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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+ UUU 38?5[a. C ??? C- r ' 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. !!?` 7j li ;? ?• ' , O \;' qA3 5 ?O ?so? 949, 442R <? ti \ \ t 2 9Q' 2 ? qQ?? R7. , ?. ?9. , .? . . . Exist_ Home'\ , TOB = 947.3 ? > „ J "p!Ss at.`+ar Tl._._ •. ! , / 'a3q 4 v • V ?>2n 9'®r"i 'k (0 ? pQ ,R A °o e•1 ?0 9ya G°? oQ'? t°Qo °ci ? O? Q!y aQ Jce+. 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, ? ?. .. ,., 'Yq42A , 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