695 Brentwood LaneDATE: A19/89
RE:695 BREt7TW00D LANE. L4. B2, WINDTREB 7th
??t Your Sewer & Water Permit for the above property has been completed. It will be held at The
y Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
. CALL PUBIIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _
? a Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasQns:
t
- Your Sewe[_& Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
CON?MERCIAL PRWECTS ONLY: Please pay for meter at Ciy Hall. Meter size must be
confrmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8700) 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, euilding Inspectlons Dept.
oare: s/9/as
RE: 699 BRENTWOOD'LANE. L4. B2, WINDTREE 7th
? P Your Sewer & Water Permit for the above properry 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.
A
? Your Sewer & Water Permit for the above property cannot be campleted for lhe following
reasqns:
_ You'r Sewer & Water Pertnit for the above property has been completed, but the meter cannot
be issued or accupancy allowed until furlher notice.
- COMMERCIAL PROJECTS ONLY: Ptease pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plum6ing 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 POIICY.
Secretary, 8uilding Inspections Dept.
CITY OF EAGAN
+ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8700
BUILDIAlG PERMIT Receipt # C
To be used ror PORCH & DECK Est. Value $11, 000 Date JU
Site Address 695 BRENT4100U LN
Lot 4 Block 2 Sec/Sub. WINDTREE 7TH
Parcel No.
w Name ERIC 8 JOANNE YOST
3 Address 695 BRENTWOOD LN
° City EAGAN Phone 454-4881
o Name PAUL DUTCHER
ga Address 3652 WINDTREE DR
? City Ee1GAN Phone 688-0758
Name _
Address
CIty _
Phone
I hereby acknowlege thatl have read this application and state thatthe
inlormauon is correct antl agree to comply with all applicable State of
Mmnesola Statutes a yf Ea9an ?an
Signature W Permilee
A Building Permit is issued to: PAUL DUTCHER
on the express condition that all work shall be done in accordance with all
applicable Stale ol Minnesota SUtutes and City ol Eagan Ordinances.
Builtling OlhCial
N2 _19222
/35'vn
1991
OFFICE USE ONLY
Occupancy R-3 FEES
Zoning
(Actua1) Const 81dg. Permit 126.00
(Alloweble) Y=R Surcharge 5.50
x or swries
LengN PbTCll
15x16
PlanReaew
82.00
Deplh lkck 1Qx16 SAC, Qty
S.F.Tofsl - SAC.MCWCC
S.F. Footprints -
On Site Sewaga _ Water Conn
On Sile Well - Waler Meter
MWCCSystem _
City Water _ Accl. DeDOSd
PRV Requited _ S/W Permil
Boosler Pump - S/yy Surcharge
Treatment PI
APPpOVALS Road Unil
Plannar - park Ded.
Council - 1
00
BIdg.Olf. _ Copiea .
Varianoe - TOTAL 214.50
-;71 K 7
6 2 0 3 5
Z
-I
Request DeOe
9 - Flre M. Rau9h-In Inspectan
o Ra? ?w ?.?i ?,M,?,?r
Ves ? No When Reatly?
I? licensed contractor ? owner hereby requast inspection of above electrical work at:
,bb Addre86(Streel, Baz a RwOe No.)
C cM1Y
1? vrQn Qo
6
Section No Tawrehip Name or No. Rarige No CouMy
OccWanl (PRIPfi)
mo.irK ? S u -E1 Pliore No.
Power Supplie,rJ ?
fy?tq, FIPG?'YIC? AW?ress
ElaMCal Caniraclor (Compairy Name) CmtreClor9 IJCen% No.
la 2u' `FleclYic, Zhc- 0?1935-5
MelWng Add ss (COnlraclor or Owner Makm"?IMiellatwn)
?363 SunSe.t i??uad NE, IS. A'1O 55432
ANlarrzetl Signelure (COmrada/Owner Meklng Installation)
? ? PMne NumEar
?SU -3W
MINNESOTA STATE BOARD OF ELECTIi1CRV THIS INSPECTION REQUEST WILL NOT
Qp09?ldwaY BWg. - poom S173 BE ACCEPTED BV THE STATE BOARD
1821 Unirniity Aw., SL Peu4 ?SMINI UNLESS PROPER INSPECTION FEE IS
Pharie (612) 6020BW ENCIOSED.
REQUES7 R ELECTRICAL INSPECTION
? See m com0lW,ng fhis brm on back d yelbw capy.
'X" Below Work Covered 6y This Request
Jilill"M E&Q000?0y1-0])
y / ?/vV
e Add qep. TypeofBUllding AppllancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Fartn Air Conditioner
Olher (specily) Contractar5 Remarks:
Campute lnspec6on Fee Belaw:
# Other Fee # ServiceEnhanceSize Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspacror§ Use OnIY: TOTAL
Irtigation Booms ? &y,?/jpe
Special Inspection
AIamVCommunication ?
O[her Fee
i, Nie Electrical Inspector, hereby
certify that the above inspection has
been made. flO1e"-'" -Vw
F? °ate [' b'P
oat ?
?- Z
OFFlCE USE ONLY
17 requeet uob 18 moMhs iro.
718191 I 31024
RaOUest Dale
? Fre No Rough-in Inspeclion
puned?
e r No
? Ready Nowll Notity Inspecror
hen ReaOy'
I= licensed contractor D owner hereby request inspechon of above electrical work at:
Job Adtlress (Street BoK or Rau / Qry
Sectmn No Townsnip Name or No Range N. County
Occupan? Phone No.
Power Suppher Adtlress
Elecmcai Co act (C am ConMector's Licanse No
117
Mai mg A tl/rCJi a pnVactor or paner Makinq ns[allaoon)
(J G.? V /
/4?.? `
AN?OnEptl ure I/C?jnVaclo??0 n85 Mdkmg In5lalla0
on?
_?? • .Y..Y?C? .Y?C?
P?Onp +a
MINNESOTA STRTE BOAHD Oi ELECTNICITV ' THIS INSPECTION REOUEST WILL NOT
Griggs-MICway Bldg - qoom S-173 BE NGGEPTEO 8Y THE $TATE BOARD
1821 Univercity Ave., SI Paul. MN 551 W UNLESS PROPER INSPECTION FEE IS
Phone(612) 61124800 ENCLOSEO,
?iLi L,/ REQUEST FOR ELECTRICAL INSPECTION
???7 ji, See insvucvons lo: wmplating ih5 form on back ol yellow copy
?'?j () 2 Q, "X" Below Work Covered by This Request
E&00001-08
/O
ew A Rep ` TypeoBuJding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommJlndustrial Fumace
Farm' Air Conditioner
Omer(eyeaty) GonVectorSRemarks (
Compute InspecGon Fee 8elow:
# Olher Fee # ServiceEntranceSrze Fee # Circurts/Feeders Fee
Swimming Poal 0 to 200 Amps O l0 100 Amps
Nansiormers Above 200 _ Amps Above 100 _ Amps
Signs inspecror§ Vse Omy TpTAL
Irrigavon sooms
? ?
Special Inspechon C Q'
Alarm/Communicanon THIS INSTALLATION MAV BE OR ONNECTED IF NOT
Other Fee COMPLETED WITHIN NT !
I, the Electrical Inspector, hereby
certify that the above inspection has
6een made. Rouyn-in Xk,,?ti /LT
Fnal
?
Date
OFFICE USE 3NLV
This request void 18 months Irom
-------= - ?- / - - -,
? Far CsJfine E1Se I
q5 ? ?
j Permit It: ?
I ?
I ?
Permit Fee:
I /? ?
? DateReceived: d'? i
I Staff: ?
-________________1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: 619J a91F/1-TWdC5Z> L/"
Tenant:
Suite
RESIDENT / OWNER Name: RD? d v? 1/C?Y Phone:
Address/Ci[y/Zip:/,6r %?fC`z+ZLVvan ?.? ;L--5-
Applicant is: ), Owner _ Contracior
TYP@ OF WORK Description of work: -(;?;-l}-5 ?' Zr?L?F'
e•?
Construction Cost: ;?2C"Z)G7" Multi-Family Building: (Yes _/ No251-)
CONTRACTOR
pJJ
Name:L&KRo,Lc¢ License#:
Address:
City: LAi?r, UI L L r State. r Zip: _
Phone: Gta-- 914-43- Va- ContactPerson: ?co+{" 5LC?ZEn)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
EnOrgy Code . Residenlial Vemilation Category 1 Workshset ?• New Enerqy Code Worksheet
Category Subm;ned suumittea
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water CoMractor: Phone:
kV47Ec Plan$antf svppartlttg ticreumeni"s thaE yaa SubmFtam eurrsr`dered to ke pii6/fo iniorrnatFan. Portians oC
the enformation nraq#Et Classffied as non pt1i if gnu providC specific reasons that would permif fhe Gity to
conclude that the are frade secrei
I hereby acknowletlge ihat this iMOrmffiion is complete and accurate; that the work will be in conformance with the ordmances and codes ol the Ciry of
Eagan; that I understand ihis is not a permit, but only an appliCalion tor a permit, and work is not to stprt wrthout a permit that the work will be in
accordance with the approved plan in the ca5e af work which reqwres a rewew and approvat of plans ZI ?)A
x /"' "! /Z - /Kf Oy xc?e7?
ApplicanYs Printed Name ApplicanYs Signat
Page 1 of 3
BUILDING PERMIT
CITY OF EAGAN
3830 Pilat Knob Hoad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Tobeusedfor SF DWG/GAR Est.Value $137,000
Site Address 695 BRENTWOOD LN
Lat 4_ Block 2_ Sec/Sub. WINDTREE 7TH
Parcel No.
w tJame MARK 30Ht3SON CONSTRUCTION
o Address 1614 E CLIFF RD
City BURNSVILLE phone 890-2242
zo Name SAME I
ON Address
? City Phone
Name _
Address
City _
Phone
I hereby acknowlege Ihat I hava read this applicahon and state thal the
information is correct and agree to comply wdh all apphca6le Stale,of
Minnesota Statutes antl City ol E?aga/n O/rd?in?
Signature of Permitee __ __`_ ?.?+?----
A Builtlmg Permit is issued to: MAKK?.iOHNSON CON T
on Ihe express condition that all wprk shall be tlone in accordance wtlh all
C???ity, 1of Eagan Ortlinances.
applicable Slate of Mmneso??,ta??.Statutes a??'nyyyd yyy,LI
BuildingpHiaal J.]?1??', (J_LI.
N0- 16911
Receipt # C 33 Ao
OFFICE USE ONLY
is 89
OccuOancy R-3 M=1 FEeS
Zoning R=1
(Actual) Const y_N. Bldg Permn 770.0?
(Nlowable) V-N
Surcharge 68.50
# of Stories
71!
PlanFeview
3$$.0?
Length
Depth 28' SA0. C%y 100.00
S.F.TOtal - SAC.MCWCC 575.OO
S F. Footprinis _
On Site Sewage _ Water Conn
0
580.0
On Site well water Meter 90.00
Mwcc systam XX 30
00
Cily Waler R Acc[ Oeposil .
PFV Reqmred _ 5/W Permit 20.00
Baoster Pump - 5/W Surchazge 1.00
? Treatmenl PI 228•00
APPROVALS RoadUnit 340.00
Planner - park Ded.
Council
gb9 mf. _ Copies
Variance _ TOTAI 3.187.50
_L G6-
' 1989 BUI..DING PEMIIT APPLICATION - CITY OF EAGAN
SIIQGLE FAMILY DWELLING3 ' 911
INCLUDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSES FO& CORNER LOTS - CO1PfRACTOR/HOMEOiiNSR MOST DESIGNATE IiHICH ADDRE4S
IS DESIRED. AO CHANGES WILL BE ALLOWED ODiCE BtTILDING PEAMIT IS I330ED.
MOLTIPLE DWELLINGS EENTAL ONITS FOH SALE ONIT3 # OF iTNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SITRVEY - CHECg WITH BLDG. DEPT.? 1 SET OF ENERGY
CALCULATIONS
COMAIERCIAL
INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS9
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS EAiJG 0,y im
To Be Used For: k((? Valuation: ?ere?Date: ?131?
Site Address l?,Q!1 ? xamA tN?nr? Jn,
Loti -`/' Block a
Parcel/SubW;,.,,?{?¢.p 40
Owner
Address
City/Zip Code
Phone
Contraetor /Yla,.(C ???.,son
Address /(,/c/ L/.AL: 4,0
i
City/Zip Code
Phone _ Q 90 -?P.PL -l ;L
nrct,./Ec,gr. cs):,,av.cs Caxr-(Qo?
Address
City/Zip Code
Phone 0 '7'7 O ? RO?IS?
) 3r)?000 -
Dceupaney
Zoning
Actual Const
Allowable
# o£ stories
Length
Depth
S.F. Total
Footprint S.F
. M.,
f2-1
?
??
Bldg. Permit 170,00
On site sewage_
On site well
MWCC System ?
City water ?
PRV required _
Hooster Pump _
APPAOVAI.S
Planner
council
Hldg. Off.
Varianee
Council
'J=5 ?7 v
Surcharge ,5 ?
Plan Review 85,00
SAC, Ciby /0 Or O
SAC, MWCC 5'7 . 00
Water Conn 5g0, =,
Water Meter O'oD
Aect. Deposit 3o.om
S/W Permit 90,00
S/W Sureharge 1.00
Treatment P1. a;?8,00
Road Unit 3 yo,ov
Park Ded.
Copies
TOTAL
v?
S Q
NOTS: Sexer 6 Water Permit fees and aooount deposit fees xill be included in the building
permit fee. Prooessing time for serrer and water permits is two days onoe a licenaed
plumher has applied for a permit at City Hall.
I • ?
VA 0,?,3
G{? RAC?? ?
Z y x 2 N= 5'? ? K ? 5_- ?f6 ?-10
T? ?rn i z%x zs ? r7a?
13xa6pr 33?
IL1532
I S l ?LODYZ?
la X/'7 =
8x
6x2=
I Q',? :'>
I-7 r->
16
12
I 2 3? k 50 = 61 ? o0
U•T
?
; 7 7 o•ou+
6s•5u t
3ss•ou+ ?
1,964•Ou+
3, 18%•5Ux
2ND ?7LpD12
306 x;Z ?. _ t
axas'= so
l0 3s X 50 = S I°I D C>
. ,
i
Sl1RVEYOR'S CERTIFICATE
L_01 i ?
.
?1D?'!Til.'N
SES4059117"E--
0
`?1 Q
5 ?T °a"'"ace a urrurr?'?
ease?r aeR pLqr.,? s
? LOT 4 ?
I ?
:° I0 sa.al ?
4*
O?
HOUSE
BENC51 µpRK
TOP OC' PIPf
ELEV. = 933.85
inrrni[).T1 ?r.:?- ; I I
y J 11 v \ l..?.. F 1 I i
/
/
?
N
d'
?
Z
(C132,7)
_ e32e, BRENTWOOD LA
? s.s )
3
to
M
0
Z
L
1ii v
ror.+
BENCX MApK
lpP OPF MPE
!L9V.}937.99
?
03a.7 'e RENO7ES PROPOSED SURFACE ORAINAGE ?AGM EN
?'I?EERIIVG Dt??"
O DENOTES IRON MDNUMENT SEl' SCALE: 7 INCH -- 30 FEET
• DENOT£S IRON MQNUMENT FOUND , PROP05ED GARAGE FLpaR - 937.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LQWEST FLOOR - 01294, FEEt
(000.0) DENOTES PROP05ED ELEVATION PROPdSED TOP OK BLQGK- q37,"7 FEET
vVrt HEREBY CERTIFY TO MARK JONN SON HQMES THAT THIS 15 A TRUE ANa CORRECT
REPRESENTATION OF A SURVEY OF THE BpUNDARIES OF:
Lot 4, Black 2, WIND7REE 7TN ADDITfON,•according ta fhe recorded plat thereof,
Dakota Couniy, Minnesoia. '
IT DOES NOT PURPORT TO SHOW IMPRpVEM@NTS OR ENCFiOACFiMENTS, EXGEPT A5 SHpWN. AS
$iiiiNEYEp 8Y ME UFi UNUER MY DIREC'f SUPEFiVISIC]N THIS 28TH GAY QF JULY , 1989
?
rROPOSEO oaaoES sHwwr, wME
TAItEN FROM 7HE GRADING PLAN
FOR IMN[YfREE 7TH 9 8TH AOD(TIONS
PREAqRED 6i RON IG7lJEqER d
A330CIATE$ LAST DR7ED 3-12-87.
SIGNEp: J? ILL, INC.
. ?
BY:
HAROID C. PETERSON, LAND SURVE'!OR
MINNESOTA LICENSE NUMBER 12284
?
m
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. .
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. a BLOOMlNQTON, MN 55431 • 812-884-3029
MARK JOHNSON HOMES
• ?' EXTes'RIOR ENVEIAPE AVr3ZAGE "U" CONlPQTATION
owrM 'Fi0o1r. ? 40wN ?'(""T tn.ax tao. fPl ??
SITE ADDR.ESS L,C,L _ y, DATr auvj 11, f9?9
CONTRACTOR IYrM14' 'I?W-tjt'QN 00j°ST? PHONE
Determine working square footage of each
1. Total exposed wall area...... x,?1 = Z"1?,QjCj
2. Total roof/ceiling area...... 2'V2`r0 sq,pt, x
3• Total floor/cant. area....... sq.ft. x
?
Total ezposed wall area above Yloor ????'?_
'd• TOt.Al WBll 4Ji2YdOW area .................. .... • %N7 1 (
b. Total door area .............................. r(i
c. Total sliding glass door area................ -bO;64-
d. Total fireplace wall area....................
e. Total wall 1raming area (average 10'$,)..... ... 2Ab -
f. Total net wall area above floor ..............
g. Total rim joist area..........................
Total exposed fourr3ation area (7Q-U(o7'
h. Total foundation windaw area ..... ..... ......•
.. ?
i. Total net foundation area above grade......
?etarmine ^II" value of each wall segment
a. X ^o„ .3S = 1i5,"7
b. 53?3C. x "U" Z" _
c. 4'io.o4- x"II" = 32? I
d. x "II"
x "
ef. ? x "II" : o 15
. U"
g. g °jJ° r 1540
h. x "II" _
i. ?fo x "U" -?A- A4-
4 . ................................... TotBii = 2°l0,3¢
If item #4 is the same asp or less than item #19 you hane met
the intent of SBC 6006(a)2.
L `
Total exposed roof/ceiling area I P4'stz- k0
j. Total skglight area .....................................
k. Total roof/ceiling framing area (aver. (.10616"o/c),,.,,,
( .o62_%24"o/c) ..._,???9"35
1. Total net insulated roof/ceiling area .................. ?
Determine "U" value for each roof/ceiling segnent
3• x "U" _
k•?iC+Z.S?L X nU ` Fa,
l. L , x U°
5. ................................................. Total
If total of #5 is the same as, or less than #29 you have met the
intent of SBC 6006(c)1.
Total exposed floor/cant. are4
m. Total floor/cant. framin area (average .10%)...... ...•
n. Total net insulted flooricanto area ....................
Determine "II" value £or each floor/cant, segment
m. x °II° -
n, z "U" -
6 . ................................................. Total
If total of #fi is the aame as, or less than #3s you have met the
intent of SBC 6006('0)3.
AT,TIMNATE BUILDING b3iVEIAPE DESIGti
To utilize the total envelape system method* the values established
by the sum of items #4, #5 and $6 shall not be greater than the sum
of items #1, #2 axd #3.
i. 3Z3, 05 Z, 3O1 3, - 355, C0z
4. 1-20134r 5. Zy It 6. _= 31(a, 11-
Prepared byv 0 `--j"' ?
Dace '1 '?rl-bcl
.
THRU 3TUD Int. Air
x/ B.R. & SIDING 1/2p S.R.
stud
25/32" Es1d.
f " siaing
I Ext. Air
TffitU RIM
JOIST
THRU CI.G.
MEMBER
.68
.45
, $S
2.06
,79g
.17
Total "R" _ +1,OZ
lIR = "D" _
Int. Air .68
C;`Ins. jq.p
Opt. Stqro.
i i/zp wooa 1.89
25/32" B11d. 2.06
Sid1nB • Z 6
F,kt. Air .17
Opt. Brick
Tota1 "R" = 24,59
i/x = °v _ . 041
Int. nir .61
S.R. ??8n? Sfo
Clg. Aiemb.
Ins• ( N): -:5SLO
stili Air .61
Total "R" _ +'( , lr7j
1 /R = "tl" _ 7O Z+
THRU INS. WALL
xl SR. & SIDIliG
C
TffitD CONC HLOC%
. 174t-l
G - /
?
?a
THRU CI,G.
INSULATIODI
)( JUt
.
Eat. Air .68
1/2N s.a. .45
& " Ins. l9 ?o
25/32" Bild. 2.06
siaing ,?8
Ekt. Air •17
.Total "R" = 21:51 1 A"
i/a = °a• _
Ittt. Air
C.B. rL wY
opt. I,8.
Ert. air
Opt, S.R.
Opt. Sit].
Total "R° _
1/R = "U" _
.68
iY LQ
S,O
.17
7, I3
77+0
Int. Air .61
S.R. (?) ?-r"?Co
Ins. si'CJ.G
stui Asr .61
Total "&" = 4(6,16
i/& _ ^D" = .02?
-?,
. I
1991 BDILDING PERM4APP CATZON
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
. ?
?
COMMERCFAL ?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTORAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURI+,L PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
I SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNZTS # OF FOR SALE UNITS PENALTY APYLIES WH$N: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY I;PiSS WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQDESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGE5 WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FDR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: vd,? Valuation: Date: jaw- 4-. IQ 9 (
Site Address Is B/?4j,vppx
rAC 4 slock Z
Parcel/Sub ri?vijfy?"C
Owner ?Y/d7G[Jm?h
Addres s j9,5 R/',QiJ7 ?/,?,TU7![X-
City/Zip Code fa? /' /Y7?
Phone 4J?4"" 4980f
Contractor ?fN/l ,/JtlTLY/Gi'-
Address 365.2 U./l/1AY-,G D4r-
City/2ip Code GC[.a'GClrt /7/?'1 55123
Phone ?(Ece-Q 75F
Arch./Engr.
Address
City/Zip Code
llOoo -
.
OFFICE USE ONLY
FEES
Occupancy Q-3 Bldg. Permit 124.00
Zoning Surcharge S, S'v
Actual Const v-M Plan Review Sz,oo`
Allowable V-N SAC, City '
# of stories SAC, MWCC
Length poxyk 1yYL1R16 Water Conn. ,
Depth QQr 9'/;yc14. Water Meter
S.F. Total Acct. Depasit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage , Treatment P1.
On site well Road Unit
MWCC System _ Park Ded,
City water Trail Ded.
PRV _
_ Copies ,Do
Booster Pwnp _
APPROVALS
Planner
Council
Bldg. Off.
Variance
SIIBTOTAL
Penalty
Lot Change ?
TOTAL '
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SURVEYOR'S CERTIFICATE MARK JOHNSUN HOMES
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BRENTWOOa LANE o,,.a
+ DENO7ES PROPOSED SURFACE pRAINAGE I
O DENOTES IRON MONUMENT SE7 SCRLE; 1 INCH - 30 FEEf
• DENOTES YRON MQNUMENT FOUND , PROPOSED GARAGE FLOOR - 9313 FEET
X000.0 DENOTES FXISTING ELEVATION PROPOSED LOWEST FLOOR - 929xo FEEI'
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 937-7 FEET
1
INE HEREBY CERTIFY Td MARK JOHNSON HOMES THAT THIS IS A TRUE ANQ CORRECT
REPRESENTATION OF A SURVEYOF THE 80UNDARIES OF,
Lot 4, eixk 2, WIND7REE 7TH ApDITIOW,•according to the recorded plat thereof,
Oakota Counry, Minnesoto. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, FJCGEPT AS SHOWN. AS
SURVEYEp BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF JULY ,1989
SIGNEP: JAAkE? LL, INC.
PROPOSED GRADES SFION'N Y4tRE ?
TAI(EN FROM THE GRApIPIG PI.AN
FaR WINDTREE 7TM B eTH ADDfTiON9
PREPqRHO 9Y RON IW11EpER d gy?
q$9DCIATE$ LAST D/1TED 3-iz-er. HAROID C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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lamels R.Hill,janc.
PLANNERS / ENGINEERS / SURVEYORS
8401 JAMES AVE. S. s BLOOMINOTON, MN. 55431 • 812-884-3029
•4 YDATEs /U -( j- rf'Q
RECORD OF'COMPLAINT
s
COMPLAINT TAKEN BY:
O
N9ME:
ADDRESS: 4? `ZS zf?,X?-
PHONE NO.: Ysy - VSFe/
COMPLAINT:
•-
'?
ACTION T9KEN:
/
COhIlNENTS: ,e?-?-9 ?`?""""? ??'?? ?"" /
?f'?y?,? ? C[? CAJLL`? t-C.O-cH-- -A 6z0't-Q.(Z. CYbC? ??
?C/--`.? .?CO ?G9?G?" `?? ?
?
TYPE OF BUILDING: LEGAI. DESCRIPTION:
• SIGNED:
'DAY/DATE: /Y19 ADDRESS:(O?,?r &i1r,CLlJ?-a -
TIME: //,()0
FTG FINAL HTG.
DECK FTG. FINAL PLBG.
FOUNDATION FINAL/C.O.
FRAMING FINAL/DECK
ROOFING ADDITION
INSULATION FIREFLACE
R.I. HTG. POOL
R.I. PLBG. GARAGE
? OTHER ?-e-
FOR
RECORD OF COMPL9INT
DATE: A
/I:00 •^/l
COMPLAINT TAKEN k041SF v` ?jLL XZZ/TZAA s,44?? -Pvrvj
xtME: _ ?Fbc. ,d N.? ?,4&N rYOS? .
ADDRESS:
PHONE NO.:
COMPLAINT:----
?M -7Z.5?
ACTION TAKEN: -ALb/?1-b_
47- _! J9. , ? O)r--'
?'?F GA t? f 1 ?" ,?L.?TlotLI /v 72F-mP.
,c)jl_AM.YZA
J? A/o?
A-7- tO??__?????f?'.
COMMENTS: -
---
,?•`-?-?
h-'14?- c?Jou OL ?k-:s'-_
TYPE OF BOILDING:
---
LEGAL DESCAIPTION: ?(-??- -??--- ---- : -? '
-----------------
- --- -- - - --
$IGNED-
r
-
2007 RESIDENTIAL MECHANICAL rExMIT nrrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e foc single family dwellings & townhomes/condos when peanits are required for each unit
??-o ?F
cklcy___?
Datez/
Site Address Unit #
/
Property Owner Xt`j h lti D C
t_' O U c/ Telephone #( )
Contractor leee?
St
tAdd l(?l/???//QGr`/
Cit
ree
ress y
State Zip Telephone# ( _eV)-) ) 30? ???09
Bond #: Expires: ?
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelting unit $ 50.00
furnace _Additional _Replaceme nt _ New
air exchanger
? air conditioner
heat pump
other
State 5urcharge , $ .50
Total ?
I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is complete and accurate; that the work wiil
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pexmit, 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. ,
G-zz?O / ?/?' 'li
ApplicanYs Printed Name Applicy s ignature
2007 COMMERCIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. commerciallndustrial buildings
mulli-familv buildin¢s when seoarate oecmits are not required for each dwe]linR unit
Date
Site Sfreet Address Unit #
Tenant Name (if applicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone p ( )
Bond #: Expires:
T'he Applicant is _ Owner _ Contractor _ Other
Work Type
New ConstrucGon _Interior Improvement _Install Piping _ Processed _Gas £xterior HVAC Unit'*
**HVAC units must be screened
UndedAbove ground Tank Install Remove
When installing/removing tank(s), call for inspection by F ire Marshal and Plumbing Inspector ,
Nature of Work:
Permit Fe¢5 s70.50 undergraund tank insiallatiocJremoval
550.50 Miniiwm (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surchazge
To calculatesurcharge
If Pemit Fee is less t6an $1,000, surcherge is 50 cents.
If Pemit Fee is> $1,000, surchazge increases by $.50
for each $1,000 Pemit Fee (i.e. a$1,DDl-$2,000 Pemit
Fee requires a $1.00 surcharge).
$ Total Fee
I hereby acknowledge thaz this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the Ciry of Eagan and wi[h the Mechanical Codes; that I understand this is not a permit, but only an application for a permit,
and work is not to start without a permit; that the work will be in accordance wi[h the approved plan in the case of work which
requires a review and approval of plans.
ApplicmPs Printed Name
Approved By:
Required Inspections: _ U.G. - R.I.
ApplicanPs Signature
'----------------•-------------------------------------------------•
. InspecTOr Date:
Air Test _ Gas Service Test _ Infloor Heat _ Final
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Filot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
i 'ZDp-0
?c,s kl7
1?v
New ConsVUCton Reauirements RemodeUReoair ReauiremenGs Offlce Use Onlv
3 registered sne surveys shaxug sq. ft. of bt, sq, ft, of house; and all roofed areas 2 copies o( plan Cert of Survey ReW
(21% maaimum lot coverage allowed) 1 set ol Energy Calcula8ons for heated additlons _ Tree Pres Plan ReW
2 copies of plan showing beam 8 vnndax sizes; poured found desgn, etc. 1 site survey for adtlitlons & decks _ Tree Pres Not Reqd
1 set of Energy Calculatlons AddNon -irMicate i/wrstte sep6csystem On•site Septic Syslem
3 copies of iree Preservatlon Plan d tat platted after 7!1193 -
Rim Joist Detail Opbons selection sheel (bldgs with 3 or less unAs
Date --Q / 0& / d?-%
?-
Site Address (?q J? OJd E! 4Lx ???
Construction Cost
? (L,(`Q- UniUSte #
Description of Work re/1)t } 1-`P QC?Q 'Zo R
Multi-Family Bldg _ yZj N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Tetephone #((0 QSO?D
?hCL,Q r ? ' i ? , I
Contractor (,'l ?c 1`l? - ? 7 S(!'r Lo
-r-?((? t ri(1?y ? nc
Address 15-1 ?
State }`n ?
C[ty.
Zip 4?5SZ) Telephane # ((P? )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rufes 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission Type) Submitted 5ubmitted
• Energy Envelope Calculations Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name A plicant's Sign re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Att- Multi
? 03 01of_plex ? 09 07-plex O 17 Garaga - C 22 PorcFUAddn.-(4-sea:)'- '0 "'-33-Ezi.Ait=-SF
? 04 02-plex ? 10 08-plex ? tg Deck O 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex O 12 12-plex PI6p_Y or_N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demollsh (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repalr
? 33 Alteratlon ? 37 Oemolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout tu applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Dram Tile Other
Roof _ Ice & Watec _ Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved ey
Base Fee
Surcharge
Plan Review
MC/ES SAC
cicy sAc
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
- -?_ -
CASN RECEIPTrK
CITY QF, .EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
..r
DATE 19
iECENED
cr+oM C;
AMOUNT $ /; ) I .i, U
& DOLLARS
ioo
? CASH O CHECK
FM
J `
j?1-?
f
Thank You
ev
C?
C 4 ? rmice--peyars copy
?: a r venow-Posung Copy
Pink-Fiie Copy
.?
Dare:? NNOM 17, 1989
Sw7d ng Of&?cial /'/C/
POST IN A CONSPICUOUS PLACE
. . $' 7
. . - . .. . _ . . . . .;k. .i ?
'.. .. :. .. _- . .,-. - .
?i
? 3830 Piloi Knob Road,
PH
d BUILQ*G P?RMIT
To be used for P4R4b1 d? DECK, Est. Value
Site Address 693 MNTWOW LM
Lot 4 Block 2 Sec/Sub. WINVMB
Parcel No.
W Name ERIC & -JOAtfiNE Yt?BT
8
o Address 595 BRENTi?DOD LAi
City RA"N Phone 454r'4
? .?_?_ Dltll. I7tFR`ft{tRD
City "Go Phone
Name
F EAGAN
'
Box 21-199, Eagan, M
. N 55121
:: 454-810U
Receipt # '
?
160$0 Date JUN ZO , 19?_ ,
i
'
? OFFICE USE ONLY
Occupancy 94 FEES
i
Zoning
(Actual) Const _
Y--X i
Bldg. Permit f26*00
(Allowable) ?- 5
50
I
.
Surcharge -
,
# oi Stories '
of 1
W Plan Review 82*00
Length 3 il
Depth DKk $a" Cit
!
SAC
,
y
S.F. Total -
SAC, MCWCC
S.F. Footprints -
Water Conn
On Site Sewage _
On Siie Well - W
r M
ter
t
a
e
e
MWCC System _ I
)?e City Water _ .
po
PRV Required - S/W Permit
application and state that the Booscer Pump S/yy Surcharge
y with all applicable State of
TrealmeM PI
APPROVALS De
sit
?cl
Road Unit
Planner - Park Ded.
+ith all Council 1.00
S. Bld9 ?f _ Copies
Variance - ToTAL 214' 30
Permit No. Permit Holder Date Telephone #
WATER
SEWER
.
PIUMBING
H.V.AC.
ELECTRIC
Inspection Date Insp. Comments .
Footings I
FoundaHon .
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul. ?
?
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg, lnspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final 71A
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
I
Signature
f A Buiidinc
WTf.?',. .. .. a1M11 ? ,:^..: -'rt .
q` F W'.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, I
PHONE: 454-8100
PERhAIT
S? ?/GAR Est. Value $137,000
, 695 HRENTwo0D LN
Block 2 Sec/Sub. WINDTRIM M
Phone
Phone
Phone
ege that I have read this application and state that the
rrect and agree to compiy with all applicable State of
:s and City oi EaganF Ordinancet,
'S' -7,"J / t ,..? f .
14 CMT
accordance with all
3n Ordinances.
•. •-
r.?.v? '?""1'.(^Pl?.MT^°'Y .. J ?.•
21
OFFICE USE ONLY ?
&-3 N-1 ?
Occupancy ? FEF S
Zoning
V"H
770'00
(Actual)Const v? Bldg. Permi[
(Allowable)
Surcharge b8s? ?
# o( Stories
71 '
Plan Review ?
?$5??
Lengih 1
100000 i
Oepth SAC, City
S.F. Total -
SAC, MCWCC g75?(? ?
S.F. Footprints - 5O•00
On Site Sewage _ Water Conn ?
On Site Well Water Meter 90.00 ?
MWCC System
xx
Acct. Oeposit 3p.00 ?
Cily Water 10'00
PRV Required _ 51W Permit ,
Booster Pump _
S/w Surcharge 1 ?? ?
?
22$.00
Treatment PI
APPROVALS Ro2d Unit ????
Planner - Park Ded. ?
Council
Bldg. Off. _ Copies ?
Variance - TOTAL 3,181.50 1
i
Permit No. Permft Holder Date Telephone #
WA,TER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. ? Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg. ? d ( ?,? ,?? ?? ?? I C!/fl? -
Rough FHg. 9? S
Isul.
Fireplace ?
Final Htg.
Flnal Plbg.
Const. Meter Ping. Inspector - Notify Plumber
EngclPlan
Bldg. Final
Deck Ftg. i ?
Deck Final
Well
Pr. Disp.
t ? . PLUMBIM
? CITY OF
CONTRAC J 3830 PILOT KNOB ROA
PRICE 't 6 ,3 (pO. ? pHONE ?4
Sita Addrass
Lot 1- Sec/Sub _
Chy
Phone
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHDUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
MN 55122 I RECEIPT #
DA'TE:
New _
Add-on
Repair
RES. PLBG. ONLr - COMPLETE THE FOLLOWING:
FIXTURES T TAL
Water Closet - $3.00 $ 00
? Bath Tubs - $3.00 • ?
,.?,,._ Lavatory - $3.00 J 00
Shower - $3.00 GS?
I
- Kitchen Sink - $3.00
T
?- Urinal/Bidet - $3.00
Laundry Tray - $3.00
?
? Floor Drains - $1.50 • -
Water Heater - $1.50 ?
Whiripool - $3.00
? 50
Gas Piping Outlets - $1 -?
.
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
? Private Disp. - $10.00
?
Raugh Openings - $1.50
PERMIT FEE:
STATES SIC ' ; 0
:
ND
OTA ? ?
GRA
T
L: .
.. ? ^M? . ?i ... . . ._ . . . :.,.y .. . . 4.rNj?7., ..l'ki..
f ? • PERMIT #
?•?' .y '1 ? f? MECHANICAL PERMJT yI a
RECEIPT # -
CITY OF EAGAN 7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
NTRACT PRICE: PHONE: 454-8104 For Office Use
Site
Lot.
Name
?c Addre
c City _
L Name _
c Address
o CitY -
' TYPE OF WORK
, Forced Air
I Boiler
I Unit Heater
: Air Cond.
Vent
Gas Piping Outiets #
Other
Im,
BLDG
TYPE WORK DESCRIPTION
.
Sec/Sub
?- Res. New
?. : Mult Add-on
,
`
7
r Comm. Repair
-
l ?? ?
Other
Phone
FEES
HVAC 0-100 M BTU - $24
00
RES
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INGLUDES A/C GN NEW
Phone
CONSTRUCTIDN)
GAS OUTLETS (MINIMUM - 1 PER PERMII) - 1
50 EA
.
COMM/1ND FEE - 195 OF CONTRACT FEE
M 8TU ,.;`" ±? :!? APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU MINIMUM CQMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: 1
' r
,..
? SIGNATURE OF PERMITTEE
S/C:
TOT
AL
?? ?
FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMITDATE 8/9I89
WATER PERMIT # 10721 SEWER PERMIT #
MET?ER (/'? ? p' B.P. RECEIPT # C 3346
AL'74DER # 27.?7? & (e `+r (p B.P. RECEIPT DATE R J
METER SIZE r ?-CJC
lSSUE DATE .-31-7-.7 - PRV - BOOSTER PUMP
SITEApDRESS
LOT --T_BLOCK c?--SEClSUB Wl.U t> T/C E.
APPUCANT: &Wksl "7(
ADDF7SS: ?CITY, STATE ZIP
PHONE: -
PLUMBER: 75 r( ?•.I? , ?? ?l u.mf?,'ni
ADDRESS: ! ?eZ J ? `r ? .Co .?r ?CJ . ? .
CITY, STATE ? ?e .-•c Zip
PHONE:
OWNER: _
ADDRESS:_
CITY. STATE
PHONE: -
ZIP
PERMR REQUESTED
SEWER ? WATER _ TAPS
'-
- COMM/IND ? RESIDENTIAL
'r NEW ____ EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINAN ES:
SIGNATURE WH N ETER ISSUED
?? 0
PLEASE ALLOW TWQ WORKING DAYS FOR PROCESSING. FOR STONM SEWER PERMITS, CUNTACT
ENGINEERING DEPT. ? ` , ;, % ? • . `? -7 ??
!?
- C'` i
SEWJER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
CITY, STATE _
PHONE: ?
PLUMBER: ?
ADDRESS: -/
CITY, STATE _
PHONE
?NE: _
OFFICE USE ONLY
?{f.s PERMITDATE
WATER PERMIT
11'1=721 SEWER PERMIT #
#
METER # B.P. RECEIPT # C -3346
REAOER #
METER SIZE B.P. RECEIPT DATE 813169
ISSUE DATE
i PRV - BOOSTER PUMP
PERMIT REDUESTED
L
SEWER `?? WATER - TAPS
!?RESIDENTIAL
COMM/IND
ZI P _ _
-
?{? ,,
NEW - EXISTING
d
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANC.ES:
ZIP ,,
-..
?
'
;-{
i
' ; l `rY.._
•''r"
??_: ?
:
SIGNATURE WHEN METER ISSUED
ZIP
?RKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, (:ONTACT
' CONTRACT P C ?
Site Address = Lot Block
. . 'r..., .
m
?
c
Name I
AdQress
City _
, N8111B =
3 Address
O C4-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
° M BTU
CFM
PERMIT FEE:
S/C:
TOTAL:
MECHANICAL PERMIT PERMIT # _
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122
..?...,?. .?. s...., DATE:
BLDG.TYPE
Res. ?-
Mult
Comm.
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUOES Ik/C ON NEW
CONStRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT)
COMMIIND FEE -156 OF CONTRACT FEE
AP7. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C PER EACH $1000.00 OF
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CITY OF EAGAN
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New
Add-on
Repair
- $24.00
- 6.00
- 1.50 EA.
- 12.00
- 20.00
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SEDGWICK HEATING & AIR CONDITIONING CO. HEanNG JOB NO
8910 WENN/ORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
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NAME OF TESTER CU L?
FORM DISTFIBUTION WHITE COPV - JOB FILE YELLOW COPV - CITY
Nl1MeEF
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141324
Date Issued:03/06/2017
Permit Category:ePermit
Site Address: 695 Brentwood Lane
Lot:004 Block: 002 Addition: Windtree 7th
PID:10-84476-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Ronald A Rockvoy
695 Brentwood Lane
Eagan MN 55123
(651) 968-6530
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173037
Date Issued:10/26/2021
Permit Category:ePermit
Site Address: 695 Brentwood Lane
Lot:004 Block: 002 Addition: Windtree 7th
PID:10-84476-02-040
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 -
Ronald A & Joan M Rockvoy
695 Brentwood Ln
Saint Paul MN 55123--133
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature