1619 Oakbrooke Dr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
FOf Office Use.
I 1 I
77 City of Ea~d Permit#: I Per mit Fee: U I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: s C I CI CSC ICc~Uit~ Cc ,t e ~C~
Tenant: Suite
RESIDENT/ OWNER Name: Le V✓'L1ICni~-Q Phone:
11 1%
Address / City / Zip: I (o I c'I oc k_
Applicant is: Owner ___y contractor
TYPE OF WORK Description of work: I&t.4
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: ~ V_ec h X ~►'i' Cam` License ;'C)s
Address: S7 ~ & City: l vwf,- 6-Vt k,-C
State: 'V~ \V%_~ Zip: `50.76' Phone: 61! l Cle
Contact: 5j Cv1 se,Email:
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.goi)herstateonecall.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 s without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approva of plans.
x~ vim, ~G LP x
Applicant's Printed Name A icant's Signature
Page 1 of 2
Address
Zip 5512 2
_
I.ot r-?] 0 Blk 3 Sub Oakbrooke 4th -- - --
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector: Ty-
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet 6efore freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way ot installing underground sprinkler system. ?
White - City Copy Yatlow - Resident Copy Pink - Conttactor Copy
? -
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN '\
3830 PILOT KNOB RD, EAGAN MN 55'122 ?-I C) , Ci C?
? 651-681-4675
NewConaWcfion Reau(rements
• 3 registered site suneys showing sq. ft. of lot, sq. fL of house; and ail mofed areas
(20% maYimum lot coverage allowed)
• 2 copies of plan showirg beam & w(indow sizes; poured fourM design, etc.)
• lsetofEnergyCalculations
• 3 capies af Tree P2servation Plan'rf lot platted after 71i/93
• Rim Jaist Dehail Oplions seleclion aheel (Mdgs with 3 or less units)
DATE cJ/ZL?/d?r
RemodeUReoairReaulrements
2 copies of plan
• 15etofEnergyCalculalionsforheatedaddNons
• 1 sile survey for ezterior additions & decks
• Indicale if Irome served by seplic system for additions
2
VALUATION
?
SITE ADDRESS MULTI-FAMILY BLDG _Y
TYPE OF WORK I)2G? a46 ?76V--t FIREPLACE(S) 4Y0 _ 1
APPLICANT
ih
STREETADDRESS se" a6 CLbbYe--- CITY?,w. STA
TELEPHONE # ?aSl"6?Ia-?S?`LCELL PHONE # ???-2?t`Z' 9(?9k FAX #_
PROPERTY
?
C
TELEPHONE# kS/ b6la "qS72
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES07'A RiJI.ES 7670 CA'PEGORY 1 D
(J submission type) . Residentlal Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbiiig syslem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
P'cc: $70.00
-------- ° ---------° -- ° ------------- ° ------ ---------° ----------- ° ---- ° ----- ° ----------------° ----° ---------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. C
Signature of Applicanf
--....__'---_---___-°°°°---°°----'-------------'---• --°-----------------------------°-°--°--------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
Water SoAener
Water Heater
No. of Baths
_ Plione #
Lawn Sprinkler
1Vo. of R.I. Ba1hs
?N
_ 2
Zip 5'S122
MAY 2 4 2002
.,
OFFICE USE ONLY
? 01 Foundation
O 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plez
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex *18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-piex Plbg_Y or_ N
O 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 E>ct. Alt - SF
? 36 Mutti
?K 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowsfDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
pb
Valuation `LD00
Occupancy
{?' 3 MC/ES System
Census Code Q54- Zoning P• n City Water
SAC Units 0 ? Stories Booster Pump
Nbr. of Units v Sq. Ft. PRV
Nbr. of Bldgs I Length Fire Sprinklered
Type of Const V- 14 W idth
REQUIRED IN SPECTIONS
Footings(new bldg) FinaUC.O.
? Footings (deck) .? FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Surveyor's Certificate
SURVEY FOR :PULre
DESCRIBED AS : Lot 10, Block 3. OAKBROOKE 41H ADDRON, Gty ot Eagan, Dakoto County, Minnsata and
reserving aasoments af recora.
/
PpaD
nwL=
Mwv 9:e,r
Plon ,y 18237
PROPOSED ELEVATiON5
Top Of Foundafion =c13q3
Goroge Ftoor = q3&9
Bosement Floor =930.3
Aprox. 5=wer Service =°2b.lf
Proposed Elev = 0
Exis[ing Elev,
Drainoge Direclions
Denotes Offset Stake = •
Proposed Deck Addition
LOT SO. FOOTAGE
HSE. SQ. r00TAGE
LOT COVERLJ?Z-=
= 10,243
= T,801
% 31N
? -_?
MWED
' By ( XAf6,
DATE 5.3D •oy
BUILDING INSPEC710NS DEPT.
BENCHMARK,
Eieo; 93te.8o
MIN. SETBaCK REQUiREMENTS
Fron: -25 House Side -
SCALE: 1 mcn 1 JO ieet Rear -15 Garogc Sitle -
J09 Y0:
HEDLUND I HExEAV CEetiGV *HnT LnR 6 n TRUE AND CORRECi REPRESEniniIOrv OOR-185
Of TME 90uNpnR1E5 OF 1NE RBOK DESCRiBED PfiOPERir n5 SURVE•ED
BV ME OR UNOER MY OIRECI SVPER+d51pN ANO DOE^> NOi PURPORi i0 BOON, oACE
PLAN!//NC 6NG/N6£R/A'C SURV6YlNG SMOW IMPRDVEMENLS OR ENCROnGnMCNiS, E%cEPT A SHOwid
2Egon,iMUo55o22c 0/•iE 5 _/15/00 0• ?r
_
Siteaddress: ,COI? nl?tj2:n2 D,; ,,, Lot 10 elook-Z- Subd. dp?kc
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a resuft, 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 VENTING TYPE
Water Heater
Fumace ? q\/ p o 2466o ?{
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
Bathroom 2 esz ?
Bathroom 3
Bathroom 4
Other
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIHECT arMOs
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements. n
Date
Company Name
This forrn is the responsibiliry of the General Contractor.
U
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crnr or Enww
3830 PILOT KNOB RD - 55122 ? L C?
851-881-4875
v-77q ?-??-
D ] registerod dFa wnays ttawing W. R W bl. W. R. d haiw 5' ?J 1-0p 2 cpPles af Plm
antl gq roofed areaf (20% rtwpdmum bf covemae otlowedf 1 fbt of eneryy cdcWatlont for hadled atldNOM
> 2 copks of Wane (ahow baam & window tzas; Poured hia d"gn: e1c.) 1 tlle funeY /or exteAa admMOnt A tlecb
D 1 wt d enerpy cdadatlorq D 3 copi6s d heo pret9nallon plan H lof platlad adlw 7/11/93
DATE:, ?/? 9/ O6 CONSTRUC710N COST: M(')l 230
DESCRIPTION OF WORK:
SiREET ADDRESS: l b l`I UH lC HX ODK,E
LOT: I O BLOCK: -3 SUBD./P.I.D. #:
'7' ?
5-?? -7 ??
PROPERTY
OWNER
Lad
Sheet Address:
city
State:
Dp:
CompanY A/ML ' "'rYltS Phone 6: ?/ ?`Sa. S2,-p
(area code)
RRf
Phone i:
cornxncroR SheetAdcgeaa: -t ?'?,/ ucense # l3 71 ?. 3 Z?J? OO
J
I.3SS/?12n o 1-?,? o S
c,h, M "do fi4 kts Skre: J91I Lp; SSIj p
ARCHIiECT/
ENGINEER Company: S ?M U5 AuLoilt Name:
Telephone t: ( )
Sheef Addreaa: Regbhatlon 11:
city
State:
ZIP:
Sewedwater liceroed Plumber lH Insfallina sewarlwaterl: Plwne 11: ( 612
1 hereby acknowledpe ihat I have read fhis applicaNon, sfate tlwllhe Wortrwlion k oortect, and apree b compy wHh a1 app8eabte Stada
W Minnesofa Stahdes and Cily of Eapan Ordinancea.
Siynafure of ApPllcarM: ??I?Y316?- ??1 ?U 8
Certificates of Survey Received Yes
OFFICE USE ONLY
_ No
Tree Preservatlon Plan Received - Yes ,- No
J
v Not Required
OFF{CE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation O 07 O-r-plex
,K 02 SF DwelOng O OB 06-plex
O 03 01 of _ plex O 09 07-plex
0 04 02-plex O 10 08-plex
0 05 b3-piex 13 .11 10-plex
O 06 04-plex p 12 12-pieu
WORK NPE
A 31 New
? 32 Addition
E3 33 Alteration
O 34 Repair
O 13 16-piex O 21 Porch (3-sea.) O 31 Ext Alt - Multl
O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 ExL Alt - SF
O 18 Deck O 23 Poroh (screened) p 36 Muki
0 19 Lower Level E3 24 SWrm Damage
Plbp Ya_N O 25 Misceilaneous
O 20 Pool O' 30 Accessory Bldg. O 36 Move Bldg. p 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable) VIV
UBC Occupancy c i
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main Ievei sq. ft.
421 n Sq. n.
lj,?-gf sq. ft.
?isceLuweous iN??cnI?
Stucco/Stone
?
v
7
?-?-
APPROVALS
Planning Buiiding Engineering
U
sq.ft.
sq. ft.
Footpr(nt sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
?
Pertnit Fee
Surcharge
Plan Review
License
MC/ES SAC
ciri sAc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation: $ 6039-0
I
5 j3- 5IeL l b? a- >(/5? - I(i' VO
x 9(g"
i r7??
???1 ?? a 1 y ?/ ? ??-
!
Total: 'J,'
SAC Un'its
% SAC
hlRR-28-2000 09:03
MD2check COMILIANCE REPORT
M.inneaota Energy Code
MTcheck Software Varaion 3.4
COUNTY; Dakota
STATE: Minneeota
20NE: 2
CrJNSTRIICT2pN TXPE: S1riJl0 Family
bATE: 3-28-2000
DATE OF PLAN9: 3/28/00
TITLE: SHEFF2ELD 4Bit W/O EL. 42
COMPLTANCF: 4ASSES
Required UA - 569
Your Home - 429
24.6t Settar Than Code
P.02i03
Permit
Checked by Aste
Area OY Cavity Cont. Cilazing/DOor
Perimeter R-Value R-Valuc "J-Value
----^_----------.-_..---"--------------------------------------------------
C5T_LINGS 1175 44.0 0.0
WALLS: Wood 5rame, 1611 O.C. 2772 19.0 2.0 1
WALLS: Wood Frame, 16" O.C. 290 10,0 2.0
HSMT; Cone. 9.0' ht/6.3' bg/9.0' insul 936 11.0 0.0
i
GLAZING: wlndowe or poors, Above Grade 460 0.350
TOORS 3$ 0.350
FLOORS: Over OUt918° Air 84 38.0 2.0
I3VAC EQUIP:+4EIST: Fuxnac0, 92.0 AF[JE
..--..----------'--------------------------'^--------------------------------
COM?LIANG'E 9TAT5MEATT: The pYOposed building deaign described here is
cpslecisCSnt wi7h the bu_iding plans, epeciEicatioa9, 8nd oth6r calculations
submitted with the perr.tit application. The proposed building haa been
deaignad to meet th raquirementa of thC Minneeota Energy Cade.
Euilder/Designez ???w't ?? Dat ??? ??
JOB INITIATION ORDER
Pnlte Homes of
Minnesota Corporation
1355 Mendota Heighfs Road, Suite 300
Mendota Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452-5727
oG/ 17
Jos No. 0320 t AW / 03
COMMUNITY: 02kbfOOke SF
BUILOING ADDRESS:
MODELNAME:
BUYER'S NAME:
CURRENT
?
6wider's License #0001371
DATE OF ORDER: • ? Yj ' 00
? STATE: )A-L ZIP:
BUSINESSPHONE: e?2. 5 Z-'5 Z--g
APPROVED BY BUYER(S): 1// "Y5a_L?- 111112
APPROVED BY SALES: EQUAL HOUSING
RELEASED TO START CONST.: oPPORTUNirv
This constitutes a contract between the Seller and the Purchaser(s) for the above items
CONTRACTOR/SUPPLIE R:
LEGAL DESCRIPTION: LOT 10 BLOCK 03 UNIT
ADDITION: 2
. L-_\fl I/C CIn' Eagan sr,4re: MN Z1P 55104
. NUMBER: /;SZ3/ ELEVATION: GARAGE: z RIGHT
?
OMEPHONE4,j5/.(pY?.y,rj'rL BUSINESSPHONE: ?PIZ?L12,3- ?
H
SALES ftEPRESENTATIVE L7W
. CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS, MN 5512a1112
PHONE: (651) 452-5200 FAX (651) 452-5727
-;f-j
CONTRACTOR/SUPPLIEfi: tEIJI'j "*QC'fW5
JOB NO. O Z) Z e,?
cm+mnuNin: cn-<40 UO - l(Pi
BUILDING PDOR?ESSJ:
MODEL MOpEL NUMBER:
BUYERS NAME(S): //?
CURREMADORESS: /?JIC?
HOME PHONE: 1?" / (D v/ p0'Y ! S I L'
SALES REPRESENTATNE: ? ?
LEGAL DESCRIPTON: l0T l0 BLOCK (3 UNI7
no?moN ? S?
CfTY: ?y?
STATE: _?022 ZIP: ??V7
IR??I ELEVATION: _ GARAGE: L RIGHT
?'I\
DATEOFORDER: b2-S?V
/ Cf1Y: G-?- STATE: MqZJP: _1?
'
Z3
2 758/ ?
o IZ/
BUSINESS PHONE: ftol ' BUSINE55 PHONE:?g??
CHANGE ORDER FEE: YES OR NO
PREVIOUS J.I.O. OR CHANGE ORDER: „ PRICE
# v TOTAL: ? /
QTY.:" "?:"OPT10N #.
d?
" ; ^;;"DESCRIRTION OF CHANGE '
.
D 1-7000 acIc1' `
ca, OU? s s?, 7 e?? 5Dd
Ci 0'?t5 c- J `7'tX?
rv,
+ th s??F 3
? (eO43 ooc cola' -?o ^`2 ic. 2s
? L(W l -"L_C .e,f at'? 'CC%t-e 200
? O OC?
i G. ?e Od
' D I 0 GLJ C?C?Y?C-/ V?
Z5
00-77 l L
? laD?/rtccPC-e M/M
?7?L? APPROVED BY BUYER` ?
PV APPROVED BY SUPERINTENDENT: ?
MasterBuilder
_ APPROVED BY SALES:
BuilCers License #0001377 This constitutes a contract between the Seller and the
,C04L.
?
0
for the above items.
. CHANCE ORDER CONTRACT
Pulte Homes of
Minnesota Carporation
1335 MENDOTA HEIGHTS ROAD, SUITE 300
MEND07A HEIGHTS, MN 55120.1112
PHONE: (851) 452-5200 FA7C (651) 452-5727
-?- I
CONTRACTOR/SUPPLIER:
JOB NO. 0 ?
CdmAUNITY: ? .
BUILOINf3 ADDRESS?:
MODELNA0.fE: ?_$/W" MOOELNUMBER:
eurEas ruuME(s): /j t!=/?-?/ 11R-
CUHREPIT AODR?ES?S:/ 43 HOM1E pNONE: (Le-?/' 6D v1
Ofa• 4S-nJ ?
SALES ItEPRESENTATNE: k 17)14
?
LEGAL DESCRIPTION: LOT /0 BLOCK UNIT
?
AOOfTION: ??'? { /
?,??
/ ,?.?-dC,_ 4
CT/: C- / STATE: M ZIP:c??
{?
(?1),3/ ELEVATION: GARAGE: LEFT RIGHT
Fi
DATE OF ORDER: LA'
CRY: STATE: LP: 55I-5?
U ?
BUSINE55 PHONE: I 2'74J '/J U I BUSMESS PHONE: Z'SZ5,;' / 7 U
CFiPNGE ORDER FEE: YES OR NO
PREVIOUS J.I.O. OR CHANGE ORDER: `°• PRiCE.-
# -CLQ-- TOTAL: To N
? QT1f-'# QPTIOPF#:: ,??di ?i+a?.•;t?„?s???5???;,j??'?!?s?.DESCRIPTION?OF CHANGE..' ,
31 o 1 snct . ? ni laun?/?z ac", a75-
7Oa C<u b n 1?2b C 4 ll Lr SO
? c -e- n 6- C2 W
202-0 C' ?s oC?
11-?o/a ac z. ect le, ac% 50
0 0 cSvLo 050
. i/ T
APPROVED BY BUYER: _ A ?/?.t?
?? - ?? P.
APPROVED BY SUPERINTENDENT:
_ APPROVED 8Y SAIES:
8uilders licenx A0001371 This constitutes a contract between ihe Seller and the
51S
(or the above items.
LOT SURVEY CHECKLIST FOR RESIOENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL Z,T N b??+? ? C?Cr'R?7R?E ?'TH
N ? DATE OF SURVEY:
? LATEST REVISION:
W
?
o DOCUMENTSTANDARDS
0
O? Q
?
o .
Registered Land Surveyor signature and company
r?o o • Building Permft Applicant
IV? ? • Legaldescription
?v ? ? • Address
? ? ? ? North arrow and scale
? ? • House type (rambler, walkout, spfR w/o, split entry, lookout, etc.)
? o • Directional dreinage arrows with slope/gradient %
p' ? ? • Propoaed/existing sewer and water services & invert eleva6on
? ? - Street name
re' ? ? • Dmeway
u?/ o ? Lot Square Footage
? o o :
Lot Coverage
ELEVATIONS
Existina
q/ ? ? • Sewer service (or Proposed)
yY ? ? • Property corners
v ? ? • Top of curb atthe driveway
?ca/ ? • Eleva6ons of any exds5ng adjacent homes
? B/o Adequate foo6ng depth of shuctures due to adjacent utilily Venches
ro osed
/ fl
[vo ? • Garage
oor
p/ ? ? • First floor
IF/ ? ? • Lowest exposed elevation (walkouUwindow)
W? o • Property comers
m/?? • Frant and rear af home at The foundaGOn
PONDING AREA lif aoolicaWe)
h/ I
?
t ? • Easement
ine
Vo
/ ? • NWL
Gr ? ? • HWL
p/o p • Pond # designation
? ? ? • Emergency Overfiow Elevation
/ DIMENSIONS
El
O ? • Lot lineslBearings 8 dimensions
v ? o • Right-of-way and street width (to back oi curb)
R( ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i e, all shuctures requiring permanent footlngs)
easements
ithi
th
Ci
til'N
hS ? ? ose
es w
n
ty u
• Show all easements of record and any
?? y • Setbacks of proposed structure and sideyard setback of adjaceM exostlng sVUCtures
? o/ ? • Retaining wall requiremenfs, if any
Reviewed:
March 1988
cnAx:retocvnMr cM
ler
• - Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 10, Block 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsoto ontl
reserving eosements of record.
? RE°
,
„°, Date
? EAGAN E1?TGIYV'EEMG DEPT. ?
?
PoND 8PnwL- q3.0
UWL` 9167
i^
i °
i / ??
/
o0'?,<
\ 4JCO'o
"o
9P
c?? / j? 0 935. i
;-
i
?
i
?1c?
\1? tx?
•,?i?
Droinage & Utility
Easement
a? -.
? -
_
?
?
11 936.0
O ? ?y5
?
? p
60
b ?
, q31.
O
9357
935,8
SS?T
?y
LOT SQ. FOOTAGE
HSE. SQ. FODTAGE
LOT COVERAGE _
?
paG?m?a 6?FQUD?C??
Plan # 18231
PROPOSED ELEVATIONS
Top of Foundation =q3q3
Garage Floor = q3&9
Basement Floor = 930,3
Aprox. Sewer Service = 92613
Proposed Elev.
Existing Elev.
Drainage Directions = -
Denotes Offset Stoke = .
L?.
SCALE: 7 inch - 30 leet
I
.J
BENCHMARK,
Elev = 93fo. BO
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear -15 Garage Side-
JOB NO:
HEDL?/JI/D I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-185
0F THE BOUNDAft1E5 OF THE ABOVE DESCRIBED PROPERTY AS $URVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPOftT TD BOOK: PAGE:
PLANNlNC ENC/NS6R/NC SURVBYlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A SHOWN.
2005 Pin Oak Drive I
Eagon, MN 55122 DATE ?/r 5/0[ M ?• ' CAO FILE:
Phone: (651) 405-6600 eR D. LIND N, LnN URVfvOR
Foa: (651) 405 ??6,e,?„ O1A LICENSE NUM 14376 OAKBROOKE
= 10,243
= 1,801
? 8%
CiTY USE ONLY 'r
L ? BL ? ,/ RECEIPT #: I?j (77"( D
SUBD. _Dpi? `jYMDYL? "ly'Y RECEIPTDATE: 6"C76-PD
PERMIT# "l / UUJ_'7
2000 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, HA7 55122
651-681-4675
Please complete far: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preveMer for underground sprinkler system
FIXTURES '
EACH !/
TOTAL
ARerations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x $
Floor drain 3.00 x ?- _ $
Gas piping outlet " minimum - 1 3.00 x $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $ -
Laundry tray 3.00 x $ -
Lavatory 3.00 x = $
Se tic System newrreturbisned • reyutres mvc iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepair/rebuild 30.00 X • _ $
Rou h apening 1.50 x = $
Shower 3.00 x = $ -
Underground s rinkier if dwelling is under wnstrucfion 3.00 x = $
Underground sprinkler if euisting dweiling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener IT dwelling under consWCtion 5.00 x = $
Water softener {f existlng dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total _> -> -> --> $ -
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------•-------------°--------------------••--------------- --- ------ --. ._. ....._..-----------------------
I hereby acknowledge that I have read this applicatioq state that the iMOrmatian is cofreit, arW agrea to comply wkh all applicable Ciry of Eagan oNinanoes.
tt is the applicant's eesponsibility to notiTy the property owner that the CRy of Eagan assumes no Ifability for any dameges caused by the City during ds
normal operational and maintenance adivi6es to the facilities construded under this pertnit wifhin City proparty/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(ARFA CODE) '
TELEPHONE
(AREA CDDE)
STREETAqDRESS:
?
cirr: STATE: ZIP: ?663,51-?-
6?2 3
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT l V BL ? PERMIT #:
SUBD. DGtXI broD PtiP RECEIPT #:
RECEIPT DATE: (fi ' ?)' D O
Date:
2000 MECHANICAL PERMIT (RESIDENTIAL)
ciTY os Kacax
3830 PILOT RNOB RD
EAGAN L•N 55122
651-681-4675
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
3•0?
.50
$ 39- ??
Complete this section onlv if you are remodelins, addine to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteraUOn, or repair.
t
New
i
_ Furnace
_ Air exchanger
_ Alteration
` Repair ^ Other
A'v conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: /60/
OWNERNAME: 4k7nus PAON6#:(057- q?a`6-ad6
(AREA CODE)
INSTALLERNAME: ?XJtin?SlTlIC_Q. i??0-?`•l'trw'a"R(L' PHONE#: (7,S2
7 (AREA CODE)
STREET ADDRESS:
CITY: Jn-• )re STATE: ?? ZIP:
SIGN RE OF PERMITTEE
L 8L
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAI. PERMIT (COMBSERCIAI+)
CITY OF EPaGAN
3830 PILOT IINOB RD
EAGAN, L+aI 55122
651-681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE;
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
N'hen ittstalling/removing undergrouxd tank, call 651-681-4675 for inspection by fre marshal and
plumbing inspector.
Description of work:
Fees: 1% of conhact price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinsiallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
,
?
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNANRE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113059
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 1619 Oakbrooke Dr
Lot:10 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-100
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.
Valuation: 8,000.00
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 -
Kerry P Blaine
1619 Oakbrooke Dr
Eagan MN 55122
(612) 483-0689
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138249
Date Issued:08/17/2016
Permit Category:ePermit
Site Address: 1619 Oakbrooke Dr
Lot:10 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Kerry P Blaine
1619 Oakbrooke Dr
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166017
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 1619 Oakbrooke Dr
Lot:10 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Kerry P & Lori A Blaine
1619 Oakbrooke Dr
Eagan MN 55122--420
(612) 483-0689
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature