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648 Brockton Cur INSPECTION RECORD I Control N 0019 CITY OF EAGAN PERMIT TYPE: MHi~►= 3830 Pilot Knob Road Permit Number: BtaB~li Eagan, Minnesota 55123 Date Issued: ildi9~tY (612) 681-4675 SITE ADDRESS: LOTs s OLOCKr 6 APPLICANT: 646 BROCKTON CUR HAVLIK, ROBERT HILLS Of STONfORTONE 288-#729 PERMIT SUBTYPE: TYPE OF WORK: BASENENT FINISH RE14911`L INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. "APING INSULATION FINAL FIREPLACE 4 Permit No. Permit Holder Date Telephone e S/W PLUMBING HVAC ELECTRIC 9OF ELECTRIC Inspection Date Insp. Comments Footings I Foundation ,x c _ Framing tie liL'L_. Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const Meter Engr./Plan Bldg. Final ` /o owc ~ L iiEG - Deck Fig. Deck Final Well Pr. Disp. CITY OF EAGAN PERMIT TYPE: { 3830 Pilot Knob Road Permit Number: , .f , . , s. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: r; 0 APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit Holder Date Telephone # PLUMBING HVAC Inspection^ Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. - BSMT FINAL DECK FTG DECK FINAL Y~C(~ !i J Y (Urtifirate of Mrruvanry Citp of Cagan Mrpart mt of ludbing AtuprrHan 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 Ctas fimuon SE MW C,AR Btd Nrvait No. 17461 0-upe-y Type R-3 j 11 zating Distri, FD/R1 Type Cont. VN Owner of Buildingpsm ICS , 5516 180TH ST E,PRIOR LAKE ' i BdIding Mdrm 648 BROX- N MM Locality L5, $6, HILLS OF SIMMUDG'E - Date: APRIL 19, 1990 Btwding.bIrici y 1 POST IN A CONSPICUOUS PLACE I l H CITY OF EAGAN 317461 830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWGJGAR Est. Value $100,004 Date JAN 25 Site Address 648 BROCKTON CURVE OFFICE USE ONLY Lot 5 Block 6 Sec/Sub. HILLS OF Parcel No. STOWBRIDGE Occupancy R- -M~1 FEES Zoning PD R..1 W Name R S H HOMES (Actual) Const -Y--N Bldg. Permit 640. 3 Address 5516 180TH ST H (Allowable) V--N 50,00 ~ Surcharge City PRIOR LMM Phone 440--65100 # of Stories length 591 Plan Review 416.00 z~ Name SAME Depth 48' SAC, city 100.00 OU 4 Address S.F. Total SAC, McwcC 600 00 City Phone S.F. Footprints 625.00 On Site Sewage Water Conn F W Name On Site Well - Water Meter 510.00 0 71 Address MWCC System XX 30.00 R9 oZ XX Acct. Deposit aw City Phone City Water _ 3000 PRV Required Sna Permit I hereby acknowlege that I have read this application and state that the Booster Pump S(W Surcharge 1.40 information is correct and agree to comply with all applicable State of Minnesota Statutes and City oj'Eagan Ordinances. Treatment PI 252.00 ' Signature of Permitee 'r" ' APPROVALS Road Unit 355.04 r A Building Permit is issued to: it S M HOMES Planner Park Ded. on the express-condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3' 1$51'40 I Permit No. Permit Holder / Date Telephone # WATER G c2G . / SEWER PLUMBING 1 r?Fl1t _ s/y~ p H.V.A.C. ELECTRIC 4'/Y Inspection Date Insp. Comments Footings I Z p S Foundation ~ (ion ~ oPfsicPP ~o.,s-U Framing -z,-- PO Roofing Rough Plbg. Rough Htg. 2 Z/ ~F Q-r S r* f HSv f [Sul. Fireplace Final Htg.~ Final Plbg. _jd-9D Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final y~ Deck Fig. Deck Final Well Pr. Disp. . l PERMIT # J MECHANICAL PERMIT RECEIPT CITY OF EAGAN ----rl-; 3830 PILOT KNOB ROAD, EAGAN, MN 55122, DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address C 3 BROCKTOI'1 CUR `7E BLDG. TYPE WORK DESCRIPTION Lot Block Sep/Sub Res. New i.lJ!"?J S r ; , I,E FIE.?iT? idG Mult. Add-on Namev Address t:f~ODE TSL.AMD AVE - Comm. Repair c City 3Al E Phone 7"1-`--000' Other FEES Name RES, HVAC 0-100 M BTU -$24-00 c Address _ ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE Forced Air M BTU " APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 -It Air Cond. M BTU $ MINIMUM COMMERCIAL FEE 20.00 STATE SURCHARGE PER PERMIT - .50 Vent, CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other $ FEE: - j SIC: SIGNATURE OF PERM1 TEE ' TOTAL: r FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # ' CITY OF, EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ,r- f` ° ' BLDG. TYPE WORK DE CRIPTION j Lot j Block Sec/Sub Res. - New Mult. Add-on Name Comm, Repair Addresses Other Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: S City N9. FIXTURES TOTAL Name Water Closet - $3.00 $ / Bath Tubs - $3.00 Address 1 Lavatory - $3.00 s p City Phone Shower - $3.00 / Kitchen Sink - $3.00 w FEES l Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 - APT. BLDGS - COMM RATE APPLIES < Floor Grains - $1-50 TOWNHOUSE & CONDO - RES. RATE APPLIES 'Water Heater - $1.50 i" MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool $3.00 MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) ~(ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 Well - $10.00 BEYOND $1,000.00) Private Disp. - $10.00 Rough Openings - $1.50 n SI__ TURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: /,,V f SEWER-& WATER PERMIT OFFICE USE ONLY I CITY OF EAGAN METER # 3.5'/3D YJ PERMIT DATE 100190 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP #G PERMIT # 1~1~2 METER SIZE 0 B.P. RECEIPT # C 5989 DATE 1 It C.7 (Cio ISSUE DATE d ' 0 B.P. RECEIPT DATE 1/26190 PRV - BOOSTER PUMP SITE ADDRESS W5 PERMIT REQUESTED LOT 6 E, OCK 6 SEC/SUB t~ SEWER "Y WATER TAPS APPLICANT: ~ ~Q fl~'~"v ADb'RE$S~ 56 UP t~_~ • Z. - COMM/IND RESIDENTIAL CITY, STATE ~~$o ZIP~~- K NEW EXISTING PHONE: ~ Q ^ 661~`, t{(~~ Lawn SPrin er Meters are to be installed PLUMBER: 4~ l t Ahead of omestic Mete on Water Line. ADDRESS: 18'(. q0( Z ~ r~y Credit NO giv for Deduct Meters. CITY, STATE O ZIP PHONE: ~4- _A600 AGREE T COMPLY WITH CITY OF OWNER: 6a K&V c'- EAGAN ORDINANCES 4 ADDRESS: wk'oeag CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT.,, r..,."...,--'-•---a,.,. .,-,r -..TF^ -err.: rw^c~ -r ia,r 3..., d.. - .x,.. _ _ , _ , . . , . , SEWER A WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. Eagan; KdIC!`55.122-1897 CHIP PERMIT # METER SIZE B.P. RECEIPT # C 9989 DATE ISSUE DATE B.P.RECEIPTDATE 1/26/90 PRV -BOOSTER PUMP SITE ADDRESS 8QQCkA0A) C"AJ PERMIT REQUESTED LOT LOCK (D SEC/SUB t 4'r r tU'f.. t K SEWER WATER -TAPS APPLIC'A r^• •~J • 1M Kb Wes' ADIAE~ 6k- - ~ - COMM/IND 6 RESIDENTIAL CITY, STA Pf1i0.., LCA.IC.E?. 0&0 ZIP K NEW EXISTING PHONE: 4 qO - 6'(OCR -:Y; ( fi t l Lawn Sprinkler Meters are to be Installed PLUMBEF l iD ti Ahead of JcYomestic. Meters on Water Line. ADDRESS: 1 4Ct 4-- ~ Credit WIft NOT'' ,~givgj(for Deduct Meters, CITY, STATE c..►.~ ZIP r ~ ! r PHONE: ~4- TC J, ~•r l~u~ AGREE T COMPLY WITH CITY OF OWNER:' EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: 1/30/90 RE: 648 BROCKTON CURVE, L5, B6, RILLS OF STONEBRIDGE xx Your Sewer & Water Permit for the above property has been completed. It will be held at the ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO Y ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. -n nour Sewer & Water Permit for the above property cannot be completed for the following ,(asons: i `Ybur Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 1/30/90 RE:648 BROCKTON CURVE, L5, B6, H1LLS OF STONEBRIDGE e• xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Fhblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO f {fCALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. our Sewer & Water Permit for the above property cannot be completed for the following ,.Vasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 1 4 3 4 5 4 Request Date ee No ough-in Inspection 3 S h Re iretl D Ready Now Notify Inspector dam' Ves C No When Ready, I licensed contractor owner hereby request inspection of above electrical work at: Job Adtlre s IStree 11 Flouts No I 4 Gty (~JY/ / ro ~n 1/V' Section No. Township Name or No Range No County O u ant iPRINT 1 Phone No it ?'QV Power Supplier Address 4~~ Coruractor5 License No Electra al ontractorlCOmpany Name) ornFOwhtI Mailing Address ISpntrac'or or owner Making lost ail ionl 0 a 71 2ct 3 5'1 Z 7 Authors Sign ure ICOnt on r Maki stallanOn) Pho n Number N/ i3S~ MINNESO A STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mi way Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION 4 q esaooot.oa ► See mstructlops for completing this form on hack of yellow copy 4 1 143454 "X*;Zelow Work Covered by This Request Q`•y ew Add Rep. Type of Building Appliances Wired EqulpmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks ,,L Fill Compute Inspection Fee Below. Fee # Other Fee # Seance Entranceslze Fee 19i Swlmmfn Pool 0 to 200 Amps Transformers Above 200 _ Amps s Signs Inspector's Use Only TO Irnga"On Booms P, Inspectwn AlarmlC Ommunicatlon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in oatil certify that the above inspection has Final all Date been made. OFFICE USE ONLY This request void to months from 4- c /xa 9S Request Date No Rough-in Inspection v1 (~-f Regmredt Ready Now [I WAI Nollty Inspector ~~T N L G Yas No When Readyp I ~ licensed contractor ❑ owner hereby request inspection of above electrical work at Job Address (Street. Box or Route No.) Coy / 6 41 R /:Y d L:rn ~J Gc,zue- G Season No Township Name or No Range No County rJ Occupant (PRINT) Friona No. 14 kiO-Ll L/ :7C/ k Power Supplier Address 4; 7-6 EledrK nlraaor (Company Name) , Contrectpr5 Ucense No rC v1-T Mailing Address (Contractor or Owner Making I'rjW two) _ 7 -54 6,f 'q C ) 04 Aum ignature tonO at Making Installabor) Phone Number & s- 6 MINN60 STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GNgge-M wey Bldg. - Room SAn BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Prom (612) Evil ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ' ES-00001-08 w ► See inslrucuorm for completing ibis form on back of yellow copy. C k f/gra95 F 5 0 4 , : Y''tWw Work Covered by This Request eew'Add Rep. Type of Building AppllancesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks Compute Inspection Fee Below: # - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A 00 Amps Signs Inspecmr§ Use Only J 4 TOTAL Irrigation Booms P a+ In~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dare certify that the above inspection has Final r oat been made. OFFICE USE ONLY This request wie 18 months from 130'Q/~ Request Date Fire No. Ro h-in Inspection a Ready Nov ' Rsaoy~ctor El No When l)k licensed contractor ❑ owner hereby request inspection of above electrical work al: Job Atltlr ss (Street, Box or Route No.) Ciry~ Section No Township Name or No Range No CounryCry ~`V OcCupant(PRINT) Phone No ~t 6r /7~ I Power li Addreas Electrical C tractor (Company Name) Contra Ucense No. D / S~ Mailing Address (Contractor or Owner Making Installati n) f 7 ~ ICJ I'a Aulhonz Signalure (Contractor/ ner Making Installation) Phone Num er MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN MIN UNLESS PROPER INSPECTION FEE IS Plena (812) 842-0 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION " "fir EB-00001-o] See mstructions for completmg this form on back of yellow copy~ G 13' 4'f gGi s X" Below Work Covered by This Request e Add Rep. Type of Building AppllancesWlred EgmpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speaty) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cvcuns/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's use only 76 TOTAL CO Irrigation Booms V J•~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT Other Fee , j COMPLETED WITHIN 18 THS. f I, the Electrical Inspector, hereby Roagh,n ate ~ certify that the above inspection has _ Finai to L 2 been made. , K- OFFICE USE ONLY This request void 16 months from G1279554 Request Date ire No {)oug ,m Inspechon x~ Ae cored'' ❑ Ready Now XWAl Nutlty Inspedo, t Ves C. No When Ready' I`<licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Addre (Street, Box or Route No) City Section No township Name or No Range No County Occupant (PRINT) Phone No. Power yopber X /4 /'-v_N/' Address Electric ntracmr (Company Name) Conrcedor5 cerise No ~ 2GcJ ~ / 9:1S Marling Address (Contractor or Owner Making Installation Aulhonz nature IContracmr/Owne eking Installation) Phone Number Io - 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 802-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ~p° E^aoooot-m G ► See instructions for completing this form on back of yellow copy y~'J 4 y X" Below Work Covered by This Request 12955 ew Add Rep. Type of Building AppliancesWuad Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other lspecity) Cork.chrls Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size as # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo Amps Signs Inspectors use only TOTAL 0 Irrigation Booms [ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee , COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. .4 7, b OFFICE USE ONLY _ This request void 18 months trom 8414 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ( r 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Rebuiremenis Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft or house; and a__a tnroroeeeeeddd s 2 copies of plan showing footings, beams, joists Carl of Survey Recd -Y _ N (20%maxirnum lot coverage allowed) Its tj~g lalo ns for heamd additions Tree Report _ Y _ N 1 Soils Report if proposed building is to be placed on disWrbed sdl I~IJU[]a[ lots 8(ey dNOns 8 decks Tree Prey Plan Recd _ Y _ N 2 copies of plan sharing beam 3 window sizes, poured found desig AddN'on - i if on-site seplic system Tree Pros Required _ Y _ N l setof Energy Calculations JUL 1 0 2008 On-ate Septic System _Y _N 3 copes of Tree Preservation Plan 'd lot platted after 711193 Rim Joist Detail Options selection sheet (buildings wth 3 a less units) f•innegasco mechanical ventilation form Plans are re considered public information unless you state the are trade secret and the reason. Date ( l siI p l ~O Construction Cost D 48-(50 l& r0 Site Address ~ L'pry Q!"VN~ Al CAA-V,, Unit/Ste # Description of Work T~ r^ Oq Multi-Family Bldg _ V X N Fireplace(s) - 0 _ 1 - 2 Property Owner eQyb )1 ~r Telephone#(/</) ya5i b732- Contractor RICK'S ROOFING & SIDING INC. 256 (;LhVj:LAND AVE. SW t Address NEW BRIGHTON NAN 551151 City State 651-633-6395 Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of mower plan: Licensed Plumber Telephone # ( 1 Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 pla Applicant's Printed N me Applicant's Signature 7om0 2004 RESIDENTIAL BUILDING PERMIT APPLICATIONRAID AUu ? 6t IOU, City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements bffiie Use or& 3 registered site surveys showing sq. ft of lot sq. ft. of house, and all roofed areas 2 copies of plan Cart of Survey Recd 7 Y- _'N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd'" _Y- _N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required,,' Y: N 1 set of Energy Calculations Addition • inafkate don-Me septk system On-site Septic System. , Y, -N, 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detall(O~ptions selection sheet (blddgswith 3 or less units g Date ~C> l 0~l OL(( Construction Cost J" U70 v Site Address C7 44-8 o c Ur 1 Unit/Ste # Description of Work Rifle `Q(.(I4t(B) wivi coos b caus~ A9x nl~~ Multi-Family Bldg - Y V N V~ Fireplace(s) _ 0 _ 2 Property Owner Telephone # A1,95- V Contractor (,+1, uzo jDt, ((dui i Address 555f3 6MLh6k CALVE-11 City_ , r? r~ State 1I11~ Zip 7J Telephone#(15Z) 99tYU!/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet ,New Energy Code Worksheet (4 submission type) Submitted 'Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor A Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ ~ ~ J ~1a h s _ ~.c VW Applicant's Printed Name Applicant's Signature CITY OF EAGAN NO 17461 3830 Pilot KPob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # C, rJ r To be used for SF DWG/GAR Est. Value $100,000 Date -TAN 25 7g~_ Site Address 648 BROCKTON CURVE Lot 5 Block 6 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. STONEBRIDGE Occupancy R-3 -M--l FEES Zoning PD R_7 W Name R S M HOMES (Actual( Const -Y--N Bldg. Permit 640.00 c Address 5516 180TH ST E (Allowable) Surcharge 50.00 PRIOR L.AKF. urcharge City - Phone 440-6900 of Stories 0 Length 59, Plan Review 416.0 100.0 o Name SAME Depth 48 r snc, City Address S F. Total SAC, MCWCC 600 - OO E City Phone S.F. Footprints 0 On Site Sewage Water Conn 625.0 r l2W Name On Site Well Water Meter 90-00 4i Address MWCC System -XX 30-00 ¢j+ Acct. Deposit a W City Phone City Water PRV Required SAN Permit 30-00 I hereby acknowlege that I have re d this appla ic on and state that the Booster Pump Sna Surcharge 1 -0 O information is correct and agree 19' a co pltj wit all applicable State of Minnesota Statutes and City o*FE in Q~ nc Treatment PI 252.00 Signature of Permitee / APPROVALS Road Unit 355.00 S M HOMES Planner Park Ded. A Builtlmg Permit is issue to: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies ~ I nil Variance TOTAL 3,189.00 Building Official . 4 1 r1'~ 1 1990 BUILDING PERMIT A PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 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. LOT 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. ,1A A i a RECD To Be Used For: Valuation: Date: t`«k© Site Address 6gO O y),-'-'0C--80A3 C4~~ OFFICE USE ONLY r ) b obbv - Lot 6 Block b j FEES Occupancy -3 -1 Zoning PD R_I Parcel/Sub E(t«S 0 `J~CJ~}~~Y~t'p1Cy Actual Const V Bldg. Permit C7y0.oo Allowable V-N Surcharge .5,00 Omer Rs• ~`n - tMe-# of stories Plan Review NI D t Length _59 SAC, City OO,Ofl Address 65«o t%01~ S~• Depth 146- SAC, MWCC tam ,00 S.F. Total Water Cann 67.5 ,00 City/Zip Code `(>uo ' Lu~°L Footprint S.F. Water Meter 90.00 ~ 553? Acct. Deposit 30.00 Phone ~0 - 61©~ On site sewage_ S/W Permit 20,00 On site well S/W Surcharge J.DO Contractor SCIIn~~ MWCC System l~ Treatment Pl. 2 2,aa City water Road Unit 3aS,OD Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council / ✓s~Y Arch./Engr. Bldg. Off. ~1/Z7, Variance Address City/Zip Code Phone # o w A~ 46E' 3zuZ2 ~nLq 2 x 2 ~t ~a~ K 15; l o6zo .~smY X12 r 3Zy '.6 7C p . oyb Nous~ T= 136v ~'~2x2~ . yz / `-1 p-c~ X~= R D D a a • t Sur~ve~ar~s eerm eate SURVEY FOR: R.S.M. Homes Inc. DESCRIM AS: Lot 5, Block 6, HILLS OF STONEBRIDGE. City of Eagan, Dakota County Minnesota and reserving easements of record. A G / \ --rr G.r, ~ by y / \ b ate fO/ d0 b' r O / ti ,,p,/ ro / o ~ ?4o Oro` ie. ~ t?" ~ ~s9 sP ♦ b ~ \ ~ 140 %7 4to 04, n r'k vs /I O p~~ \ ~O 41N / QbveO~ sO LOT SQUARE FOOTAGE = 13, 719 R By D e EAGAN EN INEERING DEPx PROP08EO ELEVATIONS ` C.. Off' lol 7, blo<M b Top of fooneetlen S' Vey. qV.'L$ Geroge Floor r '167.1 Bosement Floor 'eifsc.) x'104,3 MIN.98S k REWR_EMENTI Approx. Sewer Service Elev. • aid, vee Front . so "cents BIM - 10 reposed Elevations r(~ Existing Elevtlons r Droln•ge Directions fib NO& -IS SeregeSlAe^ 5 Daneles Off"' 8101e . O SCALE: t l oak a EO Feet • 1, W. I I Mr•!r s•rllfr *Of Has wrd", plan Or r•psrt war pr•p•rea M 04 doe NO.: P r nd undsr my direct vs or m aap•rr awe of feet 1 •m • •ulr Rrel . CIO it _607 p ,~~D~~~~ or Lend $ •rvvr wrap IM Mrs of m• efai• of Mler•••le e00lfs Plarnlry Erylnerp 8rninY r10Er J !46 6L rrru.rsrr;.olewa~i"`re""'"'wnr ( p ` air. D c~ee rue• •Vb, nar ra re•, u•sns• N1/i RsM t ~i(i+& r EXTERIOR ENVELOPE AVERAGE "U" COM11UTATI011 , CMNSR R . S ~ • Roryye, SITE ADDRESS (;LC> 400,49S ~b9 oc C.lox) CtAV_V e_ CONTRACTORr~ S. M 110e, - DATE t (~Z © PRONE ((go - C 90C Determine working square footage or each. 1. Total exposed wall area 169$.0 sy. ft. x IL /pj/p•8 2. Total roof.ceiling area 110 q.0 sq. ft. x .025 , 7 L ,y Total exposed wall area above floor a. Total wall window area /0'1$ •y b. Total door area 40.8 c. Total sliding glass door area g A z d. Total fireplace wall area O e. Total wall framing area (average 10%) JLOB.S f. Total net wall area above floor _ r3 2 8•~ g. Total rim joist area 11 Z .o Total exposed foundation area = gg•o h. Total foundation window area O i. Total net foundation area above grade $Q.0 Determine "U" value of each wall segment. a. I~R.y x ..U.. 55 - 70.(0 b. 1(0.8 X "U.. .070 3•► c. 31. x "U" , sS = 17•Z d. o x ..U.. d o e. ~1e8.8 x "U.. • 1 Z a ZO. 2 f.1L6 x .u. .oy2___ss,.8___ Oq7 89 0 . o s3 7.'f ] ................................._...Total _ 179t~o~ If item #3 is the same as, or lee; than item 01, you Valve met the intent ,Qt of SUC 6006(c)2. g{i,,,n dl 3 1/(74, a o9Cttw. / C/B(r•8~ 7~ a{ SRG 400 6 (C~ Z Total exposed roof/ceiling area 1)Otr.G _ j. Total skylight area D k. Total roof/ceiling framing area (average LO%) _ 11 0 •'L_ 1. Total net insulated roof/ceiling area 993-4F Determine "U" value for each roof/ceiling segment. j. O X U.. _ oa/ _ X0.6 1. 993-4 X -U., 4 ......Total , If total of 14 is.the same as, or less than A2, you have met the intent off- J SEC 6006 (c)1. ♦ Y C23.6~ G 9 :F bb oft 4L to (-C)r Alternate Building Envelope Design To utilize the total envelope system method, the values establish.--d by the sum of items M3 and #4 shall not be greater than the sum of items #1 and k2. 1. rg~.s 3. 1'74,` + 4. Z3•&. (Z 1q.y7 > a.4.0 a3r"`'/ ZVI c~o-a.fraP l r Z -b-cp~ 44-91 '64j l' 40 iva .Pat uAI" PERMIT Control N 0 019 CITY'~DF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000016 (612) 681-4675 Date Issued: 03/09/92 SITE ADDRESS: 648 BROCKTON CUR LOT: 5 BLOCK: 6 HILLS OF STONEBRIDGE DESCRIPTION: W6ildi'm4_Permit Type BASEMENT FINISH Building tkork Type REMODEL s: l'I ~i -tirj L REMARKS: RECEIPT #CO17698 SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK. FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - OWNER: HAVLIK, ROBERT 12935729 HAVLIK ROBERT 648 BROCKTON CURVE 648 BROCKTON CURVE EAGAN MN 55123-1677 EAGAN MN 55123-1677 (612) 293-5729 (612)454-9396 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 Mn. Statutes and City of Eagan Ordinances. L- I - 111 ~.Q.1,1~ APPLICANT/PERMITEE SIGNATURE ISSUED Y IGNATURE INSPECTION RECORD Control No. 0019 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number 000016 Eagan, Minnesota 55123 Date Issued: 03/09/92 (612) 681-4675 SITE ADDRESS: LOT: 5 BLOCK: 6 APPLICANT: 648 BROCKTON CUR HAVLIK, ROBERT HILLS OF STONEBRIDGE (612) 293-5729 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH REMODEL INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR, FRAMING INSULATION FINAL FIREPLACE RECEIPT #CO17698 MAR 09 REC11 1992 BUILDING PERMIT APPLICATIONC CITY OF EAGAN REQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT 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. gswf o To Be Used For: Valuation: 44 ~,7 Date: 7 ' I Site Address (o `f 6- (&DCk-h(-A (~)2JE OFFICE USE ONLY Lot ~ Block ~ FEE Occupancy Bldg Permit 3 s 00 Parcel/Sub 4 i Is, n J~lm2hr, c~ Zoning Surcharge o Actual Const Plan Review Owner v'u K Sri <SE Allowable License Fee . , # of stories SAC, City Length SAC, MWCC Address (e Lac_Ovw CIJ ,Q 15 51 Z 3--/G~ Depth Water Conn. City/Zip ,,AL-e~ , S.F. Total Water Meter Deposit Pho 1 Footprint S.F. SAoct. /W Permit 33 Z-11 On-site sewage S/W Surcharge Contractor &)3I On-site well Treatment PI. MWCC System Road Unit Address City water Park Ded. PRV Trail Ded. City/Zip k) Booster Pump Copies SUBTOTAL Phone N I A License N ! Pc APPROVALS Penalty Planner Lot Change Council TOTAL 5.50 Arch./Engr. 00~j Bldg. Off. Address -N) A Variance City/Zip Code N Phone # KI(N Sewer/WaterLioensed ontr. Processing time fo w 7 fQ r) ;;~4 ae er/water perm' i77aa once area as been approved. agrees that all work shall be done in accordance with ign ture o erm tte all ap licable State of Minnesota Statutes and City of Eagan Ordinances. pri: - PERMIT' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: 3 6 N G Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 07/27/98 SITE ADDRESS: 648 BROCKTON CUR LOT: 5 BLOCK: 6 HILLS OF STONEBRIDGE P.I.N.: 10-32990-050-06 DESCRIPTION: BBVi1i1 ng Permit Type DECK ,Building"Work Type NEW ,'Census Code=-`. 434 ALT. RESIDENTIAL i f2 IF! x k ,s v , f f ~4 Fe.M. 'if t`+-J~stY 6 .C^)r h n o- e '°ft"-Y .m,&t+ \L.JtYj R ~ i.. j .t Aw REMARKS: PLAN REVIEWED BY BILL BRUESTLE. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OV~IF - A p p ROBERT 648 BROCKTON CUR EAGAN NN 55123 (651)293-5729 ` I hereby acknowledge that yI have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances.„ £ J _ p _ APPLICANT/PERMITEE SIG URE SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAN 2 ~(0 (A 3830 PrLOT KNOB RD - 55122 J 681-4675 ^ a)-"~2' New Construction Requirements Remode9Reoair Requirements ♦ 3 registered site surveys t _ _2 copigs.p(,ptan ♦ 2 copies of plans (include beam a window sizes; poured fnd. design; etc.) ♦ _-2Ab §urv#y.s (exterior additions & decks) ♦ t energy calculations • t energy calculations for heated additions • 3 copies of tree preservation plan V lot platted after 711193 required: _Yes _ No DATE: 2- CONSTRUCTION COST; s I R t~LS DES IPTION OF WORK: L1E~-i~- EET ADDRESS: a~~<-tea 2uE LOT: S BLOCK: SUBD./P.I.D. I~~S 3LUr+E,C+~tl?toE )(~l~iC~-!~'S(g- Gin Name: 4A 4 V,- I(4- Phone#: PROPERTY Last First OWNER Street Addrerress: (o,4 2oc urv~ fsu~ City State: Zip: Company: JA Ar\ Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penally applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to cowlth all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant IOFFICE rc~~a~~ USE ONLY Certificates of Survey Received Yes No 7 Tree Preservation Plan Received Yes No Not Req ,ired 60 ( Lek- C" SlIrvel argr G'erttfieirte a~o,&v . rte f~ SURVEY FOR: It.S.M. Homes Inc. DESCRIBED AS: Lot 5, Block 6, HILLS OF STONEBRIDGE. City of Eagan, Dakota County Minnesota and reserving easements of record. A~ Qoa ~ ~ ,i'~ M ~ 2r~ S oti / 'o ~ a`~ cP F~ Cti` '~~y`°e v tgd eA ~ os4 alp, P Al LP f / •4. l1~ \ / ~Qo~o'O tit o LOT SQUARE FOOTAGE = 13, 719& PROPOSED ELEVATION r - ~ at lot 4, bl„M 6 Top of Foundation ■g0r.s Bkv: v b.1S Ocroge Floor 0'167.1 Basement Floor # 1 (61) 6 404.3 Approx. Sower Service Elev. w 6/per. Vee. ry Proposed Elevatlon$ 1 Q Front . so llmo SIN - 10 Eenllot Elevations Drainage Directions a W NOW - IS flmot $Me 5 Denotes Offset Stalls _ c9 SCALE; I Inah s 30 Feet I Amer eerlllr that [Ale survey, flan or [.pert was Petaled N me 409 NOA fr . hliEDLUND of eetr ,ref or m and Shot a eT a gulf Ree. 901k , oO7 Land evrverer most a rat ,e laws law[ of the alep of MlnnnelsN (IOORt ►60t. `l Planning EnyMdorlrp Bun+Pying 146 66 tw, It" qty, rm• nt7ti ` Iw.w„■le,rr Dalai f ~e benee lAdO•flllr w,,t, pnu ~e~ bo- 1■.wO o+rz we D We R6vni giBy f I rte, 1 of bRan I Permit 0 • 1 I Permit Fee: ~ F 1 3830 Pilot Knob Road I C 1 Eagan MN 55122 Y~ j i Date Received: i Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: V f 6- 0ACLI L 1 I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O + Site Address: V/ t 1 t%k ~-~w ( ~ A - y Tenant: Suite RESIDENT / OWNER Name: S ~l Phone: 1' 'T7~• 0 73z Address / City / Zip: A.{ J Applicant is: Owner ✓Contractor TYPE OF WORK Oescription o work: to wl IlL ows In~b Wls~ ft d pQ. 1 a 011,61lj t r1VD O Construction Cost: • D0 'Multi-Family Building: (Yes / No ) CONTRACTOR Name: 0 ~7su IV--License # A173 Address: 5 D City: ( //~,2Q,C~,~tP~ State: M Z~ip: ~ c~'L Phone:`'I,52 'q3J Contact Person: ( f V Dj~ ~..1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateciory 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes `No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: r r Planes ` "3gdr~cume#ts~ uE_ w ~ieupt►rr rn oirtxrafinr~ oy'trot flrrrrtvraratrtrirflas~µrrxY . r yob crnstEitrwould!p~rm7hftiEtfyfa I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t start without a permit; that the work will be in accordance 't he approved pia i~the(case of work which requires a review and approval of plan . f x I ~ x , n,, - i ao Applicant's Printed Name Applicant's Si nature Page 1 of 3 ry r DO NOT WRITE BELOW THIS LINE 7 SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building y n r' WORK TYPES by Y'om' 0 M n per- ~ I' ~ J~ 0 d 0 ~6Y-6r ~$NlT ~ L New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wail *Demolition of entire building - give PCA handout to applicant DESCRIPTION i~, (,(,-0 - Valuation Occupancy MCES System Plan Review Code Edition o" SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) _ Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows -t- jo&' ---o fJO01L Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC C CC City SAC / 1, v Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128075 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 648 Brockton Cur Lot:5 Block: 6 Addition: Hills Of Stonebridge PID:10-32990-06-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Wade Sedgwick 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Barbara B Fisher 648 Brockton Cur Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature