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,
$2,000 LANDSCAPE BOND
To Be Used For: _S E
Site Address
Lot _,2a Block J
Parcel/Sub j[, /Q„ ,9-
Owner
Address
Valuation: 93, 000 - Date:
s/23 ? Site Sewage_
, MWCC System ?
On Site Well
? ? City Water ?
Oecupancy R-3
Zoning ?
Type of Const
(Actual) Y-N
(Allowable) ?
# of Stories
Length
Depth Z y'
S.F. Total
Footprint S.F.
FEE5
? ?/ " b I'? -
City/Zip Code
Phone :2 S 4 17 gpPROYALS
Contractor Assessments Permit 111 ,00
Water/Sewer Surcharge 46.50
Address Police Plan Review 7, 39•50
Fire SAC, City OD.O"D
City/Zip, Code Engr SAC, MWCC 525,00
' Planner Water Conn 5 .DO
Phone Council Water Meter 6 7.oD
Bldg Off iZ ?jo Road Unit 3 D.La
Arch./Engr. APC Treatment P1 0,00
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone 11
,`
?
FX1'E:RIOR I:NVI=:1_QF'FE AVERAC;F_ `l.!' C01°IF'I.1'C'A"CTONI
i3RAhIL7 GAk.S DEVI=LS]F'MENl' C:ONII='ANY
0
I"IQN)[=:1_ 70114 Tl AF+FA l.l VAI_LJF l.l X r=iRL:A
MAXT.I`1(JI`1 hll_.I...f.]WED EiY CClGL-=
°I'UTF1L tiiF,LL L-iFtEA 2376
T[il"Al_ E'i00F AftF:A 444
1"0Ti•ll_ ALL_OWE=ii
f=tC:H I F_'t.'ED
WF;I_.L ARG:(-1
WIIJliCIWS 175
DOQfl..1 40
SL. T DIw BLA'i:7 39
t= IREI='LACE v;p
WALL FRHM[3 ARF..A 237.5
R 1 h'I :1 OT S"f :'_:; ; c:t
FOUhlD ABGVf_ GRADL 70
NET 4JFil_.L AFiE:F; 1564.4
"I"i.1'I-AL WALl_
RODF HkFH
.11 261 .36
026 24. 544
235. 904
.J 87.5
.01"7 :;.O0
.48 1E1..72
.25 7.5
.04:l Y„7416
. 0436 9.592
.0769 5. 3FS°,
.0278 59.13432
200, E>;.`t.>9
Sf•.:Yl...f fL f> ii
RDOF F='RF1hIE 94.4 .032 _>. ti2Ut.i
tJET Ii1JClf-.. 849.6 .0227 19.28592
TC7TAL Fi077F' 22.30672
TUTAL. ACHICVED
I`1AFiG7:N :[N EcXC:1=:S5 OF" C;Cl17L•: 62..946::6
;'. MAFtGIN 7hl EXCE;35 22.01661
468
SURVEYOR'S CERTIFICATE
N
?
v - 145.00
- i
,
i
?
?
LOT O
22
N
y
i?-?-
m
? 20.0
,I o
i1 5:\\
I P
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ao$ ? s
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4
co
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mo
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1> ' ?1
32
?
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? 0? D?
~ PROP?D CA
ORIV WAY ?p 61W
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-°? ,A ?N.
`% p?'.
? •OO
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a s
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I
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0
013
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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