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715 Brentwood Lane
This request void 18 months from Request Date Fve No. Rough-m InspecIion I ♦ - Requ Reatly Now~hll Notify Inspec- t L/CJ_ VX IY'yY(Vas es O No ~I for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Box or Rou No. city l ~ ~ echon o. Township Name or No. Range No. County Occupant (PRINT) Phone No. G -eS t Power Supplier Addr s El.cpiical Contactor (Com~pany0 Name) Contractor's License No. A,~Wr-.[n ~ e5riqi'r-:3 Mailing AfJd,ess (Contractor or Owner Making Installation) X07 40, W 3 S ~C h'l~• 'A uth ed Signature 1 ntra or/Owner ng Installatonl Phone mbe MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612t 642-MOD ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 1 ]l, See instructions for completing this form on back of yellow copy Below Work Covered by This Request swi,Add Rep. Type at Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Budding Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel y 01her lSpe,iM t nr Sucu v thcr 01hur Compute Inspection Fee Below 8 Fee Service Entrance Size ft Fee Feeders rSubfeeders of Fee Circuits 0 to 200 Amps 0 to 30 Amps Z ,cm 0 to 30 Am Above 200 gmps 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Boonis Partial, Other Fee Signs Special Inspection S j, Jg TOTAL FEE Remarks f • ~ Rough-in D.rtee i, the Electricsl (7 Inspector. hereby certify that the .have Finalen inspection has been made. This request void 18 months from CITY OF EAGAN N_° 14 7 3 7 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 $UILDING PERMIT PHONE: 454-8100 ~ D. 3 D r 1 Receipt# Or To be used for SF/GAR Est. Value $137,000 Date MARCH 3.8, Site Address 715 BRENTWOOD LN OFFICE USE ONLY Lot 1 Block 2 Sec/Sub. WINDTREE 7TH On Site Sewage Occupancy R-3 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N a Name MONTGOMERY DESIGN City Water X (Allowable) V-N W Address 11350 ALBARAR PATH PRV Required # of Stories °z City INVER GROVE Phone 457-4075 Booster Pump Length 58' Depth 55, .g Name SAME S.F.Total o i Address Footprint S.F. City Phone APPROVALS FEES `uw Engr./Assess Permit 694.00 Fw Name Planner Surcharge 68.50 Address aw City Phone Council Plan Review 347.00 Bldg. Off SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC S~Q~Q information is correct and agree to comply with all applicable State of Water Conn 550.00 Minnesota Statutes and Vol gan rdinances. ~/f,,,, Water Meter 67.00 Signature of Permittee . _ Road Unit _325__00 A Building Permit is issued to: MONTGOMERY _UL51GN_- _ Treatment PI 204,D-CL on the express condition that all work shall bedone in accordancewith all PW,%CoP i es .50 applicable State of Minnesota Statutes and City of Eagan Ordinances TOTAL 2,906.00 Building Official P. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ` ~ollYY~ I'1~37 SINGLE FAMILY DWELLINGS 7 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS vJ To Be Used For: /Valuation: Date: Site Address a 5 ArQ~~WO0(y` ~y OFFICE USE ONLY Lot Block o? On site sewage_ Occupancy R 3 MWCC L~l ~ On s system Zoning Parcel/Sub On site well Actual Const V-TCity water ✓ Allowable Owner PRV required # of stories Booster Pump Length S Address ~S ~nnJ p ✓ ~Y CST F~ Depth 55 S.F. Total City/Zip Code ~ry 2 C ~~20Y4e_ Footprint S.F. Phone 15 / - L/O 7, APPROVALS FEES Contractor ,Q t ,Xl Engr/Assess Permit 00 Planner Surcharge L ,S~ Address Council Plan Review vu _3q 17, Bldg. Off. e~51ZB SAC, City 100,4;0 City/Zip Code Variance SAC, MWCC 51S~9.ao Water Conn M'00 Phone Water Meter (09.0.0 - Road Unit . 00 Arch./Engr. Treatment Pl ?,Qy,Oro Parks Address Copies TOTAL City/Zip Code } Phone # i GARAGE ZVK2-,t el gy X 14. /0 9']( ylk !y= ~gG yxq = C~~) z % X = y ~I ti Y/ca= qp zx2--i z = Cz) I ZOI, X ~3= 15 (27$1 1, Jj z vor 2- 4. YKZ CL -s.,,,:; izy>tX 441 = 6/!sz Z Z4 k yu q4o 3x3 _ (q) /oX4 (y o) `191 xyk= NGIc9 / 334~f Pam SXl y = 7° Z~2 XID%.--~ - /3~73~ SURVEYOR'S CERTIFICATE MONTGOMERY DESIGN EkBUILD CO. Z BRENTWOOD LANE M Om o (9270 85.00 N 10 49'18" W 923•59 l O o> 00 0 5 N O M 3 w -I- i w /T DECKS. W I-_ 14.5 - I 9Ap \1 / t C\I C\I \j aM CD O V l i O m (9zQ.O) 20 to O O 0 0 M 33.75 n M v o C - PROPOSED o C> O ^ GARAGE I HDUSEn~p j, OD Z t / \ 44.25 6.50 I t t 1 I 00 ~J O C) L J - J O I J < I LOT I I ry~ I `'J DRAINAGE, a UTILITY L •-•II \ 5? EASEMENT PER PLAT_ ~J5 , ~J 933.5 \ (g16a~ 85.00 N I° 36'42" W DENOTES PROPOSED SURFACE DRAINAGE I O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 928.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 92o•6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 928.7 FEET WE HEREBY CERTIFY TO MONTGOMERY DESIGN 8 BUILDCOTHAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 2, WINDTREE 7TH ADDITION according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISIO HIS,Z 1 DAYOF MAI?CH 1988 PROPOSED GRADES SHOWN WERE SIGNED: J~IVIE H L, INC. TAKEN FROM A GRADING PLAN FOR ✓C/ WINDTREE 7TH ADDITION PREPARED BY RON KRUEGER 8 ASSOC., INC. LAST BY., DATED 3-12-87. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 71 -0 a) _ O James R. Hill, inc. CID M -n T M M O M O M N M U) D D ° Z Q M ° Z PLANNERS /ENGINEERS /SURVEYORS OT O W O m to 2< Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 N O N rr~~ 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN l~~n C, c), fa~ ref 3, SINGLE FAMILY DWELLINGS ~C INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERG CA CULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - nn To Be Used For: S c}-~~reG(4CP~Valuation: Date: 7- Ik- Site Address ~l5 ~fendt✓nor~La OFFICE USE ONLY Lot Block Occupancy FEES Zoning Parcel/Sub fLU I, Pe- -7 Actual Const Bldg. Permit Allowable Surcharge Owner # of stories Plan Review Length SAC, City Address 3-7k bL).'nG{ 4yep- V fL Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acet. Deposit Phone On site sewage- S/W Permit sj~te well S/W Surcharge ContractorNam 'rw t Qy System Treatment. Pl. City water Road Unit Address 37L Lrdl-x-ay- PRV required _ Park Ded. Booster Pump Copies City/Zip Code 612CEL 6S-12--l> TOTAL ff APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days ones a lioensed plumber has applied for a permit at City Hall. # * APPLICATION FOR PERMIT NUM= PA)MUR OF FEE AT TIME OF ; * APPLICATION DOES NOT CON- : STITM APPR('iM Cl' PFRMrr. ; SEWER AND/OR WATER CONNECTION **IN3P=0N CF s3M AM/OR NATM INSTALL 7mz wnL NOT BE Scm= % WNL PM;WT HAS BEEN APPRMM. \ Jj i*****YY*Y**#*#i!##i!liilti##f*#1tf##1e!* Cmty OF cz ag an (PLEASE PRINT 1) PROPERTY ADDRESS: ~iEn dzy c~ r~c~ ~~t ~tJ 4 LEGAL DESCRIPTION: y ra ~A )i ~rlZsC Lot ock S ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE ,J R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: Pb AJcr(--)O/ a-1 -2 Q ADDRESS: "A / d/3 T)-C, CITY, STATE, ZIP: j~74 4~5 PHONE: b kl 12, (cc) For City Use 3) NAME: A v,e R f~L um /3 /-L 6/ PItiBErsLicense: ADDRESS: 1%6 /LJci~ oQ &Z c, cl(L 3 Active Expired CITY, STATE, ZIP: a Not recorded PHONE: MASTER LICENSE #6635--7 jJ St Ia n"itla~ 4) : spa eLS~T~® t•s ~/y ~ r~L, NAME: A" ADDRESS: CITY, STATE, ZIP: PHONE: 5) s a i ~e TION TO CITY SEWER ~AC ID TION TO CITY WATER O O'I'LIER 6) ME0 * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCFSSIW~. SOMEDNE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. x .FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ~D '52) SEWER PERMIT (INCLUDE SURCHARGE) $ $_~/C7. WATER PERMIT (INCLUDE SURCHARGE) $ l0 To-0 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ O o ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ ~5 S U CI--o $ WAC $ -5-0, o0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER T `d O $ WATER TREATMENT PLANT SURCHARGE $ l $ OTHER: $ $ O TOTAL zc/ Z39o RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: is TITLE: DATE : o~J 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements Ramodel/Reoair Requirements Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _ Y _ N (20%ma)dmum lot coverage allowed) 1 set of Energy Calculations for healed additions Soils Report _ Y _ N 1 Soils Report R proposed building is to be placed on disturbed soil t site survey for additions & decks Tree Pres Plan Recd _ Y.- N. 2 copies of plan shoving beam & window saes; poured found design, etc. Addition -Indicate if on-site septic system Tree Pres Requited : _ Y _N f setof Energy Calculations On-site Septic System Y,N 3 copies of Tree Preservation Plan if lot platted after 711t93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasoo mechanical venblation form Plans are considered public information unless you state the are trade secret and the reason. Date Construction Cost !ie4ez ©23/ l2'!!~ Site Address ~.'J;' s-~ Unit/Ste If Description of Work ~4 d[ e- pfiD/2` Multi-Family Bldg - V _ N Fireplace(s) _ 0 - 1 - 2 G Property Owner aG/ Je 2 &e :7. Telephone # (fi~) / Contractor Z7 Address city /%,~a tlT/f'~,' State /6 Zip Telephone# COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone # Sewer/Water Contractor Telephone 1 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 Applicant's Signature i 4Citp of Cagan ~~epnrn>~ ~ ~u~idin~ ,~na~p~ertirnt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various 4 ordinances of the City regulating building construction or use. For the following.• Use Clawr.,ion5E/GAR Bldg. Nraxit No. 14737 Occupancy Type R-3 Zoning District R1 Type Const. VN 0.7w of BttitdiogM^IL Y DESIGN A 151 UM DR, F.F1(aAN Building Address 715 MUM M LANE L.owity L1, B2, WDE M M : TANUMEY 10, 1989 Building OffiFff POST IN A CONSPICUOUS PLACE CASH RECEIPT s CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE-_ I C -•t,? 19 V RECEIVED Nom AMOUNT $ /J & DOLLARS too ❑ CASH CHECK FOR f f 33,~ ) ~ t t k l L ( C`C J J E 77 f FUND OBJECT AMOUNT 1 a Thank You WhIGL-Payers Copy f Yeilow--Posfing Copy } v s •.z : Pink-File Copy 7 BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check X01-3445 Surch./Adm. t' 01-3446 SAC/Adm. ti 01-2155 Surcharge C r` -3860 Road Unit J ~J 20-2275 SAC ✓ 20-3865 Water Conn. 0 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 42-3855 Park Ded. TOTAL "j ~I' 7 11-I CASH RECEIPT r CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f 19 RECENED tt FROM . 44 i 'L..,.: 1'x 14 AMOUNT & DOLLARS 100 ❑ CASH CHECK E FOR r ~ a..., r ~ k FUND OBJECT AMOUNT J 2~ `7 c 0 f, i, If Thank You BY White-Payers Copy 1? 81 i Yellow--Posting Copy Pink-File Copy CITY OF ELAN Permit No:#t;- Date: 3--- a " 8^ 3830 Pilot Knob Road Meter No: Size: P.O*Box 21199 Reader No: Date: Eagan, MN 55121 Owner. r:~Ytr:~rs~ r°r z Site Address: r . 11 r`~mtwoo=! Inn l-re-P `'t„ix Plumber. %irr .~a ztu t Conn.Chg: Zoning;' Acct. Dep: - No. of Units: Permit Fee: ` •t''8 Surcharge:' = I agree to comply with the City of Eagan Tr. Plant:' Ordinances. Meter: f t r?,~ Misc.: By WATER SERVICE PERMIT CIT* Ok,EAGAN Permit No: Date: = 1- 3830 PBoN* nob Road BY P No: Date: P.O. Box 21199 Eagan', MN 55121 Owner. , ,,,cry r+;?l+'• %J i ! ~1 Site Address: `f :-ent wof e, zn_ ",2 Plumber: J!' 1.11mhl- MWCC: 7 . ,117~i! Zoning- City Chg: No. of Units: Acct. Dep: err' I agree to comply with the City of Eagan Permit Fee: - - Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Roam, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454.8100 t BUILDING PERMIT Receipt# To be used for 5,FIGAR Est. Value $11.37,000 Date ;f€ RC-li Site Address 715 BRENTWOOD LN OFFICE USE ONLY On Site Sewage Occupancy R i Lot 1 Block 2 Sec/Sub. WINDTREF'. ITH MWCC System Zoning R-3 Parcel No. VN On Site Well (Actual) Const- x Name MOpa' GMERY 0XSIGN City Water X (Allowable) N i w , PRV Required * of Stories Address 11350 AAWIR PAT)i C) City " AMA R f.iMV phone L 5 7 M-40'7 5 Booster Pump Length R Y Depth 3-5° p Name SAM4 S.F. Total o 0 Address Footprint S.F. P City Phone APPROVALS FEES a Engr./Assess. Permit s 00 "w ww Name ~ Planner Surcharge _ 1156. C _ Address sx City Phone Council _ Plan Review X47.00 d w Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC$ information is correct and agree to comply with all applicable State of Water Conn. -550.0U Minnesota Statutes and City of Eagan Ordinances. Water Meter _ 67.00 Signature of Permittee fa` - - Road Unit 325.00 A Building Permit is issued 'to:+g Treatment P1 C()k•G}i on the express condition that all work shall be done in accordance with all gc0P I E 5 .50 ap~!icable State of Minnesota Statutes and City of Eagan Ordinances. Bu "ilding Official TOTAL z 1906 00 " REACTIVATE FOR FrIM CE 7/18/89 ',NCN '1fR`I DESIGN & BUILD 681-9230 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value xi:?l_' Date ,19 Site Address OFFICE USE ONLY Lot i Block Sec/Sub. D"I" On Site Sewage Occupancy MWCC System ~k Zoning Parcel No. On Site Well (Actual) Const City Water (Allowable) ir Name Address PRV Required # of Stories o Booster Pump Length ° City Phone Depth o Name S.F. Total . . o a Address Footprint S. F. U P City Phone APPROVALS FEES ~ Engr./Assess. Permit Lu w W Name F ~ Address Planner Surcharge a z City Phone Council Plan Review Bldg. Off. SAC, City variance SAC, MWCC 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 Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. 9 ar e~(3 Electric al / cz o Softener Inspection Date Insp. Comments Footings I j~ Footings II Foundation r Framing g}} Roofing Rough Plbg.~ Rough Htg. /j?1 Isul_ 3 & --2S f) Fireplace 3j~ iJ-S Q f ~~a.~ Final Htg. 7 Final Plbg. i 7 7_FSi t Bldg. Final el y Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. fee t r f PERMIT # # PLUMBING PERMIT 1 a CITY OF EAGAN RECEIPT # / J 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. a New t ; 7 Mult. Add-on Name t ' ' i Comm. Repair m Address Other j E City r 'ir'I 4-j j; r " 'Phone ( ° c a RES. PLBG. ONLY - COMPLETE THE FOLLOWING. NO_,, FIXTURES TOTAL Name Water Closet - $3.00 $ _J_Bath Tubs - $3.00 u -Addressu_` s _ Lavatory - $3.00 p City Phone L `y-Shower =`$3.00 - - .-LKitchen Sink - $3.00 _ FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE 1 Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES -Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -4-Water Heater -"$1.50 ~ MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 1 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - 50 (MINIMUM - 1 PER PERMIT) 4 (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 T BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 j Rough Openings - $1.50 SIGNATURE OF PERMITTEE;- 1 FEE: r r t; STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: MECHANICAL PERMIT PERMIT# ' - CITY OF EAGAN RECEIPT # c ; 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORT( DESCRIPTION Lot / Block Sec/Sub New' Res. Name I Mult Add-on Comm. Repair m Address " i Other h c CiTy Phone - i FEES Name - RES- HVAC 0-100 M BTU -$24.00 Address+ ADDITIONAL 50 M BTU - 6.00 3 + I (RES. HVAC INCLUDES A/C ON NEW p City' Phone. CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERNIM - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU 1 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - 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 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ ` BEYOND $1,000) Other FEE rf S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN 311 ~JP CITY OF EAGAN Permit No: Date: ' ' ' 3830 PiilKnob Road Meter No:.6 Size. 6G~~ P.O.43ox 21199 Reader No: /OR Date: Eagan, MN 55121 Owner. -bntgome,:y Design. Site Address: 715 Brentwood T a:ae hl 7th Plumber. 'Jury P1 IRMAR Conn. Ch9 5 rrT rnH Ir. ~ ✓iJ J Acct. Dep: - ~o4dJnp. _ I u J V Permit Fee: 11 Surcharge. D RWIRED Rya4AWomply with the City of Eagan Tr. Plant ='7a Ordinances. Meter. _ (',7 i )Dj;,; Misc.: gy ~ WATER SERVICE P MIT L For Office Use• ii ; I • Permit#: 7 E AGA Permit Fee: a 7' Q ECEIvE0 Date Received: v /7 /91 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- AUG 1 2 2019 Staff: buildinginspectionsecitvofeacian.com ., BY: 2019 RESIDENTIAL BUILD IT APPLICATION Date: /J74d1 Site Address: 7/ 5 Art IN o001 LeN Unit#: pit;If Name: i P G. ' reves Phone: 442 '4( t17`f c5 Resident/ Owner Address/City/Zip: 7"5 f/te t-iwcoct (A 41 /Hn1 5-5-/ 15 Applicant is: Owner Contractor / /1 G � 14 Type of Work Description of work: 2 V Q.� e�t1 Construction Cost: 2t dap Multi-Family Building: (Yes /No Ar ) Company: guilt f #0/102,. fes►11 a.. c.6. TS Contact teas 1 Address: Contractor 743 �//� m; ' Cf. City: 61,5 a in State:MNZip: 55 23 Phone:45(-353-04 Email: b4Oril114 Q7 11100•C�� License#: 6'72_ Coo\ Lead Certificate#: rt If the project is exempt from lead certification, please explain why: f, ./. f f7 b S41- 4c -,-� 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 docufneh i th#t you iubniit bte considered to be public information. Portions of the information may be classified as non-public'ff 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.citvofeacian.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.gooherstateonecall.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 pia . x e, Applicant's Printed Name 1 Applicant's Signa , .,6 ,--i-woo Lir r s 7 7 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterio'Alteration(Single Family) r Single Family _ Garage _ Porch(4-Season) _ Exterio'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 1 412 Alteration — Fire Repair re Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation eilet, OO• Occupancy J7?L % MCES System Plan ReviewCode Edition �/)')n 20/( SAC Units (25% 1000A&1 ) Zoning p.-f City Water Census Code Stories Booster Pump #of Units Square Feet PRV l #of Buildings + / Length Fire Suppression Required Type of Construction V e Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) to Final/No C.O. Required Foundation Foundation Before Backfill �p HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water 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 10 Insulation yQ Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7e,vV al j Klyit , Building Inspector RESIDENTIAL FEES Z- F/N'nR o ovv- S J te� 1.01/e 1 l'"D Base Fee r Surcharge 1 - pin';0 Do op- . Plan Review • MCES SAC Z - 10 r n Do cii.3 S 3•$477 SZ-010 IA"- X f&Ofl City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 aC r For Office 3 �,%* .. Permit 1: Permit Fee: to 0 0,...-- 1 10 NFACuGE2 2 2019 Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 35122-1810 s (861)676-6676 I TDD:(851)4544535 I FAX:(851)675-5894 buildings ionsikityofeaaan.c oni 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Dab:iec2 k t ( Site Address: 7 1 J e(eAtflooctO Jl.A) i Tenant suit's: .. �; Ph 1. Ce/1-1`) € SResident/OwnsrtPhone: C� �. �4 9,5-S- Address!C /Zi '7 I 5 00d L,u . , ripName: ..,. '_.A , ; /vG..License#:PC74 ) 5 : Contractor Address:„ 9 1 1Q/3?A /Ll�k- ./9 pity )Q/l�!/ �di�J : Stater it zip; 550,9- Phone: t S I '- q l ' 52_:_l_____, — • Cordact: 1)60 (e Poo f t-CA-5 _ �EmatL -_i 0 v►ne+iv iA L (vn+b,so Q MrLICe Type of Work New_._. _.y.Replacement Repair _Rebuild Modify Space Work in R.O.W. Description of work: 1 Tankless Water Heater Lawn Irrigation RPZ! PV6) Standard Water Heater w Description Water Softener `1 Add Plumbing Fixtures(___Main! Lower Level) ..`. ' 'o r C� tDescxiption: U C 4u h �r`d 7�/ New00-41101.44.6 Abandonment Connection to City Water from Well 6 RESIDENTIAL FEES $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $6000 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures,adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $115.00 New Septic System(includes County fee and State Surcharge) , $60.00 Connecting to City Water from Well`+$290 for Meter and$190 for Radio Read=$540 'Sewer b Water Permit also required for connection charges TOTAL FEES$ 6 Or °° Yreoiiuve6'i Coif ate One Call at(151)4640002 for against intend to digto underground utility damage. Cd 48 hours before you You may subscribeto � t�prournd utilities. 1!] GQooherstateonecallprotmec�on an webidts electronic City of proposed ordManoes by Ie that this ». ni^e up an email update on the City's I hereby that I understand this is not a permit, accurate;complete and that the work wi8 be in conformance with the ordinances and accord with the approved in the case of work fora permit, and work is ,• . start without codes of the City iof n which requires a review and �;,�that the work will be in x iti l'e /4-.hie /"140`' 4.2•Applicant's Pitntsd Name x 1! for • s Signature I, Page 1 of 2 ... ,.S.. PERMIT City of Eagan Permit Type:Building Permit Number:EA164562 Date Issued:10/01/2020 Permit Category:ePermit Site Address: 715 Brentwood Lane Lot:001 Block: 002 Addition: Windtree 7th PID:10-84476-02-010 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 - Philip A & Nicole Gernes 715 Brentwood Ln Saint Paul MN 55123--133 (612) 644-4955 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature