653 Brockton CurCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
!ECTI
RECORD?
PERMIT TYPE:
Permit Number:
Date Issued:
???Nfi
o ti'4 c=;
=ADDRESS:
N 7EIii lU t itr"
i rof.- 11 rt I rac,r
I PERMIT SUBTYPE:
i'41 .: ; !!? I ii
, APPLICANT:
TYPE OF WQRK:
?
I !t t,WY
fi F.C f' f' !) 1 1 1'3 td
INSPECTION
i?? r`, i=I 4 t! I, r• .
i t-1' '! t.?t I f+ 3? DA
lilrt?
? fi''V.,MA k k t , 'J r>AkA'l c 1 > ( i ' M t t i t> f;rwl I € - i r , vol-e Arq-; I I I ?IMrI I N« r}ta f' I e r rT Tr..AI 6014V
?
Permit No. Permit Hotder Date Telephone #
ELECTRIC dp°
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
.
INSUL
?\y 1
GYPBOARD
FIREPLACE p
7r
FIREPLACE
AIR TEST
FINAL PLBG
D-
FiNAL HTG
ORSAT
TEST
BLDG FINAL Q? 1? I?J
BSMT R.I.
BSMT FINAL
DECK FTG
DFCK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? . ? . ? . ??: +? ??,: ? ?, ?v ? k.??;
f1 I t 1', ?}; I r?f?F FSFd I.l:?(!E.
iI PERMIT SUBTYPE:
I? I !r+,tl;tt4 1 d'd
PERMIT TYPE: ""' I P" NCI
Permit Number: 0,' 14 it'{
Date Issued: `' 1 , /0 "' j, Ib
'K?1V1 a'-:Sk7 4'1!)
APPLICANT:
( ? • ! ,;' ) ?, 4 3 •- :l i3 ?? ?
TYPE OF WORK:
NEW
i•? .? i? i i i f???a { t?I4L: j
f. r da A t
?
?I
,i
Permit No. Permlt Holder Date TalQphone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RQLJGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIFiEPLACE
AIR TEST FIREPLACE
FINAL PLBG
FINAL HTG
QRSAT
TEST
BLDG FINAL a
BSMT R.I.
BSMT F(NAL
DECK FfG
DFCK FiNAL
gemfiCate of
644 ot 1
7his Certificate issued pursuant to the requ
certifying that at the tirne of issuance this stru
ordinances of the City regulating building con:
., .,. ? .. 5 F I]WG
ccc"Mc?
? ?oted"
ments of the Uniform Betilding Code
ine was in compliance wiih the various
xction or use. For rhe following:
sW rerudi xo. 1351
SIONN?k{].lJCi?
Buil - g Address n7.1 -Ji?7,K1ldV :,UffV? Lccaity Ll.i,? t35? t?J.LLy M.
20/2$/92
? .. (
Date:
'. 6uil"ng O&cial
POST IN A CONSPiCUOUS PIACE
?
0*r.
.. . ?"A t?' 15?. i q1,?
_ r?s??-?'. 1 gs
. . .. _?_ . . _ ?. _..._ .... _... .._.. . . _. . ? .._._ .. __-} ,..??.... ?:r3,ei
. . INSPECTION RECORD contro?No. 1008
CITY OF EAGAN PERMIT TYPE: "'?LINSING
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: La 7, 23 s t. OC K c 6 APPLICANT:
663 eROCxsnN cUe CARR6iS, cU,sT" 11116*e6
NILlS Ot ST01iE6RIb9E (632) 428-6t9Pl
°2ERMIT SUBTYPE:
S F LtwG
TYPE OF WORK: twir -<
INSPECTION
Fool D, . .A
, . .?
SNSUTA'12tlN f"k'NA4
FlkEwl AC.F ?? V ?
Permtt No. PermR Molder Uate Telephone #
S/W
PLUM8ING
L
HVAC •fW
a
ELECTRIC
av99 `
??? (G1dZGT
?o?q? ?7
p
?TO ?
ELECTRIC ?
Inspectbn Date Insp. Comments
Footingsl Z?4
Foundation
Framing e2l?f??
Roofing
Raugh Plhg.
Rough Htg.
ism.
Freplace
Fnal Htg
Orset Test
RnalPlbg.
? Plbg.lnspector - NotiryPlumber
Const. Meter
Engr./Plan
BIdg.Final ?_Z x S• ,??•j0 Q d OU !
Deck Ft9.
Deck Final
Well
Pr. Disp.
Addrass:653 BROCCPON rURVE Lot 23 Blk 5 Sec/SubHJTS OF S1Ckq8RIDGE
These items weze/were not completa at the time of the fina inapection.
Date: 1 zg qZ Yes No
Final grade (6" from siding) '
Permanent steps - garage
Permanent ateps - main antry
Permanent driveway
Permanent gas
Sad/seeded grass
Trail/curb damage
Porch
Sasement finish
Deck
Please verify with the buildar the ramoval of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before ?
freeze potential exiats.
?e?mEOruE?
White - City copy Yellow - Resident copy Pink • Contractor copy
y as/sa-- ?ad?o?
010 9 9
?i
365
Raquest Oale '
?/ Q
? ?
Z r Fre-NO. ugh-in Inspecimn
eqwred9
G Reatly Now AI NoTty InspMOr
Wh
R
d
7
( / C?'es C No en
ea
y
IOicensed contractor ] owner hereby request inspection of above electrical work at:
Joo Address (Streal. Box w Roule ?
?
'/
? Ciry
/
?,
J .?
OV .: .4 ? ?tJ
Section Na Townsh?p Nama or No qenge No. Couniy /
I4
,
^ •
OauDam IP INT?
ll Phone
NO
?
"
i :'o
:t5 ?0•,< /Za %?e•t 5 %O v
?.
j
Power5u0D? /- / /
e? NSO t" "/ • Atltlress
?.d ?" r4 e ?a? ?Q ;?
Eiemrsai Corn'44 m ?COm n ame? ? c
` ConvaMor ?cense No.
Mailing Aaere,SC.h?nvador or pwner kmg Installatanl ,/
??COmreqorr n r Makinq InstallaLyOn,...?? //A P?one NumEe?Jr' ( ?G J
MIIMESOTA STATE BOAFD ELECTRIGITV THIS INSPECTION REOUEST WILL NOT
Grigqa-Midway 61Cg. - R m S1]3 BE ACCEPTED BY THE STATE BOARO
18T1 Ilnlveralty Ava. St Paul. NN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61P)BC2-0B00 ENCLOSED
C,?/a??pn , REQUEST FOR ELECTRICAL INSPECTION °#'"`? Ee.ooom-oe
//-
? See insimc0ons lor completing Ihis tortn on back oi yellow copy
6
K n in? q '?X°Befow Work Covered bv This Reauest ??
ew Add Rep TypeofBuiltling ? ApphancesWired EqmpmentWired
Home ? Range Temporary Service
Duplez Water Healer Electnc Heating
Apt 8wlding ? Dryer O[her (SpeCity)
Comm /Industnal ? Fumace
Farm / Air Condrtioner
Other(syecdy) Conhactor's Remarks',
Compute fnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # eeders Fee
Swimming Pool
0 to 200 Amps V+, p
s
1001
Amp
Transformers
_ Amps
Above 200
Amps
Siqns 6
InspecmrSUseOnly TO
Irngahon Booms ,
Special Inspechon
AlarmlCommunication TMIS INSTALLATION MAY BE ORDEREQ DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 M S.
I, the Elecirical Inspector, hereby R°ugn-m w q
certify that the above inspection has
been made F,,,ai Date
!
OFFICE USE ONIV r
This request voi0 18 months Irom
3 2 9-6 ? G ? OFFlCE USE ONLY Thiz requesi wid 18 months hom mLdanon dam pnnkd in this b D^/
PLEASE PRINT OR TYPE
Reqwst le Rough.in im on requind2 e No Inspernon Othar n Rough-In ? Reody Now ill Call
?You m?st mll Hre impectorwhen ready) Dme Ready
I, ensed confracior ? owner hereby reques} inspeclion of fhe above elech'ical work af:
Jo6 Pddrcsa IStrea1, Box, Na No.) Gry ? bv Code
? ? ?
Sacfion No. Township Name or No. Ra?ge N.
Fire No
Counry /
d m T/?
?upanl . Phona No
04 r: ?/' Aie
Power Supplier Address
ElMnml Conlm r(Company Name)
?/ Canlraclar Licensa No
G?Ab `?? hbakr 6c. No?. /(Planl Ekct Onl?
't/`
Zd
iqs.w APR
?L+.te? 7
MoilingAddr ontmtlororOwn Aorm,ngln.Mllanon)
8
noo?
sa
r
?.. az ?
\.I
? ? .,P 4e .rl
Aulhon ' naNn(CO cmr rPe(df??'" ?rglnsloll )
dfsl /// ? 9?' PhonaNo.?J
? _ f'/s217
EB-OOOD1A-10 6/95 STATEBOARDC INSTRUCTIONSONBACKOFYELLOWCOPY
III IIII IIII II I II I IIII III II II IIII I II REDUEST FOR ELECTRICAL INSPECTION
-r
MinnesoW SWte Board of Electricity
1821 * 2 9 6 7 2 0 * Pnore ?aiz? s? _az-oeoo ??7?'?aul, MN 55104
0 3
Home Duplez
I
I
Apt.8ldg.
Ofher:
New
ddn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Wafer Htr. Lood Mgmt. Other.
D er Ran e Elec. Heat Tem . Service
'X" above the work covered by fhis request. Enter remarks in this space ond on the back of ihe white copy only.
Colculate Inspechon Fee - 7his InspecM1on Request will not be accepted withouf ihe cortetl (ee:
Olher Fee # Service Enhance 5'ae Fee Ciraiea/Feeders Fee
Mo6ile Home Park Stall 0 fo 200 Amps 0 to 100 Amps
Sireet Ltg./TraHi< Sig. Above 200 mps Above 100 Amps
Tmnsiormer/Generafor INSPECTOR'SUSEO LY ?1?1
? TOTA ?
Sign/Outline Ltg. Xfmr. V ?
Alartn/Remote Conhol (r(O f
$wimming Pool I? ??t h?, ??he el ml i Ilonoo de:cabed herco on Ihe daros mxd
Irriga}ion 8oom Rough-ln
S
ecial Ins
ection
p
p
Investigalive Fee Fml ?re
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
SSLI aZ) RgSIDENTIAL
BUIIDING PERMIT APPL{CATI
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 551
651-681-4675
New Conatruction Reauiremants RemodeUReoair Rea• 3 registered sde surveys shomrg sq, ft af lol, 54. R. of house, and all mofed areas • 2 copies of plan
(20% macunum lot coverage allowed) . 1 set o( Energy C
• 2 copies of plan shovnrg beam 8 vnndow s¢e5; paured found desgn, etc.) . 1 site survey for e
• 1 sel of Eneigy CalculaGOns . Induate it home s,
• 3 copies ot Tree Preservation Plan rf loi platted aRer 711l93
• Rim Joist OeWil OpUOns selecfion sheet (Gdgs vnth 3 w less urots)
DATE ?d• ? O a.e VALUATION
1??
ians (a healeC additions
' additian & dEtks
by seplk syslem far additions
co
?S
SITEADDRESS (DS'?) MULTI-FAMILYBLDG _„_Y A N
TYPE OP WORK?nlJ? Ca 3 unnc?uh?n."o„ FIRE ILACE(S) _ 0_ 1_ 2
APPLlCANT I I
STREET ADDRESS Renewal 13y Andersen, lnc. LSTATE_ZfP
TELEPHONE # (aSl • coy•?I??'?" CELL I 1520 County Road "C" West I F
LRoseville, MN 55113 ?
PROPERTYOWNER Jattta ;(ckf1t., TELEPHONE#(ts1•losi? 13ab
--------------------------------------°---°.--'-----------------°°°-----------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAI BUILDINGS ONLY
- ,
Energy Code Category _ MINNESOT:1 RtiLES 7670 C:ITEGORY 1 -M1YVES0'C.112IiLL•'S 7672
(d submission type) . Residentlal Ven6lation Category 1 Warkshee[ Su6mitted . INew Energy Code Worksheet Submrtted
• Energy Envelope Calculatlons Submitted
Plumbing Coniraetor. _ Phone # ?I
Plumbing system includes: _ Water Softener _ Laim Sprinkler I, Fee: $90.00
_ Wa[er Heater _ No. of R.I. Baths,
No. of Barhs I
Mechanical Contractor: Phone #I?
N(cchanical system includes: Air Conditioning Fee: $70.00
Hcat Recovci3• Systcm
Sewer/Water Contractor: Phone # G,
- ----- Y ------°---- ------------------------- p ----------------•--------------------?-...-------------.......--------
I hereb acknowledge that I have read this aplication, state that the information is corre lY
with all applicable StaTe of Minnesota Statutes and City of Eagan O nances.
Signafure of Appllcant °
--------- ---------- ----------------------- __..___.....?___ ------- ------ _._------ _ - !
OFFICE USE ONLY - -^i
''' _--- - -
Certificates of Survey Received _ Tree Preservation Plan Recerved _ Notl? Reqwred _
Updated JI02
I
? Renewal BY Andersen ? RESIDENTIAL
350-73raave.t1E IING PERMIT QPPLICATION
' Fridle?, MN 55432 CITY OF EAGAN
763-502-4777
' #MN20130983 `3830 PILOT 148 5- 55122
651•68
NewConshuction ReaviremeMs
• 3 registered site suneys showirg sq. ft of lot sq. tt. of house; and all roofed areas
(20% mazimum bt coverage albwed) . 2 copies of plan showirg heam 8 window sizes; ptwred found design, etc.)
• t set af Energy Calculatlons
• 3 copies ol Tree Preservation Plan'rf lot plaked after 71V93
• Rim Joist Delail Options seleCOan sheet (6klgs with 3 or less unifs)
DATE .21^),OC"C •01
JOB SITE ADDRE;
IF MULT!-FAMILY
PROPERTY OWNI
TYPE OF WO
APPLICANT
ADDRESS
PAGER #
?by.
1.t-C-o (
ated add'Nons
& decks
/
:EPLAGE(S) _0 1 2rI 3
PHONE#?7?
CELL PHONE #
#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Y
Fee:
All above information must be submitted prior to processing of application.
I here6y acknowledge that I have read this application, stpte that the information is
all applicable State of Minnesota Statutes and City of Eagan Ordin es. ?
Signafure ot Applic ?
and agree to comply with
Certificates of Survey Received _ Trae Preservation Plan Received _ 1, Not Required _
HOW MANY UNITS?
. 2 topies of plan
• lsetofEnergyCalculatlons
• 1 site survey (or exterior adtl
VALUATION (EXCLUDING LAND)
_ MINNESOTA RIILES 7670 CATEGORY 1
- Residentlal Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Phone #
Air Conditioning
Heat Recovery System
Updated 1101
- -..issv i,;.uv rnq eaJ all 4480 HiSyyGpgy typAlyU•Lt(ZIW 40UU11UU'L
re al
HYANDB$56N
June 7, 200)
City of Eagan
3836 P91at Knob Road
Eagan, MN 55122
To Whom Ie May Concern:
Elder 7ones is authorizad to pull building permits for Renewal by Andersen_ 'Please allow
F1der Jones to provide this service for us in Eagan. This authcxizaticm is valid for any
date beyond 616101; untii a Renawai by Andersen manager expressly revokes it in wtlting
ta the City-
I requESt this auttiorization be accepted expeditiously, as to not delay in the processing of
our building pcnmity any furthcr, plcasc call mo if thcin afc any questinns. I can Ue
contacted at 763-502-4706.
Your immcdiate attention to this matter is appreciated.
Sincerely,
yaan
Renewa? by A,uclersen Corporation
C'c: Kara-F.lrier .Tnnea
GHADa
, M. EL QA pua1? AAA
NO?ry ?
MY?ommiserar?Expye?eL'..e? ?
Received Tiroe Juo. 1. 1:07PM
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
e"-5-6 ?-77
BUILDIN6
027483
05/07/96
SITE ADDRESS:
653 BROCKTON CUR
LOT: 23 BLOCK: 5
HILLS OF STONEBRIqGE
P.I.N.: 10-32990-230-05
DESCRIPTION:
?"'U (GAS)
Sldin' Permit Type
i-ld?nN
,j 0?q,{^,?k Type
nsus"code .,.
FIREPLACE
NEW
434 ALT. RESIOENTIAI
7 i=1 Y'???p V?`??
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
f`
3
Y ;
$25.00
$.50
• $25.50
?
CONTRACTOR: - Appiicant - s7. LIc.OWNER:
FIRESIDE CORNER INC 16331042 0001068 FRANK LARRY
2700 N FAIRVIEW AVE 653 BROCKTON CUR
ROSEVILLE MN 55113 EAGAN MN 55121
(612) 633-1042
i I he,-eby thIs ap?plicatio.n 4,nd st&te that Che? I
information is e'orrect and agree,to coinply wz?th ali applicableState af Mn.
Statutes and City of Eegan.Ordinances,
APPLICANTIPERMITEE SIGNATUFE
-?oua LAi U-
ISSUED B : SI ATUR ?
CITY OF EAGAN
3830 P1LOT KNOB RD - 55t22
1996 FIREPLACE PERMIT APPLlCATION
681-4675
DATE: ? -3-9(o
DESCRIPTION OF WORK: -4 INSTALL NEld( FIREPLACE: _ WOOD BURNING
INSTALL GAS lOG ONLY IN EXISTiNG FIREPLACE
INSTALL GA3 LINE ONLY IN EXISTING FIREPLACE
415..50
?4 GAS
AREA TO BE INSTALLED IN:
STREET ADDRESS:
h -2 Ltr ni y-mo ( vn/r
LOT i BLOCK --?
APPLICANT: (circle one only)
SUBDJP.I.D. #:
OWNER C?NTR4(:TAR
--?
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.
Phone #: M?21 ?
PROPERTY Name:
OWNER
Signature:
StreetAddress-(41UiP AP 2-lCYl lN17p,
City: .??2DW.U State: L'bL.L Zip- 551 zj.l
flREPLACE Company: ? Phone
INSTALLER
Cinnahva• __ YIDttv ? JPI-
I?
Street Address: 1 2jnX' 'Fo-frv,ea., Huy License #• ?Ll
City; ?in?eu-il o State: r(Y . Zip' r55
GAS LINE Company:
INSTALLER
60
Phone M
Name:
Signature:
Street Address•
City; State:
Zip.
OTHER:
I .
? CITY OF EAGAN
3830 Pilot -Kno..
-b Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001351
09/02/92
SITE ADDRESS:
653 BROCK70N CUR
LpT: 23 BLOCK: 5
HILLS OF STONEBRIDGE
DESCRIPTION:
tBuilding Permit Type SF DWG
I Building'Work Type NEW
' U8C Occupanc.y R-3 M-1
?Construction lt?pe V-N
,i Zoning ? PD R-1
? Building Lengthy ? 64
? euilding Width 36
ot t?? Q \()
C2
'QJI
'-V-'-•,,^ =f."
REMARKS: It 0 cZ 0(1 L d
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$762.00
$495.30
$67.50
$700.00
100
1
$2,024.80
$135,000
MISCELLANEOUS $1,610.50
Total Fee $3,635.30
CONTRACTOR: - upplicant -
CARROLL CUSTOM HOME3 14236100
14355 CIMARRON AVE
ROSEMOUNT MN 55068
(612) 423-6100
OWNER:
CARROLL CUSTOM HOMES
14355 CIMARRON AVE
ROSEMOUNT MN 55068
(612)423-6100
I hereby acknowledge that I have read thi=_
information is correct and agree to comply
Statutes and City of Eagan 0 inances.
?
C ERMI7EE IGNATU
applicaC3on and state that the
with a1l,applicable 5tate of Mn.
?
D nti4 ?ai.rl I Yh1f
I UEO B. S NATURE I?
Control No. 1008
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
DEGIUIREMENTS.
4 3, G3ff .j 0
AU6 2 7 RECo
ca,?'?r! ? -:.I
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q@ 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.
To Be Used For:
Site Address
Lot 2a Block -,5-
Owner
Address
City/Zip
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
Phone
On-site sewage
Corrtractor
(2,e, ?( On-site well
-
Address a ' MWCC System
City water
PRV
City/Zip Booster Pump
Phone ?/,13- ?U o ucense APPROVALS
Planner
/? Council
Arch./Engr. /?-?10'm,c o BIdg.Off.
Variance
Address
Cit)r/Zip Code
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Accc. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalry
Lot Change
TOTAL
FEES
Phone # '%= - D Z?f
Sewer/Water. Licensed Contr. . Processingtime
for sewer/water permits is two ays once area as been approve .
agrees that all work shall be done in accordance with
ignature o ermittee
ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
Valuation: /00,Cx)U. Date: ? ?....
,
PERMIT,?v. , . CITY OF EAGAN
PtEACTIVAfE _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af 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 uest is made or lot chan e is re uested once ermit is issued.
Uate / / Valuation of work
Site Address:
SiREET - SVIiE f
Tenant Name: (commercial only)
IAT BIACR Sy ? SUBD.H)L45 oF 5"MESRIDbE P.I.D. 1k
Descri tion of work:
The applicant is: O Owner O Contractor O Other (Deaeribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET StE R
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 6 water permits is two days once area as 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
O 01 Foundation
JiT 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
El 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O il Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
9 31 New
? 32 Addition
13 33 Alterations
O 34 Repair
O 35 Tenant finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
tonst. (Actual) v-N Basement sq. ft. MWCC System `(c5
SAllowable) v- N lst F1. sq. ft. City Water Y?
UBC ccupancy 2_3 M_i 2nd Fl. sq. ft. PRV Required
2oning P? R'? 5q. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 64' On-site well Census Code TO _/
Depth 3(01 On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footi ng ? Framing ? Insulation
? Mallboard ? Final ? Draintile O Fireplace
? Permi t Fee v.imc;m: g 13 S 0 U o'
Surcharge
Plan Review G'ARAGC-,
License 32 xzL= 704
MWCC SAC ze
City SAC ? x iz= (24)
Mater Conn.
Mater Meter 'l06xf6 - ?1
32g
Acct. Deposit ,
S/N Permit 5ou iy: Doo
S/W Surcharge
Treatment P1. 3o x 13 = 390
Road Unit l x pt, = 1G
Park Ded.
Trails Ded. 006X IS= 161590
Copies
Other I srF?•-??
Tntal :
aXr7= _
SAC % J0°
I11io K53 =
51,340
SAC Units
=
asrnT= 2gx3z = 896x53= 40N99
13y,r?6(,
P _ 02
,?( T ?
* p'OPAEB94 teuoRVCroRS -
* engeneer ng ?•NO P?tiNEft? . ?nN
* * * *
House Address: Erockton Curve, Ecoan, MN
Certificnte of Survey for: Cql`t"OEI Cf,l5t01"i"1 Homes
K
e ?
.0;
?
/
z?
. ?a
2422 Enterprise Drive
Mpndu#v Helghts, MN 55120
(812) 881-1914•F'ax 687-9488
825 Hfghway 10 NOrtheOSt
Blalne, MN 55434
'612) 783-1880•Fex 783-1883
/
/
? ..
?
l1b'J
S ? r
?fs t--r
g6-
Sl`h
?
?w - ss•
w i= •.
?yP f J \
? ? 4]
\
/
/
/
?
902 fl ?,
? i
Z??
•^ ` ?, 20 > ? ?
?
EE:RIAIG DEPT
. 900.0 Denotes Existing Elevation pROPG; D. HOUSE ELEVATION
x.9oo. Deno#es Propased Elevation Lowest Floor Elevation:898.85
Denates Droinage & Utility Eisement Top af Block Elevation:9Q6.9fi
Denotes Drainage Flow Uirection --
-.o- Denotes Monument Garage Slob Elevation:9Q6.6:3
?0--. Denotes pffsat Hub Bearings shown are assumed
LOT 23, BLOCK_.?._ HILLS OF STONEBRlDGE
DAKpTA CbllNTY, MIPJN! :SOTA
1 AerBby cerUFy chat this survey, ptan pr wpOtt w;,: i,.apertd Gy me ur under mv dRBCC supervlsbn and that I am duly qe9Istared LBnd Surveyor
under the taws o! tho Stete vf Nilnnesote, bated thic-Z4.;.}1, day of a6'' A.O. 19
? ! /1 ? 9
?
? ? w
?ry f 0-?
l7? f :
, /? :`; ? i ? /."'. tF ' uG'3 •
SCal QL I inch,3O'9et
PSO'PA STATB ENt+A.GY CODE 9AI:C?JI1?T??`O
BASED ON CHAI?TBR B OF THE
MODEL ENERG](CODE - 1983 EDITION
Adoption lEffeative
Site Address ?C?x
Contracto?? G? ?`r?? ?rO??JP phone: ?/od
Building Claesificationt Type A1 (31hgle Family & Dup2ex) 7I`?
Type A2 (Reaidential, 3 atories or less) (over 3 stories) (other)
NOTE: Comnlet Ranes '+ p.+d d f 1 rat,
GENERAL INFORMAT?ON
`?,?i , {i'?!
1. Building Perimeter?G'L??s-._.?&T
2. Wall heiqht (ground to eave) k' ft.
3. 1. X 2. (above) groes wall erea sq.ft.
4. Building dimensione (L) ? X(W) =??sq.ft.roof 6 floor area
5. Sq. foot area of rim joist F o r jo e eize (2 X p
10 )
_ X (Perimeter) m ? q.ft.
r? `
6. Doora - Area ??1?/' 12
'
Thickness in U. factor a?'¢
Type oE Construction Perimeter ft.
. Manufacturer
7. Total door's perimeter _ft.
8. Windows: Ma?t u? cturer? ??.. _G? 147l 3tate approved
U factar i ?J"/?
TYPE SIZE AREA (3q.Ft.)
EACH NUMBER OF
UNITS TOTAL
SQ FEST
9. Total sq.ft. Glase
10. Fireplace area: Flidth X Heiqht X a aq.ft.
11. Exposed foundatione Height X PerimetertLae
COMPLETION OF THIS FORH I3 REpUIRED FOR ALL NEN LQNBTRUCTION, MAJOR
REMODELING AND BUILDINGS HLING HOVED {9NERE ENERaYr OTHSR TNAN THB HININIIL
CODE ALLOWANCE, IS USfiD.
C?•?!?1 ,4 ¢
-1-
12..Framingarea = lot of qross wall araa.
-17: Gross wall area sq.ft.
Window area AI&P,
?sq.ft. U windows UxA -
Rim joist area AZ i!7 q.ft. U rlm joistmI 04A UxA m
Door area A 14 sq, ft. U daor area=1 4- UxA -
Other doors area AkO?tq.ft. U uther doors=1_ UxA ?
Exposed fndn A Q 11 gq,ft. U foundation= !A-_ UxA ?
Framing area 0_1A sq, ft. U framing area=10-15 UxA m`
00
Nat wall area AL&Z&Vrq.ft. U wall=1 OxA m "
(17B) TOT.AL . . . . . . . . . UX =
14. Gross wall area x 0.11 (A-1 aingle Yamily & duplex) ? allowable UxA/Code
(13. above)
x 0.21 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
A ? 1 0 mhn-? ?`_ BoUH mast, be larger than or same
U Code F. as 138 above
15. Ceilinq framing area (Af) equals 10$ of ceiling area =
15A. Gross ceilinq area =(L) x(W) _-[( a`T sq.ft.
158. Joiet area (Af) = 10$ ceiling area eq.ft.
15C. N6t ceiling aL@a (AL.) (15A - 150) 6Cj.ft.
U ceilinq x Ac ?m%, a ZI F?Co
U framing X A f ='1D x 1?'/° a,
15D. TOTAL U x A ..........................
16. Ceilinq area (15A) x 0.026 (A-1 6ingle famlly & duplex)
= allowable UxA/COde
x 0.033 (A-2 other residential)
x 0.06 (other)
+ BTUH must be•larger than or same
A(15A) t x U Code?=?1? 0 og, es 15D above
NOTB: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATioN: I hereby,certify that I have celculated the "U" factore and
"R" values herein and that the buildinq here described meets or exceeds the
State of Minnesota Energy'COnservation Act.
Date
siqnature
-2-
?? (99 ( "
?`?4-(?-??b-? "` ?`1
,54 YsC?v-tS,OZI 44 It?
?
. z?at 4
W
4r0
tfl 2ED???v=?r ?4f x?= t? ,0?
??=
N 2Oto0 = t0 10
1 ? ?c-t', = C? , Ox ? -- c? ? O _ .
? IS(o.4SP
z
s.-tc.
? 4wu?
C0°
sCp, Co ?
d?
???1
: .. .. ? ? PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 7 9
(612) 681-4675 Date Issued: 0 8/ 2 3/ 9 6
SITE ADDRESS:
653 BROCKTON CUR
LOT: 23 6LOCK: S
HILS OF STONEBRIDGE
P.I.N.: 10-32990-230-05
DESCRIPTION:
? -
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
tYildifrCj?Permit Type
uildirtg 1Jork Type
?.,
ensus 'Co?z'?
s ?.. ?
.- qs' . •'?..t°?:: -' , s
v 41 ".?'
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
CONTRACTOR:
L
BA5EMENT FINISH
AI.TERATION
434 ALT. RESIDENTIAL
.
OWNER: - Applicant -
FRANK LARRY
653 BROCKTON CUR
EAGAN MN 55123
(612)835-4981
I hereby ackrvoaisdge `that 'I `haiJe re6d tTiis apoTideti6n 4iand state ttYat `the infiarmaxiortis ?crzrrect and-agree- to complyviktlti aig app4icable 9'Cate of qMn.
Statutes and _Ci?tY. Q# E-agan-?Oxrd3,nanoes:
G PLICANT/PERI ITEE SIGNATURE - ISSUED . SIGNA7URE
ClTY OF EAGAN
lsffql 3830 PILOT KNOB nD -? 55122
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
License #•
? 3 repbterod sRe surveys ? 2 copies of plan ? 2 copies of plana (MCWde beam 6 window s@es; poured tnd. despn; eta) ? 2 sRe surveys (exteAor additlona 8 decks)
? 1 emryy calaletioM ? 1 energy ealalffilons for heated additions
? 3 wDles of tree piseenatbn Plan M Id pktted after 7N/93
requirod: _ Yes _ No
DATE: I`7-I
OESCRIPTION OF WORK:
CONSTRUCTION COST:
ofi'? ?sn.?7
STREET ADDRESS: 03 ? r0 L'? ?'^ Cu .--?t
LOT I ? BLOCK SUBD./P,.I.D. #:
(W) ce55-0Bl
PROPERTY
OYYNER
CONTRACTOR
Name: 1- a.r i, 15,04C Phone #: ? ? 1--l3 a o
Street Address• ?t lDS 3 ?'"°
cjry; ' w.g a u? $tBtB. H'1..r . ZIF1. Sr.r(2 3
Company: :5 4 VV--& ' Phone #:
Street Address:
ciry:
ARCHI7ECTl Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address-
City:
Sewer & water licensed plumber.
change are requested once pertnit is issued.
State: Zip:
5tate:
?-P, ff 0
6W?-?D
Zip:
Penalry applies when address change and lot
I hereby acknowledge that I have read this applicaNon and state that the Information is correct and agree to comply with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY r? 4 1996
Certificates of Survey Received _ Yes _ No
' ?- -----
Tree Preservation Plan Received - Yes _ No
{
11 24 CITY USE ONLY
L BL ?
SUBO. 2L?
RECEIPT
DATE:
1896 PLUMBING PERMIT (RESiDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each.unit
FIXTURES ggCH ?Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 ;c
Water Heater 3.00 :c =
Floor Drain 3.00 x =
Gas Piping Outlet ' mtnimum - t 3.00 x =
Rough Openings 1.50 :< _
Water Softener 5.00 r =
Private Disposai ' Dakota Cty. licenae 65.00 =
(new and refurbished systems)
U.G. Sprinkler " nome under const. 3.00 =.
AlteratlonS ' to existing 20.00
Water Tum Around 20.00
STATE SURCHARGE .50'
TOTAL O - 58"
,
SITE ADDRESS:
OWNER
INSTALLER
STREET ADDRESS: ??? 45' 5a"'k^-
CITY: TZ?s??vnl?- STATE: •? ZIP: PHONE #: ( GtZ- ) 4,2--,?-L44
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
8-t- `7p.a0
NewConsiructlonReauirements RemodelR2eoairReauiremenis 69l3 A
3 registered si[e surveys shaving sq. ft of l04 sq. R of house; and all rooted areae 2 wpies af plan
(20%meximumlotcoverageallowed) lsetofEneqyCalalationsforheatedadditions MEOW
2 copies of plan ahowiig beam & window slzes; poured found design, etc. 1 sife survey for addiGons & decks ??
1 set of Eneigy Cakvlatlons Addtion -Irrdicate i/on-sife sepOc system ? ?*
3 copies ot Tree Preservation Plan'rf lot platled aker 717193
Rim Jast Delail Options selection shcel (bldgs with 3 or less unils
Date 3
SiteAddress V53 ConstructionCost (n L5 Uo•.a
F>P-OCK'rJN CVNc UniUSte #
Description of Work P-UD (c
Mu1G-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
ProperlyOwner ?Re.P-'y ?eAiv1G Telephone#(bSl ) ?9`bl- \3L1>
Contractor VCF_.E CH 9-)C"rF-Z30r-5
Address SbS Y2
State NW. 9tA c+x SWJ'-E. PA'r\-)
Zip S Sv-7 t, CitY -r-- ?- ?
Telephone #(!a S\ ) b Pi ?- l0 3 b'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy CAdB 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
Mechanical Contrqctor
Sewer/Water Contractor
Telephone #(
-? - „i
I
' iVIAR ?`; '1114 ? II I; Telephone #(
? U
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 applicarion 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.
Ufa. \.JAI\a c fL 1, w-Q?-
App icl anYs Printed Name A cas Signature
ö÷ö
ø
ÿ
ÿþþ ýüýü
úþþùî
öì
òêþüö
ää
ÿþö
þýüûúùîýöÝöñö
øöûúùõ
öùîýöÝöñö
Ûýö ö öùöóöïýöóýüöãööÿþö ùöÿàäß
þ
å
ã
çëåëåå
õú
þýöö îéçëäëä
ôùùó
öòñ
ùù
ý
öò Ýöñ ñã
ãö
áåíãóöò
úáöñýö
èúãõ ãõ
àÞáßÞ
öüú
ìöùùêöóöö öóùú
ùùüþ
êãþýñúê íöë
ùù÷
ýúþ ýö
06/03/2013 14:09 6517026740 BRINKMAN RUSSELL PAGE 02
Use BLUE or SLACK ink
For OfFlce Use ^ T _ I
I 1
n ~ Permit*
City of Eall(i 1 t
Permit Fee;
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I l
Fax: (651) 675-5694 1 Staff; I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION L>
Date: 5 3C d4 I a> Site Address: (053 BrGGl-+t)fl CA-L'rVy- Unit
Name: M a ~t K e. 1~l 0 1,10. r o Phone: (C61
Reside
riiti
Owner. Address I City / zip: Sroc-k3DI1 CLt.1(V-,0 ck-(A ,ln MIS] I a~
Applicant Is; owner x Contractor'
Description of work: wlci (J ks+cxtw
Typ®.of wark'
Construction Cost*. Multi-Family Building: (Yes / No ~C }
Company: Rr 1n SYY1c3~-ktIez~SETN C. Contact:
C Address: a ~s~ 1 ~l.P AM,--D r` _tu I I a City: U16o - (~.y`l
mntrar~tor -
State: LA k~ zip: _ Ia Phone: LoS l 5 3 (.17
-7 Z~
License X F,C cx)o I (D S Lead Certificate
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
0t--I 699
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE:>Pldi. ':Arr d=su ` tlill" g;rJs3i umen>fs that;yo08Ubr~r t aro, conside''ed:,:ti5 it~#0Jnrforrrtatiom =Portion of.
the inlfoiririat►t~tf rhler~ t:/ssiiiada fln~pu,lic ifYdu pravitle sptcifie'► easaris l(H~t ;would pnr►ir; the►ty to
corricltlde-that tih9 ark radea~rets,:
CALL BEFORE YOU DIG. Call Gopher state one call at (651) 454-0002 for protection against underground utility damage. call 46 hours
before you intend to dig to receive locates of underground utilities. www.laopherstateonecall_or_g
I hereby acknowledge that thie Information ie 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 osee of work which requires a review and approval of plans.
Exterior work authorized by a bullding permit Issued In accordance with the Minnesota State Building Code must be completed within 11to
days of permit issuance.n 1
X- --in 1W f . 1 `ut SSA 4 X
Applicant's Pri tad Name AppP 's ign ure
Page 1 of 3
06/03/2013 14:09 6517026740 BRINKMAN RUSSELL PAGE 03
r ~
DO NOT WRITE BELOW THIS LINE l 1/ 70 rj
SUS TYPES (os 3 Brz)c~K,it n cu vvv
_ Foundation _ Fireplace Porch (3-Season) Storm Damage
Single Fancily - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES 'f C
New Interior Improvement _ Siding _ Demolish Building"
Addition _ Move Building _ Reroof Demolish Interior
Alteration Fire Repair Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window Wager Damage
Retaining Wall "Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (Now Building) Meter Size:
Footings (Deck) Final J C.O. Required
Footings (Addition) Final / No C_O_ Required
Foundation" HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water ----Final Pool: Footings Air/Gas Tests -Final
Framing Siding: ____Stucco Lath __.,Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall; Footings Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: ; Building Inspector
RESIDENTIAL FEES rte.;;,
Base Fee ~t^
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL ~
- ri n~s
Page 2 of 3
HALO°
Recessed Downlight
A WARNING
Risk of Fire
Supply conductors (power wires)
connecting the fixture must be
rated minimum 90°C
If uncertain, consult an electrician
Risk of Electric Shock
Disconnect power at fuse or circuit
breaker before installing or servicing
Risk of Fire/Electric Shock
If not qualified, consult an electrician
WARNING: For your safety mad and understand instructions
completely before starting installation, Before wiring to
power supply, turn off electricity at the fuse or circuit breaker
box. Halo recessed fixtures are designed to meet the latest
NEC requirements and are UL listed in full compliance with
UL 1598. Before attempting installation of any recessed fix-
ture check your local electrical code, This code sets the wiring
standards for your locality and should be carefully studied
before starting.
Installation in New Construction
p, • Fixture is designed for installation where it will NOT come inJ contact with insulation. Thermal insulation must be kept a mini-
mum of_threeinches .(3") away from .the .housing.(Fig. 1).
All gther combustible materials must be spaced no doss than
Cr'
sp one-half.inO (1/2") from all parts of the fixture. The points
‘a -I -of support and the trim finishing off the opening in the ceil-
ing or wall surface shall be permitted to be in contact with
combustible materials
• Bar Hangers for this fixture are of interlocking design to
allow positioning of housing along entire length of bars.
Position bar hangers as shown. (Fig. 2)
• Bar hangers may be shortened to fit 12" framing. Pass bar
hangers through each end until the bars overlap, then break
off at score lines (no tools required and bar hangers do not
need to be removed from plaster frame).
Step 1 Extend bar hangers to fit between joists, Position fix-
ture by hammering nails into joists. Hangers should be
level with bottom of joists. (Fig. 2)
Step 2 Follow Steps 1 through 4 under "Electrical Connection."
Step 3 Position fixture on hanger bars. To secure fixture posi-
tion in ceiling, tighten screw and/or squeeze tabs into
hanger bars to lock fixture in place on bars. (Fig. 2)
Installation in Suspended Ceilings
Step 1 Locate center of proposed opening on ceiling tile and
cut a 4-1/2" diameter hole.
Step 2 Place ceiling tilo in T -bar grid.
Stop 3 Snap fixture on T -bars. Secure with screw (not included)
as shown (Fig. 3)
Step 4 Follow Steps 1 through 4 under "Electrical Connection."
Step 5 Center Fixture over opening. To secure fixture position
in ceiling, tighten screw and/or squeeze tabs into
hanger bars to lock fixture in place on bars. (Fig. 2)
Installation in New Construction - Strapped Ceilings
Option 1 Nail Installation on the joist.
• Use guide hole below nail to align bar hanger bracket below
joist to adjust for the thickness of the strapping
• Align guide hole below the joist to where you just see
through the guide hole and hammer nails into joists
• Additional nails or screws may be used in the hanger tab hole
Option 2 Installation on strapping
• Use levelling flange to position housing on bottom of strap-
ping (strapping must be spaced between 12" to 24" apart)
• Use slot or hole in levelling flange to secure the bar hanger
FIG 1
Keep insulation 3" away
Maintenez libelant dloignd de 3 po.
Mantener el alslanlente a 3" de distancia
e
dit.
:
1011744
1)41 �' S
rlfl Ul'Imi 1 �!•�';•
..�•+ fry.
ri 4�
Ceiling Line/ Plafond / Linea del Cieloraso
001
COOPER Lighting
Luminaire Encastre
AVERTISSEME
NT
Risque d'encendee
Les conducteurs d'alimentation (cables
electriques) raccordant i'appareil
doivent supporter une temperature min-
imale de 90°C
En cas de doute, consulter un electncien
Risque de choc electrique
Couper le courant au fusible ou au dis-
joncteur avant ?installation ou toute
intervention
Risque d'incendie/de choc electrique
Consulter un specealiste si non qualifie
AVERTISSEMENT: Pour des raisons de securite, lire et com-
prondro toutes les instructions avant ('installation, Avant ('in-
stallation des fees, couper le courant au niveau de la bolt° des
fusibles ou du disjonctour.
Les apparel's d'eclairage encastres Halo sont convus en con-
formite avec los exigences du dernier Code national de I'elec-
tricite et sent certifies par les UL conformemont aux normes
UL 1598, Avant de commencer a installer quelque luminaire
encastre que co soft, vouillez verifier votre code regional de
I'eloctricite, Ce code definit les normes en matiere de ceblag°
pour votre region. Lisez-le attentivement avant ('installation
de Pepperell.
Installation dans une Nouvelle Construction
• Ce produit a �t� °onpu pour une installation ou II n'entrora
PAS en contact avec I'isolant. L'isolant thormique Boit etre
maintenu a une distance mini male do trois pouces (3 po)
par rapport au boitier(Fig. 1).Toutes les autres matieres
combustibles doivont etre °speedos non moins d'un dem
i-pouce (1/2"), soit 12,7 mm, de toutes les pieces de I'ep-
pereil d'eclairage, Les points d'appul et la garniture qui
ragreent I'ouverture au plafond ou a la surface du mur
seront pormis de se mettro en contact avec les matieros
combustibles.
• L'appareii est specialement congu pour les endroits ou it
peut entrer en contact avec des isolants. (Voir Fig. 1)
• Grace au system° de verrouillage congu pour les supports
de cot appareil, on pout installer le bottler sur toute la
longueur des barres. Placer les supports cle sorte que les
pattes d'attache (a clouer) ne sont pas tournees vers le bottl-
er. (Voir Fig. 2)
• Les supports peuvent etre raccourcis pour s'adapter a un
cadre de 12 po. Faire passer les supports a I'interieur de
cheque extromite jusqu'a ce qu'ils se chevauchent, puis les
briser a la hauteur des encoches (aucun outil n'est neces-
saire et les supports n'ont pas hesoin d'etre retires du cadre
en pl"etre).
Etape 1 Allonger les supports pour qu'ils s'emboitent dans
los solivos. Installer ('appareil en enfon9ant los pattes d'at-
tache dans les solives a ('aide d'un martoau. Les supports
doivont etre paralleles au Nord inferieur des solives. (Fig. 2)
Etape 2 Suivre dans I'ordre les Stapes 1 d 4 de la section intit-
ulee «Connexions Electriquos».
Etape 3 Placer ('appareil sur les supports. Pour le fixer au pla-
fond, serrer la vis et/ou rentrer les pattes dans les supports
afin de bloquer ('appareil centre les supports. (Fig. 2)
Installation pour los Plafonds Suspondus
Etape 1 Marquer le centre do I'ouverture sur la tulle du pla-
fond et faire un trou (diametre de 4-1/2"),
Etape 2 Placer la tulle dans la grille de la barre en «T».
Etape 3 Placer ('appareil sur les supports en T. Les fixer a ('aide
de vis (non fournies) comme illustre (Fig. 3)
ADVE
RTENCIA
Luminaria Empotrada
Riesgo de incendio
Los cables de alimentacidn (cables dis-
trebuedores de corriente) conectados a la
!ampere deben poder resister temperat-
uras de 90°C comp minim°.
Si no este sego% consulte con 111 electricista.
Riesgo de descarga electrica
Desconectar la electricidad en la caja
de fusibles o del disyuntor antes de
hacer la instalacibn o reahzar tareas de
mantenemiento
Riesgo de incendio/ descarga electrica
Si usted no este habiletado, consulte
con un electricista
ADVERTENCIA: Por su propia seguridad, lea cuidadosamente
las instrucciones antes de iniciar la instalacien. Antes de conectar
la 'ampere a la fuente electrica, desconecte cliche fuente dosde la
caja do fusibles o bajando la palanca principal. Las 'amperes Halo
encastradas satisfacen las mos recientes normas de instalacien
electrica (UL 1598), Consulte las rogulaciones locales antes de
instalar cualquier lampara. Estes regulacionas indican el tipo cie
cableado autorizado en su localidad y debon ser estudiadas
detenidamente antes de iniciar la instalacibn.
Instalacicin en una Construcci®n Nueva
• 2 El portalamparas este disoliado para ser instalodo en
lugaros donde NO tonga contacto con el aislamlonto. El ais-
lamiento termico dobe mantenerse a no menos do fres pul-
gadas 3" de distancia de la cubierta. (Fig, 1).Todo el resto de
materiales combustibles deben mantenerse a media pulga-
da (1/2") do todas las plazas del portalampara.
Los puntos do apoyo y el acabado de los adornos quo se
desprenden de la abortura en el cielo raso o la superficie do
la pared pueden estar en contacto con los matoriales com-
bustibles.
• Los colgadores de barra de este modelo permiton deslizar el
portalamparas a todo lo largo de la barra, hasta °nrontrar la
position ideal. eclogue los colgadores de barra de modo
que las marcas sobre la barra queden en sentido opuesto al
portalampara. (Fig. 2)
• Los colgadores de barra se pueden acortar para que entren
en un marco de 12". Pase los colgadores de barra a lo largo
de cada extremo hasta que las barras se superpongan,
luego rompalos en las marcas para torte (no se necesitan
herramientas ni retirer los colgadores del marco de yeso).
Paso 1 Extienda los colgadores de barra haste que queden
fijos entre las vigas. Coloque el portalamparas entre las vigas,
usando un martillo para doblar sus extremos per las marcas
sobre la Barra. Los colgadores deben quedar a la misma
altura que el Tondo de las vigas. (Fig. 2)
Paso 2 Siga los Pesos 1 a 4 descritos en "Conexien Electrica."
Paso 3 Coloque el portalampara sobre los colgaclores de barra.
Para fijar la position de la 'ampere sobre el cielo raso, asegure el
tornilo y/o inserte las lenguetas en los colgadores do barra pare
bloquear la lampara sobre los colgadores. (Fig. 2)
Instalacidn en un Cielo Raso False
Paso 1 Marque, sobre el elemento movil del cielo raso falso,
el punto por donde entrare el portalampara y recorte un
hueco de 4 1/2" de diametro.
Paso 2 Coloque sobro el elemento mevil del cielo raso falso
la rejilla de la barra en "T".
Paso 3 Encajo la 'ampere sobre las barras en T Asegurar con
un tornillo (no incluido) como se muestra (Fig. 3).
Paso 4 Siga los Pesos 1 a 4 descritos en "Conexien Electrica."
Customer First Cen
• 1121 Highway 74 South • Peachtree City, GA 30269 • 770.486.4800 6 FAX 770,486.4801 11632624
HALO®
Hanger Tab Hole
Orificia de la Taigee-
ta del colgador
Vali de la languolte
du support )
Alternate Mounting
Points (1-5)
Los pine -sin -mentor
je alternalfos (1.5)
Acmes palms -de
montage (1-5)
HO 3
Optional
Facultatif
Opcionales
„T„
3
0
�e2
Screw
Vis
Tornillo
Strapped ceiling Guide nolo
Trou do la langotto du suport
Perforaelon guia para cielo raso elistnado
T Grid Clip
Phua de rejilla do la barra en T
Clip de frille en T
Automatic Levelling Flange aligns with
bottom of joist
La hi da de matador: automauca se
alines con la parte Inferior de Ia viga
La bride. de mise niveau automatique
est en face du bas de 1'entretoise
bracket to the strapping
with nails or screws (not
included)
Electrical Connection
• Make certain no bare
wires are exposed out-
side the wire nut con-
nectors.
• For housings with
push -nut connectors:
FIG 4 Wire trap
Trampa
liege
Wiring Box
Non metallic cable
Cable no metallco
CAble non metallique
Caja de conexiones
Bottler de cablage
`Metal conduit
Knockouts
—Debouchures pour
Cables Metall} ues
acas para a) e
Metallco
- Strip insulation 1/2"
- Use 12-16 AWG stranded (stranded pattern 19 or less)
- or use 12-18 AWG solid copper wire
Step 1. Provide electrical service according to the "National
Electrical Code" or your local electrical code from a suitable junc-
tion box to the wiring box (located on the plaster frame). Supply
wire insulation must be rated for at least 90°C.
Step 2 Remove the wiring box cover.
Note: The wiring box will accept metal conduit or non-metallic
cable, but metal conduit must be used if your electrical code
requires it.
Metal conduit Remove appropriate round knock-out(s) and
connect conduit to wiring box with proper connector(s) (riot included).
Non-metallic cable: Complete connections as outlined in step
3 and slide cable into wire traps (Fig. 4).
Step 3 Connect supply wires to wires in fixture wiring box
with proper size wire nuts (not included) or push wires into
"push -in" connectors (included on select models). 13e sure to
cover all bare current -carrying conductors. Connect white to
white; black to black; and green or bare copper wire (from
electrical service) to baro copper wire (in wiring box),
Note: The ground wire at the service junction box may need
to be secured to a ground screw.
Step 4 Place wires and connections back in wiring box and
replace cover.
Trim Installation
Refer to lamp wattage label in the housing for approved lamps
and corresponding trims.
COOPER Lighting
Incandescent Fixtures
Black
Noir
Negro
Thermal Protector
oupe- Ycat "len
Protector Tennico
quo
120 AC
120V CA
120 Voltios CA
Black
Noir
Negro
White
Blanc
anco •
Blank
Noir
Negro
White
Blanc
Ilam
Lamp Socket
bouille De Lampe
Tome Corriente
Del Foco
Etape 4 Suivre dans I'ordre les stapes 1 a 4 de la section intit-
uiee «Connexions Electriquesn.
Etape 5 Centrer I'appareil par-dessus I'ouverture. Pour qu'il demure
fixe au plafond, serrer la vis et/ou rentrer les patios dans les supports
afin de bloquer I'apparoil contre les supports. (Fig. 2)
Installation dans une nouvelle construction — Plafonds sus-
pendus
Option 1 Clover ('Installation sur I'entretoise. Utiliser le trou de
guldage au-dessous du clow pour aligner le support au-dessous
do I'entretoise afin do resister a I'epaissour du plafond sus-
pendu
Aligner le trou de guidago au-dessous de I'entretoise en face de
I'enclroit ou 11 est possible de voir a travers celui-ci et enfoncer
les clous dans les entretoises
Des clous et des vis supplementaires peuvent etre utilises dans
le trou de la lariguette du support
Option 2 Installation sur un plafond suspendu
Utiliser une bride de mise a nivoau pour positionner le boitier au
bas du plafond suspendu (le plafond suspendu dolt etre espace
d'environ 12 po a 24 po)
Utiliser une enooche ou un trou clans la bride de mise a niveau
pour fixer le support au plafond suspendu a I'aido de clous ou
de vis (non fournis)
• Eviter, a tout prix, que des fits sof
Connexions Electnques
• Eviter, a tout prix, que des fits soient mis a nu a I'exterieur des
connecteurs d'ecrous.
Pour les boitiers a connecteurs a ecrou capuchon :
- Retirez I'isolant sur 1/2 po
Utilisez un reseau selectif planaire de 12-16 torsade (motif tor-
sade de 19 qu moins)
- ou utilisez un cable en cuivre solids pour reseau selectif
planaire de 12-18
Etape 1 Effectuer les connexions conformement aux dispositions
du Code national de I'electricite ou a celles de votre code region-
al a partir d'une boils de jonction appropriee a la boite de
cablage (sur le cadre en platre). L'isolant pour fil d'alimentation
dolt etre classe pour une temperature minimale de 90°C.
Etape 2 Enlever le couvercle de la boito de cablage.
Remarque: L'on pout utiliser un conduit metallique ou un cable
non metallique dans la boite de cablage, mais ('utilisation d'un con-
duit metallique est requise si votre code de I'electricite I'exige.
Conduit metallique: Enlever les dobouchures rendes appro-
priees et connecter le conduit a la boite de cablage a ('aide des
connecteurs appropries (non compris).
Cable non metallique: Effectuer les connexions indiquees a I'e-
tape 3 et inserer le cable dans les connecteurs (voir fig. 4).
Etapo 3 Connecter les fits de ('alimentation a coax de la bone de
jonction de I'appareil d'eclairage au moyen de connecteurs de
fits de la tattle appropriee (non compris) ou inserer les fits dans
les connecteurs « a poussee » (accompagnant certains modeles).
S'assurer do couvrir taus les conducteurs nus sous tension,
Raccorder to fil blanc au fil blanc, le fit noir au fil noir et le fil vert
ou le fil nu en cuivre (du reseau d'electricite) au fil nu en cuivro
(do Ia boite de jonction do I'appareil d'eclairage).
Remarque: II se pout que le fil de mise a Ia terre de la boite de
jonction doive etre fixe a une vis de mise Ala terre.
Etape 4 Inserer tous les fits et toutes les connexions dans la bone
de cablage. Remettre le couvercle.
• Installation de I'habillage
Consulter ('etiquette indiquant la puissance de ('ampoule a I'in-
terieur de I'habillage pour trouver les ampoules homologuees et
les habillages correspondents.
Paso 5 Centre la tempera sobre el
hueco en el cielo rasa. Para fijar la
position de la tempera sobre el cielo
raso, asegure el tornilo y/o inserte las
lengeetas en los colgadores de barra
pare bloquear la tempera sobre los col-
gadores (Fig. 2)
1istalacion en una Construction
Nueva -
Glelos rasos
enlistonados
Option 1 Colocar clavos en la viga. Utilice
la perforation guia debajo del clavo pare
alinear el soporte del colgador de barra
debajo de la viga y rejular el grosor del enlistonado.
Alinee la perforation gu(a que este debajo de la viga hasta
que puede ver a traves de la perforation guia y coloque los
clavos con la ayucla de un martillo,
Los clavos y los tornillos adicionales pueden ser utilizados
en el orificio de la lengeeta dol colgador
Option 2 Instalacion del listonado
Use le brida de nivelacion pare colocar el bastidor en la
parte inferior de la conexion (dobe haber especfo de 12" a
24" entre las conexiones)
Use la ranura o el orificio de la bride de nivelacion para ase-
gurar el soporte del colgador de barra al enlistonado, con
clavos o tornillos (no incluidos)
Conexion Electrica
• No deje ningtin cable suelto o desnudo alrededor de los
cables conectados.
• Para cubiortas con conectores a prosier::
Quitar 1/2" del aislamiento
Utilizer cable tronzado calibre 12-16, sogon la Escala ameri-
cana para calibres de alambre AWG (patron do trenzado do
19 o menos)
- 0 utilizer un alambro de cobre macizo calibre 12-18 AWG
Paso 1 Asegure que los cables del cielo raso donde instalare la
lempara ester: conectados a tura caja de distribution electrica
en conformidad con las normas locales para instalaciones elec-
tricas. El cable de alimentacion en el cielo rasa debe peeler resf-
stir temperatures de 90° C como minima.
Paso 2 Retire la tape de la caja de conexiones del portalam-
para.
Note: La caja de conexiones del portalampara aceptare cables
conductores metalicos o no metelicos, pero si las normas de
electricidad locales lo exigen, debe user cable conductor meted -
co.
Cable conductor methlico: Desprenda mediante prosier: las
places circulares necesarias y conecte el cable del cielo raso a
las conexiones del portalampara. Utilice conos plasticos de
conexion electrica pare unir los cables (no incluidos en el
modelo).
Cable no metalico: complete las conexiones tal como se indi-
ca en el paso 3 e inserte el cable en la trantpa (Fig. 4).
Paso 3 Conecte los cables de alimentacion a los cables de la
caja de conexiones del portalampara usando conos plasticos
de conexion electrica de tamano apropiado (no incluidos) o
inserte los cables dentro de los conectores "a presion"
(incluidos en ciertos modelos). Asegerese de cubrir todos
los cables desnudos conductores de corrlente. Console el
blanco con el blanco, el negro con el negro y el verde o el
cable desnudo de cobre (del servicio electrico) al cable
desnudo de cobre (cls la caja de conexiones).
Note: Probablemente deba atornfllar el cable de tierra de la
caja de distribution electrica a un tornillo de tierra.
Paso 4 Reacomocfe todos los cables en la caja de conexiones
del portalampara y vuelva a colocar la tape de la misma.
Instalacion de adornos
Lea la etiqueta de voltaic de la !ampere que aparece en la
cubierta para saber cuales son las lamparas aprobadas y los
adornos correspondientes.
Customer First Center • 1121 Highway 74 South • Peachtree City, GA 30269 • 770.486.4800 • FAX 770.486.4801
11632624
City of aaa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
I
Date Received:
Staff:
201 3 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial apppliccations./j
Date: /' 13 Site Address:(. 63 a K-�C._l(^') Cur
Tenant: 1 nCkrD
Suite #:
Name: ) 1 f CVO
Address / City / �','1L Our
Name:
Address:
State: 1 t\ M Zip: /i /3
Phone:
License S- 64
j City: • 64 .)
Phone: &E 1' Lf 5 7E/
Contact: ` Email:
New Replacement
Description of work:
Additional Alteration
Demolition
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods
RESIDENTIAL
Fumace
Air Conditioner
_ Air Exchanger
Heat Rupp
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / — Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (IC , I 0 TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal Contract Value $ x 1%
$55.00 Minimum = $ Permit Fee
*If the project valuation is over $1 million, please call for Surcharge = $
5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground : ; ' : Rough In
Air Test
viewed By: Date
as Service Test In -floor Heat Final HVAC Screening
40'6
City of Eapil
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
L
Use BLUE or BLACK Ink
For Office Use C�
Permit #: )-✓ I `F'
Permit Fee:
(oo
Date Received: 11 /L3
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Tenant:
Site Address: 5? i3erticr 1 (Luc' us--- 1sc/$G19A/ 1L t)
Suite #:
l O w ger
Restdent/Ouuner,
. £3,
Name: 1,T KIT- in ou rJdr f2 j Phone: 6-.57 ?;fl " /C/
Address / City / Zip: G A
_a. _ -i . Id A
Contractor
Name: To \ei2il3E " j i ►3 C-,' License #: P02 403 `t
Address: 14.21 n—P_14 0/6i -A Pf i ua— City: 14 ND <! i2CI , j'?2/t)
�_ —T.
State: p%N Zip: 5/-1 � Phone: 6s7-707- 2S 7X
_5i,
Contact: Al/ z Y - _ ;C' P mail:
Type ofWork�; '�
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_)9
— — —
Description of work: ?C f.1 , nits' 7S7
Permit Ty
Ppe £
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
7C Add Plumbing Fixtures ("<Main / Lower Level)
Septic System
Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(includes $5.00 minimum State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $200.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
x /Mk ?_'T}3aP1J1�
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
x
Under Ground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130883
Date Issued:05/19/2015
Permit Category:ePermit
Site Address: 653 Brockton Cur
Lot:23 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew P Molinaro
653 Brockton Cur
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()'*+*,
-./$%'"&0-123/4$,+
-./$%'53/4-.16789::O
;*%-'!<<3-=1>7?@O?@>7A
-./$%'#*%-+(.&1--./$%
B$%-'6==.-<<1''AL8''J.(ED%(,'#3.''
X7"#$% &&0'(())* &&D)##<&+G&=*/-.)(J/
234 !567XVV56506X75&
;</
;-<E.$0%$(,1
=>-&?@A/ B/<)(/*),#
C.%&?@A/ B/A#,$/
4/<$.)A)* C,/.&D/,/.
E//.&=)F/E//.&?@A/E,*>G,$>./.=/.),#&H>I-/.B/I/&H>I-/.)*/&=)F/
2#/,</&$,##&">)#()*J&3*<A/$)*<&,&K90!L&98060980&&<$1/(>#/&,&G)*,#&)*<A/$)*M
#(//-,%<1
N,.-*&I*O)(/&(//$.<&,./&./P>)./(&Q)1)*&!5&G//&G&,##&<#//A)*J&.I&A/*)*J<&)*&./<)(/*),#&1I/<&KE)**/<,&=,/&
">)#()*J&N(/LM
2&6&2/.I)&R//&KC=&ST.&CDLU0VM55&5W5!M:5W8
F--'B3//*.&1
=>.$1,.J/6R)O/(U!M55&V55!MX!V0
"(%*21
GA>H>>'
#(,%.*E%(.1CI,-.1
6&&'AA#)$,*&&6
?Q)*&N)@&2)A/Q.%<&3*$E,1/Q&2&E#)*,.
0X75&c,I,$,&"#Y(&H907&".$%*&N>.
,%/&Z#I&EH&&005:XZ,J,*&EH&&00!X7
K90!L&X:86::V0K9!XL&X786VV8W
3&1/./-@&,$%*Q#/(J/&1,&3&1,Y/&./,(&1)<&,AA#)$,)*&,*(&<,/&1,&1/&)*G.I,)*&)<&$../$&,*(&,J.//&&$IA#@&Q)1&,##&,AA#)$,-#/&=,/&
G&E)**/<,&=,>/<&,*(&N)@&G&Z,J,*&+.()*,*$/<M
'AA#)$,*T2/.I)// &=)J*,>./3<<>/(&"@ &=)J*,>./
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136886
Date Issued:06/06/2016
Permit Category:ePermit
Site Address: 653 Brockton Cur
Lot:23 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 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 -
Matthew P Molinaro
653 Brockton Cur
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145347
Date Issued:09/06/2017
Permit Category:ePermit
Site Address: 653 Brockton Cur
Lot:23 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Matthew P Molinaro
653 Brockton Cur
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156872
Date Issued:07/23/2019
Permit Category:ePermit
Site Address: 653 Brockton Cur
Lot:23 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-230
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 -
Matthew P Molinaro
653 Brockton Cur
Eagan MN 55123
(651) 226-6735
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature