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1661 Oakbrooke Cir e Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use I ~~(d® 1 Permit City of Eap I l Permit Fee: © I 3830 Pilot Knob Road Eagan I VIN 55122 j Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 MA y 7 2011 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Jare,^,(z Phone: RESIDENT / OWNER Address/ City /Zip: ((o&( 0 6i k )ke G~ r aC S-+ l k gp-,_ 2- Applicant is: Owner Contractor TYPE OF WORK Description of work: q~ RrrI iol ivtc ~ I Construction Cost: N~ 4dd Multi-Family Building: (Yes _ / No_) Company: Sal Contact: t% a Address: I 1 yGk6,., ake City: CONTRACTOR z State: 11+1W Zip: 2 el q e -4 ~ ~ Z Phone: ~C C 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 classified as non-public if you provide specific reasons that would permit the City to conclude that 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.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. x d ere.rw S-eXe x a.,... Applicant's Prin d Name Appli nt's Si ature Page 1 of 3 ` ickj oabl~o p Gr qqc%o DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage 1C Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ 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 X Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation (9 L~ Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction 1 /~1 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 Drain Tile Other:` Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: `Rough In -Air Test -Final Windows Insulation --4, Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: (Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 s LOT SURVEY CHECKLIST FOR RETAINING WALL (rcJJ BUILDING PERMIT APPLICATION Address: 160 C;0' Applicant Name: DATE OF SURVEY: LATEST REVISION: m c "Permits required for Retaining Walls 4 feet high or greater. YQ M O z a DOCUMENT STANDARDS ❑ ❑ • Registered Engineer signature and company ❑ ❑ • Building Permit Applicant p' ❑ ❑ • Address ❑ ❑ • Legal description fy ❑ ❑ • Lot lines/Bearings & dimensions ❑ ❑ • North arrow and scale ❑ ❑ • Street name ❑ ❑ • Show all easements of record and any City utilities within those easements )d` ❑ ❑ • Setbacks of proposed structure and side yard setback of adjacent existing structures ELEVATIONS )i~' ❑ ❑ • Property corners ❑ / ❑ • Top of curb at the driveway and property line extensions (only if wall is within 30 ft. of curb) ❑ 'z 0 9 Elevations of any existing adjacent homes "2-0 ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways (pond, stream, etc.) ❑ • At the foundation of the building and/or nearest structure "2- D PONDING AREA (if applicable) ❑ ❑ • Easement line ❑ 'K ❑ • NWL ❑ r ❑ • HWL ❑ ,P! ❑ • Pond # designation ❑ ❑ • Emergency Overflow Elevation ❑ ❑ • Pond/Wetland buffer delineation Y /49 • Shoreland Zoning Overlay District Y • Conservation Easements RETAINING WALL INFORMATION ❑ ❑ • Location of Retaining Wall on property ❑ ❑ • Top & bottom elevation at each end of wall and any change in elevation in between ❑ ❑ • Type of material (i.e. modular block, boulder, etc.) • Directional drainage arrows with slope/gradient % Reviewed By: Date GFORMSBuilding Permit Application-Retaining Walls Rev. 5-4-09 ~P\ V q936o o i i ~ i ~ i .WED t:~.u~v uv~uvr.~rct,vu u~rl. 1 G~~ I Oct r-bf0o k clY R ED 943. ' S\ 8y •`.Daat@ 'W ro~ , ♦ . EAGAN ENGINEEPJNG DEPT. i r~ 442.9 ~j g 5.1 / 943.5 ♦ S T- 0 452 as 952♦. 3 359 Fevet5- 10 D vP`~ $ ` gSf,7 ` o 943 2 ♦ \ o ry 452. SJ, / Y5~ 8 ' J 2 / ~ p co 9- ►J 1661 OAKBR0OKE CII 8S ~ o 'l ♦ tin o 949.3 ry co LOT SQ. FOOTAGE = 9, 86 7 HSE. SQ. FOOTAGE 1,801 V~, LOT COVERAGE 18~' Address 1661 o a k b r o o k Cs Zip 5512_2 Lot 5 Blk 5 Sub Oakbrooke 4th THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: Yes No Inspector: A\Gk Final grade (6" from siding) X Permanent steps (garage) ? Pennanent steps (main entry) X Pennanent driveway ? Permanent gas k Sod/Seeded grass TraiUcurb damage ? Porch X Basement finish X Deck x Please verify with the builder the temoval of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contect engineering division et 681-4645 befote working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2005 RESIDENTTAL Bi7II.DING PERNIIT APPLICATION o ?° City Of Eagan 3830 Pilot Knah Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reauirements RemodellReoair Reauirements Otfce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; and II roofed areas ? 2 copies ot plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculatbns for heated addNOns Tree Pres Plan Recd _Y _ N, 2 copies o( plan showing beam 8 wiridow saes; poured found design, elc. ? 1 slte survey for addilions & decks Tree Pres Required _ Y_ N lselofEnergyCalculalions Addflion-indiceteifon-sifesepGcsystem On-sfteSepOcSystem _Y _N 3 copies af Tree Preservation Plan il lot plaHed after 7M193 Rim Joisl Delail ODtions selecdon sheet (buildings wiN 3 or less uniGa) D t Lo / / V nstructioo Cost C o a e SiteAddress { ? Unit/Ste # Description of Work EJWAL Multi-Family Bldg _ YX N Fireplace(s) X 0 _ 1 _ 2 P t O e hone # ( (P? ( V? Tele wnUer ro ?er y ., p ? Contrsctor Address City State ? Zip Telephone #( ?? n_ / i '?' ?5 ? n O V 6 7n.,- COMPLETE THIS AREA ONLY IF CONSTRUCTING A Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilation Category t Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/water Contractor New Energy Code Worksheel Submitted Y_ N If so, 25% plan review 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 pe t; that ttte work will be in accordance with the approve plan in the case of work wvhicH requires a review and apprval of plans. v)n n f? l-A Printed Name I ApplicanYl Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ),- 18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New 32 Addition ? 33 Alteration ? 34 Replacement Valuation 2,00 Census Code U 3 !-t SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Width REQUIRED INSPECTIONS FinallC.O. ?C FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: (/ , Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total •- - ? . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement q 38 Demoiish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire 81dg) - Give PCA handout to applleant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered ??.1? 2j 00 D ? Surveyor's Certificate ,r?VEY FOR :PULTE L)ESCRIBED AS ; Lot 5, Block 5, OAKBROOKE 47H ADDITION, City of Eogan, Dakota County, Minnsota ond reserving eosements of record. i , ???? ',/ \`• C? , ' r i ? i i , = 9,867 = 1,801 187 LOT SQ. FDOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ ? Plon p 18211 PROP05ED ELEVATIONS Top of Foundotion = 963.0 Garage Floor -as2,e Bosement Floor =949.0 Aprox. Sewer Service = 93'I•7t Proposed Elev. Existing Elev. _ Drainage Directions = Denotes Offset Stoke = • ? ,. ?w. ? EIY ? yD -nate ??`="_C6.NI?T E_ .Tr._AN.T?'i?'E'I?ING L)E;PT. ? \\ \ >G a u Ir / .: I l. ? . „n ry? ? ?. M r% SCALE: 1 inch . 30 (eat f 1661 OAKBR OOKE .? ? BENCHMARK, 0% M CIR.I .1 MIN. SETBACK REQUIREMENTS Front -25 House Side - Reor -15 Gorage 5ide- JOB N0: HEDL?lND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-237 OF THE BOUNDARIES OF TME A80VE DESCRIBEO PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION AND DQES NOS PURQDRT 70 BDOK: PAGE: PL1NN/NG 6NC/N6SRlNC SURV6Y7NC SHQW IMPROVEMENTS OR ENCRDACHMENTS, EXCEPT AS SHOVM. ZE gon,' MN 551D22e DATE -LI161dP D. CAD FILE: Phone: (651) 405-66D0 J RE . LiNOGREN, LnND . VEYOR Fox: (651) 405-6606 NNE TA LICENSE NUMBER 14376 OAKBROOKE Vo ? o' zs 443.2 ??\? ? ry 9523 ? //r a ^o sp8' \??\ i??' f 49. . AF \ ? ?I . <•`,? ? ary. j:?o ot, . ?\ 993oS ?oQ?i?a . a 9a3A\ .? , Aiii3f CITY USE ONLY ? ?/ L _ BL ? RECEIPT#: / 3 -5.a SUBO. ()akllFOOke, yTV? RECEIPTDATE: `7.111-00 PERMR# 2000 PLi7NIBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQ70B RD EAGAN, EMI 55122 ? ? Please complete for: D single family dwellings 651-681-4675 ? townhomes and candos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ - Floor drain 3.00 x = $ - Gas iping outlet ' minimum- t 3.00 x = $ - Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x Lavatory 3.00 x = $ Septic System newlrefurbished 'requires MPC lic. 75.00 X = $ Septic S stem abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ - Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 TOtal Rem/nder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------•-------------------•------ ------•--------------------------------------------------------- ------- tha I hereby acknovAedge t I have read this applicstion, state that the iMortnation is correct, and egrea to compy wkh all applicable City of Eagan ordinances. - It is the applipnYs responsibility to notify the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City during Its nortnal operational and maintenance activRies to the facilihas construGed under this pertnit within City properlylright-of-way/easement. SITE ADDRESS OWNER NAME: : INSTALLER NAME: STREET A DRESS cirr: ? DZ?r? TELEPNONE #: (AREA CODE) CITY USE ONLY IOT PERMIT SUBD. 6 B,. r?5 T##: y2?? 1 ty n? c gp l 3?,/ ss 3 RECEIPT DATE: `7S - 3 ' oo 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT ISNOH RD EAGAN IM7 55122 651-681-4675 Date: C77- I '00 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total $ 30.00 6.00 .50 $?g C?, Complete this section onlv if you are remodelitts, addine to, or reoairine an existing single-family dwelling, ? townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration _ Furnace _ Air exchanger Repair _ Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: CaII for inspections SITEADDRESS: ???f (?. rtKy)fDnICQ, LrC`(D OWNERNAME: !?l LK. 1%Ff) (11QS PHONE #: 5?- U,U)d` -SaOO INSTALLER NAME: 'RQv vJW1lj PHONE #: 9? ??ACODE) ( STREET ADDRESS: ?A CODE) J a lc l a n (IL S C[TY: STATE: ? ZIP: J'? 3? ?? G SIGNXWRE OF PERMI E L _ BL _ SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: _ RECEIPT#: _ RECEIPT DATE: 2000 MECHANICAI, PERMIT (CdbMRCIAL) CITY OF EAGAN 3830 PILOT RNOS RD EAGAN, lYJt7 55122 651-681-4675 Please complete for: all commerciaVindusfial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YPE: New construction Insta(t U.G. Tank ? Interior Improvement _ Remove U.G. Tank _ Processed Piping When lnslalling/removing undergraund tank, cal/ 65I-681-4675 jor Inspeetion by fere marsHal and plumbing inspector. Descripdon of work: Fees: 1% of cantract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x I% _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS TI-IERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: - (AREA CODE) . t SIGNATURE OF PERMITTEE 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) crnr or eacwr a I ( r? C? ? 3830 PI851-881-46 5- 55122 ` Remodel/Recolf T-? -r t?w e?non r?re?m, G?? > a reoarored dre wNers ahwwing sy. rt a w?, w. n. a noua z coaie= a WQ+ and yH rooted areat (207G mmdmum lot coveraea allowadl 1 sit of wwrgy cadcWaliont lor Neatetl ad<9Mom D 2 COples of plana (show beam S wlndOw tlsea; poured hA tleygf; 9fC,) t atte wiewv ror exmna addmwu a d.cw D 1 feT of eneryy odcWoMpro . > S coplea of hee PreaenaMOn Plai B lot plaAlad alfar 711/93 DAh: CON5TRUCTION C05f: DESCRIPf10N OF WORK: P,.S JO) STREET ADoRESS: isti` 041<9,000k- c?tLIC- tOT: BLOCK: 15? SUBD./P.I.D.O: 040I?at?rF Y't? Name: Phone i: PROPERiY LOS# Flist OWNER Sfreet Address: Clty State: vP: Company.PW-h- /?mcs 6Fmy C??o Pr,oner: ?? 5`S.l -Sa? o (area CONiRACTOR code) 3 street naaress?-j5S4..,o??, is Rr,l.Svt ?? ucense r?-?? 1 ?p.?I cny Auldah 1&L, sbre: 10np: ssla a ENGIN ER' Company: SlTm S14"C0VL Name: Telephone Y: ( ) Sheef Addreaa: Regisfrallon tl: citY State: nP: 3ewedwater licensed plumber (N installina sewerhwator): /Jq"?/???1 phpng #; b( ?a ) !" Gj ? ? ?. ? Z ? I hereby acknowledpe Maf I have read ihk applootbn, alafa tFwf 1he infomnaMon h oareef, and apree bcomply wilh al appicoble State of Minnesota Sfalutea and Cify ot Eayan Ordirwncea. Sfpnature of Applkaft OFFICE U3E ONLY Certiflcates of Survey Received ? Yes No JJTree Preservatlon Plan Received _ Yes _ No ? Not Required ?`i 3 O ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation O 07 05-plex ? 02 SF Dwelling p OB 08-plex O 03 01 of _ piex p Og 07-plex O 04 02-plex O 10 08-plex O 05 03-plex O 51 10-plex O OB 04-plex O 12 12-piex WORK TYPE ? 31 New E3 32 Addition O 33 Alteration O 34 Repair 0 13 16-piex p 21 Porch (3-sea.) O 31 Ext Alt - Muiti O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ect. Alt - SF O 18 Deck O 23 Porch (screened) p 36 Muitl 0 19 Lower Level O 24 Storm Damage Plbp Ya_N 0 25 Miscellaneous ' E3 20 Pool O' 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof 0 37 Demofish (Bidg)• O 44 Siding O 38 Demolish (Interior) O 45 Fire Repair 0 42 Demolish (Foundation) 0 46 Windows/Doors • Give PCA handout to applicant for demolitlon pertnit GENERAL INFORMATION SAC Code ?L No. of Units No. of Buiidings Const. (Actual) (Allowable) UBC Occupancy Zoning / L ??- # of Stories Length W idth Basement sq. ft. Main level sq. ft. 2:$a& sq.ft. C&W - sq. ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone P-- Z-16 A-4v,' 0 41,2 1 _?? APPROVALS Planning Building Engineering ? variance Permit Fee Valuation: Surcharge Plan Review License ???15?' MC/ES SAC City SAC Water Conn. Water Meter Acct. oeposit ?N 4 S/W Permft S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ''4 q 3 3 . -1 $ ?? d7dJ?7 l v9?- y / B ?klla S"q sq.ft. sq. ft. Footprint sq.ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered r • ? ? . w 1 y7, J7? 5AC Units °Yo SAC 4/ 1 if/UU RECAP JOB #: 0320-215-05 ADDRESS TBD LEGAL: pahse 2 lot 5 block 5 COMM: OAKBROOKE SF OWNERS: Lakshminarayanan Govindan PHONE #: 651-406-9318 OAKBROOK SINGLE FAMILY O QUANTITY Option Description # 1 18261 BASE HOUSE 'I LOT PREMIUM 1 17012 FULL BASEMENT- WALK OUT 1 18039 ELEVATION #4 22031 4' ADDITION TO GAR4GE WlBRICK 3 ?Z t9R;-15-2E?? 10: ?6 1127check C0M?T,IANCE REBORT MisuiesoCa Energy Code NNcheck Software vereion 3.0 CY'L"N'i'Y: De.kor_a STA7L-2; ?4innesota 20h`E: 2 CD:QSTRUC^_IbLv ;spE: Sinr,le. r^am.i3Y DA2'c7 3-=6-2000 DATr` Cz ?Ld1PFS: 3/16/OQ TITL-': F?vi{7:cK Sv'f0 EL. #2 COMPLIl`1NCE : PA3SES k9qulYed VA z 546 Yuur Home =. 407 19.9s 9ettAr Than Code P u: F`' PermiC # ? ChECic2d '_;y/L'aCe Axea ar Cavity Cont. Glazing/DOOr Perimetez- R-value R-VALue TJ-Value --------- - ----------- - -------------------------- --------------------.. CEILaNC>S 1444 44.0 0.0 WAT,LS: Xa6d ?r2me; 2327 19.0 2,0 WALLS: wcqd Fraiae, 16+' O,C. 283 10.0 2.0 SSMT; Co:^r, 9.0' ht/8.3' b9/9.0' insul 462 11.0 G.0 Gi,AZING: :,?Ynd-_WS or Deor.s, Above Grade 4£35 0.350 ? ?ORS 3$ 0.350 FL00?2S; Cver ?;nconditi?)r.e4 Space 352 38.0 D.0 'rNAC EQUIQ??.: Furnece, 92. C aFrJE ------- - ------------ ---------- - --------`-------------___-------- COMPLIr'INCE' gTA;uMEN:: The proposed bu_'ding desigr_ descYibed he±^e is coxezateat with the building plans, spec::gicatiana, and ether ca?.culations submitted with the aermit applica_ion. Tha propoaed building l?es been designed to me?? '?e Mi ota Ener., 3.?? "^I Code. Buildes/D2signa na,- e '_J .?f? -7__. TO TFt. P. 02 r LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTYLEGAL ? DATE OF SURVEY. (Q H ? w _ IATEST REVISION: - ? o DOCUMENTSTANDARDS Q ?? ? . Registered Land Surveyor signature and company ? • BuildingPermRApplicant ?? ? : Legal descripDon ? Address ? ? ? . North arrow and scale ? ? . Houserype (rambler, walkout, splitw/o, splitentry, laokout, etc.) ? ? • DirecSonal drainage arrows with slope/gredient % ? ? Proposed/ebs5ng sewer and water services & inveR elevaUOn p ? ? Sffeet name ?? ? ? Driveway ' ? Lot Square Footage v ? • LotCoverage ELEVATIONS Existina ? Sewer service (or Proposed) ? o : Property corners ?? • Top ot curb at the driveway ? ? ? • Elevations of any existing adjacent homes o ? Adequate footing depth of shuctures due to adjacent utiliry Venches ? Prooosed ?' ? ? • Garagefloor ?? ? • Firstfloor ? ? ? - Lowest exposed eievation (walkouWvindow) ? ? ;/ • Property corners 0 ? • Front and rear of home at the foundation PONDING AREA (if aodica6le) ? e?/ ? • Easement 6ne ? M/ ? r • NWL ? ? d ? . F14VL c ? • Pand # designation ? ? o • Emergency Ovefiaw ElevaCOn /o ? - 61/? ? . V ? ? . 0/ c ? . [y/? ? . ? tII/ ? . DIMENSIONS Lot IineslBearings & dimensions Right-of-way and street width (ta back of curb) Proposed hame dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requidng permanent tooEngs) Show all easements of record and any Cily udlitles wilhin those easements Setbacks of proposed structure and sideyard setback of adjacent existing shuctures Retaining wall re Reviewed: MarCh 1989 CR/JGf9LDGPRMT FM . Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS ; Lot 5, Block 5, OAKBROOKE 4TH ADDITION, City of Eogon, Dokota Counly. Minnsoto ond reserving eosements of record. e ,• ? ?? 4 0`O ?? C? oo . . . 94; •.? • ? ? 9935/ •? o LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ Plan // 18211 PROPOSED ELEVATIONS Top of Foundotion = Q53.0 Goroge Floor = a52.e Basement Floor =qqq.o Aprox. 5ewer Service =937•7? Proposed Elev. _ ? Existing Elev. _ Drainage Directions = Denotes Offset Stoke = . ? RE? ? B s y +. Date t,AGAN ENGINNL:ERAVGDEPT. ? . ?. \ Xf 943A\ ?? 77?. h ?? ? > 9sz., `.?? 0 ? \\ y ^?" \ r v 629 ?`\ i ' f? ? ? S??S ??\\ I o ?\ I co = 9,867 _ ?, 801 18% r kw 4 0 FEvCt5- 1661 OAKBROOKE SCALE: 1 inch - 30 feet BENCHMARK, ? 't CIR.I 1? MIN. SETBACK REQUIREMENTS Front -25 House Side - Rear -is Goroge Side- JDB NO: HEDL?lHD I HEREBY CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTATION OOR-.237 OF THE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPER4ISION AND DOES NOT PURPORT TO BOOK: PAGE: PLANN/NG 6NC/NB6R/NC SURV6Y/NC SMOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AK . 2 Eagan,iMNo551D22e DATE ?/?Q/? D. CAD F4 E: Phone: (651) 405-6600 d E . LINDGREN, LAND vEVOR FQ%: (651) 405-6606 NNE TA LICENSE NVAIBER 14376 DAKBROOKE pa r?- Siteaddress: /(l?lY/ D/a??cdl/i I?r'tqLot_ Block_ Subd. aNyrta"1L On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This sUucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR ? This structure: will be consVucted to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Mit ' X7,q s Furnace Mpy/p3 0' D 63D D??? Dryer FJ(HAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 MAI.- ? Bathroom 2 ? s <0 v 5Z) Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIttEC7 niMOS iL ? T'N- DbU Z7GaD I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. , L ;?+//'p Date Company Name * This form is the responsibility of the General Contractor. _ _???-_- `;"';m`"', ?, -,?:, . Clty af Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL PLUMBING PERMIT -------- ? `Flffiee?t3s/e?///^^^/ I 1 Permit #: I tr C ? )• I ? PermitFee: ? I I ? Dffie Received: ? 1 I ? Siaff: 4--?•- L __ I?y- S:FT, ? Date: q' ql o0 Site Address: Mj' 1 011Xbyo u 1 Tenant:_ Suiteft: SEP 4 R 2008 RESIDENTIOWNER Name: - Phone:9 Address / Ci[v l Zip: ?? ? Q? bn??1-?C ?j(W? CONTRACTOR Name:?2wavlS 56Mfm 1.icense »: ? VM5'I "f' m Address: ( C (C 45 U City: State:mwZip: 551 ?q 5 V Phone: 1" 3 CoMac[ Person: ? 1??1LL TYPE OP WORK )( New _ Replacement _ Repair _ Rebuild _ Modify Space _ Wark in FI.O.W. Descri ian of work: PERMIT TYPE AESfDENTIAL Water Heater _ Water Softener 1 Lawn Irrigatian Add Plumbing Fxtures L_RPZl1PV8) ?Main_LowerLevel) _SepticSystem _Wa[erTumaround New Abandonment RESIDENTYAL FEES: $50.50 Inim m Water Heater, Water Softener, or Water Heater and Saftener pncludes $.SO State Surcharge) $30.50 Lawn lrrigation (nciudes $.50 State Surcharge) $50.50 Add Plumbing Fixiures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Tumaround (add $136.00'rf a 518" meter is requiYed) $100.50 Septic System New (§10.00 per as huilt) (indudes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace 6umed ou[ appliances, ductwork, etc.) (indudes $.50 State Surcharge) T EES $ OTAL F I hare6y acknowledge that this iMormation is complete and accurate; that the work will he m wnformance with the ordinances and codes of the City of Eagan; that I understand this is not a perrniy 6ut only an applicatlon for a pcvmi4 and work is naLle stad without a permit; that the work will be in accordance with itre approved plan in the case of work which requires a review and appraval o ns X x-1\ Appliwntl Pnnted Name Appli 's Signature FOR OFFlCE USE Revieoved 6y: Date: Required Inspections: _Under Ground _Rough-In "_Air Test _Gas Test ___Final Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I For Office Use I Permit Lt City of Eagan I 52a o~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received` I ~ 1 Phone: (651) 675-5675 I I Fax: 651 675-5694 I Staff: i 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit s RESIDENT Name: ~ Phone: OWNER Address / City / Zip: `Sp7-~~iv a~h~ tV Applicant is: -1- Owner Contractor TYPE OF WORK Description of work: *ob-N,. tlo CA Construction Cost: Multi-Family Building: (Yes / No ) Company: ~c~nr~,rE~o Q~\S Contact:__Z0~wA_.\ CONTRACTOR Address: 33 O O ~ c~ City: VX'% State: ` Zip: SS Phone: (0 ~ S 0 C70 ) 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 CO STRUCTING 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 classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. x x Applicants Printe ame Applic 's Sign ure Page 1 of 3 ( DO NOT WRITE BELOW THIS LINE SUE§ TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level Pool _ Miscellaneous 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 PGA handout to applicant DESCRIPTION Valuation 81dw~ Occupancy XG - MCES System ` Plan Review Code Edition zq~r? SAC Units (25% 100% Zoning City Water - Census Code ' Stories Booster Pump # of Units Square Feet 3S?, PRV # of Buildings Length jG Fire Sprinklers Type of Construction Width 3G 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings ,Air/Gas Tests „Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector vuruo-j,--~ RESIDENTIAL FEES Base Fee 30 9 i- Surcharge~ Plan Review xd MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • $GAOL It V/1 Surveyor s Certificate 08 SURVEY FOR :PULTE~l~~ / ~1 DESCRIBED AS : Lot 5, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsoto and reserving easements of record. o r> 0 rcAc V r E_y -6- - - wize~o' Date NEERINGMpm ti°6 ~sr>• ~t^ `'e 5 Ile wk e P ~ << zs 8 9! Q,W D 9 s2.1 \°i~ RR ary - P*N 951.) V '°Q~i` s 51. rv4Q 'R 2. 1 E ry 0 443. 1661 R WE D o>,y >s l OAKBROOKE CIR. t:AGAN ENGINEERING DEPT. 4 949.3 LOT SQ. FOOTAGE = 9,86 7 a-~"'°° HSE. SQ. FOOTAGE = 1,-8 01 LOT COVERAGE = 18% A EAGAN BY- Plan # 18211 REVIEWED PROPOSED ELEVATIONS DATE: BUILD! Tnn of FniinHntinn ' ~NS (~11/ISt®N - - V21 - 'bz ~vw WS .y t' I Use BLUE or BLACK Ink • r' • ~f `,1, For Office Use ~t of EaPermit Cll "'ll I Permit Fee:Q tU • 3830 Pilot Knob Road_ D I I ='d Date Received: Eagan M N 55122 Phone: (651) 675-5675- 1` it I Staff: Fax: (651) 675-5694 wS ~g i;,I~_ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Je~t°I'a44/ Xe Phone: Cj Z'--Fc ~JZ( RESIDENT / OWNER Address/ City /Zip: I &V 091 k&Ae Cnp&n AM/ 5_ U 2- Z. Applicant is: -L Owner Contractor TYPE OF WORK Description of work: &ck 9,ep%J Construction Cost: Multi-Family Building: (Yes _ / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: 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 classified as non-public if you provide specific reasons that would permit the City to conclude that 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.gopherstateonecall.org. 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. x Ll e.ten,y S a,ce x Applicant's Panted Name Ap ant's Sig ture Page 1 of 3 DO NOT WRITE BELOW THIS LINE ZZ) SUB TYPES L2 1~& Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New - Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior tt 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 , -z MCES System i Plan Review Code Edition I& F7 7 SAC Units (25%_ 100%~Z) Zoning City Water Census Code Ai X1 Stories Booster Pump # of Units Square Feet /17 PRV # of Buildings _ Length 6 Fire Sprinklers Type of Construction Width A 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: a5 r-- ~-&Z , Building Inspector RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 }c,oc h- = 36 2 n V Surveyors Certificate SURVEY FOR :PULTE / i 'l DESCRIBED AS Lot 5, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsoto and reserving easements of record. r cA R E ffI, D-11p ~ 943 ~ g E<kGAI , EN{" UNEERING DEPT rL~ ~o° ~ sz~, . t-lagh why P V q35 ► 952L3 L "'p 1-1410" ` Q oo p 952.1, D 91 R7( 4 .4 10 v y yl•q 952.5 O ?O / 543.2 s o0 0 951, $ 8 41 i~(° r 1661 R'• \ 94q,~ ~ f WED l e~~ I OAKBROOKE CIR. s a V) p 949.3 Co LOT SQ. FOOTAGE = 9,86 7 SE. SQ. FOOTAGE 1 801 LOT COVERAGE 18% , A N 9.r V 3~° V s L) Plan # 18211 PROPOSED ELEVATIONS DAI-E. GHMARX, Tnn of f7nirnrin4inn - -~4_ 1 T} 5q o,, e ~li+ 4lLt' 2~ I ~ L- Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit City of Ea Edii Permit Fee. 3830 Pilot Knob Road ~f I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~`elZ2M,/ ~e•xey Phone: CJ S~ Si~7- ~f6 p RESIDENT / OWNER Address / City / Zip: 66 / ©A- iN~Jt Applicant is: Owner Contractor TYPE OF WORK Description of work: &-goof' aU Construction Cost: ~D Multi-Family Building: (Yes / No ) Company: c )AA 5d44 l' J1n Contact: ~1M ~d CONTRACTOR Address: O61dwlf AJJ2 ~-_City: R)O ®T')m a koo State: 1( N.l _ Zip: O Phone: 9 S7.- 0 License iL ~ 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 classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a gilding per it issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issu x plicant' r' ame A Page 1 of 3 r City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE;cir BLACK Ink For Office Use Permit #: 10616 Permit Fee: S9 • e Date Received: 31 Staff: [31i3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3't'3• tri 3 Site Address: Ito Lo t 3A n-. Unit#: Resident/`' Owner Type of Work Contractor Name: Phone: (AI Address / City / Zip: t L i \ OAAr +...._� t -s Applicant is: Owne Contractor Description of work: 1..0 wE `� v F, L, "��Nis \A Construction Cost: t 6 7° Company: a --t 001-1 .Cto .ZIP. Address: x ) Multi -Family Building: (Yes�/ N o ) Contact: . -(4 City: Vtriz-pri State: 111111'3' Zip: SS"5`1\ Phone: ( t2-' 11$ • �3`iS License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information' 1) D 000 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-publicif you provide specific reasons that would perm t the City to conclude that they 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work wit 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; thal 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. x �� w�-�►(I Applicant's Printed Name x Applicar)Signature Page 1 of 3 (o12l Caa,klormice.. Cir. DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation I Single Family Multi 01 of _ Plex Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%?/ ) Census Code # of Units # of Buildings Type of Construction �p7 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice Framing Fireplace: _ K Insulation Sheathing Sheetrock & Water Final Rough In Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Reviewed By: '7 P Siding Reroof Windows 61 1 09535 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required kF' 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 RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL owey LeCce�' a-6 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115849 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 1661 Oakbrooke Cir Lot:5 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-050 Use: Description: Sub Type:Reroof & Siding 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. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Jeremy Sexe 1661 Oakbrooke Cir Eagan MN 55122 Homebase Builders Inc 15235 Danbury Avenue West Rosemount MN 55068 (612) 414-0864 Applicant/Permitee: Signature Issued By: Signature AGA �V-v J.=4 r For Office Use // I r',101 Q 2019, • , E Permit#: /�(O` 7 0 ey' Permit Fee: (O / / o C( Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@citvofeaoan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/22/2019site Address: 1661 Oakbrooke Cir. Eagan, MN 55122Unit#: Name: Jeremy Sexe Phone: (952) 451-3821 Resident/ 1661 Oakbrooke Cir. Eagan, MN 55122 Owner Address/City/zip: g Applicant is: Owner ✓ Contractor Type of Work Description of work: Solar PV. Installation Construction Cost: $19,756.80 Multi-Family Building: (Yes /No ) Company: Big Dog Renewable Energy LLC. Contact: Sophia Daley Contractor Address: 620 Pheasant Ridge Dr. city: Chubbuck State: ID Zip: 83202 Phone: 435-680-1785 Email: Sophia@VetriXSOlar.com License#: EA748433 Lead Certificate#: N/A If the project is exempt from lead certification, please explain why: Solar Installation is completed on the outside of the house. No possible lead is disturbed. Not Applicable. 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 you submit are considered to be public information. Portions of the information may be classified as non-public 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.citvofeagan.com/subscribe. 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. www.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. x Sophia Daley x �� P Applicant's Printed Name Appli nt's Signature (/ • DO NOT WRITE BELOW THIS LINE / / Cb e 0,/� , /S / 7O SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) <D 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 /9, `751. — Occupancy -7-12C - I MCES System Plan Review Code Edition //2i1 2°15 SAC Units (25%_100% fi ) Zoning PP City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) tQ 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 p Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 D I/`^ (IVI. tom-('j i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3