905 Oakwood Heights CirOity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: I Site Address: ?i0_,5 C #2iy* 5 C. r
x � Si h
Applica is Printed me
RECE
0 171011
Name: /J 5S Pty (-O/v2A1;11 i't.
Address / City / Zip: q95 f hjotot 1/6M5 Ci r
Applicant is: Owner Contractor
Description of work: Add /0 x 7 hell(
Construction Cost: 3t
x
Applicant's Signatu
r
Permit #:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Phone:
Multi - Family Building: (Yes
Use BLUE or BLACK Ink
For Office Use
/Lo
Permit Fee: / 7 J g
Date Received:
Unit #:
State: / °7A) Zip: 5 3 7
License #: oS�bbl Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 - 0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
Page 1 of 3
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of Plex Lower Level
Accessory Building
WORK TYPES
New Interior Improvement
iG. Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
yr'
Census Code Ai 3 Ay
# of Units /
# of Buildings 1
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
4t Footings (Deck)
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
TOTAL
DO NOT WRITE BELOW THIS LINE
/D3
Porch (3- Season)
Porch (4-Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
ad'
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air /Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector P'_s,.4,,,,
Page 2 of 3
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SURVEY FOR :MENDOTA HOMES
DESCRIBED AS : Lot 1, Block 1, OAKWOOD HEIGHTS, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
BY:
DATE:
PROPOSED ELEVATIONS
Top of Foundation
Garage Floor
Basement Floor
Aprox. Sewer Service
Proposed Elev.
Existing Elev.
Drainage Directions
Denotes Offset Stoke
Surveyor's
Certificate cc
(4ch-s a'sk
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OAKWOOD HEIGHTS 3RD A DDITIon — A DIDQESS MAP
901 - Deno +es ,Address
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= 807 3
= 901•2
= See Above
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HEDL UND
PLANNING ENGINEERING SURVEYING
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (651) 405 -6600
Fax : (651) 405 -6606
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DATE JO/ Z-0/93
I Or ge, LINDGREN, LANdSURVEYOR
NNE OTA LICENSE NUMBER 14376
JOB NO:
99R - 319
BOOK:
PAGE:
CAD FILE:
Misc -
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BUILDING INSPECTIONS DIVISION
of
N89 ° 55'54 "W 79.67 °
Proposed
7 —Unit
Condo
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60.00
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SCALE: 1 inch = 30 feet
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BENCHMARK,
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t 807.81
MIN. SETBACK REQUIREMENTS
Front — House Side —
Rear — Garage Side —
Use BLUE or BLACK Ink
• r--__--_---__._.��.--
�� I For C�ffiae Use � � �(� �
� �l�• ; P��,►t#: /-����� ('��
V 0� �� �11 � � ; ; � . ��� .� L� � ,,�-�����
e1 � Perm t Fee. � / ��
3830 Pilo#Knob Road � 1�/� '
Eagan MN 55122 � Date Received: �J`>� 1 ,
Phone:(651)675-5675 � �� 1 �
� � a ,-
Fax:{85�i)675-5694 � Staff: y, , i
1 _ �4/__d��'_�?�.w�tt� I,
201� RESIDENTIAL BUILDING PERMIT APPLICATION I,
Date: ���/�T��_Site Address: �-�� ����'�1Z��� �#¢�f� Unit#: I
I
; Name: � z�Y�A/�~{��" ������C�i'ti' Phone: �/�"` ����'G1��C?
Resider�t/ ... `
Owner. address�c;ty r zip: �� � C����c�,�� {��r+��'5 t�.����� ��',q�r , :��"!��
:v Applicant is k� Owner Gontractor
Deseription of work: ��tnd��C^�� !��rtt Y' � �t. �.-►�¢��#��"
Type of Work
Construction Cost: � ������ Multi-Family Building:(Yes /No �. )
Companyc Contact: �N f-r'�'�"�#��1�
Con#ractor
address: �i1�5' ���,�� ��� __-:c�y:- r� t�+�K��
; State:�zip: ���,`� one: �1,���d'�-�:��j Email: �'�����' t�Fa����
LicQnse#: Lead Certifiicate#.
lf the project is exernpt fram lead certificatian, please explain why:
tir ��
CQMPLETE THIS AFtEA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the Gity of Eagan issued a permit for a similar plan based on a mastar plan?
Yes No If yes,date and address of master plan:
�icensed Plumber, Phonez
Mechanicai Contractor: Phone:
Sewer�Water Contractors � Phone:
Fire Suppression Contractor: Phone:
NOTE�,Plans antl suppc�rfing documents;that you submit ar.e.consitlereat#o be pubhc irrformat�or�: PaMions r�f:. ;
r
the information may be classified as nor�-public!f you provide spec�fic reasons that woul,d permif fhe C�ty#+�
` > canclua+�,#hat fhe ;are itraoLe secre�s..�n :
�
CAL� BEFORE YOU D1G. Call Gopher State One C�II at(657)454-0002 for prote�tion agains#underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qoahersta#eonecall;orq
1 hereby acknowiedge that this information is complete and accurate;that the work will be in conformanc$with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start wifhout a permit, that the work will be in
accordance with the approved plan in#he case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issusd in accordance with the Minnesota State Building Gode must be c4mpletQd within'I80
days of permit issuance.
��'�
X ��.���"�'�` J�=`��' ��' x
Applicant's Prinfed Name licant's Signature
Page 1 of 3
���j � 1.,���DO NOT WRITE BELOW THIS LINE ..S 5 y��j
SUB TYPE'�S
—.�
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
� 01 of�Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New � Interior Improvement _ Siding � Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wali *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
ia
Valuation f�60 ' Occupancy ,�nG _3 MCES System —
Plan Review � Code Edition d/`r SAC Units --
(25%_ 100% ✓) Zoning /�/� City Water — I,
Census Code �J.3�! Stories — Booster Pump
#of Units i Square Feet �- PRV — �
#of Buildings � Length Fire Suppression Required --�
Type of Construction �_ Width ---!
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Buiiding tnspector
RESIDENTIAL FEES
Base Fee � 3 �-
Surcharge
Plan Review �
MCES SAC '
City SAC
Utility Connection Charge
S8�W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178128
Date Issued:08/02/2022
Permit Category:ePermit
Site Address: 905 Oakwood Heights Cir
Lot:005 Block: 02 Addition: Oakwood Heights 3rd
PID:10-53802-02-005
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 -
Todd S & Jeanette Petersen
905 Oakwood Heights Cir
Eagan MN 55123
(612) 865-7061
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature