1622 Oakbrooke Dr
Use BLUE or BLACK Ink
I E
City of Eakan I Permit
U
€ Permit Fee;
3830 Pilot Knob Road I €
Eagan MN 55122 1 Date Received: €
I t
Phone: (651) 675-5675 I Staff,
Fax: (651) 675-5694 L________ I
---------a
21010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: t Site Address: I VJ( 1J .d/ r V ,
V
Tenant: vv Suite
RESIDENT /OWNER Name: Phone:
Address/City/Zip: rook,
CONTRACTOR Name: w+' b f10 C" License k
Address: R a'7r V1 ~ City: Pt-~um~
State: IkP~-Zip: 544-7 Phone:
Contact: T 1 la Email: carrIi@ ~ • Com
TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R,O.W,
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation _ RPZ ! PVB) =L4Add Plumbing Fixtures Main / Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Neater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5,00 State Surcharge)
*Water Turnaround (add $`166.00 if a 5/V' meteris required) _
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ~
TOTAL FEES $-E5 ,
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.gopher%ateonecall.ora
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 wo is not to start without a permit; that the work will be in
accordffi~ with the approved plan In the case of work which requires a review and approval irtans.
x Al:r'.110' x
Applicant's Printed Name Applicant's Signature
'",y'.3 w:~iat.K .~457' .:?;y"5~•;', ~ ty~„" "'i _ ' 8•(] ,
,
r
f
Use BLUE or BLACK Ink
I
I For Oftea use l
My of Eajan j Permit
, s
I Permit Fee: ~l
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff.
`
2010 RESIDENTIAL BUILDING PERMIT APPLICATION CA
Date: 3 I C7 site Address:
Tenant: Suite
RESIDENT I OWNER Name: ' uo h Phone:
Address/ City /Zip: f ~dr) r( V!-'t
Applicant is: Owner 011~ontractof
TYPE OF WORK Description of work: - z nirl ,6!0 & nt men+
Construction Cost:., 6p0 Multi-Family Building: (Yes / No
CONTRACTOR Name: !E) WeA30f\ af of i m-n LLG License a0(a37 F5 I7
Address: / 07 N i lea t3a e 232 city: 14"Je l"i5on
State: - ice Zip: ` 7 o Phone. (p5~ " 37, 7_7 32~p_
Contact: A (l. Svt)e(15an Email: LS ,J" ryn • ` . , M
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 perm+t 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
1 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 C~~fihn`L Swenson x
Applicant's Printed Name Appl is i tune
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB 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 PCA handout to applicant
DESCRIPTION
Valuation 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- Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water rtFinal 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
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review J L
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
F-----------------
For Offce Use
Permit
City of EI Permit Fee: 1 JL!
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
r7- 7
Phone: (651) 675-5675 I 1/.~ I
Fax: (651) 675-5694 1 Staff: i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U611 ZOOM Site Address: /ZZZ 45 'P"I200.z ~2✓1 ~69N
Tenant: Suite
RESIDENT / OWNER Name: 1. 0~✓ ZI ✓CKZj Phone: 6S/-l~S6- 0 141
Address/ City /Zip: lx'ZZ 47,,akdek e ley ww,-i -S,SJZZ
Applicant is: Owner Contractor
TYPE OF WORK Description of work: /Y~1✓`~t°G~
Construction Cost:YDOO Multi-Family Building: (Yes I No
CONTRACTOR Name: /W License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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.
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 pe that the work will be in
accordance with the approved plan in the case of work which requires a review and :approval of plan
Applicant's Printed Name App nt' Signature
JUL 0 6 2009 Page 1 of3
E
DO NOT WRITE BELOW THIS LINE
SUB 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 PCA handout to applicant
DESCRIPTION ,
Valuation Occupancy r, MCES System
Plan Review Code Edition _ ; { fa SAC Units
(25%_ 100%,X-6 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
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
Meter Size: Erosion Control
Reviewed By: 1 C~ , Building Inspector
RESIDENTIAL FEES
Base Fee s`,.✓
Surcharge?
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Surveyor Certific ate
SURVEY FOR :PuLTE
DESCRIBED AS 'Lot 11 Bock 4, OAKBRCCKE a~, au -~Grt. C;ty f Ecgon, ',okotc Cou^ty, Wrraeto crd
reserving eosermerts cf recOtt.
e~
{
AN,
(
41 Ga£\ r -1430
q42
\
LQ AAA -~IA6
~ vs
,?4 S.
~4b9
Pars # t 8?Ht
PROPOSED EC.Eb'AT CNS
r1,. c ~4 ~Sf.
Top Cf Fourda:ion, - cab I
Garage Floor = 49~j Eie,z3742
Boserr,ent Roo- aa3- i
Aprex. Sewer Service =4290,
Proposed Eiev. M;N. SETBACK REC ' :DVEA TS
Existing Elev.
DrcinOge Directions = cnt -25 FLcvse lice -
l~Cr~te9 Q fSBt Jtffke = ♦ Reyr -15 :crcye S',IQ--
StALE. 30 fast
~Ee~B A- -'AT 1tiS S A '8 E AND CCR4 v' 3QOa S A,. n~~'ui6
HEDLUND ' 6 R S £ EC a8.: +E CES Rj9Ed °40°ER T CB-
8Y NE OR tihC£R uY O REC 5v°£4v1~C~. AxC 0^FS vC' p qp a.
PUNNING dN rNrTPJNC SUAvZY7,YC S~Cw 'M?ROVE4E 'S CR En nC~ME '5, exCE°' ? SYGnk,
k 01va
2005 Pin 0
0 ~
Ecgce.. 55!22 CAD f1LE
phone: (65:) 405-6600 L'NDGREN, LAND VEYOR
fay: (6511 445-6CC5 _ N to L10ENSE NUMBER 4376 OAKSROOKE
bP- tiqH)7
MP- Huyz? -
PP ?'?4y2q _
-?" 1—, 14`1 q3
SID"ENTIAL
BUILDING PERMIT APPLICATION
[? b4 Oakbr6oke q44,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
+ S`4`4 L)
N;wConstructionRequirements RemodeVRepairRequirements
• 3 registered srte surveys shovnng sq. B. of lot sq. ft of house; and all roofed areas • 2 mpies of plan
(20% maximum lot cnve2ge allawed) . 1 sa( of Energy CalculaGOns for heated additions
. 2 copies of plan 5howirg 6eam 8 window sizes; poured found design, efc.} . 1 site survey for ezterior additions 8 decks m V1
. 1 set of Energy Calculations
• 3 copies ot Tree Preserva[ion Plan if lot platted afler 7l7193 ?
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units) ? u V
!'1 p O ?l
DATE VALUATION (EXCLUDING LAND)
JOBSITEADDRESS 16aa bAXBROi) 1CE JQ11 I/L
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK !(es )r/c qf)? ) r FIREPLACE(S)
APPLICANT
PAGER #
CELL PHONE #
YES 4 NO
PHONE #
_ FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA Ri.JI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope CaiculaGons Submitted
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
PlumbingContractor: Viq]v joLUkg??(r Phone#: ?sa-?a-aral
PlumUing Syslem Includes: _ Water 5ottener _ I.awn Sprinkler Fee: 590.00
Wa[er Healer No. of R.I. Baths
No. of Batlis
Mechanical Contractor. A/ l"n S V! 0,11 PC_61 'F1 nk Phone # 9`?D?' o%?? aa b'?
Mech.uiiril System Includes: _ Air ConcliUOning Fec: $70.00
Hcat Rccovcry System
Sewer/Water Contractor. A(-'I Cd cy-'-^etk I Phone # / b3_ 90_a W
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe information is correct, an
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received ;?) . Tree Preservation Plan Received _ Not
?N,?q9 •?19
S 0
? qo•50
95 q
Updaled 1/01
OFFICE USE ONLY ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwel ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot oF_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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
'?o 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
'
Valuation &
<v o
? s Op ?
Occupancy
MC/ES System
Census Code ? Zoning ? City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs _L Length ? Fire Sprinklered
Type of Const Aj Width ?
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
a Foundation
? Drain Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Air Test Final
? Insulation
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stuceo Stone
_ Windows (new/replacement)
Approved ByBuilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sac
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
? FinallC.O.
FinallNo C.O.
?c Plumbing
HVAC
lJ S/h j
-7o )c !S - CO 80o GG
Gv
e
???x sY= 33?a?? o
O C,
So1 / oZ 7-?
(/Llfii.tdJ G?u?L
-7 z6 X SY ' 38, 8?d ?-°-
?/??
QGBxs ? ?
? a X
Address
I.ot L' Blk
THESE ITEMS WERE /
i
oK6rca k e U,?^ zip 5512 ?
Sub L'Cf kh1't7o kP kl {-h ACid , -
NOT COMPLETE AT THE TIME OF THE FINAL
p?
Date: Z42
Yes
No
Inspector:
Final grade (6" from siding) X
Permanent steps (garage) x-
Permanent steps (main entry)
Permanent driveway
Permanent gas X
Sod/Seeded gass
TraiUcurb damage
Porch
Basement 5nish Xv
Deck _
Please vertfy with the builder the removal of roof test caps from the plumbing system and the shu[off of water supply ro
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
C -. 6 ??// / White - City Copy Ye11ow - Resident Copy Pink - Contracror Copy
?4 5f?4 9
2004 RESIDENTIAL PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN
651-675-5675
?
APPLICATION
MN 55122
Please complete for modifications to existing residential dwellings.
5D ,SD
Date -?_ I-)- v I C7 v
Site Street Address Unit #
Property Owner ? Od? tc, I` c.A_Lk;C,/S Telephone #(lm'f 7 7-2
Contractor L-CL k -!' ?ZGl-?- /CG /) /lr /l ?i Telephone # Sy- 766z
Address/yYL+ /N i'1 2 City Statefr!/ti Zip SS 2
The Applicanf is: _ Owner _::?Contractor _Other
Alteretions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ replacement _ additional
? Lawn Irrigation System ? repay _r wild $ 30.00
?
state surcnarge 3UL 3 0 2004
$ .50
,
a
Total By $
1 hereby apply for a Residential Plumbing 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 plumbing codes; that I unders#and this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
j-l?L,tr,'e Sf7M-,-5- rlaa? 10?
ApplicanYs Printed Name Appl'cant's Signature T 0 ? u M?
DIJ ?
1 1 JUL 2 8 2004
0 . :k
5,}EU•4J+
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38?5[a.
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Surveyor's Certificate
SJRVEY FOR :PUL-rE
D ESCRIB ED AS ; Lot 8, Block 4, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and
reservin9 easements of record.
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, TOB = 947.3
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LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan 111 18281
PROPOSED ELEVATIONS
Top of Foundation = qyb.l
Garage Floor = 99q.7
Basement Floor =937.1
Aprox. Sewer Service = 929.9±
Proposed Elev. = 0
Existing Elev. _ --
Drainage Directions = ---
Denotes Offset Stake = •
,
MA107A(Iq DAANOAF;e-
aetass rqR?&
27o 6°ewbe ("`' ,4)
7 \
,fA
l
\
?
?4 ..
?°
?
BENCHMARK, rNH e 19.1 5/5
Eleu - 937.92
.?
SCALE: 1 inch = 30 feet
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear -15 Garage Side-
JOB N0:
HEDL?JN? I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION O1R-026
OF THE BOUNOARIES OF 1HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TD BOOK: PAGE:
PL,INNING BNG7NE6RlNC SURV6YINC SHOW IMPROVEMENTS OR ENC ACNMENTS, EXCEPT A SHOWN.
2005 Pin Oak Drive ?
Eagan, MN 55122 DA7E • CAD FILE:
Phone: (651) 405-6600 i . LINDGREN, LAND VE?
Faz: (651) 405-6606 N TA LICENSE NUMBER a376 OAKBROOKE
= 9,566
= 1,876
197,
? ?. ..
,.,
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Z:I, 1 d.,T
FE'r4C6
?F e'V ? r"h' ?f.la/ Rl
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lar IF ?L zK y OAKR17daXF 420 4,61r1Qli .
DATE OF SURVEY: 21 3/d f
LATEST REVISION:
DOCUMENTSTANDARDS
e'17 ? • Registered Land Surveyorsignature and company
? ? • BuiWing PermitApplicant
? • Legaldescription
v ? • Address
? ? • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?
? ? • Directional drainage arrows with slape/gradient %
[d' ? ? • Proposed/existing sewer and water services 8 invert elevation
M-13 ? • SVeet name
Q ? • Driveway
Z] ? • Lot Square Footage
OY ? ? • Lot Coverage
ELEVATIONS
? Existina
t?7'/? ? • Sewer service (or Proposed)
? p ? • Property comers
m?y] ? • Top of curb at the driveway
W/? ? • Elevations of any existing adjacent homes
? P---Ej • Adequate foodng depth of structures due to adjacent utilfty Venches
Proposed
0' ? ? • Garage floor
VFJ ? • First floor
R' ? ? • Lowest exposed elevation (walkouUwindow)
l9' ? ? • Property comers
ra? ?? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? L-%/ ? • Easement line
? ?e ? • NWL
? 1[3/ ? • HWL
? [K ? • Pond # designation
? UY ? • Emergency Overflow Elevation
I?V,{] ? •
f?1? ? ? •
IB?? ? •
AY LJ ? •
p?j]/ ? •
I_l LW f] .
March 1999
f.Rql(:Ipl fN:PRMT FM
DIMENSIONS
Lot IinesJBearings & dimensions
Right-of-way and street width (to 6ack of curb)
Proposed home dimensions including any proposed decks, overhangs greaterthan 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
Show all easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing strudures
Retaining wall requiremen
Reviewed:
' PULTE HOMES OF MINNESOTA fs ai
JOB INITIATION ORDER
DATE: 812J00 `'11
JOB NO: 0320-208-04 LOT: 8 LOCK: 4 UNIT:
COMMUNITY: Oak6rooke SF ADDITION: Phase 2
BUILDING ADDRESS: 1622 Oakbrooke Drive CITY: Eagan STAT MN 21P: 55122
MODEL NAME: Tyler MODEL# 18281 ELEVATION:GARAGE: ?G? SFT?
rBUYERS NAME: Jon Drucker & Michelle Workin
CURRENT ADDRESS: 126 Winona St E
HOME PHONE: 651-298-8492 BUSINESS PHONE:
SALES REPRESENTATNE: JMoberg
CITY: St Paul STAT
BUSINESS PHONE:
HONE:
MN 21P:55107
81 Tyler $219,990
00
7 Lot Premium
7
7 $2,000
15 ELEVATION $0
19021 FULL VIEW OMB DOO R
Lum $150
1 14007 1 ST CARPET PAD UPGRADE $245
1 14084 1ST CARPET UPGRADE $1,475
3 17000 ADD'L ELECTRIC OUTLET $150
1 17083 Rough In electric/Microwave $100
1 17024 CEILING ELECTRIC OPENING r4 WC DOrr2 $100
2 32020 ADD'L PHONE JACK $100
1 22041 4'ADD.GARAGE-ELEV#1 $2.690
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL $227,000
THIS CONSTITUTES A
APPROVED BY BUYER (S):!y)AV
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENI
APPROVED BY SALES??
:5'i6X-ac?
THE PUCHASER (S) FOR THE ABOVE ITEMS.
Builders License # 0001377
NOU-20-2600 03:13 PULTE HOMES
MNcheck COMPLIANCE REPORT
Minnesota Engrgy Code
, MNCheck Software Version 3.0
651 452 5727 P.02i02
Permit #
Checked by Date
COUNTY: DakoCa
STATE: Minnesota
ZONE: 2
CoNSTRUCTION TYpE: Single Family
DATE: 11-20-2000
DATE OF PLANB: 8/14/00
TITLE: TYLER ELEVATION #4
PROJECT INFORMATION:
QAKBROOICE SINGLE FAMILY
COMPLIANCE: PASSES
Required UA = 520
Your Home = 442
15.0t Better Than Code
Area or Cavity Cont. Glazing/DOOr
-- - - --- - - --- Perimeter
------------- R-Value R-value U-Va1ue
---
--------------
CETLINGS
-------
---------
--------------
1656
WALLS: Wood Frame, 161, O.C. 2049 44.0
19
0 0.0
2
p
WALLS: Wood Frame, 16° O.C. , , 1
BgMT: Conc. 9.0' ht/7.3' bg/7.3' inaul 640 11
0 0
0
BSMT: Conc. 7,04 ht/7.04 bg/7.0' insul 224 .
11
0 .
0
0
GLAZING: Windowa or poozs, Above Grade 378 . .
DOORS 0.350 1
38
FLOOIZS: pver Unconditioned Space 352
38
0
0
0 0.350
SLAB FI,pORS: Unheated, 42.0" iriSUl. 72 . .
5
0
HVAC EQUIPMENT: F'urnace, 92.0 AFVE
----------- ,
-- - ---------------
COMPLIANCE STATEMENT: The proposed building
consist
t
design
described
here is
en
with the building plans, specifica
submitted with th tiona, and other calculations
e permit application. The proposed
designed to meet the
i building has been ,
requ
rements of the Minn esota E nergy Code .
Buil.der/Designer
Date "-A/a 1
TOTAL P.02
Site address: I'" JD'
? q 'OT
Lot _ Block _ Subd.
OAl(g??(nrr Ifil"I",
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, antl 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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: will be constructed to meet more resUictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater A nA ?Qy) DS? ,5 B
Furnace v ?f 3so?? O?a?? .3r ??? f?1?ep?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathrooml ?? RAtn f?? SO}.1)? -?? 66
Bathroom2
r
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT niMOS
I -r
AA?Ly
v
?= Gla
oap?-
a?oao
v
MAKE•UP AIR MODEL TYPE CFM's
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
??44a"
Sig ?t}??e
I'Ul,?"-c,
Company Name
' J3 LO)
Date
* This form is the responsibility of the General Contractor.
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA105984
Date Issued: 0810612012
itj of 0n Permit Category: ePermit
R
Site Address: 1622 Oakbrooke Dr
Lot: 8 Block: 4 Addition: Oakbrooke 4th
PID: 10-53763-04-080
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
New Life Contracting Inc. Jon J Drucker
814 Grand Avenue 1622 Oakbrooke Dr
St. Paul MN 55105 Eagan MN 55122
(651) 224-3442
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.
Applicant/Permitee: Signature Issued By: Signature
irr
to
a
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151484
Date Issued:08/27/2018
Permit Category:ePermit
Site Address: 1622 Oakbrooke Dr
Lot:8 Block: 4 Addition: Oakbrooke 4th
PID:10-53763-04-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jon J Drucker
1622 Oakbrooke Dr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature