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
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- - - - -
Cli 0
.
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