649 Brockton Curf
?Y
,49a#tfir?tr of (Orr?????y
Citp of Cagan
Jqrprtm? nf -fiuaitcg 3tcippr#imt
7'h1s Qlruifrcate issued pursuaru 10 [he requirements of Sectian 306 ojthe Uniform Building
?y Code certijying thar at the time ofirsuanae thisstructure was in comp[rarree with the uarious
ardirurnces af 1he CitY regulaiing 6uikling rnnsduction or use. Far the following.
clse Cwaia+ion gg vw/Q4R eWs. [ermit No. 1 t371 R
OQCUWwYTYik ZoainE Distrid ? y^ ? Type Camt VN
o- OreMU" ,+aa= P._:.n _ Wx Itta4, JUrrrTx
?TC9QFRRTTX?
a„1d;ng Addv= ?}Q C:f 1RCirl, LAM;V 7.24 , R5* H'C7 TS QF
2 126 /g2 --
?
gwldi,?g Offid?,7,
PdS'f iN A CANSPIL?lOU3 PIACE
Lot _.,ZI? Block _5_ SeclSub. liil,l.?q_Qp
Parcel No, STONgBRtDGE
Name --LILp1ARAB CE157Y)t? H -
??
L
W
3 Address P t] K1X 1049
0 City RIM$VIt.M Phone 454.-4383
o Name -qAHR
iP Z
O4 Address
? City Phone - -
Address
City Phone
ry acknowlege that I have read this applicalion and slate that the
ition is correct and agree to comply with all,applica6le State ol
ota 5tatutes and Gity ot Eagan Ordinances..?
ire of Permitee --
A Building Permit is
onthe express com
applicable State of !
au
OFFICE USE ONLY
'Occupancy Rr3 -bW FEES
Zoning PU k?1
(Actual) Const Bldg. Permit S LAI - (}p
(Allowable) -y? Surcharge 73-[1[1
# ol Stories -
Length _6.50 Plan Review 520,?
Depth SAC, Ciry 1 00,00
S.F.Total - SAC,MCWGC 6 51111.00
S.F. Footprints -
On Site Sewage _ Water Conn 660.?
On Site Well - Water Mefer 95,
MWCC System -X--
City Water qcct. Oeposit 3[7-l!U
PRV Required _ SNV Permil ?Ll_f]O
Booster Pump - SIW Surchar
e g
• ?
Treatmeni PI 276•?
APPHOVALS Road Unit -370.00
Planner - park Ded.
Council ?
BIdg.Off. _ Capies
Variance - ToTAL ??
1 ? Permil No. Permit Holder Oate Tetepfiane #
4YATER
PLUMBING
•
H.V.A.C. ?? ? 'S?o?,? ?J fI
ELECTRIC
Inspection Oate Insp. Comments
Footings I a t?/ C
Foundation
Framing
Roofing b
Rough Pibg. /0-3DO
Raugh Htg. l???r?}? al.t t/, 1" 2- l!G ?.GTlrIC
Isul.
Fireplace f0?3/
Final Htg.
orscac rest lVr*
Fnal Plbg. 'k- ? Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final '?•, a /,??
Dedc Ftg.
Oedc Final
Well
Pr. Disp.
:?
? SEWER & WATER PERMIT
, CITY OF EAGAN
I 3830 Pilot Knob Rd.
' Eagan, MN 55122-1897
ti
DATE SEP '23, 1941
APPLICANT:
nnnocec.
,STATE
OWNER: LaPIERRE
ADDRESS: p 0 BOx
CITY, STATE $URNSVIL
MN
RdL \ , N; •N
LS OF ST'0PIL:BI1IDG:
ZIP
IMC -
WAY
ZIP _ 5506
HQMES
ZIP 5-533
5?`AL'?L?S1fV TNTO W6KI, NG DAY-i'i..
, S FOR PR6CEE
:R PERMITS, CONTACT ENGINEERING DEPT.
2' SEC/SUB
n:R•.
QFFICE USE ONLY
4?d Zl,? PERMITOATE 09/23/'91
f -F6 PERMIT # 12307
e B.P. RECEIPT # C 15480
B.P. RECEIPT DATE 09I23/?31
_? PRU - BOOSTER PUMP
_ PERMIT REGIUESTED
?
X SEWER x WATER - TAPS
- COMM/IND ? RESIQENTIAL
- X NEW - EXISTING
? Lawn Sprinkler Meters are to be Installed
- Ahead,of Domestic Meters on Water Line.
_ Credit WILL NTbe•givpn,for peduct Meters.
1 AGRE?-TO COMPLY WITH CITY QF
_ EA5?N,ORDINA
NCfS
SIGNATURE WHP-N METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
:
?.
SEWER & WATER PERMIT
OFFICE USE ONLY
- CITY OFtAGAN METER # PERMIT DATE 09/23J 91
3830 PilOt Knob Rd. ? ?: 12307
? Eagan, MN 551 22-1 897 cHIP # PERMIT #
s METER SIZE B.P. RECEIPT # C 15489
9??
g? ???, ?
? ISSUE DATE B.P. RECEIPT DATE Q9/43JC'3
,
?
QATE
11 _ PRV - BOOSTER PUMP
SITE ADDRESS 649 8ROCKTON CtttVE PERMIT REC]UESTED
LOT 24 BLOCK 5 SEC/SUB IIILiS QF S TONE$RI.DGF
X SEWER x WATER - TAPS
APPLICANT:
X RESIDENTIAL
- COMM/IND
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING •
PHQNE;
P+IATT1?tEW D?liti?LLS INC Lawn 5prinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
15185 CAROtISE1, WAY
AQDRESS: Credit WILL NaT.be-g+ve??rpeduct Meters.
..? :
-
CITY, STATE RtJSEMOUNT M.i ZIP 55068
PHONE: 423--3730 '?
- 1 AGREF,'Tr COIGIPLY WITH CITY QF
OWNER: LaPIER.RE CE1;;TOkI NONlES EAGAPf ORDINANCES
ADDRESS: p Q BOX 1049
CITY, STATE BURNOV - I;'Lt, 194 ZIP 55337
PHONE: 454-43E83 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN ? Np . 197 18
3830 Pilot Knob Road, P.O. Box 21-199, Eagaii', MN 55121
PHONE: 454-8100
BUILDING PERMIT ? Receipt # r- IIZYLI $oi
To be used for SF DWG/GAR
000
Site Address 649 BROCKTON CURVE
Lot 24 Black 5 SeGSub. HILLS OF
Parcel No. STONEBRIDGE
W Name LaPIERRE CUSTOM HOMES
9 z Address P 0 BOX 1049
City B11Rb15VILLE phone 454-9383
0
u
a
?
Name _
Address
clly -
Phone
r
Ww Name
x? Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
informaUOn is corcect antl agree to comply ayl epplicable State of
Minnesota Statutes and Gty of qOr ' ?/
Signature of Permite
A Building Permit is issued to: L3pTFRRF CIiSTQM HQMFS
on ihe express condition thal all work shall be done in accordance with all
applica6le State of Mm?n1esoW Statutes and City ol agan Ortlinances.
Buil4ing OPoaal T0(iq_ .p? (I,,J
?:, OFFICE USE ONLY
Occupancy 'R=5-M-1 FEES
Zoning PD_JR--1
(ACWaI) Const -N Bldg Permd xm _ nn
(AlloWable) V-N SurCharge 73.0?
# otslories
' -
65'
Plan Review
520.00
L
engih
Depih _3.4I SAQCdy 100.00
S.F Tofal - SAC, MCWCC 650.00
S.F. Footprintg _
660
00
On Site Sewage _ water Conn .
On Sile Well - Water Meter 95.00
MWCCSystem 3
Ciry Waler Aml DePwft 0.00
PRV Feqmred _ S/W Permit 30.0
n
Boosler Pump - S/yy Surcharge • 50
Treatment PI 276.00
APPROYALB Road Unit 370.00
pwmr - Park Dad.
Caunctl -
BIdg.0f1. _ CoPies
Variance - TO7AL 3,005.
''n
Address: y{g BROCKION CURVE Lot 24 Slk 5 Sac/Sub HILL$ pg SIUEBgIDM
These itams were/were not complete at the time of the final inapection.
pate: 2/26/92 Yes No ?
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent staps - main entiy
Permanent driveway ?
Permanent gas ?
Sod/seeded giass ?
Trail/cuib damage
Porch
Basement finish ?
?eck v-
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 axlsts. ?
RCAlFOMNII
White - City copy Yellow - Resident copy Pink - Contractor copy
DATE: SEP 23, 1991
RE: 649 BBOCKTON CURVE (LePIERRE CUSTOM HOltES)
X I Your Sewer & Water'Permit for the above property has been completed. It will be H'eld at the
Public WorlaJ Garage (3501 Coachman Foad) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your S?wer & Water Permit for the above property cannot be completed for thel 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 BiII Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE OIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BV LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
I
ecretary, Building Inspections Dept.
9/ f /YJ 54397-103 8'Sir
J 0117 9 .? S25"z, Ls `°
Fiequest Dale Fire No h-in Inspac[wn 49
wred? 1
? ReaEy Now ill NotiN Inspect
G/ys ? No Whe ReetlY
Icensed conVaaor ? owner herehy request inspection of above electr I work °Q
.ioe na?ss ?s?{e?„egZ « .? pty
5ec1? fi?
05 10WnSJ4 'p Na. ar parge W. Cou
OccupaM RINT ? r
?. O?s 313
EI al haqor (Cpppany me) ? ConVactor5 Limse No.?
Y
Mai g Atldress IConhactor rzr Makmg InsYall tron? •
5
Auroo eA Sgnawre (vect ner Mapng Instaliaeon)
I/ -
??? L--
Pnone umDer
?
_ 0
.3
MINN?OT?STATE BOAflO OF ELECTRI?[!Y ? THIS INSPEGTION REQUEST WILL NOT
Grigga-Yipw?ay Bklg. - Room S113 V BE ACCEPTED 6Y THE STqTE BOARD
1821 Univetcily Ave., SL Paul, NN 5510C UNLESS PROPER INSPECTION FEE IS
Wwne (612) 6624BQO ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
? See msttucLOns (or crompleting Ihis lorm on back of yellaw cropy °""`"'k"?0. 5e-00001-0e
103 95
?l
J 01179 'x" Below Work Covered by This Request ,
jo+f 34 7
ew Adtl Rep TypeoiBuilding AppliancesWired EquipmentWiretl
Fbme Range 7emporary Service
Duplex ater Heater Electnc Heatmg
Apf. Building er Other (Speciry)
Comm./Industrial 4 urnace
Farm Atr
Condrtioner '
Other Isyi Convecrork RemaMS. ,
Compute Inspection Fee Bebw-
# Other Fee /f ServiceEmranceSize Fee # QmuiWFeetlers fee
Swimming'Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ova 200 _ Amps Above 700 _ Amps
Signs insnemo.s Use Oniy. 70T I. SQ
Irrigation Booms ,5 _
Special lnspection lYlLC / -- 3u? - 40
Alarm/Commu=aeon THIS INSTALLATION MAY BE ORDERED DISCON ECTED If NOT
• ONer Fee COMPIETED WITHIN 1 NTHS /
I, the Electricai Inspector, here
i
h
h
s ?en-?? ?,?
cl?
?' '??'• 2 oere
/ 6?3 ??
ry t
cert
at t
e above mspection h
been made. Fnal ? oate
-3-
OFHCE USE'JNLY V 4•'r? :'?'" `^!'?2
This reque5i vaW 18 manths imm
g ?448 38
om
Rebuest 0 Frze No
?' -in Inspettwn
mretl,
- Yes C No
? Reatly Now
O WiII Nottly Inspepor
When Reatly9
I icensed coniractor D owner hereby request inspection of above electncal work at:
JoDAdor sl ?orR e o) Qry
c?NO, wnship Name or No Ran9 N .
/'1 ?
SeP?
Counry
Occuoant Ri , Phone
Power Suppeer Atltlress .
Eiecrci on actor ( mpanYNam ? Cdomractor's L¢ense No9
?D
MaJing Aaar ss IContr?etoror Own ak Inslallalion?
Au onz S ay?]?-?Conlract r ner Ma n9 J^ Installat[ion
• `? ' PhLon,e?s I: pe /
/ `] '-jS?
MINNESOTA ST E BOAHD OF ELECTRICITY THIS INSPEGTION FEOUEST WILI NOT
GrigBS-MlEway Bltlg - Poom &i73 - BE ACCEPTED BV THE STATE BOARD
1621 Universlly Ave. 5l. Paul, MN 55104 . UNLESS PROPER INSPECTION FEE IS
PMne (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
0,51?i lf? See inslmcVOns br compleLng Ovs brm on back of yellow copy
I 4 4 8 3 8 "X" Below Work Covered by This Request
'''Tee-ooooi-oe ???
?.?.?
w Adtl Hep TypeofBwldmg AppliancesWved EqmpmeniWired
Home Fange emporary Service
Duplex Water Heater Electric Heating
Apt 8wldinq Dryer Other (Specity)
Comm./Industnal Furnace
Farm Av Conditioner
OtM1eelsVecity) ConVeclor'S Remark5
Compute Inspecfion Fee Below.
# Other Fee # Service EntrenceSize Fee # Cirewts/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspectar5 Use Only TOT l
Irrigation Booms Q
4
4 ?
Special Inspec6on ?
'
Alarm/Commumcatwn THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTFIS.
I, the Electncal Inspector, hereby Ro°9n-'" oa?e
cerdfythattheaboveinspectionhas
been made.
e
Final at
?
OFFICE USE'JNLY
Tnis request vaid 18 monlhs irom
RESIDENTIAL
BUILDINC PERMIT APPLICATION
? GTY OF EAGAN -C)?
3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ?New ConsWCtion Reouiramanb
. 3 regrstered sne surveys showing sq. ft. of bL sq. A. of house, and all rooFetl areaz
(20%rnaximum lot coverage albweC)
• 2 co0tes ol plan showng Ceam 8 window sizes: OoureA founU tlesgn, etC.)
• 7 set of Eneryy Calculations
• 3 copies o( Tree Preserva6on Plan A lat platted aRer 711193
• Rim Joist Detad Options selection sheet (hldgs with 3 or less units)
DATE 1 ? ? ? 0,;?-
RemadeVReoair Reauirements
• 2 copres of plan
• 7 set of Eneryy Calculatbns for heate0 addtlians
• 1 sile survey for eztenor additions & decks
• Indicate it hane served by sep6c system `or addi6ons
VALUATION ? a 5 O ?
SITE AODRESS g2ocicrni__+ ru.n,c/E. MULTI-FAMILY BLDG _Y _ h
TYPE OF WORK _ R,C5n G i-1l1,F2 FIREPL'ACE(5) _ 0_ 1_ 2
N i
APPLICANT b u`9- ? S D?ns ?? GG .
STREET ADDRESS ,r}06a0 CITYL-A?,C?rt?- STATE l? ?,ZIP?
TELEPHONE # RS4-ft-865t CELL PNONE # 6(a-`[lU -50 t3 fAX #???-`?fb`?
PROPERTY OWNER cAt w. h1 vi JIn P=_S TELEPHONE #
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M[V\r:50'L'.\ Rli1.1:S 7670 C:C1'1:GO12Y 1 M[NVr:SO"C.\ ltli[.r:S 7672
(J submission rype) . Residential Ventilatlon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbiitg system includcs:
Mechanical Contractor:
?Iccli.miral svstcm includc,:
Sewer/Water Conhactor.
-- :1ir Condiuoniug
_ Hcat Rccovcry• Systciti
Phone #
Fee: $90.00
f cr. $70.00
Phone #1,'
11 fj ?P o s 2002 ?U
uu v
I hereby acknowledge ihat I have read ihis application, state ihat the information is cor ect, and agree to comp
with all applicoble Sfate of Minnesota Statutes and City of Eagan Ord' . By _
?
Slgnature of Applicanf --'=1
....___________-------- __._------ ---------------- ___---- ---------- _._.--°----"---
OFFICE USE ONLY ,
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
, Updaled 4102
_ Water Sof[ener
Water Heater
No. of f3aths
Pf10t1C # I.awn Sprinl:lcr ,
No. of R.I. Baths
1 91 BIIILDING,PEBMIT APPLICATION;.
SINGLE FAMILY DWELLZNGS , AE ?
CO?DZERd+IAL .y .X
10D fINGS
2 SETS OF PLANS 2 SETS OF PIANS . 7 i,SETS°' OE'AICCHI?TeECTURAL`' ;
3 REGISTERED SITE" SURVEYS REGISTERED SITE SURVEYS - °;`:, F&'STRUCTiUWP,iANS?'
1 SET OF ENERGY CALCULATIONS (CHECR WITH'-BLDG. DEPT )=4; , 1{ SET OF_ SEEC?*ICATI,ONS- ?.
1 SET.OF ENERGY CALCULATIONS L SET'QFrENERGY'CALCS
# OF RENTAL UNITS _# OF FOR SALE UNITS
r ' tie,,?"E'i°r" , •,=..,x.7
PENALTY APPLIES WHEN: _ TYP,ING OF PERMIT IS REQUESTED, BUT NOT"'PICK?11!lUP.BY I??ST???O?1C?ING?,DAY ,.
OF MONTH IN WHICH REQUHST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS. I-SSUSD:.
NOTE: ADDRESSES FOR WRNER IATS - CONTRACTOR/HOMEOWNER M[1ST I)E§IGNAT&; WHIiCH AD6kE`S9-1*IS,
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BU•ILDING PERMIT IS'':ISSUED:
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCEA RERMIT HAS,BEB1!?;COMP.LETED,
PERMIT MUST SHOW A LICENSED PLUMBER.
_, ,, , z.ni'??.,+? ` - ?r .;..• .
=
' To Used Fox:
Valuation: Date,-?,g/J?l?
12,
`
? Site Address ?0 1/'q e7nck /OH Cr?/4t/P? j OFPICE?7USE"It1NLY a. -.
Lot Block FEES
Occupancy B13g. Zonirig ' QD =1 .?,`Surcharge;3=:;
ParceliSub d?f?l5i0l
?' S'D]7Pi if? Actual Conat V-JQ? ,Elan
Allowable V-N:-. fif_$AC; City'??
Owner f # of stories "S?:C'; ?MWCC7?., . q
Length (efi?:;. _iWater Conn.:'? '
;.,
, Address Depth »xWBter Meter-?:??".,?7'J'r:.',
/ S.F. Total i,lAbct. Deposit
City/Zip Code f???il5/?j?/L Footprint S.F. s,$%w Permit'?; ??„VJ?
w?;S?/W Surcfi
Phone On site semage??treatmeni,;Pi
On site well '-:8oad Unit'!:???,? Contractor S?s-veQ?. MWCC3'System '`Jark'.Ded;.;?" '
? . ?
City water
Address PRV- , opi'es, `
Booster Pump
City/Zip Code ,- 6ITBTOTAL
APPROVALS = °PeiCalty
Phone P1anner . X:ot Ctiangej;':; ?;
Council ?O
' TAL ,- ?.
Arch./En r.
g Sldg. Off. ?)=y!
Variance
Address
City/Zip Code ?'.
6 ??5?
; a?
?-
Phone #
, •.? :p'n..i?.,.-,)?' ': .
D ,
agrees,that all work stiall be;Aone? in"ac`co,r3nce w?i°th .
(Signatur o on'tractor) ' ? R
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? V??u??r?ort
GRRAGtZ- ? m
la y,2on ?yc
?-? x 2?, = y 4 0
?----
?$? X 15% /D Zaa
BSri?T , :
16x! ?- ? a,? o
?3k3Z : ?p?b
1277 X 14 ? 1r7/?178
o- a
?5T, FLoopL, . .
as14.7= 1277 X53= G'7681 '
i
zNp ?WJ?
y6xs3=
d 97 o R ! d?, o a o
80 i•oo=
73.ppr
5'LO • U 0+
2,211•5J+
3,6U7•50?=
x.•^..?Js: ? s;
w_ nrM.l o?:??
??..: ,.
_.?. ??_ . .
PflOBe •. .
ENGtNCGfl1NG
COMPANM, INC.
? L,vPE,ee?? Cusro?
Nomes' ,
CONSUlT11?0 RNOINEERS W3777:0/
PlANN6 S anJ IANp 9URYEYORS BK /63 •
/6 57
IN IUUU LA9T 1481h BiREET, UUHNbY1LL6, MINNE80TA 6633f PH 43Z-30U0
Certificate ofi Survey
Legal Description: wT z¢ awc.e.5; ?vl`cs OF,$'TONEQ.eJOE?
0.9KOTA COUN7,Y /1///NNE.SOTA.
C2p2-7,?) DENOTCS EXISTING ELEVATION '
(905.7 ) DENOTES PROPOSED ELEVATION
-INDICATES DIRECTION OF SURFACE DRAINAGE
906,00 o FINISHED GARAGE FLOOR ELEVATION B98•Z9 a BASEMENT FLOOR ELEVATION
906-33 ? TOP OF BLOCK ELEVATION
SCALE o 1' • 90'
' hy ? G
y0
?-
,
? I
PoND ?
?+?
NW8BL
0 ?
_
oo
?
r
.N.y?•8&5.1 I
f/ ?I
LdPA/N/16E AND
UT/G,/TY E4.!57E14,CNT
.
i ?
N69o ? ?,
??Fi 6r??i
?
?
?
?
?/
eY/ ? ? ? nP.
LL `n• ?
• ? °? o??.z`?-r.
,VFT. F.PONT 9411W/A149
SETBAC,e L /NE
yNh ?
ch'
/
g q y?7{? tl?{?7'7?
+ ? R*eLL55'.WL?e'?.i?6?
?•.Rt7A
?
. .?:
DZPT
1 heraby cer?{fy IQaI this la a true anJ cotreat rapresantailou of a lrnat ot land as shown
end deear{bad Mtsen. As poeltiafad hy'ms nn 111I6' Af dmy ni
? - Minn, (ieq. Mo. 13600 6
i
i
?otl
yoUSE OET/l/L
??yo 9riiLE?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
? . <.. .:
W?????
PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE ]
TOWNHOMES/CONDOS WkIEN PERMITS ARE REQIIIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: {lA / t,PJ1JLC. !-U/f
SITE ADDRESS: W `l IJ1'
i.Oi:op?tl giOCK, ? CJUa?u./J •
TIJCTCTTF'Rt..slil/l??A/YIl?Y 7t7U??f IiiNl
CITY
PHONE #
FEES
ZIP:
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SIIBTOTAL:
STATE SURCHARGE:
IIWELLINGS &
$15.00
24,00
6.00 r
3.00 C/)
s alz_?
.50
m ?an? /. 1 C_-Vn '(/"
?t???C?li???lVDUS't!1tIAV:. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
>:,.,.:.. :.......,, ....:: ..:. .........: .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRE55:
CI11':
PHONE #:
FOR:
ZIP:
FOR CITY USE ONLY
PERMIT #
RECEIPT # 70 .3 5 97
DATE:
FEES
18 OF CONTRACT,FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
ngnCESS°D ?IPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
( S I GNAT[JRE )
CITY OF EAGAN
r ?
PA?fI1ENTIAf. 2
CITY OF EACAN
3870 PILOT KNOB ROAD
F.ACAN, Y.:7 55222
YHONE: (612) 454-8100
YLCIHBIN?' P?12HI?
i
FOR CSTY USE ONLY
PERHIT N
REbEIPT
DATE: ?
PLEASE COKPLETE 'IIPPER YORTION ONLY FOR SZNGLE FAHILY
TOWN110t4ES/CONDOS •WIiEN PERIIITS ARE REQUIRED FOR FACH UNIT.
DiTELLINCS
WORK DESCRIPTIOH
NELI CONST x
ADD ON _
REPAIR _
OWNER NAME :L tq P I s v-wc. C.ea. S TU , t-"` ov\.e 5
SITE ADDRESS: bq 9 9rdc-V-itn Cwv?ve
lAT:CAel BLACK el SUBD./? ?
INSTALLER: MprT1fYE-" bF1n.eIS
ADDRE-SS: ?51?5 C0.r0?5e'1 l3
CITY: ZIp; .S.sOEi 8 _
PHONE it
?-1 Z.3 . 3? 3 0
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON HINIMUM 15.00 po
SHOWER 3.00 ?WA2ER CIASET 3.00 ?apO
l 3.
? BAiH TU6 3.00 00
? LAVATORY 3.00 ?S?ob
t KITCHEN SINK 3•00 300
i ?,UNDRY TRAY 3.00
T HOT TUB/SPA 3.00 'oo
T WATER HEATER 3•00
? FLOOR DRAIN 3.00 3••
GAS PIPING OUT. 3 p6 ;
P (MINIMUM - 1) 3.00
AO ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00 .
U.1 C. SPRINKLER 1.00 '
SU6TOTAL S ?'A O
S'I. SURCHARCE
SIG TllRE OF PERMIT'fEE 5 S'?• 51)
TOTAL:
COMMERCIiiL/INDIJS'fRIAi.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINCS AND
MULTI-FAMILY BUILDINCS ut1EN SEFAAATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUED.
INSTALLER:
ADDRESS:_
CITY: _
PHONE
FOR
GITY OF EAGAN
ZIP:
FEES
18 OF CONTRACT FEE. '
STATE SURCHARGE - $.50 FOP.
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
I
TOTAL:
$
(SIGNATURE)
?.
?-
i ?, ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164604
Date Issued:10/02/2020
Permit Category:ePermit
Site Address: 649 Brockton Cur
Lot:24 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-240
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 -
James C Hughes
649 Brockton Curv
Saint Paul MN 55123--167
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature