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665 Brockton CurINSPECTION RECURD r? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ???? 10 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , ,. !![':k:1N:,b".Jilha 4;lJ[i ? , „i,, , i i??.?.?; I 1`: ii? :_? i F?NFf.tf'.?#tl,it' E+'? E?' ) ?°,-"!9 E?f;' k'x PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA . DA I'1 AN i3FV1FWF11 F#Y h13.F't fitiW"V i af.i 4 4E,...-2 8 4 0 r(E r;A €ar) «:r:, F 1.F ci P rr_?I ? P t P M TT e) riv sH S P F:i I t f,W" 32, t4i b Permit Holder Date Telephone # PLUMBING HVAC Inspection date Insp. Commenls FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TES'r INSUi_ GYP BOARD FIREPLACE E F L ?LBG FINA FINAL HTG QRSAT TEST BLDG FINAL DOMES'TIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG t? DECK FINAL (9rdtfirate of Citp of ? ?epttrtttm# vf Inilding 3 Wapt s ? o This Certifcate issued pursuant to the requiremenfs of S'ectian 3Q?of UWorntB?ing !r ? ,? Code certifying that at the time of issuance this structure was in compliance witJ?the-?arious ?7- ordinances of the Ciry reguluting 6uilding construction or use. For the following: ` use ctaffification SF EWfW Blclg. Permit No, 17M Occupancy Type 1-4/141 2oning District PDIRI Type c«mc VN Owner of Building EN= IDWT-N4t3drest"?'?'3 ? ?? CIR• + ?OR LAM Building Address I66S BRO= CXIM Iacali y?'?ats ? , RUIS OF SMURM Date:.A1.MJsT 7? 1990 . aU IDg POST IN A CONSPICUOUS PLACE F 1 ? . ?- .... ? ' ./r CITY OF EAGAN 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 551 PHQNE: 454-8100 Receipt # 'GAR Esl. Value $142*0W Date I rvv+rrtss rtrnvv Name Address CItY Name Signature of A Building P on ihe expre with all I have read this application and state that the agree to comply with all applicable State of work ; atuies ? 0 17840 1 i ) •.. QFFICE USE.ONLY Rt 3 ii-- E ES Occupancy ` PD -1? ? F Zoning ,.r ? 76wr*00 (Actual) Const Bidg. Permit (Allowable) Surcharge # 01 Stories ' 511.00 Length ?i Plan Review 100000 Depth SAG City S.F. Total - 6W'00 ? SAC, MCWCC S.F. Footprints _ 625.00 On Site Sewage _ Water Conn 90.00 On 5ite well t MWCC S ? Water Meler ?} ? em ys Aoc1. Deposit ? ' CityWater - 30*00 PRV Required - SN'I Permit ._.-? Booster Pump - ? S 5 urcharge /W ??-.00 Treatment PI '??g•? ? APPROVALS Road Unit Planner - park Oed. ? Council -_ " Bldg. d1f. Copies . M 1 Variance - TOTAL j a ? Permit No. Permit Holder Date Telephone # WATER ' ;? ? G /Jr O SE11dEIR 67 PLUMBING 04' 'f 7 c H.V.A.C. ELEGTRIG ?oo Inspection Date Insp. Comments Footings I s? Founda1ion Z Framing ? ? Roofing ?h ??. ? a Rough Htg. 1;2,Y!Pl ? - •? Q , Isul. Freplace 27 Fnal Htg. Final Pibg. ?' - qCJ Const. Meter Plbg. Inspector - Motify Ptumber EngrJPlan Bldg. Fnal Deck Ftg. N L ? Oedc Fnal weii Pr. Disp. ? Far Office Use Onl : ' y PERMIT # MECHANICAL PERMIT CITY O F EAGAN r REGEtPT # 3830 PILOT KNOB ROAD, EAGANT MN 55722 DATE: CONTRACT PRiCE: PHONE : 454-8100 . Site Ad ress ? TYPE WORK DESCRtPTIdN BLDG ., ? Lot 61ock SeclSub- . ; ' Res. New Name r?' ` rc c_ Mulk Add-an ? r= 5 AddreSS Cnmm. Repair ? 2 c Ciiy Phone Other FEES Name i ?? - ? $=.' 'r '`l '-?'`'' •??' RES. HVAC 0-100 M BTU - $24.00 ? c Addr6sS 1-7 ADDITIONAL 50 M BTU - 6.00 ? p City PhOne " (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) <f GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. s TYPE OF WGRK ` COMM/IND FEE -1% OF CaNTRACT FEE j Farced Air M BTU APT. BLDGS. - CQMM. RATE APPLIES Boiler M BTU TOWNHOUSE & GONOQS - RES. RATE APPLIES 1 Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON & Air Cond. - -^ M BTt? . `P+. ( REMQDELS - t2,?1Q i; MIPIIMUM COMMERCIAL FEE - 20A0 ? Vent CFM STATE SURCHARGE PER PERMiT - ,50 ? Gas Piping Dudets # -- ?. $ (ADD $.50 S/C PER EAGH $1000.00 UF PERMIT FEE) Cfther PERMIT FEE . SIGNATYJRE OF PERMITTEE ; S/C: -- ? ` ? " TOTA4: % FOR: CITY OF EAGAM CITY OF El ON7RACT 3834 PILOT KNOB ROAD, PRICE PHaNE 454 Gity a.?. - t. USE & - RES $.5p S/C Phone Phane PLIES,-- 7_1 Water'Heater-?$1.50 RATE APLLIES Whirlpool - $3.00 $12.00 ? Gas Piping Qudets - $1.50 $24.00 (MINlMUhI - I PER PEAhAI'1') - AIT .50 Softener.- ,$5AQ ts ) OF PERMIT FEE) WeTt;,?t?fl(9? Private Disp. -$1D.00 ',,A A,,,,,, Rough Openings - $1.50 U. G. 8prinkler System - $12.00 srarFS s/c: ? GRAND TC7TAL: SEWER & WATER PERII CITY OF EAGAM ' 3830 Pilat Knab Rd. Eagan, MN 55122-1897 DATE - JUNE 12, 1990 OFFICE USE ONLY METER # 3 PERMIT DATE 6/15/90 CHIP # Z / PERMIT # 11453 METER SIZE 4%A B.P. RECEIPT # "17759 ISSUE DATE rT B.P. RECEIPT DATE 5/1i/ 90 - PRV - BOOSTER PUMP SITE ADDRESS 665 BRO"KTON CURVE LOT 20BLOCK 5 SEC/SUB '1ILLS OE STONEBRInGE APPLICAtVT: ADDRESS:_ CITY, ST'ATE PHONE:t PLUMBER: WENZEL PLUZ4B3.NG ADDRESS: 1959 Si-IAWAIEE R.QA?) CITY, STATE EAGAN ZIP 55122 PHONE: 452-1565 OWNER: ENGELBY C(3NSTRUCTION t_-N:, ADDRESS: $663 OAK HZLL C1R CITY, STATE PR1OR T'AKE ZIP PERMIT REGIUESTED X SEWER `?- WATER - TAPS - COMM/IND x RESIDENTIAL x - NEW - EXISTING Lawn Sprinkler Meters are ta be Instailed Ahead of Dogiqstic Meters on Water Line. Credit WILiven for Deduct Meters. GREE TO CQMPLY WITH CITY QF EAGAN ORDINA ES R PHONE: 447--3243 GNATURE WHEN METER ISSUED 1^I 1 ' _.•' ? y ' '' .;' ? ?.!'•jf ;:? PLEASk PiLLOV4 TWO V?IORKING d?Alf'S `??7R PR? O?E?aSINGCALL 454-5220 FaR INSPECTIONS. FOR STORM SEWER pERMITS, COJNTACT ENGINEERING DEPT. ?;; Xx-.- ..,. .. . . SEWER & WATER PERMtT CITY (3F EkGAN , ' 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE " JUN5 12. 1990 ? -k SITE ADAESS - I LOT 20BLOCK CITY, STATE PHONE:? PLUMBER: ?ENZEL ADDRESS: 1959 g CITY, STATE EAGAIV PHONE: 452-15 OWNER: EI?ELP ADDRESS: $$610 CITY, STATE °RIOR. roC€cToN CuP Jg HZ? .... ..,. . -..a. .. ...... . ........ .r.....,^"..'^"'T .x!?'P+v+?..... .--..._ Y..e• OFFICE USE ONLY F,/iy METER # PERMIT QATE CHIP # PERMIT # i1453 METER SIZE B.P. RECEIPT # _ "7759 ISSUEDATE B.P.RECEIPTDATE _ PRV - BOOSTER PUMP PERMIT REQUESTEQ STCINrARI flt:E X SEWER X WATER - TAPS - COMM/IND RESIDENTIAL - ZIP X. NEW _ EXiSTING Lawn Sprinkler Meters are to be Installed Ahead of Doraestic Meters on Water Line. Credit WILL:IVQ'r'be gi?en for Deduet Meters. ZIP 55I.22 ' ; - I GREE TO COMPLY WITH CITY OF iNC EAGAN ORDIMANCES ir SIGNATURE WHEN METER ISSUED )CESSING. CALL 454-5220 FOR INSPECTIOIdS. FOR STORM DATE: 665 BROCKTON CCURVB, L20, BS, H1LLS OF STONEBRILIGE ? FIW. r Your Sewer & Water Permit for the above property has been completed. It will be held at the ?UblicWorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORICS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following ? reasons: ? Your Sewer & Water Permit for the above property has been campleted, 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. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ?9/5?c/ 994 G Requesl Dale Flre No Rou InspecLOn qyq v Raetly Now ill Notiry Inspector / S s - d G No s ?^?M1en fleetly? 1Xlicensed conVactor p owner hereby request inspechon ot above elecirical work at: Job AtlOress (Sireet, Box or Route No.) 6 /LoGK TONr e14.QiJ City SecM1On No Township Name or No Range No. Cowry ?or-a, .??,rc .? .s,e,v OccuOem (PqIM) PM1One No 'n) e b B ?in.U S i7?t L' ?7 0.? '9V - 2' 3 PowerSuppher AtlOress / 0"7¢ vLLL7)ZI ?- ?/7?/a/1? ElecmcalGOnvactor lCOmpany Name) Contractor5 L¢en9e No '3 Maihng AOtlress (COnVacior or Owner Making Installation) Authorrzetl SgnaWre ontrectouOwner Meking Installatio? ) Phane Num?er ? - ,F 890 - 3ss ?-_ MINNESOTA STATE BOAPD OF ELECTqlpyv THIS INSPECTION REQUEST WILL NOT GNB9aMitlwey Bldg. - qoom 5198 BE ACCEPTED BV THE STATE 80ARD 1821 Universlty Ave. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(81])6C2-0B00 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION "?, EB-OOODI-O] 0 S e insbuctions for completing ihis brm on back ol yellow copy { 30%97d- '. ?'97e24 G 4 9 9-94/§p??'Below Work Covered by This Request ??? ew A tl Rep TypeolBmlding ApphancesWiretl EqmpmentWired Home Range Temporary Servwe Duplex Water Heater Electric Heating Apt. Buildmg Oryer Other (Specity) 2 ommllndustrial Furnace rm Air Conditioner 01ner(spei ConVactor5 RBmarks' Compute Inspection Fee Below: # Olher Fee # SerwceEntranceSize Fae k Cvwrts/Feeders Fee Swimminq Pool ? 0 to 200 Amps 0 to 100 Amps a? Transformers Above 200 _ Amps Above 7 _ Amps SignS Inspector5 Use Only. TOTAL ' Irrigation Booms ? • D So Special Inspection AlarmiCOmmunicauon TNIS INSTALLATION MAY BE ORDERED DI ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M ? I, the Elecirical Inspector, hereby Rough-m ? certi that the above ins ection has ? P been made. Flnal ate? z OFFICE USE ONLY Tbis request wb 18 months irom a4190 9 911 C 49993 ? ?5 Q' Request Date Fre flo. Rou in Inspeceon Re ' tl7 ?/ pv+eatly Naw ? Will Notity InspeCtar ?/ S ? ?y ? 0 ?Ves 'L?.NO Whan Reetly' I;<licensed contractor O owner hereby request inspection of above electrical work at: Job Atlorew Sireet Box or Route NaI Pry ' G S geor-A ro..i Sedion N. Township Name or No. Fange No CourRy 46r S CLS oF frS/e/.e?G? K o 77f Occupanl(PqINT) phone No. J5.kJ6-L f?d i?S G OrJ y? 7- 3 Z 3 PowerSUpDTier Adtlress IA a GrLE.c7?'-/e.- NG1? Eieclrrcal Conlrador (COmpany Name) ConVacrorS Gcense No I?1/f"STE ?G£G [9 Mai6ng Atltlress (COnlractor or pwner Makmg Installetan) a ? o _ So . AWhanzeE SignaWre ontractor/Owner Meking InstallaLOn) Phone NumEer MINNESOTA STATE BOARD OF ELECTRWITY THIS INSPECTION REQUEST WILL NOT Grlgge-Mltlway BIAg - Hoom 5-113 BE HCCEPTED BV THE STATE BOARO 1821 Unlvenlly Ave, St Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812) 642-0900 ENCLOSED -3G6 47 17,9- REQUESTFOR ELECTRICAL INSPECTION es-00001a7 ? S}s 12smir.bonYtnr comple[mg Ihis iorm on Cack W yellow cppy O/J/ 8 5 ? 7 ?3 4 9 9 9 3 S// ?"?XO "X" Below Work Covered by This Request ew Ad+ Fjgp ? TypeoBUilding AppliancesWrted EquipmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt 8mltling Dryer Other (Specity) CommJlndustrial Fumace Farm Air Conditioner ONer (spear(y) Cuni Remarks Compute Inspection Fee Be/ow: # Other Fee # ServiceEntranceSize Fee # CirwiGS/Feeders Fee Swimming Pool / 0 to 200 Amps - 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps S19pS inspector§ Use Only ? TOTAL . Sd Irrigation Booms (J?? s So Special Inspection Alarm/Communicatwn THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Rougn-in oate ( cert y that the above mspection has been made. F,,,ai OFFICE USE ONLY This repuest voitl 10 months irom ? - • PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: 9324??NG Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 0 7/ 9 6 J 9 8 SITE ADDRESS: P.I.N.: 10-32990-200-05 665 BROCKTON CUR LOT: 20 BLQCK: 5 HILLS OF STONEBRIDGE DESCRIPTION: _ "? 9ei:fildfn`g Permit Type fBuildi°ng-'Wark Type p`:'eensus eodezN_.. , J ? l ` l 2 } "`? J .?.? ?-• SF PORCH NEW 434 ALT. RESIDENTIAL +?.se -? '-Sx l? i"'a p^`°"^?; ? '_ q'?;'i ?i r.?-?•' sz ,_"E ?€; :'i"' j ?-,?,,., 4??? aT? •j7k`f ix::s _I J`?v ?'"Yl?;:Gt'.?R`'??4 r'.L? g?? REMARKS: PLAN REVIEWEO BY MIKE BARCK CALL 445-2840 REGARDING ElEC7RICAL PERMIT AND INSPECTIONS FEE SUMMARY: Base Fes Plan Review Surcharge Total Fee VALUA7TON $174.75 $113.59 $5.50 $293.84 $11,000 CONTRACTOR: - Applicant - s7. LTC OWNER: r TUSHAUS CONST 12280219 0006050 HANSEM DAVE . 954 OSCEOLA AVE 665 BROCKTON CUR ST PAUL MN 55105 EAGAN MN 55123 ' (612) 226-0219 (612)454-5494 I'hereby acknowletlge that I,haye, read thi,r_application and,state that the information is c4rrect and,agree,Fto,compl,y witb al.l,spplicable State v'F Mn._ " 5tafutes artd Ci.ty of Eagan Ordinances. ? -: : „ APPLICANT/PERMI E SIGNATURE \E? : IG URE J r 4?? lO 1998 BUILDING PERMIT APPLICATION (RESIDENTW:) iZGj;3 aq? CITY OF EAGAN 3830 PII.OT KNOB RD - 65222 Vft- 016 S? 681-4675 !I I New Constructlon ReauiremeMs RemodeUReoatr ReauiremeMS ? S registered site aurveys • 2 copies of plans (InGude beam 8 windav sizes; poured fid. design; ete) ? 1 energy celalaGons ? 3 wpiea of tree preservation plan if lot platted afler 717193 requlred: _ Yas _ No DATE: r DESCRIPTION OF WORK: 3 STREET ADDRESS: PROPERTY OWNER BLOCK: 17D SUBD.lP.I.D. #: ? xame: Z0C:1_0 e?- r ?o Z7 a c I5C,1 Phone #: :K6-K/e5r,Kf'S" ' Lest First Street Address: 6 6 S LWne k ?a ?ti u v, 0 E! Ciry /- •. State: IW Zip: Company ?/ L.? ? .? n . c ??s ? T- Phone #: 6 /c? -ola 8 - Ua ( S? CONTRACTOR 40 Street Address: ? ??? S? s6c°e1u 'e _ License # 6' G 67_U City ?j, 24 l State: t'1ct ? Zip: ARCHITECT/ ENGINEER Company: Name: Street City 4 $ COpi@9 Of PIBfI ? 2 ske suneys (e#arior adtlkione 8 decli `s)??-, . • 1 energy calalations for heated atlEitibns CONSTRUCTION COST; e,g 4,21?t ? . State: y/ ,, i'. Sewer & water licensed plumber (new construction onty): Penatty appliesiwlien address chang and lot change is requested once permit is issued. ' I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with"all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ^ Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Phone #: Registration Zip: )_ / ( .MI 3 0 ac. _ Tree Preservation Plan Received - Yes - No - Not OFFICE USE.ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex ? 03 SF Addition ? 08 8-plex X 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 = piex Basement sq. ft. _ Main level sq. ft. _ sq. ft. _ sq. ft. _ sq.ft. _ sq. ft. _ Footprint sq. ft. WORK TYPE 2j S??,p?J u ? 31 New ? 33 Alterations ? 36 Move pk 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace „ 0 O 15 Deck _ * w? IK , R J d t ., « 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Fump Census Code. ?/3< SAC Code a/ Census Bldg i Census Unit Building . ' M1"3 Engineering Variance l9 Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies od TotaL• % SAC SAC Units ..__.?,.1 ?--- F Valuation: $ 11, G'?, ? T?o2ct1? ?-°.° - • 1' = 2??, S ?D ? cla = G i Vo, _ , vGG14- 1, znv, -- .r--' ----?-- id.38t?. - , - ; ir 90-099 CO. CERTIFICATE OF SURVEY FOR: RVEYING SERVICES ENGELBY C4NSTRUCTION 1875 PLA2A DRIVE EAGAN, MINNESOTA 5512 LEGAL DESCRIPTION: LOT?O1gLOCK5 , HILLS OF STONEBRIDGE ACCORDING TO 7HE RECORDED PLAT THEREOF DAKOTA COUN7Y,MINNESOTA ? N84°53'53"E/ W 50_44 SCALE: I"=40' LOT 19 ®rt? 23yqr0 //'If 3v ` CKO/V I , yKA1NA(a6 £? VTI?-?TY EASENaNY z L- ?oPoSGD""" Now? ?AR ? m a' ? ?-? - W.V .. LO ? , a ? 20 I LOT 21 '8.07? ?Z3.9a??' ? .. ?. _.._ _. ._.._ .?._ .. ... Z A1 R=374 55 I20O0 qo0g --?? , CURVE .:' . , 6/ . _ ....__ . . • , . .,.. : . _ . . 1 . LEGEND o DENOTES IRON MONUMENT n OENOTES WOOD HUB SET OENOTES EXISTING SPOT ELEVATION OENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hreby csrtify tAat tAis survey,plan or report wcs preparsd by ms or undor my direct supervision and that 1 am a duly Reqistered Land Surveyor under the Laws of the State of Minnesota. fnRnPoSED FuLL QASEMEµT- NO WpLICovT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION ='103 9 PROPOSED FIRST F100R ELEVATION = q04-!?- PROPOSED BASEMENT FLOOR ?S - ELEVATIQN NOTE'. VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS ? • / , ?_%'.?..Y% ? I . _ •5 _ ?-_? - Brodley J. Swenpn, Mn. Rsq. No.15235 Dafe ? ?" J t - CITNOFEAGAN NO 17848 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Raceipt a C? _ To be used (or SF DWG/GAR Est Value $142, 000 Date 11A7C 11 ,1g90 SitB AddreSS 665 RROCKTON ('.[iRVE Lot 10 L- Block 9_ Sec/Sub. Hii.i.S OF Parcel No. STONEBRIDGE w IName ENGELBY CONSTRUCTION INC o Address 8663 OAK HILL CIR City PRIOR LAKE Phone 447-3243 ¢o Name Z)P.M $? Address City Phone IW`w,IName I ?? Address a5 City Phone I hereby acknowleqe thatl have r thi informaUon is correct and aqree t co Mmnesota SlaWtes antl Ciry of Ea rdii SignaWre of Permitee A Buiming Permit is iss to: NGEL on the express condition th I work shall applicable State of Minn ota Statules antl Building Ofliciai pplication and s[ate that the with all applicable State ot e m accordance with all Eagan Ordinances. OFFICE USE ONLY Occupancy R-3 M=1 FEES Zoning PD R=1 (Actual) Const V=N Bldg. Permit 787.00 (Allowabla) V=N Surcharge 71.00 # ol stories 63' Plan Review 511.00 Length DeDth 3' SAQ City i on _ n0 S.F. Total - SAC, MCWCC Fnn _ n0 S.F. Footprinis _ waler Conn 625. 00 on Si1e Sewage _ On Ste Well - Water Meler _90,Q0 MWCCSystem 22L Aay. Deposit 30, 00 City water 12[_ PFV Required - S/W Parmil 30 _ 00 Booster Pump - $/yd Suroharge . 50 7reatment PI ? 252.00 APPpOyALS Roatl Unit 355.00 Planner - park Ded. Council Bldg 011 _ Copies Variance - TOTAL 3,451.50 1990 SIIILDING PERMIT APPLICATION CITY OF EAGAN INGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # Ofi 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 YERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERP2IT 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: Ei? Valuation; - Date: S 5 O Site Address Lot Za siock _5- Pazcel/Sub ??t? Owner Ey1Ge-,J_6y Cny7 {-4 J?c - j I- Address 8663 City/Zip Code ( r-j? Q4_ (m,n, Phone L/ V 7 _3 2- ?11 contractor JAvL-., AS 4L ti? Address City/Zip Code Phone Arch./Engr. fi)Tpil.- Q(,¢? Address ?? 'L, -D?j/&/v City/Zip Code ?Loay„? ?,???NI M o Phone 6`7 t OFFICE U5E 1 ? D0D -e? ONLY -R-3 M-i FEES Occupancy Zoning PD FZ- I Actual Const V'N Bldg, Permit Allowable Surcharge F1r,oa # of stories Plan Review -??'j? OC Length ? SAC, City / p(7,C30 Depth 3G' SAC, MWCC ? S.F. Total Water Conn ? aD Footprint S.F. Water Meter ,DD Acct. Deposit 30,aJ On site sewage_ S/W Permit 32?,Z?v On site well SJW Surcharge 06-0 MWCC System ? Treatment Pl. 252 Ot? O City water ? Road Unit S o PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL q1?. Council Bldg. Off. g Variance ;• ? ( ` ?,y.'S'?1 ? ??..??= a.+++e. ...?.........n _ G"oR A& ZZ x 22 = 'tSy I Z ?C Z 3 _ Zr7 Cr Z tx ct r 4z` 11 (?8 X IS= 115Zo SS?11`r' a ?, >?31 = 80 (D ?y ? JoB? X Iy = fy z??( IsT FLoo2 r) 5 ? ??S = .2u Z N t? FL-oo,Z ?-- ? . ? 1 . CERTIFICATE OF SURVEY FOR: TRI-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MINNESOTA 5512 ENGELBY CONSTRUCTION LEGAL DESCRIPTION: LOT?D,BLOCK 5, HILLS OF STONEBRIDGE ACCORDING TO THE RECOROED PLAT THEREOF DAKOTA COUNTY,MINNESOTA ? N84°53'53"E/ ? 50_44 ? SCALE:I"=40' ? I s , DIZAINA(a6 E? ?0 UTILITY ? EA,,N6NT LOT 19 r ? / LOT 20 LOT 21 Ole 10 ?g, g uh ?y?`?z A°°T r s,?. P'+ (a AN ? ? PrzrzoPos?n q0? ?s.o?'riJ IE tl I E W E D -0p zayy? ' ,oa a? N Z q1 e 00 ?oCKTpN9o?- R=374.55 120.00 qoti9$ s - CURVE ? ?' ? 'G, (? ?I '? ,? - - By EAG" LEGEND o DENOTES IRON MONUhENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION OENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION i, , 90-099 ?EPT j'10z0POSjs;? ?,)LL BASEHEr•!T- No WAc1-KouT ; INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED CaARAGE FLOOR ELEVATION °I03 e PROPOSED FIRST FLOOR ELEVATION =5 B 904- PROPOSED BASEMENT FLOOR ELEVATION NOTE'• VERIFY ALL FLOOR HEI6HTS WITH FINAL HOUSE PLANS I hersby certify ihat tAis survey,plan or rsport was prepored by me or undar my direct supervision cnd ihot I am a duly Reqistered Land Surveyor under the Laws of the State of Minnesoto. ?`--- Bradley J. Swenon, Mn. Rsq. No. 15235 , Date - ? _ ''7 "1 UNDERGROUND SPRINKLER SYSTEM P.LUM$ING PERMIT Date: -5-- / ? `yl Receipt # d /j/V?/..3 Date 5111,2191 Permit # Commercial: $25.50 + water tap if required. (City instatls all taps up to 1"). If adding new service, a water permit will be required, as well. -7k Fxisting residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. 435, O / (Ob l ?rc.:-?l-or. CirG/? (Address to be sprinklered) Installer Name: L9a v%j 171y'"' s`? Phone #: Street Address: _ City, State, Zip: _ Owner Name: _ Street Address: _ Phone #: Irrigation Contractor: Phone #: S-e" y ? a ?`',f- b?-?--R-- y?r? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan Ordinances S'-!S^ l2 Engineering Department only) e aj-°-;x'°"f ?? ??L I b 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings townhomes/condos when perrnits are required for each unit ? ?Sn Date O t I v Site Address 5 A ? Uuit # Property Owner V?C Telephone # ( ) ? ` \ ' Contractor„ in? w StreetAddress O Y rn' M& ' City State I Zip 5503 Telephone # -7 Bond #: Ezpires: The Applicant is _ Owner Contractor _ Other ?-on or alteration to furnace existing dwelling unit Additional tReplacement 30.00 air exchanger _ air1,conditioner _New _ Replacement other State SurcharBe $ .50 Total $,c- LSG I hereby apply for a Residential M hanical Permit and acknowledge that the information is complete and accurate; that the work will be in iorui"t rance with the ordi s and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemu ony an applicario for ermit, d work is not to start without a permit; that the work will be in accordance with the appro?lan in the case of w r t?ch requ?s a review aqd approval of plans. t's Printed Name Applicant's Signatu?r? )?i? I FEB 2 ? 2004 ?Li I?J U ?y- -. - ~ i.-.. t.::'S i:::.!'-1VEt...t..;Pi::. i:.:r'=: C6::tGlY:. 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For Office Use q, c , r-- _, Permit#: /Sb l aZ 0 Permit Fee: ` 0 JUL 3 0 1U1� 2 Q� Date Received: 7'-3b -/l/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/28/18 Site Address: 665 Brockton Curve Unit#: Name: Rebecca L Paoello Phone: 651-497-0446 4 Resident/ Same as site Owner 4 Address/City/Zip: I Applicant is: Owner X Contractor R , Description of work: install nat gas fireplace insert, gas line & air test i Type of Work 1 Construction Cost: 3,000'00 Multi-Family Building: (Yes /No X ) Company: Walter Mechanical, Inc. Contact: Rich Walter Address: 517 W Travelers Trail City: Burnsville 4 Contractor I State: MN Zip: 55337 Phone: 952-895-1992 Email: waltermechanical@live.com License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: p F COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING s 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: ' Fire Suppression Contractor: Phone: ' NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe L classified as nonzeublic if you provideific reasons that would hermit the Citi to conclude that the trade secrets. __ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. I hereby acknowledge that this information is complete and accurate;that the work will be in confo •:n• wit , e •,.in- ces -nd codes of . City of Eagan; that I understand this is not a permit but only an application for a permit, and work is,rfot • st wit • t - 'perm.; th-. h- •rk will be in accordance with the approved plan in the case of work which requires a review and approval of• an x Rich Walter x / � _ Applicant's Printed Name Ape c 't's"Signa re For Office Use 1/ /111 • : ::' ? EAAN RECEIVED Date Received: - 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 JUN 0 7 2019 Start: buildinginspections(07cityofeaoan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 66s �(O(J<+ n 0_ )NL Unit S: Name: 1,./JJ ti Phone: 6/L-8j(.ti"57-7. Resident/ Owner Address I City/Zlp:Jp F:i a Gk i- &JA✓Q_ Applicant is: Owner :-Contractor �y l Type of Work Description of work: er+,.0 J 9 -) - ) ,,11 - c ejtr15 Construction Cost: ,?000 s Multi-Family Building:(Yes I No ) ComPanY:t ,7 It' Co.>.S4 /n c+. Contact ; � Po t I e- Contractor Address: 2-86 z 4.0 I _a if /J city: D le-,(a_1 t_ State:Ai Zip:,5-57/7_S Phone:4; -LIQi�+`{2Email: ,, J..o 'c-I e-d1,(A..e.owl Ucense#:8 G t"f 3 5 6 3 1 Lead Certificate#: A/AT--l o t 742-'2— If the project is exempt from lead certification, please explain why: �-� by: I.i- i q9 0 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: Fire Suppression Contractor. Phone: NOTE Plans and supporting documents that yoir submit are considered to be pubtie information. Portions of the Information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Btdiing Code must be completed within 1118 days of permit Issuatnce. CALL BEFORE YOU DIG. Cal Gopher State One Call at(651)45441002 for protection against underground utility damage. CaN 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit that the work will be in accordance nth the approved plan in the case of work which req fres a review and approval of A licanr's Printed Namde Signature DO NOT WRITE BELOW THIS LINE A"•'"S (�e� 46n at t 15-6 /40/ SUB TYPES "T. ass pv y Foundation _ Fireplace ____ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plea — Lower Leval — Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demoish Building* _ Addition _ Move Building _ Reroof _ DemoNsh Interior `aj Alteration — Fire Repair _ Windows _ Demoish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 2it Occupancy P.4.00 lr MCES System Plan Review Code Edition A@ ill °'' ( , SAC Units (25%100%4 Zoning to City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ----3--\ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) V Final/No C.O.Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS 4., insulation Windows Sheathing Retaining Wall:_Footings_Badddl_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final — Braced Walls Erosion Control Shower Pan — Other. Reviewed By: q V , Building inspector RESIDENTIAL FEES Base Fee tip., e ) , Surcharge i toe0 r Plan Review r /-14/ / 1 MCES SAC • City SAC ' Utility Connection Charge t -1 '* SSW Permit&Surcharge Treatment Plant �, Radio Meter Read 2 0 Copies /d Q ,a j o?J TOTAL Page 2d3 PERMIT City of Eagan Permit Type:Building Permit Number:EA168886 Date Issued:05/06/2021 Permit Category:ePermit Site Address: 665 Brockton Cur Lot:20 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-200 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 - Jason E Halverson 665 Brockton Curv Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169503 Date Issued:05/28/2021 Permit Category:ePermit Site Address: 665 Brockton Cur Lot:20 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-200 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Jason E Halverson 665 Brockton Curv Eagan MN 55123 (612) 816-5733 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:Plumbing Permit Number:EA175283 Date Issued:03/25/2022 Permit Category:ePermit Site Address: 665 Brockton Cur Lot:20 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-200 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason E Halverson 665 Brockton Curv Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179311 Date Issued:09/28/2022 Permit Category:ePermit Site Address: 665 Brockton Cur Lot:20 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-200 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Jason E Halverson 665 Brockton Curv Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature