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722 Brentwood Lane Use BLUE or BLACK Ink t r l of Eap JUL 0 2 RECD F o,rrn,st Fcaa, 6 a Q CA' Y 1 3830 Pilot Knob Roast ~ Cats Rw shsaa° Eagan. INN 55122 l I Phone; (651) 675-5678 I StaTf _ _ - ' Fax; (651) 6?6.6694 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address. I rj Tennant. Suite RESIDENT / OWNER Name: Phonw Address I City 1 Zip CONTRACTOR Name: Urense 0, Address City: State; _ z w J ~ Phone: Contact' -Errtail, TYPE OF WORK l4e, Replace erat Repair Retw'ld Modify Spare Work in R.O.W, Descritlott of work: _ PERMIT TYPE RESIDENTIAL Water Softener %Nater Neater r Adtt P,LIriib~r;q Fixtures Ualr, f Lower Level) awn Irrigation RPz; -41 Water Tumaround New Abandoitur;e,tt f2 IDEN77AaL FEEFS_ g50 50 Minimum Wate' yea°er, r t'ater 5oftenet, or Water Heater nd Softener (includes $-*K State S,.archarjo) $30,50 lawn Irrigation (inrlude4 $,59 `state Sk,rcnarge) $50,50 Ado Flumbing rixtures, Svp'ic System :3baradown nt, tiVater Turnaroond` (inr;Eudes $.50 State 5u~craargal, 'Water Turnarrund (ari(i $166 OC if a 5i8'r)ea3r is ntquared) S10O.5Q Se0t1r S Ste-M Now,1310 00 pet as built) (r.cludms County ferry and $ 50 State tier>hat~JB) $90.50 Pare Repair (rcaplane bt rnaa out al)Pt4(''res, cuch~ a*h, etO ) (trfctudes $ 50 State Suronage) TOTAL FIrIrS S CALL BEFORE YOU Dig. Call Gopher State One Call at(6Si) 454.0002 for protection against underground utility damags. 01 48 hours t.efore yotr intont to dig tb, receive locates of undergrowrid utikk;4 wnv~ go 11y► e~8t~t.9or±E~r ~il_,nrt! ! '7ars?by acknow'adge that th s m'nrrnatior: is ,or,plate and accurate, that ttz& vOor c .SIC. 17a 0 c,'~varmanrn oAth tin vrii,ailoes and codes of the, Citij of Eagan: that I undawCane shls Is noY 9 p4+'rnit, bX "INY an applic-mion for a perrrt, ane work is rct to start wA1LP,;t a pernlt, that r-ve work w H tie in accordance with the apprvted otan Ian ft case of mod: whli~,h ; eq,0res a ravlwat and atafKCVaI of plans Applicant's Printed Name Apl-p icant's ~Siqqnatuur#V VOR OFFICE USE Reviewed By: t}ete: Required Inspectiontr; Under'3rci.nct _ f~nugtt-irt Air Test Gas Test ~ir'al vC~Y]i//'1 This request voitl 0 18 months from / 6 0 o O 7 `f E 19882 7 s°v Reque t Uat fire No. Requ., ns pectron ~RCatly N Wl11 NnUfy Insper,- l 2- 8,, ElVes or When Ready 41 sed Electrical Contractor 1 hereby request inspection of above 11 Owner electrical work installed Bt: Street Address, Box or Route N C nv Section No. Township Name or No. Range No. Coumy Occupant IPRIN Phone No. V'9.r Address %way Supple co -DA Electrical Contractor (Company Name) Contractor's License No. 1orr,;,-IY1 -5350c) Mailing Address ( ontractor or Owner kmg Instaistlo r12 in Authorized re (Con actor (~vn r Making =Installation) Phone N ?52 MINNESOTA STATE DARO OF ELECTRICITY THIS( SPECTION REQUEST WILL NOT II NESS A S Bldg. = Room LE BE ACCEPTED BY THE STATE BOARD G-Midway U 1821 University Ave.. St. Paul. MN SE104 UNLESS PROPER INSPECTION FEE IS Phnnc(612) 642-MOO ENCLOSED. //lrJ~ga REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 q~ )o see instructions for completing this form on beck of v.Itow copy. FF940 E 1 9 8 0 2 "X" Below Work Covered by This Request any Home Range Temporary Service Nompute Type of Building Appliance, Wired Enunument W.red Duplex Water Heater Lighting Fixhnes Apt. Building Dryer Electric Heatul Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other Peci v omr„ Is nI~., fyl t ✓ V~cify this 01her pectionFee Below p Fee Service Entrance Size h Fee FeedersaB Fen Cvcurts 0 to 200 Amps 0 to 30 A0 to 30 Am s Above 200 _Am p5 31 to 1031 to 100 Amps Swimming Pool Above 1Above 100-Amps Transformers Irrigation Partial, Other Fee Signs Special Inspection $ TOTAL F Remarks /.1 Rough-in Date I, the Else `Val inspector. hereby certify that the above Final r D~19 inspection has been `l made. rhie repurel void 18 months from L 44-1111 This request void I//~/~~ /D fD ~O 18 months from / O E 19889 ci k-,-, 7-plr' Reque t Oat Fire No. Rough-in Inspection 3 q rted ❑Reatly Now Will Ngtify InsPec- •s ❑Nq l tP hen Ready Lic nsed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Be or Route No. City 22-~ Lane. ectlon No. Township Name or No. Range No. County O ant RINT Phon No LdV t Power Supple rb Address ~ Elect . al Contractor (Company Namel Contractor's License No. 1 Mailing Address IC ntractor o or weer eking Instailauon 22~vd Authorized nature (Contr for caner Making Installat,anl Ph umber ~ MINNES TA T BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Idg. -Room N•181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnn (6121 642-OBaQ ENCLOSED. 1,71 ff REQUEST FOR ELECTRICAL INSPECTION EB-000001-0e u `1j8-89 1 Sea instrucgons for complete rig This form on back of Yellow Copy E X' Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm on,nr pvr.i v -ihrr IS nculvh X- 01 7"r poci Y thor Oihcr ompute Inspection Fee Below Grcuits e Fee Service Entrance Size s Fee Feedars/Subfeeder5 a FSQ _A 0 to 200 Amps 0 to 30 Amps 0 to 30 An• Above 200 qm ps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Am s Above 100-Amps Transtormers Irrigation Booms Partial.'Other Fee Signs Special Inspection Reitsrks ^OTAL F E f P floogh-in Darec_~~ I, the Elec tr cal (7 Inspector, hereby certify that the above Final P Ltfi~/ l inspectmn has been Md.. This request mid 18 months from 42 "ab CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N? 15756 BUILDING PERMIT PHONE: 454-8100 Receipt# 9991.4 To be used for SF DWG/GAR Est. Value $138,000 Date OCTOBER 19 19$$_ Site Address 722 BRENTWOOD LN OFFICE USE ONLY Lot 1 Block 1 Sec/Sub. WINDTREE 7TH On Site Sewage Occupancy R-3 M-1 MWCC System _ x Zoning R-1 Parcel No. On Site Well (Actual) Const V-N a Name H & B DEVELOPMENT CO City water (Allowable) V-N W Address 100 PORTLAND AVE PRV Required # of Stories 3 Booster Pump Length 60, o City MPLS Phone 338-8900 Depth 411 o Name D S BREWER & ASSOC S.F. Total 0< Address 100 PORTLAND AVE Footprint S.F. c City MPLS Phone 338-8900 APPROVALS FEES mm Name Engr./Assess. Permit 698.00 Hm Planner Surcharge 69.00 o~ Address Council Plan Review 349.00 W W City Phone a Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and City of Eagan Ordinances. Water Meter --"0 Signature of Permittee Road Unit _ 125-00 A Building Permit is issued to-.:- D S BREWER ASS-0Treatment Pt 204.00 on the express condition that all work shall be done in accordance with all applicable State ofMinnesota Statutes and City of Eagan Ordinances Parks Building Official t l NI .OA&~P, TOTAL 2,,912.00 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15 1 0 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 To Be Used For: S1N~L~ r,- ( Valuation: 3B~00Date: 10- 13- 98 Site Address -77- 2- a9fft,3TWOOD LAJ OFFICE USE ONLY Lot Block On site sewage_ Occupancy 2y MWCC system L, Zoning ✓2-1 Parcel/Sub WI~DT( ~ •1 On site well Actual Const V-N City water Allowable V_ Owner $ 0rz.UFL• C O PRV required # of stories Booster Pump Length 6z>- 011 Address 100 p0P(Ati1O ArQ q' Depth S.F. Total City/Zip Code rAPLS MN i A5540 ( Footprint S.F. Phone - '9 10 0 APPROVALS FEES Contractor D• S- EWE-ww I MSO r- ' Engr/Assess Permit (e $,00 Planner Surcharge 6 oa Address ~go PaVQAA10 A-, D- Council Plan Review 244,00 2-6o c24wN eLA-2A. Bldg. Off. SAC, City 100,00 City/Zip Code YVIQLS • MfJ • 3 S4<51 _ Variance SAC, MWCC J,oo Water Conn 5,50.00_ ,00 Phone Water Meter (2') Road Unit 00 Arch./Engr. D S •~fj(1 A3SOC Treatment P1 0 jo%a Parks Address 100 POa/i' L NI3 tJ I Copies TOTAL City/Zip Code rlr I?LI> • AAAJ - Phone # 3 - $ 1 Oa VA L-u zz'/2 K Z4:: 54co i r]SG o bSrY1T ~zx3Z~ t0 z4 Xl3= j 3312 STFL`,a 37 X 32 = hazy - 1a x~ ago l~2 c14 KV9 = 3c/ zN-D ~ZY3Z. i~Z, K49 50►'~G A iT) L 3 Z.4e> 4> 0•A 698.00+ J 69.00+ 349.00+ 1796.00+ t a~~ 2~912.00* 698.00+ 69.00+ 349.00+ 1796.00+ 2,912.00* CERTIFICATE OF SURVEY a - STONEWOOD - ROAD - - 0 DRAINAGE AND UTILTY EASEMENT' M I'''I o , u Z EL. 911.2 N 88 10 42 E EL. 921.0 J O 1 a 150.00 , , 40 40 r-------r 30, 30 I 30.0' i I O W O 1 Of' 3 I GARAGE i 3 1 Z Of I _ FLOOR I - I W W I a0 0 EL. 926.0 I_ 00 Of al 1 m p u 01 U' i j o i Z =i I Z -J 10' 10' Iill+ o F I 1 I I I + 18.5, :.B i - EL 909.9 EL. 925.8 150.00' N 88°10'42" E I I A SCALE: 1" = 40' DESCRIPTION: NOTES: LOT 1, BLOCK I PLATTED BY OTHERS. WINDTREE 7TH ADDITION ELEVATIONS SHOWN ARE PROPOSED. DAKOTA COUNTY, MINNESOTA 0 DENOTES IRON MONUMENT YELCHERT/ BLOCK ASSOCIATES INC. I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED ENGINEERING - SURVEYING - LANDSCAPE ARCHITECTURE BY ME OR UNDER SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER MINNESOTA STATUTES SECTION 326.02 /TT/O) 326.16. 3157 [AST XMJJM SM ST. PAM. WNNESOTA 66101 612-22B-9614 .,66 Ns 90ok'~'eM ftv6 ~ DATE 10 49illt REGISTRATION No. lo5q~ p OCT 181988 MINNESOTA STATE BUILDING CODE DIVISION EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER J ' IE1~ • CO SITE ADDRESS "7 Z 2 Gwja~-sTwcoo Lillw G - EA4a4N t Au CONTRACTOR D-S• B2-Wfn2 JA556C- DATE 1.6-1?>-S PHONE Determine working square footage of each. 1. Total exposed wall area 35 78 sq. ft. x_ ■ 39 3 58 2. Total roof/ceiling area 12 'W- sq. ft, x Total exposed wall area above floor -3Fo & a~,Total wall window area -7 b: Total door area ~(o d c,'Total sliding glass door area o d. Total fireplace wall area 4 f+, e. Total wall framing area (average 10x),,,,..,,,,,, f.•Total:net wall area above floor g.•:Total rim joist..area F641 f Total.exposed foundation area 1 7Z h. Total foundation window area 1 S i. Toal net foundation area above grade IS Determine IIU" value of each wall segment. a. 34 X 1luit . 3 3 = I I~ 51 C ~ . b. 60 X IU111 -1-75 c X 111111 - • is d.' X "U" . 073, = 3 S e. 34 0 X (lull -104- I I Z (o f . 24-- 7 X 'lull 04-L g. I4-G4- X III 111 s2q = 53~-Jq5 h. X 11ull •~7 ■ i. 15-7 X "uu'. 03Z rj - OZ Y 3 .....................................Total If item N3 is the same as, or less than item #I, you have met the intent, of SBC 6006(c)2. Total exposed roof/ceiling area • Z 4' J. Total skylight area Z k. Total roof/ceiling framing area (average 10x)... 1. Total net insulated roof/ceiling area........... It 5 3 c~ Determine "U" value for each roof/ceiling segment. J. I Z X "U" • 33 S -C? Cl (0 k. IZ9 X "U" . b2 2-55 1. t I C5 2-7 X "U" . O 1-7 (v .20. 21,7 4 ..................................Total 26 , . If total of i4 is the same as,,or less than i21 you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total'enveloe system method, the values established by the sum of items #3 and /4 shall' not be greater than the sum of itdms-#l and /2. 1 3 °1 3 • S 8 - + 2. 33 • ~4- 4-27 - 2-2- ' z~ , 8 67 8 3, 34- 0 +4. APPLICATION FOR PERMIT +N=z PAYMEW OF FEE AT TIME OF APPLICATION DOES NOT 0ON- ; STIT= APPROVAL OF PEIU4IT. SEWER AND/OR WATER CONNECTION : Iw=ct4OF mim Am/m wnmm : INSTALL ATIONS WILL NOT BE SCEDULED UNPIL PERMIT HAS BEEN APPROVED. lEllocitV of eacjcsn (P E PRI 1) V 1) PROPERTY ADDRESS: LEGAL DESCRIPTION; Lot B oc vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: --(Month/Year) PRESENT ZONING/PROPOSED USE: CI COM MCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (TWO Units) Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: _ THOMPSON PLUMBING CO.. INC. ADDRESS: 12201 MINNETON A UL-VU tirTrwKA MN 55343 CITY, STATE, ZIP: PHONE: For City Use 3) :T24• NAME: THOnJPSPN PLUMBING CO.. INC. p1Lm~bers Iacense: P1 Vn ADDRESS: MINNETONKA, MN 55343 E I Expxpiirreed CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE # St Initia 4)~~311ia e.I~~,Ct r NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 51 e a ' u I ae CONNECTION TO CITY SEWER NNECTION TO CITY WATER a OTHER OPP 6) * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC MZKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF TIME * ARE ANY PROBLEMS. 1 .'FOR CITY USE ONLY PERMIT # ISSUED /OLl) Q Pd w/Bldg. Permit FEES: $ $ /,9. SZ SEWER PERMIT (INCLUDE SURCHARGE) $ ` $ -c;-~) WATER PERMIT (INCLUDE SURCHARGE) $ 7`D l~ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ ~O S d d O $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $_j TOTAL 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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. TITLE: DATE: -9 .y city of ecigan 88-680 3830 PILOT KNOB ROAD. P.O. BOX 21199 36322 VIC ELLISON EAGAN, MINNESOTA 55121 Ma r PHONE' (612) 454-8100 Special Assessment Search THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER Date: 9-26-88 Council Members THOMAS HEDGES Qty Ad.Inkt,a t Requested By: Re:- 1044476-010-01 EUGENE VAN OVERBEKE Ll Bl Winctrsee 7th CBVCIerk Dakota County Abstract Cc On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and,special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL A SESSMENTS Attachment THE LONE OAK TREE.. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY TRANSACTION ID: 8768 SPECIAL ASSESSMENTS SPECIAL ASSESSMENTS SEARCH SUMMARY PROPERTY I.D. TODAYS DATE: 09/:26/88 ----SPECIAL FLAGS---- 1--2-3-4-5-6-7-8-•9••-10 10-84476-010-01 S.A.# ASSESSMENT DESCR. YR YRS RATE. TOTAL ANN.PRIN. PAYOFF COMMENT 101305 WAT L_AT BN 87 15 8.50% 263.75 17.58 46.17 101317 SS P 462 87 5 8.50% 757.71 151.54 606.17 101420 SAN SEW LAT P477 87 5 9.00% 1485.91 297.18 1188.73 IOIA29 WAT LAT P477 87 5 9.00% 1532.81 306.56 1226.25 101430 SERVICES P477 87 5 9.00% 991.55 198.31 793.24 101431 STORM SEW LAT P477 87 5 9.00% 193.60 38.72 154.88 101432 STORM TRIM P477 87 5 9.00% 792.05 158.41 633.64 101433 STREET P477 87 5 9.00% 2627.19 525.44 2101.75 •tF li#.M..y..y. SUMMARY OF ACTIVE 8644.57 1693.74 6950.83 COMM w,~ THIS YEAR'S TOT P&I 2700.04 Press ENTER (Comments), F1 or F2 (Header- Form) or F7 (Restart 8768) CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # /laA PHONE: (612) 454-8100 RECEIPT mm DATE: / 9 R$S3T1«. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON 7_ SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: i>r_ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: 77-2 bi`Gc TLUUZJh C~IGtO HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK L_ SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: Ali, zt~ifi7ir,~ (MINIMUM - 1) 3.00 A ROUGH OPENINGS 1.50 ADDRESS: /ZJ OTHER _ WATER SOFTENER 5.00 CITY: ~tifrmrh~~J~ ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE ZC? ~YT SUBTOTAL $ `l ST. SURCHARGE .50 G TURE PERMITTEE TOTAL: $ S `J CL)MMERCiAlij (VDiSPF,Lygi` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN Tq 3 2007 RESIDENTIAL BUILDING PERMIT APPLICATION 9C_ v Z City Of Eagan o 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Carl of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report -Y N 1 Soils Report 'd proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pries Plan Recd _Y _ N 2 copies of plan showing been & window sizes; poured found design, eta Addition - bMcate if on-site septic system Tree Pres Required _ Y _ N. 1 set of Energy Calculations on4ts Septic System -Y _ N 3 copies of Tree Preservation Plan If lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegascu meclumical ventilation form Plans are considered public information unless YOU state the are trade secret and the reason. Date-X-/ 2 c 2_oo-7 ~r/ Construction Cost $O 2-CO. 0 0 Site Address 7ZZ tiy~T W 0 J C a-)~ fH5 uilr ,tit,t/ S S 12 3 Description of Work T-e(. v 0 1(.p Y' /'~L4° r Multi-Family Bldg`' - Y ZN Fireplace(s) - 0 - 1 - 2 Property Owner wdpk eV1 Telephone # ( 6671) y5_6 ^ U7 C/ y Contractor ~~-OU~~~s✓h~tCC~ ti~QO~<<Yi n f~ D fY3N O't1 Address 1-0 7 I't /L ~1 z Al"0 6 S L,= h- 0,4L- City State Zip SS /7 Telephone # (16-14 Tiff ,f q!V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 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 # ( ) J Mechanical Contractor Telephone Sewer/Water Contractor 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; 1 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. nn Ge (,_l, Applicant's Printed Name Applicant's Signature 4 (Urti# raft of Mrrupaury tp ou Cagan iorpu urrut of uftwo , opution 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 ordinances of the Oty regulating building construction or use. For the follomng.- use classi&ltion 5F DWG7/GAR" Bldg. Permit No_ 15756 Occupancy Type f l Zoning District 1 Type const. Owner of Building 14 & B DLMIL. 00. 100 PMM AMU, , Mn S. Btu]tGng Address 722 LME Locality ' 1 a B 1 ~ WIMITM M1 lire: NOVEMBER 16, 1990 B6ildiag i Ma POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: Date: f, 3830 Pilot Knob Road Meter No: Size: 'P.O. Box 21199 Reader No: Date: . Eagan, MN 55121 , Owner. I; r~ .o ? art r.~,. F Site Address: "7`'~ 'rant-.400d fi ?t' Plumber. Conn. Chg: >-2" _ i30T, Zoning: Acct. Dep: 15. - No. of Units: Permit Fee: Surcharge: 5aI agree to comply with the City of Eagan Tr. Plant 2 `4 I()nd Ordinances. Meter Misc.: By WATER SERVICE PERMIT CITY Q EAGAN Permit No: Date: 1 -&-pp 3830 Pilot Knob Road B/P No: ' 74 Date: 10 -?1 - SS P.a. Box 21199 ' Eagan, MN 55121 Owner. r4~sre~n~,,,r Site Address: 722 Brentwood nr f- ' ~ in" rf'Y e~P 71-3, Plumber. Zoning. MWCC:'J. `3Crrd City Chg: ? 00.0t1 p'd No. of Units: ~ Acct Dep: 15. CGpd !C. 5 {3pR I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT 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 Sr iii GIG Est. Value ~ 138 o(100 Date f `TOB):ii ,1 'Sig Site Address 722 U1-N1;r,i0GD L$; OFFICE USE ONLY Lot Block g Sec/Sub. Ott' ":I On Site Sewage Occupancy 0-1 ME 71 MWCC System Zoning Parcel No. On Site Well (Actual) Const er a City Water _ A (Allowable) Name & 8 ir:lz:D'A1ta~i"ir G't1 W PRV Required * of Stories JFThi': = Address 10C 3 r Booster Pump Length 0 City MPL5 Phone 333-89GO Depth 41' p Name €3 S BRZWEER & ASSOC. S.F. Total o 0 Address 100 PCRTY.41:~1e A VE Footprint S.F. of City Phone 38--4139ru APPROVALS FEES uac Engr./Assess. Permit ,9tl•(A) W - WW Name Planner Surcharge 69'00 X z Address " n 00 1 aW City Phone Council Plan Review 100.00 Bldg. Off. SAC, City • 'i ! I hereby acknowledge that I have read this application and state that the Variance _ SAC, M WCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 55U. 0~i q Minnesota Statutes and City of Eagan Ordinances. Water Meter 07,0 Signature of Permittee Road Unit 325.Qd A Building Permit is issued to: Treatment P1 204#0Q cn the express condition that all work shall be done in accordance with all I applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL l .00 Building Official__.__ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r:` y PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 - ` Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot Block "Sec/Sub. MWCC System Zoning A I, Parcel No.. On Site Well (Actual) Const f w Name City Water ( owable) I x Address PRV.Required # of Stories C Booster Pump Length City Phone. Depth p Name S.F. Total o a Address Footprint S.F. City Phone APPROVALS FEES Ix Engr./Assess. Permit W ? Name Planner Surcharge Address c~ Council Plan Review a w City - Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCG 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 I on the express condition that allwork shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official • Permit No. Permit Holder Date Telephone # umbing C G &41-1--- H. X7 IrA.G. ~O e 1) aotrl, r• /~/V. Electric 0 Softener r Inspection Date Insp. Comments Footings I Footings II Foundation Framing r~ j • ~y ~`S ~'.~IS~ h~iD~ Roofing Rough Mg. Rough Htg. s Isul. Fireplace S , Final Htg. Final Plbg. l d7 Bldg. Final Cert. Occ• Temp. LP Cpy~P , a e, Deck Ftg. Deck Final Well Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block ` $ec/Sub Res. New t., Mult. Add-on Name Tiao,:irr_ien P urlbincc Comm. Repair Address 12201 Mtka rlv(' Other S City t%R Phone . - RES. PLBG. ONLY -COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL- Name F R YeFF2 r A9 ° e "i Water Closet - $3.00 0 Zjj6ath Tubs - $3.00 r' C Address 100 yo r t l a tt d l a9 3 ^ Lavatory - $3.00 0 City PIS Phone -'1222 ,Shower - $3.00 N. ' Kitchen Sink - $3.00 FEES -Urinal/Bidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 ` TOWNHOUSE & CONDO - RES. RATE APPLIES water Heater - $1.50 MINIMUM -RESIDENTIAL FEE -$12.00 -Z-Whirlpool - $3.00 MINIMUM -.COMM/IND FEE -$20.00 Z' Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.0,0) Welt - $10.00, Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: o. FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # - ' MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE:.454-8100 ; Site Address BLDG. TYPE WORK DESCRIPTION Lot ' C Block f r r Sec/Sub"',- Res. ✓ New I I J.lti' .h Name Mult Add-on Address Comm. Repair ~ t t t. -~~t_. .r. ~ : E .z.?•-1 1 c City Other f Phone FEES Name t ~w RES. HVAC 0-100 M BTU -$24.00 c Address ''-Y ' ADDITIONAL 50 M BTU - 6.00 p City Phone-_a (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU $ 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. r, M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: ' S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN „ 454-8100 DEPT. OF BUILDING INSPECTIONS = Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of cit co es governing s~ When corrections have been made, please call 454-8100 for inspection. Date rte' ~Inspector City of Eagan DO NOT REMOVE THIS TAG Address: 722 BRENTWOOD TANK Lot L], Blk 1, Sea/SubWINDTREE 71f1 These items were/were not complete at the time of the final inspection. DATE: Yes No INSPECUM S Final grade (6" from siding) V k Permanent steps - garage ~I Permanent steps - main entry. Permanent driveway ✓ zy Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck i/ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy CITY,OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meier No: IS 1a) F 8`7 Size: 0~ P.O. BDx 21199 Reader No: _QQ (o 0fl Q~ Date: J-3- Eagan, Eagan, MN 55121 e td Owner. , Site Address: 7nr_enft-,„7ood Lane Ll T31 Win-dtree 7^-,_i Plumber:- Thomji,4ox+ P u ad in Cann. Chg: 550.00nc. Zoning: L Acct Dep: - 15 - QOLL No. of Units: Permit Fee: _10.0(1-o el- Surcharge:50,,Cr. I agree to comply with the City of Eagan Tr. Plant Ordina s. Meter. Misc.: gy WATER SERVICE PERMIT 40)1. CityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 R44 -#.0h 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION OLr112016 r Use BLUE or BLACK Ink For Office Use Permit #: 13 / /57 C�l- Permit Fee: 60.0" Date Received: /0 -,/-//0 Staff: Date: to -//-l6 Site Address: 7 ZZ B cI Tenant: Suite #: Name: Phone: Address / City / Zip: Name: d.. ' ‘,1 ¢ tele -g-'( License #: r C Address: 70V '° /744-94-r - City: 1-4-4-eulle State:/AA-- // Zip: .s��Y Phone: G �l 2(6 -"i/f9 Contact: /''4k/` -4'57-210 -Q /9f Email:-Ce4mitzp414449 ®Jfti°°"bm New X Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: ka ?'2T',4'. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name x `* City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Reside Owner PCT I r Use BLUE or BLACK Ink For Office Use Permit #: j Permit Fee: �� / Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Applicant is: Owner Contractor Description of work: Construction Cost: IOc Multi -Family Building: (Yes / No ) Company: Cw�rt Contact: Address: k gam A_ ~t City: State:4rJ Zip: S ?-4-- Phone: Cc42-ZS21- fo Email: r e v e , u License #: GC— Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: NOTE: Plans and supporting documents thatyou orbit are considered to b the information may be classified as non-public if you.provide specific Teas conclude that they are trade secrets. Phone: Phone: Phone: Phone: 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.qopherstateonecall.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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of pgrmit issuance. Applicant's Printed Name x Ap. ' . n s Signature Page 1 of 3 ,e(? 77/wo ` d /1? DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Porch (3 -Season) pp Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% )0 ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair ,i 2 ©©p. Occupancy Code Edition Zoning Stories Square Feet Length I�r3 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing 30 Minutes Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan 1 Hour Air Test Final Siding Reroof /,,F;cd 7 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required X Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: I `° 01 , , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /0 1 6�� X 2" Z -1 0'6'0. 07 /:1;A ; Ana Nl. Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140724 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 722 Brentwood Lane Lot:001 Block: 001 Addition: Windtree 7th PID:10-84476-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Stephen J Steichen 722 Brentwood Lane Eagan MN 55122 (651) 357-2168 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168440 Date Issued:04/21/2021 Permit Category:ePermit Site Address: 722 Brentwood Lane Lot:001 Block: 001 Addition: Windtree 7th PID:10-84476-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Stephen J & Gretchen Steichen 722 Brentwood Ln Saint Paul MN 55123--133 (651) 357-2168 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature