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1628 Oakbrooke Dr
Address 1629 oaxsaoOicF. nurvF Zip 55122 I.ot 5 Blk 4 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: 5-U 1 Yes No Inspector. „S Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway ? Permanent gas X Sod/Seeded grass x TraiUcurb damage ? Porch k Basement finish Deck X 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 Iawn faucet before freeze potential exists. ConfaM enginee[ing division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Sub OAKBROQKE 4TH Site address tle 7. P0rt 4?w' I ?-r• Lot S elock! Subd. On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This sWcture: is consWcted 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 8TU'S ' VENT.ING TYPE Water Heater A,? ? VA y2- Fumace ? ?2? ? ??j Mtp-y6 aLb d?b Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YEs No Kitchen kitchen Bathrooml k µ ?A ??,?? ???of ?C? GU `? Bathroom2 ? i ?. +, ?' ?? ? Bathroom 3 Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL BTU'S DiREC7 AileOS. I hereby acknowledge that !he above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ? s?d ? Si ature Date vLrE r'-L'S? Company Name • This fortn is the responsibility of ihe General Contraclor. CI7Y USE ONLY L rJ BL RECEIPT#: ? SUBD. RECEIPTDATE: PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD 00 EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condas when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # T07AL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x $ -? Floor drain 3.00 x = $J' ? Gas piping outlet ' minimum -1 3.00 x = $3 - Hot tuh(spa 3.00 x = $ Kitchen sink 3.00 x Laundry tray 3.00 x Lavatory 3.00 x Septic System new/refurbished • requires MPC Ilc. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ 41 Shower 3.00 x = $ ? Undef round Sprinklef if dwelling is under construction 3.00 x = $ Undergroundsprinkler ifexistlngdwelling 30.00 x = $ Water closet 3.00 x = $ ? Water heater 3.00 x = $ - Water softener I} dwelling under construction 5.00 x = $ Water softener it exisUng dwelling 30.00 X = $ Water tumaround 30.00 x --- _ $ State Surcharge .50 --> --> ----> $ .50 Total --> -? ---? --> S ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------- ---------------------------------•---------------------------------------------------------------------- I herehy acknowiedge fhat I have read this application, state that the infartnation is c-orted, and agree to comply with all applipble City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ctty during its normal operational and maintenanca activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: //?/ O OWNER NAME: : INSTALLER NAME: STREET ADDRESS: 82? TELEPHONE #: (AREA COOE) TELEPHONE#: / (AREA CODE) CITY: 11//I!/'///,t?/(.i _ STATE: ZIP: 9?.?P? SIGNATURE OF PERMITTEE CITY USE ONLY . LQT J BL PERMIT #: SUBD. OQI?bYOOKP, RECEIPT #: RECEIPT DATE: 2000 M£CHANICAL PERMTf (RESIDENTIAL) crrY of swsnx SSSO PiLOT KNOB RD E46AN MN 55122 Date: ?Z- I ' 00 651-691-4675 Complete this secrion onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU $ 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) y- W State 5urcharge .50 Total $ 3g- 5-0 Complete this section onlv if you are remodelinp, addinp to, or rgplacin2 an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New _ Replacement _ Other _ Furnace _ Air conditioning _ Air exchanger _ Other Fee $ 30.00 State 5urcharge .50 Total $ 30.50 Reminder: Call for final inspection. ? SITE ADDRESS: ?? ?loY??? J??- OWNER NAME??U`'?. PHONE #: INSTALLERNAME: %?'(nSU,WQ osG? (AREA E) PHONE#:40':I- . $SY?OdoS STREET ADDRESS: 1ay2?L F-f ?c?CAS2_ l?LC1 I?(°Q? A'L (AREA CODE) 7. S- 0i 55?7 d" CITY: JCk? Q, STATE: ZIP: ? ? oEc 0 4 ?ono ? OF PERMITTEE IGNA . L _ BL _ SUBD. APPROVED BY: INSPECTOR PERMIT#: RECEIPT#: RECEIPT DATE: 2000 bl£CHANICAL P£{;MIT (COMMERCIAL) CITY OF Ek6AN 3$30 PILOl' KNdB RD EtkfiAN, MN 5518E 651-6$1-4675 Please complete for: alt commercial/indusVial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE WORK T'YPE: _ New construction Install U.G. Tank _ Interior Imurovement _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, cafl 651-681-4675 for inspection by fre marshal and pfumbing inspectar. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contraci price: $ x 1%= $ (Base Fee) State surcharge calculate at $.SO for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONL1): (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE#: - (nREn cooe) STATE: ZIP: r SIGNANRE OF PERMITTEE ?+ t,J -P y3q 3'-1 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?`? ? 651-6814675 ..-4 Remodel/ReoalrReauiremenh NewConslrucMOnReaulremeMS ve L,'k.4J ? J registeretl site wrveys stwwing aq. R. ot loi, sq. H. ol houae 1 2 copiea ol plan and 511 roofed areas (4D96 mmcimum lot covaraoe allowedl 1 sef of energy calculallons tor healed addltlwis ? 2 copies o1 plans (ahow beam & wintlow sizas; pouretl fid. tlesign; efc.) ' 1 stte wrvey lor extedor addfHOns 6 decks ? 1 set o1 energy calculaHOns D 3 copie firso presenallon plan if l01 plaHed after 7/1/93 I DATE: ?? " Id b CONSTRUCTION COST: DESCRIPTION OF WORK: PasldWl}1 O It multi-famtry bldg., how many unMs? STREETADDRESS: IGa9- bAK$iOJ)(? ??ll/Z LOT: `3?' BLOCK: 7 SU5DJP.I.D. N: 017 ICDV'-Ol7?C?J T? Name: Phone #: PROPERfl( LCSt FhSt OWNER Sheet CNy State: Dp: Company:A#C lAy»e-S 6oeA1( /v e6 (k'> Phone #: ? ?a'Sa 0 ? (area code) CONTRACTOR SheetAddress: J3?? a?D? License# E.3?? ???) CItY /vcrGloi-? A'?5 Stafe: /y'w yp: &?I20 ENGIN ER ARCHITECT/ Company: S,"9- /T`S /YBOvr Name: Telephone i: ( Sheet Address: RegishaHon M: City State: Zlp: Sewer/water Iicensed plumber (H installina sewer/water): vAJI?LL h vM gj[N O Phone #: 1 hereby pcknowledge fhat I hcve read fhis application, atate thaf fhe information is cortect, and agree to compty wNh all applicable Sfate of Minnesota Sfafufes and CHy of Eagan Ordinances. /? Signalure of Appiicanh ? ""?'? -11?n Certificates of Survey Received '\ Yes Tree Preservation Plan Received _ Yes OFFICE USE ONLY _ No _ - n No Not Required OCT 1 2 2000 IaY: ] -_- OFFICE USE ONLY BUILDING PERMIT SUBTYPES E3 01 Foundation ? 07 05-plex I;P 02 SF Dwelling O 08 06-piex O 03 01 of _ plex ? 09 07-plex O 04 02-piex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE 4d'/ 31 New 0 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex O 21 Porch (3tisea.) O 0 17 Garage O 22 Porch/Addn. (4-sea.) ? ? 18 Deck ? 23 Porch (screened) ? ? 19 Lower Level ? 24 Storm Damage Pitg _Y a_ N O 25 Miscellaneous O 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof 0 37 Demolish (Bldg)' O 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code a j No. of Units No. of Buildings ? Const. (Actual) ? (Ailowable) , -A? UBC Occupancy k-3 Zoning ?-? # of Stories Length W idth as ment sq. ft. 16-vel sq. ft. /N?e*q. ft. a? t???(sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building !, Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City 5AC W ater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotal: SAC Units % SAC Valuation: 5'?l4 k lS ? $ lJ ; . ?00 `?? g'i `Z?5- 9--?2' mo i - 5?PYeS = 'I93S ?.-- ? 3 .2 / 3 ?-?'461 G? SD6 x l6 .= ?08,? @° 31 Ext. Alt - Murii 33 Ext. AR - SF 36 Multi S"PL ?7? C?a.H.LU P sq. ft. -T SOti sq. ft. /? Footprint sq. ft. l 3 -5' Census Code MC/ES System S4 City Water S'ea Booster Pump PRV ? AtJ50-14-2009 16:12 PULTE HHOMES MNCheck COMPLIANCE RSPORT MinneSOta Energy Code hIIJcheck SoPtware version 3.0 P.02'02 P? ermit #? hacked y Date COUNTY: Dakcta STATE: Mir.nesota 20ICk : 2 CONBTRUCTION TYFE: Sirigie Family DATE: 8-14-2000 DATE OF PL21N$: 8/14J00 TITLE; BRAYMORE ELEv'ATION #4 PROJECT INFORMATZON: OAICBRQOAE BINGLE rAMILY COMPLIANCE: PAS5E8 Raquired UA . 477 Ycur Homa - 383 19.7* Better Than Ccde Area or Cavi*_y Cor.t. Glazing/Door Perimeter P.-Value R-vzlue J-Value CEII,:NGS WALS,S; Cqood Frame; 16" O.C. WALLS: Wood Frame, lb° O.C. B&'?['T: Conc. 8.0' ht!7.3' b9/7.3' ir.sul SSMTa GDnc. 7.0, ht!7.0' bg/7.0' inaul GLAZINQ: Windows or poora, Above Grade GLAZIN(3t Windows, Foundation, <= 5.E Pt2 DOOR6 FLOORS: Over Unconditioned Space SLP.H FLOOR9: Unhsated, 42.0* izlsul. iiVAC EQUIPMENT: Furnace, 42.0 AFUE 1502 2257 227 72 40 317 38 368 71 &4.G 0.0 19.0 2.0 9.0 2.0 11.0 0. 0 11.0 0.0 38.0 0.0 5.0 0.350 0.350 Oo3b0 , -----•._-------^•------------------°------------------------°--- - --------- WMPLIA.VCE STATEMEIUT: The proposed building design describec here is cozssistent with the bui2ding plane, aper•iPic>tione, and vther ca;culatione submitted with the pez'mit appliration. The prop4asd building has been degigned to maet the requirementm of the Minizeeo:a Energy Code. Builder/DesiSner Date? r07a! F.Oz ` ' I` I JOB INITIATION ORDER Pulte Homes of Minnesota Corporation CONTRACTORlSUPPLIER: 1355 Mendola Haights Road, Suite 300 Mendota Heights, MN 55120-1112 Phone: (651) 452-5200 Fax: (651) 452-5727 JOB NO. 0320 1 305 f 04 LEGAL DESCRIP T ION : LOT 05 BLOCK pq UNIT ConnnnuNirv: Oakbrooke SF ADDITION: ( ?, ? Gi?'? Z ?= BUILDING ADDRESS: -Nj) CI7r: Eagan STATE: MN ZIP: 55104 MODEL NAME: MODEL NUMBER: IMI ELEVATION: ? GARAGE: LEFf RIGHT E] r BUYER'S NAME: DATE OF ORDER: A i8 CURRENT ADDRESS: jZ ? s CITY: ko STATE: vw ZIP: CjCj HOME PHONE: SALES REPRESENTATIVE BUSINESS PHONE: APPROVED BY BUYER(S): \L ? 1 APPROVED BY SALES: EQUAL HOUSING RELEASED TO START CONST.: oPPORruNiTr This constitutes a contract between the Seller and t Purchaser(s) for the above items Builder's License #0IXI1371 . CHANGEORDER CONTRACT ?I Puite Homes of 1blitt;litota Corporation 1355 MENDOTA HEIGHTS ROAD. SUITE 300 MENDOTA HEIGHfS, MN 55120-1712 . PHONE (681) 452-5200 FAX (851) 052-8727 CONTRACTOR/SUPPIIER: IB NO. 0 :5 22-1 2 Q 5I 0 coe,rAiNmr: _ BUR.dNO ADDh A10DQ.l14ME: _ BUYERB NAME(5): HOMB CNONLT: ,(Q/.. _ SAlE3 RFPRETSENTA7NE: MOOELNUMBER: LEGK DESCRIPTION: LOT (5- BLOCI( UNIT noomoN: foh2d'-Q, Z CiTY: ` STATE:LP ?O ELEVATION: ? GARAGE: IEFf R?IG'M?T+, ?I DATE OF ORDER: (312-49 STATEAW- 21P: ' BUSINESS PHf3NF: 1?L -"LZ -4 ? BUSINESS PHONE: CHANOE ORDER FEE: YES OR eo PREVIOUS J.1.0. OR CHANGE ORDER: i^•- PRICE # TOTAL: ':SQT'?`? . QP?ICNC?#sS;i ?}r,?S?,r;asr?'4T?4'?:?*,'1?7.t?%"'r"??°•'?t?"H'ctDESCRIP.,TfON?OF.CHANGE ?"r,, ;• ?D ? ? aw c107rv l 1 SOIS A/ ? l00 GC ? S -?k5 ( 30 ? :27-- ??0? ? 2300 'lz Z-orv A-e? -47 -3 /a 1 !2 p 6'? '? o00 :..A:. 2 . ..?.. ? T 901 Bu7ders LkBnbe p00p137t APPROVED BY APPROVED BY APPROVED BY SALES:. This constitutes a contraCt betrreen the Seller and TOTAL . .: for the above items. CWANGE, ORDER CONTRACT qt? JOB NO.iLJ COMMA1W'fY: Zi auLcuaanooREs MMEL NanE: ? BWEfiS NAME(S): CURf3ENT ADORE/: FIOME PF10PR: l Q ? &lSINES9 PIIONE: lAT J BLOCK ? UNR ADDITIOp: arr: srAT: _ zw:S S„ ELEVATION: 6qpqGE: LEFf RIC? DATEOFOROER: "S'_ CtTY: M415. STATE:A -2& 1 ZIP:5-2 k-3 ORDER FEE: YES OR ?O ) ? &151NE55 PNONE: PREVIOUS J.1.0. OR CHANGE ORDER: 'PR1CE;ws•` TOTAL: DESBRtMQl!UORGHANGERWIft'?`?"?* M14"N., . NW Q5 II /1?c50 L/ LI/ w . .. :'? _ J r..... rhs EItl1 L/ ;`?R I g. m ?? MasferBur7der BuiEdera Lkarree #0001371 APPROVED BY BUYER: OTAL liv APPROVED BY SUPERINTENDEN APPROVED BY SALES: This constitutes a conVact between the Seller and the Purchaser(s) for the a6ove items. Pulte Homes of Minnesota Corporation CONTRACTOFi/SUPPLIER: ? 7355 MENDOTA HEIGHTS ROAD, SUITE 300 MENDOTA HEIGHtS, MN 55126-1112 PHONE:(851)452-3200 FA%(831)452-5727 CHANGE ORDER CONTRACT 4-? Pulte Homes of M1lllle30td COPpOliltlOII 1355 MENDOTA HEIGFfTS ROAD, SURE 300 MENDOTA HEIGHTS, MN 65120.1712 PHONE: (851) 452-5200 FAX (851) 452-5727 09 NO. D??, ao5 CONTRACTOR/SUPPLIER: / 7 LL CoJt I(AC,?I S/ fi],Lt/ 0 LEGPL DESCRIPTION: LOT? §-BI?OCK UNIT ADWTION: TI MYA? ? n,, / ?/ CITY: ? STATE:' "4v LP: G z ELEVA710N: GARAGE: LEFT RIGHT DATE OF ORDERY?.1??EJ? ? _cm:_? STATE:7lP: S a3 BURDINCi ADDRES?S?' ?/' ?' q (iC`J M170D0.NANIE.IIL?S?L?L?i MODELNUMBER: , ?S NAME(S): l/9A CURREMR ADORESS: f, HOMEPFIONE: ?. /p/d - SALES 0 qE5EMA71VE: CNAN6E OROER FEE: YES ORO BUSINESS PHONE: l 0 PREVIOUS J.I.O. OR CHANGE OROER: ?llyl,?p PRICEw?. ? TOTAL: 100f5 ? S I 1 g o 6350 TOTAL ?lirg?5 Mczs?'Bctilder Builders Lkense i0001371 APPROVED BY BUYER: (\ APPROVED 8Y SUPERINTEND ` APPROVED BY SALES: This constitutes a contrad between the Seller and the Purchaser(s) for the above items. eusINEss aHOne: V(s -ss-a - . LOT SURVEY CHECKLIST FOR RESIDENTIAL . ' BUILDING PERMIT APPUCATION ? PROPERTY LEGAL: Lnr 'S sLOgx9' !f!I/CBQ??E ¢ryQp??'rL?Ji1/ h DATE OF SURVEY. IO -/O-OC) ? ? LATEST REVISION: /? -OO ? p DOCUMENTSTANDARDS o 0 a p? ? • Registered Land Surveyor signature and company : ? : BuiidingPermitApplicant ? Legal description ? m'o ? ? • Address • North arrow and scale ;1/0 ?. • House rype (rambler, walkout, split wlo, sp6[ entry, lookout, etc.) ?? a • Direc6onal drainage anows with slope/gredent % q? ? ? • Proposed/epsting sewer and water senrices & invert elevaUOn p? ? ? • Street name ? ? • Dmeway ' ? ? • Lot Square Footage o V ? • Lot Coverage ELEVATIONS Epstina 2/0 ? • Sewer service (or Proposed) ry/ a ? • Property comers ? ? • Top of curb ai the driveway U" ? • Elevations of any exdsting adjacent homes w /? Adequate footing depth oT strucWres due to adjacent u61iry trenches Prooosed / ¢? ? o • Garagefloor V ? ? • First floor q/ ? ? • Lowest exposed elevation (walkouUwindow) c? ? t? ? ? ? • Properry comers • Front and rear of home at the faundation PONDING AREA (if aodicaWe) ? ?? • EasementGne ? ?? ? m? ? • NWl . FIWL ? ? ? ? • Pond # designation ? ? • Emergency OveAlow Elevation / DIMENSIONS o' o? • Lot lines/Bearings 8 dimensions m? ?? • Rightot-way and street width (to back of curb) p'I a o • Propased hame dimensions induding any ptoposed decks, overhangs greater than 2, porches, etc. (i.e. all structures requidng permanent footings) ?? ? • Show ail easements of record and any Cily uGlitles wRhin those easements e' ?/? • Setbacks of proposed structure and sideyard setback of adjaceM epating structures ? GY a • Retaining wall requirements, if any / "_? / Reviewed: March 19BB cw?cueUa:~.FM ' Surveyor's Certificate SURVEY FOR :PULTE oESCRiseo As : Lot 5, Block 4, OAKBROOKE 4TH ADOITION, City of Eagon, Oakota County, Minnsota and reservinq eaaements of record. ? ?r RE ? ? ? /-??{?'?* r? atY7-p /'?ld , yJEP7! " ? ? ?/ r 947.$ ?. 907.5 v - ? AA4EnrTAzr4 DRAXWA6Lr ,e.o , ?f(?C ?? ?p? cf,? TO ?rvp? ' Q?' ?7?R 9?g•9 ryqqB, `? `-' Zo `S ai ! ? o? oo \ ? p?? \\ A?cP ?\ \ op?w,pti 9Sq?, ? , \ ??; 4q9 ''? ? • `? , \\ 9y? ?_.. N qSO \?\ _• ?4? ?Oy ? ? \5 965. ! s? \\ S : ,? \? :\ FEn cE ? . LOT SQ. FOOTAGE = 10,234 HSE. SQ. FOOTAGE = 1Y680 LOT ? VERAGE _ ?6q9r9ti??•_' y?• ?"? .? ? qZ 47u.p', GoG°?oMo ? Ij - D Plan # 18201 PROPOSED ELEVATIONS BENCHMARK, Top of Foundotion = 951.5 Eieu=44fi.3s Garoge Floor =qyy,d Basement Floor =" S Z, Aprox. Sewer Service =riasnt Proposad Elev, MIN. SETBACK REQUIREMENTS Existing Elev. - Drainage Directions = Front -25 House Side - Denotes Offset Stoke =• SCAIE: i Inch - 30 feet Rear -15 Garage Side- doe Na H,EDLUND ' HEREBY CERIIFY 7NnT TFiIS IS A 7RUE ANO CORAECT REPRESENTA110N OOR-186 OF THE BOUNDARIES OF iHE AB01?f DESCRIBEO PROPERiY nS SURVEYEO BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO 800K: PACE: PLINNING BNClNddR/NC SURV6YINC SMOW IMPROVEMENTS OR ENC OACHMENTS, EKCEPT A3 OYM. 2005 Ea9 n,IMNa551O22e OATE 1Q/?/f[? ?• CAD FILE: Phona: (651) 405-6600 RE .l1NDGREN, UND R4EYOR Foz: (851) 405-6606 ? +NE A UCENSE NUMBE 14379 OAKBROOKE I'd 960E'RECEIVEG"ti`1 9 2000 9N1833N19N3 ON0103H WdtiN OOOl '81'll0 Use BLUE or BLACK Ink For Office Use ::::: City of Eaan0, r �k r ,�a 3830 Pilot Knob Road Eagan MN 55122 Date Received: )"I� Phone: (651)675-5675 A,a, Fax: (651)675-5694 Staff: 7� Com, (00111 2017 RESIDENTIAL BUILDING PERMIT APPLICATION . -01.I1 -7 Date: -I'1 j��LCASite Address: I CZ S 101+.}j✓ Lr? D�i�' Unit#: 7 Name: Th,uct.I1 Vo Phone: 61 2 - 3 3 z ,Resident/ Owner. Address/city/zip:: 162 s? +chic)rj( O"I vf? Fe,JG HH1S (v ,S, (22 Applicant is: \/ Owner Contractor Type of Work Description of work: 6C1 411 t1c)c>(r' V' n oioeh''l2 Construction Cost: Multi-Family Building:(Yes /No ) Company: C' (- ' ( en,�' ✓h PA'Yl6& v) Contact: Contractor ° Address. City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting.documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x —Th4fit;YL 7C.d x Applicant's Printed Name Applicant' - •nature Page 1 of 3 y l( )-' Da ):t5bk Or i(b `Z, DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family) Ni Single Family _ Garage _ Porch(4-Season) .T Exterior Alteration(Multi) __ Multi — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous _ 01 of_Flex — Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building T Reroof _ Demolish Interior � (Alteration _ Fire Repair _ Windows _ Demolish Foundation _/ Replace _ Repair r Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION , Valuation 14I00 , Occupancy . _(_ MCES System Plan Review Code Edition >25-- SAC Units (25% 100%V ) Zoning City Water Census Code I►�` Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ��l�/t) Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 7( Final I No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS �[ Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control )C Shower Pan (.2) Other: Reviewed By: 17 ,Building Inspector RESIDENTIAL FEES Base Fee 4/ Surcharge g 1//4/ t� Plan Review (fr MCES SAC (7OA, 00Lia City SAC 0 D Utility Connection Charge S&W Permit&Surcharge Treatment Plant VLriNj Copies ( , > l.41- TOTAL `- Page 2 of 3 Use BLUE or BLACK Ink r For Office Use L d 6 City of EaaallPermit#:Permit Fee: 3830 Pilot Knob Road ;? Eagan MN 55122 Date Received: —7--&1-t—) Phone: (651) 675-5675 Staff f"1`/ Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:13112,o II- Site Address: 16.28 O Tenant: 1 ,R. ,f, V0 Suite#: Resident/Owner- Vc) Phone: f, 1?-6 jQ/t 9 Address/City/Zip: 12.g ( ct .j,rcyL. .n bill .-C-C 127 - Name: S elf License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type of Work —New —Replacement 'Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type Add Plumbing Fixtures( Main/ Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work 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. xA -Thu an U© x Applic s Printed Name Applicant's gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Graund Rough-in Air Test Gas':Test Final Meter Related Items: Meter Size Radio Read Manorneter Staff:, PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154716 Date Issued:04/09/2019 Permit Category:ePermit Site Address: 1628 Oakbrooke Dr Lot:5 Block: 4 Addition: Oakbrooke 4th PID:10-53763-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Thuan Vo 11347 Hastings St Ne Blaine MN 55449 (612) 636-9947 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature