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669 Brockton Cur PERMIT City of Eagan Permit Type: Zoning 3830 Pilot Knob Rd Permit Number: EA100447 Eagan, MN 55122 Date Issued: 08/04/2011 (651) 675-5675 ~ of Elin www.ci.eagan.mn.us Site Address: 669 Brockton Cur Lot: 19 Block: 5 Addition: Hills of Stonebridge PID: 10-32990-05-190 Use: Description: Sub Type: Residential Construction Type: Work Type: Accessory Structure Description: Shed Census Code: - Occupancy: Zoning: Square Feet: Comments: Fee Summary: Total: Contractor: Owner: Applicant Reid S Leighton 669 Brockton Cur Eagan MN 55123 1 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 For Office Use I Permit /00 V Ci Ol EaFn ty I 3 830 Pilot Knob Road I Date Receive / I Eagan MN 55122 -----J Phone: (651) 675-5685 2011 ZONING PERMIT APPLICATION ✓ Please submit a set of scaled drawings with the application. PROPERTY I Site Address: Name: L G j~ •`~"l e Phone: .Sl~ 30 S - OQ S CONTACT Address: ~ l Sr0L k4e"',. y~'✓L City/State/Zip: C~ aK Applicant Signature: v' ❑ Retaining Wall <4 feet ❑ Driveway dfOther:«I TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ❑ Fence Description of work: Cbh S I 7. S S 4&u PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. Approved: rYe_?No DateofApproval: 2d Staff: Required Corrections: 411 A,,~ e4- Revised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING i Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved: Yes / No Date of Approval: Staff: Required Corrections: Revised Plans Approved: Yes / No Date of Approval: Staff: COMMENTS ? G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications (O(oq &-OCK*-K) Corve Rafters 2x4 -16" on center, roof pitch 6 / 12. Roof sheathing %Z". Shingles will be (Owens Corning) to match Home. Walls 2x4 -16" on center, eight feet tall. Wall sheathing %Z". Siding - Hardie board to match siding of house. 2x6 Header over passage door, passage door 36" x 80". 2x9 micro lam header over garage door, garage door is 6'x 7'. 12"x12" poured concrete footing around perimeter of concrete pad, Y2" rebar will be in the footing. The thickness of the concrete floor will be 4", with remesh in floor. 8"x 1/2" hot Galy anchor bolts to securing framing to slab. E F 77 -2, l ~o qq~ 7.5' o a v v 7.5' ~ft ~ fi~a( 7.5' , to L -4 i ~L Pot- rGlsi`il~G' a t:f7 5.5' om 0 CeN0111P 16: AREA CALCULATIONS SUMMARY AREA BREAKDOM Code Description Si e Net Totals Ereakdown Subtotals C~~ c ( 7. :SURVEY FOR: It. 5.1+•1. Ilolnes ~ Inc . DESCRIBED AS: LC 1,a--t 19, Black a, RILLS. Or 1 5'.1'018? tilt I DG H , City o f ..I'. a K Cl d1, 11 ~ gt • !6i r• e~i~oimlo 1)ikota County, Minnesota anti ' N 84''~ 5;P32 rep ~~q~+• FoservitiF,• easements ww w of record. 899.1 ~Ib , rl! y t A1 IfA II q~ . p (tee s.. w'°^ {,]yry~j~,l ge,~ d ryy' p M .TMa^. 1 7_ s Il' 11' W }@n T f ".Pt 5C :at o t A Ale Ga►, j 7I-or R~i ``ate r• ~ ` 1 1 ~ l,~ " ~w~ 1 41 Fvv J1" '4 to q3 00 `top 7 h $ +1/ PROPOSED ELEVATIONS BfNCitMARP p.ww 11% Top of Foundation 0.906.0 'TpQ Garage Floor a 904-ty 11~et/Kheeskav Ur. F,►~~k nx~s.~ ,.~i, Basement Flour .6 w/.(. r t j i4111+8.3ET3A!Ci4 itf l1F~fi! I~! 'i 11 Approx. Sewer Service Elev. ® zw air v.R .:;s Proposed Elevations Existing Elevations ft Front - "Ouse P rasp Drainage Directions w Near - 15 G itr%,a d- AHD- Donates Olisot $lofts © SCALE: I Inch 30 Feet , = h•r•G~ saHfy that this eurwy, /ton •r nPesf eras pl•~ar•d Rr son .j jQ3 t4Ci.Sr Of under my direel sumvislon and thol 1 sm a duty rleeletered a 1 if , _ li L-4 ewvoyw w "et, the taws of Mel alste e® IAinmeeal*. ----1 HEDLUND • ~ X66. ,¢'loaWho Enginoon/lp Survay#j0 soft f- o,....,sl« F"-F. slow.w teww• sane W101101 _ . .w a ILP~I lb t: . J• •y l t r•a, Ll~snso 14461 ip ~ w.r..~..w..~••w..w.w...~...aw.«..r....er.swr......w.n.w•w........,n...+e..n.n..w,w,'..n..vn~eowvnw,«., sr' i.r ,n ~;aisy''lY INSPECTION RECORD r'TY OF EAGAN PERMIT TYPE: ► 3830 Pilot Knob Road Permit Number: rc'' Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: , i t a 4~ll „ APPLICANT: i.(J. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 5-a7 I f" Permit No. Permit Holder Date Telephone N i ELECTRIC PLUMB G 4l /a? HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ^77 t~ ROOFING Lam' ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSULrfep GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Permit No: w I nl()Q Date: 11-1-4-88 3830 Prot Knob Road Meter No: Size. ` P.O -Boz 21199 Reader No. Date: E-W;en, MN 55121 nC Owner. fl Site Address: r':{ - %"roc'ctrnz ix , 1,x.9 F,5 71.11s o Plumber. Lake ide Plu%vl ini , c Conn. Chg: r o 0Pd Zoning: ^1 Acct. Dep: 1 ` • `~<< No. of Units: 1 Permit Fee: • Ctn.' Surcharge: • 5p~,3 1 agree to comply with the City of Eagan Tr. Plant_ ? • 0 0pe. Ordinances. Meter 4 e Pn Misc: By WATER SERVICE PERMIT CITY OF EAGAN Permit No•• Date: ! - 3830 'clot Knob Road B/P No: Date: RO'Bbx 2Ti99 pagan, MN 55121 s Owner EnMr-3 Site Address. 6 -r0C!r j, T I c , 4 ; Plumber: i.t~ MWCC: 4,510. 0 pf Zoning- City Chg: "P7 No. of Units: Acct. Dep: s art I agree to comply with the City of Eagan Permit Fee: n Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT 01rdifirate of (Orr paury Citp of (eagan RPVnrftM of Wuilbing 3nopprtinn 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 Clacsifiwtion 4`'~%+s. Bldg. N mit No. - Occupancy Type C 1 Zoning Mow ul tR 1 Type Const. Ow= of Budding ? M1°~ Address 0"11 - ~Vi'ls 19, B5, YC~SS~J OF, Building Address locality Mete: C SR 14, Building OfficW' a POST IN A CONSPICUOUS PLACE aW .....z.. _>Gf Aa ~.~s... ..,1~ J BLDG. PERMIT NO. ~jl1 01-3210 Bldg. Permit (o t~'~ 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn.i 20-3868 Water Trmt. v x ra r- 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN;~28 ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ! PHONE: 454-8100 BUILDING PERMIT Receipt # j To be used for DECK Est. value $1,400 Date AUG -,19 90 Site Address 699 BROCKTON CURVE Lot 19 Block 5 Sec/S~t RILLS OF OFFICE USE ONLY Parcel No, Occupancy FEES Zoning REID LEIGHTON (Actual)Consl Bldg. Permit 25.00 W Name 6b9 8R44JiC~4R CURVE Address (Allowable) O City EAGA'N Phone 937-7804 otStories Surcharge • 30 Length Plan Review =p Name SAME Depth SAC, City 88 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn Uw Name On silo Well tZ Water Meter x- Address MWCC System ¢Z Acct. Deposit a W City Phone city water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SIW Surcharge information is correct and agree to comply with all appli le State of Minnesota Statutes and City bf Eagan Ordiriances. Treatment PI Signature of Permitee I APPROVALS Road Unit A Building Permit is issued to: RE ID "LEI GRTON Planner Park Ded. on the express condition that all wok shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 2y Variance TOTAL * Building Official t Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.AC. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const_ Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Dec* Final f ` / ,0 cif well Pr. Disp. CITY OF EAGAN 5 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 157V PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 8F -0WC/GAP Est. Value :'91-000 Date (Y-7 xBER 17 ,1 f1 Ali Site Address 669 nOCMPI CUi, V~~ . OFFICE USE ONLY Lot 19 Block 5 Sec/Sub. STONICBRIZ4-1?: On Site Sewage Occupancy 1^ MWCC System Zoning P1} R"-1 Parcel No. On Site Well (Actual) Const V--Dv a Name City Water + (Allowable) 'td I ;.i.4I41T,r:8 w PRV Required # of Stories z Address 5516 180TH STN 4 % o City sTIC IAKI': Phone ` Ct-br' 4 Booster Pump Length ~ Depth 37' c Name Slkl`iF.' S.F. Total U a Address Footprint S.F. s ¢ City Phone APPROVALS FEES M Engr./Assess. _ Permit 518.00 ww Name ,5.30 ~ w Planner Surcharge Address City Phone Council _ Plan Review ~'Q a w Bldg, Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC -5 5o.00 information is correct and agree to comply with all applicable State of Water Conn. 550. ~ Minnesota Statutes and City of Eagan Ordinances. Water Meter 67. ~ Signature of Permittee Road Unit y Cy. A Building Permit is issued to.. 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. j 648. 50 TOTAL 2 Building Official------ Permit No. Permit Holder Date Telephone # Plumbing 4-co-,2 //j U 0 i,'`i H,Y.A.C• fQ 45 Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing O~ Roofing Rough Plbg. Rough Htg. ~l,g f / ~i/j7 4f► N.C Isul. Fireplace Final Htg. Y f~'!J Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. a PERMIT # MECHANICAL PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address L-62, 12,0Q12"911 V BLDG. TYPE WORK DESCRIPTION Lot 9 Block " Sec/Sub ~ -I ,13R r i . r.,^ 7' T r Res. New C' F, Name -A I I 5z 17 - rY1 - Mult. Add-on 'r Comm. Repair _-j c ° Address -'=I g ? T T' % U) City 5 n, Y' E6 Phone n r "Other FEES Name Zs:? ""r RES. HVAC 0-100 M BTU -$24.00 c Address _ ADDITIONAL 50 M BTU - 6.00 : City Phone (RES. HVAC INCLUDES A/C ON NEW 44G 699~ CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ~ Forced Air M BTU'l APT. BLDGS. - COMM. RATE APPLIES 'h Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & s Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE " SIGNATURE OF PERMITTEE S/C: - TOTAL: FOR: CITY OF EAGAN PERMIT # _ Q %c rf PLUMBING PERMIT RECEIPT # C~ $h! CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE:454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Y ~7 Block Sec/Sub Res. ' New er- z G Mult. Add-on Name 0, c Comm. Repair m Address" Other c City Phone 12 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL ,;r "I", Water Closet - $3.00 Name u''a f Bath Tubs - $3.00 = E>; 3 Address Lavatory - $3.00 Q City Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES / Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ' Gas Piping Outlets - $1.50 ! s STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 { Private Disp. - $10.00 7 Rough Openings - $1.50 SIGN RE OF PERMITTEE y' FEE: - STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: y " tr S~, . " su'+a y~, q:~a bf ki7'i! w PLUMBING PERMIT For Offica.U, e O y CITY OF EAGAN PERMIT c CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHON!RR 454.81 DQ DATE: Z 64 Site Adfd S VU7 0C c-i' (LA ti) F BLDG. TYPE WORK DESCRIPTION Lot ock Sec/S b Res. New cp Mult. Add-on Comm. Repair Name Other Address City Phone RES. PLBG. ONLY -COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Name 'y ° Bath Tubs - $3.00 Address vlL! Lavatory - $3.00 City b Phone Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PE ,1=ACH,$ ,000 F PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Ope ipgs - $.y500 SIGNAT RELF PERMIT FEE: ' v STATES SIC:_ FOR: CITY OF EAGAN ~,((GRAND TOTAL: Z-'~ l CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 [ PH 0 N E: 454-8100 BUILDING PERMIT Receipt # I r i °r To be used for M OWG[GAR Est. Value 491 r,000 Date ,19 Site Address l 8[? C"1°~OV Ct r:4i OFFICE USE ONLY I cx s _ On Site Sewage Occupancy b'~"-~a r`f" Lot Block :r Sec/Sub. ~+TOREBRIWE MWCC System` Zoning " Parcel No. te_? j°,'. - On Site Well (Actuaq Const aF~~ City Water i°~ {Allowable) ~~~f""Z' x Name ]tom+A w „ PRV Required # of Stories z Address 5516 i€OT-H ::s x E 3 Booster Pum Len thi s City FED T"' LA Phone 440-6 00 p 9 Depth' p Name ` SAME S.F. Total a AddreSS Footprint S.F. City Phone APPROVALS FEES _ 33.p En r./Assess. Permit W w Name g 45.50 1 Planner Surcharge _ Address 69.00 t,,~ Council Plan Review q w City Phone Bldg. Off. SAC, City p. ro6~ I hereby acknowledge that I have read this application and state that the variance SAC, M WCC 550. t'30 information is cot•rect and agree to comply with. all applicable State of Water Conn. 550. GO Minnesota Statutes and Cityof Eagan Ordinances. r = Water Meter 67 .0 Signature of Permittee - - Road Unit 37. &ii3 A Building Permit is issued to: SH ~~iG;4ES Treatment P1 r C'4 * 00 on the express cond ition that all work shall be done in accordance with al I Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ` , 7UTAL > ;z~P Building Official- _ ,a CITY MEAGAN Permit No: r. Date: " 1--14.._F; 38311• lot Knob Road Meter No: 7 Size: PAYLBox 21199 Reader No. Date: f Eagan, MN 55121 Owner. PS,:? Pomex Site Address: f„9 Brockton "u..rve 7,19 c3:c 5ta'">rebr _c:F're ~ Plumber-' ake Side Plurabin. Conn. Chg: `_>5 17. 0 d Zoning: ' Acct. Dep:_ 1-5- 06cl_ No. of Units: Permit Fee: 0 00l (I Surcharge. 50nd I agree to comply with the City of Eagan Tr. Plant_ 204, 110-rl Ordin es. Meter. ~7 . Misc.: gy ~J WATER SERVICE PERMi /D~/-71", 6 o tf E 65920 E 17 jai ~,Sy-~Ehr~~9P Request Date re Na. Rough-in Inspectbn , Z- ~ f^: R g? ❑ Ready Now ill Nobly Inspector 6 ❑ No When Ready? I licensed. Contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or outs No.) Cry 27 r rrc C r-✓ C1`2 ~`GCtn Sectwn No. Township Name or No. Range No. County Occupe RI T) Phone No. Power pplier I Adtlress /'y1/wyI Electrical Contractor (Company Name) ContM=fb License No. A3 : e 16c 4/4 ~s 3 Mating Acbdre& (Contractor or Owner Malang In IM3on) - ~Sc ~ e gyn. s 13 AuModzed SRnature (COntrectoo()wmer Malting M an) Phone Num r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gdgge-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1321 University Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 3624300 ENCLOSED. fp/f REQUEST FOR ELECTRICAL INSPECTION Eeoooot or a~ ► 3e6 instructions for completing this form on back of yellow copy. E 6 5 9 2 0 'X° Below Work Covered by This Request New Add Rep. TMofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.Mdustrial Furnace Farm Air Conditioner Other (speafy) C miractor5 Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Slze Fee # Circ"'OFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection 6 Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Flnal t ate been made. C° %Z OFFICE USE ONLY This request old 18 momma from 89V5ZIK E 7 7 014 5 f vu- qler& 0-0 Request Date / Fire No. Fougr~jd Inspe flon / Req 7 ❑ Ready N- 6 Wtil Notify Inspector Yes ❑ No When Ready? I licensed contractor ❑ owner hereby, request inspection of above electrical work at: Job Address (Street, Box or Rode No.) city Seellon o. lbwnehip Name or No. Range No County OpS m_ Phone No. j~ Ci ~'>'1 eS Power SU her Address Electrical Cow clor (Company Name) Comractab License No. ~C yl ' ~c/j S Meiling Atltlress (C ntractor Owner Malting Installat ) Authorized nature contrscttodow Making Installation Phone MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1521 Univers" Ave., St Fain, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 6624M ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-G0N1-m ► See instructions for completing this form on back of yellow copy. E 77014 "X" Below Work Covered by This Request Ne% Add Rep. Typeof Building AppliencesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Comraaore Remarks: Compute Inspection Fee Below., # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Z, jqtj0toI0OAmpS Liq - Transformers Above 200 _ Amps Above 100 -Amps Signs Irapecterb Use Only: TOTAL Irrigation Booms S~ Special Inspection Alarm/Communication Other Fee L12 _S I, the Electrical Inspector, hereby Rough in 1/ 12/4 certify that the above inspection has Rnsl ( Dare been made. OFMCE USE ONLY This request wk 18 months from 90~ 5Co 11ciW89 E 67517 ,joy Request Date ` Fire No R h-in Inspection p G. Reg4lred? Ready Now ❑ Will Nobly Inspects 0 Yes b No When Ready? I' licensed contractor 0 owner hereby request inspection of above electrical work at: .Job Address ` (Street, Box a Rc ule No.) City BO G 1 , glzu<- TOni 1EL~}N~ Section No. Township Name or No. Range No. County i+1LO iA Ocotpam(PR Phone No r . Power Supplier AEtlress Electrical Cord is (Canpmly Name) Conbector5 License No. C:AtAxld 6-LicK, C. O~i1a6i Meiling Address (Contra~cator m Owner Making Inst an) 3 n109b(- k)1no jar ATV- Authors ignaW (CO mpor ing allatbn) Phone Number _ ;7!r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gdgge-Midway Bldg. - Room SAM BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0880 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00001-07 ~ See instiucbon for completing this form on back of yellow copy • E 517 'X" 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 Condilioner I K Other (speedy) Contractor§ Remarks fl Compute Inspection Fee Below: ©Ni,' • # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspeclor5 Use Only: TOTAL Irrigation Booms l~ , QO lO. S~1 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Roug;Wn Date certify that the above inspection has Final 7 g!? been made. • ^ OFFICE USE ONLY This request void 18 months f om 7 i~ q 0 F 34988 Request 0 to ' , 11ire No. RougRin In ion 1 Requiretl? I ❑ eady Now ❑ Will Notify Inspector ❑ Yes ❑ No When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: .bh Address (St Lox a e No) City Section No. Townslrp Name or No Range No. Cou DCCaP RINT) ^ plq t 71: Power Supplier / \G Address Electrical Cormaclor (Company Name) r ion) qpapq4540 PENNOCK LANE A-jU5P=VtSt+L.rT.`klrl+H35124 Phone Z r MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT GNgga-Midvmy Bldg. - Room 5-178 BE ACCEPTED BY THE STATE BOARD 1821 Unh erslty Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phorre(612) 69241500 ENCLOSED. (~//f3 REQUEST FOR ELECTRICAL INSPECTION Ea -o7 ► sae mstruc m 1%cornpletmg this form on back of yellow copy. C~ 7 3 4 9 8 8 x' Below Work Covered by This Request Now Add Rep. Typeof Building Appliances Wired EqulpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Olher (sPecify) actors Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Cifouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps _ Amps Signs Inspectors Use Only: TOTALs~ Irrigation Booms /J • Q~ 6// Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rwsh-.n Date certify that the above inspection has Final oat been made. ns, OFFICE USE ONLY This request void 18 months, from 7 s 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New construction Requirements RearodsUReoeir Requirements office Use onh 3 registered site suneys slwrig n R of lot sq. R of horse: and all roofed area 2 copies of plan denvi ng looting, beams, joists Cot of Survey Recd _ Y -N (20% mamrwm lot coverage allowed) )set of Energy C.darlafiais fa heded MOM Sods Repot _Y -N N_ 1 Sods Repel if proposed builbrg s to be placed on dahabed sod _7 site savoy for adgmes & decks Tree Pies Plan Reed _ Y _N 2 copies of plan showing boom& exidow sues; poured Intend design, etc. D LA ~ in"ca'sff oo-fseocsysPem Tree No ReMmeA -Y - lsddFiresertian On-site Septic Sysern -Y -N 3 copies of Tree Presevatign Plan it lot platted after 7/1A3 J Joist cai selection ventit3lion s' ilmnga we 3 a toga units) E 1 3 2007 Plans are considered public information unless you state the are trade secret and the reason. Date 102 Construction Cost Site Address lp (p q ~~/v r~N p ~7 Unit/Ste # Description of Work lio!/L tdma . el 2 ,()Gt'i . Alet Y&/W. Multi-Family Bldg _ /Y _ NN, Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~J 6'(£IUcff Telephone #(~yS~) Contractor C//%./J /J Address Z~ e~ city ~-Laa State yam/ f✓ zip Telephone # (/y S/) ~°d • ~d7 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (J subm ss on type) • Residential Ventilation Category I Worksheet New Energy Cafe Worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the lost 12 months. has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - . N If yes, date and address of master plan: 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 approved plan in'the case of work which requires a review and approval of plans. /V/J-w(a my"elire Applicant's Plinted Name Applican ' Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan of c1 ; v 3830 Pilot Knob Road, Eagan NIN 55122 p Telephone # 651-675-5675 FAX # 651-675-5694 C ~SLQ l0 2 New Construct on Requirements Remodel/Repair Requirements _.rrcg'Cnk' . . 3 registered site surveys showing sq. R. of lot, sq ft. of house; and all roofed areas 2 copies of plan Ce+i of eyltG 9:;:':?•-: i::3 . rN (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tri'ai'res;Pli n Rl, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks l set of Energy Calculations AddNon - indicate if on-site septic system Dlrsilesepsesysiem:: -_N 3 copies of Tree Preservation Plan if lot plaited after 711193 Rim Just Detail Options selection sheet (bldgs with 3 or less units Date/ Construction Cost 3~~U Site Address ' 6 Unit/Ste # Description of Work? r a To ur?mfr (a9a ab~ Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner iEtb C_. x( Cs -H-'-'0'j Telephone # (6S) $ ' G Z o ( 6~- off" c70 Contractor Address City State Tp Telephone # ( ) 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 D 2 2 ,2004 I hereby apply for a Residential Building Permit and acknowledge that the informatio compW~'aT[d accur te; that the work will be in conformance with the ordinances and codes of the City of Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved Ian ire case of work which requires a review and ap royal of a/ns. _ Applicant's Printed Name r e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of-plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation ao d Occupancy MCES System Census Code V,7 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V- Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _~C_ Footings (deck) Final/No C.O. Footings (addition) - Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace - RI. - Air Test -Final - Windows Insulation - Retaining Wall Approved By: T'7 C~ Building Inspector Base Fee Surcharge )-.0() Il}(,i~-L Plan Review MC/ES SAC 7 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies 3~ ` (7 Other Total r . Surye~ar~s G'ert~f~eate~ SURVEY FOR: It.S.F•1. Ilomesl inc. DESCRIBED AS: `S Lot 19, Block 5, IIILLS OF S'I'UNIi1111IUCG, City of.[iaga», 1 ;~I.IQ Somme Dakota County, Minnesota and µ8a' E Ia 896 3 T reserving- easements „row of record. g3y.Z to tl A. / •V ~/j a~,• ell q $Irc7fa~. r Cwry ?a rv /s"/re W/o Q'sat~1' r„A II 't. W-O-Oco" A,iP- 11c Gar. np to b h0li sr ~f A. !1 4) 17~flc.~L ~0~+ 06&1 ~ Ao be.. 4' t4 / w a 1 r~s • y / 60'ev... •{p ju..A. Q~~C O 90 . S ~y TOs io FRot, :51r-~ -ko p_ 9 ry BA~~K~ON see d 9~3 Ie ` 901 6 LX, Q ~l sk cv4s or.& • 40tJ6 b- 4W- `,`E y. ~ , tv R.3r4. ~ to 9 NNjtll~f 00,3 1 PROPOSED ELEVATIONS BENCHMARK, Top of Foundation 0906.0 Tp A.+ Ktd. 'i.e. Co~W GarOgefloor . 904 b War, slav Dr. b F11111I,ee.. Qu1• tl Bassltnent Floor . g"7. to w fit OIREMENTS Approx. Sower Service Elev. • !MIN. SETBACK REOI Proposed EtevONWae r V s Existing Elevations r Front X30 Noute 81ds 10 p Drainage Directions ...,_r Rear -)S earagstwo- 5 C Denotes Offset Slake . 0 SCALE: 1 loch ■ 30 Feel I Mr.xr oerltfr that Its$ eurrer, Ptah er tparr was Proposed by tae Joa No.: HEDLUND of user. direct rrthe h and tool 1 e • Wary Registered 1309-537 Lead eurvo rrrr Warr the lo we of d IM slam of Mlhwrrob 000x: Planning EnlNneenng Surveying rw~rrwra.. r.... rr..w.sw 8 g t+w»I~.xww'Sr" [,t . (I ..a4 1•~. ~^i✓ PAGE: Mlot Wq" b b MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 4- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694' Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date OR / ;Ls / G3 ~ ) Site Address ~GY> Cw Unit # au,,. r~~ 55123- Clk Property Owner > S 5 h~ v~ Telephone # ((v5 L4to..l " Contractor V'k Street Address At r% 4n city State 1 ' V Zjp.6NG -U/5j Telephone # 461 ) 32Zr-8p2- The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement _ air exchanger air conditioner other - State Surcharge $ .50 Total $,,,.SG c) 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 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 inZecordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name liplicant's Signature a,3a CITY OF EAGAN Np 8228 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt t # (1 7J To be used for DECK Est. Value $1,000 Date AUG 6 1 g 90 Site Address 669 BROCKTON CURVE - Lot 19 Block 5 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. STONEBRIDGE Occupancy FEES Zoning 25.00 M Name REID LEIGHTON ActuapConst Bldg. Permit o Address 669 BROCKTON CURVE (Allowable) Surcharge -5 (1 City EAGAN Phone 937-7804 p of Stories Length 201 Plan Review ifi iF Name SAME. Depth 18r SAO, Cary u< Address S.F. Total SAC, MCWCC City Phone S F. Footprints On Site Sewage Water Conn ~w Name On Site Well Water Meter R3 Address MWCC System 02 Acct. Deposit <W City Phone city water PRV Required SSW Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to corniol IralFe I ble State of - Minnesota Statutes and City f E an Or i Ean es. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: I IG TO Planner Park Ded. on the express condition that all w k shall bi done in accordance with all council - applicable State of Minnesota Statutes and Citit~y. of Eagan Ordinances. Bldg. Off Copies Building Official Qj( el /A I III,1'I Variance TOTAL 25.50 1990 BUILDING PERMIT APPLICATION AV$ j ~99~ CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY Or MONTH TN UM..ICH REQUEST :S IUDE. 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: , ae?~c / L n Valuation: ~ CCU ~ Date: Site Address / pgoGk+o") `UjUe- OFFICE USE ONLY Lot / Block S FEES Occupancy oning Sr c'a Parcel/Sub HIus C5~ 5'~IY+f Actual Const Bldg. Permit / Allowable Surcharge Sa Owner Rz/7~ rte 4E//,47bo-) # of stories Plan Review 6~ p / n Length 90 SAC, City Address _ / f~2oc.k-~U,J `U,CVC Depth /9 SAC, MWCC S.F. Total Water Conn City/Zip Code -Fer&y ZAAN SS(23 Footprint S.F. Water Meter OFFICT- g3-7.380 Acct. Deposit Phone /~o - 1, 88-63aa On site sewage_ S/W Permit cc On site well S/W Surcharge Contractor V~itT yQS ~(~D MWCC System Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL , Council Arch./Engr. Bldg. Off. 2/ ~P z Variance Address City/Zip Code Phone # i A Ravalorfs Certifirlite b3o , SURVEY FOR: R.S.l•1. Iloalerl Inc. ` DESCRIBED AS: Lot 19, Block 5, HILLS Or 1 S'1'ONEBRIDGE, City of.liagan, ;"91.18 WON" Dakota County, Minnesota and 1 N 84- 8 6.3 reserving- easements ,ter of record. 839.1 i rA V: i N 11J A. . 4l ij f 0 e ~ • J 7a Aat S' h .ry who 9ayzb1'•~ 2 - SC YF4 :aF r p it, Ga.. q h~l'erby i ` r. ~ b r4 e `-J 90. S tv~ Of IQ d~ 6 /0'r a &9/'q3 901 400.3 -'J 1 PROPOSED ELEVATIONS BENCHMARKa Top of foundation 09015.0 Tepp AA IrJ S•E• C'^or Garage Floor a b{.6 wareAeSd•rv D• ~ Foirk%v-- Baeerneat Floor .6 ;17.4 •lav. = 851.IL Approx. Sower Service Elev. a i MIN. SETBACK REOIREMENTS Proposed Elevation@ r O Existing Elevations Front -3G House Old* -•10 g Drainage Directions r r Roof -15 OgrdpeSldg. S Ostrow offset Slake r O SCALE; t Inch a 30 feet I heresy eortlly that this survey, pan a report ads prepared by red JOB No.; " HEDLUN® or under alwcl eapwNelan and that t • duly p•e. gg~_53T a.wd surveyor re.ev in* lore of IM elele of MIM•e•l'4 Planning Enginvorinp srovey/ng gaoK an am a..erarr.r.,nr.... r.... ae..rerrw $g .~I.x rr.~s' ll nn oeusl_c..I.c,~ _ly macs Je 1•y t 1 ran, U•MU H1711 -77 CITY OF EAGAN PERMIT - 3$$D Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031832 (612) 681.4675 Date Issued: 04/24/98 SITE ADDRESS: 669 BROCKTON CUR LOT: 19 BLOCK: 5 HILLS OF STONEBRIDGE P.S.N.: 10-32990-190-05 DESCRIPTION: , Permit Type SF ADDITION rk Type NEW OCks `#m 434 ALT. RESIDENTIAL N, crag Lti6 g is M e s* tea rl why z, 1 ?u V s i' ""°z^U3~ U a n Ru s v" w, REMARKS: KITCHEN WITH UNFINISHED LOWER LEVEL A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $23,000 Base Fee $324.75 Plan Review $211.09 Surcharge $11.50 Total Fee $547.34 CONTRACTOR: - Applicant - ST. LIC OWNER: TUSHAUS CONST 12280219 0006050 REID LEIGHTON 954 OSCEOLA AVE 669 BROCKTON CUR ST PAUL MN 55105 EAGAN MN 55122 (612) 228-0219 (612)688-6320 9. 6: ~ii rres i-s 6~: >gi t ~u.^sa us.cu"aeisiG~tis~w~~i6as^s 61s s'6cmx,'N9i g~°'~i ~~~t~i ~gq g~~'~~vry,t~~"~'a srs;`rsW$.y a,~F } ,y y,,y I,,,w..W y(yf jq'p~ 4~W '312~t3~`i y}°N~3~~r(S~ wglp o-U$ 41& ~ 1f.. k~ ~ 916 yR ~o- ~ ~ fia !I":v ih ~Ci~~~~ iA.CBREfIG{~C.k Y.~b~9YP!}, at t~o-?f PI31 9 ~ CU~y6jo- fat§@y~~92Yfi ¢I'ggr~ 4tM1 ~La r fig, v~q v*~i 9i i rs v . ~ i ne siQE sm ,a.,a m ,i~r'~9 Gt1.~'~ISm •a~1~N ~rc~.it.`Y~is y'~'f-~~ ~~.s~~t~i r ~res6u ~~..6 b~~ & Imn ~~'~~~m~ ~ ssin~ APPL CANT/PERMITEE SIG ATURE ISSUED GNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) $14134 31X CITY OF RAGAN 3830 PILOT KNOB RD - 55122 ~Z 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ t energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot planed after 7/1/93 required: _ Yes _ No DATE: Tf CONSTRUCTION COST; .S'~o?~ <-Cd • u C] DESCRIPTION OF WORK: STREET ADDRESS: 6,49 a r a r .io v% C t -irt r e_ LOT: g BLOCK: Zr SUBD./P.I.D. I d IdYlii~110. P Name: V- tic ter u a ~w Phone 69&1(, 3 0 PROPERTY Last First OWNER l Street Address: Ce (o Pj_ e-c~ lb v- kA -W V C_.. City focr U- State: M141 Zip: Company: t r... 5 r t a a ; w Phone 667 A zZQ.R 1 5 CONTRACTOR J Street Address: g~ ~ ©SF evcoto.- 4 f= License # /ot3 .5 City S4 ~ R,-,L-( State: Zip: 9-J (O Z ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:i OFFICE USE ONLY ri c~ Z 0 V Certificates of Survey Received Yes No 2 0 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool 19,03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 - plex ❑ 15 Deck WORK TYPE ,41.)b1T,vP u1 ~yl P, 104- C- o L L- ❑ 31 New ❑ 33 Alterations ❑ 36 Move Ef-32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. N3~/ Depth Footprint sq. ft. SAC Code v i Census Bldg r Census Unit APPROVALS Planning Building nM3 Engineering Variance Permit Fee Valuation: $ 23, Surcharge Plan Review gasa^ License MC/WS SAC City SAC Water Conn. 15 Water Meter Acct. Deposit zn~ 3 zv 1b A s4/ _ 1-7 20. S/W Permit _ 2-2 o -20. SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC iSACUnits IIai y Suwalorfs ecrtificiate bi)odo, SURVEY FOR: R.S.1.1. llonles, inc. DESCRIBED AS: Lot 19, Block S, HILLS OF S'I'oNfill ItIDCE, City of liagan, ` ;~1•Ig MOONS Dakota County, Minnesota and r N84 • E 846.3 ID T reserving easements d.r of record. 8791 -Ib . - ~S A 4~ ~ j 1 i ~ D• v 'fig ti.1~,, GwQ'' 0 V-4 'CA eW , w a le o P A z IICC p JR -6 4' ~ 5/ 9 ~ ~ • r „ ~ 9O~v.. s. A0 Q. 4LLf 0 9 Iy S 10 FaoA Sled, •l0 IF $ ss~B _'1 r BC Ct b1DA :Skp ~OL,l.lo d X23 le 'PaoN~ d- OW16 yoo., In R.37 " 9•~ ^lo flv,.ve~.y 4eo,j PROPOSED ELEVATIONS BENCHMARK. * corvsr Toy of Foundation ■ 905.0 rcl.es Tep A_P~D SF. ff. Geroge Floor ■ 904.10 Weh.. r. ~ i~rl.>,+•~ ~ • Basement Floor is g"7.(. elev. = . I MIN. SETBACK K RED REOIREMENTS Approx. Sewer Service Elev. is Proposed Elevation@ I O Existing Elevations r Front -30 House Bids 10 g Drainage Directions r Rear - 15 Garage BIOS- 5 Denotes Offset Stake . O SCALE i inch • 30 Feet I herely serllty met INe waver. else er reeoel wee erosersd by M JOO No.: J D~~~® er under my dxect ewrerdelen eed ikot I an • dory Registered Selz-537 IELwd serveyer ,wrier Me Mw of the State go MlnepeN. P/ennrng EfOreeerrxlrye~3nrveying ~OKD en rr er+w-bge+~~Ye ~•r.YUe ~ 8 DONS U., • II.RS •v-•~ PAGES Je er In tee, Ucenee Ne►a -77 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 155726 PH ONE: 454.8100 (700-A) 67( BUILDING PERMIT Receipt# 0 O D To be used for SF DWG/GAR Est. Value $91,000 Date OCTOBER 17 .t g 88 Site Address 669 BROCKTON CURVE OFFICE USE ONLY HILLS Lot 19 Block 5 Sec/Sub. STONEBRIDOr On Site Sewage occupancy R-3 M-1 MWCC System X Zoning PD R-1 Parcel No. On Site Well (Actual) Const V-N a Name RSM HOMES City Water L (Allowable) V-N w PRV Required # of Stories 3 Address 5516 180TH ST E 0 City PRIOR LAKE Phone 440-6900 Booster Pump Length 64' Depth 37' p Name SAME S.F. Total 0< Address Footprint S.F. City Phone APPROVALS FEES ~a Engr/Assess Permit 538.00 Name = Planner Surcharge 45.50 z- Address aw City Phone Council Plan Review 269.00 Bldg. Off. SAC, City 00.00 1 hereby acknowledge that I have e d thi plic on and state that the Variance SAC, M WCC _,550.00 information is correct and a re co I wit all applicable State of Water Conn. SSO-nn Minnesota Statutes and Ci of gan na es. n Water Meter 67-0 Signature of Permdtee _ Road Unit _ 3~0 A Building Permit is issu to:_R3 _HOr>E$ _ I Treatment P1 _20_4- 0n on the express condition hat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official ~i 11~1(1__~,(,~_~ LL~.~r TOTAL 2,648.50 R 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN Y SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTES 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 To Be Used For: 'R.e Valuation: Date: to ca' `8b Site Address 96c11~BfdO1O~ culu y1 000 OFFICE USE ONLY Lot Block On site sewage_ Occupancy R"3 M_I r MWCC system Y Zoning M R-I Parcel/Sub Hi«S Ot Sj GQF',OKAS On site well Actual Const V" N R 5 ,1~'~ No nr.~~ PRVyr rwater equired Allowable Owner 'Q Address S5 L 6 60'~ s~, Booster Pump Deepthh p S.F. Total City/Zip Code QUO' e 5S Footprint S.F. Phone 6lkoo APPROVALS FEES Contractor Engr/Assess Permit 538,o Planner Surcharge 4M SU Address Council Plan Review 2 &%a.o 0 Bldg. Off. Y %4 SAC, City tbb.Oo City/Zip Code Variance SAC, MWCC 50,00 Water Conn s Sy, of Phone Water Meter 69.00 Road Unit .3= t3a Arch./Engr. Treatment P1&Q~140* Parks Address Copies TOTAL City/Zip Code Phone 4 vA~uA~-ioN ~ . GAS2AGE Z q X XW= ZD k 2 X1v l/o$ IMO f 338 'X►3 = •I 39 °c 3S/M e ~ ~ 33~- 9.036_x. i Smiralors eertificate SURVEY FOR: R.S.H. Homes Inc. DESCRIBED AS: Lot 19, Block S, HILLS OF 1 STONEBRIDGE, City of Eagan, `1.18 e~w Dakota County, Minnesota and N 841 ~ 5YE Ie 896 reserving easements 3 of record. &99.2 IIb - - I ~ ,l 1 7 l / { l I ? I i I ^ ~ ti t0 6r fV ( .•j ti ~ 6¢ fu f ttl I Zo ` 90~ X n~ 9a f r 10 0 ~yyAf r 2.j N /lsnH, p C -AD Sg p Ga, Of Y'10~ Mv~~ c ~ O I 0 9D~ l4 1 I'• SI ~8 w ~ • 7L2j a hs l 9~I 3 S ' ~I3 frl Qe /p I N 3;p, 4, 'B~~C T23 to KT0# 4 s'4l'gs n , zo I* 900.7 N Rtyy¢ C7 L2 G f t 4~ ' GAN ENG NEERING DEPT I PROPOSED ELEVATIONS BENCHMARK y Top Of Foundation • 905-o Tp n.,t Hyd. S E. Corner Gara a Floor .904 /e Ward 4.,. Dr. E Fs:ri+■•r^ ~a' 9 elev. = 899.9L Basement Floor . at 'l. 6 MIN. SETBACK REOIREMENTS Approx. Sewer Service Elev. • C Proposed Elevations C:) Front -30 Nouse Side - 10 a Existing Elevations r Drainage Directions r . Rear - IS Garage Side- 5 2 Denotes Offset Stake . O SCALE: 1 Inch a 30 Feet I hereby certify that this wrvey, plan or report was prepared by me JOB No.: HEDLUND or under my direct supaVISlan and that I am a duly Registered ggle_537 Land Surveyor under r the the laws of the Stale of Mlnneeafe. BOOK: Planning Engineering Surveying eel s.a saawela, rn.w a r.+m. MW 10. 11, IK9 D txWb•+ ',b'en' m e'a • PAGE: od»: Je y In ren, Lisense N&14376 -77 4 ~G %/li~Lesf~ EX1•ERI0I4 FNVEWPH AVIiRAGE "•U'• COMPUTATION SITE ADDRL•'SS IQb Ll12rQ^C~.(c `~~V-~- ~ CONTRArroN~S/I!• z4a:w y G• DATE PIIONE Determine working square footage of each. 1. 'total exl)oscd wall area INV.0 6y. ft. x •(1 3.40 2. Total roof.ceiling area ......./,338.0 sq. ft. x 025 a_ Total exposed wall area above floor a /74O.O • a. Total wall window area /O~• b. Total door area ezt' G c. Total sliding glass door'area O 4. Total.fireplace wall area e.' Total wall framing area (average 102) /yb. O f. Total net wall area above floor L•Ysy,B _ g. Total rim joist area I/ Total exposed foundation area 1O~•G h. Total foundation window area O i. Total net foundation area above grade L09.6 Determine ••U•• value of each wall segment. a. /&73' x I.W. _ a .s6.9 C. 32.2 X ••U" 55 /77 O ° d d. X "U" e. /76.0 X ••U•• ./~2 ••11•• . oss ~ 9.3 3...................................... Total Z If item #3 is the same as, or lc!;:; than item 01, you have met e:ho intent of SUC 6006(c)2. AN -0 X- rln-: z) ~,..A,/ f'O3 044 r.+ lw/ t/~ S!3 c bo. D G ~c) Z Total exposed roof/ceiling area = 133g• 0 j. Total skylight area p k. Total root/ceiling framing area (average 106) /3 3-A, 1. Total net insulated roof/ceiling area Determine "U•" value for each roof/ceiling segment.. j O X ..0•1 a L~ 1. X ..U- C26. 3 4 ---Total If total of A4 is the same as, or less than N~2, you have met the intent of SBC 6006 (c)1. S/ Cee.7> Lc7+~w~ a s9c Good (el.)/ Alternate Building' Envelope Design To utilize the total envelope system method, the values establish-.d by the sum of items 03 and 44 shall not be greater than the sum of items #1 and 02. + 2. 33 s aa~/ 3. /957, 2 + 4. Ze.7 2. 9, G sc-rx ok-,si C2 Z i APPLICATION FOR PERMIT NOTE: PAYMENT OF FEE AT TIME OF ; APPLICATION DpFS NOT CON- STITUM APPRM?AL OF PERMIT. f # SEWER AND/OR WATER CONNECTION : INEPOTION OF mm Awe wATER r i INSPALiATIONS WIIL NOT BE SCEDLUM i I!NTIL PERMIT HAs BEEN APPROM. \ ,*#####***f4114*R*11f*f4444*44f#f###4f4 city of ecacican PLEASE PRINT 1) PROPERTY ADDRESS: '6 (f L LEGAL DESCRIPTION: Tax PP lrf4 e-, -7Lot oc S vision or Tax el D IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE2'SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: e Si L[c.. k ADDRESS: 1~ r 1 q .Zi n rG.~ CITY, STATE, ZIP: PHONE: 7610 b For City Use 3) NAME: Pl rcense: ADDRESS: Active Expired CITY, STATE, ZIP: Not recordec PHONE: MASTER LICENSE # QDo1 387th r St Ia nitiaT- 4) • • • NAME: ~4SN1 e G ADDRESS: rr-/ - /Pd J74Y cc G CITY, STATE, ZIP: PHONE: ION TO CITY SEWER ` TION TO CITY WATER O OTHER THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WDRxS TD FACILITATE METER PICK-UP. ; PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. .FOR CITY USE ONLY PERMIT # ISSUED /OlOU Pd W/Bldg. Permit FEES: C $ $ PG 'S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ~U S U WATER PERMIT (INCLUDE SURCHARGE) $ 7'a 7J $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ IS U p ACCOUNT DEPOSIT - SEWER $ $ 45 G~ ACCOUNT DEPOSIT - WATER $ S U C lj $ WAC $ S2 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ 7 $ OTHER: cr z !J ZJ TOTAL / 6 i Z 6 c- if Q 6- CJ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY': ~~_~2z /yam TITLE: DATE: CITY USE ONLY LOT q BL If 0 4 RECEIPT /0/y91/ SUBD. tL~}/GGd(.Ce~ RECEIPT DATE: ///h9 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 n,4 (612) 681-4675 Date/ Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning L/ Install air exchanger, i.e. Vance system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: 20.50 SITE ADDRESS: c1 ~D 7 t ✓~r p OWNER NAME: PHONE lOpd/~~~/ ~p ~02~ INSTALLER NAME,- t PHONE d T ! D~D J STREET ADDRESS: CITY: ST ZIP: J3-3 I NATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) - 1998 / CITY USE ONLY ?2& V/ L ~ SL S RECEIPT#: 9 SUBD. RECEIPT DATE: 61"111-9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 661-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system _ -w--~ - FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 X = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 X Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 X = Floor Drain 3.00 x = Gas Piping Outlet • minimum -1 3.00 x = Rough Openings 1.50 X = Water Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 X = U.G. Sprinkler ' for dwelling under cont. 3.00 = U.G. Sprinkler "forexisting dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ao, ~a I hereby ardcaowladga that 1 have read this application, state that the'informatiori is correct, and agree to comply with all applicable Cily of Eagan ordinances 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 propenyhight-of-way/easement. SITE ADDRESS: p~/ 6 9 ~ ✓Y` ~ OWNER NAME: INSTALLER NAME: TELEPHONE* STREET ADDRESS: p 6 "p- CITY: / STATE:M ZIP: SJ SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 M 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) " e/ 7 CITY OF EAGAN 1 S 3830 PILOT KNOB RD - 55122 $Ep 9 ENTD 651-681-4675 New Construction ReautremeMS Remodel/Repair Reaukements 3 registered slte surveys showing sq. ft. of lot sq. H. of house 2 copies of plan and gH roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for healed additions 2 copies of plans (show beam b window sizes; poured Ind. design; etc.) 1 site survey for exterior additions L decks 1 set of energy calculations D 3 copies of tree preservation plan R lot plaited after 7/1/93 DATE: ( - I -99 CONSTRUCTION COST: l (JD~I. DESCRIPTION OF WORK: I STREET ADDRESS: UL~Q~] ` l ILA( (rf _o, cOu" jl.,. oye, p LOT. --IL BLOCK: SUBD./P.I.D.0: I I 1 A 510 ~~~0.A L Nornw, alYl ~ I~LI Phone It: U Q3~ PROPERTY La First OWNER I I ) l ~I~&6-y\ l~lA1(V~ Street Addr/ne~ss: v "wtx•_ \ 1 r~ City ~IJIMLA tom, State:] Zip: ~j Company: f'~~ I W l ~I Phone _ w ( CONTRACTOR area code) Street Address: License # J Exp. 3 City h State: Zip: 6F5-5~7 ARCHITECT/ ENGINEER Company: Name: Teleohone It: area code ( 1 Street Address: Registration City State: ZIP: Sewer S water licensed plumber (required for new construction onlv): Penalty applies when address change and lot change Is requested once permit Is Issued. 1 hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. I~7(A~ r Signature of Applicant: )WI / I • /may OFFICE USE ONLY U uL i 5 Certificates of Survey Received Yes No a " Tree Preservation Plan Received -Yes No Not Required I~ PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099498 Date Issued: 06/10/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 669 Brockton Cur Lot: 19 Block: 5 Addition: Hills of Stonebridae PID: 10-32990-05-190 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 S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Sela Roofing Remodeling Reid S Leighton 4100 Excelsior Blvd 669 Brockton Cur St. Louis Park NIN 55416 Eagan NIN 55123 (612) 823-8046 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:Mechanical Permit Number:EA117305 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 669 Brockton Cur Lot:19 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Reid S Leighton 669 Brockton Cur Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA117306 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 669 Brockton Cur Lot:19 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Reid S Leighton 669 Brockton Cur Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166241 Date Issued:12/22/2020 Permit Category:ePermit Site Address: 669 Brockton Cur Lot:19 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-190 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Reid S & Jennifer M Leighton 669 Brockton Curv Saint Paul MN 55123--167 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167520 Date Issued:03/18/2021 Permit Category:ePermit Site Address: 669 Brockton Cur Lot:19 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Exchanger Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Reid S & Jennifer M Leighton 669 Brockton Curv Saint Paul MN 55123--167 (651) 308-7003 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174205 Date Issued:01/06/2022 Permit Category:ePermit Site Address: 669 Brockton Cur Lot:19 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jennifer Marie Finstad 669 Brockton Curv Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature