. Permit Holder Date Telephone #
S/W
PLUMBIfvG
HVAC
ELECTRIC
ELECTRIC
Inspection Qate insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireptace
Final Htg. n
Orsat Test
Final Pibg. Plbg. Inspector - Notiiy Plumber Y?
Const. Meter
Engr./Pian
Bldg. Final /
Deck Ftg.
Deck Final
Well
Pr. Disp.
'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140557
Date Issued:01/03/2017
Permit Category:ePermit
Site Address: 679 Brentwood Lane
Lot:008 Block: 002 Addition: Windtree 7th
PID:10-84476-02-080
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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brooke Piper
679 Brentwood Lane
Eagan MN 55123--133
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
r For Office Use „ -
• Permit#: P1 '
6,4u,
.:.. ,,,.., E AG A N
' ..... Permit Fee: Z-9cD • ICt____
�1 I
E1VEDate Received: � `/ `
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 19 2020 Staff:
buildinoinspectionsta"�.citvofeagan.com Pi ,
BY
ij G2020 RESIDENTIAL1 fgr-LA3/4-(4N),A.BUUILDING T APPLICATION
Date: S i L `I ! Site Address: (a 7AA.- Unit#:
Name: DC.” I. (3 Oct f Phone:61S1 n o)-- Z %'
Resident!
Owner Address/City/Zip: 671 1 R•^t,a,&'v.,00,1 (.-.....n
4,
Applicant is: Owner Contractor H- 1 I l/U'I T i6- 1
Description of work: J Gr Z w+ Post..IN AIL-L-$'•sP►eN.
Type of Work
Construction Cost i2 gi CLO, CO Multi-Family Building: (Yes /No )p )
Company: I7,.... s 'S C4,w4M'vc,,Fian Kiri Contact: 1•Jr...01I�.�+ /S
Contractor Address:s �60117 0.--6-1: 0-. City: N441
State:Ihk) Zip: Phone: S`_3 1-I17c Email: MOM t,/S Cl1eyq/tri0: („,rhe"N
License#: RC`a frog Lead Certificate#: /ti/a7 - //?J/ --/
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
X c T� X
Applicant's PrintedName Applicants gnature
DO NOT WRITE BELOW THIS LINE (., / giec-i/L-tw" - " co /o/-7r
SJJB 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 /p 027 Occupancy 7) —/ MCES System
Plan ReviewCode Edition p� SAC Units
(25%_ 100%4 �Zoning R-1 City Water
Census Code 41 3Ai Stories Booster Pump
#of Units / Square Feet '3 Ly PRV
#of Buildings ILength /6 Fire Suppression Required —
Type of Construction Width /If
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice pater Final Pool:_Footings _Air/Gas Tests _Final
Framing • 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings—Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced WallsErosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES /Gp/�/ 10044# Q 1� /9 Plie416-4
Base Fee /q/ (� y"
Surcharge 54 4 94G/z g /✓- NV
Plan Review /,24 ✓/
MCES SAC I
o- 411°City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies G Q ATi
TOTAL
Page 2 of 3
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' DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH -R 30 FEET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -.. q3&+.3 FEET
X000.0 DENOTES EXISTING FI FVAZION PROPOSED LOWEST 11.0011 --- 124,4 FLET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK — /34,7 FEET
WE HEREBY CERTIFY TO Mo+QTQCW1`g' DEStL.,N THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot ,a; Biodc 2; WINDTREE 7TH ADDITION, occordIng to ter a prd•d • Q -0 „,.,R
Da kola County, Min nesoto. �, ' ,� t _
• IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, E) dE -• •S'"! 9 ��.. .
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 't T DAY OF,,, ., , 19:T•• t.._ ,
SIGNED: .TAMES R. HILL, INC. I
.,xR
PROPOSED GRADES SHOWN WERE TARN FROM
THE ORA01N0 PLAN FOR WINOTRE,E 7TH 5 8TH r':G TAT E IGI EE NG D
ADOMON PREPARED BY RON KRUEGER 5 8 :
ASSOCIATES, INC. LAST DATED 3- 12-87 JOHN G. CARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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9401 JAMES AVE. S. . BLOOMINGTON, MN. 55431 • 812-$$4-3029