661 Brockton Cur
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3630 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: f r. l I APPLICANT:
fster++ I+'trt ~.:t:lp ;~~t;st';?il° 't.V~P,t; ? zlk•P'.! A0
C i € l ~ t 9 t ~ t+{ 1' f i E~= 6 1~1 Ci 1`' ~ . } rl ~•1 i •.r" : .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
+ i}tl F 1 P.i++'.
i ii E=i a Yf1 i
01
ri; k?F1l'illi i'I t=F1. ! ldj, IvE;.,t(,iil•l.{S ! I+i; 1''.ta;+I';t,li+ i$:' 1 t 4Sdt ill .,41
_ I
r
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
d
Foundation C / L
Framing f fi~ 4/
Roofing
Rough Plbg.
Rough Htg. ` 1liJ1
Isul.
~T I f/
Fireplace
Final Htg. oT ~ ye
Orsat Test `~Q iZs` Es
Final Plbg. o~ __Plbg. Inss~pector- Notify Plumber
Const. Meter ff .Zfisrl
Engr./Plan l ~ +
Bldg. Final
Deck Ftg.
Deck Final
Well
Pc Disp.
(lFrfift' att of wxruvattry
Citp of eagan
Mrvarw of Nu hto A[aPrruatt
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 City regulating building construction or use. For the following..-
Use Classification
Bldg. Permit No.
%
Oo-pancy
Owner of Buis Id "?d T2 " A. ~±Ihstnct 1?2".: 3 IX7M "C. PE~Jr.
_61 MMON CLIRIM, Address LZA, 15, MIS OF SMEB.
Building. Address locality
rrf ~ t,fr.t:
Dale:
Building Official
POST IN A CONSPICUOUS PLACE
BLDG. PERMIT NO.
0..0-3210 Bldg. Permit
= J
0J-3422 Plan Check
01-3445 Surch./Adm. r`14
lY , r
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC . J
20-3865 Water Conn.L'
20-3868 Water Trmt. u r~
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
r ` J
79-3866 Sewer Conn. ; `~--"J
11-3855 Park Ded.
'i
TOTAL
CITY OF EAGAN Permit No: 9294 Date: 12-16-87
3830 Pilot' ob Road Meter Nd. Size:
P.O. Nx 21199 Reader No. Date:
Eagan, MN 55121
Site Address: 661 Brockton Curve L21 ~ Hills of Ston uriv 7c
ThompSOn Plumbin
Plumber.- €`•I Tohiisori..:nrg
Conn. Chg: S2 r . t e1 Zoning:
Acct. Dep.- 15. Q'0pd No. of Units: 1
Permit Fee: Y 00pdi
Surcharge: 5c,~d I agree to comply with the City of Eagan
Tr. Plant I f. o _ 00~d Ordinances.
Meter. 44 r.' 11
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 1,1GG'' Date: 1 ?-1 6-R7
3830 Pitdknob Road B/P Nor` -7kv , Date: ?'1-? - s=?
P.O)Box 21199
Eagan, MN 55121
Owner.
Site Address: 661, C.-U c.
Plumber:
\ . -r 1
MWCC: 5 5 , Zoning:
City Chg: •'~t~P No. of Units:
Acct. Dep: -i
Permit Fee: i t1s .g I agree to comply with the City of Eagan v
Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
CITY OF EAGAN"
h z
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for 0G/"GA;' Est. Value ; +47+; f,x Date
Site Address 61 Li .K KTO'a Ciy RV'1 OFFICE USE ONLY
_L f i S-J j,'rt ~3lt. 9!1 Site.5ewaga Occupancy
Lot Block Sec/Sub. MWCC System Zoning
Parcel No.
On Site Well (Actual) Const ~n
X0111 ISWZ ENG`, & CO;NST City Water 1 (Allowable) Vn
a: Name
w i,=
3 Address 2215 Y3t~Gr PRV Required of Stories
4;
r t Booster Pump
C City 1r ` Ri:L Phone 4-717. Length
Depth 28
p Niame S.F. Total
o a Address Footprint S.F.
City Phone APPROVALS FEES
Name Engr./Assess. Permit {#L"'
UW W y.t;?fz
~ ? Planner Surcharge 47
x - Address
aw City Phone Council Plan Review 241 •25 '
Bldg. Off. SAC, City 1W.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 52 .5 • 0 '
information is correct and agree to comply with all applicable State of Water Conn. 525. 00,
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00
.gWature of Permittee
3~~.{~0
Road Unit 180.00
il t5. C .i se ` 1
A Building Permit is issued to: I C Treatment P1 on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 42,472.75
Building Official
Y16 ~/o (.V►trctJ~ t~i+~c.~c~u:,~r a otiCe DK p~e,z -ed 1 iuuu Q 1*198`
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454.8100
BUILDING PERMIT Receipt
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. " . Q1 Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
c: Name City Water f' (Allowable)
W PRV Required # of Stories
3 Address
o / Booster Pump Length
City Phone , Depth
p Name S.F. Total
0 a Address ' Footprint S.F.
City, :Phone ` i APPROVALS FEES
m Engr./Assess. Permit
Name
Le Address Planner Surcharge
a W City Phone Council Plan Review
z -
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that al I work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing a/F7
H.V.A.C.
Electric ly r~y~ ' / p
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough, Plbg. / - 3 y 7 /
Rough Htg. 7?
~f7
Isul. 2
Fireplace
Final Htg. 7 Q
Final Plbg.
Bldg. Final
/pc , rLS Trtiss ~.c re- drT
Cart Occ. 71114 1,40' -7(4o-4- wee-e- cLA+-
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # /420
PLUMBING PERMIT RECEIPT # gC
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN. 55122 DATE:
CONTRACT PRICE: PHONE: 454=8100
Site Address i / BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New '
7!+Pc >`,c Mult. Add-on
Name i I i' r Comm. Repair
Address f < iv! i 'mot' - - = Other
C City 1 f } Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name ' Water Closet - $3.00
/ Bath Tubs - $3.00
Address 1; 1 Lavatory - $3.00
O City ' ! { l j_4.- Phone -Shower - $3.00
- / Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE _-1-Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES ~_Floor Drains - $1.50
--TOWNHOUSE & CONDO --RES. RATE APPLIES. ' Water Heater.- $_1,50 _
MINIMUM -RESIDENTIAL FEE -$12.00 Whirlpool --$3:00
MINIMUM - COMM/IND FEE -$20.00 1 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
i t Rough Openings - $1.50 y-i
SIGNATURE OF PERIvIITT E FEE: '
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL
PERMIT
c~
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 "k
Site Address !
T BLDG. TYPE WORK DESCRIPTION '
Lot Block Sec/S ,
u Res. New ,
Mult. Add-on
Name ! Comm. Repair
Address n , i 1-.,,, < A, 1 =t
Other
ry
C City Phone' ? `1Y1
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
p City.;::. z Phone 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 :yy
Air Cond. 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: 6f
.
S/C: SIGNATURE OF PERM]. TEE
TOTAL:-
FOR: 1
FOR: CITY OF EAGAN
1I^ c Y PERMIT #
I^ PLUMBING PERMIT rC r .r
`r
~ CITY OF EAGAN RECEIPT # ~y
3830 PILOT KNOB ROAD, EAGAN, MN 551 DATE: Haut' 4 Arlo x.98 a
CONTRACT PRICE: PHONE: 454-8100 t
Site Address 661 Broc n C:axv a BLDG. TYPE WORK DESCRIPTION C
Lot 21 Block S Sec/Sub Res. New XX
Hills 01:' Sterne id a Addn. Mult. Add-on
Name Get'liz--R all P&H Co m. Repair ;
m Address 14745 So th Rober ail t ther
C . City Rosem=p_t. MN Phone 42 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: '
55068 FIXTURES JTOTAL
Water Closet - $3.00 $
Name Johnson =ginesring
iu Bath Tubs - $3.00 ) 'A
3 Address Lavatory - $3.00 - ,
p City St. Paul, Phone 4!A-7172 Shower - $3.00
55121 Kitchen Sink - $3.00 C5 7_7
FEES rival/Bidet $3.00 r
COMM/IND FEE /PER N ACT FEE L ndry Tray $3.00
APT. BLDGS - PLIES -L Flo0 Drains $1.50 S
TOWNHOUSE S. RATE APPLIES Water ater.- $1.50_ -
MINIMUM -RE-$12.00 Whirlpoo $3.00
MINIMUM - CO-$20.00 --/--Gas Piping utlets - $1.50
STATE SURCHAMIT 50 (MINIMU 1 PER PERMIT)
(ADD $.50 S/C I E GOES Softener - $5.0
BEYOND $1,000.0) _ Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
a
STATE S/C:
a
FOR: CITY OF EAGAN GRAND TOTAL: 'I
CITY OF EAGAN Permit No: Date:
3880 Pilot (Knob Road Meter Nu: 32_ Q J 7 & Size:
P.O. Box 211gg Reader No: Id op 5'6 Date:
Eagain MN 55121
Owner. ?O _ 14
7l 5 rJS: ::i'i011_:1
Site Address:-":-, _f0Sk,tO7 GUa-re r: l ',T ii
Plumber. .i'homnson P1L; ,j
s a r'
Conn. Chg:2 5. r~[ipci
Acct. Dep: . 00-,M~nrp Cli?i iilg fV Q U
Permit Fee: ME Surcharge: L at with the City of Eagan
Tr. Plant EQUIKr-q ces.
Meter: ~ r~
Misc., BJ '2WATER SERVICE PERMIT
This request void
1>3, months 7rom
® 5283
Request Dale Fre No. Aequhred zlns pecuon ❑Ready Now ❑ WWII Notify Insoec-I
December 15, 1987 ❑Yes ❑Nq for When Ready
Licensed Electrical Contractor I hereby req uesl inspection of above
❑ Owner electrical work installed at:
Street Address. Box or Route No. City
661 Brockton Curve Lot 21 B1.5 Eagan
action No. Township Name or No. flange No. County
Stone Bridge Add. Dakota
Occupant (PRINT) Phone No.
Johnson Engineering
Power Supplier Address
Electrical Contractor (Company Name) Contractor's Lmense No.
Nanco Electric, Inc. 042255 2
Mailing Address (Contractor or Owner Making Instailation)
16137 Lexington Ave NE, Anoka, MN 55304
Authorized Signature Contractor/Owner Makin, Installation) Phone Number
434-5608
L
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room LE BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave- St. Paul. MN 55100 ENCLOSED.
pLnnu ratm aazrwnn
REQUEST FOR ELECTRICAL INSPECTION y ES-00001-06
Ili See instructions for completing this form on back of yellow copv- fgQOO
® 5.2 8 3 5 "X" Below Work Covered by lhfs Request
Add Rep. Type of Building Appliances Wired Equipment Wired
saw Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heaton
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) the,(Spe,'III)
t er poufy Other Other
lotroute Inspection Fee Below
g Fee Serv ice Entrance Sf as Feeders/Subfeaders a Fee Circuits
S 00 0 to 200 RAmps 0 to 30 Amps 0 to 30 An vs
Above 231 to 100 Amps 31 to 100A s
SwimminAbove 100m s A bove 10TransforI rrigation Booms Partial, Other Fee
Signs Special Inspection E~
emarks S~ssa TO F}-
Service Only v -
Rough-in Date
I, th Heal
Inspector, hereby
certify that the above
Final a DD ,;7/ ( spection hes been
G de.
This request void 18 months from
PERMIT C L31,10
_x CITY OF EAGAN PERMIT TYPE: 1610 Y
3830 Pilot Knob Road BUILDING
Eagan, Minnesota 55123 Permit Number: 0 2 4 6 5 6
(612) 681-4675 Date Issued: 10/04/94
SITE ADDRESS:
661 BROCKTON CUR
LOT: 21 BLOCK: 5
HILLS OF STONEBRIDGE
P.I.N.: 10-32990-210-05
DESCRIPTION:
B. Liilding-,permit Type SF ADDITION
Building Woar_k Type NEW
Construction Type V-N
COY f&-) Li Ll
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY-
VALUATION $28,000
Base Fee $271.50
Plan Review $176.48
Surcharge $14.00
Total Fee $461.98
CONTRACTOR: - Applicant - ST. LTC. OWNER:
JOHNSON ENG & CONST CO 14547177 0005330 SCHMITT NANCY
2215 DODO RD 661 BROCKTON CURVE
ST PAUL MN 55120 EAGAN MN
(612) 454-7172 (612)688-3088
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 Min.
St tes and JZ=Drdinances._
APPLICA / RMITE SIGNATURE ISSUED By. S~~TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 024656
Eagan, Minnesota 55123 Date Issued: 10/04/94
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 21 BLOCK: 5
661 BROCKTON CUR JOHNSON ENG & CONST CO
HILLS OF STONEBRIDGE (612) 454-7172
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FRAMING
INSULATION FIREPLACE
FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
CITY OF EAGAN
141(s(v 1994 BUILDING PERMIT APPLICATION ~E GEjMED
681-4675 SEP 3 0 1984 gxt SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy o en
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 / 3a Valuation of work 45-60 W
Site Address: _6 6'1 ~73 fao{C~7'0?✓ 0-&YKVe
STREET SUITE #
Tenant Name: (commercial only) /
i')T BLOCK SUBD. ~ , P.I.D. #
JAMAU*
Description of work: A;ty,~
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name c -Phone .K (57 3d
Property LAST FIRS
Owner Address lv vJ~GCV~. Gci/ UQ-
STREET STE #
City State Zip
Company --e- Phone
Contractor Address 1'crW49 ° License # d Exp.31_T1 5'
City 571' pctrti!' State Zip
Architect/ Company ~o Phone
Engineer 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 compl h all a plicable State of inne a Statutes and City of
Eagan Ordinances.
` Signature of Applicant:
1
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
fp 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq.-ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code l ZE:
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site Footing GZ-Framing E(insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee valuation g Z -ep, C9don
Surcharge
Plan Review
License
MWCC SAC
City SAC zy
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl. /6 x z y : gy r /f = S, 7~°
Road Unit
Park Ded.
Trails Ded. /~`7l0
Copies 2
Other
X ~~/G Zov
Total:
SAC % ~J
SAC Units ~7
I
Uale Johnson
4JO DELMAR He SCHWANZ
LAND SURVEYORS, INC
Registered Under Lnra or The stab of Mmneeob
/14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 612/423-1769
(A Fj SURVEYOR'S CERTIFICATE
1
Po j 0
L lot 21, Block 5, HILLS OF STONEBRIDGE, according to
2 I the recorded plat thereof, Dakota County, Minnesota.
~j Also showing the location of a proposed house thereon.
Drainage &
Utility Easement
5 \ Z
N
t
N 11' ~a9 t1u8
t 1y l'6' g65.) (goy!
ray, ~ M
M I Ndx~Sf Jgole ( Scale: 1 inch' = 40 feet
06 6 z gg§Ip4 O Denotes iron monument
N
vb 1 • o9•I ~ ~ ❑ Denotes wood hub
B d
po 9q;.S Denotes existing elevations
Fl I . \-il Proposed garage
3/ ~ N floor elevation'
s
a39 j5 CJ IZ`3G~ 5 903 = Proposed elevation from
17° 35t 3` ' Development Plan.
=Proposed top of block
~r~ Er(TUwt-- a¢
I hereby certify that this survey. plan, or report was /
prepared by me or under my direct supervision and /
that I am a duty Registered Land Surveyor under
the laws of the Slate of Minnesota.
r
October 15 1987 Delmar H. Schwanz
Dated Minnesota Registration No. 8625
• r
w.
CITY OF EAGAN
EXTERIOR ENVEELLOPE AVERA E 'U' COMPUTATION
OWNER: glAla p P~ v~-V ov-1 P 1111aA,C
SITE ADDRESS: / F~ :/O~/ J~!~~///
CONTRACTOR: .0hycoll ~iyn.~CJf 6DATE: PHONE:;~ZZ
Determine working square footage of each:
1. Total exposed wall area 4 %e( sq. ft. x .11 = 9c~.cys6
2. Total roof/ceiling area 3 sq. ft. x .026 = ! 8
Total exposed wall area above floor =
a. Total wall window area S
b. Total door area O
s
c. Total sliding glass area ,..t
d. Total fireplace wall area
e. Total wall framing area (average 10'1) 9,-74~
f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = 0
h. Total foundation window area
1. Total net foundation area above grade
Determine 'U' value of each wall segment:
a. x 'U' •33
b. C9 x 'U' - o
C. x tug d. O x 'U'
e. x'U' l1F,6 -7 6117-
f. G Sy. p x 'U'
.0
6. x 'U'
h. CJ x 'U' - o
I. d x 'U' - d
3 . Total =
If item 03 is the same as or less than item 61, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area =
J. Total skylight area
k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area S, A
OVER
1 • •
, a
Determine 'U' value for each roof/ceiling segment:
J. 'IV x Sul
k. x out
4 . Total e 1-3, ~/O/
If total of 64 is the same as or less than 02, you have met the intent of SBC
6006(01.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 03 and #4 shall not be greater than the sum of Items 01 and 02.
3. 6 `f• S ~ + 4. l ~ ~C = --2Z
2
CITY OF EAGAN N°_ 14 3 4 4
3830 Pilqt Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454.8100 Receipt # - 7 ~C J
To be used for SF DWG/GAR Est. Value $94,000 Date OCTOBER 23 9 87
Site Address 661 BROCKTON CURVE OFFICE USE ONLY
Lot 21 Block 5 Sec/Sub. HILLS OF STONEBRI (1.^SlteSewaga Occupancy R3
MWCC System X Zoning RI
Parcel NO. On Site Well (Actual) Const Vn
a Name JOHNSON ENGR & CONST City Water X (Allowable) Vn
= Address 2215 DODD RD PRV Required _ # of Stories
o City ST PAUL Phone 454-7172 Booster Pump Length 80
Depth 28
0°C Name S.F. Total
.
ou Address Footprint S.F.
City Phone APPROVALS FEES
Ow Name Engr./Assess. Permit 482.50
= Surcharge 47.00
_ Address Planner
u City Phone Council Plan Review 241.25
a W Bldg. Off. SAC, City 100.00
1 hereby acknowledge that I have read this pplication and state that the Variance SAC, MWCC 525.0
information is correct ree t coma wit 11 applicable State of Water Conn. 525.0
Minnesota Statutes a ity f E an 0 ins
Water Meter 67
Signature of Parmitt '~7J' '
Road Unit OS
A Building Permit is issued to: J HNSON ENGR & CON ST Treatment P7 180
on the express condition that all rkshall be done in accordance with all
applicable State of Minnes S atutes and C; "f Eagan Ordinances. Parks
_ TOTAL $2,47
Building Official
1987 BDILDING PERMIY APPLICATI - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
/INCLIIDE 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 PERM IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE 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,
$2,000 LANDSCAPE BOND
To Be Used For: /y oz~T p Valuation: Date: OCR Z2
Site Address &,11e7('141, ell 9 OFFICE,USE ONLY
y ooo _
Lot Block > On Site Sewage Occupancy R-3
MWCC System Zoning R-1
Parcel/Sub of Sf."e pji-4LA On Site Well Type of Const
City Water ✓ (Actual) V-N
Owner k-We„i SGhh (Allowable) V-N
11 of Stories
Address /;55W Length ~p
q Depth
City/Zip Code j~• 6fc" M%2,v S.F. Total
Footprint S.F.
Phone APPROVALS FEES
J ppContractor ~oH /rScn ~i~~~ Penv ~d Assessments Permit $2.50
Water/Sewer Surcharge A417' 00
Address a-..`1/ 5- Police Plan Review 2 ,2
n _ Fire SAC, City D0,0
City/Zip Code S~ ~~/'ove/ S S~ Engr SAC, MWCC 525,00
Planner Water Conn 526.00
Phones Council Water Meter (7,00
Bldg Off 6 io/z? Road Unit 305,00
Arch./Engr. MA/, Dp y a.a, APC Treatment Pl 1 80,00
Variance Parks,
Address Copies
TOTAL
City/Zip Code / vfy r, /t/ii:/ ,S'»6
Phone 17 J/)-~ sy 0 S
GARAGE C,
28x26 = 9Z~
I / X y s `I'1~
r--
(08q x l i - 208
P~SMT
S- lys~xiy. .203rq
.S Ix Z I sT FLooR
5Zxzb = I ysG
It v 3 ! 3)
!f X y = yY
1 y 7 X yy= 6115(48
931(40
Certificate for:
Dale Johnson
„-P DELMAR He SCHWANZ
I LAND SURVEYORS, INC.
Registered Under Laws of The Stile of Minnmots
/14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 612/423-1769
SURVEYOR'S CERTIFICATE
lot 21, Block 5, HILLS OF STONEBRIDGE, according to
Z I the recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house thereon.
Drainage & \ 4~
Utility Easement
N ` p Q
N1 ~ z
~ N NuP,
t goo.) go
10. 00 q.l
M
vlive 9v4•y 60 J \
115.0 ( msat~ lrii.. N
n F 1 (o 0y Scale: 1 inch= 40 feet
1304 a P♦~
9
m 5z qog ~I~ 1'' Denotes iron monument
N
,Id,b 1 0~•l ` i / O Denotes wood hub
5.8 /431
0S try 90&.S Denotes existing elevations
la off,/ = Proposed garage
o./ S 11 floor elevation
- d39 1 I O 3Gq.
t ~1 Z' 5, , 903 = Proposed elevation from
N ~s T' 3Jr Development Plan.
g 09 = Proposed top of block
1 hereby certify that this survey, plan, or report was
prepared by me or under my direct supervision and
that I am a duly Registered Land Surveyor under
the laws of the State of Minnesota,
October 15 1987 Delmar H. Schwan
Dated Minnesota Registration No. 8625
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
71
OWNER: Ke ✓P A/ 9' /la /1/ C Y
SITE ADDRESS: D f "L R/6c 0
CONTRACTOR: J O h S n DATE= r ~a'~fr ~i PNONE:,-7~
Determine working square footage of each:
1. Total exposed wall area O~ 6 sq. ft. x .11
2. Total roof/ceiling area 14/11 9/ sq. ft. x .026 = 37 ,6`7
Total exposed wall area above floor = 7 S
a. Total wall window area _2L?_, 1O 1
b. Total door area e r,0, z
c. Total sliding glass area 7,R. 20
d. Total fireplace wall area
e. Total wall framing area (average 10%) • i7 3~ 00
f. Total net wall area above floor yy~~ /~6~q•
X-C
g. Total rim joist area
1
Total exposed foundation area
.
h. Total foundation window area......
i. Total net foundation area above grade....
Determine 'U' value of each wall segment:
a. lel" x'U' 0. =
b. C, , 7 e
o, y7 = 3 S
c. 7?-, e x 'u,
d. x ' U' _
e. 172,00 x 'U' 0.,~ 3 =
f . 869. M x 'u, 01/ 9 = ~
g. 161• 7S x'U' ~.Qc~fr = L/~8f
h. X 'U'
i. d X 'u,
Total = ~3 a 73
If item #3 is the same as or less than item #1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area
J. Total skylight area
k. Total roof/ceiling framing area (average 10%)
~3 3
1. Total net insulated roof/ceiling area.... :o o..
CQ-~/f1frss
OVER 15 ' X = 3b dY ~~r;
Determine OU' value for each roof/ceiling segment:
k, x 1 U. 6. 0.;13
1. 1337 2 x lug 6,0_20 = a6. 7
4 . Total S'
If total of 04 is the same as or less than 02, you have met the intent of SBC
6006(01.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 03 and 114 shall not be greater than the sum of Items 111 and 02.
1. a~6• /6' + 2. 37• E7 ~63•~3
3. '73 + 4.
Y
2
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U = 0.025 Average
2. Exterior walls & rim joists - R-20 U = 0.11 Average
3. Floors over unheated spaces - R-20 U = 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
3
•GUIDELINE TO (R) FACTORS FROn ASORAE nratOAL
OF TYPICALLY USED PRODUCTS
(R) (R)
Interior Air Film (1la I IS) 0.68 Gypsum or plaster board 3/8" 0.32
Exterior Air Film (Ila I I S) 0.17 Gypsum or plaster board I/2" 0.45
Interior Air Film (Vented Ceiling) 0.61 Gypsum or pl..ster board 5/8" 0.56
Exterior Air Film (Vented Ccilinq) 0.61 Plywood 3/8" 0.47
Interior Air Film (lion Vented) 0.61 Plywood 1/2" 0.62
Exterior Air Film (lou Vented) 0.17 Plywood 3/4" 0.93
Sheathing. reg. density 1/2" 1.32
Aluminum Siding 0.61 Sheathing, req. density 25/32" 2.06
Aluminum with Backer 1.82 Nail-base sheathing 1/2" _ 1.14
Aluminum with Backer G Foiled 2.96
1/2 x 8 Lap Siding (Wood) 0.81 Built-up Roofs 0.33
7/16 x 12 hardboard Siding 0.67 Asbestos-cement shingles 0.21
Asbestos Sidings 1/4 Lapped 0.21 Asphalt roll roofing 0.15
Stucco (0ro.,n and Finish Coat) Aspahlt Shingles 0.44
3/4" Wood S.ubfloor or Sheathing 0.94 insulation: 2-2 314" Fiberglass 7.00
1/2" Plywood _heathing 0.62 Insulation: 3 1/2" Fiberglass IKOO
1/2" Particle Bu.,rd 0.66 Insulation: 6" Fiberglass 19.00
WOODS: BLOWHIG WOOLS - .
fir, pine L similar soft floods 1 1/2" 1.89 Approx. 3" - 9.n0
2 1/2" 3.12 Approx. 4 1/2" 13.00
3 1/2" 4.3S Approx. 6 1/4" 1900 - '
5 1/2" 6,87 Approx. 7 1/4" 24.00
Approx. 14" 30.00
Approx. 18" 40.00 - ,
All other insulation materials must be
Foiled verified (R factor)
(R) Vermiculite
B" Concrete Block (S G G Req.) 1.11 1.93
12" Concrete Block (S L G Reg.) 1.28 3.15 -
B" Light Weight 2.18 5.03 _
12" Light height 2.48 5.82
de:CGA R{,4Ct^.i Ce Cne iLG v`e e~nna
NOTE: (U) x Area Square Feet
All Windows " ' - -
(w/Stgrms I" to 4" Space) .5(,
Removal Double Glazing (RDG) .55
Thermo or welded 3/16" air space .69
1/4" air space .65
1/2" air space .58
(Other windows specifically tested can use better ratings) -
1 3/4 Solid core door .46
w/Storm, wood .31 -
w/storm, metal .26 -
Pease SteeiDoor Ins)/II/GL 7.451% .13 _
Sliding Glass Door, Wood .65
Metal •715
yo
,o
AA,
L
S ~ 6
t eS
CITY OF FAGAN
MININUM "iJ". VALUE AND R- FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK
Provide insulation baffles in every' ROOF C``LNv
rafter space. VAL
_ S IQ (t1~(E~(D(L P,IR FIT
O sus" &a P. PD,
, ~ Q INSULA jtoN
> Q
Q EX~ERIo(c A11= FILIA
l'J t - (S-TILL)
1 t~Un - 11R=. _ozs TbTAtr (R)-
WALL (Tc) ~IALC
• • ~ s • • Q ttyT~r--tot= AtR ~lltt
• Q y2` GYP." BD.• .
WSULATlo►"
9Q ZS~3zf1 Yof7 ~Ixc
to a EX ;E, lot= All FILP1
tl t,u"= 1 f R = ; / TOTAL_ (R) =
ti L IttTE IDR AXtc FILM
13 ,3 57-L" IrSULATIC'N •
IS u r,F;SOvITE Sit7lt'G .
T-,WDV, AIF_ FILM
oo fOJI~DAT(ot
• Ccz) VAIUc
• ~3 tNTEt7hlz Aac Fllt~
o° go . 14 C
27
A n 1J l' I')~'x CGtlC , ELK,
O I" h YP~c~a 'i R 5 - v, ao
I, r3 E? V,ID AIR FILM
Floors over unheated spaces must have minimum R-factor -of R-20 (tuckunder garages).
Floors over outdoor air (overhangs) must Have a mininum R-factor of R-33.
APPLICATION FOR PERMIT 'N=: PAYMMr OF M AT TIME OF
APPLICATION DOES NOr CON- ;
S7T= APPROVAL OF PEMIIT. ;
+
SEWER AND/OR WATER CONNECTION = INSPFrrIOH OF W" Aw/m M
r nMNIATIONS WILL NOT BE SCMnW
• lVnL PERMIT HAS BEEN APPROM.
wwwwww+++we+++www++++:++wwwwwwwwww+wwe
city of eagan
P E PRINT ~Y
1) PROPERTY ADDRESS: K. G / iq!-r1-~~
LEGAL DESCRIPTION: Jy D Jlf i ~P
(Lot/Block/Subdivision or Tax Parcel
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month//Year)
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/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/CONDOMIN,ium Units)
2) ~S NAME: ors- eo 2~~ ~yvz/~c d
ADDRESS:
CITY, STATE, ZIP: .:57f
PHONE:$
n For City Use
3) NAME: ~zflS4,r~- Pl rmiense:
ADDRESS: tive
H Not Expired
CITY, STATE, ZIP: ~Not recorded
PHONE: MASTER LICENSE # St Ia nitia~
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) o •a~ o t ~o
CONNECTION TO CITY SEWER (~ZONNECTION TO CITY WATER a OTHER
6) ~ ~ 22~ Ar LP~2
* THE GOLD COPY OF THE PERMIT WILL BE`SENT DIRECTLY TO PUffi,IC wmm To FACILITATE METER PICK-UP.
* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS.
i*
.-FOR -CITY USE ONLY
PERMIT # ISSUED
9 Sl
Pd w/Bldg. Permit FEES:
$ $ -5--el SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ l4 /•C d $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ Z 5 U $ WAC
$ Z- S 0 D $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ .SI,Sr $ o--Z) TOTAL
T
1397• ao ~s`z/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~~cp ,ceJ ~z,tJ~o
TITLE:
DATE:
0
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT GENR-RYAN PLUMBING & HEATING
ADDRESS 14745 SOUTH ROBERT TRAIL
ROSEMOUNT MN 55068
Location 661 BROCKTON CURVE
L21. B5. HILLS OF STONEBRIDGE
Receipt No./Date 79259/11-20-87
Reason for Refund LOST JOB TO ANOTHER PLUMBER
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 39.00
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 $
Account Deposit 20-2252 $
Utility Account Over-Payment 20-2250 $
Other: $
TOTAL 39.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
g22~, l~ DECEMBER 2, 1987
Signature Date
(R~0 qo~ ~jd_ ob
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoati Requirements Office Use Only
3 registered site surveys showing sq. It of lot, sq. I of house; and all roofed areas 2 mpas of plan sharing footings, beams, joists Con of Survey Reed _ Y _ N
(20%mandmum lot coverage allowed) 1 set of Energy Calculations for heated additions Sols Report _ Y _ N L 1, 1 Sills Report it proposed building is to be placed
on disturbed sell 1 site survey for additions & decks Tree Pres Plan Recd- • ` _L Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition-indicate Won-site sepik system Tree Pres Required . _ Y _ N
l set of Energy calculations On-site Septic System '._Y_N
3 copies of Tree Preservation Plan it lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mednankal vedgation form
Plans are considered public information unless you state the are trade secret and the reason.
Date Construction Cost / 40
Site Address CO ~JYO~ N Curd2 Unit/Ste #
Description of Work
Multi-Family Bldg - Y N Fireplace(s) 0 - 1 _ 2
Property Owner ydynso" Telephone#(&/2-
Contractor y O -e
Address 470/0 6re / Cldu City Gv~
State Zip Telephone # (6pi,& ~Z b Z 3 ~7
12
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv t 1( _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Wg*sheet New Energy Code Worksheet
y,(Jsubmlesion type) Submitted r Submitted
Energy Envelope CalcutationslSubmitted
In the last 12 months, has the City of Eagan issuaq (6armit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumbed Telephone J
Mechanical Con or Telephone I
0
Sewer/Warkl` ontractt5r ` Telephone #f J
i
thereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
~ ~ I J at the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plants.
Applicant's Printed Name Applicant Signa
Use BLUE or BLACK Ink
flex Y~ Of EaEa nn Permit# 6 I I
~ Permit Fee: ~ I
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
IL
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: k --s r G A-v 11~ C j ''v
Tenant: n Cif , SC 6 f C C~ -IG Suite
RESIDENT / OWNER Name: S 0kAC__ h~ Sc~ f Phone: 612- - 9 19 - 6 ~5 S
Address/ City/Zip:
b 6 ) r o c L'Fc~ - y r v C
CONTRACTOR Name: Residential License
Address: ♦ s.. G Alt . Inc. City:
State: Zip: 1815 East 41 St Stre%one:
Minneapolis, M 407
Contact: 794.1 Wail:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mour"o- mechanical equipment is required to be screened by Gity
Gods:; Plb;me contatt the Mechanical Iftpector for information on permitted screening methods.
PERMIT TYPE ~c^ RESIDENTIAL COMMERCIAL
/C- Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) SO
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SCE TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%u
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for prot tion against under round utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www. o her Late necall.or
I hereby ackn ledge that this inform ion is complete and accurate; that the work 'll in riformarif/e h th inances and codes of the City of
Eagan; that I erstand this is not/a 1-it, but only an application for a permit, and ork not to start h tap it; that the work will be in accordance
with the appr v d plan in the cas o rk which requires a review and approval of p ns.
x ~ V L"', x
Applicant's Printed Name Applicant's Si nature
F OFFICE USE vte~ied BY: Date: .
Roquk'e iinspectionw tinder Ground Roagh In Air Testtz„~G'a5 Service Test Ljn-floor Heat Final
Exterior HVAG 5cr , ing In pectpn-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163996
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 661 Brockton Cur
Lot:21 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-210
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.
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 -
Jean-paul Chave
661 Brockton Cur
Eagan MN 55123
(651) 208-5663
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature