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644 Brockton Cur INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;1 f i I i x!1'!1 .:i,' ! li;l - PERMIT SUBTYPE: TYPE OF WORK: DATE INSPTR. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE Permit No. Permit Holder Date Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l Foundatlon Framing Rooting Rough Plbg_ Rough Htg. Isul. Fireplace Final Hig. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. ~IZ Deck Final i Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ale ',A Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. Te rtifirate of Orruvattry Citp of (Cagan ~r#mrn# of ~ttitdirug ,~r#~r<m 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: SF V DWG/GA Use ClUsifi~tion PD R I Bldg. Fbrmit No. 1871 O-P-Y Type Zuni District T~m Const. Owner of Building 1 li[?TIIMI CO, Address 5201 E. RP AR RD. , FREE& IiROCRICU aJInIE Lo[atity , , MU S OF 9MNE DGE Buildi Address Building Officid Date: 4/29/91 POST IN A CONSPICUOUS PLACE { CITY OF EAGAN 0 1871 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 d r' PHONE: 454-8100 BUILDING PERIAIT Receipt # To be used for $B DWG/G" Est. Value $76,000 Date FEB lg 19 91 Site Ad.IrSS 6" BWCI=N CURVE Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. Occupancy PD FEES Zoning 532'00 CO INC W Name R7~L'GLIII'iE} (Actual) Const ~N Bldg. Permit 38.00 3 Address 5201 z RIVER 1W (Allowable)"'N Surcharge o City IFRLDLET Phone 571-0304 # of Stories s 345.00 Length Plan Review Name S Depth SAC, City 1~'~ Address S.F. Total 650.00 Ud SAC, MCWCC City Phone S.F. Footprints 660.00 On Site Sewage Water Conn w Name On Site Well - Water Meter 90.00 z W 3O OO c=i~ Address MWCCSystem - Acct Deposit C CZ City Phone City Water 30.00 PRV Required S/W Permit • ~O I hereby acknowlege that I hire read this application and state that the Booster Pump SAN Surcharge information is correct and a e to comply with all applicable State of Z36*0 Minnesota Statutes and City f ^Eagar). Ordurances. it f Treatment PI . o f `„a R.F"I t, .~1 APPROVALS 37•00 Signature of Permitee ~ `S'' Road Unit 'f THL+' RMLUND CO INC Planner - A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. + Copies 2 . Building Official Variance TOTAL s Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING ~W 3,1 9$" i 5 loa2 H.V.A_C; 3 Ga - G ELECTRIC y I Inspection Date Insp. Comments Footings I ~~ab i Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. ~fxei S i, Q ref / Fireplace Final Htg. s~3 Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 5fel Deck Fig. Deck Final Well Pr. Disp. q SEWtR A WATER PERMIT F I fCE USE ONLY CITY OF EACaAId* METER # . t PERMIT DATE 02 2Q/91 3830 Pilot Knob Rd. Eagan, MN $5122-1897 CHIP PERMIT # 11815 METER SIZE B.P. RECEIPT # C 1217 5 DATE ISSUE DATE B_P. RECEIPT DATE 0 19 91 PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT ---BLOCK 5 SEC/SUB H'? 1T S Of St,-Vet)12 3. _ X SEWER X WATER - TAPS APPLICANT: _ ds3 k C~ yi7~hca Co, fi1Cr COMM/IND ~ RESIDENTIAL ADDRESS: 5201. E. River Roa6 CITY, STATE ~ri.C.leyl 'Mn' - ZIPB~121 X NEW EXISTING PHONE: -OOZ Lawn Sprinkler Meters are to be Installed PLUMBER: '1«l!.e P113~.1)3tr' Ahead of Domestic Meters on Water Line. ADDRESS: 610 Creek t-,ans, Credit,- ILL NOT be given for Deduct Meters. CITY, STATE ,.10r !an, M p ZIP PHONE: - ' " - 1-92-2121 I AGREE TO COMPLY WITH CITY OF OWNER: !'he Rat-t'l llne! C EAGAN ORDINANCES ADDRESS: S201 E giy-er 1:4,):r CITY, STATE Pr;ri g , I"tr ZIP FSZ21 PHONE: NATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWS R A1 ATER PERMIT OFFICE USE ONLY CITY OF EAGAN3, METER # PERMIT DATE 02120/91 3830 Pilot Knob-Rd. ~w 11815 Eagan, MN x,5122=1 X37 CHIP # PERMIT # METER SIZE B.P.RECEIPT# C 12175 DATE 2-11-cA} ISSUE DATE B.P. RECEIPT DATE 02119191 PRV BOOSTER PUMP SITE ADDRESS 6-44 BrOCktOn CUrVe PERMIT REQUESTED LOT 4 BLOCK 6 SEC/SUB Hi l Is of StCOUN br:i c X SEWER X WATER -TAPS APPLICANT: ` i-ie Rott and Co.. Inc., ADDRESS: 5201 E. River Road COMM/IND ~ RESIDENTIAL CITY, STATE Fridley, M+• ZIF5~42] X NEW EXISTING PHONE: 571-03Gi Lawn Sprinkler Meters are to be Installed PLUMBER: Valley P;iImbinc- Ahead of Domestic Meters on Water Line. ADDRESS: 6-10 Cie ,ano Credit WILL NOT be given for Deduct Meters. CITY, STATE Jordan, Mn, ZIP 55352 PHONE: 492-212 I AGREE TO COMPLY WITH CITY OF OWNER: :aie Rot` and C n. EAGAN ORDINANCES ADDRESS: `201 R§i.pr RoaA CITY, STATE F'ridleyo M ZIP ` r/If'.I PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN ~0 18714 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 $76,000 Date FER 15 tgQ]` Site Address 644 BROCKTON CURVE SITAR 0~_ OFFICE USE ONLY Lot 4 Block 6 Sec/Sub. Parcel No. Occupancy R-3 M_1 FEES Zoning PD R-1 W Name THE ROTTLUND CO INC (Actual) Const -3L--N Bldg. Permit 549. nn o Address 5201 E RIVER RD (Allowable) V-N Surcharge 49_nn city FRIDLEY phone 571-0304 # of stories - Length 43, Plan Review 345.00 c Name SAME Depth 44, SAC, City 100.00 $a Address S.F.Tota1 - SAC, MCWCC 650.00 City Phone S F. Footprints 660.00 On Site Sewage Water Conn r Fw Name on site well water Meter 90.0 T3 Address MWCC System Acct. Deposit 40-00 aW City Phone city water X PRV Required SAW Permit 30-00 1 hereby acknowlege that I I ve read this application and state that the Booster Pump SAN Surcharge .5 0 information is correct and a Wee to comply with II applicable State of Minnesota Statutes and City Eagan Ordi once Treatment PI 276.00 Signature of Permitee APPROVALS Road Unit 370-00 A Building Permit is issued to: THE ROTTLUND CO INC Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Sttatutes~ and City of Eagan Ordinances. Bldg Ory Copies 0 Budding Official Variance TOTAL 3,121.5 Address: 644 BROCKION CURVE Lot 4 Blk 6 Sec/Sub HILLS OF SIONEBRIDGE These items were/were not complete at the time of the final inspection. Date; %/29/91 Yes No Tnspector, 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 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. +ECrcvmnuEx White - City copy Yellow - Resident copy Pink - Contractor copy DATE: FEB 20, 1991 RE: X1044 BROCKTON CURVE (THE ROTTLUND CO INC) X 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: 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 Inspectorp - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. Y, CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. P11 as submit a coy of your seter plumbers license for 19 1 ~icensing wit the City o Eagan. Secretary, Building Inspections Dept. / /aa 31a- 33597 s eo Request Date Fire No Rough-in Inspection 1 11 Required. ❑ Ready Now ZTlyill Notify Inspector Q 7 t 'Yes C] No Men Ready' I d/licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address )Street, or Rome No.) City 44 SeMion No Township Name or No Range No. Coungt Occupan PRINT) Phone No. Power Su 'er Address Electrica ntr Mor ~COmpar, Name) Contra S License No al- Mailing Address ICor iraMm or Owner Making Installatan) Authors e0 Signature ICOniradc wne eking Installetio Poo a Number 38t1~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgp.Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave, St Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS Friona (612) 612-0600 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION f/ A- Q„W Ea-cooot-oa v. See i .~truchonss* completing Mrs form on back of yellow ropy 3 3 5 9 7 "X" Below Work Covered by This Request New AddL Rep. . , Typeof Building ApplianoesWired EqulpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other ispeosin Contractors 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 Amps Signs Inspectors Use Only / _ TOTAL Irrigation Booms 1✓ " G Ste' 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 r j7 been made. - ~l OFFICE USE ONLY This request void 18 months from 3/i/9/ /o0 I~ 33598 B ,ate Request Date ire No. Rough-m Inspection F _ ^ - p Re.quweu? ONO 0 Ready Now 4'Wi11 Nobly Inspector Sj I ~fWhs When Ready? 1;2~licensed contractor ❑ owner hereby request inspection of above electrical work at: Job A hvw (Street ' am or Route No ) City 644 8wcZo,, Cu~u e_ Section No. Township Name or No Range No Co Occupant RINT~p t Phone No Power SuprrC~nlL.t..M~y`rU^/- Adtlress Elechic hadpr (CompaM Name) Convactor§ License No 4a !a - Mailing Morass (Contractor or Owner Making Installation) Authorized Signature (Contractor ner g Installa0 ) Phone Number 4b3- 38i(D MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Mldway Bldg. - Room S-1T8 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED 91 REQUEST FOR ELECTRICAL INSPECTION ys°' §t EB-00001-08 3 Vi See mstruct,ons for completing this form on back of yellow copy. H . 3 3 5 9 8 -~C Below Work Covered by This Request e add Rep.. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Other (specify) Contractor§ Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool ( 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps -4 0 Amps Signs Inspeocrk Use Only TOTAL Irrigation Booms (pp7'L ~~s0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough,,n Usti, certify that the above inspection has Final to been made. f - OFFICE USE ONLY This request void 18 months from ~/s sa-- Request Date Fire No. cugh-in Inspecuon p Q Requiretlo Reatly NawWlll Nollty Inspectar 9.2- 1 es ❑ No When Reatly? 10 licensed contractor >F'owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No 1 Cry ` SAC,44, Section No Township Name or No Range NO County Occupant (PRINT) Phone No ~IiKE ~!Eu SSA ~A < ~ - Power Supplier Dieezy! Electrical Contractor (Company Namel' Contractorls License No MaO Address (Contractor Dr-owner Making Installation) Auth rzed igna ICOalraotor/Owner stallaarom Phone Number MINN OTA STATE BOARD ,111F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 unti lly Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Plane (612) 642-0600 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION t Ay$ Ee-oooot-oa F Q / pZa J42750 • See istmctons for completing this form on back of yellow co" -'X"$elow Work Covered by This Request' O`/ 1 New Atk1 Pap Type of Building Appliances Wired EquipmerdWeed Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) CommAndustnal Furnace Farm Air Conditioner Other (specify) ConVector5 Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # CircurtstFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abwe 100 _ Amps Signs Inspectar§ Use Only TOTAL Irrigation Booms 3Q-~ Special Inspection AlarmlCommumcation THIS INSTALLATION MAY BE OR ED' DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. t I, the Electrical inspector, hereby Rough-,n 10 (Y certify that the above inspection has Final oam been made. OFFICE USE aNLY 1 n 'This request voitl 18 mgniM1S tram al::; Sg ~j b PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: Single Family Dwellings ' L/Townnhgomes and Condos when permits are required for each unit Date Z W COOPERSMITH, MARCI/JOE Site Address 644 BROCKTON CURVE EAGAN, MN 55123 Unit # (651) 686-8586 Property Owner tie ®p 1 e Telephone # ( ) Contractor NORBLOM PWIMBING CO. (612) 827.4033 Address City 2905 GMFIELD AVE. So.- State Wip Telephone # ( ) - MINNPAPOILIS MN 0; The Applicant is Owner Y- Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround 518" meter if needed - $121.00) Other: RPZ new installation repair rebuild - O E 4 2Cti3 $ 30.00 Lawn irrigation system _ Water softener x Water heater $ 15.00 X replacement , additional By State Surcharge $ .50 Total $ 15, Ec I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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. Applicant's Printed Name AlWnt'S ]gnature PLUMBING (RESIDENTIAL) O + Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 l' Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date j~ } Site Address 1 ty,-Z 7d ti Pcy Unit # Property Owner / I~^ , c~ p~. ear S' m t 'tom Telephone # (,oC -t) 40 8~ ^ $ d ^ S-~ Contractor Address 6 v~t~ City L State Zip Telephone# (lam} ~fy 8 ~6l i The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener - Water heater $ 15.00 S! replacement _ additional State Surcharge 50 N FEB 1 2 2003 U ! Total I hereby apply for a Residential Plumbing Permit and acknowledge that the info 'on is complete and acc te; that the work will be in conformance with the ordinances and codes of the City of Eagan and with at I derstand this is not a permit, but only an application for a permit, and work is not to start without a pe 't; that the work x accordance with the appr ed plan m the case of work which requires a review and approval of plans. a " Applicant's Printed Na e Applicant's Signature 1991 BULIXG UITIPPLIGATION CITY OF KAGAN 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. r~, IR~p RF FEB 1 2 RECD To Be Used For: rE ~s/c Y Valuation: Date: Site Address OFFICE USE ONLY 7G Ooor Lot A- Block FEES Occupancy 1.3 M-1 Zoning F-L') g - j_ Parcel/Sub HILLS oP ~TrJFt arX.E Actual Const N/-N Bldg. Permit $32,00 Allowable /-NI Surcharge 36,00 Owner -raLC r2o-rT r ,aj~, 4e 14C. # of stories Plan Review 3yS, ao Length 9 SAC, City 100,00 Address _ S'*zol E. 'g,r"&-r_ P'fy o Depth 94 SAC, MWCC 6-!ro 0 S.F. Total Water Conn 460,00 City/Zip Code FLerxr r 554Z1 Footprint S.F. Water Meter 90,00 Acct. Deposit 3o.oo Phone On site sewage- S/W Permit 30,00 On site well _ S/W Surcharge So Contractor ~t3/ny MWCC System _v Treatment Pl. 2-7& po City water e/ Road Unit 310100 Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL zl m. Arch./Engr. Bldg. Off, La 7,/2-1/ Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) 1:1 applicable State of Minnesota Statutes and City of Eagan Ordinances. VAuv k 20 = L1oa yc is (oGar~ m T"' 0•A zNu 36= 532.00+ ~2y~i 7L. 38.00+ 1345.00+ ~2. 2 206.50+ 3121.50x ~b6 ~ ?c ~ ! ~ 532.00+ i y~SZ 3`3.00+ F~~~Sc 345.00+ 2206.50+ FS'grnT fvG$ 3121.50* (p~f X51=SSa2`i I o/Z -7 b~ dod * * 2422 Enterprise Drive _PIONEER LAND SURVEYORS. CIVIL ENGINEERS Mendota Heights, MN 55120 engineering.. LAND PLANNERS- LANDSCAPE ARCHITECTS ' IU~G' Of)~ tJfY 1f* II-1U -00 J 4 Certificate of survey for: THE ROTTL UND COMPANY w 2s J eaf,% ~pJ NORTH ~ L r ' 3z bg V ~o ~ 49 qe°r s yin i/ ` ¢C ~ ~S6 27 v, o o / st F moo D"ll/ °f°9 06`s3 M~~ ~6 ~ o' ~ 'o Pry' 3S, .i, - \ as pd ~ is A~ ~ P''O•~~/Y / ? M I N 84 S8 3p~~~ c' O 36j 3 RY,3 f'in 47 anti' ~5r\d;` b` / l0 s ~ ~ gy sy io o ~p. z ~ \ ~ti Abp f __/pt ~ e 90o.o Denotes exifkhn~ Elevation PROPOSED NOUSE fum-r1oNS 900.° Denotes prop d Elevation lowest Floor- Elevation : 89 8.0` Denotes Draina~e EWit fj Eastmenf Denotes Drains a Flow Arrows Top of'Slock Elevation _ lo5. 5b~ o Denoles monument (7arc* 91ab Qei1A*cn - 9°5•-23 Bearl -19 shown are assumed LOT 4 , BLOCK 6 NtLLS OF STOATRODOE DAKOTA CouN'rY, milvw SOTA suafECT TD EASEMENTS oFRfCORD 1 hereby Certify that this survey, plan or report was pr red by r under my direct supervision and that I )am duly Registered Land Surveyor uMer the laws of the State of Minnesota; Dated thbay of A.D. 19 e^ Scale :1 ih6 = 4oad D f Z RG ER I . SIH ICH 1.... EG. rr .14891 13f p T EXTERIOR r.NVF..Ln1'F AVERAGE °U" COKMITATiON 1~P~(izt=-~h`~. OWN ER 1~0~ I L IJ N © C~T~ A SITE ADDRESS CONTRACTOR DATE PHONE Determin workinr; square footage of each. 1. Total exposed wall area \ 4s-)- gq. ft. x 0.11 = 21--,E ( 2. Total roof/ceiling area it fl( sq. ft. x a,026 = 2 2 • Total exposed wail area above floor a. Total wall window area 1 rv gP-i4 , b. Total door area g C. Total sliding glass door area d. Total fireplace wall area 7,0 e. Total wall framing area (average lop 9 , f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = h. Total foundation window area r - i. Total net foundation area above grade Determine "U" value of each wall segment. a. 1454,4- x ,.u„ 0,42 b. 38,71 x ,.u„ C. 3~ 5 x „u„ C~ 3 Z = 11, 2 d. Z a x „U„ 2 ~if = - e. GJr 1 . ~o ~ x 010p = 14, 0 i, J f. l 419.21 x „U,. (J', O ¢3 = (g O 2 g• I(Cn,~ x "till ~.04( - 4-,-7 ~7 h. x "till _ i. 97,4 x „U„ = r3•G~/ 3. Tot,] If item H3 is the same as, or less than item bl, you have met the intent of SBc 6oo6(c)2. 0 Total exposed roof/ceiling area Total gross roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area O. 1. Total net insulated roof/ceiling area C Determine "U" value for each ruuf/ccilinjr. scyment. J. x lull C\ a 0, X „U,. Oro 4 . Total If total of N4 is the same as, or less than A2, you have met the intent of sac 6oo6(c)l. To utilize the total envelope system method, the values establi--hed by the sum of items N3 and M4 shall not be greater.than the sum of items N1 and N2. 1. + 2. 3•• + 4. _ 0 0 AIM an~h , _ I • Ss I"F filt'~f i I Woo'. S,06 5 T~.. 2 - 3 O CST /~1~, -ELM • o; l "l..- ~ a ( 0 lza-,T~ r3L --roc _ ~ 13 (Iz,,l 1~.~3 j;~ VPcI.U~ GpIGIN.A~ tol (60NT.). =~~AM~ W~U. ~ IN~i-ILATIoN I.OMPONf;I'!~ . R-~IALUE - - 04a iM AIfz FILM 01I1 3 U - `ftsATHIN(,, INSULAlict4. l q . o 4 :-iyu C>jP. CAD 0.45 u~ R~ 0..043 . SAL -FFAMG WAUL -6~T P Lo,UPo)4LNTg ' . : F--VALUIi O-UT,!2IoE Add- F1Lm. - - 0.1'1 - Z~~<i1~INt,. oz J 3 hNtiA'j1llNfi. 2.OU 3 - DP. Co' INh1 M hiR- R► M ~L -G~JNP~. I~Ur= ~0,l2 X o.oz~y~ t(o,Sb X o.043> = 0.04-7 I I` I 2 02- 3 4 s R =-3~-8 3 - - - .027 0, u -~s.83 2 RETIM 1 _ - 4-4:4--_ 4 = 0.022 I PERMIT CITY QF EAGAN 3830FPilotKnob Road PERMIT TYPE: BUILDING j Eagan, Minnesota 55123 Permit Number: 0 2 0 7 7 2 (612) 681-4675 Date Issued: 04/29/93 SITE ADDRESS: 644 BROCKTON CUR LOT: 4 BLOCK: 6 HILLS OF STONEBRIDGE P.I.N.: 10-32990-040-06 DESCRIPTION: Building.Permit Type DECK ,Building Wo.r..k Type NEW Building Length 12 Building Width'., 12 ' C i ~ t m REMARKS: FEE SUMMARY: Base Fee $25.00 COPIES $2.00 Surcharge $.50 Total Fee $27.50 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - CLARK MICHAEL 644 BROCKTON CUR EAGAN MN (612)686-0929 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. L Statutes and City of Eagan Ordinances. J n Boa CV~APPLICANT/PERMITEE SIGNATURE I UEO V IGNA URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020772 Eagan, Minnesota 55123 Date Issued: 04/29/93 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 4 BLOCK: 6 644 BROCKTON CUR CLARK MICHAEL HILLS OF STONEBRIDGE (612) 686-0929 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DDATE INSPTR. FOOTING FINAL F PEF,MI?.# ,y 1993 BUILDING PERMIT APPLICATION lia :871 681-4675 -APR 2 3 RECD 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. Date / 3 / g 3 Va uation of work -Site Address: b61 eo C bCTo V P V C STREET SUITE Tenant Name: (commercial only) _ LOT BLOCK L I SUBD. P.I.D. M .~vl ~~l or.G Description of work: 7aJS,0' The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name O-I .A1=' M ( CtkA-ca Phone Ld' - 097,! ' Property LAST FIRST - Owner Address LOLN 3U91 Ce OAJ CviK-VE STREET STE t City CA6 K State Zip ( Z~ Company Phone Contractor Address License # Exp. City State Zip 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 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add']. 1K15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE )W 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC Systen: (Allowable) 1st F1. sq.-ft. City Water UBC Occupancy DE-1 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Fz On-site well Census Code 4 3 c/ Depth 2 On-site sewage SAC Code APPROVALS ~4,w Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site 5 Footing ❑ Framing ❑ Insulation ❑ Wallboard 0 Final ❑ Draintile ❑ Fireplace Permit Fee 2S`1 0 0 vatuat;an: $ Surcharge sv Plan Review License 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 Other Total: SAC % SAC Units h PIONEER 2422 Enterprise Drive T LANG SURVEYORS•Cr yrI. ENGINEERS ,f a^9*eering.. LINO PLANNERS Mendota heights, MN 55120 . LANpSC APE ARCHITECTS * K (612) 681-1914 Certificate Of Survey for:-D-~E gO , U / VDCArwn f L.V/YU ~!`QNY w/ zs ? tLJ¢ ° a at Wit No47N D e` M / ~x 7/ 10 A~ D~r1/ A9 36 fl\ My' D if q~. 501 ~D4• s o ~731, Sr3o„E O- o~Ofit"° \\e;, ` / r to ~4) s s /F y~010 ao O 041 D a 900.0 0enoles eflilin Elevvfion S' yoo.o Dtnoles propoeW 11tvaton PROPOSED WOUSE L Vg7101YS ben beofeo es 00"# )ago Utrlrll Easemenf Lowesf Floor- tleval;, - drna e Flow Arrows 0/7 Top of 131ock Elevation : y_ o_ y` o Denole; ry'r, monwriotil 8 e4rin, s shown n c ore yre assumed 6"rale slab E/evalion : *07-23 It LOT 4 i BLOCK ~6 AIMS of STOwEBRg) 10"(01"A COUNTY, MINNESOTA Gr G P hereby certify that this curvev. SU°"ECT TO EASEMENTS OFRECOt7p plan or report vv as Pre red b MCI" the lave of Ihp State of Mlnneyota. Dated this ~l y y r under my direet supervision and that r day of A.13. 1 am duly R9n 41-eed Land Surveyor Scale : ILn : qp r RO Cn r , SIKIr1 r L,, , EG. rl - It ws PERMIT C`'/& w3 ~ . zl~ 338830 P of KKnob AGAN PERMIT TYPE: B U I IL D I N G Eagan, Minnesota 55123 Permit Number: 0 2 0 7 1 p (612) 681-4675 Date Issued: e 4 2 , 9 c, SITE ADDRESS: a1~1 eu~urKruN 1.11: 1"OT: 4 HI UCK: L+ HI1"I S ri, STONE GRIDC--f ~.I.N,e 10-32990--046-06 DESCRIPTION: Permit Type RFPIACE irk 'I"yhe w- ~ X11#, t .,i..M, 'I 2 K ~irC~LS4~X44 - nrt+~b ~i _ +7.t-tX K- REMARKS: FEE SUMMARY 13ase Fse 'i~ E~.~70 surr.har9p _~~__5~ TcLal Fee ?,S,bA CONTRACTOR: A p I,.,1 i c a n t - S'I . L 1 c. OWNER: SFIFERI CONST INC M H 154',37`17 611.9 CLARK MIKE 12460 0AVZA-iA BLVD 6X16 BROCKTON CU-F' *IINNETONKA MN 55343 EAGAN MN - (T- : 'I "1 ~~~9 - ` ~ a~;A _ _ o-2 * ~ . - ~f~.s~~4'. i11 r°'1'I 4 t' g x a.. a,.a FX}n~ } '~m« l//~nlCn [n/ c Y Z' PLI NATURE ISSUE .SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: N U I D 1 N 3830 Pilot Knob Road Permit Number: 0'_ 0 71 Eagan, Minnesota 55123 Date Issued: H 4 % 71 / 9 3 (612) 681-4675 SITE ADDRESS: APPLICANT: Lore A :1LOl'Xa 6 646 EROCKTON C:UR SiiIFERI CONST 1NG hl H 1111 1 Oi ST0NF8R,IDGC (t.7 151 -9653 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEA . D FOOeI"NG F7R~c ~'L i1 C.l :ur < * ~i s.,--;Y # NSa-P#p #ai XA *#a+y'a a n. b ~u~3 1 p~, t, M~~ _ v ~ ~."~~`e'~aim~~Z3~so ° ~}~"Ni~v 9~~'~t } 1+e~ ik di. a-'ry i~# ~ ~.4x~~±i 't- ~aT ~ €w{} N-.yy~~yy~tt r k a 'v° y~ x '~I i q Y } ~~AA y Tq Y' F I'f $4#.E asm ~4x: £~,e i'}~~4+~hr ~#E HPa 1 k ~'C$ ~ I REACTIVATE _ CITY OF EAGANaS PERMIT # 1993 BUILDING PERMIT APPLICATION 681-4675 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. Date Valuation of work /pp p °D Site Address: ~U~^v 2 STREET SUITE # Tenant Name: (commercial only) LOT BLACK SUBD. QJ~ P.I.D. k Description of work: a -0 - c The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name ze &1191Z14 Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company &Awl Phone sYS37,5 7 Contractor Address~_Wn 1& ,,,,i License # ?/C9 Exp. 3 City State /bli✓ Zip 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: ' L BL I CITY USE ONLY ~U RECEIPT SUBD. RECEIPT DATE:_F a 4q J PERMIT # 1999 PLUM$INe PERMIT (RESIDENTIAL) CITY OF EAGAN 3850 PILOT KNOB RD EAfiAN, MN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC Iic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ O Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 > > > $ .50 Total > > > > $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinan-ces. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ~~y COc ~ eU~~~ (eMe e_~ U"_n 55 f OWNER NAME:: )U f,_f'C lc, C y~e r Swu f~ TELEPHONE L1 S li 1~ r8~0 (AREA CODE) / V INSTALLER NAME: ~ e f ~tnn en w, ~'C L l1 >~1S i Vl4 TELEPHONE ~ a _ `/-5 • y \ (AREA CODE) STREETAIADDRESS: / ~~5 ~CSKc.~7mLJ ~7~ CITY: 1J c S 2f1\~. STATE: 2it~ ZIP: SS3-S~2 l AUG 2 419999 I SIGN RE OF PERMITTEE CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # t'p PHONE: (612) 454-8100 RECEIPT # /00 3 5 Wpm I DATE: Cv 9/ a f T1 3eLk: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST X ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 /I GAS OUTLETS - MINIMUM 3.00 OWNER NAME: o ~utlyd &moA_rv-i OF 1 PER PERMIT 0 SITE ADDRESS: kl4l 1~Odc~ br\_ LA,k-ll_ STATE SURCHARGE: $Z7, `50 LOT: BLOCK-! SUBD. / TOTAL: 50 INSTALLER: FLARE HTG• & C,4NC. rv /I ADDRESS : t3"n Valley, MN. 55427 SIGN RE OF PE ITTEE CITY: ZIP: PHONE It4ACTAIIN1irS1RIA 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: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1;000 OF PERMIT FEE. PROCESSED PIPING a $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 nwM119" m DATE: (0 9/ VM; X,~.~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & 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 SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 3 LAVATORY 3.00 OWNER NAME: lea- KITCHEN SINK 3.00 3- LAUNDRY TRAY 3.00 3 " SITE ADDRESS: (s'-k-k __laPnt.Ou: c.UrJ HOT TUB/SPA 3.00 rr+ i WATER HEATER 3.00 3' LOT: BLOCK k Sul-, c)-to c b ,A FLOOR DRAIN 3.00 ~ - GAS PIPING OUT. INSTALLER: ~I A < u ~t b : C c 1~ L. (MINIMUM - 1) 3.00 3 ° ~ ROUGH OPENINGS 1.50 ADDRESS: Cn to G~ c 6 ✓ OTHER _ T _ WATER SOFTENER 5.00 CITY: Jc rCSc ZIP: S S 5 Fa PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE `l f1~' ' p SUBTOTAL S 2 d 50 C 1Yv~a~- q~ ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S 3 1 ' GiMMEkGSA")INbtS&T; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND danayy.,,. , 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 j35`I RESIDENTIAL -2-51 BUILDING PERMIT APPLICATION a~ CITY OF EAGAN 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 copies of plan (20% maximum lot coverage allowed) • i 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 I home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 71V93 • Rim Joist Detail options; selection sheet (bldgs with 3 or less units) DATE Z4 ` O Z- VALUATION SITE ADDRESS (A4. G~~ 6~ W~Jam- MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK n P 6rp(cC! Si,;, =qZo, a L FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & REMODELING. APPLICANT 4199 cRVrEL t.4i; STREET ADDRESS ST. LOUIS PARK, MN 5541! CITY STATE ZIP TELEPHONE #60IZ-`6Z~,-5r0 cICo CELL PHONE # FAX # PROPERTY OWNER ~~~i ~esT(72f stn F~4 TELEPHONE # 65 -o Jr 5~0 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations 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 Systcm 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 Ordi nces. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date /d Site Address_ Unit # Property Owner (~C Coo ~ 1z <V(\ L Telephone # c 17Q) THE SNtEUING CQNiP'ANY, INC. Contractor 1.04 r9NCORDIA ST. PXJL, MN 55104 Street Address F51-646.73$1 City State Zip Telephone # ( ) Bond - ~~sr 19 1 4-13 Expires: - The Applicant is Owner Contractor Other - - Fire repair (replace burned out appliances, ductwork; etc.) - $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional Replacement New air exchanger air conditioner heat pump other State Surcharge .50 Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understated this is not <a pernut, but only an application for a permit, and work is not to start without a iat_the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla \m' ~y~ Applicant's Printed Name App cant's Sign re PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA104670 Date Issued: 06/05/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 644 Brockton Cur Lot: 4 Block: 6 Addition: Hills of Stonebridae PID: 10-32990-06-040 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Rick's Roofing & Siding Inc l\Jarci A Coopersmith 13736 Johnson Street NE 644 Brockton Cur Ham Lake NIN 55304 Eagan NIN 55123 (763) 269-8022 I hereby aeknowledae 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108411 Date Issued:12/06/2012 Permit Category:ePermit Site Address: 644 Brockton Cur Lot:4 Block: 6 Addition: Hills of Stonebridge PID:10-32990-06-040 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Marci A Coopersmith 644 Brockton Cur Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature