664 Brockton CurCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 664 Brockton Cur
Lot: 9 Block: 6 Addition: Hills of Stonebridge
PID:10- 32990 - 090 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Daniel E Wamer
664 Brockton Cur
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090843
08/25/2009
ePermit
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? . ????:
,.? •i i,,:M:f: I f1r4 , t;1?
)Ea f ? . ?rl ?l?h?S 1'll? I l?l?i
PERMIT SUBTYPE:
N G'
i
?
APPLICANT:
k 1, 1 .- l 1.'?i
TYPE OF WORK:
: „v n i
?
N 1. 1,s
,
`..----- --.
49 ?' td b'r : t 4 J
in J f 69 z, t' `-? y
?
Permit No. Permit Hqlder Date Tetephone #
SNJ /r
PLUMBING
HVAC
ELECTAIC
ELECTRIC
inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plhg.
Fough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
?
Deck Final ? /07 Gm R.e zi/e v? e G '? 2
Well
Pr. Disp.
a
7
,kl'
(gtrti#ir?te uf (Orrupaury
Citp of eagart
iur,parw,rtd af Innmg Ittfivrrtinn
This Certificate issued pursuant to the requirements of Seetron 306 of the Uniform Burlding
Code certifying that at tlte time of rssuance tltrs structure was in cvmpliance wrth the various
ardinances of the City regulalittg building=catrsrruction ar use. For 1he following.!
use Classi6carion SF TW/C'?AR BIdB. Pemiit No. i?61
Occupancy Type ?? 1 Zoning Disuict ?, Type Ccm?
ownff or auflaina NOIdSCA HIS TW- aaa,,,, 4515 QAK aiASE FK?AD, EAGAN
auiw;px naarm 6RRnCxTON aRVE ?;?, L?, B6, HILLS CF SIUNMRIDGE
?
nsu: X 11/26/91
Boding Ot?iasl?
POST IN A CONSPICUOUS PLACE
s+?-?.. -.`+r.w+,?°I? .^'-?!*'fi^?
? q.-i 7
3830 Pil
BU1tDING F'ERMIT
that I qave read ihis application and state that the
and agre ' to corySply with aA applicable Sta1e ol
ature oi Per
I M
Wx' TT?t?; -? ^T?'•a^ . . . ,
aQN.,
-199, Ea,gan, MW 55121
100
Receipt #
Date :+EP' 10
'I
s , 79 Qj_
d
OFFICE US E O
LY
occupancy R-3-U4 FEES I
Zoning PDA.1 ?
(Actual) Consl Bldg. Permit 804+0t1 j
(Allowable) Surcharge 73•
# o( Stories -
Length
Plan Review 523-? '
Depth SAC, City 300-
S.F. Total- - SAC, MCWCC 6w I
S:F. Footprints -
an Site Sewage Water Conn fifio-m !
On Sile Well - Water Meter (Pi-in
MWCC System
Wafer
Ci
h` -G-
?-r1r+ i
Acct. Deposit ?f
PRV ReqUired _ S/W Permit 0- ?
Boaster Pump - S/W Surcharga - ?
TreatmentPl - 276-?
APPROVALS Road Lfnit 3_ ?00
Pianner - Park Ded.
Council
Bldg. dff. _ Copies
Variance TOTAL 3,612.
?
, Permit No. Permit Holdef Date Telephpne #
WATER 9/Q /
SEWER
PLUMBIMG
H.V.A_C.
ELECTRIC
InSpeeNon Date Insp. Comments
Faotings I
Foundation ? -/ /-? ?G ??.?,' ? F [?' /?? ? "y,?•?
Framing
Roof ing
Rough Pl6g.
Rough Htg.
Isul.
Fireplace
Final HTg.
ew 1 '
£Jrstat Test
Final Plbg_ Plbg. Inspector - Notify Piumber
Consi. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
0 D?,5?1 a?f
SEWER & WATER RERMIT
CITY QF EAGAN
3830 PiI4t Knob Rd.
Eagan, MN 551;22-1897
DA7E
? SITE ADDRESS -
LOT `=' BLOCK
FFICE USE ONLY
METER #?/ 7?2°"?c?? PERMIT DATE 09 1143 C? 1
CHIP # O°Z? 0 *31 (P PERMIT # ? ? 2 65
METER SIZE B:P. RECEIPT # 115$_?
ISSUE DATE B.P. REGEIRT DATE 09/10?1
_ PRV - BCIOSTER PUMP
PERMIT REQUESTEQ
? SEWER ? WATER TAPS
COMMIINQ =- RESIDENTIAL
N E W EXISTING
APPLICANT:
ADDRE$S:
CITY, STATE ZIP
PHONE:
PLUMBER: i GLERKC;T1' 'i..UL.iBI-.:' `
ADDRESS: 12350 RIVE.?? RiDCzE Bi:,VT)
CITY,STATE EL°'Ri'?SV[LLr ??C; ' ZIP '?5`337
PHONE: <.9 0 -?03; e, .
OWNER: 1,.[)1,':Er` TNG
ADDRESS: 4.51 5(1iqg": 1Z1)
. CITY, STATE 1-'E?{=A?`? T" ZIP `•' S1 i:'S
nunnic. 4 52--7449
I-
Lawn Sprr.nkl?r Meters are to be Instalfed
Ahead` o?f,!'Darnestic Meters on Water Line.
C?dit'ljVIjLL NQT be given for Deduct Meters.
.
?-
I AGREE 10 COINPLY WITH CITY OF
WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
SITE ADDRESS i-&4 BROCZ7011 GURVt-
LOT BLOCK L SEC/SUB 1t`=1,T.S
CITY
STATE
,
PHONE:
PLUMBER:
ADDRESS: 12350
CITY, STATE
PHONE:
iOMT'.", INC
?
3
1 AIaF{tt I V VVMYLY WI I t1 (;11 T Vt
EAGAN ORDINANCES
.
ZIP 5.SS:?.3
SIGNATURE WHEN METER ISSUED
FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
ING DEPT.
CITY OF EAGAN Np . 1966 1
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt # -?" 6311
n
To be used tor SF DWGfGAR Est. Value $147, 000 Date SEP 10 19 91
Sde Address 61
Lot 9 BIOCk
Parcel No.
w Name NORSKA HOMES INC
Address 4515 OAK CHASE RD
o City EAGAN Phone 452-7449
Name SAME
$a Address
? City Phone
? W Name _
=3 ?, Address
iW CitV-
1 hereby aeknowlege that I h ve(read thIA application and state that ihe
informalion is correct and to co ly with all pplicable Slate of
Mmnesota Statutes an ' o n i?nces.
. Signature of Permite J
A Building Permit is iss d 12 0 KA HOMES INC on the express condition all work shal be done in accordance with all
applica6le Slate of Minnesota Stalutes and City of Eagan Ordinances.
BuiiGingOflicial n R_o;.rt ? Th11
SROCKTON CURVE
6 SeGSub. HILLS OF
STONEBRIDGE
OFFICE USE ONLY
Occupancy R-3_j`L-I FEES
Za,,,,,g PD R-1
(ACtuap Canst V-N Bidg. Permit $04.00
(Allowabla) ?N Surcharge 73.50
8 01$IOnB9 _
Length 701 Plan Review 523.00
Oepth 521 SAG Cily t nn _ nn
S.F.TOtal -
0
SAC.MCWCC 65n-0
S F. Footprints _
On Sila Sewage _ Water Conn 660.00
On Site well - Weter Meter 95.00
MWCC System X
-
Ciry Water
7L
1_ nn
Acc
t. Daposit 11
PRV Required - S/N Permit 'An - nn
Booster Pump - SNJ Surcharge - 50
Treatmenl PI 276_ nn
APPROVALS Road Unit 370 - f1l1
Planner - park Ded.
c°uncn SO
61dg.Olt _ CoPies .
Vanence - TOTAL 3 612, q
n
Address: 664 Bp
DjUiON rgpVE Lot q Blk 6 Sec/SubHILLS pF $IONEBR=
.
These items were/were not complete at the time of the final inspection.
11/26/91 ' Yes No
Final grada (6" from siding)
Permanent steps - garage
Permanent ateps - main entry
Permanent driveway ?
Permanent gas l?
Sod/seeded grass
Trail/curb damage
Porch
Basemant finiah ?
Deck
Please varify With the builder tha removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lavn faucet be£ore
freeze potantisl exists. ?
xecrt?eoxwn
White - City copy Yellow - Resident copy Pink - Contractor copy
? DATE: SEP 10, 1991
f49;?. 664?BROCKTON,GURVE (NORSKA HOHBS INC)
--+-
''
x - Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or'Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL IITILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
115253
&
Requesl Date Fre No gn-in InspecLOn
wretl?
I
? Reatly Now ?Nill NoM1lylnspeclor
C No
Yda bVhen fieady'
I;4icensed contractor 7) owner hereby request inspecUon of above electncal work at:
Job Aotlress (Street. Box or Route No ) Gry
C N
Cog -
G Acn
SMion N Township Name oi No Ranqe No Counry
R
Ocmpant IPRWT) Phone No.
tRm
POwer SoOpLer Adere55
Elecmcal Connactor ICompany Name) Conl4or3 Ucense No
Maiiing Atlaress iCOnVacior or Owner Making Installaoon)
2 ????-?-??- C
Aulnonzed Sgna/Wr?e ?ICOnVj?'Cto/r??Q?wr Making Inslalla0on,
l Y !?/n lA \ / t Phone Number
-
6
3 9-2-
_ r
MINNESOTA STATE BOAHD OF ?ELEC?RICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bltlg - Room S1]] BE ACCEPTED BV THE STATE BOARO
1821 Univaroity Ave. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 64I-O800 ENCLOSED
1?1171?1 REQUEST FOR ELECTRICAL INSPECTION eeoooo1-oe
? See msvuonans for romplevn9 mis form on back oi yailow copy
8. t
?-rj "I "X" Below Work Covered by This Request ??•'?`
ew Adtl Rep., . TypeofBwlding AppliancesWired EqwpmentWiretl
Home Fange Temporary Service
Duplex Water Heater Electnc Heating
Apt 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Au Condihoner
Other (syemty) ConVactor's Remarks
Compute Inspection Fee Below.
N Olher Fee # ServiceEnlranceSize Fee # Qrcuits/Feeders Fee
Swimming Poal 0 b 200 Amps O 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SignS inspector's Use Onty TOTAL
Irrigation Booms 64e ?q
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAY OR ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS f
I, the Electrical Inspector, hereby Aough-in i are /o-/ ?y
cerhfy that the above inspection has
been made. F,nei e?e
-?L
OFFICE USE ONLY . --
Tnis request voia 18 monins iram
I . :: PERMIT OX a M9 I
? CITY OF E•AGAN 1"(° -9q
3830 Pilot Knob Road PERMITTYPE: BuiLozree
Eagan, Minnesota 55123 Permit Number: 0 2 4 0 3 4
(612) 681-4675 Date Issued: 07/06 J94
SITE ADDRESS:
664 BROCKTON CUR
LOT: 9 BLOCK: 6
HILLS OF STONEBRIDGE
P.I.N.: 10-32990-090-06
DESCRIPTION:
' `_.-.
8?illding,PermiC Type DECK
Building Wu,rk Type MEW
-.,
?
i
?
/_r--
?f
0(:)I?
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES $1.00
Surcharge $.50 7ota1 Fee $31.50
Subtotal $30.50
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
BOARD & ROOM RMDL 18239128 0004978 WARNER DAN
3836 HARRIET S 664 BROCKTON CURVE
MINNEAPOLIS MN 55409 EAGAN MN 55123
(612) 823-9128 (612)686-8071
I
I hereby acknowledge that I have read this application and state that the
information is carreeC antl agree to comply with all applicable State of Mn.
Statut s and City of Eagan Ordinances.
L -- n. . ' -1
APP ANT/PERMITEE SIGNATURE ISSUED BY: IGN TURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 024034
Eagan, Minnesota 55123 Date Issued: 07 /06 j94
(612) 681-4675
SITEADDRESS: LoT: 9 BLOCK: 6 APPLICANT:
664 BROCKTON CUR BtlARD & ROOM RMDL
HILLS OF STONEBRIDGE (612) 823-9128
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
I F- . ;
- ? • -
I L
CITY OF EAGAN
3 1994 BUILDING PERMIT APPUCATION 4-511.60
? 681-4675
SINGLE & MULTI-FAMILY co y of energy
s of plans, 3 registered site„$?urXe.ys1
1
dU [ 9
l
99
?
ca
cs
GOMMERCIAL 2 sets of architectural & str ?- lans,_1.,5p of
spec9fications, 1 copy of energy ca cs.
Penalty applies: 1) when permit is typed, but not,;picked up by last working day of month
in which request is made, 2) address is changed:or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
I STREET SW TE #
Tenant Name: (commercial only)
LOT ? SLOC& SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner ?ntractor ? Other (Describe)
Name Okk),?-7' ;LA &/ Phone ?
Property lRST FIRST
Owner Address o e 7`d&') (--,- ?/.
SIREET STE k
City State Zip
Company ?"'AeQ ? to Dor? , Phone
COtlt1'aC#OP Address License # ?Z Exp.3
City ? S State Zip
Company Phone
Architect/
Englneer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
/
? engir
242J EnlCrpriqv Uri'Ie
PAendela Heig}its, MN 551217
LPNOSVRVETORS•CIYILENGINClRS
. . IPNU ?LnNNE>+- lANp5CI1PE AArHITZfTS
(612) sai?IMa
CertiTicate oi Survey ior: MQ???' ` ?M C,: S
BROC.lcTcrl Y---?URV_E_ ?
------- - P: AIA Ss ?" Na4rN
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. geo.o Denofe< fxl5tln flevalion
. 9oC t?enoles propo3?d ElvvaNan
- L7enofes Ornrrla e (Ufi/rl) Easemenf
Lenole.s Utcliria?e Flaw Ar?rnws
PRUpOSE17 NOUSE ELEUA7ION5
011 -?397-2,
?
lowest F/nar Eleva11-
T?r of`'810ckflevafion = `1115.',?O
Uor044 510b Elevafion =-°t?`•o3
o penoles moitumenf
gFarir1s shownara assurrled
LoT 91 BLocu 6 , IUrLcs oF SroIvEeRInGE
DpKpTA COUNtY, MINNE$OTA SVRIECT TV EASEMCIJTS OF'RECnRp
1 6r.ep? ?a?tli•y the? thi? -v..wr. p13n or lePOrr a5 SPa.eA hy C?ryp ?nde, u?y dieecl fupnqivl/fInn and lhgt I am dulY flegietr•ed Lantl $Urv!yvr
i,..r?g? ih= h,vc rl thr[Iate eI Mimneso... OaVe?t tFis dav ol ??m? °?~ A.D. 19.?L?.
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?:?L4'1?? r
? 1991 BUILDING P I APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMAIERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUAVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHZCH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: r,..J? Valuation
? Date: Q- ?s'r1 l
Site Address _??? uAl-m Cug11L
Lot 4L Block (o
Parcel/Sub 4.111 O; 4en+t4R.11.
Owner
Address
City/Zip Code
Phone
Contractor NNR.SL& HeMeS Swx
Address `cs lg oAF L?eSs tio . _
City/Zip Code '?eAq A wi 1VA/J •
Phone 4SZ-1??1?
Arch./Engr. T"lAw.Ge -
Address
1y7,000- OFFICE DSE
Occupancy -R 3 M _?
Zoning P.D 2 - I
Actual Const _ -
Allowable V-IV
# of stories
Length '70 ?
Depth 52.'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. OffJ)S 9' -9
Variance
FEES
$04,00
Bldg. Permit -
Surcharge 3 ,O
Plan Review 5Z3. 00
SAC, City /OO.ao
SAC, MWCC 65ai00
Water Conn. 6 O, v 0
Water Meter S,00
Acct. Deposit
o
30,0
S/w Permit 30.u0
S/W Surcharge , S O
Treatment Pl. 2176.00
Road Unit ?O.?
Park Ded.
Trail Ded.
Copies ?
SIIBTOTAL
Penalty
I.ot Change
TOTAL
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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. 90^.4 C?Cf7ofe5 f7rUro,?[? EIP?Otiott
----- L7enofes Drninaej utihly Easement
? Uenofes Druina e Flow /arrows
o oerio{eS MoRUmPnf
g earrri?s shown ora assu n1 ed
PRUpOSEp _ 14OU56 ELE ?A7lONS
Lowesf Flewr Elevaboi) 397-z(?
Tap pt Bloclt Elevpfion =`ro5• 3(o
(,""Ordja s/ob Elevbfr'on
L oT 9, BLocu 6114lLL5 oF $Td NESRIDGE
DnKorq CauNTy, A"xNESOTa SvalfcT TO EASEMENts oFKLWaap
1 ho.¢yy t?rtifY /hat 1hil mrv!y, plan v, repo.r was SpeoM 7y rq9t or nder my direct superv'isien end lhet t am dulv Regi<tere7 Land Surveyar
iindsr the lawt pi Ihn Ctate a1 Minnesota. Da1r,d this_ daY el I1!? A.U. 17 q3L?.
r-??^?/e' 1 f- lAG7l . 40+ly(
JLUl4
--- aL g:arc.nn.3na11
q 1405
IT?
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C,vIL
Certificate ot Survey ior: Moe-5k
A /70m4 s
gROGKTON GURVEr L._J
R: 424.55? No47Fl
'? -d• il° 12 05
i a7 pp ?y
2422 61tr.rpn5v pti•ie
Mendeta Hsights, MN 55120
(612) 6$1-1914
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1.34
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_ _ """ '_""' ' ' " " '
. E? r F L aa N C. i ? .% " " _ ' _ ' ' " "' :
" ._. . __ I NE:UR
tI E 1 E. ANrE nFF I r:E P 02
' BASED ON CHAPTER 5 OF THE
ttODEL• ENERGY GODE - 1983 PDrmr
, Adoption E;Efective nu T-401
Owner
Site Address L-oT 9
L
Contractor_p?L?G?f Phone
Building Classification: Type A1 (5inqle Family & Duplex)_?
T'ype A2 (Residential, 3 stoYies or less)_
NOTE? Comniete Aaa s'+ Ancl ¢_?j??,
Gf:NfRAT TNFQRRrATTf1N
1. Sullding Perimeter-g, kgK
(Over 3 stories) (Other)
2. ta'all height (ground to eave) l/ ft,
3. 1. X 2. (above) gross wa1l a7:ea sq.ft.
4. Building dimensions (L) X(W) =147??sq.ft.roof & floor area
5. Sq. foot area of rim joist - F1 or joist size (2 ?( /0)
? X -ZIP (Perimeter) ? e, sq.ft.
12
6. DOOrs - Area Zj 7
Thickness in U. factor-z..?4?1
Type of Canstruction Perimeter ft,
Manufacturer
7. Total door's perimeter --`"' ft.
8 . windows : *tanuf?q? rer? gtate approved
t3 factor_ I
TYPE SIZE AREA (Sq.Ft.) NUM9ER OP TOTI?I,
u-"It?,? EACH UNITS SQ FEBT
?L_
9. Total sq.ft. Glass?r,
10. Fireplace area: Width X Fleight = X = sq.ft.
11. Exposed foundation: Height X PerimeterX Itl 6q.ft.
• COPiPLETION OF T1iI5 FORM IS REQUIRED FOR AI.L NEW CONSTRUCTZON, MAJOR
REMODELING APtp gUILDINGS BEING MOVED WH£RE ENERGY, OTHER THAN THE HINIMAL
CObE ALLOWANCE, IS USED.
.
12. Framing area = 10t of gross wall area. 7
.
13. 'Gross wall area
????__sq . f t.
Window area A??_$q.ft. U Wfndows =
---- UxA =
Rim joist area A 7 3 7" sq,ft. U rim joist= i0 UxA =_
DooY area A sq.ft. U door area= .? '
UxA = ?
??r
Other doors area Att, U other doors=t 3q
UxA
Exposed fndn A`-ALSq,ft. U foundation=
uxA = 15-, 5
Framing area I??r 5??? ..-
U fzam3ng area= UxA -- riQ O
Net wall area A--kie-21-sq.ft . U wal2= X / UxA =
L.
. .?
(13B) TOTAL . . . . . . . . . UxA = 3 z (Q
I4..Gross wall area x o.il (A-1 singie Eamily & duplex) = allowable Ur.A/Code
(13. above)
x 0.23 (A-2 other residential)
x •23 (other buildings)
x •28 (Over 3 stories)
A TUH must be larqer than or same
x U Code i?? _?3 .? Og, as 13B above
15. Ceiling framinq area (Af) equal.s 10$ of aeiling area '-
SSA. Gross ceiling area
= (L) X (w)? _ el 7(a Sq.ft.
15B. Joist area (Af) = 10$ ceiling area
- sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) = Z Q s9ft.
•
U ceilir.g x A c • d'Z2. x? Zp = ?i9i Z
U framing x A f-_, 0Z3 x =3
.
,
.15D. TOTAL U X A ..................... . ......C 3 4
?j
lb. Ceiling area (15A) X 0.026 (A-1 single famfly & dupleX)
= allowa6le UxA/Code
x 0.033 (A-2 other xesidential)
X 0.06 (Other)
A(15A) jM U Code aL (o ? 3?•? O. must be Iarger than or same
F• as 15D above
NOTE: Use U and A values obtafned fYOm pages 1, 3 8nd 4.
rFRTrFIGAT ON; I hereby certify that I have Calculated the "U" factors and
"RIO values herein and that the building here descrlbed meets or exceeds the
State of Minnesota Enerqy Conservation Act.
-Date
Signature
-2-
axgnacure
-2-
--------------------•----••-------------------;--_- ---- '
----------------------------- - -••--_---------
SEF' - _-? 1 T UE 1 _: FLr?N?:Cl.- I tJa31_IF•qN Q E GF F I C E F' 04
G?Zay s ?va?c.t-- ,??l?. 9l - 4 0 7
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vAvc?s.. ? ZZa
54
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WALL •
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SEC! !pl{
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stait, L,oco .?z?
e • . ?v?i ---
'• Ovte.lda tir t(lm .ll .
0. 70TAL
Inslde.alr (flm ? .68
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stcrtoy
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eover „
alr. [Llm' R ...tl '
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--? - - _?_ lnterlor aIr tllm It? .6A
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?'" •?5 i???n ?n? ? ' ? 1
•• ..` k?++ooil "A?i.O? (n1m ' U ? ? ?
I? ,(/(?, . Sl?bething • x oto Jolst? ' •
I .al . Cxtetlor ue?l eovetln , • p?'?
8 {v ? ??
v
, "Tr,. ExtcrloY alt [llm
R• TOtAL
_.____? lntcrlor atz Ilim R? ,6E? '
?„lnivlatlon ?, ??
Fnundntlon ,
` E%tetlot ?1'r i[lm R¦ +17 1 <• a ?OLAL
-?_
Expoied Blnck ?`.7i ??.J.
\.??.•'?.?rada 7,
---------------------------------------------------------------------------------------
_. --- ---------
___ O? I NSUF:ANCE nFF I CE - - - - -P-
0fi
Window infiitratian 0.5 cfm/lineal
Residential door infiitration 0,5
reguirement
NOn-residential door infiltration
R VALUE
FRAMING
R VALUE
CEILING
- 0.61 AirFilm__ 0 61
' O Insul.ation"?-0
- 4•39 Joist
O.Sy Ceiling_ 0.56
0.61 AiYFilm_ 0.6
4-2-, f (a 7otaJ.R__JS.,b_
, 02? U = i/g
foot oP crack
cfm/square toot or door and minimum code
11.0 cfm/lineal foot of crack
Ub 12" concYete block no insulation = .47 R 2.1
Ub 12" concrete block fnsulated Cores - .26 R 3.8
Up 1211 lightweight block = .32 R 3.1
Ub 12" lightweight block insulaCed cores = .12 R 8.3
U 6ingle glass = 1.13; with storm window .54
U double qlass = .55
U txiple glass = .41
Alx exterior waJ.is and ceilings must have a vapor barrier (0.10 Qerm max.).
Vapor barrior must be on the inridA (hn_nte(l cidn) of oie).1.
'VSpur baztlers of thn polyeLhelene thin fllm havq no R value.
a
CITY OF EAGAN
3830 PILOT KIJOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: /? 3 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST v
ADD ON
REPAIR
OWNER NAME: NORSKA HOMES INC.
SITE ADDRESS: 664 BROCKTON CURVE
LOT: ? BLOCK C.v SUBD./ ?
INSTALLER: MCDERMOTT PLUMBING INC.
ADDRESS: 12350 RIVER RIDGE BOULEVARD
CITY: BURNSVILLE MN. Zip; 55337
PHONE #: 890-9084
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.0011-
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00-
OF 1 PER PERMIT
SUBTOTAL: $ °2o
STATE SURCHARGE: .50
TOTAL : 50
GNATURE OF PERMITTEE
?(??1'4?ItC.YAT.??N?tXSTitTi4??; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
.? '
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MAi 55122
PHONE: (612) 454-8100
Po""CMM
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: D .3 I
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY
TOWNHOMES/CONDOS WHEN YERMITS ARE REQOIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: NORSKA HOMES INC.
SITE ADDRESS: 664 BROCKTDN CURVE
LOT: ? SIACK P SUBD./,U&
INSTALLER: MCDERMOTT PLUMBIBG INC.
ADDRESS:12350 RIVER RIDGE BOULEVARD
CITY: BURNSVILLE ZIP: 55337
PHONE #: 890-9084
SUBTOTAL S 1 ?g• ?
ST. SURCHARGE ? .50
TOTAL: $ '?c)
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:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCNARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S IGNAT[TRE )
DWELLINGS &
-------------------------°----
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00
? WATER CLOSET 3.00
}- BATH TUB 3.00 ?
?r LAVATORY 3.00 L
? KITCHEN SINK 3.00
L LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
? WATER HEATER 3.00 _y?
? FLOOR DRAIN 3.00 3
GAS PIPING OUT.
? ?(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
i0T11ER
`HAtER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
?
1?
S?
• 9 registereC sae surveys
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
ft. of bt, sq. ft of house; antl all roofetl areas
. 2 caplas ol, plan ahowing 6eam & wintlow sizes; poured fountl Aeslgn, etc.)
• 7 set of EnBrgy Cakulatbns
. 3 coples ol, Tree Preservatbn Pmn M bt pletteG arier 7M/93
. Rlm ,blsl Defall Optbns selectbn sheef (bldgs wlh 3 or less unX&)
Water Softener
_ Water Heater
_ No. of Baths
DATE il S.?L9 ? 01R VALUATION ?KSSPTO
SIiE ADDRESS C6'14,1 ?,rvck?oh ???v2 MULTI-FAMILY BLDG _Y X N
TYPE OF
FIREPLACE(S) 9- 0 _ 1 _ 2
BamotlelRieoelr ReauhemeMs
. 2 coples of Plen
• 1SBt Of EfIBfQyC81CU18NOfISfOfh88tB(18dtli1bllS
• 1sAesurveyforexlerbradtlitioris&decks
. Indkala %home served by septic system for add'Alons
STREET ADDRESS l 330 / 3 3t"E JILE_ qTY /tI&kL?,t2 STATE fjANi ZIP sf,?0
TELEPHONE # iir3- ?S/ 3g7P CELL PHONE # FAXli
PROPERTYOWNER -& Ef- TELEPHONE# 6ff- 686- Bo9I
------- ---------------------- ---------------------------- °---------------------------°------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI,ES 7670 CA1'EGORY 1 MINNESOTA RULFS 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envslope Calculations 3ubmitted
Plumbingi Conhactor.
Plumb'uig system includes:
Mechanicpl Contracfor.
Mecharucal system includes:
Sewer/Wpter Contractor: _
I hereby C
wim all aF
Phone #
4L
1 a S-. a-s--
Fee: $90.00
Fee: $70.00
# .._
Jge that I have read ihis applicatlon, state that ihe informa y Is correct, and agre to comply
State of Minnesota Statutes and CiTy of Eagan Ordinances.
Certificates of Survey Received _
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
o. Signaiure of Appifcanf Al?
OFFICE USE ONLY
Tree Preservation Plan Received _ Not Required _
Updated 4/02
2006 RESIDENTIAL MECHANICAL rExMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
SiteAddress?Qy Pk(pGk tpr., CocJ-C, Unit#
Property Owoer _Y4 ? U,]Q,1( y\Q.?
v Telephone #(\
Contractor ?` %INA j? CtV\d (,52AVh LG.Vr\C
Street Address ?;7. ? t •__? a?('? ?? (J? h}L, Cjty, S_190UJ\
State (1'?I( \ Zip Telephone# ((0SI
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to exisNng dwelling unit $ 30.00
? fumace _Additional _S( Replacement _ New
_ airexchanger
1
air conditioner
_ heat pump .
?
other ?
, ?.,
.
?
i
State Surcharge $ .50
Total $ "?AD,W
I hereby apply for a Residential Mechanical Permit and acknowledge that the infotrnation is complete and accurate; that the work will
be in conforniance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemilt, 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.
?wra ??Q?.?k.. U?QW0k
A- p cant's Printed Name Applicant's Signature
N
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66`7 (z-
HOUSE HEATING TES1' RECQ]2D
CITY OF 3T. PAUL A?? t?lumeer slreal ama 5!,ltve,g d,ete.
?6 y{b
6
C H,S,E,W
-
/?RIIFryCI?
(rN!M! 1^ ' +•• , n
L
I ?
?IIVLYIVIY
7505T.AETERSTREET,SUYfE700 SLPAUL,MlNNESUTqdfi1I02-1E10 OCCUpBqt
SWIB/AptN FIbW#
Properiy awner
CRY
Sold BY dai •? T cf tnsla!!ed bY
crerAical WUtKlfy `
p., Gaa Llne Work by
HEA7
L08S Date Heating
lnstalled Typa o! Gas? Pareed Afr?^
Hest koi WaterU Steam[]
8A8 DE81GN
Make 7r&4f $pece Meater ? UnM Meater ? Qther
?N?RS?H
•
- Input00o Makeof8umar
ModelTl''b0?b Q 3K'/ sedal# 1 Ma+t. BTII Rating Model ;
THERMOSTAT ?f? /CONTROIS
Heat P1
`?
Make of Fumaee
Model ?
'
'
VaNa Vent Stze L/
'
_ Lim9 fnddUper
C e Slze
Nune
n ? Limit
BeIHnB /?'
. Dia1t Fbod 4111 Reguia[m j
Fan SeHing )r/,,? c- Filleis: S'rta I(, u;L-Q Numbe[ ?
WlatType ,??- f f+v„?Y ^
? ChfmneyLocatlo Ins OtteWa
?
M
Pilotl4uke - . ? ChimnayCanstr ion
P1lot Mode! ?
. PIIM limtng tp/ Spillage
L.W. cur ar -? ?mOke Bomb yy?ia9
Pressure ? m
• v' pemmt CC)2 lj, r1 ?eft
Qoor Preaeure Tesl Tap .
i?ut CFH ? Pe?M
Com iry
. L{ghting lnet,
Oate
sredcremp.321 r.Aoemco nm
Hamao! hC- ,r Coeau
lC
u ---/jpW
t
7q,?! V
2007 RESIDENTIAL PLUMBING PeRnnir,aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
45, vJ?
Please complete for modificffiions to existing residential dwellings. Do not combine inside and outside
nlum6ina on the same aoolication- seoarate aoolirations and oermits are reauired.
Date
9 /lLt 1 01-7
?!
-
Site Street Address t,?o`C Carvc Unit #
Properly Owner Cti Telephone # ( (j51 ) W ?16"
hampiun
651-365-1340
Contrector _?„ .a_„ .., .. Telephone # ( ) 180
Address Esefan. MN 55923-1338 City State Zip
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license
Septlc System
New Includes CouMy fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Aiterations to existing dwelling $ 50.00
_ Add plum6ing fixtures to main level lower level. This fee includes
instaliation of a water softener and/or water heater at the same time. !f you are
insta(ling onlv a water softener and/or wafer heater, do not complete this section;
move to the next section and place a checkmark neut to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
?
Water Softener
Water Heater $ 15.00
new
eplacement
_
_
Lawn Irrigation _RPZ _PVB _new _repalr _rebuild $ 30.00
State Surcharge $ 50
T
I $ ? JU
oW
t hereby apply for a Residential Plumbing PermR and acknowledge that the mformation is complete and accurate; that the wonc Immi be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a pertnit, but
only an application for a permit, work is nat to start without a permit and work will be in accordance with the approved plan in the event
a plan is required to 6e reviewed and approved.
(?o bwt S-k 0
ApplicanPs Printed Name ApplicanYs Signature ? b
g $er v1 C12-
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 664 Brockton Cur
Lot: 009 Block: 006 Addition: Hills of Stonebridge
PID:10- 32990 - 090 -06
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 21170 Eaton Ave Suite A Farmington, mn 55024 651- 344 -4253 clilienthal @con trolledair.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
ME - Permit Fee (Replacements)
Surcharge - Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Daniel E Warner
664 Brockton Cur
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$30.00 0801.4088
$0.50 9001.2195
$30.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA073867
06/16/2006
ePermit
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For Office UseI if
% j Permit#:
,11 41.0,0 E AG N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspections c(�cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: 62 (a - t3,4 Phone: (.17-1/9 - "c4-s73
Resident/ n
Owner' Address/City/Zip: PA- A) U A 11-00f-u----
Applicant
t'►f-✓Applicant is: Owner X Contractor
Description of work: /2
Type of Work
a►
Construction Cost: � � Multi-Family Building: (Yes /No )
Company: He)L-F — 6,'=-1--c0i Contact: C-141:•
Address: / 7 71 r-D"K-&c-u-3 City:
Contractor •
State:t ' Zip: Cra ll I Phone: (Q i.3-111, Email: el-f 4 K .�u!—
License#: �3�–(P fY°/ 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the CV to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.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.
X e 1%f - / ��—�1��f�2� X
Applicant's Printed Name Applicant's Signature
For Office Use / /
:::t:e:' ii
EC E I V E Date Received: 63830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 Staff:
buildinginspectionse.cityofeacian.com JUN 0 6 2019
2019 RESIDENTIAL BU tNG-PERMIT APPLICATION
Date: N/047/17.0 j Site Address: 6(0q 131-e)641-0Y) �U' vL Unit#:
Name:• V a fl + r o,, Phone:
Resident/
Owner Address/City/Zip: V 8t 4 ttol' W r v-
Applicant is: Owner 1V Contractor " / 1// .
(,171 �� r
. 1/ 1Q l (� 6C.cE;
Description of work: �t�M� C��.f'/f� �0C�C� G�►`C� �\�1� r�Y�G'n
Type of Work
Construction Cost: �"/ f $00 Multi-Family Building: (Yes /No )
Company: un 1'/ C�4�it/V Contact: Mak\--
Contractor Address: )2Z 77 /v tet1ie A k City: 80SUti`e
State:I' Zip: Phone: `r' l736J33� Auji-ail: V51 r'ckdt4 r corr.
License#: E? 0C)1. 3 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe'
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.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•lans.
x /./041
Applicant's Printed Name Applicant's
pp Signature
DO NOT WRITE BELOW THIS LINE 6 oq ,ggcC"K ,t 0,buzi/e-
/ /5 I
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES { i
_ New _ Interior Improvement Siding Demolish Building*
_ Addition _ Move Building _ Relroof _ Demolish Interior
_ Alteration Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ,/ /�
Valuation / Occupancy1(J� MCES System
Plan Review Code Edition IA yJ 1-J(< SAC Units
(25%_100% y) Zoning (U.- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1 V 12, Width
REQUIRED INSPECTIONS J
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Y Final/No C.O. Required
Foundation Foundation Before Backfill /� 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
Insulation 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: ?.. , Building Inspector
RESIDENTIAL FEES
Base Fee O414 IL
Surcharges Y
Plan Review (O►1d"fM
MCES SAC PC/,CilLkei
1 v"
City SAC L �
Utility Connection Charge
S&W Permit&Surcharge ?I /�/ �/
Treatment Plant / Y l
,
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163465
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 664 Brockton Cur
Lot:9 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-090
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 -
Daniel E Warner
664 Brockton Cur
Eagan MN 55123
(651) 592-4907
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169669
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 664 Brockton Cur
Lot:9 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-090
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 -
Daniel E & Kathryn A Warner
664 Brockton Curv
Saint Paul MN 55123--167
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature