692 Brockton CirINSPECTION RECORD . ? .
GITY OF EAGAN PERMIT TYPE:
?3830 Pilbt Knob Road Permit Number: ';^ ??"''?"`•
Eagan, Minnesota 55122-1897 _ Date Issued:
{612} 681-4675
SITE ADDRESS: APPLlCANT:
PERMIT SUBTYPE:
INSPECTION
TYPE
TYPE OF WORK:
, I :V. Ar, 0 s4
?1 V
('x I, ,:? c p 3 a: -t .1 tl N
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? f? U, N r?V?L ? ? A S} f,?A R A rV P t+P N T t ??. V? rs 1. J i ?;C0 F 0 ? ??Y f'? x.C ?: I I'F,rq"j A o () 14 Fy s U ??? ? ??0 WO P Ic
-5 fa ? q s
Permit No. Permit Holder Date Telephane #
ELECTRIC
PLUMBING 9? ?? ? ? ilT
HVAC
Inspection Date Insp. Comments
FpOTI NGS
FaUND
FRAMING
ROl]FING
ROUGH
PLUMB4lVG
PL6G
AIR TEST
ROUGH
HEATING .
GAS SVC
TEST
•
INSUL
t
H?
C,YP BaARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
dRSAT
TEST
BLDG FINAL
BSNIT R.I.
BSMT FINA4
QECK FfG
DECK FINAL
vC/
r - v ?
AJI ' i/ 8t22/9 t " ? ;
` BUILqING PERMITf' fi
i To be used for ?? DWG/CAR E
? W Name ,
z
?; •.Address
o ....
?•' ' Phone
Phone
?r Signature of Permitee -
ial -
the
a of
ith all
# F04 ? ?Q
L 4.7?
De 41--
S.kTot/ -
S. Faotprints _
On Siie Sewage _
On Siie Well
-
MWCC&ystem Xx-
Ciry Water xx
PRV Required _
Boaster Pump - Plan Review
SAC, City
SAC, MCWGC
Water Conn
Water Meter
ACCt. Deposit
5M! Permit
SNV 5urcharge
Trealment PI
10Qa?
6001
6W.00
i
95000
j
???? ,'
30.00 ?
.50 ??
276.00
y
APPROVALS poad Unit 170•00 'I
w
Planrier -
Council
81dg.Off. _
VarianCe - park Ded.
eopies
TOTAL ?
?3 ? ??? ? ? `
?
Permit Na. Permit Holder date Telephone #
OATER
SEWER
PLUMBING
H_V.A.C.
ELEGTRIC 00
Inspectfon Date Ins . Cammenis
Fnotings I
Foundatian
Framing
Roafing
Rougft Pltg.
Rough Htg.
IsuL ?
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. inspector-Notify Plumber
Gonst. Meter
Engr.lPlan
Bldg. Final IK.2fl?1-
DeCk Ft9•
Deck Final ( z
Well
Pr. Disp. -
iv
- . .. .s: , . . . + ' y - . . , 5'?. . , _ . . . . - . . -
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN ??Cn 3
? y ?'1 '??j
3830 PIIOt KtlOb Rd. METER #
7 r
/ PERMIT DATE
Eagan, MN 55122-1897 CHIP #
S GS
g S? PERMIT # ? 2,34 2
?
METER SIZE B.P. RECEIPT #
JTiNE 4
1991. ISSUE DATE -? 1 B.P. RECEIPT DATE 66f 91
}
DATE
- PRV - BOOSTER PUMP
SITE ADDRESS 092. BRQCKTCIN CIRCILE
' LOT 23 BLOCK !} SEC/SUB EiZLLS QF
APPLICANT: SLP,50Na'I` BUILDERS
?+
ADDRESS; _ ,?Q SLf3TT R. , #212
CITY, STATE ' T_ J? ZIP
PHONE:
PERMIT REQUESTED
x' SEWER Y WATER _ TAPS
COMMIIND ?J RESIDENTIAL
x NEW - EXISTING
` Lawn Sprinkler Meters are to be fnstalfed
i, PLUMBER: RECFNCY I'LllMBING Ahead of Domestic Meters on Water Line.
ADDRESS: P•0r BOn 20509 Credit V?ILL NOfbe given for Deduct Meters.
? CITY, STATE MINNEAPOLIS MN ZIP 55420 ; ?_i - y •
PHONE, 854_4,.577
OWNER: -
ADDRESS:_
CITY. STATE
ZIP
CAL 5
f
i AGREE TO COMPLY WITH CITY OF
EA ES
AT HEN METER ISSUED
L 454- R INSPECTIONS. FOR ST?RM
.:.. . .. ..:. . .....a. ..: ....,5 ...
SEWER & WATER PERMIT
, CITY OF EAGAN
3830 Pilot Ikviob Rd. .•
Eagan, MN 55122-1897
DATE Jt_7RE;J*4, 1 pn 1
?
{ LOT
SEASC3NATy BUI1.DEBS
4590 uOTT TR.,
CITY, STATE ?
PHONE:
PLUMBER:
ADDRESS: ?'•?
CITY, STATE
PHONE: r5'
rMerMIZo•
M ETE
' CHIP
METE
? ?1SSUE
. NG
j
' ZIP 5
ZIP
DAYS FOR PROCESSII
NEERING DEPT.
OFFICE USE ONLY
PERMIT DATE 7!
PERMIT# _;'%r`)42
ZE B.P. RECEIPT #
TE B.P_ RECEIPT DATE 616 el1
_ PRV - BOOSTER PUMP
PERMIT REOUESTED
GE
x SEWER -` WATER - TAPS
- COMM/IND - RESIDENTIAL
K NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters,
>a20 '
?.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
IG. CALL 4545220 FOR INSPECTIONS. FOR STORM
BUILDING PERMITI
To be used tor SF D4/6/GAR
Est. Value $160,000
Receipt #
,IUNE
N° .19167
Site Address 692 BROCKTON CIRCLE
Lat 23 Block 4 Sec/Sub. HILLS OF STONEB]
Parcel No.
I., IName SEASONAL BUILDERS INC
9 Address 4580 SCOTT TR. , 212
° CitY EAGAN phone 454-5 7
a Name S?
. Address
.
Ciry Phane
?w Name
?= Address
g W City Phone
I hereby acknowlege that I have read Kiis application and state that ihe
information is correct and agree to compW with all applicable State of
Minnesota Statutes antl City an Or iances.
SignaWre of Permitee
A Bmldmg PermR is issued to: SEASONAL BUILDERS
on Ihe express condition that atl work shali be done in accortlance with all
applicable State of Minneso?Statutes and ?'e#y of Eagan Ordinances.
6uilding OHicial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
E OFFICE USE ONLY
?upamY R-3, M-1 FEES
Zo,,;,,q PD R-1
(Aquap Const Vn. Bldg. Permit 850.00
(Allowabla) Vu- Surcharge 50.00
xolStones - 552.00
Lengih . 5?_ Plan Review
100•00
Depih 427_ SAGCiIy
S.F.TOtal - 650.00
SAC,MCWCC
S.F. Foolpnnts - 660.00
On Sne Sewage _ Watar Conn
On Site Well - Water Metar 95.00
MWCC System XX
pcct. Deposil
30.00
c?ry water X7C- 30.00
PRV Required - S/W Permit
Booster Pump - S/VJ Surcharge • 50
276.00
7reatmentPl
APPROVALS RoadUnit 370_00
Planner - perk Ded.
Cauncil _
BItlg.OH COpies
43,693.50
Variance - TOTAL
r -
Addre§s: 692 ggpCKIUN r-IgCLE Lot 23 Blk 4 Sec/Sub gi[yg OF S1ajZj?
These items were/were not complete at the time of the final inspection.
Date: $ 22 91 Yes No lngpprtor,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry _
Peimanent driveway ?
Permanent gas
Sod/seeded grass P/-
Trail/curb damage
Porch
Basement finish y
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lavn faucet bafore
freeze potential exists. ?j
o?
narc?o aren
White - City copy Yellow - Resident copy Pink - Contractor copy
.
DATE:
6/7/91
RE: fA92 BSOCKTON C1R., L23. B4. H1LLS OF ST9NS8@1DG8
X
- Youewer & Water Permit for ihe above property has been completed. It will be held at the
Pu ic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
11
- Your Sewer & Water Permit for the above property cannot be completed for the following
easons:
b
Your Sewer & Water Permit for the above property has been completed, buttNe meter cannot
? he issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Cily Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
I 17694
,bA
RequeSt Date FW o.. Ro in Inspeclion
Pe e8+ ?
? Ready Now y?Wdl No[iN I^sP?tor
es r? ryp
77
Wnen Re4W
aAm
I icensed contracror p owner hereby request inspection ot above electri wor QQ
JO H ress ire Box or te No I iy . Ciry/' ?ya
SecYion N. Towns ame or No Range No Coun
OccuOant?PR? 4
5 hon No
?
Power Supplier Atltlress
I
Elecmc i n racmr ?C mpa?y Name GonVaclor's Lmense No
D o
Maling Ad ress iGOnim orpr Own axing Installation) •
?
AulM1Onze SgnaWre ICon
toP er Making IqpL?IlaUOnl Pho e u er
? a-
MINNESOTA Si BOAND OF ELECTqICITY ? . THIS INSPECTION REOUEST WILL NOT
Grigga-Midway Bltlg'- Room 5-173 BE AGGEPTED 8Y THE STATE BOARD
1821 Unlversity Ave , 51. Faul. MN 55100 UNIESS PFOPER INSPEGTION FEE IS
PhonB(612) 602-0800 ENCLOSED
??.?/?? REQUEST FOR ELECTRICAL INSPECTION
? See mslmctions lor compleling Iha form on baok of yeIIOW copy
' 17694 "X';,Below Work Covered by This Request
3mE?"?' EB-00001-08
?*???? . /61 b' ?EY
ew Add Rep TypeofBwlding , AppliancesWued EqmpmeniWued
Home Rang ' Temporary Service
Duplez 'WaterNeater Electnc Heating
Apt Bwlding Dryer Other (Specity)
Comm /Industnal urnace
Farm Air Contlilloner
Ofier (apaoiry) Gontraotork Femarks
Campute fnspechon Fee Below
# Other Fee # Service EniranceSire # QrcmtslFeeders Fee
Swimmmq Pool D to 200 Amps o ta 100 Amps
Transformers AGove 200 Amps ove 100 Amps •
Signs Inspecbr5 Use Oniy TAL
Irriganon Booms
Speaal Inspecnon .? 3
Alarm/COmmunicahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT f
I, Ihe Electrical Inspector, hereby Rl oete?
C
certdy that the above inspection has
been made. oate _?
OFFICE USE JNLV
Tms requast vaid 18 months iram
J
y
CITYbF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: BuzLoxNG
Permit Number: @ 3 0 6 4 5
Date Issued: 0 9/ 0 3/ 9?
692 BROCKTON CIR
LOT: 23 BLOCK: 4
HILLS OF STONEBRIp6E
P.I.N.: 10-32990-230-04
DESCRIPTION:
(NO BEDROOMS)
rmit 7ype BASEMENT FINISH
? 7ype ALTERATZON
434 AIT. RESIDEN7IAL
? eagan
REMARKS:
A SEPARATE PERMTT IS REQUTRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee
5urcharge
7ota1 Fee
CONTRACTOR:
. , . . .. =_ ?:
$50.00
$.50
$50.50
APPLICANT/PERMITEE SIGNATURE
OWNER: - Appl3cant -
mILLER RAYMOND
692 BROCKTQN CIR
EAGAN MN 55123
(612)452-3518
Dnt?np""?. I m ?
-??SiG`7#ATUR€r?
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
OL4 CITY OF EAGAN
346 3830 PILOT KNOB RD - 55122
681-4675
New ConsWCtion ReauiremeMs
RemodeUReoair Reauirements
• 3 registered ske surveys ? 2 copias of plan
? 2 copies of plans (inGUde beam & window sizes; poured fid. design; etc.) ? 2 site surveya (exteriar atlditlons & decks)
? 1 ene calculatlans
?9Y ? 1 energy calculatians for heated addidons
? 3 copies of tree preservation plan 'rf lot plstted after 7!1193
requlred: _ Yes _ No -
?.??.!' 0
DATE: l 3 G CONSTRUCTION C05T:
DESCRIPTION OF WORK: sC?I CNT FrN/ S IJ
STREETADDRESS: G 17 Z E3(Z CCKTG-A) CI2
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY Name: M???--C2 2fl'?'MoN0 Phone#: 4,15-Z"351,5;
OWNER V
Street Address: G y'Z. (i R G c,rCYc.) C' 2
City: 6-'/) Gn'`) State:PIN Zip: 5?rz3
CONTRACTOR Company: spMC Phone #:
Street Address: License #:
City: 5tate: Zip:
ARCHITECTI Company: Sam E Phone
ENGINEER
Name: Registration #:
Street Address:
City:
State:
Sewer & water licer.aed plumber (new construction only): . Penaity
and lot change are iequested once permit is issued.
1 hereby acknowledge that I have read this application and state ttiat the i on is correct and
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY y- IID,
Certificates of Survey Received _ Yes _ No
IJ
Tree Preservation Plan Received _ Yes _ No _ Not Required _
Zip:
when address change
comply with all applicable
130
OFFICE USE ONIY
°... -•. ;,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging 0""16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Faciliry
? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New 0'33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. u 3,f
Depth Footprint sq. ft. SAC Code o ?
Census Bldg ?
Census Unit o
U9UZISI9_111?
Planning Building UZ Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VH 5urcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
?lec{. Pq^m; f.-?r;v:r 's . .l• o °
Tot??
% SAMN
SAC Units
....? - .? .
Valuation: $
VERMIT #
REACFIVATE ?
?
I4I I.ll
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
aUS I '-w' RECO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date A UG' /17 /7 Z Valuation of work 2;50 U
Site Address: G(7 2 Q2GCKTQn1 C2
STREET SUITE /
Tenant Name: (commercial only)
LOT 23 SLOCR ? SQBD.1411-1,5 ac St'ouE4aiv P.I.D. 0
Descri tion of work: ? p E ? K
The applicant is: IN Owner ? Contractor ? Other coesorrbe>
Name MN_-LC-Q_ ROw MouD Phone `?SZ • 35 ?&
Property LAST F1RST
Owner Address ? ?Z a 2ac,? -oti
STREET STE N
City N , State M N ZiP 551L3
Company Phone
C011tr8CtOC Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Reqistration 8
Address
City State Zip
Sewer 6 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 ap cation and state that the information is
correct and agree to compl with all applicab e tate of Minnesota Statutes and City of
Eagan Ordinances. ?
Si
t
f A
li
gna
ure o
pp
cant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
0 04 SF Porch
0 05 SF Misc.
WORK TYPE
2 31 New
32 Addition
? 06 Duplex
? 01 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
O 34 Repair
? 11 Apt./Lodging
O 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
9315 Deck
13 35 Tenant finish
13 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy iz?
Zoning
?1 of Stories
Length 2i ?
Depth 11 x I
APPROVALS
Planniog
Engineering
REDUIRED INSPECTIONS
? Site
? Matlboard
Basement sq. ft.
lst F7. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq..ft.
On-site well
On-site sewage
Building
Variance
ip: Footing
[);k Final
r
i?,) 9?, ?-S
O Framing
? Draintile
]?jv
? Insulation
O Fireplace
Permit Fee N?U v,u„t;a,_
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
? 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
5AC Units
. W!C / /'fV • 1875 PLAZq pR
SURVEYORS " SWTE 200
IN?. - EAGt1N, MAL 315122
? .
Certificate of Survey for. (612)452- 7830
S-EA.SONAL - BUILDERS
LEGAL 'qESCRIPtION: LOT-U,8LOCK4 , b!L!S OF STONEBRIDGE
' ACCORDING TO THE RECOROED PLAT
THEREOF DAKOTA COUNTYl MINNESOTA
CURVE I
L = 27.40
R = 30.00
?= 52°19'48"
CURVE 2
L = 28.83
R = 60.00
p = 27° 31' 46"
v?'
. o?
0
.1c"I
?.%? qID
R
\?9 •s j ? ` °
?
7r-
$9¢
c ? 9 DR??E ?v je,.
S1"Q ?`° ip
#OO
3 ? ? m
? ? ? 0• ? \
Q ? ? p •1
O:
° J ?*? F u?
907
/
' 0
e 0 a,
?
u??o \ \ ? ? ? kti y wt?
? 0,
'o
o: 6
5?0
SCALE iU 30?
l G N
o DENOTES IRON AlONWdENT
oa DENOTES W000 FltA SET
910' OENOTES E?E71?POT
DENOTES PEO??IOµPOT
? DENOTES DRAINAGE'"DIRECTION
I hmroEqi cmAlfy that tAis wrvoyl Plan or
Ieport da p?eparod ey nw or wdei mY
di?act supwvisian and iha1 I om a dWy
Repisterod Land Swv.ya und2? tM
l.ows of tAo Stme of Miffl*606
&odlwY J. ?ipn, Mn. Rea Ma 1N35
Date •
..
PRaPasF,D C-ucc 91414FME.Jr - ?cl?cxour
kJ,4tK6Ur F1-EvQ -170A.l -904-.3
INVERT ELEVATION AT SERVICE EXTENSIONe
PROPOSED GARAGE FLOOR ELEVATION • ! .o
PROPOSEO iIRST FLOOR ELEVATION • ZPROPOSED 9ASEMENT iL00R •
ELEVATION
NOTE'• VERIFY ALL FLOOR NEIGNTS WITM
'm"? FItdAL HOUSE PLANS
O
ntA
\02
Clj
?0
?
?
Lot Block ?
Subd.???
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date 23 ju" q2
Receipt # C ?l 1) S 4
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? Fatistine residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
CX /a Jrvck'k» 0-4--
(Address to be sprinklered)
Homeowner/Plumber:
Phone #:
Street Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor:
Phone #:
Rt"
t fi.52 -? S I R
,fn9- 32a ei.? ro? C 2
EA & A N M N 5,5/ Z3
RAY Mi LL6 "L
64 ME
SA n/L E
I hereby acknowledge that I have read this application and state that the information is
correct n agree to comply with all applicable City of Eagan Ordinances
cc: Engineenng Department
pa Pl??,
-.,?BUILDING PERMIT APPLICATION
CITY OF EAGAN ?.
?
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINCS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & 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 WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED 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:New Construction Valuation: 144,499y9Q. Date: 05-30-91
Site Address 692 Brockton Circle
Lot _23 Block ¢
Parcel/Sub Hills of Stonebridge
Owner
Address
City/Zip Code
Phone
Contractor Seasonal Builders, Inc.
Address 4580 Soott Trail, Suite 212
City/Zip Code Eagan, MN 55122
Phone _ 454-5971
Arch./Engr. John Bradley, Inc.
Address 3131 Fernbrook Avenue, #120
City/Zip Code Plymouth, MN
Phone # 553-9670
OFFICE USE ONLY
4O Dao
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-1
PD _1
V-
v-N
T
T
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. =/QS
Variance
&- y 1,J x
FEES
Bldg. Permit 85-0,0o
Surcharge ---ojo
Plan Review 52, 00
SAC, City 1.00, Op
sac, tlwcc 650-00
Water Conn 00 O
Water Meter
?
q5,0
Acct. Deposit 30•00
S/W Permit 30•00
S/W Surcharge 150
Treatment Pl. 27(..00
Road Unit
0
370.0
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
C1
?/??L uArT1o1?. ..
Z2 x3?= '70y
?32?ctb ? ?j480
13Sm-T7
.?._.-
32 k3? = tlS2. ,
I ? 114 ?ST ?.,,
13Svv1'f= 122
4Y7u1%z= y2
/266 X 53= C??o58
zN'? ?l.oo?Z
3y x3(?, _ / zzy
2- ? LU : Z?D
ILyLf KS 3= GS 93Z
. ;
ISCj 6?16 °2 160??vOr
.
?
METRO . 1875 PLAZA ,pR
SURVEYORS swrE zoo
EAGAN MK 5.51?0
INC. - Certificate of Survey for. ????s2-?aso
S-EA-SQNAL , BUILDERS
LEGAL TqESCRIRfiION. LOT..E3,81-OCK-A-9 kLLLS OF STONEBRIDGE
' ACCORDING TO THE RECOROED PLAT
THEREOFDQKOTa COUNTYO MINNESOTA
CURVE I
L = 27.40
R = 30.00
?= 52°19'4&"
CURVE 2
L = 28.83
R = 60.00
&=27°31'46"
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EAG.Ar? ENGiNEERiNG D
SCALE I" = 30?
DRD I??ED i'UGL - ?<146&:oaT
LEGEND
o OENOTES IRON MONUWENT
o DENOTES WOOD MUB 5ET
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?JID ? DENOTES ExISTIh'G: SPOT
ELE VJ?T.ION
'
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES ORAINpGE°"'D1RUTION
I hrew aoKify that tAis wrwylPlon or
report wa pr*pand py n» or under mr
dinct supwisian ond Mqf I om a dWy
Reqistaed Land Swvhra wkM tAe
Laws of the Stuh of Mimerota
1u(AtKOUr e4Ev4-r7oA1 ? 9pq-.? I
INVERT EI.EvATION AT SERVICE ExTENS10N¦
PROPOSED GARAGE FLOOR ELEYATION• / •p
PROPOSED FII2ST FLOOR ELEVATION • Z
PRpPOSED BASEMIENT FLOOR •
ELEYATIQN
N?OTE' VERIFY AlL FLOOR MEIGHTS WITH
v
FINAL HWSE PLANS
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----------------------------------- - ---------------
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Plan tk 91026........ .. ......_.I?r:?l-.F_ ..... ?::;...?-
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I.Iwner
........ ............... . ....... .. .
Contr•srtnr- 5casonal. id?.iilder=: . . ..-------_-
-?-----....._....._._..___._._......_ --------------------
Si te addr-eFC '
MC.)t..e^ll
'
' f?i:pC)@if211 V'7rill iAl"-E`Cl
::7
i
otai
W e::posed rnuf/crei:li.ny
all c.al.c.:ulatxnn
Total window ar-ea
Total cloor- ar ea
Total glass dnc.r are,a
Total Fir-eplai_e ar-ea
Total wa1.1 framing ,ar-ea
Net i nsi.il ated wa].1 ar-ea
Total rim .,jni.st ar-Pa
T'o1•.al fcauniiat:i.on area
Total f oi.indati nn w:i ndrnw
Cf it.em ' is t.he srama ,.?s, or .I.FSS i:.Fiari i1..Exm 17 ynli
Fiave met tlie intFnt oF :' IhCAFil..lb{_iOft Fl and O
I"iooF/i-ei.:l.i.nra i.alcixlnt:icin
Total s1r,ylighk area
Total rc+oflr.ei:liny fr-aming
Mot ins"l.at.ed runf mrro
------=p -- -
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of 2M1.AFi 1.1600R A anr.i 0
Al.ternate bi_tilclir'iq envelr7pn clesign
to uti l i ze tlie tnta.l envrlope sy=tPm met:hod tFie sum of
i.tems 1 and 's'.. shall Fie gr-eatNr Chan 1-he si_im of i.tems
' ancl 4
.
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I herekay cer-t.:il-.fy that t.:lie biiil.riinn here clescribed meNts
f.)I" B:;C:.p.PCIS t.:he st.ate nf minnesota eneryy r_onservation act.
? • ?
Si qned /_ . .
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U = 1 /R
iqist seci_ion
._._.......__..__.
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2. 5 1!7" batt ins.
3. 1 1 /2" wood
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IJ = 1 l R
Foundation
- ----._.._..._...-- --
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section
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ins.
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ai.r- film
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_. _. -- -- ---.........
nia
CITY OF EAGAN
E 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612).454-8100
"lla
FOR CITY USE ONLY
PERMIT #
RECEIPT # S 1
DATE: 7/2 -7 1
??'????`•?? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH ITNIT.
--------------
WORK DESCRIPTION
NEW CONST Lk
ADD ON ^
REPAIR _
,
? •
OWNER NAME: S?GaSOII ?
SITE ADDRESS: CO l86LJGK-L' 32C&
LOT: a 3 SLOCK ? SUBD. ??? 5644149
INSTALLER: 004m
> >
ADDRESS:.
CITY: cv, ZIP:
---- ---°--------°------
COMPLETE THE FOLLOWING: °----
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SROWER 3.00 3
.3 WATER CIASET 3.00 1990-0
? BATH TUB 3.00 °O
S LAVATORY 3.00
? KITCHEN SINK 3.00 3-m
L LAUNDRY TRAY 3.00 -lov
? HOT TUB/SPA 3.00 ,9av
/ WATER HEATER 3.00 3 °=
? FIAOR DRAIN 3.00
GAS PIPING OUT.
/ (MINIMUM - 1) 3.00
3 ROUGH OPENINGS 1.50 _So
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
. U.G. SPRINKLER 3.00
SUBTOTAL S
ST. SURCHARGE .50
TOTAL: S
?'b1KH$I?G?:4I???NDIIST?TAI.?; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
A?....e'x.........w..v[....> :
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
GONTRACT PRICE:
OWNEK NAME:
SITE ADDRESS:
LOT: BLOCK _ SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
fiOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIrIUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
( S I GNAT[1RE )
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT ?
PHONE: (612) 454-8100 RECEIPT # Oo2
DATE:
? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNFIOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT.
--------------°----°-- ------------°----°-----------------------------___----
WORK DESCRIPTION FEES
NEW CONST _ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: )t1??C1 Yl/Z l/ k-WCA/ ?J---
/ ', nJ SUBTOTAL: -?
SITE ADDRESS: fl??c1? ?rClGl??? ?.1?77 ??.P • STATE SURCHARGE: .50
iOT:14-q B:.,CCit uU$D.
INSTALLER: ?
ADDRESS. SIGNATURE 0 PERMITTI?t?
CITY: ZIP: D?
PHONE J "JY
PLEASE COMPLETE THIS PORTION FOR ALL COZMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND M[TLTI-FAMILY BUILDINGS WHSN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: SLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FDR
EACH $1,000 OF PERMIT FEE.
?ROCFSSED PI?IN6 = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
?? B CTTY OF EAGAN
`>--Z????MECHANICAL PERMIT RECEIPT # C O I' C-e !
SUBD. (612) 681-4675 DATE ? `??---
/ry RESIDENI'IAL
PLEASE COMPLETE UPpER PORTION ONLY FOR SINGLE FAMII,Y DWELLINGS. ALSO, COMYLEl'E FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMITg AItE REQ(JIgED FOR EACH DWELLING UNTf.
owxEU: FEEs
SITE ADDRESS:
tlo SZ ? c.lC7LO..1 (?.ceJ{'? ADD ON/REMODEL (E7IISTING
CON3TRUC7ION ONLP) S ?.?
INSTALLER: C?eb ?•?z.-? G HVAC: 0.100 M BT[7 24.00
PHONE ADDTI'IONAL SO M BTU 6.00
ADDRESS: d/? 70 N° GAS OUTLEfS - MINTIMUM 1 Q $3 EA.
Cm. ZIP: M2 z SURCHARGE: $<?-SD
SIGNATURE: TOTAL: $ /s- ,
COMMERCIAL ;i??
PLEASE COMPLEl'E THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILbINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTIS ARE NOT REQUIRED FOR
FACH DWELLING UNTf.
WORH DESCRIPTION: CONTRAGT PRICE:
1% OF CONTRACT FEE. FEES
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING • $25.00
MWIMUM FEE - $25.00
$
OWNER: 'POTAL: $
SITE ADDRESS:
1'ENANT:
SIRTE #:
INSTAI.I.ER:
ADDRESS:
C11Y: ZIP,
PHONE #: C1TY SIGNATURE:
SIGNATURE:
r CITY OF EAGAN
PERMIT
' WORK WITIiIN CITY ROADWAYS
Page 1 of 4
1. Location Z (3 7G?? :r1?
[, /,G1? Pj
Mr?,`?:i17
2. Nature of Work f°k 1 N If C_C' ,L „ t i cf"1
3. A construction sketch or plan shall show the location of the proposed work. A copy of
[he sketch or plan shall be provided with permit application.
4. Method of Installation or Construction Ti ? Coi 1- 4 (?,, Ci
5. Work to start on or after '711- Z and shall be completed by approximately 1/'i ?,
? DhTE
6. Will detouring of traffic be necessary? /V o If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at
least 72 hours in advance of any detour being established,
changed or discontinued.
NAME OF APPLICANT R ?`? (!/{ ??-L? 'Z PHONE
ADDRESS E` C /, ? Ivi nJ
NAME OF PARTY OR DRGANIZATION PERFORMING WORK
ADDRESS ?of• w1 cl
PHONE
The undersigned herewith accepts the terms and conditions of the regulations by the
City of Eagan as herein contained and agree to fully comply therewith to the satisfaction
of the Eagan City Council.
For: /ti) 1 LLC'Z
??y J^ r/7
Signed??,/,..,/I?
1
Title:
Date:
JFOR CITY QSE ONLYI AUTHORIZATION OF PERMIT
Fee: $? Receipt No.
Permit No?
In consideration of agreement to comply in all respects with the regulations of the
City of Eagan covering such operations, and pursuant to authorization duly given
by said Eagan City Council; permission is hereby granted for the work to be done
as described in the above application, said work to be done in accordance with special
provisions as hereby stated:
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE
WITH! THE DATE WHEN WORK IS COMPLETED
APP ?pE?PT?/OF PUBLIC WORKS
B . j ?
DAT \? ? 7,T/? -- - -
SIDE AND ? SPECIAL PROVISIONS" TO BE COMPLIED
MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
?.; Page 3 of 4
c. Except for the negligent acts of the City, its agents and its employees,
the permittee shall assume all liability for, and save the City, its agents
and its employees, harmless from any and all claims for damages, actions
or causes of action arising out of the work to be done herein and the
continuing uses by the permittee, including but not limited to the placing,
constructing, and reconstructing, maintaining and using of said utility
under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere
with any existiiig utility facility on the City's right-of-way.
6. Private Property--The work permit or permit for construction as issued does
not in any way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road upon completion
of work shall be at least equal to or better than specifications of original
road in accordance with City Standard Specifications. Surface shall be finished
within 48 hours upon completion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee
the right to cut, remove or destroy trees or shrubbery within the legal limits
of the roadway or relieve permittee from obtaining any consent otherwise required
from the owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--NO pole anchors, anchors, braces or other construction to be
put on roadway shoulder, except by permit authorization.
11. Driving Limitations--No driving onto highway from ditch or driving on shoulders
or over curbs where damage will occur.
12. Lugs on Equipment--No lugs shall be used on equipment traversing road which
will damage the road surface.
13. Clean-Up--Sireet surface and roadside shall be cleaned after construction
is completed and left in a neat and presentable condition.
14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals
to control or kill trees, brush and other vegetation is prohibited wi[hout
prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are distur6ed, they shall be
replaced and maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all
the PERTINENT REGULATIONS as sta[ed above.
DATE: Z.'.- J ??? ?1 L SIGNED: ?, " Qc., .
?..
j
U)
so
r9
roA
o* ,
0
I'
? L 4f3 BL CITY USE ONLY RECEIPT#.? ' ? O q ) q 4
?
SUBD./-k&oX"MA.c? RECEIPTDATE: 9131
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 881-4675
Please complete for. . single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTUREg EAritH N,Q, TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hat Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 x =
Water Softener ' Por existing dwelling 20.00 x =
U.G. Sprinkler " for dwening under conat. 3.00 =
U.G. Sprinkler ' Tar existing dwelling 20.00 =
Alterdtions • ro existing residence 20.00 = 20
Water Tum Around 20.00 =
Private Disposal System • oak cry rc. 75.00 =
(new and rofurbished systems)
Private Disposal Systems • nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL ZG 5 ?
I hereby adcnowledge Met I have read this application, state that tlie IMam-ation is cortect, and agree to cwnpty with all applicable Ciry
of Eagan ordinancea. h is the epplkant's responaibility to notify the property owner that the Ciry of EaBan assumea no liebility for any
damages caused hy the Ciry during tts nortnal oparationet and maintenance activfts to the faGlkbs constructed urMer this permk within
City property/r{ght-oT-way/easement.
SITE ADDRESS: (?qz Q 2 G C 1< TG,v C 2
OWNER NAME: R?" M rcLC/?
INSTALLER NAME: s:bM F TELEPHONE #: 15Z - 3 S/ 6
STREET ADDRESS: sN l? ?
CITY: S7ATE: ZIP:
SIGN O PERMITTEE
RESIDENTIAL ';
? ?ag aC? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
?
NewConsWetlon ReouiremeMa
• 3 registered site surveys showirg sq. ft. of lol, sq. ft. of house; and pil roofed areas
(20% mazimum lot coverage allowed)
• 2 copies o( plan showing beam & wiMow saes; poured found design, etc.)
• isetofEnergyCalculatbns
• 3 copies of Tree Preaenalion Plan if lot platted after 711193
. Rim Joist Detal Optiore selection shcet (bldgs vrith 3 or less unils)
DATE U ? 4- Q;L'
SITE ADDRESS
TYPE OF
APPLICANT
STREET ADDREQSS, V/0-?'1h1? C?`i1
TELEPHONE # "15a'W-9Y4'fSCELL PHONE #
PROPERTY OWNER
FAX #
R,T?,?2? ??l 1??P.4' ? d? n?? ?q???r?'LEPHONE#6?1- µ?a- 351?
COMPLETE THIS SECTION POR "NEW" RE5IDENTIAL BUILDINGS
Energy Code Category _ MINNESOTA RLJLES 7670 CATEGORY 1
(4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Coniractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Hcat Recovery System
IMULTI-fAMILY BLDG _Y N
_ FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Fee: $90.00
Fee: $70.00
--°--------°--------------------------------------------------------°-°-------------._._...---°------------°--------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan di nr?es. ?
II '
Signature of Applicard
i
OFFICE USE ONLY
RemodellRenair Reauiremenh
• 2 cropies of plan
• 1 set of Energy Calculations for heated additions
. 1 site survey for exlerbr addilions & decks
• Indicete if home served by sep6c system for additions
VALUATION # 51 6 1a i `A
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatad 4/02
?03LLO 0
2007 RESIDENTIAL BUILDING rERMiT nrPLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcbon Reauirements
3 regatered sile surveys shaving sq. ft. of lot, sq. ft of house; and all roofed areas
(20%maximum lot cover4e allowed)
1 Soils Report R proposed bu'ddiig is to be placed on dlslurbed sdl
2 coples of plm shawing beam & window sizes; poured lountl design, etc.
1 sel M Energy Calalatlans
3 copies d Tree Premafion Plan if lot platted after 7l1N3
Pom Joist Oetail Optlons selection sheel (6vidings w'dh 3 or less unifs)
Minnegasco mechanical ventiletian faim
RemodeIReoair Reouirements
2 capies of plan showing foofings, 6eams, jaisGs
1 set of Energy Caiculations for heated addiUOns
1 sile survey (or additiore 8 decks
AddkMn -lrMicate rf oo-site sep6c system
Planc arP r_nncidPrPd nuhlir_ information unless vou state thev are trade secret and the reason.
- - -- --- -- - - ----
Date A-
Site Address (097- l?roC??
'Construction Cost ,$7
Cir^c% UniUSte #
Description of Work i/ d" P4voo 2e L7eo5e?aa?se ~ 3D ss
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner R4Y 1 11I ! 1Pr Telephone # ((aS/ ) 7Sz ' 3?IS
Contractor ?&q4)e8r1 , 5, di-At oL W1jdo&tS' ' 7'yc
Address 313 lTG
State ?e?Se.? ? Y
i
Zip SS31 _ City L'4ctofh
Telephone #(763 )Vz7 96 g 6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[ewrv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code VJorksheet
(4 suhmission type) Submitled Su6milted
• Energy Envelope CalculaUons Submitted
In the tasT 12 months, has the Ciiy ot Eagan lssued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
herebv annlv for a Residential
Telephone #(
Telephone # (
Telephone # (
(? ?0 .in
O;U-ck--
ORce Use Onlv
Cert MSunxyRecd _Y _N
SbilsRepod - _Y _N
TrgE Pfes Plan Recd . _Y. _ N,
Tree Fres Reguired , _Y _ N
OirsiteSepticSystem _Y _IJ
and acknowledge that the information is complete and accurat
tliat 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 wark which requires a review and
approval ofplans.
ip,L. mae?'' l.l ???!
Applicant's Printed Name Applicant's Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153033
Date Issued:11/15/2018
Permit Category:ePermit
Site Address: 692 Brockton Cir
Lot:23 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Raymond F Miller
692 Brockton Cir
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158232
Date Issued:10/02/2019
Permit Category:ePermit
Site Address: 692 Brockton Cir
Lot:23 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-230
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 -
Raymond F Miller
692 Brockton Cir
Eagan MN 55123
(651) 452-3518
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169740
Date Issued:06/08/2021
Permit Category:ePermit
Site Address: 692 Brockton Cir
Lot:23 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-230
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Raymond F Miller
692 Brockton Cir
Saint Paul MN 55123--167
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature