687 Brentwood Lane
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? 95As?
?
_?030
ReQUest Date Frre No. RoogRin Inspeclion
ReQwre tl?
.P? Reatly Now ? Will Notdy Inspeaor
P
d
W
? Ves AQ-N. han
ea
y?
I2Nicensed contractor O owner hereby requast inspection of above electncal work at:
JoD AEtlrass (SVeet Box or Raute No ) City
6s-7 3? 7 FA sd v
SecM1On No Township Name or No Range No Counly
KT
Occupam (PRINT) Phone No
QL.ec.v? a (ztT C-
.
olygT
Power SuDplier
.5?da'7Z Z-Lt-<:?0e1c. qddress
??.?WAGTOr6 zo"l
EleOncal Conlractor (CqmDany Namej ?-?-
?L Contreclor5 License No.
-
cc./ ?'. c.; J
Mailrng Atltlress Coohactor or Owner aking Inslallalion)
/?z
4 //?
/
? ,
'
Aut?orrzetl onVaMOrlO aking Installatron)
2 one Number
.?
w?17
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-MlGway BIOg. - floom S173 BE ACCEPTEO BYTME STHTE BOARD
18Z1 UNVersiry Rva., 51 Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Plqne (612) 641-0B00 ENCIOSED
G i3o030
REQUEST FOR ELECTRICAL INSPECTION
b- See mshucLOns br wmpletrng this form on back ot yellow wpy
'X" Below Work Covered by This Request
'jnf?,14, EB-00001-0]
ew ddd Rep. TypeofBUflding AppliancesWiretl EqmpmentWired
Home Range )eO Temporary Service
Duplex Water Heater Elec[ric Heating
ApL Building Dryer Other (Speciy)
Comm.llndustnal Fumace
Farm Air Condihoner
Other (spectly) Conlrador5 Remarks
Compute Inspection Fee 8elow:
# Other Fee # ServiceEntranceSae Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers AbOVe 200 _ Amps Above 700 _ Amps
SignS Inspectorg Use Only TOTAL
Irrigation Booms
Special Inspection p
J•
Alarm/Communroation THIS INSTALLATION MAY BE ORDERED DISCONNE ED T
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby
tif
th
t th
b
i
i R°ugh.in oaie
f
cer
y
a
e a
ove
nspect
on has
been made. Final are? ? sp
o?
OFFlCE USE ONLY
This rapuest voitl 18 monlhs iram
31
ReQUest Oate Fire No RougRm IneOecIton
Reqwretl?
? Reatly Now JtWill NoMy Inspector
?
'
A(ves G No hen lieatly
?
I,Qp' licensed contractor O owner here6y request inspection of above electrical work at:
Job Adtlreu (SheeL Box or qoute No ) Qty
ei &e"7-jaac4 L,diT socW
SMion No TownsM1ip Name or No Range No, bvunry
?J?a? l-x
01 (PRINT) Phone No
CUKST.
Power SuppLer
. r,r?KO%y LfCT/Z/G AtlOress
f.(?2iyl/1V6 O?i/ /19/Y
Elecincal Controcim (GOmOany Name) Contractor5 Lmense No
/ ,?I .? 04g? ii?o
-
Ma,bng AEtlress IComranor or Owner Making Installau
on)
?
i'J/
/
???
YYY,,,yyy
AutM1Onletl Srgn Gonttacto Ma q Inst let Phone Numper
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlwey BIOg. - Room S-1)3 BE ACCEPTED BY THE STAiE BOARD
t821 Unfvenity Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(81Y) 602-0800 ENCLOSED
/?1!70
G 06031
REQUEST FOR ELECTRICAL INSPECTION
? See insvuctions 1or completing lnis brm on back of yellow copy
"X" Below Work Covered by This Request
`??•?\ EB-00001-07
ew A tl Rep. Type of Building AppliancesWired EquipmeniWired
Home ange Temporary Service
' D?lex ater Heater Electric Heating
Apt. Building 4 ryer O[her (Specity)
Comm./Industrial urnace
Farm CondiOOner
Air
Other (speaty) Camracror5 Remarks
Compute Mspection Fee Below:
# 01her Fee # ServiceEnlranceS¢e Fee d Circurts/Feeders
Swimming Pool
0 to 200 Amps
0 ta 100 Amps Vi
TranStormers Above 200 _ Amps Above 100 _ Amps
SIgOS Inspectar§ IJSe Only.
?
7Q L
Irrigation Booms ?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNE T
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electncal Inspector, hereby
tif
th
t th
b
i Rough-in / ate
?
+ h
y
cer
a
e a
ove
nspection has
been made. F,?ai '
- '
, - • Qo
OFFICE USE ONLY
This request voitl 18 monthS trom
INSPECTION RECORD I C°ntr° N°. 0367
CITY OF EAGAN PERMIT TYPE: N"toi"
3830 Pilot Knob Road Permit Number: 00t 45*
Eagan, Minnesota 55123 Date Issued: &&j*402
(612) 681-4675
SITE ADDRESS: tiot, +s wLnctc : z APPLICANT:
68T 8R1EWYiiOCt1 lhkE PAR7LOW a7liR
wxibrr+eE 7r» (612) ;??-aus?es
PER?INIT SUBTYPE:
TYPE OF WORK:
N1Hi
INSPECTION
F64ITTN6 .. .
P'ZM?AL .•
,
?
c
RflII ItECk2p7 A
\
Pertnfl No. PermN Holtler Oate Telephone R
S/W
PLUMBING
HVAC
ELECTRIC
ELECTqIC
Inspecifon Date Insp. Comments
Footlngsl -
Foundation
Frammg
Roofin9
Rough Plbg. '
Rough Hig. " .
Isul.
Fireplace
Fnal Htg.
OrsatTest
Fnal Plbg. Plbg. Inspector - NoYify Plumber
Const. Merer
Engr./Plan
Bldg. Final
Oeck Ftg. u
(
Deck Final ? ? • '
Well
Pr. Disp.
PERMIT C°n °"° 0367
? CITY'OF LAGAN '
3830 Pilot Knob Road PERMIT TYPE: eutLorNG
Eagan, Minnesota 55123 Permit Number: 000450
(612) 681-4675 Date lssued: 0 5/ 0 4/ 9 2
SITE ADDRESS:
687 BREN7WOOD LAPIE
LOTs 6 BLOCK: 2
WINDTREE 7TH
DESCRIPTION:
Bu'ilding- Permit Type DECK
Building Work Type NEW
?
I
• >, _:
d ' If
?rl
?.
r
% ?'a 1.,.?L?=7 L'1?-? J 1.??•._iL! "..=, DUP ?
REMARKS:
RECEIPT # 860a
FEE SUMMARY:
Base Fee $25.00 COPIES $1.50
Surcharge $.50 Total Fee ;27.00
Subtotal $25.50
CONTRACTOR:
OWNER: - APPlicant -
PARTLOW JIM
687 BRENTW000 LN
EAGAN MN 55123
(612)681-8823
I hereby acknowledge that I have read Ghis application and state that the
Ynformation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinanegs.
?
R.Q?d.l
APP CANT/PERMITEE 51 NATURE -?SUE- D B'li':.?'iIGNATU E
INSPECTION RECORD C°ntr°' N°. 0367
CITY OF EAGAN PERMIT TYPE: suzLozNG
3830 Pilot Knob Road Permit Number: 000450
Eagan, M innesota 55123 Date Issued @ 5/ 0 4/ 9 2
(612) 681-4675
SITEADDRESS: Lor: e aLocK: 2 APPLICANT:
687 . BRENTWOOD LANE PARTLOW JIM
WINDTREE 7TH (612) 681-8823
PERMIT SUBTYPE: TYPE OF WORK:
OECK NEW
REPIARKS: RECEIPT M
F
L
PEttMIT CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
L[ -?j Q 681-4675
(
a7-?
h ?2-G?
'APR s o RECo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans. 1 set of
specifications, 1 copy of erlergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date yaluation of work
Stte Address: r-S l A reu??,vooc? L-a?
STREET STE M
nant Name: aT,.,., ar-?6-J
Lm ? T BLOCIC a SLU. -77?'
U'-} `:I.o. .
,_
?
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (oeccribe)
Name po-rt\Q)?j .S' v? Phone Sd- a
Pro ert
n usT ?IRST
wor k'# ?8 ?-$ B
Ow
ery Address G'S-1 (3riK.4wc"?,) L_ar?
STREET STE /
City 5 o-v? State m N tip ?/a 3
Company Phone
CoMractor Address License # Exp.
City ? State Zip
Company Phone
Archftect/
Englneer Name ? Registration #
Address
?
City State Zip
Sewer & water licensed plumber X' . Processing time for
sewer & water permits is twa days once area has been approve .
I hereby acknowtedge 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: ?.
ti
%+rrwc uac vnLT
BUILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Btdg - ? 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family p 07 Fireplace O 11 Res. Add./Porch
? 04 Multi-fam. T.H. 0 OS Deck 0 12 Comm./Ind.
woRK rrPE
lrz'31 New
O 32 Addition
O 33 Alterations
13 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
Const. (Actual
; Basement sq. ft.
(A1lowable lst F1. sq. ft.
UBC Occupancy ?? 2nd F1. sq. ft.
Zonin
9
Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REOUIRED INSPECTIONS
0 Site ? Footing ? Framing
? Nallboard ? Final ? Draintile
0 Insutation
? Fireplace
I Pet'mi t Fee c c v.iuseia,:
Surcharge ,5r
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units --
:
O 13 Public Fac.
? 14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
F1re Sprinkler
Census Code
SAC Code
Assessments
. e, Fqrr Greenwaldt Constcuction Book /ZO Page /D
DELMAR H. SCHWANZ
LAND UMVTVM. INC.
ftoWWW U,dW L...a.?. ftft a,.m"".
14750 SOUTH ROBERT THAII ROSEMOUNT, MINNESOTA 56066
SURVEYOR'S CERTIFICATE
_( 06 ii3?
= S 84°59'i 7" E
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s Lo T
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ToP NuB=?
938•s9
np n
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5.2
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,2 ;;? ,
751
?
eiy.:sIM
N
01 j Scale: 1 Inch = 30 Feet
( Q?
,, --._ O Denotes iron monument
?j
O Denotes set wood hub
469 oenotes existing el.evatic
9(a9 Denotes proposed elevaCic
from development nlan.
BM: Top nut of hydrant at Interse-
ction of Elrenne Road and
Stonewood. = 915.30
I
I
? ?\9
Top Floor Elevation
943.o Garage Floor Elevation
Lowest Level Elevation
938.?0
? By D
)
' D
-EAGA EN 1
NEERI?G I)Ep7.
DescripCion: Lot 6, Block 2, WIIiIYfRSS 7th ADOITION,
according to the recorded plat thereof, DakoLa
L county , Minnesota.
?
-71,.1
-`--- EN T v/oo ?)
1 naroDy nnly that mia suNsy, pun, r repon was
propusd by ma or untlsr my dir?ct wparvlabn md
Ihol I am a duly Rsplsfsnd Lend SunsyM unds?
Me laws ot tM StNS ol Mlnnsso4. \
o.,.d
DNmY H. RChMma
MlnnNOla RpbUNkn No. lm
CITY OF EAGAN N_
t ! 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
i 4? - !7
BUILDING PERMIT PHONE: 454-8100 Receipt # V
To be used for N Dw?ZGAR Est. Value $144, 000 Data NOV 16 , 19$2-
Site Address 687 B?ENTWOOD LN
Lot 6 Block -2 Sec/Sub. WINDTREE 7TH
ParcelNo.
IName GREENWALDT CONSTRUCTION
? Address P 0 BOX 125
City BERTHA Phone 688--8147
fo Name SAME I
g? Address
? City Phone
1W=.j w Name I
E? Address
`a W City Phone
1 hereby acknowlege that I have read this application and state that the
mformaUOn is correct and agree to comply with all apphcable Stata oi
Minnesola Statutes and jC?tty /`o?f Eagan Ordin nces.
Signature ot PermiteezajzitQ?
A euildmg Permrt is issued to: GRENWALDT CONST
on the express condilion that all work shall be tlone in accortlance with all
applmable State of Minnesota StaNtes and Ciry oi Eagan Ordinances.
Building Ot6cial
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zoning R=1
(nctuap Const -Y--'1 Bldg. Permrt 794.00
(Allowable) V-N Surcharge 72.00
Y of Stones
00
397
lergth 71 ' Plan Review .
Deplh 35 ? SAQ City 100.00
S.F Total - SAC.MCWCC 575.00
S F. Footprints -
On Site Sewage _ Water Conn 580.00
On Sile Well - Water Me1ar 90.00
Mwcc sysiem XX
XX
Acc1. Deposit 30.00
Ciry Water
PRV Required _ S/W Permit 20.00
Booster Pump - S/W Surcharge 1.00
7realmentPl 228.00
APPpOVALs Road Unn 140_ nn
Plwmr - Park Ded.
Courial
BIdg.Ofl. _ Copies
Vanance - 7p7qL 3,227.0
0
r -.
1989 BiTILDING PERMTf APPLICATION
CITY OF EAGAffi
Ittsoq
SINGLE FAMILY DWELLI8G5 MULTIPLE DWELLINGS
2 SHTS OF PLANS 2 SETS OF PLANS
3 BEGISTEAED SITE SORYEYS REGISTERED 3ITE 3IIRVEY3 -
1 SET OF ENEEGY CALCS. (CHECg iiITH HLDG DIV.)
1 SET OF ENSRGY CALCS.
COl9MERCIAL
2 SETS OF ARCHITECTUR9L
& STflUCTiTAAL PLAHIS
1 SET OF SPECIFICATIONS
1 SET OF SNEBGY CALC3.
M[TLTIPLE DNELLINGS RENTAL QNITS FOA SALE tINITS # OF UNITS
HOTE: ADDRESSffi FOE CORNER LOTS - CONTR6CTOR/HOMEOWNER M03T DESIGNAiE WEICH EDDRESS
IS DESIRED. NO CAANGE3 SiTIILL BE ALLOiIED ONCE BIIILDING PERMIT IS I33IIED..
SEWER & W9TER PERMIT FEES 9ND ACCOUNT DEP03IT F6ES iiII.L BE INCLITDED WITH TEE HUILDING
PEFQIIT FEE. PROCESSING TIME FOR SEWER AND WAT&R PERMITS I3 TWO DAYS ONCE A PERMIT H93
BEEN COMPLETED INDIC9TING A LICSN3ED PLDMBER.
PENALTY APPLSES HSEN: PERMIT IS NOT P9ID FOR IN 39ME MONT& IT IS R&pIIESTED.
LOT CHANGE IS REGIIE3TSD ONCE PERMIT IS IS3IIED.
? ??'? a ?; tS3$
To Be Osed For: Valuation: Date:
Site Address
Lot ? Block ?-
PareellSub
Owner
Address ?J_ 6
City/Zip Code(,/`Lf,?
Phone 6L? - i/ y7- !zIN-097 7
''t nt actor=?. ???w?
9ddress ?/7dfi (d S
T
1t7y,000- vrri?Q UuJ
Oecupancy R 3 M -f
Zoning (Z- 1
Aetual Const
Allowable V-h
# of stories
Length rl!
Depth 3
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System &;7
City water
PRV required
Booster Pump _
CitylZip Code ? ??? 3(??3?J I
APPROVAL3
Phone Planner
Council
9rch./Engr. Bldg. Off.
Varianee
Address
City/Zip Code
Bldg. Permit
Surcharge r? 2,d:
Plan Heview 3901, p?
SAC, City
O?
)00,
3AC, MWCC S S.DO
Water Conn ,r,?. 00
Water Meter cio,oc,
Aect. Deposit .3p,op
S/W Permit 2n.oo
S/W Sureharge 1,00
Treatment P1. 2 2 ,oo
Road Unit o oe
Park Ded.
Copies
SOSTOTAL
Penalty
TOTAL
?- " Ui ?r
Phone #
.. ,
1/A Lu A-n orJ
lp
34xzz=r)y?
2.0 ? Z r ?l o
-----
7qi x iS = I t f3Zo
13`SMT,
3S"x3? = rzRS
5'x 22; I i o
? 1?5x 14= 1 ?Syv
Isr R?ooR
8?w, s t i as ,- -
zyq=
3xy;??
r
? 3 X ?? =
? 4? ? ? =
II'?Lu?=
12X Y=
fl5l
Zz
?1
fr?
--
ID?(, k5b -S?'
1+-130
794•00+
72•00+
397 •fl0+
1 19Ot+•00+
3, 2z7•oa*+
794•00+
?2•00+
s97•oo+
1904•00+
3, 227•00*+
, ,
, EXTERIOR ENVEI:OPE AYERAGE NU" COMPUTATION
OWNER
5[TE ADORESS I-oT 6 51?0ck, Z-. GUJrvD09?--TrH AP'A.1-
I 1-zr8-qz4 -a 107
CONTRACTOR(?-p,Gzn,cc,a ld¢ Caqle DATE PHONE 47 Z-Z7?
Oetermine work{ng square footage of each.
1. Total exposed wall area ....,. 3 S S?r_Usq. ft. z •11 a 9- 3
2, Total roof/ceiling area ..,... 11 8 d G a 5q, ft, x .025 •?
Total exposed ara11 area ebove floor •?? 2.1 a
a. 7ota1 wail window area ............ ........ 2S4.q9
b. Total Coor area ... ........................,.... ?
c, Totel sliding ylass door area ................... a a
.,...,.
d. Total fireplace wall area.................
e, Total wail framiny area (average 10%) ,,,........,
f. Total net walt area above floor .................
g, Total rim ,}oist area ............................ d
Total e>:posed foundation aiea = l.'9,-
?
h. Totai foundaticn rrindow area .....................
i. Toal net foundation area a6ove gra,,e ,........,.. i 2 A.iO
Determine "U" value of each wztl segment.
a. 25 +,qg? X „ult < 53" . fdID,Z4
b, ??-Q_X "U" , 15 _
c. 8Li.a? z Nu" ,¢4.02-
d. ? X "U" ? ° -
e. df2./ X '-u° -04-3 . 40
r, 2432, Sf z ^u° - 04 ? . t 0 1,-7v
g. .41 X "I/°
r1
hi X
ny llp
a
X "U" ?4- • E .`LI
3 .....................................Tota1 ` ?--?
]f item 13 1s the same as, or less than item it, you have met the fntent
of SBC 6006(t)2.
?otal exposed roof/ceiling area = 1(9 0•o d
j. Tota1 skyliqht area ..................... .....
k. Totai roof/ceiling framing area (average 10%).,,
1. Total net insulate6 roof/ceiling area............ U. O<%
Oetermine "U" value for each roof/Ceiling segment.
; x 4,u„ ,
k. • X "U" •
i. (190.0? X „u„ 9"
a............o........... Totat • ?z?
if total of 04 fs the same as, or less than 12, you have met the intenC of
SBC 6006{c}1,
Alternate Building Envelope Design
To utflize the total envelope system method, tne values estabtisheE by the
sum of items 03 and 94 shall not be greater than the sum of items /1 and 02.
1+ 2,?93Z?
3. 3 3 4. o? + a. z9sa 3?,S
WEPJA CO. PLAN SERVICE
ED ANOERSON
ARCNIT6GTUPAL O6D16NIN6 AND PLANNINQ
5397 UOPer 147th Sheet
Apple Valley, MinneSOta
ReslUenCa: Offite:
423-5658 4233775
.Certificate For: Greenwaldt Construction Book /ZO Page
DELMAR H. SCHWANZ
? turo suSIverone. nic.
wpnww ur. Lw. ar nr aw a?es _
71760 SOUTH ROBERT TMII ROSEMDUNT, MINNESOTA 60066 !tY/123-1760
SURVEYOR'8 CERTIFICATE
_06 110.39 _ N
S 84°59'/7" E
Z ? i Scale: 1 Inch = 30 Feet
Denotes iron monument
1 'O Denotes set wood hub
/ryo9 Denotes existing elevatio
9(09 Denotes proposed elevatio
from development olan.
(? ? O?? 5 BM: Top nut of hydrant at Interse-
l? ction of Elrenne Road and
I, W ? Stonewood. = 915.30
f?O •
M Q
?V ??fl
7DP NvQ_? I-89 t?,q • ? o? Top Floor Elevation
938.59 ?- 9 3 5 / ? I\ 943.o Garage Floor Elevation
370 \ Lowest Level Elevation
ry o ? ?
VI ?? ?
ren ? ^?i ^i RRo4 o5? ??
1a°
Nue: 938.iv
94?•Ic'? ?oso 9'? - 2s ?i' GP0.' ,0 h By
?2 ' " Zo Z n"? D e
EAG??
?GINEERI
9Q?o s.io G D?pT
a l? Description: Lot 6, Block 2, iiINDTREB 7th ADDITION,
J3??S 8?„3¢ d_ ??/ according to the recorded plat thereof, Dakota
° County , Minnesota.
9
' BR E R,\?
N ?9z. S 1
I hsroby osrdty IhM thla wFvey plan. r roport was `
proparod Dy ma a unAx my dlroct wpsrvisbn and
tMl I em a duly Regislared LanA Surveyor und?
ths lawe W tM Stata of MlnnaoL. \
, oaw //-/3-g9
DNnM? M. 80hwenz
MUWAou Mpftqlon Mo. s04a
CITY USE ONLY
LOT ? BL y RECEIPT#: U?O ?7` S
SL'BD. W,? /? RECEIPT DA'I'E: T I!o 7/
1999 MECH1hNICAL P£RMTP (RESIDENTiAI)
C1TY OF EAfiAN
SSSO ?ILOT KNOB RD
fJIfiAR MN 551 EY
Date: 5q (651) 681-4675
\
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section an/v if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, repiacement item, or repair.
New ?S' Replacement
_ Repair _ Other
? Fumace
_ Air exchanger, i.e. Vanee system, etc.
Renrinder: Call 681-4675 for inspections.
SI'I'E ADDRESS: 1" I I[5f?t
OW"NER NAME:
I-NSTALLER NA'.NE: - C
STREET ADDRESS: -?a"%A
CITY:
_ Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
PHONE #: J?La- YZE?
STATE:,Vy\\-/" ZIP: s'48.a'
PERMITTEE
1S FORbiS BLD-MECH PER,bIIT (RES)- 1999
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 M£cHAviC?? PERMrr (COauME[tciatW
CITY OF E4fiAN
3$30 P1LOT KNOB fiD
£lIHAN, MN 55122
(651)6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are gQ required for each dwelling unit
I'iATE: COIVTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR S30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
PHONE #:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
($.50 per $1,000 of nermit fee due on all pemuts.)
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
?itp of (eagatt
Erpar#atnd o# luitdittg Jnwrrftnri
?72is Certificate 1'ssued pursuant to the requirements of Seciron 306 of the Uniform Building
Code certifying that at the time of rssuance this structure was in compliance with the various
ordinances of the City regulattng building canstructian or use. For the following:
Use C7auificaaon SF DWGZGAR Bidg. Permit No. 17309
o-upa-v Tvae R3/141 zoning niuricc R1 Tyne cAnst. VN
Oxmer of Huildin8 BREEWMM OMST• pddress P.O. ?125, IIUM
&rildingAddress 687 / ? ? Loc8lity L6s ?, WRUfM 7M
D.?
Bwlding Offici ?," ?
PQST IN A CONSPICUOUS PLACE
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Road, P.O. Box 21-199,
PHONE: 454-8100
E51. Value
Phone
?km I City Phone
-
I hereby acknowlege that I have read this application and state that the
information is correct and agree io comply with all applicable Stale of
Minnesota Statules and City of, Eagan Ordinances.
,?-?--
Signature of Permitee
A Building Permit is issued to: CRENWAbDT CEli+iST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofiicial - ? '
17309 ;.
OFFICE USE ONLY ;
I
??3 M-1 i
?
Occupancy FEF S
i
Zoning R-1
(Actual) Const V"N Bldg. Permit 79??? i
(Allowable) V-N
Surcharge 72.oo {
# oi S[ories
71'
Plan Review 7
3??'?
?
length
o
n •
? 100.00
?
ept sAC, cty
S.F.Total - SAC,MCWCC 575•?
S.F. Footprints - S$Q•? j
On Site Sewage _ Water Conn
On Site Well Water Meter 90•00 '
MWCC System xx
?
Acct. Oeposit 30'00 d
?
City Water 20•00 '
PRVRequired _ SlWPermit j
Booster Pump - S/W Surchar ge 1 *00
228.00
Treatment PI
APPROYALS Road Unit 340.00
Pianner
Park Ded.
Council
Bk1g. Ofi. Capies
3
227.00
Variance - ToTAL ,
" Permit No. Permit Holder. Uate Telephone #'
WATER
SEwrtR
PLUM8ING 6
Od ? 0
4 Slad 11,19
H.V.A.C. ?I
ELECTRIC o?
Inspection Date Insp. Comments
Footings I ?IA v
Foundation
Framing
Roofing
Fiough Plbg. l . ?. ?
Rough Htg.
Isui.
Freplace
Fnal Htg.
Final Plbg.
Consl. Meter PI6g. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final e,
Deck Ftg.
Deck Fnal
Well
Pr. Oisp.
CITY QF EAC*AN
CONTRACT
PRICE
Site
Lot_
BLDG. TYPE WORK DESCRIPTIi
Res. New
Muit, Add-on
Comm. Repair.
,
Other
Cfty
Phone
Phone
FEES
COMM./IND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CON00 - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.40
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(AD0,$50 S/C PER EjACH $1,000 UF PERMIT FEE)
OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122 I RECEIPT#
Pt10NE 4548100 DATE: _
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TY TAL
Water Closet - $3.00 $
Bath Tubs - $3.00 7
? Lavatory - $3.00 _ Y _
5hower - $3.00
?- Kibchen Sink - $3.00 ?
UrinallBidet - $3.00
T
?
?-
Laundry
ray - $3.00
Floor Drains - $1.50 !- 5
-
?
Water Heater - $1.50 L_5
Whiripool - $3.00
? Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIT)
Saftener - $5.00
Well - $10.00
Private Qisp. - $10.00
?-
4!- ?
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C: •?0
:Pyn f d:<•_ 1K i t ? . , .
? Name ?
Address ?
c City
Name
? 3 Address
0 Ciry ?
? TYPE OF WQRK.
' Fnrrofl Air- - _
l"_
Ah,
MECHANICAL PERMIT RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
PHONE:454-8100
' BLDG. TYPE WORK I
Sec/Sub Res New _
?? .
Mult Add-on
Comm. Repair _
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
- $24.00
- 6.00
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMMlIND FEE -._1% OF-CONTRACT FEE
TU - - ? --=APT BIDGS. ?= CdIVIM. R&E`APPLIES ---- TOWNHOUSE & CpNDOS - RES. RATE APPLIES
tsouer M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M gTU REMODEIS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 ?
Vent CF? ?
PERMIT PRICE GOES
,
p
B
Gas
Piping Qudets # .?
p?
EY ND $7 p
SEWER & WATER PERMIT OFFIC USE ONLY
CITY OF EAGAN METER #'?3?f 3d g? PERMIT DATE 11 / 17 / 89
3830 Pilot Knob Rd. CHIP#Z'??,3 PERMIT # 11107
Eagan, MN 55122-1897 „ ?67?
METER SIZE. e? B.P. RECEIPT # `'
DATE (?- r J ISSUE DATE B.P. RECEIPT DATE 11/161$9
- PRV BOOSTER PUMP
SITE ADDRESS
LOT -"LOCK :;?--SEC/SU
APPLICANT:
ADDRESS: 6
CITY, STA7 ?
ZIP
PHONE: ' ? 0-"
PIUMBER:`7'
ADDRESS:
CITY, STAT ZIP
PHONE: ? ?D "-
OWNER: _
ADDRESS:_
CIlY, STATE
PHONE:
ZIP
PERMIT REDUESTED
X SEWER X- WATER - TAPS
- COMM/IND 4 RESIDENTIAL
7x NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit l(VILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH GITY OF
EAGAN ORDINANCES SIGNATURE WHEN METER ISSl1ED
PLEASE ALLOW T1NQ WORKING DAYS FOR PROCESSING. CALL 454-5220,FOR INSPECTIONS. FOR STORM
SEWER PE"ITS,CO?N7'AC7' Fr,1?IC?i,I1,HEF?RING DEPT.
?
SEWEFJ & WATER PERMIT OFFICE
I CITY (IF EAGAN METER #
3830 Pilot Knab Rd.
Eagan, MN 551 22-1 897 CHIP # -
METER SIZE
DATE ISSUE DATE
_PRV
?I
. ?
Ar
SITE ADDRESS
lOT --i-BLOCK e?- SEC/SUBK rt• ;';A..z
CITY,
ADDRESS:
CITY, STAl
PHONE: i
>E ONLY
PERMITDATE 11/17189
PERMIT#
B.P. RECEIPT# `4`)70
B.P. RECEIPTDATE 11?1.089
OSTER PUMP
PERMI7 REQUESTED
?
X SEWER WATER , TAPS
? COMMlIND RESIDENTIAL
ZI P
? ?} ? D. A NEW _ EXISTING
- Lawn Sprinkler Meters are to be Installed
Ahead of Qomestic Meters on Water Line.
Credit,WILL NOT be given for Deduct MeterS.
-- ?
ZIP ...-
.
?
I AGREE TO COMPLY WITH CITY OF
OWMER: EAGAN ORDINANCES
r
ADDRESS: '
?,.
CITY, STATE , ZIp
RHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW 7W0 WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: 11/17/89-
.t.RE': BRENTWK1QA LANE, L6, B2, WINDTRBE 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 PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATEFi TURN ON.
;uYour 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 PRUJECTS ONLY: Please pay for meter at City Nall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNIMG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELaPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections pept.
DATE:
11/1T/89
d*
RE:' Mf BRENTWUQD LANE, 4, B2, WINDTSBB Tth
xx s?
i Your Sewer & Water Permit for the above property has been compieted. 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.
? lAour Sewer & Water Permit for the above property cannot be completed for the following
i;easons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or accupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay far 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 FUR WATER TURN ON POLICY.
Secretary, 6uilding Inspections Dept.
RESIDENTIAL
.???55? BUILDING PERMIT APPLICATION
CITY OF EAGAN 470, De)
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeVReoairReauirements
. J registered srte surveys showing sq. ft. of bt, sq. tt. o( house; an?ll roo(ed areas • 2 copies of plan
(20%maximum lot coverage albwed) • 1 sel of Energy CalculaGons for heated additions
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 7 site survey for exterbr addi6ons & decks
• 1 set of Energy Calculations • Indicate A home served by septlc system for additans
• 3 copies of Tree Preservatlon Plan if lot platted after711193
. Rim Joist Detail Oplions selection sheet (bldgs with 3 or less units)
DATE ci VALUQION ff,1Y06
JOB SITE ADDRESS g &Ail0adl rih P.
m?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? -"
PROPERTY OWN
TYPE OF
,..?
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Y.?? YJ S 0OGI'4S PHONE#_
ADDRESS /grehf LUOanc 4Cin t ZIPCODE
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VIINNrSOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ven6lation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
b1INNESOTA RULES 7672
- New Energy Code W orksheet Submitted
Plumbing Contractor. Phone
PlumUing System Incfudes: «'ater SoRener Lawn Sprinller Pee: $90.00
_ \V.ucr Heater No. of R.I. Baths
vo. oFBaths
Mechanical Contractor: ?1 Y' P S 4 e L,d V-YI Phone # 90- S-4?ar 0758
iblechanic.il SysCetn Includes: _ Air Conditioning Fee: $70.00
Hcat Rccovcry Systein
Sewer/Water Contractor:
Phone #
AII above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the information is corcect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina///nc???es.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 1101
RESIDENTIAL
BUILDING PERMIT APPLICATION
5 CITY OF EAGAN
,? Jg g 3830 PILOT KNOB RD • 55122
651-681-4675 ? ?(U
New Construetlon Reauiremenb RemodeUReoair ReauiremeMs
• 3 registered site suneys showirg sq. ft. of l04 sq. iL of house; arM all roofed areas • 2 copies of plan
(20% maxunum lat caverage allowed) • 7 set of Eneyy CalcWatlore for heated additions
• 2 copies ol plan showing beam 8 window s¢es: poured fourM desgn, etc.) . 1 site survey for ezteriw additions & dacks
• 1 set of Eirergy Calculatlom . Indkate i( hane served hy septlc system far additions
• 3 capies of T2e Preservation Poan i( lot plaHed after 711193
• Rim Joist Detad Options selecUon sheet (Wdgs wBh 3 a less umis) ?
DATE C_?-'2o ^O1 VALUATION
JOB SITE ADDRESS 68I L+L
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER T3o R SRr?.T.?
TYPE Of WORK ?? ?SZ -,`EC, C??S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
ADDRESS
PAGER #
PAX #
NEW RE5IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the i r tion is correct, and ag ee fo comply
with all applicable State of Minnesota Statutes and City of Eagan Or man?s.
!
Slgnature otApplicant
1
Certificates of Survey Received _ Tree Preservation Plan Received _ Not uired _
Updated 1107
`C°l?
CELL PHONE #
_ Water Softener
_ Water Heater
_ No. of Baths
1-\ P t_--
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditionutg
_ Heat Recovery System
l?el"'1sP4-L,i ^)a PHONE# /,i'4.- 09,9 •307--O
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 687 Brentwood Lane
Lot: 6 Block: 2 Addition: Windtree 7th
PID:10- 84476 - 060 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Home Depot at Home Services, The
5169 Winnetka Avenue North
New Hope MN 55428
(763) 367 -9740
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Construction Type:
Occupancy:
Total: $70.00
- Applicant -
Owner:
James N Galecki
687 Brentwood Lane
Eagan MN 55123 -1332
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$69.00 0801.4085
$1.00 9001.2195
Issued By: Signature
Building
EA076258
12/22/2006
ePermit
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162738
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 687 Brentwood Lane
Lot:006 Block: 002 Addition: Windtree 7th
PID:10-84476-02-060
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lance C Kuehn
687 Brentwood Lane
Eagan MN 55123
(651) 238-9920
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163466
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 687 Brentwood Lane
Lot:006 Block: 002 Addition: Windtree 7th
PID:10-84476-02-060
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 -
Lance C Kuehn
687 Brentwood Lane
Eagan MN 55123
(651) 238-9920
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature