673 Brockton Cur
FTO
r ce Use
j Permit / ` 1 I
1JILY of Evan
I ,
3830 Pilot Knob Road I Permit Fee.
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 1 Staff: ,
I
- - - - - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION CI,941
Date:-j-Site Address: 69S ~hac-~~,a/~ L~f•~/ "0
Tenant: SciS~4 fJ Ou ero.L Suite /
RESIDENT / OWNER Name: Su SA 0 rho ear v~ Phone: 651- y sy- ia3~
Address / City /Zip: 6 *47 -3 A hoe_ - fco"1 L1 L F y
Applicant is: Owner Contractor
TYPE OF WORK Description of work: P- dc, A4 e- PA M9:!!;,
Construction Cost: 4a L4 7 Multi-Family Building: (Yes No
CONTRACTOR Name: A4y-42 i- SQhu Ig-e License r20 ,ct~ ,
Address: r~ l a A u0-l i A N,(. AJ S
City: A iJO I&AL State:
L44 - \1•~ Zip: S"53
Phone: _76 - q71- 1?a- Contact Person: Uo t) S A X
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro al of plans. o
0 x DC, QA I- 0., s.4 x- x ~1
Applicant's Printed Name Applicant's Signature
® l1 V L F_~j D Page i of 3
NOV 1 7 2009
DO NOT WRITE BELOW THIS LINE / ~ / j
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
WORK TYPES
_ 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 Wall Temolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review T-A Code Edition 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
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
L10
Plan Review ~
r ~r VK
MCES SAC 1
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
(Urtiftirate of Orru awry
titp of (Cagan
~r
Erpr#mrnt of Ilttilbing Inovertion
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 SF M/~,W Bldg. Permit No. 15977
Occupancy Type RW Zoning District PD/R1 Type Cont. VN y,
Owner of Building MEM Addy... F-0- BCK 428, P-RINMEIN
Building Address 673 T C J- Locality L 18, B5, BILLS Or, SMEFUDGE
a9
Date: IQVE1M 41 1989
Building Officis .y
POST IN A CONSPICUOUS PLACE
BLDG. PERMIT NO.
01-3210 Bldg. Permit QD
01-3422 Plan Check 0
01-3445 Surch./Adm.
01-3446 SAC/Adm.Q
01-2155 Surcharge
75;3860 Road Unit
20-2275 SAC_
20-3865 Water Conn.
20-3868 Water Trmt. G
20-3716 Water Meter U U
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL:, r"~
CITY OF EAGAN r.
3830 Pilot Knob Road, P.O, Box 21-199, Eagan, MN 55121 y
r PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for SP D'bfMAX Est. Value Date 19
Site Address ,573 BROCKTON CURVE OFFICE USE ONLY
On Site Sewage Occupancy R-3
Lot 1 e Block 5 Sec/Sub. STOI RIL+.: MWCC System Zoning ?D R"1
Parcel No.
On Site Well (Actual) Const
r GE OWE Water (Allowable) V-N
Name =."VIN GE()~ E ILDEFS, III,:
w » y PRV Required # of Stories
Z Address L BGX 428
f o' City Phone 3l~ ~'.3w Booster Pump Length KCr
Depth 521
Name SAW, S.F. Total
0
O a Xddress Footprint S.F.
U
City Phone APPROVALS FEES
~ ¢ ' Engr./Assess. Permit ~''it •',;r i
UW Name s
= Address Planner Surcharge
aw city Phone Council Plan Review -3. 00
Bldg. Off. SAC,City 100.00
I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all applicable State of Water Conn. 550, 0
Minnesota Statutes and City of Eagan Ordinances. )57.C0 Water Meter
Signature of Permittee
-fir - Road Unit 31S_00
204.00
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. TX3-I.
;
Building Official TOTAL
CITY OF EAGAN
a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454.8100
BUILDING PERMIT Receipt #
To be used for CJ f'- Est. Value a_i a t;' 7 Date b ,19
Site Address IjRWW' OFFICE USE ONLY
Lot Block R Sec/Sub. On Site Sewage Occupancy
MWCC System X Zoning s t~.-~1
Parcel No.;..:p
On Site Well (Actual) Const ~
oc Name Px:I a I:T City Water X (Allowable} i
W -.PRV Required # of Stories
3 Address
o City Phone '7}{1°vi':4 Booster Pump Length
Depth e
ao Name X&A1, S.F. Total
.
a a Address Footprint S.F.
City Phone APPROVALS FEES
~ w Engr./Assess. Permit ,
Name
1 W Planner Surcharge
= Z Address
4 w City Phone. Council _ Plan Review 3. ( O,
Bldg. Off. _ SAC, City .r ^ C
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 ~a~ .
Water Conn.
h
Minnesota Statutes and City of Eagan Ordinances.
Water Meter +v
Signature of Permittee T
Road Unit - r=Et
A Building Permit is issued to:____________~z - Treatment P1 11+da
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official
Permit No. Permit Holder Date Telephone #
ftimbing
HY.A.C.
849
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings 11
Foundation
Framing a Cc--cf~ 1~- 4~ - 41 - 22 yY /gyp
Roofing
Rough Plbg. 9
Rough Htg. - rt-or o J 8 -rJ I +~G
Isul. b, 62
Fireplace
Final Htg. 2f
Final Plbg.
Bldg. Final f
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well Pr. Disp. Q
P ps - :v
C~f~ (aF ar
i
PERMIT # ~f ar
o MECHANICAL PERMIT '
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE~,, PHONE: 454-8100 ~1J
Site Address -73 b r O G o R Curve BLDG. TYPE WORK DESCRIPTION
Loth Block Sec/Sub x X
Res. New
HN a t i B & to Mult. Add-on
glingHwo
m Name
Addre ~ 2 90 Z a C a r v Lane No- Comm. Repair
City a o y e Phone other
Marvin George Builders FEES
Name RES. HVAC 0-100 M BTU
c Address O X ADDITIONAL 50 M BTU 6.00 Princeton p City Phone 3 3 2- 3 0 3 4. (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
j GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 1(-~ u.) M BTU T 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
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .SUS
Vent CFMADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: r
S/C: SIGNATURE OF PERMITTEE
;)c
TOTAL:
FOR: CITY OF EAGAN
*+er ,7Ft9;:'a~hk.°'sf'C?F„":,~'!u~ ;.',ar:1.'~P d My+:~ ,w. y 71 ' ,Nf .s i ;#:.'?:;.,,...i. a.. _
• T PERMIT #
PLUifA"g`INGr-PERMIT RECEIPT # C,,/,-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Addr ss F ,vu- ~~'BLDG. TYP WORK DESCRIPTION
i-1 Al
Lot Block
S C/Sub Res. New
Mult. Add-on
Name L u 44/-1 r N Comm. Repair
Address 4 fr /V IFO Other
c City !1 ^r.~ Cs R u/< Phone q RES. PLBG. ONLY;- COMPLETE,THE FOLLOWING:
FIXTURES TOTAL
L Name tyo kV, ) e~Z +c -e Water Closet - $3.00 2i
Bath Tubs - $3.00
C " Address Lavatory - $3.00
O City T • A2 e T Phone -3.3 2- 3 03 I =Shower - $3.00 3 ' `ru
Z Kitchen Sink - $3.00 3
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 1
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 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,099.00) Well_-:-. $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE ( FEE:' `
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: `r r~
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN
3830 Pilot Knob Rd. PERMIT DATE
P.O. BOX 21199 WATER PERNJIT # 1C,2' SEWER PERMIT # L1376
Eagan, MN 55121 METER # 'J ~22 B.P. RECEIPT # 0117
READER # 01 / 2 ~P. RECEIPT DATE -121416/88
METER SIZE 6 le A" 'c - n ")&w T;T"C'q1p'r 00571
ISSUE DATE G '-9 _ PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT =BLOCK = ~y SEC/SUB J'
APPLICANT: '`SEWER WATER TAPS
ADDRESS: 5;~1 9° r COMM/IND -RESIDENTIAL
CITY, STATE ZIP 1
PHONE:
NEW EXISTING
PLUMBER: `
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGN TORE WHEN R ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SE PERMITS, CONTACT -
ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN
3$30 Pilot Knob W. PERMIT DATE
P.O. Box X1 nob WATER PERMIT # I - ~ e SEWER PERMIT #
1-99
Eagan, MN 55121 METER # B.P. RECEIPT # r,
93C1, READER # B.P. RECEIPT DATE p' 2 - t°
METER SIZE
ISSUE DATE- PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB
-SEWER "'WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND -'RESIDENTIAL
CITY, STATE ZIP
PHONE: - NEW _ EXISTING
PLUMBER:
ADDRESS: 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
w DATE: I/18/89
673 BROCKTON CURVE, L18, B5, HILLS OF STONEBRIDGE
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
y~)~
_r- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
0' 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.
2 1 - 4 9 7 OFFIC US ONLY This request.oid 16 months from wlidomm doh printed in this bW.
PLEASE PRINT OR TYPE ~3 J.IJrXJ ~I`~
Request Dam R:Is-,n impeaon regm 2 ❑ Yes Impedmn Other Than ough-Ice Body Now 0 Will Call
5 / 2 3 / 9 6 raa mast aan me apedor n., eadyl Date Ready
licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Boa, or Roale No) Cary Zip Code
673 Brocton Curve Eagan
Section No. Township Name or No Range No. Fire No County
Dakota
Oac Wnd Phone No.
Roverud 683-9092
Address
Eledncal Comm r (Company Name) Contractor license No Mosier bc. Na (Plan) Elect. Only)
Harrison Electric, Inc. A00808
Moiling Address (CoMracmr or Owner Pedormmg Immllafion)
2525 Nev da Ave. N.-#301,
Aalhorimd Signahm onhatlar '/Performing ImmllaKon) Phone No.
EB-ODOOIA-10 6195 STATE BOARD COPY-BEE INSTRUCTIONS ON BACK OF YELLOWCOPY
11 vity Rm. ~4Uot sat Be., d of FOR ELECTRICAL INSPECTION
I IIII ~ I I I I III III M
* 2 7 6 4 9 5* Pp ono w4 eat-oBoo 7 `F&
Home Duplex Apt. Bldg. Other: IVew Addn
Commercial Industrial Farm Remod Re air
it Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
SKxxxRRRj1: VOGT 5997
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service size Fee # Ciifs/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100rcv Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100-Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. 20.50
Alarm/Remote Control
Swimming Pool I here mm that l ins scrod the eleanwl .m scribed heroin on the dares abted
Irrigation Boom Rough-In oat:
Special Inspection
Flnol Dote
Investigative Fee
THIS INSTALLATION MAY BE ORDER D DISdONNECTRID I COMPLETED WRFUN 10 MONTHS.
a/iJ/s / 9i0 SIr
Request Date Fire No. R ES Inspection
T l p R u'nsd ❑ Ready Now WIII Nobly inspector
Or - / p fee ❑ No Whan Ready?
I licensed contractor ❑ owner hereby request inspection of above electrical work at:
.lob Address (Slreet, Box or Route No.) City
3 o6KT"ai✓ e LAC a4K, IJ
Section No Towrwhip Name or No. Range No. County
4,97-
Occupied tG 5 STb.Jfi °/dts s6.~'oT~f
(PRINT) Phone No.
iU G~i1726 icvg~s 332 - ?0 3'
Poway Supplier Address
A-IK'p CrL -G / L / zdlft µJ /G7-~
Electrical Contractor (Company Nerve) Contraela5 Lcense No.
/97 ASTc2 G G 4~0
Maifing Address (COMraaor or Owner Melding Installation)
oZ L 5e E
Aulhomed Sign: ontraclur/Owner Making Installation) Phone Number
~9a 3 S~ s
MIMNE STATE BOARD OF ELECTR THIS INSPECTION REOUEST WILL NOT
Origg"Idway Bldg. - Room 5-179 BE ACCEPTED BY THE STATE BOARD
1821 Unlveratly Ave, St. Paul, MN SS1D4 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0888 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea.ooom-07
►
See inshuclwns tar competing this form on beck of yellow copy.
ry
E - 0'J 5 Q X" Below Work Covered by This Request
New Add Rep. Typeof Building AppliancesWlred Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heabng
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contrsotors Remarks.
Compute Inspection Fee Below.,
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / - 010 ib ZF
Transfomlers Above 200 _ Amps Above'W Amps
Signs Inspectare Use Only: TOTAL , 5e,
Irrigation Booms 5b
Special Inspection
Alarm/Communication
Other Fee t
I, the Electrical Inspector, hereby Rough-In oeteA
certify that the above inspection has Reel ~re 7
been made. •
OFFICE USE ONLY
This request void 18 months horn
-
CITY OF EAGAN 15977
r 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 w~?
Ww
BUILDING PERMIT PHONE: 454.8100 Receipt #
To be used for SF DWG/GAR Est. Value $93,000 Date DEC 16 ,19 as
Site Address 673 BROCKTON CURVE OFFICE USE ONLY
Lot 18 Block 5 Sec/Sub STOHILLS OF On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning PD R-1
Parcel No. On Site Well (Actual) Const V-N
MARVIN GEORGE BUILDERS. INC City Water _X (Allowable) V-N
a Name
W P O BOX 428 PRV Required Length Stories
z Address
o City PRINCETON Phone 332-3034 Booster Pump 50 1
Depth 52'
c Name SAME S.F.Total
0< Address Footprint S.F.
a City Phone APPROVALS FEES
mm Name Engr./Assess. Permit 546.00
w i Planner Surcharge 46.50
i - Address
0
a w City Phone Council Plan Review 273.0
Bldg. Off. SAC, City 100..00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 50-0
information is correct and a to comply ,in all applicable State of Water Conn. 550-00
Minnesota Statutes and Ci of egen Ortli nces
Water Meter 67-0
Signature of Permittee _ _ - Road Unit 25 00
A Building Permit is issu o - RVIN~EOECE_BLDRS Treatment P1 204.00
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
,1 TOTAL 2~ 661.50
Building Official- - 1l"k, I ill C,
~z
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
I r
INCLUDE 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 PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF 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
DEC 061988
To Be Used For: single Family Valuation: Qq2 114 Date: 1211/99
Site Address 674 Rrnrkton CnrvP ~37 000- OFFICE USE ONLY
Lot 1g_ Block On site sewage- Occupancy R-3 M-!
MWCC system Zoning Pb R-t
Parcel/Sub 14;11s of S1-nnPhridgP On site well Actual Const V- N
City water ✓ Allowable V-N
Owner Marvin George Builders. Inc. PRV required # of stories
Booster Pump Length SQL
Address P.O. Box 428 Depth
S.F. Total
City/Zip Code Princeton. MN 55371 Footprint S.F.
Phone _ 437-30'14 APPROVALS FEES
Contractor Same as owner Engr/Assess Permit 5q(O.00
Planner Surcharge q 4" so
Address Council } Plan Review 2 3,() O
Bldg. Off. Gt11~ tZ,► SAC, City 100, 00
City/Zip Code Variance SAC, MWCC 550,00
Water Conn 550,00
Phone Water Meter r,oo
Road Unit •0 0
Arch./Engr. Samangnwnpr Treatment P1 0_0 (4 ,00
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
VALLAA'CtONI
zzk zz. - 48 1 kry~ 6r7 r? ,
12oo
!134q X 13 =
HOUSE
Lz6MT-= I34~}
Z~t7X2= ZVI
1kt2 = I~
38 49 = 681
92 o(oy
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OSdNER ~aR1Il N G 60 (UGC ~ UILI~~2s
SITE ADDRESS_ SPt1.1811~ La-
CONTRACTOR h"It) O"~ ~7a~E~~CJS~.~"~
(Qf~d15 r5U1LDE(LS DATE PHONE
Determine working square footage of each:
1. Total exposed wall area ' gog- j sq. ft. x 16
S SZ g
2. Total roof/ceiling area..... J7S ro 8 sq. ft. x.6 Z b .56
Total exposed wall area above floors= 14618
a. Total wall window area . . . . . . . . . . . . . . . ►~1,~361
b. Total door area. . . . . . . . . . . . . . Qej
c. Total sliding glass door area. . . . . . . . . . . .0-
d. Total fireplace wall area . . . . . . . . . . . . .
e. Total wall framing area (average 10%). . . . .
f. Total net wall area above floor.-. . . . . . . . .
g. Total rim joist area . . . . . . . . . . . . . . . . Gtj
Total exposed foundation area =
h. Total foundation window area . . . . . . . . . . .
i. Total net foundation area above grade. . . . . . . .t
Determine "U" value of each wall segment:
a. 1y8,361 X "U" .34 = 3
b. .Z 0 X nun _
c. 40 x ..U"_
d.
e. X lull 9'
f. X lout,
~ g x 11u11 • O I' _
h. °
i. 1 &y x .-u.. 06G = If•316
3. TOTAL . . . . . . . . . . . . . . _ 54. 6767
If item d3 is the same as, or less than item bl, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = I g
J. Total skylight area . . . . . . .
k. Total roof/ceiling framing area (Average 10%) i3 6.f
1. Total net insulated roof/ceiling area . . . . . . 1 3 6 8
Determine "U11 value for each roof/ceiling segment:
- .
k. i 3 or $ x 11U11 3,6
1. 3 6 x 11U11 .oaa = "30
4. TOTAL . . . . . . . . . . . . . . = 3 3 • '
If total of item #4 is the same as, or less than item 42, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of items
#3 and 04 shall not be greater than the sum of items B1 and 62.
1. ! ~tS.SarB + 2. 35,sdfs = 0~6
3. JS7.G7J.. +4.
`c f] _
LOT SURVEYS COMPANY, INC. F.VOICE NO 40438
B. NO. LAND SURVEYORS SCALE I" i676
0- DENOTES IRON
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
MARVIN GEORGE BUILDERS 7601. 73rd Avenue North 660-3093 .
0 Denotes Wood Hub Set Minneapolis, Minnesota 55428 Job No. 88-131
For Excavation Only
ompgprR (sptfifttal.► Address: 673 Brockton Circ1b
Denotes Surface Drainage
000o Denotes Proposed Elevation No determination has been made
ooao Denotes Existing Elevation as to depth of Sanitary Sewer
Service
Type of Building 4 level split
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BY _ 8q 7 4
DATE.
Lot 18, Block 5, HILLS OF STCNEBRIDGE
The only easements shown are from plate of record or information provided by
client.
We hereby certify that this is a true and correct representation of a survey of the C
boundaries of the above described land and the location of all buildings and vis-
ible encroachments, it any, from or on said land. Signed
Surveyed by us this 1st dayof December 19 - 88 R and A. Preach, Minn. Reg. No. 43
L IV BL CITY USE ONLY RECEIPT#: 5 , / R p
~
SUBD. DATE: 5 G y
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single amily dwelli g )
► townhomes an-dcon-dbs when permits are required for each unit
New construction Add-on furnace
-P- Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 5 <1 69
EEEB
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
► Gas Outlets (minimum of 1 required @ $3.00 each)
► State Surcharge .50
TOTAL dia.Sd
SITE ADDRESS: (L23 OWNER NAME: 4(CI~CUc~ PHONE
- ~YOBT FIFAW a AIR CONDIM
INSTALLER NAME: lye mvy
Sr LOWg PAW UN 55M
SMM STREET ADDRESS: SEF1WFw,,a_4gj4
CITY: STATE: ZIP:
PHONE ( )
-SIGNATURE OF PhKMITrEE
C 1,
qx 1o RESIDENTIAL 12Y.,~5
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction ReaulremeMS RemodellReoairReouiremeMs
3 registered sde surveys showing sq. ft. of lot, sq. ft of house; andLil roofed areas • 2 copies of plan
(20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated addrdons
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
1set of Energy Calculations • Indicates( home served by septic system for additions
3 copies of Tree Preservation Plan d lot platted after 71153
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUNION D (9T1 i
JOB SITE ADD ESS 6-11 M .b ) t C l3t/1}P a~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK FIREPLACE(S) _ 0 _ `1~_ 2
APPLICANT PHONE# ~1'7~ "f ` q k`
ADDRESS ZIPCODE ~5D1
PAGER # CELL PHONE # FAX # NIEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPHTELY
U L D
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I R M 0 M
(check one) Residential Ventilation Category 1 Worksheet Sub IAN 3 12002
- Energy Envelope Calculations Submitted r
- MINNESOTA RULES 7672 By-
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: - Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: - Air Conditioning Fee: $70.00
- Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
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 dinanc
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required
Updated 2002
ca r't fficCity of Eagn j Permit#
l
I Permit Fee: ji,
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i staff:
200/8 RESIDENTIAL BUILDING PERMIT APPLICATION /
Date: ~ -,6 -O b Site Address: (p 7 :3 .45/b r ~C 1 t ~u/✓ a ~r ~c ✓
Tenant: ~~Ll Sri. V 7~_ h~zj c~ Suite#:
RESIDENT / OWNER Name: Sic lc. ✓ o v u c; Phone: > ld3
Address / City / Zip: 73 AR ~7~n~ -
.ss~a 3
Applicant is: _I/Owner _ Contractor
TYPE OF WORK Description of work:
Construction Cost: OD rp Multi-Family Building: (Yes No ~l
CONTRACTOR Name: Icen a
Address:
City: State: Zip: fO)a
Phone: 51- - Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J 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:
NOTE: Plans and supporting docurnen-ts`that you submit aie considered to b4 public infonnafion. Portion's' of
the infonnatron may be class ed as non-public !f you provide specific reasons that would permit the City to
conclude: that the are trade secrets. x
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the rase of work which requires a review and approval of plans.
X ✓ L/Slums / C R(3 1/-Ev4.c ~ x o
Applicant's Printed Name A cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163474
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 673 Brockton Cur
Lot:18 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick L Anderson
673 Brockton Cur
Eagan MN 55123
A Team Construction Inc
13743 Aberdeen St NE
Ham Lake MN 55304
(763) 710-9955
Applicant/Permitee: Signature Issued By: Signature