1621 Oakbrooke DrAddress 1621 Oakbroo:ce Brive
Zip 5512 '
IAt 9 Blk 3 Sub Oakbrooke 4th Addition
THESE ITEMS WERE / WERE NOT COMPLECE AT THE TIME OF THE FINAL INSPECfION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb datnage
Porch
Basement finish
Deck
Please vertfy with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 661-4645 before working in rightrof-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contrector Copy
? ?6 ik??,
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCtian Reuui2ments
3 registered sAe surveys showing sq. R. of lot, sq. k. of house; and all roofed areas
(20°k mazimum lot coverage allowed)
2 copies of plan showing beam & wuidow sizes; poured found design, etc.
1 set o( Enargy Calculations
3 copies of Tree Preservation Plan'rf lat platted after 711l93
Rim Joist Detail OpGOns seledion sheel (buildings with 3 arless unik)
=°,
RemodellRenair Reauiremenis OfRce Use OnN
2 coples ol plan CeA of Sunrey Recd _ Y_ N
1 set of Energy CalcuWtlons for healed additions Tree Pres Poan Recd _Y _ N
1 site survey for additians 8 decks Tree Pres Required _ Y_ N
Addifron • indicafe ifonsite sepfic sysfem On-sile SepUc System _ Y_ N
Date 041
2 0ds 0
Construction Cost A 1-4
Site Address l 6 2 I t-3 Ak ARa0/lb l? EA6AN UniUSte #
mN-SS/22
A
Description of Wark U?(,U?ClCI i7 Sf
U?C ?4 •
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0_ 1 _ 2
Property Owner ? A ni 3- NY mA Telephone #( 69
Contractor
Address CitY
State Zip Telephone # ( )
?L
APR 2 0 2005
CO PL THIS AR ONLY IF CONSTRUCTING A NEW BUILDING
sy-
Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy COde CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submissiontype) Su6mitted 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
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
SAN5k? VF)RMA ApplicanYs Printed Name ApplicanYs S?gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06plex ? 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 OS-plex X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addkion ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Afteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolitlon (Entire Bldg) - Give PCA handout to appliwnt
v?
Valuation CvCV Occupancy MCES System `-
Census Code 4? 3y Zoning /DCity Water -
SAC Units - Stories Booster Pump "
# of Units Sq. Ft. ? PRV ?
# of 81dgs Length Fire Sprinklered ?
Type of Canst ? Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
? Footings(deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Stucco _ Stone _
Siding Brick
_ Fireplace _ R.I. _ Air Test _ Final _
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7a ?
?
Surveyor's Certif?cate
V SURVEY FOR :PULTE
-iDESCRIBED AS : Lot 9, Block 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dakoto County, Minnsota and
reserving easements of record.
D_ ??rv.?D? _..,..___...___
?
Exist. Home
TOB = 939.3
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pp' y ? ?C u`
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ryry. J? \
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q7 ,ya9351
32.0
O4 a3o.2
I tixtstm 9378 `1t
1\ ZOB
1
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.?
S1:LT FrAJcC
LOT SQ. FDOTAGE = 9,70S
HSE. SQ. FOOTAGE = 1,819
LOT COVERAGE = 19?' fl
r
PoRmvo REQUIRED L
Plan # 18052
PROPOSED ELEVATIONS
Top of Foundation = 438.5
Garoge Floor =938. 1
Basement Floor =929.5
Aprox. Sewer Service =9zs.o'
Proposed Elev. = 0
Existing Elev. _
Droinage Directions =
Denotes Offset 5take = •
HEADLunra
PLANNlNC 6NG1NF6RJNG SURV6Y/NG
2005 Pin Oak Drive
Eaqan, MN 55122
Phone: (651) 405-6600.
Faz: (651) 405-6806
BENCHMARK, YNN@ ?5
Eleu= 939.39
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear -15 Garage Side-
SCALE: 1 inch ? 30 feet
JOB N0:
OOR-18??
I HEREBY CERTIFY lHAT THIS IS A TRUE AN? CORRECT REPRESENTATION
BOVE DESCRIBED PROPERTY AS SURVEYED
OF THE BOUNDARIES Of THE A
RECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
BY ME OR UNDER MY OI
SMOW IMPROVEMENTS OR ENCR ACHMENTS. EXCEPT AS SH .
L
YOR
DA?
? CAD FILE:
- Ep ?t D,kINDGREN, LAND SV
-- QAKBROOKE
MINNESOTA LICENSE NUMBER 14376
CITY USE ONLY
PERMIT #: Cs3 rI RECEIPT DATE:
fiESIDENTLAlL MECHANICAL PERMIT APPLICATION
crrY oF Easari
3830 Paar xxoa ftn
EAsnx aix ssi aE
651-681-4675
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date: Q?"'y - C) ?
SITEADDRESS: 4t0 2'I IJQ_Ks)Y("0lCQ_
OW NER NAME: PU Ile_ H OYVL4 F? TELEPHONE #: (PQ 5A - 6
(AREA CODE)
INSTALLER NAME: Fi)Y If\SVI, l SL ?b-YYA `1"' iL TELEPHONE q5e;. ??
(AREA CODE)
STREETADDRESS: '\aqZI nS(1f-C1S_1S1CL.Y1rq- ???S,'
CITY: c?C??LaC.(Cf4_ STATE: mv ZIP: s?3? d
Place a check mark next to the ermit work t e
? New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $
Reminder: Ca![ far inspections.
' Y USE ONLY
PERMIT #: ? RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMERCIi4L MECHi4NICAI. PEfiMIT APPLICATION
G1TY OF E46a4N
3$30 PILOT KNOB itD
EAGklv, lK1v 55122
651-6$1-4675
Please complete for. all commercial/industrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHOiNE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PRE VIOUS TENAtiT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
WORK TYPE: New conshuchon Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify NaRUe of Work
When installing/removing ttnderground tank, ca![ 651-681-4675 for ii:spectiore by Fire Marshal ar:d
Plumbing Iinspector.
Fees: I% of conhact price OR $50.00 minimum fee, whichever is greater
Underground tank removaVinstallation = minimum fee
Conhact price: $ x I%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SiGVATURE OF PEILMI"fTEE
•
Updated l/Ol
PERMIT # )ALA ?-?- LS RECEIPT DATE: I - - C? I
/-/?-o /
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME: (/Q ?/?/,r A/
/
TELEPHONE #:
(AREA CODE)
TELEPHONE #: ??2. 21z ?
(AREA CODE)
STREET ADDRESS: Xl,L/ l Wa /C{°/
/
CITY: _ '
??i/ Q t/ STATE:
Plarn a theek marlr XPY} YIl fllP narmit wnrlr tvna
Iq A__? ZiP: 5"s'3j
? New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
. abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work:
Sepiic System, new/refurbished - $ 225.00
• inciudes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, sfate that the information is correct, and agree to comply wit
It is the applicanPs responsibilily to notify the property owner that the City of Eagan assumes no liability for any
normal operational and maintenance actlvities to the facilities wnstmcted under this permit within City property/ri
2 2 2001
SIGNATURE OF
RESIDEIVTIAL PLUM$INH PERMTf APPLICATION
crrY oF EAsAx
3$30 PILOT KNOB 1iD
£A6AN, AiN 55122
651-681-4695
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
its
voi
LOT: BLOCK: -?j SUBD./P.I.D #:
?A@6-BUILD??f?ERM T APPL CATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
?-U l
New Construction Reauirements
? 3 registered sfte suneys showing zq. H, of lot, sq. H. of house
and atl roofed areas (20% maximum lof coveraae aliowed)
? 2 copies of plans (show beam & w(ndow sizes; poured fnd. design; etc.)
? 1 set oi energy calculWions
? 3 copies of tree preservaflon plan M lof platted aker 7/1/93
? Rim Jolst Detail O Hons selec}lon sheet (buildinas wRh 3 0r less unffs)
1,b
Remodel/Reaair Reauiremen
2 copies of plan
1 set of energy calculafions for heafed additlons
t site survey for exterior additlons 8 decks
DATE: CONSTRUCTION COST:
140, z?
,
DESCRIPTION OF WORK: eSt(AA0 M muRi-family bldg., how many units?
STREETADDRESS: 16QI Q? 1(2woD)(? D?Q'r'vF
PROPERTY` last Phsi
OWNER
Street Address:
Phone #:
City State: Zip:
Company: Pd/T C/70M CS Vj?ft Phone #: b S) ?`?bls
CONTRACTOR n (area cod 3 ?
SheetAddress: I3 Sr/J ?n]?n?6 1'5 /?Q 'S?I?„i. ?b License# / 7? Exp. ???A1
cijy, A?Mbh, ±s state: /9/l zip: &12 -6
ARCHITECT/ '
ENGINEER, 4 Company: Name:
, Telephone #: ( )
Sheet Address: Regislrafion M:
CNy Stote: Zip:
Sewerlwaterlicensedplumber(ifinstallinasewerlwater):U/4??T !24A1kM1YC Phone#: /r sZ , ?L% IZ1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply wfth all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Signature of ApplicanT: 1()AAj
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No /_ Not Required ? ?E?' ?
OFFICE USE CNLY ,.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
W(102 SF Dwelling ? 08 06-plex ? 16 Fireplace O 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
p 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition 13 36 Move Bidg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (interior)
' Demol ition (Entire 81dg only) permit - Give PCA handout to applicant
VALUATION / c
Occupancy
?-3 MC/ES System
Census Code ? Zoning City Water
SAC Units ? L Stories Booster Pump
Nbr. of Units Sq. Ft. L 9(9 'T PRV
?
Nbr. of Bidgs ? Length ? Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
Footings: New Bldg
_ Footings: Deck
Footings: Addition
? Foundation
? Framung
? Insulation
? FinallC.O.
_ FinaUNo C.O.
Fireplace: r.i.
Pool: _ ftgs
_ Windows - newheplacement
_ Siding
Stucco/Stone
air test fmal Roof: _ ice & water _ fmal
au/gas tests _ final
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Building t'L
i`
Engineering Variance
3L6 ?
!?J S S? !
v
&d- r? 6 e,
l l/ q
?,? //0?
? 5
MAR-16-20a9 10:28 P ? 02,
MVCheck COMPI,I,ANCg REpORT ?
M1luieavta Sneryg, Coda
MNcheck SoftWaTe VeYBion 3,0 Perm'Tt_T-
COL I Checked by/DaCe
N'I'Y: Dakota
STATg; Minz3eaotn
20A7E ; 2
CO,yBTRUCTSON TypE: Sistgle Family
DATE: 3-=6-3000
DATE OF pT+AD75: 3/16/00
TITL^: FALKIRK W/D EL. 42
COMPLIANCE: nAS5E8
RequlYed L7A = 500
Your Iiome = 407
19•9W Better Than Code
Area or Cavity Corzt. G1a2ing/Door
-----..______-------------- --^ Perimeter R-Value R-va::ue U-Value
CEILINC35 '-------_'_°--_---
-^------------
-------------
WAT,L5: t9oOd Frame, 16" O.C. 7.444 44.0 4.0
WALLS: Wood Frame, 1611 O.C. 2327 19.0 2.0 1
9514T: ConC. 9.0' ht/8.3' bg/9.01 283 10.0 2.0
GLA,ZIN6: Windaw?g or Doors i?ul 4a? 11.? 0.0
?p? ? Above Grade 4$5 0.350
FLOORS: (Jvar Unpoyzditioried SpaCe 38 1
0.350
FNAC EQUIPMENT_ Furaace, 92.0 aFrTB 352 38.0 0.0
..-_-
---'-°-------
coMpLIaiacr sxa
?r?uT: rhe ------------------ --------------
conaistent with the buildinprppo-?-ed-building -deaign -
- described -
-her.e -is - --
mubmittec3 with tkle g?1?8, gPecificatione, and ather aalculations
desi9ned
to me p8?it app_ica_ion. The propoaed buiZding haa been
a M„ iPseevota Energy Code.
Builder/Deeianar
Date_?? ??
TOTRL P,02
?
? •
Pulte Homes of ?L
Minnesota Corporation?
7355 Mendota Heighfs Road, Suile 300
Mendota Heights, MN 55120-1112
Phone• (651) 452-5200 Fax: (651) 452-5727
JOB NO.
conmturun:
BUILDIPHi ADDRESS:
CONTRACTOR/SUPPLIER:
LE6AL DE
ADDITION:
MODEL NAME: / ] _ NpDEL NIAMBER:
&IYER'SNAME:II 4? - ??r?a.AtGA'? ? ^ v
CURRENTADDRESS: 13 I ?D Uem OYLe-
HOME PHONE: BUSME55 PHONE: ?
SALES REPRESENTATIVE _?TI(?
All c.Z-1n
LOT 2 BLOCI( 3
UNfT
NP
CIN: LwN`VYSTATE:M 21P:? ?! t4
ELEVATION: OARAOE: LEFT RIOHT
.FK
i ' • iil afN"'V ' _ DATE OF OROER:
CT': A"4e- U4'f1-STATE:W
53?? 9USINE55 PHONE
0000 BASE PRICE a 9 0
j -- - LOTPREMIUM DOU
I SD/S ELEVATION # S7a/
IloOo Fwf! base»-44 - Look.,L? 2zS'o
22019 3c &? r c-i w- ? w 37,5-'0
/ 2-2oZ-45, Gt4,-aejr- Cb,,- Ce?? Z 2 cv*.-f w 5 `fd o
l 24 0 *3 V' ? Ad -F(r 77S'
I qpD Cfwavt ra-(-e.. Q? 200
I't QL?r
rso ? 7 ? ? sso
f ? So 2 a-ntA.c,' "?i,? Adii -0 Z 5?0
1 O 09 La-mi' u r&u- A,.q-o. s so
( qDO2-2- JA4,L? Laq,cn 7
I D02,? 0 2-0U
575
TOTAL
?
?
1%. ;111
Builder's License #0001371
APPROVED BY BUYER (S): JC r
APPROVED BY SALES:
RELEASED TO START GONST.: ?
This consiitutes a contract between the Seller and the PJi
CHANGE ORDER CONTRACT
w1oo
I .A.
? EQOAL HOUSING
OPPORTUNITY
the a6ove ilems.
CHANGE ORDER CONTRACT
PulEe Homes of
Nlinnesota Corporation
1355 MENDOTA HEiG>'ITS ROAD, SUITE 300
MENDOTA HEIGHTS. MN 5 51 20-7 112
PHONE: (651) 452-5200 FAX (651) 452-5727
J09 NO.
COI?MRJNI'1'Y: ?G(?d/(9??KX/ q
MCDE_ NPME:
CONTRACTOA/SUPPLIE4: A
i
?
LEG.tL CE"sCA1PTICN: LOT? 59 ? ?BI?O.C?K -3 UNfT
'^yti AODITICN?: ? ?T/
CTY: '?-°1T?Lw STATE: P=N ZJP:?T _?LZ
tvOOE:.YUM9ER: 49 0S2-- Ei`fA'C4: G7,R4Gc. ?L°?=?7 R?IGNT?
I/-! I I
/?. A A, I I IY??(
TE OF OROE^R:, S rL0 DO
BUYERS NAMEisI: V w'r wV W° `?? ??4
CURREM .ADORESS ?.?JI O (I)l.G. ?• CTY: STA7E:LF.
HCME PHCNE: 4F/ Z 3 2 -97 D BUSINESS PHCNE: 3L'SINESS FHCNc:
SALES REPRESENTATNE: ??0 CHANGE ORCER FEE: YES ORa x S-D ro
FREVIOUS 1.1.0. OR CHANGc Of2DER: PRICE
4 TOTAL: ??•
CiY_ OPT]ON 4( DE9CR1PT10N OFCNANGc I
I 1 fAq I ? ?5a
( oto cv- 1 !«D
I I o! I ? I o?
/ I z 90 5 I " - ba I 3ov
1 I ys Trvm, baG.-- 3ZS
l. ?6
o ? ?sZ G o0
a 6 o I zo I 2.Wo
1 3 20 2 I VJ"S "Ino
? 3 o e?c.1?.5 (a o
I I I
I I I
f I I
I I I ?
? ??? ??,^ 5?1Z k°ioTAL
??
?VlasterBuilt{,er
'u:icers L cer.se ;CCG13,-1
P.F°RCVE:_, 5" =SUY=_-:
A^rFRCVED 5Y SUFERI
AFPRCVE::, 5'! S15 L_°S.
i nis con5iiutes 2- cortrc. te!ween the Seiler arc'le
a57,
?•?
C ?
;he above :tems.
CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation CONTAACTOFVSUPPLIER:
7355 MENDOTA HEIGHTS ROAD. SUITE 300
MENDOTA HEIGHTS, MN 55120.1112
PHONE: (651) 452-5200 FAX (651) 452-5727
03 Z o , Zv
CONPdUNITY:
13U0.DIN6 AODRES3:
AAOOEL Nl11ME: I-
' BUYERS NAME(S):
?' •v '
MODELNUMBER: ?
CURRENTADDRE$
FiOME PMONE: y
SALESREPRESENI
BUSINESS PNONE -(gI
?
#5
LOT f BLOCK ? UNR
ADDITION:
CRY: ? STATE:_ LP??
ELEVATION: GARIIGE: LEFf RIGHT
i? NaAVj?? C
DATE OF ORO?ER:
CI7Y: 7WLV TATEy `1/N LP: ?
CIiIWCEORDERFEE YES OR(N \KSZ?-
PREVIOUS J.I.O. OR CHANGE ORDER: '>-,?:: PRICE.
# TOTAL: b
.QT1G'c' . QPTiO ;'1??; "r 5CR1?'kION'.OFCHAiNGE:z?s-'.'s`;..•,?°"_
? 2-0 1
f Soz C.? v?
2U
?o ! o
C c7?
cJh j'F vc? oC?
5
'c ? ?
$6`??o
/1?? : ?,
`\
JV
a z U
s? e.c. zooo
?r
. .+?
MaSterBuilder
0uilders License f/0001371
'5I2-7'(o? TOTAL
?
APPROVED SY BUYER:
APPROVED 8Y SUPEftINTEiVDE1VT: .3O U?
APPROVED BY SALES:
pvt5l
?
This constitutes a contrad between the Seller and the Purchaser(s) for the above items.
Surveyor's Certificate
SURVEY FOR :PUL-rE
DESCRIBED AS ; Lot 9, Block 3, OAKBROOKE 4TH ADDITION, City af Eogan, Dakota County, Minnsota and
reserving easements of record.
(?
R t? ?
l?
X,
a' Date? ?
-'?'..111rD.L'??. -
O \?
Ezist. Hame
TOB = 939.3
s•; i .?
$\? 53\6 ?
?
?
o 1? /
a
e o ??° ? J
gm
vq
?
?O? ?i 3b3 Q?°5????al?
5
932.o yo 9Qc oo ?? ? 1O 5.0 ,? ?
93 ? 9-Z*-?
43_5?,,?
43210
1
'?i?? 932.8 931.0 ?=LT EI?CC
? 1??
1
k tN ? ? TOB 1
k'
?
927.0 e ec ?
' ? ?'
,
NS
15 . 'r
$(3 :i
LOT SQ. FOOTAGE = 9,708
HSE. SQ. F00 TA GE = 1,819
LOT COVERAGE = 19%
?
poG?oMo lE(MED
?
Plan // 18052 ?
PROPOSED ELEVATIONS
BENCHMARK? ,rNH@ ?5
Top of Foundation = 938.5
Garoge Floor Eleu= 939.39
=435,I
Basement Floor =929,5
Aprox. Sewer Service =925.0t
Proposed Elev. _ (Z--::) MIN. SETBACK REQUIREMENTS
Existing E,Lev. _
Drainage Directions = Front -zs House 5ide -
Denotes Offset Stake Rear -15 Garage Side-
= •
SCALE: 1 inch = 30 feat
JOB N0:
HEM uNv I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-1S?
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING BNClNE6RINC SURV6Y/NC SHOWIMPROVEMENTS OR ENCft ACMMENTS. EXCEPT AS SH .
2005 Pin Oak Orive 7 '
Eagan, MN 55122 DATE
CAD FILE:
LIZ
Phone: (651) 405-6600 EFtktk O,kINOGREN, LAND SU YOR
Fax; (651) 405-6606 MINNESOTA UCENSE NUMBER 14376 OAKBROOKE
LOT SURVEY CHECKLIST FOR RESIDENTIAI
BUILDING PERMIT APPLICATION
L PROPERTY LEGAL /?'r 4-tH f-1/),0Z'TzoN
h DATE OF SURVEY: ?
u I
?y LATEST REVISION:
?
p DOCUMENTSTANDARDS
Q
O ?z Q
?? ? • Registered Land Surveyor signature and company
raXo ? • BuildingPermftApplicant
ra-? o ? • Legal description
d ? ? • Address
? ? ? • North arrow and scale
2?/ ?? • House rype (rambler, walkout, spiR w/o, split entry, lookout, etc.)
ry a? • Directional drainage anows with slopdgradient °k
d? o • Proposed/epsting sewer and water services 8 invert elevation
d ? ? • Street name
ty o o . oriveway
p,?o ? : Lot Square Footage
[a/ ? ? Lot Coverage
ELEVATIONS
ExisGn
IV/ ? ? • Sewer service (or Proposed)
g/ ? ? • Property corners
ry ?? • Top of curb at the driveway
?? ? • ElevaGons of any existing adjacent homes
a d? Adequate fooGng depth of structures due to adjacent ufiliry trenches
Prooosed
? ? ? • Garagefloor
? ? ? • First floor
U3' ? ? • Lowest exposed elevation (walkouUwindow)
a' a ? • Property corners
G? ?? • Front and rear of home at the foundation
PONDING AREA (if aoolicaWe)
m/ ? ? • Easement line
Cg/ ? o . NWl
m' ? a • FIWL
U-? ? /? • Pond # designatlon
? ca' ? • Emergency Overflaw ElevaUon
DIMENSIONS
? ? ? • Lot GneslBearings & dimensians
[5? ? o • Right-af-way and street width (to back of curb)
ra? a o • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVUCtures requiring permanent footings)
M/ ? ? • Show all easements of record and any Ciry uGlitles within those easements
q? ? o • Setbacks of proposed structure and sideyard setback of adjacent exosting structures
G?o ? • Retaining wall requirements, 'rf any
Reviewed: /Z - 7-62 o
?
Namu / ?3t8
March 79BB
CRA1G0BL06PRMT.FM
PERMIT# Y`0 ?_ /
RECEIPT DATE: / - Z ?_G
USIDENTIAL f ILUMIN& PER14I1T APPLICATION
CITYOF£AfiAA
3950 PII.OT KAOB iiD
EAsAcx, buv 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the oermit wnrk tvoe
TELEPHONE #:
ZIP:
New re ' ritial dweiling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaro nd
Nature of wor
Septic System, new/refurbished - $ 225.00
. includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that 1 have read this applicatlon, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liabilityfor any damages caused 6y the Ciry during its normal
operational and maintenance activities to the facllities consVUCted under this permit within 'ty property/ri t-of- y/easement.
SIGNATURE OF PERMITTEE
Updated 1/01
1
?: .
city oF eagan
PATRICIA E. AWqDA
Mayur
PAULBAKKEN
PEGGY CARI_SON
CYNDEE FIELDS
MEG TILLEY
Council Members
THOMAS HEDC;ES
CiryAdministtaror
Municipal Cen[er:
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 657.681.4600
Fae: 651.681.4612
TDD: 651.454.8535
Maintenanm Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651681.4360
TDD: 651.454.3535
?.eiryofeag?i.com
THE LONE OAKTFiEE
The ?ymbal af nrengh
and growrh in our
communiry
May 8, 2001
PULTE HOMES OF MN CORP
1355 MENDOTA HEIGHTS RD 4300
MENDOTA HEIGHTS MN 55120
RE: BUILDING PERMIT 44120 DATED 1/12/2001
1621 OAKBROOKE DRIVE
TO WHOM IT MAY CONCERN:
A recent audit of our records found that the 5tate Surcharge on Building Permit 44120
was incorrectly assessed. The amount shown and collected was $0.50; however, the
amount should have been $72.00. In that the City must forward this money to the State
of Minnesota, we are asking that you remit a check in the amount of $71.50 to cover this
cost. Enclosed you will find a self-addressed stamped erivelope for your convenience.
We apologize for this mistake and ask for your understanding. If you have any questions,
please feel free to call me at 651-681-4695. Thank you.
Sincerely,
an Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
Linda Dralle, Clerical Technician
Holly McGraw, Clerical Technician
? .,
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Site Address: 1621 Oakbrooke Dr
Lot: 9 Btock: 3 Addition: Oakbrooke 4th
PID: 10-53763-090-03
Use:
Permit Type: Building
Pemnt Number: EA044120
Date Issued: 01I1212001
Description:
Sub Type: Single Family
WorkType: New
Description:
Census Code: 101
PERMIT
UBC Occupancy:
Construction Type:
Zoning:
Square Feet:
Remarks: Plan reviewed hy Bilf Bruestle.
Separate permits required for any plumbing or mechanical work.
Call (612) 445-2840 regarding electrical permit and inspections. (ld)
R-3
V-N
Planned Development
Accaunt Deoosit x 2 30.00 9220 2252
Fee Summary: 6aseFee 1.240.15 9001.4085
CiNSAC 10000 9379.4681
V&luation: $144,000.00 Cooies 025 9001.4230
Plan Review 806.10 9001.4222
SAC f t unitl - Sinele Familv Hause 1.150.00 92201275
Sewer Permit 50.00 9220.4532
Sta[e Surcharee 0.50 9001,2195
Surcharee - Fixed 0.50 90012195
Treatment Plant 516.00 9220.4685
Warer Meter 518" 115.00 9220.4509
WateiPemnt 50.00 9220.4507
Warer Supplv & Storaee 860.00 9220.4680
Contractor:
- nPPlica,t -
Owner: $4.9/8.50
Pulte Homes of MN Cotp St. Lic.: 1371 Pulte Homes
1355 Mendoa Heights Rd Suite 300 1355 Mendota Heighu Road
Mendota Heights, MN 55120 Suite #300
9524)n200 I MendotaHei hts MN 55120 651-452-5200
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable StaCe of Minneso[a Statutes and Ciry of Eagan Ordinances.
ApplicanUPermitee: Signature
[ssued By: Signature
, ..
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2a Ch6'?Gk Date ` 511'F/01'
?.l QJYif.r%_
, . _ .. c , .] . . • .G _ _ . . ,
?. •? _ _ .. . ._ ? `n > 71.50w.;;
Pay exacfly
SEVENTY ONE DOLLARS AND 50 CENTS
185893
&'"ka""'e"w VOID AFTER 180 DAYS
BankotArtrencaCustanerCannecoan
Allanla, DekalD Caunly. Gawya
Pay to the order of ?
i
EAGAN, CITY OF D '
3830 PILOT KNOB ROAD ? /
EAGAN, MN 55122-1897 O?• T,?,?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA106989
Date Issued:09/20/2012
Permit Category:ePermit
Site Address: 1624 Oakbrooke Dr
Lot:7 Block: 4 Addition: Oakbrooke 4th
PID:10-53763-04-070
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
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 .
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 -
Mark W Melzarek
1624 Oakbrooke Dr
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107817
Date Issued:10/29/2012
Permit Category:ePermit
Site Address: 1621 Oakbrooke Dr
Lot:9 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-090
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
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 .
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 -
Sanjay Verma
1621 Oakbrooke Dr
Eagan MN 55122
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:Plumbing
Permit Number:EA141914
Date Issued:04/05/2017
Permit Category:ePermit
Site Address: 1621 Oakbrooke Dr
Lot:9 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sanjay Verma
1621 Oakbrooke Dr
Eagan MN 55122
(651) 688-7865
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature