1574 Johnny Cake AlcoveAddress 157`7 ?gU/"1i7n4 ak2 Tf lczU'C, Zip 5512 ?
r.oc 13 sik 3_ sub 060r00ke S?
THESE TPEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSBECI'ION.
Date: -30, p Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
,x
Permanent driveway x
Pertnanent gas
Sod/Seeded grass
TraiUcurb datnage ?
Porch ?
Basement 8nish
Deck
Please verifY with the builder the removal of roof 4est caps from the plumbing system and the shut-off of water supply W
the oufside lawn faucet before freeze potential exists.
Contact eugineering division at 681-4645 before working in rightvf-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
- ' BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New Construction Reauirementa
. 3 registered site surveys showing sq. N. of lot, sq. ff. ot house; and all roofed areas
(20°h maximum lot cove2ge allowed)
• 2 copies of plan showing beam & window sizes; poured fouM design, etc.)
• 7setofEnrergyCalCUlations
• 3 copies of Tree Preservafion Plan If lot platted afler 711193
• Rim Joist Delail Options selectan sheet (bldgs with 3 or less units)
DATE
-1 `'10 .C) C)
`? vv-'??
RemodellReoair Reauiremenis
. 2 cropies of plan
• 1 set of Energy Calculatiore for heated additiore
• lsilesurveyforextenoradditions&decks
• Indicate if home served by septic system br additiom
VALUATION
SITE ADDRESS /S 7S MULTI-FAMILY BLDG _Y K N
TYPE OF WORK_ Ofe/_? FIREPLACE(S) G 04f 1_ 2
APPLICANT
STREET ADDRESS C/.Jme /.?Leov,,:CI'ry ?ja?'f.-LJ 3TATE/'?t? ZIP SSiZ Z
TELEPHONE #CELL PHONE # G5/- FAX #
PROPERTYOWNER 7-//0 Qy?i"`"{ TELEPHONE#
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESO'PA RULFS 7672
(J submission type) . Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor:
Plumbing system includes
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery 5ystem
ree: $90.00
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the informatiefl+s-cnrre d agiee to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi anrct
Signature of Applicant
____----------......__..__-------------------•---°-- -------------------------------------'--"------------------OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Water Soflener
Water Heater
No. of Baths
_ Phone #
Lawn Spruikler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex 'MC18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (81dg)* ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation _?F-?_ Occupancy MC/ES System
Census Code N3 N Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const 1l? W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) arX _y Final/No C.O.
_ Footings (addirion) ' Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
7?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC ?F
Water Supply & Storage
S&W Permit & Surcharge
?
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
A ..
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
D E SCRIB ED AS :Lot 13, 61ock 3, OAKBROOKE 57H ADDIION, City of Eagan, Minnesota ond reserving
easements of record.
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9303
L D T SQ. FOO TA GE
HSE SQ. F00 TA GE
L 0 T CD l/ERA GE _
S,?2
3002 f 8,• 39
p,e2ai
v<J."o1n?}vr w...?,
$
slLT
FCNLC
PROPOSED ELEVATIONS
? BENCHMARK,
Top of Foundation =q32,5 C.P. Mqiibox
Garage Floor =93iS Ele1-923,(-9
Basement Floor =929.5?- '
Aprox. Sewer Service =vrr,P
Proposed Elev. - MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front - 25 House Side -
Denotes Offset Stake = • Rear - Garaqe Side-
SCALE: t inc n = 30 feet
J08 N0:
HEDLUND ' HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION 01R-501
OF THE BOUNOARIES Of THE ABOVE DESCRIBEO PROPERTY AS SURVEYEO
BY ME OR UNDER IAY DIRECT SUPERViSION AND DOES NOT PURPORT TO 800K: PACE:
PLANNINC 6NCINd6RlNC SURV6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS HOWN.
2005 1 a
Eagan,MN55? ?
22 DATE L247/c-)L ?t--? CAD FIIE:
Phona (651) 405-6600 R Y . LINDGREN, LAND 5 VE¢ YOR
FOx: (651) 405-6606 INNE 'tdTA LICENSE NUMBER 14376 OakbfoOke 5
F: --3
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= 15,22 9
= 2,009
13q"
CITY USE ONLY
PERMIT #: RECEIPT DATE:
2002 MIDENTIAL MECHA1VICA1? PERMi7' APPLICATION
crrY oe EAs,aiv
3$30 PILOT KNOB itD
EAsAu MN 55122
651-681-4675
Please wmplete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: (Q "'3 -0 P-
SITE ADDRESS:
OWNER NAME: TELEPHONE /1151 V05_-I193
INSTALLER NAME: TELEPHONE #: So2 Q.S?
STREETADDRESS: 1,2W/ /c/r/o6?s7 lfl(',nr'Q 4y- S-
CITY: ?YL)0_0 Q STATE: Mrv ZIP: 55 3_?
Place a check mark next to the permit work type
? Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: _ +ry 40
u-
State Surchar e $ 50
rotal JUN 0 5 200 $
S?
.
tY--_?1?? .
SIGNATURE OF PERMITTEE
1/oz
NOU-20-2900 03:13 PULTE HOMES
MNcheck COMPLIANCE REPORT
Minneaota Energy Code
MNCheCk Software Version 3.0
651 452 5727 P.02/92
Permit #
Checke by Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Pamily
DATE: 11-20-2000
?ATE OF PLAN7g; 8/14/00
TITLS: TYLER ELEVATION #4
PROJECT INFORMATION:
OAKHROOKE SINGLE FAMILY
COMPLIANCE: PASSES
Required UA = 520
Your Home = 442
15.0?; Better Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter
---- ----------------- R-Va2ue R-Value U-value
-----------
---------
CEILTNGS 1656
-----------------
44.0 0.0
--------------
WALLS: Wood Frame, 16-1 O.C. 2049 19.0 2.0 1
WALLS: Wood Frame, 16,- O.C. 243 9.0 2.0
BSMT: Conc. 8.0' ht/7,3' bg/7.3' ineul 640 11.0 0.0
HSMT: Conc. 7.0( ht/7.01 bg/7.0' insul 224 11.0 0.0
GLAZING: Windowe or poors, Above Grade 378 0.350 1
DOORS 38 0.350
FLOORS: Over Unconditioned Space 352 38.0 0_0
SLAB FLOORS: Unheated, 42.0° insul. 72 5.0
HVAC EQUIPMEN'P: Furnace, 92.0 AFVE
----------
---------------- -------
COMPLIANCE STATEMENT: The proposed building -----------
design dascribed - -----------
here is
consistent with the building plans, specificationa, and other calculations
submitted with the per it applicatio The proposed building has been
designed to meet the?quem?tshe?/Nlinnesota Energy Code.
Builder/Designer
Date
TOTRL P.92
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 4/14101 +? Apr
JOB NO: 0320-313-03 LOT: 13 BLOCK: 3 UNIT:
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
ADDRESS: 1574 JOHNNY CAKE ALCOVE CITY: Eagan STATE MN ZIP: 55122
MODEL NAME: Tyler MODEL#: 18281 ELEVATION: 1 GARAGE: LEFT
BUYERS NAME: TIN PHAM & PHUC PHAM
CURRENT ADDRESS: 3095 SHIELDS DRIVE CITY: EAGAN STATE MN ZIP: 55122
HOME PHONE: 651-405-1193 BUSINESS PHONE: BUSINESS PHONE:
SALES REPRESENTATIVE: Jolayne Moberg PHONE: 651-68E2682
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18281
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.............?.._:,_.,..,.,.y, :»<.?_y<:.:, _...... _
?.:.___..._..._ .; . ..
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Tyler
<>;.s:?,.?
1 00000 Lot Premium
1 18015 ELEVATION #1
1 35050 STH BDRM-FL OAK DRS
1 31001 LAUNDRY CABINETS - BASE
1 14000 BASE HOUSE CARPET
1 31011 LAUNDRY TUB-SINGLE COMPARTMENT
1 14007 15T CARPET PAD UPGRADE
1 14001 1ST CARPET UPGRADE
1 15000 BASE HOUSE VINYL UPGRADE
1 15026 VINYL UPGRADE - KITCHEN/DINETE
1 15027 VINYL UPGRADE FOYER
1 15030 VINYL UPGR. BATH #3
1 15001 VINYL UPGR. - BATH #1
1 15002 VINVL IJPGR.- BATH #2
2 17000 ADD'L ELECTRIC OUTLET GARAGE
1 17002 FREEZER CIRCUIT
6 17024 CEILING ELECTRIC OPENING
1 17029 CEILNG FAN-BRASS OR WHITE W/ LIGHT KIT FAMILY ROOM
5 17073 LIGHT FtXTURE - OPT. #17024 ALL BEDS, LOFT, DEN
1 17074 OPTIONAL DINING ROOM LIGHT
4 32001 CAT 5 MEDIA JACK
TOTAL
THIS CONSTITUTES A CON7RACT BETWEEN THE SEILER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
'r ?. ...?....",i
Builders License # 0001371
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 4l14/01 17'AP,
JOB NO: 0320-313-03 LOT: 13 BLOCK: 3 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
suiLuiNC nooRESS: 1574 JOHNNY CAKE ALCOVE CITY: Eagan STATE: MN ZIP: 55122
MODEL NAME: Tyler MODELt 18281 ELEVA710N: 1 GARAGE: 0 LEFT
BUYERS NAME: TIN PHAM & PHl1C PHAM
CURRENT ADDRES:3095 SHIELDS DRIVE CITY: EAGAN STATE: MN ZIP: 55122
HOME PHONE: 651-405-1193 BUSINESS PHONE: 0 BUSINESS PHONE: 0
SAIES REPRESENTATIVE: Jolayne Moberg PHONE: 651-686-2682
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. . ..,•,<,.,:.;:m.?:„?.»,.::?:.:?:,?:ze>:_<??.::?::??:.?:<:..Hg:?;?:,:?m-.?,:N>,:x::- ::
. . <?_...<... ,_..., ..
TOTAL FROM PREVIOUS JIO
..........
.
1 35066 4TH BDRM-FL OAK DRS
1 10091 GAS RANGE/OMIT 220V
1 21020 GAS FIREPLACE - CERAMIC W/SH.ROCK
1 22001 3RD CAR GARAGE-ELEV#1
1 13077 WHIRLPOOLTUB
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL $248,594
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASEft (S) huK i nt Atsuvt i i ema.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPRaVED BY SALES:
Builders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 1
DATE: 4/18/01
2]-APr
JOB NO: 0320-313-03 LOT: 13 BLOCK: 3 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
BUILOING ADDRESS: 1574 JOHNNY CAKE ALCOVE CITY: Eagan STATE: MN ZIP: 55722
MODEL NAME: Tyler MODEL#: 18281 ELEVATION t GARAGE: 0 LEFT
BUYERS NAME: TIN PHAM & PHUC PHAM
CURRENT ADDRESS: 3095 SHIELDS DRIVE
HOME PHONE: 651-405-1193 BUSINESS PHONE: 0
SALES REPRESENTATIVE:
CITY: EAGAN STATE: MN ZIP: 55122
BUSINES5 PHONE: 0
Jolayne Moberg PHONE: 651-686r2682
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TOTAL FROM PREVIOUS JIO OR CHANGE ORDER
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-1 10091 GAS RANGElOMIT 220V
1 10096 VENT KITCHEN APPLIANCES TO Ol1TSIDE
1 40036 WOOD FLOOR-KITCHEN & DINETTE
-1 15026 VINYL LIPGRADE - KITCHEN/DINETE
$0
$0
$0
$0
$0
$D
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL
.,?r.,.-?.? ruv coi i oo nnin Tu
r oi iruecFR !51 FOR THE ABOV $250,375
E ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPRaVED SUPERINTENDENT:
APPROVED BY SALES:
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Bwlders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 2
DATE: 6/7101 ,s-J.,
JOB NO: 0320-313-03 LOT: 13 BLOCK: 3 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
BUILDING ADDRESS 1574 JOHNNY CAKE ALCOVE CITY: Eagan STATE: MN ZIP: 55122
MODEL NAME: Tyler MODEL#: 18281 ELEVATION 1 GARAGE: 0 LEFT
BUYERS NAME: TIN PHAM & PHUC PHAM
CURRENT ADDRESS: 3095 SHIEIDS DRIVE CITY: EAGAN STATE: MN ZIP: 55122
HOME PHONE: 651-405-1193 BUSINESS PHONE: 0 BUSINESS PHONE: 0
SALES REPRESENTATIVE: Jolayne Moberg PHONE: 651-6862682
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TOTAL FROM PREVIOUS JIO OR CHANGE ORDER _.. ,
...:i .t . .... ...-? -
-2 17073 LIGHT FIXTURE - OPT. #17024 Mstr, Bed #2
2 17029 CEILNG FAN-BRASS OR WHITE W/ LIGHT KIT MsU, Bed 42
6 17000 ADD'L ELECTRIC OUTLET Basement
1 32001 CAT 5 MEDIA JACK Basement
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL
.,o T.,? nen $251,090
vc ircnec
APPROVED BY BUYER (S):
APPROVED BY BUYER (5):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
4w . 5
Builders License # 0001371
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: 3 OG,C?6?D??C'P, 5W,
? DATE OF SURVEY:
LATEST REVISION:
m
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v DOCUMENTSTANDARDS
Y ¢
O z o
Q
0 ? R
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O • eg
stered Land Surveyor signature and company
F? ? ? • Buikling Pertnit Applicant
G? ? ? • Legal description
5d" ? ? • Address
qr ? ? • North artow and scale
U?? ? • House type (rdmbler, walkout, spfd w/o, split entry, lookout, etc.)
d? ? • Directional drainage arrows with slope/gradient °k
? ? • Proposed/existing sewer and water services & invert elevatian
C9 ? ? • Street name
L? ? ? • Driveway
f3' ? ? • Lot Square Footage
0' ? ? • Lot Coverage
V ? ? • Benchmark
ELEVATIONS
/ Existina
L?/ ? ? • Sewer service (or Proposed)
m' ? ? • Property comers
ta? ?/? • Top of curb at the driveway and property line eMensions
?/ 4v D • Elevations of any ex(sting adjacent homes
C? ?/? • Adequate footing depth of sWCtures due to adjacent uUlity trenches
0 [a' ? • Watervaays (pond, sVeam, etc.)
/ Prooosed
t4' ? ? • Garage floor
? ? ? • First floor
0,11 ? • Lawest exposed elevation (walkout/window)
? ? • Property corners
m' ? ? • Front and 2ar of home at the foundation
PONDING AREA (iFaoolipble)
? L?/ ? • Easement line
D C? ? • NWL
? ? ? • HWL
? ? • Pond # designation
? d ? • Emergency Overtlow Elevation
DIMENSIONS
0/0 ? • Lot IineslBearings & dimensions
[5? ?? • Right-of-way and street width (to back of curb)
?? • Proposed home dimensions including any propased decks, overhangs greater than 2', porches, etc.
(i.e. all sWdures requiring pertnanent footings)
9/ ?? • Show all easements of record and any City utilRies within lhose easements
G?? ? • Setbacks of proposed structure and sideyard setback of adJacent existing structures
d? ? . Retaining wall requfrements, ff any
Revriewed:
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Loc 13, Block 3, OAKBROOKE STH ADDIION, City of Eaqan, Minnesota and reserving
easements of record.
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9303
L 0 T SQ. FOO TA GE = 15,227
HSE SQ. FOOTAGE = 2,009
LOT CO1/ERAGE _ 131'o
Cos+'rsu
}/ 18281
PROPOSED ELEVATIONS
0
40 ,02
8j 39
'fdtJeyLL?4't/dn waili.
9L2!._2
S/LT
FENCe
BENCHMARK,
Top of Foundation
= q32.5 Cp mq?ibox
Garage Floor
=93i.5 eleo_ q23.1-9
Basement Floar =924.5
Aprox, Sewer Service =ve,;F„
Proposed Elev. MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front - Zs House Side -
Denotes Offset Stake =.
SCALE: 1 inch a 30 feet Rear - Garage Side-
JOB N0:
HEDLUND I MEREBY CERTIFY THAT TFiIS IS A TRUE AND CORRECT REPRESENTATION 01R-501
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECi SUPERMSION AND DOES NOT PURPORT TO 800K: PAGE:
PLANNINC 6NGINB6RING SURVBYlNG SHOW IMPROVEMEN75 OR ENCROACHMENTS, EXCEPT AS HOWN.
2005 Pin Ook Drive ?
Eagon, MN 55122 DATE 12/?/QL CAD FILE:
Phone: (651) 405-6600 R Y . LINDGREN, LAND S VEYOR .
Fox: (651) 405-6606 INNE TA LICENSE NUMBER 14376 Oqkbrooke 5
Siteaddress: ?s.?? ?f7?W4 l,c.?c i7/COtL Lot? Block 3 . r/?Itb/f?
Subd
-
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adoptetl. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater
Furnace ? /,,,Jnlo C'Z?°Z/FC-/ 590cb ?I-?A^ec•?1?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen (!:??45- _j4jjjjNjW ::->7^)_7 27 Joe 75 ?
Bathroom 1 ? ? /-Z1AZ5 cli I-G " _ _?, /Q
?1S ? 60
?
Bathroom 2 A VQ .0O ?
Bathroom 3 ustv--- 1t o J71O ?
Bathroom 4 11 /-' y, 0,5' V a SQ ?
Other " G?- oS'VO 60 /
FIREPLACE 5
LOCATION
GAS
WDOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
? l?r,?t N 6/e ?o0,50 T.Q ,e z7, vao
I hereby acknowledge that the ahove informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
grcature' //?cw? f?iti+t?s
CompanyName
4'-?o - d.:L>
Date
* This form is the responsibility of the General Contractor.
L o+ 13 6 lock 3 RESIDE?IAL? fp ?L1?'S55 15 o6,t,• q9
?ak?rooke S?'? BUILDING PERMIT APPLICATION 04 4Y55? 70.50
CITY OF EAGAN GI? ?-- y?55 7 9O - 50
3830 PILOT KNOB RD - 55122
651-681-4675 5 a ? ?y9
NewConsWCtionReauirements RemodellReoafrReauiremeMS -
. 3 regislered sfle surveys shawirg sq. ft W bt sq. R af house; and all roofzd areas 4O? ? ?) I?q? • 2copies of plan
(20% mauimum bl coverage allowed) 1 . 7 set of Energy Calculations lar heated additions
• 2 copies of plan shox'vg Deam 8 window sizes; poured faund design, etc.) ???? . 1 sAe survey for ex[erior addidons 8 decka
• 1 set of Eneigy CalalaUons
• 3 copies of Tree Preservation Plan tt bt platted afler 7l153
• Rim Joist Detail Options selection sheet (bldgs witl) 3 ar less unils)
DATE /o / VALUATION (EXCLUDING IAND)
jJB SITE ADDRESS 15-7 1/ Jo l, „ w„ C4,? 4/G?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P Iic I•-Io+-?r e-(!?'//lI Cor ?
TYPEOFWORK ?t`v 17 FIREPLACE(S) _0 X1 _2 _3
APPLICANT )Py PHONE# GSI/ys?-s?oo
ADDRESS a'/g- Ver-?4 ?e_rt /yo ZIPCODE
PAGER #
CELL PHONE #
FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VentilaGon Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Piumbing Contractor. V. r /¢ v /?-lu ? i "n? ? Phone #: 95,?/ 419_? -a 1 2 !
Plumbing System Includes: _ Water So tenef r _ I.awn Sprutkler Fee: $90.00
?c Water Heater ? No. of R.I. Baths
3 No. of Baths
Mechanicai Contractor. /F."n sr? 11e, l??rrr.?
Alechanical Sys[em Includes: X Air Conditioning
_ Heat Recovery System
Sewer/WaterContrcctor. A;?ep /
Phone # ?1Sa/ ?- q q ' d° 0_j;-
Fee: $70.00
/ ?l?-=a y sr
Phone # '7 &3
All above information must 6e submitted prior to processing of application. I OA..C? I ci
,??? `
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to, comp y with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. '/ /? -
S(gnature of Applieant ?-t---
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required
Updat80 1/Ot
OFFICE USE ONLY 72O
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenad) O 36 Multi
0 OS 03-plex ? 11 10-ptex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
'X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
0 33 Afteretion ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to appticant
Vaiuation A??S Ovo Occupancy f2 -3 MC/ES System
Census Code / O/ Zoning P p_ City Water ?
SAC Units <J / Stories 9?- Booster Pump
Nbr. of Units / Sq. Ft. :2-0 1r'O PRV
Nbr. of Bldgs Length 30 Fire Sprinklered
Type of Const -V ?V Width ? .2
REQUIRED INSPECTIONS
? Footings (new bldg) X FinallC.O.
_ Footings (deck) FinallNo C.O.
Footings (addition) _ Plumbing
2L Foundation HVAC
? Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ A'u/Gas Tesu _ Final
?
Fireplace / R.I. _ Au Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
P,pproved By
. Building Inspector
-------- ----------------------------------------------- --------- ---
?,
Base Fee /3. Hh ----- ------ -- T
-? -- ? -- 9 ? ----------------- ---- ? - ?
1-
6 ?Y5q
Surcharge ? 0yy ?
/? /? I/? Z- i. vi: L
Plan Review a,
`?68?X?5`?/?- 591.17
MC/ESSAC U( tAI_/L' L!t??L
City SAC
?O?n.rtfri 0
?f?Clln???= l/'r76
'716
Water Supply 8 Storage
S8W Permit & Surcharge UN 1-INlSi4RlI 13S^r;- 7A 0 l?l )( 15 /p Eco ?
Treatment Plant
Plumbing Permit
?
i
Mechanical Permit
License Search ? Ovy oo ?? g 3??
Copies
H
?- 5 X S1`_
Other
Total 7TL ? / 2, y:r'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112594
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 1574 Johnny Cake Alcove
Lot:13 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew Collier
1574 Johnny Cake Alcove
Eagan MN 55122--550
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120250
Date Issued:01/28/2014
Permit Category:ePermit
Site Address: 1574 Johnny Cake Alcove
Lot:13 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Matthew Collier
1574 Johnny Cake Alcove
Eagan MN 55122--550
Polar Builders Inc
49 Riverwoods Ln
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
6
°-� Use BLUE or BLACK Ink
�----------------�
[ I For Office Use �
� . � �a�r�� ►
� Permit#: �
Ity o a��� RECEIVED i Permit Fee: `� /• �� I
3830 Pilot Knob Road � �y- �
Eagan MN 55122 AUG 0 4 �p�� � Date Received: � 0 � �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
�------ ------�,��
2014 RESIDENTIAL BUILDING PERMIT APPLICATION , �
Date: Site Address: Unit#: ���
Name: ��-�,�����"� �/ �}� f3`f le��!l,� Phone: �F'�`- y 5 �'��}��,
Resident/ '
Owner Address/City/Zip: 1 S_7� ��t-1--t�N -I C?�K.�.: +/�L-L!p�� �A��� j�l � �
Applicant is: � Owner Contractor
. � ` � ,.
Type of Work ., Description of work:�a � �� C�_�C�CV � ;�'� l�.�Le._ G`- t.�,� �
'' Construction Cost��. � I��`� , ��� Multi-Family Building: (Yes /No�
Company: Contact:
;
Contractor Address: City:
`- State: Zip: Phone: Email:
License#: 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:
NOTE:Plans and supporting documents;that you Submit are considered to be public information. Portions of
the information may be c/assified`as nori-publicif you.provide specificreasons that wou/d permitthe City to
: conc%ude>fh�t the are trade secrets.
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.qopherstateonecall.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 S te Building Code must be completed within 180
days of permit issuance.
V `� . �
X �k�i�L� ��� ��c� X
ApplicanYs rinted Name Appli anYs Si ature ��
Page 1 of 3
/��� J� c;�� �r� •
DO NOT WRITE�OW THIS LINE �s��� , �
��
SUB TYPES
_ 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_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 Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �(�(�-� Occupancy �'� MCES System
Plan Review Code Edition ZUf7'7 N�56C.- SAC Units
(25%_ 100%t�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
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 Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector � a"�"� �
RESIDENTIAL FEES �
Base Fee '�c � � � � � C , �
� ----- O--� ��_. �
Surcharge
Plan Review L���� ��
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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Surveyar's Certi icate
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SU R VEY FOR :PULTE HOMES
DES�RIBED AS :Lot 13, Biock 3, OAKBROOKE 5TH ADDiION, City of Eogan, Minnesoto ond reserving
easements of record.
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�or sQ. �ooT,� c� = 15, �2� S,zo'6 �-� �� _ ,' :_:
HS� SQ. F00 TA GE = 2, 009 40°z'� $, " ~�-'S �124:0
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PROPOSED ELEVATIUNS
� BENCHMARK,
Top of Foundation = q32,5 ��P ��ibox
Garage Floor =93ti,S ' 8���=42�,�9
8osement Floor -q2q,5�,_ •
Aprox. Sewer Service =vc�,�
Proposed Elev. _ � MIN. SETBACK REQUfREMENTS
�xisting Efev. _
Drainage Directions – Front -- as House Side –
Denotes Offset Skake = • SCALE: 1 Inch = �o r,et �ear – Garage Side–
J08 N0:
�E�L��� I HERE9Y CERTIFY TNAT THIS IS A TRUE AND CORRECT REPRESENTATION ��R`���
�F THE BOUNDARIES Of T4iE ABObE DESCRIBED PROPERTY AS SURVEYED
9Y ME OR UNDER MY DIRECT SUPERVISION AND OOES NUT PURPORT TO 800K: PACE;
PLANNINC IPNGIN.d'�'RING SURY1f'Y1NC SMOW IMPROVEMENTS OR ENCROACHM£NT5, EXCEPT AS H05NN.
2Q05 Pin Ook Orive '
Eagon, MN 55122 DATE �2/�Z/Q� CA4 FII,E: i
Phone: {651} 405-6fi00 R Y . UN�GREN, lAN4 S VEYOR �
Fax: (651) 405-6608 INNE TA LICENSE NUMBER 1a37fi Oakbrooke 5
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174637
Date Issued:02/08/2022
Permit Category:ePermit
Site Address: 1574 Johnny Cake Alcove
Lot:13 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-130
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 -
Mathew Collier
1574 Johnny Cake Alcove
Eagan MN 55122--550
(651) 238-4032
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature