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645 Brockton Cur PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA083486 Eagan, MN 55122 . Date Issued: 06/10/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 645 Brockton Cur Lot: 25 Block: 5 Addition: Hills of Stonebridge PID 10-32990-250-05 Use Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Tony's Appliance Scott H Zoellner 2090 County Road 42 West 645 Brockton Cur Burnsville MN 55337 Eagan MN 55123 (952) 435-2442 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. Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' 0 Eagan, Minnesota 55123 Date Issued:' (612) 681-4675 SITEADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: JJ irC L} INSPECTION DATE INSPTR. • TYPE DATE INSPTR. iris l fdIi I " 1ldiiF I ~ J Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I 010V ! Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Drsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter EngrJPlan 6, Bldg. Final L A? I-P Deck Ftg. ~iGrU~ C- c e Deck Final h f 1','` Well Pr. Disp. (9rdi trat a of COrrupaury a Citp of Cagan Jorpm nd of ludrm jw1pertio t ?7tis Certifuate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance *&sYructure mu in compliance with the various onftanm of the City regulating building corutrucdon or use For the following: UK a s ficesm SF DWG/GAR SkIg. Pamk Nm 18834 a,d, y R-3 M-1 Di&w PD R-1 Type V-N BUTLER HOUSING CORAM= P 0 BOX 14597 BwMesAdd= 645 BROCKTON CURVE Loamy L25. B5, HILLS OF STONEBRIDGE ►n ~P;r~ rn~ D, JUNE 27, 1991 Btu" Ofticial POST IN A CONSPICUOUS PLACE I v i,i C i~! IT, _ _ . CITY OF EAGAN ~ .u w ~ 18834 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $104,000 Date APR 2 199, Site A dress 645 BROCK CURVE OFFICE USE ONLY HILLS OF Lot 25 Block Sec/Sub, Parcel No. Occupancy FEES gp_"- BUTLER HOUSING CORP Zoning ; Name (Actual) Const Bldg. Permit 654.00 z P 0 BOX 24597 52.00 o Address (Allowable) Surcharge City APPLE VALLEY Phone 423-7259 #ofStories Plan Review 425.00 H Length o Name WE Depth ~ SAC, City 100. ~ o Q S.F. Total 650.00 s 0 Address SAC, MCWCC ;I City Phone S.F. Footprints 660.00 n On Site Sewage Water Conn X5.00 W w Name On Site Well Water motor z Address MWCC System 50.00 0 5 a ~ Acct. Deposit a z City Phone City Water S/W Permit .30.00 PRV Required - I hereby acknowlege that I have read this application and state that the Booster Pump SIW Surcharge . 50 information is correct and agree to comply with all applicable State of 276.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 370.00 MnUR HOUSING CORP planner - park Ded. A Building Permit is issued to: Council on the express condition that all work shall be done in accordance with all Copies t applicable State of Minnesota Statutes and-City of Eagan Ordinances. Bldg. Off, 3. 342. O Building Official Variance TOTAL Permit No. 'Permit Holder ( Date Telephone # WATER 1 C] U ~jo 1~ t SEWER PLUMBING H.V.A.C_ . D 1? 91 gas- ELECTRIC 00 Inspection Date Insp. Comments Footings l Y(~C ~1 B Foundation Framing b3 ~✓j O Roofing Rough Plbg. 4777 Rough Htg. Isul. Fueplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan rr Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # F PERMIT DATE (yea/0`4-,191 3830 Pilot Knob Rd. CHIP # f5.4~Z PERMIT # 11001 Eagan, MIV 551222--1 1897 METER SIZES Se k B.P. RECEIPT # C 12756 APR 2, 1991 ISSUE DATE -S" l B.P. RECEIPT DATE 04/13/91 DATE PRV -BOOSTER PUMP SITE ADDRESS 045 BR)CKTON CURIE PERMIT REQUESTED LOT 25 BLOCK 5 SEC/SUB HILLS OF STONEBE II)CE., X SEWER X MATER -TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER:,<, LA ' G Ahead of Domestic Meters on Water Line. ADDRESS: 14-,6 1-g S7 Credit WILL NOT be given for Deduct Meters. CITY, STATE Mly ZIP PHONE: 1 :a f''i 1 1 AGREE TO COMPLY WITH CITY OF OWNER: BUTLER HOUSING CORP EAGAN ORDINANCES ADDRESS: P 0 BOX 2+597 CITY, STATE APPLE VALLEY MN ZIP 99,24 E 23-7259 PHO : e IGNATURE WHEN METER !SS D P EASE ALLOW TWO ORKING DAYS FOR PROCESSING, CALL 454-x220 FOR INSPECTIONS. FOR STORM SEWEfLP RM'tTS; Cq"TACT ENGINEERING DEPT. / i3 CITY OF EAGAN NO 18834 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 nL 01a(.4 BUILDING PERMIT Receipt # l To be used for SF SWG/GAR Est. Value $104,000 Date APR 2 1991 Site Address 645 BROCKTON CURVE OFFICE USE ONLY Lot 25 Block 5 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE Occupancy R-3 M-1 FEES Zoning PD R-1 W Name ]BIITTYR 1110IIRTNC CORP (Actual) Const V-N Bldg. Permit 654.00 W Address P 0 POX 94597 (Allowable) -V--N surcharge 52.00 c City APPT.R VAT.T.RV Phone 493_7959 #of Stones Length 601 Plan Review 425.00 o Name SAME Depth 481 SAC, City 100.00 u< Address SY, Total SAC, MCWCC 650.00 City Phone S.F. Footprints - Site Sewage Water Conn 660.0 On 0 w W Name on site well water Meter 95.00 ~z Address MWCC System R ua Acct. Deposit 30.00 aW City Phone City water 30-00 PRV Required SAN Permit I hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge - 50 information is correct and agree to comply with all applicable State of 0 Minnesota Statutes and?.r5y f Eagy!~',1th'nrdinananceig-. Treatment PI 276-0 Signature of Permitee ~ - / Pf APPROVALS Road Unit 370.00 A Building Permit is issued to: BUTLER HOUSING CORP Planner Park Dad. 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. OR. Copies Aifl; &21A Variance - TOTAL 3,342.50 Building Official Address; 645 BROCKTON CURVE Lot 25 Blk 5 Sec/Sub HILLS OF STONEBRIDGE These items were/were not complete at the time of the final inspection. Date: J11NE 27, 1991 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish lew, Deck ✓ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. u 706 White - City copy Yellow - Resident copy Pink - Contractor copy ~~~57909 ~oo(.~ 00 Request Daaa{{{a Fire No Rau - Inspection ❑ ^ o Reg 7 Ready Noll Notify Inspector C/lV Ej No When Reatly? qxes 110licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Add (Street, Box or Route No I Qty / re I 6:- Section No Township Name or No Range No County Occupant (PRI Phone No For er Su iar Address Elect Contractor (Company Name) Contractors License No Me I n Address (Contractoror Owner Making InsI Ration) Authorized Signature (ContradodOwner Me ng Installation`s Phone Number MINNESOTA STATE 50tilib OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MMviay Bldg. - Room S-l" BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St, Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Plane (612) 662-0800 ENCLOSED /040 (e:241 REQUEST FOR ELECTRICAL INSPECTION. Eaowot-oe H57909 See insvdwns for completing this form on back of yellow copy p 411ell4/ ` 3X''Below Work Covered by This Request ~F T New Add Rep. Type of Building Appliances Wired Equipment Weed T1ome Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps 169 Transformers Above 200 _ Amps L_LAbove 100 -Amps Signs Inspectors Use Only. YDISCONNECTED TOTAL 5Q Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 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. OFFICE USE ONLY This request void is months from v~I JIY/ /oi so 7 002;65 Request Date Fire No Rough-m Inspection Requnetl'+ 7 Ready Now.9<11 NoLy Inspector es = No When Ready II-vicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street Box or Roble I City ca a,7,t-j Section No Township Name or No Range No CorID~ Occu (PRINT) Phone No Power pplier dress ` Electrical Contractor (Company Name) Co ctor6 License No O Mailing Adaress Contractor or Owner Makmg Installation Awhonzed nature tConiramorrOwner along Install onl Phone Number c r ~ O~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-175 BE ACCEPTED BY THE STATE BOARD 1921 University Ave.. St Paul. MN SS1a4 UNLESS PROPER INSPECTION FEE IS Phone(612)642-MOO ENCLOSED REQUESTeFORaEpLECTRICAL INSPECTION EB-OW01-as 1~ See instruch to, this rrn on back of yellow copy C~"'9 l s 'X" Selow Work Covered by This Request ew Add Rep ` Type of Building ApphancesWUed EquipmentWned Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other(speafy) Contracioo§ Remarks Compute Inspection Fee Below. ers Fee # Other Fee # Service Entrance Size F 9e g0TAL Swimming Pool 0 to 200 Amps Transformers Above 20o Amps Ams Signs Inspectors Use Only Irrigation Booms .50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in r ( Da ry certify that the above inspection has Finai te I 2f12 L K2F been made. OFFICE USE ONLY This request void 18 months from -#<<<<A.C.E.S Version 075255 ] ««VILLAUME»» Customer : KEVIN Man Apr 15 12t42t22 1 Prg Oct t; 197 Truss ID H Family # t SpaA -10 Quantity 111 Top Pitch c ...-----------vom -'RO9mr rtl arwmbtlmmb tlbmw wtlmwmwwnovawrr-rYmrmmmm0. y1~~ r BB mo6a - BIZ$ AMOM PM PC•/ 1'-1x42 1.50 REPO CERTIFY THAT THIS R$'D 1 7a-154A 3-50 OR OR REPORT M WAS PREPARE RES 13R UNDER AIY S DIRECT SUPERVISION AN 7 EGISTER D a S l c THE AWSE THFESFRtE 0 Nja AM JJUIVt FE ENGINEER DATE G 1$-9-3 19-5 , $4-6-11 So ~-r 6-1-ii 6-1-11 6-i-11 ' ~-6-1-1i g{A1'11 NOTE: USE 1/2' AM SIR. YYPP PLYNOOD OUSSETS RAILED PO BUTS FACES WDM 4X4)J NJ 10d NAILS, CLINCRED. )R1N. E DF VetC. ~oiflG( NAILS REQ'D/FACE IS AS SRONN AND 4X4 NAILS ARE PD Bt EQUALLY SPACED) 4 '-Ni' Y.N;Pa . 3X4 12 3X34 3 $X3 3~~SP~ 3(p" 6 I 6X6 P : r J F T, 7 - 8X4 61EDGE 3X4 3X? 'L4„X,lA"P(r . 3X6 SPL. tm"CYFP IMTA 9-a-s ie-s 8d-se 9-8-8 8-3 HL T13 PM:29-7-i r-aD »1L io8we) yix,6 14DY. R. HL TO PH :5-4-V JZFT HEIGHT:9-7-7 SPAM:26-10 RISE:9- i5 RIGHT HEIGHT :5-7-7 »Sa----rvw--rr...-n-L(9391#JCL'.L'11C'R<C ,OrwlNtiTL(rsr~ MINIMUM UNALIM UN L MUISH TOP CHORDx2*4 1¢5 f1-5R MRL 1 QP 40 10 BOT CHORDt2*4 125 fl-52 MRL 10TT 0 10 DEFL.< L/240 WEBS s2*4 No.3 SPF e--vv or#glaril -a+v-ww vowv--w wnao oa mR~Cee=-O~osx cv=x xa xvc rw.. zsea.. avim - s. za rz.+nso - x. is 1,JL'A~ill.ll • '1.0 4.n. o. e. ZEPETITIVE STRESSES USED NO. OF MEMBERS = 1 T$ 3-87 5-7 BBACBD at 1/2 TOMS " $900'm ABOVB Ste,: Uaa Lxd or 2x1 Coot. Bracing eon. With 2-8d naila min. tATR9 "I BAM"-20 ®=LO 214 Tr 8101-359 =W-142 MMWAC7.UR= MOM ASM A 446 CM A GUWI=D 8'L=L(MU"T A8 aROW) '.re m= A8 IABTALL1m OB B rACna OY JOIxTa, S M6MUCALLY(AXC= AB 8amm)O2SIO9 COAAQMB W= =8 088108 SYACB AM UBC,TY1-4! ild Om YEW Ya TVa ilaiaa PAHALCATICN a Y.r ranMANIDtr Am0 SS1vtY41nY MACIAO(W6IGA id eLWAYa ~~i1CL•fmfL2 all]O MmS$GS dl YAGIAI e(1, "j~U~~a~fi CPU' ~ • /~~Y 0 . A I/ i ~ ~ 0/111 i PERMIT C R -7 CITY OF EAGAN 6'-/ - 9 3 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021036 (612) 681-4675 Date Issued: 06/01/93 SITE ADDRESS: 645 BROCKTON CUR LOT: 25 BLOCK: 5 HILLS OF STONEBRIDGE P.I.N.: 10-32990-250-05 DESCRIPTION: "Ildin-9 Permit Type SF PORCH Building Uork Type NEW uilding Length 16 Building Width 14 augan REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $6,000 Base Fee $81.00 COPIES $.50 Surcharge $3.00 Total Fee $89.50 Lic. Search Fee $5.00 Subtotal $89.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: BOARD & ROOM RMDL 18239128 0004978 ZOELLNER SCOTT 3836 HARRIET S 646 BROCKTON CUR MINNEAPOLIS MN 55409 EAGAN MN (612) 823-9128 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. APPLI TIPERMITEE SIGNATURE ISSUED ~W. SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021036 Eagan, Minnesota 55123 Date Issued: 06/01/93 (612) 681-4675 SITE ADDRESS: LOT: 25 BLOCK: 5 APPLICANT: 645 BROCKTON CUR BOARD & ROOM RMDL HILLS OF STONEBRIDGE (612) 823-9128 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW INSPECTION TYPE .DATE INSPTR. INSPECTION FOOTING FRAMING FINAL REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED REACTIV4TE RECE MED CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION 1 MAY 18 1993 681-4675 - Me 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: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. to Valuation of work Site Address: Co y~ iT'd C I'a d✓ L°cJ~df STREET SU17E S Tenant Name: (commercial only) LOT BLOCK'S SDBD. P.I.D. M Description of work: e141 The applicant is: ❑ Owner 6 Contractor ❑ Other (Describe) Name S Ca TT Phone Property LAST FIRST Owner Address &roFTD N L` L)y!? • STREET STE / City Fl),. G Ax, State kvL-// Zip 'A/- Company ~90AR ® Y U0` Phoneq Contractor Address 361 /i AIL&/rT -5 License # Exp. /C?/ Q City L4119 State f47 ~c0 ZTp T~ C~ Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY } BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Bas m~rtt FAisr ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 SW m Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy - 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code cf Depth A4' On-site sewage SAC Code ~~ylict5 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 5~ ~d rz.ct~' ❑ Site Footing Framing ' Y Insulation ❑ Wallboard fr7 Final ❑ Draintile ❑ Fireplace Permit Fee 9), u u Valuation: $ ~i Oz) 0 Surcharge o0 Plan Review License w J6 X l~ = 'z zy Z r 1 3 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies 5'a Other Total: SAC % SAC Units q- ,"wnl o-:e>sM".yYS'^yglTu^'gj,llA,llt!1•M1'Iwltplw?e, I."'- :rs„ 11:411-PT, pr.rwi,-x,+,..11, ..pro..... I'll- I ~ 1l, 1 Y b* a elq, I , y 1 , I } - ~p xj)u , ll~f! . il~i AY 1 i Y t ''11 i 3 a x I yr,gf I x. 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I ' y b ag t 9 }~ly 1 3 e ~Ri~~ I xj , 4 rN' i"; ~OpOSEpEL ~►aNys Tlnaq,, j,+.~f,~ If`-~~ n rI~il , i f x[ . as , r Top of Fou~d4iJons 90g. . I , ,IY,a x~' i; €I~ Hh}i I t.;, , ` G~rayya,F 6 i' pA t I I fi 90~ t. It 'r{g'h 7 ! YAi~@1n~~Qf ..~AF.9 'e~ 90014 I I ~i ~A tlttli;ea~L..d''{}:kl~, x t 3~ .1 , 11 Approx. ~S~lN 1, R~V19o ~19Y I l4fj.usryeg - , +.`IMIN. SETBACK R~QUIREME , , Pr. d ~lev~lhna, Jam, # . , i "x- _L.In , E1~I8~~nepioYpl1an8 y q 4 xi F~ a n a I r s I[ E .RBby4Y., ; ' 1, Ii 1: !r ~t r a; to • I1 HP~ kl, c ~tainag~~?~Y1~oo~?}io1 ~~~('a z^r Ir i~_ flli193Ir T 11 p9nP;6R 91'4M1 $~0 4 I'!'~i' .xiR 1 A{ Qneemen~„f{4¢f yes, -9055 ; E, I h v 30 F "I :t 7E ~'R '~i 'xik tl 9 i,,; .1 r- n r m < rr z . . r 1 1 a . '.t ' 11 ;i kJ{I n O p NR'{ f r i ,i7 a xr q I 1 s J,! ~.i~"s.~t,;F,~. IIIERE9~cHnTtFXtIIAi)HI$$A 111u€AHpLO(1~~THWi,pi~k§RjCAjjjf3' sib` I , 11 1 OF 111E'8OUy011RIES OF ME ABOVE, RE$C(1~e0R PFloP~flt'iG ~l $1~8= 9lI YEYEpBYhRRUNpEgI+i1fU18ECi844EliYl&iQNPa~QyIAPQpT,f, r 1 , I M ,li , , _l_ , Ill ~ NV - I - 17 ~L..A/ 2 ~ , , iQ 8 I(M IMRRPY MENf 00 ENCRpgc4IM 111 a RMpF,p1A~ ;,g11Q,.w 9,vl1 Rile , ~4„ n ~/~(/Q~ (x} jc~ J/$/ a = i t' , r„ jtjk i,' I 'l ~G[}~~~~ * F~$~yR `~h I1T { Y SFit I i ' ' 4 ; i 1. M1,~4 i' ~ } 7x~' 1 11 fan 1 yy I 41t , l! Lo ,.~y "rte t1 .~i, y_ l !f I a y t r i t T ~ ~i ~ i p s.~K' ~ ~ j 11! 'ILt t, r, z t'. ° ~'t, 1"I,{"° if B1" 's' a ~ 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL EGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 ET 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. To Be Used For:: S' KGL- FNW14V,a)luation: Date: Site Address 104,000 OFFICE USE ONLY - Lot Z,j Block FEES Occupancy 1Z-3 M-I Bldg. Permit 6S4 C~ r Zoning PD R' Surcharge SZ, Parcel/Sub 41LLS Actual Const V- 4 Plan Review 25,00 $OT~~ Allowable \/-N SAC, City 100,00 Owner [T~ # of stories SAC, MWCC 6 Length Water Conn. 100 Address _PoZrC c 24591 Depth water meter 00 o S.F. Total Acct. Deposit City/Zip Code NtfF I` e JX1/Vl• Footprint S.F. S/w Permit 0,(X~ 59 S/W Surcharge 06a Phone eZ7~ On site sewage- Treatment P1. 2%,00 On site well Road Unit '190,0 0 Contractor o t-ler- L MWCC System ✓ Park Ded. ? City water JC Trail Ded. Address - © , B PRV Copies ~I f Booster Pump _ City/Zip Code e VG~` A( AR. SUBTOTAL G APPROVALS Penalty Phone Apzl 7 1 Planner Lot Change )'I V 1 Council TOTALS Arch./Engr. (j i10 C I Bldg. Off. -3-z9-9/ Address Variance G City/Zip Code Q~ Ifl/, Phone # p ' o y% ` agrees that all work shall be done in accordance with S gnature f n Factor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~O4f!.4,~in A AWA G~2AUE 2Z)(I2L= 4 iN XIS=92.(vo 1 c~ X 'Zp o~D >c IQ' Sao 0 lozG o - 0.* yX26= 57 654.00+ 52.00+ 42_5.00+ 2j211.50+ 13(~~`~ ly= 1~10yG~ 3,342.50T ~SI Fl~(2 654.00+ 52.00+ FjS1M r~ 13Gt7 425.00+ I~211 IS= ZZ- 2a 211 •501- 3j342-50* 139 H x 53 = l /n'31~2 0~2 1oy, vu~- • Sunve~or~~G'er~t~f~cale. ~k~a SURVEY FOR: -jT1iG E: Butler Housing Corp. DESCRIBED AS: Lot 25, Block 5, HILLS OF STONRBRIDGR, City of Ragan, Dakota County, Minnesota and reserving easements of record. / 01 I \ \ V/FCATJ ' I \ \ Of I \ \ 39 01. yApyh l \ \ \ f 99 '3 Ja l ~ \ P4 00 [ Drainage utility Easement I m / 1 I u q°~ a q0=_ \ r a?et F%~/~io yin 2 \ I0 ` aos.l l 8 \ i ° ~ Qy s`~ ~d 0,7/% `L W ct, / 9006, 06.f s\ a 33 e a e /Qr e ~o LOT SO FOOTAGE = 21, 081 Is"/ 90q 3 VAC.A N7 PROPOSED ELEVATIONS BENCHMARK. rnH @ 2/,e Top of Foundations a Fle"e 410.2$ go8.l Garage Floor a gOg,3 Basement Floor 1k-s a RoO.b Approx. Sewer Service Elev. a 3 use. uersvZ5 MIN. SETBACK RE99BEME TS Proposed Elevations s Q Existing Elevations a Front - 30 House Side - to 0 Drainage Directions a . Rear - 15 Garage Side - s t~ Denotes offset Slake O Z 64szment door 3eS go5S SCALEI 1 Inch 30 Feet JOB NO.: IIIEnEBYCEnTIFYIIIATTHIS ISATRUE ANDCORnECTREPnESENTATION 91r2-o~7 0 HEDLUND OF THE BOUNDARIES THE ABOVE DESCRIBED PROPERTY U SUR- J VEYE b BY ME OR UNDER M MY DIRECT SUPERVISION AND DOES NOT PURPORT PAGE: TO SHOW IMPnOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. La. Planning Engineering Surveying 9701 fall 61MM1nplon Flee.rn . Blooml ton, MlnneeoU 59x70 Dole 3 1 V 0 ~eronon1~171eaeoz~l9 #F6WY INDGREN,LAN SURVEYOR DWG.CHK. MINNESOTA LICENSE NUMBER 14319 C'iit)E' I OF F. c)WNC~ Ii HUI L FR 1-V 1U!-.) (Nt4' t ORl:)nliA l' T DN R1,JYC9:C2: !ac;f•)T"t' and SHARON Z01":'14A.NE1'R E3:C'TF, F,45 111RC7I,1!1.1 ON C Q1W_ l: G:,OQAN u M:CNNC:!:1;Q-I"(l L.. F'. QAL.. I...c'IT 25, 131..C;.1C;K 5, E°I71..1 S-.; OF' r."ECINEi:E:3Et 1;171'r3E (7C;)N'I"ttAf)"I"I')F3 EILITl.Y'R Cdf)l.l'.3:I;NIi3 !'•".(':)FRPf)RA"f MN C:)A'T1:_; MARC;h1 2.1iy 1.991. WORKINC3 i3QUARC. F)(:)TAGC; i')f FAf'H' 1. TOTAL. EXPOSE-10 WAI...I... AREA - 1.;54.4• .'SQ F"T' . X .1.1 - 1, 69 .84 IT)" 'AL. RCMI..ANF. z L•.:L NCi AIRS A; 3.372-5 '.iac) E''T.. X .026 6tii A. TOTAL.• WALL, WINL)(.)W A14C°lA' 219 e,..t) B. 'I"C•17AL... E)(.:)(;)R AEtV A a ; 3'7.80 C:.. TOTOI.. !i3 L. 1: DINC1 (i)L...Ar)53 C)C)()R ARR.":A 4()~()f.) D T(TTAL.. F'S17EiiPI ACT: WAI....L. AIREM! 0..()O 1::. 'I"QTAI.... WAIL. I::RAMTN1:3 ACZC:.A (W."i. 10%) 154 .4.0 F. 107 AL., RIM JOIST ARID)." 128 .00 TC1TAI.... Nl:"E WAI..,I... A7141:A AlICIVl' fTl...!':)f)ii 964.;'c'.0 T(.. ITAL,. WAL•.•L. ARFA„ 1 5i44..00 H. TOTAL.. E""C:IL.INI::)A"I":Cl)N W:I:NI::)(:)W AREEA.' %i: A.iO 1:. 1'O I" AI.. NF,:-T' FOUNDATION AREA AC3c)VC5 (:3C2ADE-1: 80.00 J.. TOTAL. OVGC141-IANC3 ARE...:: 2B .5)0 DET17CRM:CNC "U" VAI....UF (.)F F.A('1-1 WAI_.L.. !'C=:FiMC:N'T ti. 219.60 X "l1" 0.'367 80.519 h. (37.80 X "U" 0.. 066 49 C:. 40.00 X "U" 0.367 1.4,..M3 c). ().00 X "U" 0.074• C)..C)0 e. 354.•4C.) X "U" ().090 1q.95 f. 1.28.00 X 0.041 S.21 d 964 .20 X " 1.3 0 04:13 41..67 C'( 2.60 X "U" C) 67 0.''" i „ 80.00 X 411•.1" 0.• 140 - 11-22 9. 28 X "U.' 0•.024 0.69 :3........ 1.71 .45 11 11"I`°:M iLl1 L!S !4)AM11 r: NIP, ()I't THAN 1:71"'.M ill, d You E,1AVC. Mli°`E THE:: :I: NT N"f ()F ;SE3f: 6006 (r.; )2.. IOIAI-. 1--XP(.)!=;t)f1 f 1.1f1E /1:1 T1 fink,, ORL':A k„ Tc)tla I skylight asrrua: C)»t)C) 1. Tot:a)r roof /oclJ,1.:1nu 1'rram,lrtr.I rarm"i (;ivc. IOZ 1:3'1'.:S llated rtar)f/t)r 1•:Lirtra rareca" 1 ~.a3.a„°;....> m. I'r)t,ral rtri.I; 1.rt~su f)k:'TF''.RMTNFF "L)" VALUE,". FOR EACFl 1 n 1.:3/ .25) X 4)" 0 x0 2: i .42 m. 1 °2:,D!5 .:•.'5 X 1.1 0.024 29.50 4..................."I f:1"i"AL... "lJ° 32' 92• T'4 TOTAL- C;)f' #4 IS TI"If;i !3AM17 A2 CAR L,ES!': THAN 1102, YOU 1•IAVIE' MEJ '11.11: f N`I"E NT Clf !?SBC; 6006 r; )1 AL.'T"E:RNA'T"I': L311T'•I.-E)ING' I'NVI"I,C)Ei S.T.1'raN". TO UTILIZE. "I4IE" 'rcr AI,.. I":NVr::I..CiI:)IT: ;SY!:;'T"ECM MI :'f4°I(1f), "1"FI VALUES E::!51"AI:3LIE°SHEI:) BY !31,1M OF' I"I'lEM!S #'3 ANL7 H4• !`SI-IALL NC:1"1" li'3fi: ("MEA'T"EH 'T"LIAN 1411": !SLIM flf° IIEEMS #1 AND :112. 11, 1. 69 8 4 1+2. MM35 ~-.)S 205 .!53 °,3 171..4_, 1•o-•4. .1.:'.');•p 1°I117 "1.1" ANC) "It" VAI..IUEE?`'E9 IE'REIINIANI-) 141'll Al` I I"111 VC3t.ILT)INGAIIIE.'REi: I:E.:SCRIE31ia") MI°iac:'T".; OR EYC"EEDS THE: ! T'A'TE C:)P' M:(NNE!'!SC1"I"A EE:NF:RGY C;ON!' Ei:EZVAI lGN ACT. BU'T'I...f::R HOUSING C ORP()RAl' IC) 2 "I"U4tE'r:;; YvV'" NIS I"'. E:31.1"I'I_.E"R° F)ERE:.);. f.)A"I'f::) MAIRC" H 2?5 ° 1991. I>aSdr: :J 01' 6 W [NE:)OW AND I)(")(]h2 ..IV..~.`... fn"~............ QUANTITY *rYE,, E` S W11:N00W C:)hF.NTNG 1. BAP31:MENT d'7 X IA. 2.60 :::',.60 1 PATIO O OE2 6 X 6 40 , 00 40 .00 . (:':A!3EE:ME:N"I" 20 X 3£3 6.00 12X0 0 (::ASESMEi"N"I' :20 X 48 6.50 0.00 1 C':A::>E:"ME:"NT 26 X 24 4.90 4.`i'0 6 (":A£i;IEMI":N'T :26 X 5i1E3 7.E30 46.1:30 52 (:,AF:;F::ME.N'T' 526 X 44, 9.00 113.C)(7 4 0A"iEEME:N"I" '.6 X EiiC) 1. 41.20 0 OA:3E"MG"NT 4 X 60 1. d ..60 0 00 O1i91•.,ES. HlJNC'iS £:3X.'41536 14•..1.0 4.2 .30 0 f.)F3[..Ei" HUN(:'a,":i 24X24/36 1., ,•a() fJ„00 1. TRAN:" C M 1.8 X 24 S 4•0 :3 40 I TRANSOM 24. X 60 1.1... 41:1 1 1, .4.0 1 WA"I1.0 1'713 X 6 1Y.,3„00 ;313.(10 1 (33:Glfi: L..Ts. 1. x 1 11-3 6., 6C) 6..60 . • . t.. ...A.... :2 1(f)„rA ',:3 ARE::A: 26k2.20 DOOR clIFI)LILE, _ QUANTITY 1'Yf7E ti]:"zE, E°A(.::'f(:)R I')OCR OPENING 1. -1 HE RMA'I'RU 3'-0" X 6 20.00 20.00 1 "I`HE:E2MATRU 2'-•T3" X 6 17. BO 17.80 0.00 0.00 0.00 0.00 C1,.()0 0.O0 ()..00 0..00 DOOR AI3EA„ 137,.80 TOTAL. WAI...L. WINDOW AREA* 219 „60 U--VAL.01" 0 .:367 TTC7'I'AL• Ewr:[C'1 f)C'1(:)R AREA" 40.00 Ib,VAI...l.lEE 0.,;367 t"(TY'AL 133A aF"ME:NT WIN ARE!:A„ 2 .60 U -VAL.•Llli:: 0 .3fff7 'l ltd ..217 0.066 "1'(::) DOOR ARE::A' :3'7.£30 (.1-•VAL[.IL .066 f IRIJ rX I UR I C1R: I'RAMf: WALL. INTIKIRTOR AIR 0.68 S:SI-IC_li:'T' ROCK 0 .,45 T'HIERMO-f3RG AK C) MIA) 6.92 S111ING 0.78 EXTERIOR AIR 0,1.7 TO'1"AL "R" VAL...UE'. 11..07 1/R :r: "Ll" VALUE: - . 0.090 THIRU :I:N1eSI.JLA`I:ION WITH SIOIN('.a & IN TERIOR AIR 0.68 :°iHEi:E".T RACK . 0.45 THERMO--BRE.AK 0 INS5UI...ATION 19 ;;F1Ec:A"ffI:INI}a _ 2,.(:)F... I:y 1:1::) I NC _ 0.78 E:X'T'ER I OR AIR _ O 1.7 IOTAL-. 'R" MAI..:: 2:3.14 I /FR "L l" 0 .043 IN'IE:RIOR AIR 0.68 !iiHl E=:"I' ROCK - . O. 8 CEII-ING MEMBER 4. .::.1.5 INSULA'1' ON ;3:11.'1'.:', S"I" I' L.L. AIR 0.61. "I'(:1"IAI_ "IR" VAI_l.l(:'r: 40.14. 1/R "U" VALUE. 0.025 T'HRU CE R.-ING INSULATION 1:N`iSULATION . .n 40 ,5.1" 1: h.L.. AIR _ . 61 T'l':1"I" AL. " R " VALUE' 41.87 1./R "U" VALUE: 0.024 pa( S OF 6 I HRU f.ONrRF.`I'f;: f3L.,C7(;Lf TNTECR)OR AIR 0.68 CONC. 131._K K. 1.28 1N iLIL.ATT0N 5 SHI::i' ET FR K. ( 0F7"1 0 E X1.E_RICIR A:IR 0..1.7 O]"AL "13" VAI._UI. 7.13 1/R "U" VALUE: 0.140 rHRU RIM 101SI" IN'TER.T.CIR AIR 0.f>E3 IN;aLII...A'1"'ICIN , 1.9 R T M JOIST 1.89 SieHrEA'T'I...IINtid . 2.06 ST rl I NC:a.... 0 .7£3 EX'T'E:RICIR AIR— 0.17 TOTAL. SIR" VAL_I.Ir:; . 24.58 1/R "U" VALUE : 0.041 111FZIJ CAN]". 0 Mf:MF3Fc;R (1ENI':I_.l)Si>laD ) TNTERICIR AIIR... 0.613 F INISVI F1._001RIN(i 1.23 UNDE:F2L.AYMEN"1'- 0..3.3 PLYWOOD 0 J0 M 1 11.88 SI-11E T ROCK 0..!S>fi ST 11_1 AIR _ _ 0.61 1/R = "U" VAI...LII _ 0. 063 l'HRU CANT. @ INSUI...ATIDN (ENCI..OSED ) INTERIOR AIR.... 0.68 FINIffi4-1 F1 ...00RINI,:y 1 .:2;i? UNDF.',R1,,AYMF-"NT-- 0.9:13 PL.YWOOD . 0 I NS9cL.11...A'1° T DN..- 3.9 'I" fZf1GK 0 8 F ] L, L. A I I`2 . 0 .61 I..O T'AL "W' VALUE. _ ? i .0 1/R "U" VAL_LJF. 0.04.3 TFIRU CANT , 0 Mf'.'MBE R (Gii.XF71:)!oEi:F.') ) [NT'L;FRIOR AII'7..-. 0.68 F"INI'SI-I F'L.001RING 1.23 LJNI':)fs:f~L..AYME-N"F' t7 , 93 PLYWOOD 0 JO T!3°I- 11.£3£3 SHE-A l-H I M."i 0 !;OF'.F.:I T-.. 0.47 E_X..L.I1RIOR A.I:R_. 0.17 "I"0"I"AL.. "FR" VAL_UF°... 15.96 1./R "U" VAL.I..IEi: - C).0 ci THIRO CANT. 91 :INSULATION tFF:xF'F°f~:Fl:)f~) L' N'FE:F2 :FOR A :L R,... 0.68 F1:NI!S1-1 F-1..00RINr . 1.23 UNDERI....AYMF.''-".N'I'- 0 ..9 3 PL.YWOOD INriLIL..A` 1CIN.... "L£3 SI-AEAT'H1:NGi 0 OM- I'I.... 0.4•7 EE:XTLF..I',IOR AIIR 0.17 TOTAL. IZ VAI_.l-IIE 4.1.48 1/R °U" VAL..UG:' 0.0:3:4 F°II._IW NAME:': I:NL_RGYAHO CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ? O PHONE: (612) 454-8100 RECEIPT # 0 d e2 DATE: tCA N1TA". PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & y g g~ TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED 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 p OF 1 PER PERMIT OWNER NAME: ( aim-&d15 SUBTOTAL: $~r7y SITE ADDRESS. -IN ! STATE SURCHARGE: .50 LOT: 45 BLOC: 5 .°.UBD U TOTAL: $.Qjs: INSTALLER: Y' ADDRESS: , SIGNATURE OF PER! TTEE CITY: v~ / -7 ZIP: PHONE ah3• . 4D~/ 11)fI4$YtC l NYI{ STI(TI PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ~<MfiYN~r<? DATE: ID PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON °J- SHOWER 3.00 b REPAIR 3 WATER CLOSET 3.00 9_ / BATH TUB 3.00 3 LAVATORY 3.00 9 OWNER NAME: 1314 T L 8 (2 I-{oNS I n q L° o N)O I KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 SITE ADDRESS: 6y5 R (ZOG kTolV Cu w HOT TUB/SPA 3.00 I WATER HEATER 3.00 LOT: 25- BLOCK 6 SUBD. 0i11S of 5rb&lc bNid~e I FLOOR DRAIN 3.00 J GAS PIPING OUT. INSTALLER: WELTER 4- (3114YLOC k / (MINIMUM - 1) 3.00 3 c ROUGH OPENINGS 1.50 ADDRESS: 9/q [ vvesr lo6l" ST, • OTHER _ /'o _ WATER SOFTENER 5.00 CITY: Rto Yx r k a t6l\ ZIP: SSq Z0 PRIVATE DISP. 15.00 p U.G. SPRINKLER 3.00 PHONE ~ O t - 3 ~ 7 I Iw 9 ~ ~ SUBTOTAL S HiL' ST. SURCHARGE .50 50 SIGNAT E P ITTEE -o TOTAL: $ q2 ? OMMERFGifIY1DD ATiII.F; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 531 y RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN T y, 5 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas 2 copes of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate it home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE 712 J/~ Z VALUATION SITEADDRESS MULTI-FAMILY BLDG _Y AN TYPE OF WORK ~rVLY UtNY~ S! d//Y~ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT eraYfPVF_,.~ c. STREET ADDRESS /'/O r/' 1.3 -5T' S'„.k _CITY °u~• -/STATE /'u" ZIP TELEPHONE #~i/~ ZAZ"S8~ CELL PHONE FAX # S~fw PROPERTY OWNERSco~//4-EXOY 6DeIIH7 r TELEPHONE# ~s~ ~fSS~~/SP 7 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ *V t~~pS L67`~ (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • I n roy VYArk§Ne bmitted • Energy Envelope Calculations Submitted I ll I 2 9 2002 Plumbing Contractor: _ Phone ff _ Plumbing system includes: Water Softener _ Lawn Sprinkler ee: 0.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: 570.00 Heat Recovery System Sewer/Water Contractor: Phone # 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 Ordin es. Signature of Applicant - 14~ Of OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~3 l 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenb RemodelfReoair Recuiremenis Office Use Only 3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas 2 copies of plan Cad of Survey Reod _Y -N (20% maximum lot coverage allowed) t set of Energy calculations for heated additions Tree Pres Plan Recd -Y -N. 2 copies of plan showing beam & window sizes; poured found design, at. 1 site survey for additions & decks Tree Pres Required -Y -N I set of Energy Calculations Adddion - indicate ifon-sde septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan ff lot platted after 7/1193 Rim Joist Derail options selection sheet (bldgs with 3 or less units Date / (S ay Construction Cost ?~3a~ i Site Address (o CULuLr UnitiSte # Description of Work 645 /?A JX4 Multi-Family Bldg - Y - N Fireplace(s) - 0 -0-2 Property Owner SCSD IT ~Z c,0- -Lrjk:~L Telephone # ( (A) s ( -1 Contractor 1 ~L ( 31L,7 (±s, Address LA3, j*j-1 3 City i3 `UAL L State V 1 Zip 337 Telephone # (944 6Y-7D 218 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J 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 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 approv 1 t th case f ork which requires a review and approval of plans. Applicant's Printed Name Applic s signature' U Use BLUE or BLACK Ink r For Office Use Ol EU dPermit City Permit Fee: / 3830 Pilot Knob Road Eagan MN 55122 I Date Received: ! I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A///~A~ Site Address: Z&j9C1kgEj ~L~rIl2 Tenant:" Suite RESIDENT / OWNER Name: P o~' Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: @®27 Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR - Name: icense 2-0~30 L3 Address: 7 r City: 4;;~ 114 t, State: Zip: 5 / a Phone: / - 2`ontact Person: 12,e e~Z 6& COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 approval of plans. Applic nt's Pri ted Name Appl cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA143257 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 645 Brockton Cur Lot:25 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-250 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Brandon K Riley 645 Brockton Cur Eagan MN 55123 (612) 616-1577 Snap Construction 8200 Humboldt Ave S, Suite 120 Bloomington MN 55431 (612) 333-7627 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166013 Date Issued:12/07/2020 Permit Category:ePermit Site Address: 645 Brockton Cur Lot:25 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-250 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brandon K Riley 645 Brockton Curv Eagan MN 55123 (612) 616-1577 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature