697 Brockton Cir
yyy y~ \ (Ur#i#ira#ie of Orrupaury
citp of Cagan
iorvarwnd of lunwo 3ri8Vertwu
nis Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following,
Use Classification SF DWG/GAR Bldg. Permit No.
OcccywncY TYPe AN] zoning District ~J,- ~ Type Const
Owner of BuildingDj%j, tYl_ Address
PP 0 WK 24 3n, AME IM EZ
Btulding Address F,U7 i~L2(YX'ITri f:MF. Locality Lam, B4,, MIS CE SMNM
Date: 3118191
J Huit -
og
POST IN A CONSPICUOUS PLACE
REACTIVA"ED FOR ~IECK06/04/02
DAVID NOEL 484-4874. CITY OF EAGAN 8609
A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 y
BUILDING PERMIT Receipt #
To be used for SF DWC/GAR Est. Value #132'000 Date DEC it 19 90
Site AIfyss 697 BROCKTON C R
~ OFFICE USE ONLY
HLLLS OF Lot Block Sec/Sub. N M-1
i
Parcel No. Occupancy 1'Ct-IF- 1 FEES
Zoning 732.00
cc Name TU StfINDW(3ts)D CO INC (Actual) Consi Bldg. Permit
o Address P O 2432 (Allowable) Surcharge 66.
City APPLE VALLEY Phone 891-4605 # of Stories 4U.00
Length Plan Review
Name Depth sac, city 100.00
00 Address S.F. Total SAC. MCWCC 600.04
City Phone S.F. Footprints Water Conn 625.00
On Site Sewage -
Y w u Name On Site Well _ Water Meter 90 '0o ;
=Z Address MWCC System 30.00 ?
Orj X Acct. Deposit
i
< W City Phone City water 30.00
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50
f
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and Gity of Eagan Ordinances. Treatment PI
~~c f~
Road Unit 355.00
Signature of Permitee APPROVALS
THE WIA DWWD CO INC Planner Park Ded,
A Building Permit is issued to: -
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies *0
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
*ATER
SEWER
PLUMBING a 5 7a3~~
ELECTRIC [VIA (Q~p / q 5 o t~
Inspection Date Insp. Comments
Footings I J~/.Z v
Foundation
Framing
Rooting
Rough Plbg. aQ ) Q
Rough Htg. ~Z/ Jq ~~31 Lc1{~
IsuL -Z~
Fireplace
Final Htg. /S 9(
Final Plbg. ,S
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. ~~S g
J(5
Deck Final
a
Well • 2 2
Pr.:Disp.
_ T
77-
SEWER & WATER PERMIT r! OFFICE USE ONLY
CITY OFFAGAN METERS PERMITDATE 12/1"r/S0
3830 Pilof Knob Rd.
Eagan, MN 55122-1897 CHIP # &41 of 94 -7 , PERMIT # 11,756 METER SIZE B.P. RECEIPT #
X10
ISSUE DATE °►~"~4 q/ B.P. RECEIPT DATE 121111
DATE I f."C ? 1. 1`90
PRV _ BOOSTER PUMP
SITE ADDRESS 697 BROCKToi-i C -1'I`. PERMIT REQUESTED
LOT 20 BLOCK 4 SEC/SUB RILLS OF ST.ONEBRIDG'E
Y SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILD NOT be given for Deduct Meters_
CITY, STATE U,vlc?U1tfr` MIDI ZIP ~iG' 1r
PHONE: mss--
1 AGR eTO COMPLY WITH CITY OF
OWNER: THE WINI.tWOOD 00 INC EAGAN ORDINAF~CES
ADDRESS: P 0 BOX 24329 i
CITY, STATE AG'I'LE VALLEY my ZIP 551 24 `'•i~ lli`"`
PHONE: 891-4605 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EACAN METER # PERMIT DATE 2 11 <<~'0
3830 Pilot Anob Rd.
Eagan, ION 55122-1897 CHIP # PERMIT # 1 S 75 1 ]1,
METER SIZE B.P. RECEIPT #
DATE UEC 11,, 19901 ISSUE DATE B.P. RECEIPT DATE 12111/ t'0
PRV - BOOSTER PUMP
SITE ADDRESS 697 BLOCK" N G1R PERMIT REQUESTED
LOT 20 BLOCK 4 SEC/SUB HILLS OF STONEBRIDGE
X SEWER- WATER TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP NEW - EXISTING
PHONE:
! ,tiMv~~S Lawn Sprinkler Meters are to be Installed
PLUMBER:' Ahead of Domestic Meters on Water Line.
ADDRESS: Credit W_ ILL NOT be given for Deduct Meters.
CITY, STATE `'Muvh~r"" MN ZIPS'
i2~
PHONE:
AGREE' TO COMPLY WITH CITY OF
OWNER: THE WINDVIOOD CO INC EAGA'N ORDINANCES
ADDRESS: P 0 BOX 24323
CITY, STATE APPLE VAI.Lg ' mN ZIP 55124
PHONE: 891-4605 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM '
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address: 697 BRDaGM CIIELE Lot 20 Blk 4 Sec/Sub Hi7 S OF STuEBRIDGE
These items were/were not complete at the time of the final inspection.
DAIS: 3/18/91 Yes No INSPFlTOR:
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage qw-K&
Porch
Basement finish VIII
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.
White - City copy Yellow - Resident copy Pink - Contractor copy
DEC 11, 1990
DATE:
697 BROCKTON CIR (THE WINDWOOD CO INC)
A Your Sewer & Water Permit for the above property has been completed. It will beheld at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. 13E,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 properly has been completed, but the meter, cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. t.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
4 4 6 6 6 Re Data ' Fm No. Rou - napeclbn
7 ❑ ReetlY Now lymn rro0ly Inspector
s ❑ No When Ready?
1 P licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job reea (Street. Box or o) Ci
&Dab- No ownsh, Name or No Range No Cou
M RINT) P / D
Power Supplier Address
ElMrical tractor (Company Name)' Contraclor9 lcpme No
Mating A ( ac r or rer king Installation)
I
Authorize gnalure ICO Vacror r ekm Installation) Ph N or
OZ4 ~r
MINNESOTA ARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway B M9 - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 UnlvanNy Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
VMne (612) 602-0800 ENCLOSED
~~~/g~ REQUEST FOR ELECTRICAL INSPECTION °g Ee.o0o01.08
see mstmctmns fir completing this form on beck of yellow copy
4 4 6 6 6 X" Below Work Covered by This Request 4 514
New Add Typeot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building jolrydf Other (Specify)
Comm./Industrial urnace
Farm Air Conditioner
Other (.pacify) Contractors Remarks
Compute Inspection Fee Below.,
# Other Fee # rwce Entrance Size Fee # Circmts/Fail ee
Swimming Pool to 200 Amps '00 0 to 100 Amps ~
Transformers Above 200 Amps - _ Above 100 Amps ,6
Signs Inspectors Use Onty. =G- I TOT L6
Irrigation Booms C/
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-m 0 3-y~
certify that the above inspection has Final oate
been made 71
OFFICE USE ONLY
This request wid 18 months from
CITY OF EAGAN NO 18609
3630 Pilot Knob Rtacl, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 0- 1 y
Receipt # ( ~
To be used for SF DWG/GAR Est. Value $132,000 Date DEC 11
Site Address 697 BROCKTON CIR OFFICE USE ONLY
Lot 20 Block 4 Sec/Sub. HILLS OF
Parcel No. T N BR DGE Occupancy R-3--N-1 FEES
Zoning PDAL--1
W Name THE WINDWOOD CO INC (Actual) Const V-N Bldg. Permit 752.00
Address P 0 BOX 24329 (Allowable) V-N
c Surcharge 66.00
City APPLE VALLEY Phone 891-4605 kof Stones
Length 54, Plan Review 488.00
. o Name SAME Depth 54, SAG, city 100.00
R Address S.F. Total SAC, MCWCC 600-00
City Phone S F. Footprints
Water Conn 695-00
On Site Sewage
UQ
w Name On Site Well Water Meter 90-n0
u
z0 Address Mwcc System R
oz Acct. Deposit 30.00
`aW City Phone City water X
PRV Required SAY Permit 30.00
1 hereby acknowlege that I have read this application and state that the Booster Pump SAV Surcharge .50
intonation is correct and agree to comply with all applicable State of
Minnesota Statutes and~I ooLLEaga Ordinances. _ Treatment PI 9 5?-On
Signature of Permits e~=✓ APPROVALS Road Unit 355-00
IT -
A Building Permit is issued to: THE WINDWOOD CO INC Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Ory, copies
A
Building Official A,ljA, n1„9 Variance TOTAL 3,388.50
°F'
340f
1990 BUILDING PERMIT APPLICATION
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 CALLS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Single Family Valuation: oo G Dater 12/7/90
Site Address 697 Brockton Circle 1 3Z,owOFFICE USE ONLY
Lot 20 Block 4 1 FEES
Occupancy R 3 M-1
Zoning P17 -1 75Z,
Parcel/Sub Hills of Stonebridge Actual Const V-N Bldg. Permit oO
Allowable V-N Surcharge (..DO
Owner The Windwood Company, Inc. # of stories Plan Review U 88.00
Length SAC, City 100,00
Address PO Box 24329 Depth 53'/a SAC, MWCC D 00
S. F. Total Water Conn (~2S , c30
City/Zip Code Apple Valley, MN 55124 Footprint S.F. Water Meter 090,02)
Acct. Deposit 0,00
Phone 891-4605 On site sewage- S/W Permit oa
On site well _ S/W Surcharge 150
Contractor --The Windwood Company, Inc. MWCC System ✓ Treatment Pl. Z5LOO
City water Road Unit 355.00
Address PO Box 24329 PRV Park Ded.
Booster Pump Copies
City/Zip Code Apple Valley, MN 55124 SUBTOTAL
APPROVALS Penalty
Phone 891-4605 Planner TOTAL
Council
Arch./Engr. Bldg. Off. IO
Variance
Address
City/Zip Code
I
Phone #
VAL- t~A~r ors
SAT .e.,
SZSx i5= ~9Zoty
~yxZ~~ ~Zu ~ 1y~ 873
ST FL o oR
~4 X-4L-- ~Z4
a u x 3~'~2 = ~s~
Lt 51
X71961
i~NO FLOOR
Zyx33 = ~9Z
~ X IZ - ~ 2
Z ni 2 = - a~
8.36 xsi = W 2-634
31 Z s3
WINDWUW /~D/►1'
RoBe *3340.01
~i~~fl'~G E PLANLN(05 a d NO[ AND S~11RVIIVORS 1
N ~ 73
PENGI
COMPANY, INC.
~IUUU EAST 1461h STREET, OURNSVILLE, MINNE50TA 66351' PH 438-3000
Certificate of Survey
Legal Description : LOT Zo, &-ocx 4 N/LLs OF STO/VEBRa;*E,
W-OTA COUNTY, MINNE5oTA.
(9!z_5) DENOTES EXISTING ELEVATION
(9/3,50) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
9/I-83 = FINISHED GARAGE FLOOR ELEVATION
07.46 = BASEMENT FLOOR ELEVATION
915.50 = TOP OF BLOCK ELEVATION
SCALE a r' a 30'
G.B.
81° 27, F' f 9ol~i
DRA/NAGS AND ti / r 00
u-T11I7Y 64SE4ENT X68 73
LJ L ' 20 (909's-) 1s
pnYL-104 79!0,1' /
9/3.5 I Eg
~IiJ~ `Ffi p it
\ % PR v $
U ` Qj 1
Ho 0 0 11
~ ~ZSi cf7 Q \
~Yr3'S7 _ b.op g~ Q
o ~1 \
00
913 ~
o p g
30' FceO/VT BU/LD/N6 i7%y-r ,529
S6T046e L /NE 50 33 Za '
8ROCKTO.: -
CIF~CLE-,_ ,
Eli 4 E, 'i1%1z'R1NG DEPT
1 hereby certify that lids Is a true and correct representation of a tract of land as shown
and described hereon. As prepared by rrrs on this d2 day of DECEn7 -e ,1920-
_ Minn, ITey. 1.10. ^6085
61 Aev
I r 10) 1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN IDY v 0 2 &D-
SING ILY DWELLIN S 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 AI~LICENSED PLUMBER. "
To Be Used For: I ) e C- k Valuation: Date4
Y, Site Address -Aq7 groc t-on/ G(e-L-G OFFICE USE ONLY
Lot _JL Block FEES
Occupancy Bldg. Permit N h,
Zoning Surcharge
Parcel/Sub -41-11h .d oAuf,u, Actual Const Plan Review
/ Allowable SAC, City
x Owner aQUia 4 LpR j Oei( # of stories SAC, MWCC
Length Water Conn.
Address C1'7 13YOck-'1aN c:.. rtcLe. Depth Water Meter
: S.F. Total Acct. Deposit A.
City/Zip Code _Ogej " 5"S/2-7 Footprint S.F. S/w Permit
r S/W Surcharge
Phone 'fS`cf-779/(H).`f8H-ifg7!4Lml) On site sewage- Treatment Pl.
On site well Road Unit
Contractor MWCC System Park Ded.
City water _ Trail Ded.
Address PRV _ Copies
Booster Pump
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
C~ M
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code -
Phone #
Sewer/Water Licensed ontr.
X agrees that all work shall be done in accordance with
(Signatures f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PEkfir CITY OF EAGAN
1992 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 when typing of permit is requested,-but not picked up by last working day
of month in which re guest is made or lot change is re guested once permit is issued.
Date / / Valuation of work
Site Address: ~n ! BROC-MN CIRCLE
STREET STE I
Tenant Name:
LOT BLOCK SUED. P.I.D. •
Description of work:
The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE
City State Zip
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:
Urrn{ c U*r. UNLT
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous
❑ 04 Multi-fam. T.H. g 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
31 New ❑ 34 Repair ❑ 37 Demolish
32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy- 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
I of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code+
Depth On-site sewage SAC Code
APPROVALS
Planning Building L 1 S Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site 2f Footing ❑ Framing ❑ Insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee S' v t7 valuation: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pg.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
W/NDWOW //D/~
Rose 43340.01
ENGINCEAING CQNSNUI.J AS j6N 5 SNOLRN AN f3tti151
Gild U;..S~uRYEYORi
3- ' F6 79
_1; .C0MP11NY, INC.
IUUP,.EA3r 1461h'STREET,`:1,BURNSVILLE, MINNE9oTA 6633f PH 432w3ooo
Certificate of Survey
Legal Description: LOT Zo, BLoCK 4, NULLS OF SToA16eF!(X~E,
DAKOTA' C.WWY, M1NINE50TA.
(9_/z_S')...DENOTES EXISTING ELEVATION
M(9/3,So)_. DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
R,s ^~/~•83Y- FINISHED GARAGE FLOOR ELEVATION
07.9b . BASEMENT FLOOR ELEVATION
9/5.50"= TOP OF BLOCK ELEVATION
SCALE e.Io 3W
w Cr 8.
DR41AIA66 AND Zo /9ol~i
1/7-1/-/7Y 6494531EA/T N
~bg.73
(9/4-J)
bxt~ A
lJ L' r~ (909. po N oT
,t
D T 7yros5' / ~uc~ancl
9/3.5 INN Fg 19a7p E/xM~
48-
jijj~
QRpp~SEp °Z -a
\ w V4pJ B / 1
\ i3
/ s, ~9i3Z7 6.00 (9/9, 7 Q 1 \
N C o
&4 l;466
°o ~yri3, ~ J
?_40D
yr
/5
9i3
0 0 (9U, 87
30' FRONT BUrGD/N6 Iti~~, S6Z9q' R-6o.o0
SET9460t' - L /NE 50033, ZO
3ROCKTO
C/Rcl_E
1 hereby certify that title is a true and correct reP9esentatlon of a 19001 of land as shown
DE[ErIjBt7E;__ ,Tg~ ,
and described honon. As P9epa9ed by 9ne on lilts' 0 day of
Ae;;W~ ~ Minn, [leg. Flo. /608.5
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE: (612) 454-8100 RECEIPT # 0
DATE :
pFKxT a; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~c ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00 l
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: lljaw(4 4 =4 1'Vn~ OF 1 PER PERMIT
SUBTOTAL:
SITE ADDRESS: &,?'J 9rock-cu),i Ctdt~ STATE SURCHARGE: $ .50
LOT: C90 BLOCK SUBD. TOTAL :
INSTALLER: u//-
ADDRESS : 1J I ~G22(/wU~[ `~G~ I SIGNATURE OF PERMI TEE
CITY: ~41, ZIP:
PHONE 23 `!a
4I3iCT!{Ibfl~tTi: 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: It OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EAnH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # /i2 a7 6
PHONE: (612) 454-8100 RECEIPT # 101019
~4UWNGpEI?7 DATE:
1tES;IDENTIAt: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NEW CONST NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
ADD ON 02 SHOWER 3.00 (°,Ou
REPAIR
- ~ WATER CLOSET 3.00 9.00
BATH TUB 3.00 00
LAVATORY 3.00 06
OWNER NAME: ~11NeQl1Ja ?76/Yts KITCHEN SINK 3.00 ?:Lb
SITE ADDRESS: 9 LAUNDRY TRAY 3.00 ? nb
HOT TUB/SPA 3.00
/ _F WATER HEATER 3.00 .3 Oo
LOT: do BLOCK '7' SUBD. FLOOR DRAIN 3.00
Q II GAS PIPING OUT.
INSTALLER: Ls (MINIMUM - 1) 3.00 .60
~1 ROUGH OPENINGS 1.50
ADDRESS: 15/35 CO tl ~)nV OTHER _
DD WATER SOFTENER 5.00
CITY:_1W5GPYIOUr4- ZIP: `J$ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
O_ p ~ SUBTOTAL $ ya.bo
(L[l,ff~ 7~ ,~/JLnfr ~Gc, ST. SURCHARGE .50
SIGNATURE PERMITTEE
TOTAL: $ q°3l _Ilp
GOMMERCIAt%INDUSTRIAL;i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1% 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
i
i
PLUM 2004 RESIDENTIAL
CITY OPIEAGAN MIT APPLICATION
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 9 J Z 7 / NOEL, LORI
697 BROCKTON CIRCLE
Site Street Address EAGAN, MN 55123 Unit #
(651) 454-7781
Property Owner Telephone # ( )
Contractor.612) 827-4033 Telephone #
( )
Address _,_2905 GARFIELD AVE. SO. City State Zip
itldPdE~kPOUS;-M 55408
The Applicant is: _ Owner Y_\ Contractor -Other
Alterations to existing dwelling $ 50.00
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener X Water Heater $ 15.00
X replacement _ additional
Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00
Slate Surcharge $ .50
Total
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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to star'i without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
J L4l- t Vl wit
Applicant's Printed Name Ap I Igna u~U r ` Q Llj` L
J
u~
3y
.
r,0 ffiQe oiUsk Permit / 6
City of Eapn
I
NOV 9 20- 1 Permit Fee:
3830 Pilot Knob Road s ~9 I I
Eagan MN 55122
` I Date Received:
Phone: (651) 675-5675 I I
i
Fax:. (651) 675-5694 I Staff:.
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: MJ" 1 Site Address
e
Tenant: Suite
RESIDENT / OWNER Name: Lob No eA Phone:
Address /City /Zip:
CONTRACTOR Name: License
-
Address: Appliance onnections Inc
City: Shakopeef MN- 663:79 State: Zip:
-
Phone: 952-445-48iMct Person:
TYPE OF WORK -New -xReplacement Repair -Rebuild Modify Space _ Work in R.O.W.
~I
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater X Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main - lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL -FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn. Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/8" meter is required) '
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductv~ork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
1 hereby acknowledge that this information is complete and accurate that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
1
::T IM
X. amen ~i e x A AA
Applicant's Printed Names Appl" is Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-In -Air Test Gas Test Final
I
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106772
Date Issued: 09/11/2012
of 3 a R Permit Category: ePermit
Site Address: 697 Brockton Cir
Lot: 20 Block: 4 Addition: Hills of Stonebridge
PID: 10-32990-04-200
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Valuation: 3,000.00 Surcharge - Based on Valuation $3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Fireside Hearth & Home David M Noel
20802 Kensington Blvd 697 Brockton Cir
Lakeville MN 55044 Eagan MN 55123
(952) 985-6675
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152246
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 697 Brockton Cir
Lot:20 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Laura M Wohletz
697 Brockton Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163318
Date Issued:08/26/2020
Permit Category:ePermit
Site Address: 697 Brockton Cir
Lot:20 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Laura M Wohletz
697 Brockton Cir
Eagan MN 55123
(612) 849-8082
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163933
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 697 Brockton Cir
Lot:20 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Laura M Wohletz
697 Brockton Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172807
Date Issued:10/18/2021
Permit Category:ePermit
Site Address: 697 Brockton Cir
Lot:20 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Laura M Wohletz
697 Brockton Cir
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature