Loading...
696 Brockton CirCITY OF EAGAN Permit Nq- Date: %-1 ?--- 3830 Pilot Knob Road Arleter Size: P.O. Box 21199 Raad ,_ lo: Oate: Eagan, MN 55121 Owner. 1' and i7aIr^ r°cv SiteAddress: f"?? 13-roG'-4 T)" Plumber. ' ? c?v +' 1' Conn. Chg: Acct Dep:_ Permit Fee: Surcharge: • ? ` Tr. Plant Meter. Zoning: _ No. of Units: 1 agree to comply wlth the City of Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAN Permit No: 3830 Pilot Knab Road B/P No: P.O. Box 21199 Eagan, MN 55121 _p ? Date: = y.1 Date: ' - ? Owner. rra nO 0.9k:; -0c--v Site Address: _ ? + 96 ? • ? s =? Plumber: °L '3 ? ..,:?t- v' ?'` _ - MWCC: Zoning. CilyChg: h ??`t•'-"' No.OfUnits: ' Acct. Dep: ' I agrae to comply with thB City of Eegan Permit Fee: - Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT BLDG. PERMIT N0. -- ? _ v 01-3210 Bldg. Permit 01-3422 Plan Check ? `7 JU 01-3445 Surch./Adm. 01-3446 SAC/Adm, -??' - 01-2155 Surcharge '7 17-3860 Road Unit 20-2275 SAC • 1!?? ; ??? 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 4:ater Meter .? 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ,%' 1 ' I CITY 4F EAGAN 3830 Pilot Knoa Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date VECEMt3El? 10 ,19 Site Address 696 BR'Q???ON G «GLE Lot ' '- Block 4 Parcel No. _ Sec/Sub. NILLS QF STM,0- BRIUGG Name GRANI1 OAK5 DfVFL CO ? AA?ldress :?98?3 S1'UI?E$.i?:? iK:E LR City ;Z:A:GA:`3 , o Nam? `.y,A?,' k, o u Addre?s U '?r- City ` Phone City 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 Permittee A Building Permit is issued to: ti'RA°"D ORKS DEVEE. y CC1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On 5ite Sewage Occupancy H3 MWCC System Zoning =i t On Site Well (Actual) Const Vn City Water X (Allowa6le) Vn PRV Required # of Staries Booster Pump Length 74 Depth 29 S.F. Total Footprint S_F. APPROVALS FEES Engr.lAssess. Permit s 479'o4 Planner Surcharge 46.50 Cauncil Plan Review 239.50 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 525.00 Water Conn. 525.00 Water Meter 0.00 Road Unit 3t)5 • i7t;? Treatment P1 1 80• 00 Parks TOTAL $2f467•OU G. `. _.,.. .... , ...,. aVr .._ ..+_ . . . .... This Certiftcate issued pursuant to 1he requirements of Section 306 of the Uniform Building Code certrfying that at the time of issuance this structure was in campliance with the various -?_-- . CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PH ON E: 454-8100 BUILDING PERMIT Receipt# liCY . ! C,r:.! B;:'ti j To be used for ' •- Est. Value • Date Site Address ,, , •?,?;"?.?;; [;' ;..,,.?.? Lot BIoCk ?Sec/Sub. OF a`COI3E- Parcel No. ? } W " 2 0 e .o z? 0< ? ? Name GAB:S II)EVEL CO Arlriroce ST??ARIDVE ai14 City Name Address City Name Address Clty I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City o( Eagan Ordinances. Signature of Permittee - A Building Permit is issued to: on the express condition that al I work shal I be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY pn Slte Sewage Occupancy MWCG 3ystem Zoning Qn Site Well (Actual) Const V'n City Water (Allowable) PRV Required # of Stories Booster Pump Length aepth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bidg. Off. SAC, City Variance SAG, MWCC - Water Conn. Water Meter Road Unit Treatment P1 ` Parks TOTAL ' _ Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric ° ?. Softener Inspeotlon Date Insp. Comments Footings 1 Footings II Foundation Framing C v•-? c ?.?`. ?.? s 1-?o?-rF? ?. d?. Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. . ? ? Bldg. Final Cert. Occ. J?1? Temp, LP Deck Ftg. Deck Final Well Pr. Disp. c City 1"r&=Phone : Name 3 Address - p City Phone M/IND FEE - 1°!0 BLDGS - COMM NTRACT FEE \PPLIES :S. RATE APPLIES E - $12.Od - $20.OQ IMIT - ,50 'E GQES 11"'. tl I . R aiurvnI unt vr rtHnni i i tt FOR: CITY OF EAGAN PERMIT # 2-VC ? EAG NIT RECEIPT # AD, EAGAN, MN 55122 DATE: 454-8100 , BLDG. TYPE ? WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Fepair ? Other ? RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES `' A TAL Water Closet - $3.00 ' -/_Bath Tubs - $3.00 s?Lavatory - $3.00 ?• ?> ? 999? ?Shower - $3.00 `-4• C) C.) ?Kitchen Sink - $3.00 '? d C, v Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ?Floor Drains - $1.50 _/-Water Heater - $1.50 /• ? a ':? Whirlpool - $3.00 ??Gas Piping Outlets - $1,50 4. s LD ? .?.,..,. . . ... . .. ? , .. PERMIT # MECHANICAL PERMIT 91 616, 1 •5 RECEtPT # CITY OF EAGAN i 3830 PILOT KNaB RpAD, EAGAN, MN 55122 DATE: CdNTRACT PRICE: PHdNE: 454-8100 Site Address . -' ,; ?. •. . + ? Zot 8lo k L Se /Sub BLDG. TYPE WORK DESCRIPTION k r c ' -? E , c Res. fVew ? - ? ? Name Mult Add-vn °-' ? Address Comm. Repair ? City Phone Other : . L Name . . ? FEES FiES. HVAC 0-100 M BTU -$24.00 ? . (D Address ADDITIONAL 50 M BTU - 6.00 p City f Phone `?` = (RES. HVAC ONCLUDES A/C ON NEW CONSTRUGTION) GAS OUTLETS (MINIMUM -1 PER PEkM1T) - 1.50 EA. TYPE OF WORK COMM/INp FEE - 1% OF CONTRACT FEE Forced Air ` M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIQENTIAL FEE - ALL AG1D-ON & Unit Heater ?U BTU $ REMODEL5 - 12.00 Air Cond. %• f.'•: : M g7'? ? .',. MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 'r Vent, CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES ^ ` Gas Piping Qutlets # BEYOND $7,000) ii Oth er $ FEE: j :.? S/C: SIGNATURE OF PERMITTEE TOTAL : FOR: CITY OF EAGAN . CITY OF EAGAN Permit No: `Y16t) Date: 3830 Pllof Knab Road ometer Nio: _3?T7 36 Size: ??y' dr P.Q. Box 21199 Reader Nb: Date: -- A, ',eg Eagan, MN 55121 Owner. Site Address:_, .?F; 'S=._ e?*=r--?`s?='.r .'_ .. ', .. ??.i... ''?-z.=*`_?,,;_^;•=?c=-,_. Plumber. ?' " '" ? Conn. Chg: 1{11mwu*vg: T;1 Acct.Dep: ` No:aiftfni?eS T Permit Fee: 1 i '??? gfn • Surcharge: T61?j?????' °1 ag?r,efe o ciw ly with the CRy of Eagan Tr. Piant Meter. ? C '?1 Misc.: B WATER SERYICE PER This rnquest voiEeld?peffyV ,? u,h5 7 9 5.? Re?qf'rtc ? ?pea N. W-II Nntify InsOeo I?IYes nNo w 1or When NeatlY E) Licensetl ElecVical Convacmr 1 hereby requast inaoection of ebove ? Owner electrical work installe0 et: Street AAAress. Boa or aute No. C'tv ecuon o. Township Name or No. Range No. Coun ?L Occup (PFINT) ? J ?C Phone No. S Y Powei Suppher , ?I1Cr?2 /'Y C_ Address Electr cal Con?rac?or ICOmpan Namel Conlrxcmr'S 9 License No. SP??I ???rrL ? a" l S 3 Mailine/'A?d7dress IGO/n[ractor or Owner MakinB in5 ailationl Co ( L'j, lka Author ed S?B?a?ur (Conh lor O er MakinB lristallaUon) Phune Number D-(?, THIS INSPEGTION REQUEST WILL NOT MINNESOTA STATE BOAflD OF ELECTRICITV Griggs-Midwey Bldg. - poom N-791 BE ACCEPTED BY THE STATE BOAND UNLESS PNOPEN INSPECTION FEE IS 1821 Universitv Ave.. St. Paul. MN 65104 Pnnnwl6t216420800 ENCLOSE?. ?a?/?'$j REQUEST FOR ELECTRICAL INSPECTION 10 ee-ooopoi/-Ds 1 See ins4uctians tor comolehnB this lorm on Eeck o1 Vellow copy. FrQOW / ( 9 605 '"X'" Selow Work Covered by 7his Request FAtl HeD.+ TYCe oi Building Aaoliancea Wired Equiumenl Wire? fVi I- Home Ranae I I Temoorarv Service Air p I Fee ServiceEntronce5ize h Fee Feeders/Subfeaders u Fea C,?cmts , pU U to 200 qm s 0 to 30 Am s 3 ?J 0 tn 30 An! s Above 200 Amps 31 to 100 qmps 31 ta 100 Am s Swimming Pool Above 100-Ainps Above 700_Am ' Transiormers Irrigation Boorns Partial.'Other Fee LSigns ? 1_ jSUeciai insPection I70Tq?rEE ? flem3rks / l? ? er??ty thet the abo% Rna? ms0ection hes been n . /Aw ) maea. mhraQuesl CITY OF EAGAN N°_ 14 4 8 3 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 - " PHONE• 454•8100 BUILDING PERMIT Receipt# 7 9 2:90 To be used for SF DWG/GAR Est. Value $93,000 Date DECEMBER 10 19 87 Site Address 696 BROCKTON CIRCLE Lot 22 Block 4 Sec/Sub. HILLS OF STONE- Parcel No. BRIDGE a Name GRAND OAKS DEVEL CO I = Address 3988 STONEBRIDGE DR ? City EAGAN Phone 452-8167 ap Name SAME ?a Address ? City Phone a w Name u = Addre w CitY_ I hereby acknowledge that I have read ihis appiwahon and state that the information is correc[ and agree to comply wrtapplicable State of Minnesota Statutes antl C`_iry? o?f Eag?an OrcQ?'nan ? ,t5 ? Signature of Permittee YvN ' A ewming Permit is issued to: GRAND OAKS DEVEL CO on the express condition ihat all work shall be done in acwrdance with all applicable State of Mmnesot tatutes and Cit f Eaan Ordinances. Building Official `f OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCCSysiem X Zoning Rl On Site Weli _ (ACtuap Conat Vn City Water X (Allowe6le) Vn PRV Required _ # of Stories BoosterPump _ Length 74 DePM 29 S.F. Total Footprint S.F. APPROVALS Engr./ASSess. Planner Council Bldg. Off. variance FEES Permit Surcharge Plan Review SAQ Ciry SAC, M WCC Water Conn. Water Me[er Road Unit Treatment P1 Parks TOTAL $ 479.00 46.50 239.50 100.00 525.00 525.00 67.00 305_00 180.00 567.00 1987 BUILDING PERMIT APPLICATION - CITY OF EAG6N SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS HOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNITS WHICH ADDRESS IS DESIRED. NO CAANGES WILL HE ALLOWED ONCS BUILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL U'iHITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0.4IERCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: _S E Site Address Lot _,2a Block J Parcel/Sub j[, /Q„ ,9- Owner Address Valuation: 93, 000 - Date: s/23 ? Site Sewage_ , MWCC System ? On Site Well ? ? City Water ? Oecupancy R-3 Zoning ? Type of Const (Actual) Y-N (Allowable) ? # of Stories Length Depth Z y' S.F. Total Footprint S.F. FEE5 ? ?/ " b I'? - City/Zip Code Phone :2 S 4 17 gpPROYALS Contractor Assessments Permit 111 ,00 Water/Sewer Surcharge 46.50 Address Police Plan Review 7, 39•50 Fire SAC, City OD.O"D City/Zip, Code Engr SAC, MWCC 525,00 ' Planner Water Conn 5 .DO Phone Council Water Meter 6 7.oD Bldg Off iZ ?jo Road Unit 3 D.La Arch./Engr. APC Treatment P1 0,00 Variance Parks Address Copies TOTAL City/Zip Code Phone 11 ,` ? FX1'E:RIOR I:NVI=:1_QF'FE AVERAC;F_ `l.!' C01°IF'I.1'C'A"CTONI i3RAhIL7 GAk.S DEVI=LS]F'MENl' C:ONII='ANY 0 I"IQN)[=:1_ 70114 Tl AF+FA l.l VAI_LJF l.l X r=iRL:A MAXT.I`1(JI`1 hll_.I...f.]WED EiY CClGL-= °I'UTF1L tiiF,LL L-iFtEA 2376 T[il"Al_ E'i00F AftF:A 444 1"0Ti•ll_ ALL_OWE=ii f=tC:H I F_'t.'ED WF;I_.L ARG:(-1 WIIJliCIWS 175 DOQfl..1 40 SL. T DIw BLA'i:7 39 t= IREI='LACE v;p WALL FRHM[3 ARF..A 237.5 R 1 h'I :1 OT S"f :'_:; ; c:t FOUhlD ABGVf_ GRADL 70 NET 4JFil_.L AFiE:F; 1564.4 "I"i.1'I-AL WALl_ RODF HkFH .11 261 .36 026 24. 544 235. 904 .J 87.5 .01"7 :;.O0 .48 1E1..72 .25 7.5 .04:l Y„7416 . 0436 9.592 .0769 5. 3FS°, .0278 59.13432 200, E>;.`t.>9 Sf•.:Yl...f fL f> ii RDOF F='RF1hIE 94.4 .032 _>. ti2Ut.i tJET Ii1JClf-.. 849.6 .0227 19.28592 TC7TAL Fi077F' 22.30672 TUTAL. ACHICVED I`1AFiG7:N :[N EcXC:1=:S5 OF" C;Cl17L•: 62..946::6 ;'. MAFtGIN 7hl EXCE;35 22.01661 468 SURVEYOR'S CERTIFICATE N ? v - 145.00 - i , i ? ? LOT O 22 N y i?-?- m ? 20.0 ,I o i1 5:\\ I P r N_ \ c i~ J r? ? ../ ? U10 ? ?r x'L % ? l, / / 5 ?op b? ti??? ?> ao$ ? s v a ? S O 4 co ?NN\4, mo IW / 1> ' ?1 32 ? 1 / N ?10 ? 0? D? ~ PROP?D CA ORIV WAY ?p 61W ? o -°? ,A ?N. `% p?'. ? •OO ?o D a s ? ? ?9p0 I ,oO V dO ?O ?y .? l1 `? 0 013 O ? O? ?- i •? -i- r? ? \ L_?J I CJ ?t -+-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 912 .3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - qo4-b FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9 i2 1 FEEf WE HEREBY CERTIFY TO GRAND OAKS DEV. CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 22, Block 4, HILLS OF STONEBRIDGE, according to the recorded plat thereof, Dakota CounTy, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2*40 DAY OF DECEMBER, 1987. PROPOSED ELEVATIONS SHOw'N MlERE TAKE14 FR0M THE DEVELOPMENT PLAPI FOR HILLS OF STONEBRIDGE, PRE- PARED BY PIONEER ENGINEERING AND LAST DATED 8-26-87.. James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 GRANO OAKS DEV. CO. L_ 2,1 SIGNED: JA . ILL, INC. n l.?i! J BY: HAROLD C. PETERSON, LAND SUFVEYOR MINNESOTA LICENSE NUMBER 12294 S 82°55'31" E APFLICATION FOR PERMIT iSEWER ANQ/OR WATER CONNECTION ? NC71'E: PAYF92ll OF FEE AT TIME OF ? ? nrPL.xQazaN oos rrrr caW ; ; srrivre arexovr,L oF rs[uuT. : ; 2rsrnc-riaN CF SEWM nrm/ae vmTEx ;. t INSCALiATIOIYS WIIaL NJP BE S('F7][R.FI] i l!LP12L PIItbIIT HAS Bta7 APPROVID. x ll?w f w?*+.w?t+???x?a?aw+rw??+we»?»?*+rw+t* ItV OF @C1gaP1 (PLEASE PRINT 1) PROPERTY ADDRESS : L? C L r.EcAt, nEscarrrioiv: ?CoT?a 13ZOe4 -(Lot BIoc1-cjS ivision or Tax Parce7 ID IF) IF EXZSTING S1RL'C'IL'RE, DATE OF ORIGINAL BUILDING PERMiT ISSOANCE: Mon Year PRESENT ZONING/PROPOSID CSE: Q CONAIERCIAL/RETAIL/OFFICE Q INDC?STf2IAL a INSTITUTIOLVAL/GOVERNMMT 2) NAME: ADDRESS: CITY, STATE, ZIP: ? PHONE: 3) ? NAME: T/H ADDRESS: CITY, STATE, ZIP: PHONE: ? a-It-1 SINGI.E FAMILY ? R-2 DLPLEX (Ru-0 Cnits) Q R-3 TOWNiO0SE (T1'iree + Dnits) ( Lni.ts) Q R-4 APARTMENr/COPIDOMINILM ( Units) ' `,?`.cJ 5S 35 Z LMASTII2 LICENSE # ??O/ 7- -r ? Active Expired Dbt recorded St Initia 4 NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: S) ? ?a?e•'o i?? CONNlCTION TO CITY SEWEE2 CONIgX.'TION TO CITY WATER O 07'FM 6) -/a **+***?**+*,r??++???****,r+**?*,r??****,r*********???**x************?+*********?******+***?**??**,e*«***? * * 7M GOLD COPY OF 7M PERMIT WLLL BE SENR' DIRECTLY TO Pi]ffi.IC WORKS 7U FA'7r.rrnmF WrII2 PIQt-UP. * ? PLEASE ALLAW 1So0 WORKING DAYS FOR PROCFSSING. SOU'JFANE FROM 'IM CITY WILL CONPP,CT YOU IF 1fiME ? * * ARE ANY PROBL,EM5. ? . FOR CITY USE ONLY PERMIT # ISSUED ,?i ( U Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ / 6 5? WATER PERMIT (INCLUDE SURCHARGE ) $ (4,0 n $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ S ACCOLNT DEPOSIT - SEWER $ $cC ACCOLNT DEPOSIT - WATER $ 5?S c U $ wAc $ ???• O? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ /Ab• ? U $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 9'7. OL) $ 6?1. O U TOTAL _ 79??? v 8/1 7 ?. RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PIIBLIC RIGHT OF WAY? F__j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ? NO ROADWAY" MOST BE DIVISION. LIST ISSUED BY THE ENGINEERING AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED By; ? TITLE: . DATE: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) tirr oF EAcnN 3830 PILOT KNOB RD - 55122 ? 651-681-4875 ?- l?a -c? c) N6W COnihUGflan Reailre?11611h Remodel/Reoatr itaauireal?Dt# > 9 reylftered sIte wneys ahowlny sq. H. d bt. sq. fl. 01 houae and go raoletl areaa (40'L ma.*imun bl coveraae allowed) > 2 eopies of plam (show beam 8 wlntlow alzer, poured fiC. deal9n: etcJ > 1 aer ot eneryy calculaMom a S copies W hee prefervaHOn plan H IW platled alter 7/1/93 DATE: /yl/??/ i", r70 DESCRIPTION OP WORK: ,?? ?c ??,'??? 2 copie: a plan 1 aet of energy cdcWaHOns for haated addiMOns 1 sife wneY tor exledw addlHons 3 decb .1 ?/693 CONSfRUC110N COST: STREET ADDRESS: & ' - C , . ^ ? ? BLOCK: OT -A I D #: 1` •? SUBD /P : L . . . . PROPERiY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ,5AL,990 ? %2"RN.p PhO?e?: Lost flnt SheetAddteas: r YI/ Ii,?ocY/v,e_ i:k%v Cly n / Sfafe: /n h,? 2fp: Company: OzT?,c _ Phone #: (area code) Sheet Addreas: ll 5-3"? ??Tg pizf'j License M ExP• dy 4 ,4? !i State: /K N. Zip: s S' 3-,: ? Company: Name: Telephone t: ( SheeT Addresa: Regishatlon #: City Sfate: Sewedwater licensed plumber (if installina sewer/waterl: Phone A. Zip: 1 herebY ackrawledye lhat I have reod lhis applkalbn, sfate fhat the infortnalb is coffed. °nd a9ree tO comply wNh an app6cable Stat of Minnesota Siatutea and Cly of Eagan Ordinances Signalure of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received - Yes No No - Not Required 1Aay 12 ? ?Q -7 -7 I 2007RESIDENTIAL BLTILDING rExMiT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWC6an Reauiremenk 3 registered site surveys shavnng sq. ft. of l04 sq. R of house; and all roafed areas (20%maximum lot coverage allowed) t So1s Report H propwed bwldirig k lo 6e placed on dislurbed soil 2 copies of plan showing beam & window s¢es; poured found design, etc. t set W Enerqy Calcula6ore 3 copres aF Tree Preserva4cn Plan itlot platted after 711/93 Rim JoislOetail Optiwis sHecticn sheet (buaAings wiN 3 or less units) . Minnegasco mechaNwi ventila6on form r/0_ o 0 RemadeUReoair Revuirements Office Use Onlv 2copiesofplanshmvingfooLiys,6eams,jaists CertofSurveyRecd _Y _N lsetofEnergyCalculatlonsforheatetladdiGOns SoilsReport _Y _N 1 site survey tar additiore 8 decks Tree Pres Plan Recd _Y _ N, Addi6ar-ir+dtateifan-sifesepOCSystem TreePresRequired _Y _N On=sileSephcSystem _Y _N PI..,c arc rnnciriararl nuhlic i.,fnrmatinn unless vou state thev are trade secret and the reason. . .. ..... ...... ......_._.,.__ __.._ ...._..--- Date A? ---" ----- - - v? Construction Cost /.5 Site Address ?p r7 ?p F(-0C? 3rj l A?C Llc- UniUSte # Description of Work ?M? ?--- Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2 Praperty Owner Telephone # ( ) Contractor A"' ???,5% ?/1?75 ??S Address City State Zip ?Sr a Telephone # VgS-1 ) y5 ? ?-Sl q ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission [ype) Submitled Submitted • Energy Emelope Calculations Su6mitted In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address oF inaster plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ? ApplicanYs Printed Name A licant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160976 Date Issued:04/27/2020 Permit Category:ePermit Site Address: 696 Brockton Cir Lot:22 Block: 4 Addition: Hills Of Stonebridge PID:10-32990-04-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Paul J Prew 696 Brockton Cir Eagan MN 55123 (612) 281-4158 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169443 Date Issued:05/26/2021 Permit Category:ePermit Site Address: 696 Brockton Cir Lot:22 Block: 4 Addition: Hills Of Stonebridge PID:10-32990-04-220 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Paul J & Molly M Prew 696 Brockton Cir Eagan MN 55123 Acre Custom Solutions Llc PO Box 720 Lakeville MN 55044 (612) 750-6300 Applicant/Permitee: Signature Issued By: Signature