1629 Oakbrooke DrAddress 1629 Oakbrooke Dr ZlP 55122
L.ot ' Blk j Sub
Oakhrooke 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE INAL INSPECT'fON.
Date: ?7 . ?. 6-d Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of wacer supply ro
the outside lawn faucet before freeze potential exisfs.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
Whi1e - City Copy Yellow - Resident Copy Pink - Comrador Copy
p-9u,w
p of Bato
3830 Pitot Knob Road
Eagan MN 55122
PhOn6:(651)675-5675
Fax: (651) 675504
asl95
; ---- -;
? Permi[
? Permit Fee: ?
? ?
3 '
? Dme Received:
I StetF. ?
?----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
?te: ? a(a8 srteaae,?ess: l 6aq Oa?-_brc:x:L 'l?R • -
suite #:
TenaM:
RESIOENT / OWNEA Nama:J R obee_i? Ph«nwis i - ac?ce- 'M1?1
aadress I cdy r ZIP:
ApplzxM is: _ Ownec ? Cmncor
TYPE OP WORK oe?cnon of ?: T??AL o? ??
Construcoon Cost: `i ?00 . Co Multl•Farttiy Builcing: (Yes,_ / No Aj
? License8:
CONTRACTOR Name:
Address: '100
c?r: s?:.?_ za? ?.
Phone:???l'?i7tl•`1?i ContactPeBOn:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A N_EIIY BUILDING
_ Minnesota Rules 7670 Cateaorv 1 _mA^WA Rules 1672
Energy Code • Aeade,rod veimlation Category 1 wodaneet . New Ener9Y COdc waksheet
cmgory Submitted SubmiGetl
(J submission type) • E^e9Y ErnebPe CakWaaau SubniCed .
in me mss 12 mw,n,s, n.s me Ci?r a Easan issuod a permn ror a s+miar pten eaxa oa a master vmn4
lYes _NO if yes. date ard address of master
Licensed Plum6er:
Phone:
Neehenkal Comractw• Phom'
Bewer 8 wuer Contractor: Phone:
t nereDy adknowletlge Mat tlJS iMOrmatlon fs campleDe ariC aearame; Vret the xnrk wiq ba in coMORnarqe wNh ttre adnances aM coCes of OO qry ot
Eagan: that 1 urdwetwd tNS is not a parmit but oNY an 8pOIOOon tor a pdma, and wodc ia not ta;s[art witlwut a permil', dial rtre work wM b0 in
aoCOtdOfMR w+111 the 9pproved pWM1 in tl16 CA88 Ot wOrk wNd1 f@q{ef88 a Rvi8W 811d appWW Of DWu.
x h. U4M MLICA x ? ?A?1^• ?,.,, , ? ?' ?- -
APPneaM's Printed Name pPPlitanYs SigreW?e Pflge i ot 3
Siteaddress: IoAVAaR?bKKp ? iVc Loti BlockJ Subd.oAO"dW5 ?` l'
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.
T This strucNre: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restnctive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater j/
0
Furnace &'5'{} J(flA3' a17 ?/ OW
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bafhroom t ? v- g?
Bathroom 2 ?-w' yi se/ C-)
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oIREC7 A7MOS
I v ta+-???o ?a? an
006
?
-
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements,
t, Aft%"',?'`?
si%
IrYc.
?
qh?)ob
Date
CompanyName
' This form is the responsibility of the General ConVactor.
3 CITYUSEONLY y3-,.9C??
L BL RECEIPT7l:
I? n
SUBD O1?Y00f?OJ RECEIPTDATE: 7- ?*
v'YJG
PERMIT # ?
, 2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD VG{?
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ -
Floor drain 3.00 x 1 = $ -
Gas piping outlet ' minimum - t 3.00 x = $ -
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x =
Lavato 3.00 x
Septic System newirefurmsned requires MPC lic. 7b.00 x
Se tic System abanaonment
30.00
x In
RPZ newinstalletioNrepaidrebuild 30.00 x
Rough opening 1.50 x
Shower 3.00 x
Under round sprinkler ff dwelling is under construction 3.00 x = $
Under round sprinkler if existing dweiling 30.00 x = $
Water closet 3.00 x $
Water heater 3.00 x = $ -
Water softener if dwelling under construetion 5.00 x = $
Water softener Ii existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surohar e .50 -> -> -> $ .50
TOtal $ O -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -------- ----------------------------------- ---------------------------------•-----•------ ----------------------- -----------------
I hereby adcnowledge thet I have read this epplication, state that the infortnetion is corted, and agree to compy with all applipble Cily of Eagan ordinances.
It is the applicanYS responsibility to no[ify the property owner that Me City of Eagan assumes no liebility for any damages caused by the City during its
normal operational and meintenance aGiviGes M the Ydcilities construQed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
`Y'"lo2' o?i2?
TELEPHONE #: 95?
(AREA CODE)
CITY: STATE: IVA ZIP:
SIGNATURE OF PERMITTEE
*?*******************?****?***********?
CITY OF EAGAN
CASHIER: JS TERMTNAL NO: 763
DATE: 09/11/00 TIME: 08:35:06
ID: ,
NAME: BOB SABLE SERVICES
3212 9001 1629 OAKBRKE DR 30.00
2155 9001 1629 OAKBRKE DR 0•50
Total Receipt Amount: 30.50
CR137184
USER ID: JAN
L BL ciTV use oNLv
SUBD.
RECEIPT #:
RECEIPT DATE:-??
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow prevsnter for underground sprinkler system
CIYTlIRFt
EACH !1
TOTAL
Alterations to existing dwelling - minimum fee
Desc(be: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas pipin outlet * minimum - 1 3.00 x = $
Hot tub/Spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ .
Septic S stem newOretvrbisned ' requires MPC Ile. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = S
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwalling under construcUon 5.00 x = $
Water softener if existing dwelling 30.00 X = $ -
Watertumaround 30.00 x $
State Surchar e 50 -> --> -> $ .50
Tatal
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------- ---- ---s--p-te---that----the-------infortnatian-------is ----correct,-------and--------to------------ a----applicable City --------•---- of Eagan o ------------------
-- Z--- I -----
I hereby adcnowledge hat have 2ad thisapplication, agree comply wdh ll mancea.
It is the apphcant's responsibility to notiTy the property owner that the City oT Eagan assumes no lia6ility for any damages caused by the Cily during i[s
normal operational and maintenance adivities to the fagddi9y construgEpd under this permit within City property/righFOf-wayleasement.
SITE ADDRESS:
OWNER NAME: : VV-W TELEPHONE #: (A) I?
INSTALLER NAME: TELEPHONE#: ?/-)
(nREn cooe)
STREET ADDRESS:
,?'_ / ?/^n STATE: ? -- ZIP: ?
CITY: yl?X?/ ?Y?Y?--
SIGNATURE OF PERMITTEE
- ' , CITY USE ONLY
LOT 15 BL ? PERMIT #:
SUBD. O4LjbDYtG' RECEIPT 1t:
qmo q
) -t?d $ 70
REcEIPrnnTE: L -a'i ou
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: `I '13-0 U
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL SD M BTU
• Gas outlets (minimum of one requued @ $3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
.50
$ 39-?
Complete this section onlv if you aze remodeline, addine to, or renairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair
Furnace
_ Air exchanger
CITY OF EAGAN
3830 PIIAT EINOB RD
&AGAN PIId 55122
651-681-4675
_ Other
Air conditioning
Other
Fee
State Surcharge
Total
Reminder: Call for inspections
SITE ADDRESS: 14jr' aq
$ 30.00
.50
$ 30.50
OWNERNAME: `PUJA'_' PHONE#: Cpf5_( - ?'/S?a^S2C)?
INSTALLER NAME: i ? P`I C PHONE f{: ( A CoDE)
6Z-2, - Y941 -0 06 5
(AREA CODE)
srxESr nDD?ss: /??if?/ /?/ci?, 5,
CITY:
STATE: ZIP:
SI NRE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERbiIT (C02MERCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EP,GAN, mN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required tor each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insfatlueg/removlng underground lank, call 651-681-4675 for rnspection by fire marshal and
pfumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x I%_$ (Base Fee)
State surcharge calculate at $.50 For each $1,000 Base Fee
TOTAL
SIT'E ADDRESS:
c
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREV[OUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA WDE)
STATE: ZIP:
,
SIGNATURE OF PERMITTEE
?-_?-- W ? Lt
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crrr or EAwur
3 3830 PILOT KNOB RD - 55122 9 L a .
651•881-4675
C? ?- I 3 ?ilc a
D 3 re"rAd tlte wrveYS fhowinp s4 M1 d W. W.11. of hapi l9 `-jo ? UO
21
an0 S( roo/ed aroat C20?6 rmximum bi coveraae aliowedf
9 2 ooplat d Pki+s (stww bean k wlndow d:ax Doured Ind tleslor etc.)
D 1 set of aneryy ecladctlpu
D J caples d PrenrvCflOn Pim H bt WaMad adtor 7/1/93
DATE: 6 I IJ? c
DESCRIPfION OF WORK:
SiREET ADDRESS: _J b
/
LOT. 6 BLOCK:
2 coples d plm
1 set d arwrgy Cdcudallais tor twahd Gddlloro
1 sile swveY ta exfaAa adtllMOru A tl6ekt
cosr. /20??0-6
in
BUBD./P.I.D. #: 6
Nome• Phone #•
PROPERIY Lad wm
OWNER
Sheet Addresa:
State• Zip:
c:ompanr: A/l fc. ?oVh 45 Phone 0:
(area code) ?l
coNreacroa
Sheet Addresxmaz?&fs ^ ucerse r 1321 e,p,l3ll??°7
CN ? I State: ? Zip: •;-P 0
G1c/eq ?'S
fNCiN ER / ComPanY r7RDY?5 Name:
Telephone 11: ( )
Street Adckesa: Regishaflon #:
citY State: 7Jp:
Sewerhvater 1'icensed plumber (if installina sewerMraler): Nhllt-l / L. &l6JA1R^ Phorre #: ?( / d )/?
1 herebY aeknowledpe Mwt I have read ihk aPPlicalion. atnfe that ihe inlomation k careCt, and apree b carply wilh atl applcable Stafe
af Minnesofu Sfahates and CHy o} Eaqan Ordinancea.
Slpnature of Apptlcant
OFFICE USE ONIY
a
Certificates of Survey Received _ Yes _ No JUN 5
Tree Preservation Plan Received _ Yes _ No -= jnt Required
?v
OFFICE USE ONLY
BUILDING PERMIT 3UBNPE3
0 07 Fountlation O 07 05-plex
A 02 SF Dwelling ? 08 OCrplex
? 03 01 of _ plex O 09 07-plex
? 04 02-piex ? 10 08-plex
0 05 03-plex O 11 laplex
a os oa-pleX a 12 12-plex
WORK TYPE
A 31 New
0 32 Addition
0 33 Alteration
? 34 Repair
O 13 16-plex O 21 Poroh (3-sea.) ? 31 Ext Alt - Muitl
O 77 Garage E3 22 Porch/Addn. (4-sea.) p 33 Ext, AR - SF
O 18 Deck p 23 Poroh (screened) ? 36 Mukf
O 19 Lower Level O 24 Stortn Damage
Plbg Y or_ N O 25 Misceilaneous
O 20 Pool O 30 Accessory Bldg. 17 36 Move Bldg. O 43 Reroof
0 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
C] 42 Demolish (Foundatlon) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Oxupancy Qr,??
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
.
-12 IvD- sq.ft
sq. ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVAL3
Planning Buiiding
?
?
n
-I L-26
sq. ft.
sq.ft.
Footprint sq, ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
-V-"
?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
siw aermit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation
s ' / vvo
?
/n
/o9?
? I 7C? k s`f ?
30 0
S7d? 4 ? d
10 ?q la
??•.?.
96Y
SAC Units
% SAC
5/151VU
Recap
Job# 0320-205-03
AddfBSS: XXX Oakbrooke Drive
LBg81: lot 5 block 3
COmm: Oakbrooke SF
OWn6rS: James and Laura Roberts
Phone #: 651-683-0601
AKBROOK SINGLE FAMILY O
Quantity Option Description
#
1 18231 ? aASEHOUSE
1 LOT PREMIUM
1 11012 FUILBASEMENT - WALK OUT
--22015- THREE CAR GARAGE;
1 16000 CONCRETE PATIO
1 - 18039- ELEVATION-N4 ;
1 20035 UPG. ROOF SHINGLES
1 22025 GARAGE DR OPENER12 CONTRLS
1 21021 GASFIREPLACE - CERAMIC W/WOOD
1 25000 DBLE. 1NTERIOR DOOR
1 25012 6 PANEL OAK MAIN FLOOR
1 25013 6 PANEL OAK 2ND FLOOR
1 14007 1ST CARPET PAD UPGRADE
1 14160 3RD CARPET UPGRADE
1 15032 VINYL UPG.#1-IAUNDRY
1 15082 CERAMIC TILE BATH #2
1 40038 OAK FLOOR FOYER
1 40040 OAK FLOOR BATH #3
1 40049 OAK FLOOR KITCH. 8 DINETTE
'I 100$0 UPGRADE DISHWASHER
1 10055 SPACEMKR MICROWAVE
1 10102 PROFILE REFRIGERATOR
1 28046 UPGRADE CABN'TS R'SD P'NL
1 28057 42 UPPERS - SQ RAISED PANEL
1 29006 CAST IRON KITCHEN SINK
1 13021 BRASS TRIM BATH
1 13077 WHIRLPOOLTUB
1 31001 LAUNDRY CABINETS - BASE
1 31011 LAUNDRY TUB SNGL COMPRTMNT
'I 23007 3 TON AIR CONDITIONER
1 32023 SECURITY SYSTEM - BASMT
1 36038 WATER SOFTENER
3 32020 ADD'L PHONE JACK
4 32012 T.V. JACK-CABLE READY
5 17024 CEILING ELECTRIC OPENING
1 99592 BASE PRICE REDUCTION
rli?7-28-2e70 e9 ? 03 P. a2, r,3
MNchack COMELIT.NCE REPORT _-- _---
Minneeota Bnergy Code Permir. »
MNCheck Software Vereipn 3.0
Check?3 ?y/[,}te
COUNTY: Dakota
STATE: Minneaota
ZOtdE : 2
C?JNSTaUCTIpN TYPB: Sirigle PBmily
DATE: 3-28-2000
DATE CF PLANS: 3(28/00
TITLE: 9HEFFIELD 4BR W/O EL. #2
COMPLTANCE: PASSE3
Reguired UA = 569
Your Home ? 429
24.6t BettaT Than Code
Ax'oa or Cavity Cont. Olaziny/noor
Fez'imeteY R-Value
" - R-Value
--------- T.7-Value
-----.-------
---___-?-------------?----?-----------------
CEILINGS 1176 --^---
44.0 0.0
WAr.LS: wood Frame, 16'? ?.C. 2772 19.0 2.0 1
WALLS: Wood Frame, 16" O.C. 29D 10.0 2.0
BSMT: Conc. 9.0' ht/8.3' bg/9.0' insul '736 11.0 0.0
GLAZINp: W1ndOwB ox DOOY'B, AbOVe C3Y8dA 460 0.35G 1
Dppgg 38 G.35G
FLOORS: Over Out9lde Air 84 38.0 2.0
HVAC EQUIPMENT: Furnace, 9?.0 AFU&
--
-
'--------
--------
----------?---
?^
..-`-----------------------------------
CqMPLIANCE 3TAT&MENT: The proposed building dasign d escribad here ??
?onsistient wi:h the building plana, epecific ations, a nd othar caL?uleticns
submitted wit:? tha permit application. The proposed building hae baer,
requirementa of the Min
deaignad to meet t neeota Energy Code.
? ?
Builder/Designer J Date _?_
;
ti
n
N
?
W
?
C
0
O
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?
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v? ?
V? ?
y/ ? ?
0
4? ?
0 0
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lor 5Z-?vuY 3
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permd Applicant
• Legal descripOon
• Address
• North arrow and sple
• House type (rambler, walkout, split w/o, split entry, laokout, etc.)
• Directional drainage artovrs wdh slope/gradient %
• Proposed/ewsting sewer and water services & inveR elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
rY o ?
p/ ? ?
V ? ?
? ry ?
? r? ?
• Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Elevatlons of any epsting adjacent homes
Adequate footlng depth of sVUCtures due to adjacent utility Venches
Prooosed
W/C ? • Garage floor
P/o a • Firstfloor
Vo? • Lowest exposed elevatlon (walkouUwindow)
V ? • Property corners
? • Front and rear of home at the foundaUon
PONDING AREA (if apolipWe
w/? ? • Easementline
d ? ? • trwL
d o ? • HWL
ry ? ?' • Pond # designaGon
o ?t/? • Emergency Overflow ElevaEon
DIMENSIONS
wl? ? ? Lot lineslBearings 8 dimensions
? ? Right-af-way and street width (to back of curb)
c,? ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVudures requiring permanent footings)
o ? • Shaw all easements of record and any Cily utiliGes within those easements
v?,? • Setbacks of proposed structure and sideyard setback of adjacent epsting sVUdures
? P/ ? • Retaining wall requirements, if any -.01 1-? ?
Reviewed:
AAarch 1968
auIMLoavnnir.FM
.. Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 5, Block 3, OAKBROOKE 4TH ADDITION, City of Eogon, Dokota County, Minnsoto ond
reserving eosements of record.
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?v
L0T SQ. F00TAGE
HSE. SQ. FOOTA05
LOT COVERAGE _
?
v
38 \\??
? .
\
= 15,3 72
= 1,819
12%
\
Q cR,
aQ
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6
?$
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?4s!.
1a7¢
Ssz- T
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Plan 111 18231
PROPOSED ELEVATIONS
Top of Foundation =141,0
Goroge Floor =944.b
Basement Floor =13S10
Aprox. Sewer 5ervice = 931 .9t
Proposed Elev. _ <:?D
Existing Elev.
Drainage Directions = -
Denotes Offset Stoke = •
SLA1,E: 1 inch - 30 feet
BENCHMARK,
-TNH(d34 3
Eleq= 949 49
MIN. SETBACK REQUfREMENTS
Front -25 House Side -
Reor -15 Garoge Side-
JOB N0:
HEDL?lND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTO7ION OOR-Z
OF iHE BDUNDARIES OF THE ABOVE DESCRIBED PROPER7v AS SURVEYEO
BY ME OR UNDER MV DIRECi SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NC 6NC/Nd6R/NC SURV6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT A$MOWN.
2005 Pin Ook Drive A``
Eagon, MN 55122 DATE ??+' CAD FILE:
Phone: (651) 405-6600 R D. LINDC EN, LAN URVEYOR
Fox: (651) 405-6606 N TA LICENSE NUMB 25W 14376 OAKBROOKE
pFr_F?uED Jur? 132000
73aa?
zoos RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
30-6-D
r /
Date
Site Street Address ?e[ 6 rao /'l P Dr'. Unit #
Property Owner A ?-2'- ? Telephone # C760 ?
??c-' rli. Telephone#(?jj)
Contractor liDn ?r?G.a //?r,?„a?S
?
Address ?o fif / 77' / City,?/?i S? State_d±?,_ Zip S3
The Applicant is: _ Owner #Contractor _Other.
New Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are /nstalling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instailing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5!8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ KPVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Pertnit and acknowledge that the information is complete and accurate; that tne
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to st ithout a permit and work will be in
accordance with the approved plan in the event a plan is required to and a roved.
?AA-
ApplicanYs Printed Name Ap nYs ig ure
Use BLUE or BLACK Ink
For Office Use I
V®q I Permit CJ I
City of Eakan F~ `10,6
SAN 3 ~ I Permit Fee: 6C)
3830 Pilot Knob Road I I
"~U"I Z I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I(L I
Staff:
Fax: (651) 675-5694
l 2012 MECHANICAL PERMIT APPLICATION
Date: 2- Site Address: 1 RQ("1 (~Lr xLz
Tenant: b,_ -4~ ~0-f ( R-~ Y~ Suite M
RESIDENT / OWNER Name: `t Phone: (D!1~" e~ n( n - URL01
Address/ City/ Zip: \ a3 oa
Name: BURNSVII I F WFATING & A/C. INC. License t--k 1 -113
Address: 3451 W. Burnsville Parkway City: Safte 120
CONTRACTOR
State: ZiBurnsville, MN 55337 Phone: "IJ 4 in
- ~1 r
Contact: Y-u Email:
New X Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: N C_:>J~J
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
PERMIT TYPE Air Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 0./ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aooherstateonecall.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 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
zn-,"L~Yv-A x
App icant's Printed-Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening
----------------i
For Office Use y~ I
City Permit
4jr of Eatan ~``v ® I Permit Fee: w~ I
3830 Pilot Knob Road 1 1 -2-2-1-
I f Z I
Eagan MN 55122 F i Date Received: 1
Phone: (651) 675-5675 1 staff: j
Fax: (651) 675-5694 1 -
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: aF Site Address: 1~caq 0QKhr0CA<e. 'br.
Tenant: Jw ~DDR Suite
Name: L. amps Phone: Q51. & - 4 2 o
RESIDENT /OWNER
Address / City / Zip: lkozq OOcxxkca))I~L Dr.
Name: Applir moo Imatailers of MN, Inc. License 524S 04
14105 Rutgers :St. NE
Address: prior City.
CONTRACTOR ,
State: Zip: Phone: "1~~4 • $ ~y'
Contact: Email:
TYPE OF WORK - New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
i RESIDENTIAL
(
Water Heater
Water Softener
Lawn Irrigation L_ RPZ PVB)
PERMIT TYPE Septic System Add Plumbing Fixtures C_ Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'" (includes $5.00 State Surcharge)
"Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 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.orci
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 approv I of plans.
x G a cllr2 mzkh x
Applicant's Printed Name Applica s Si n ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123415
Date Issued:06/06/2014
Permit Category:ePermit
Site Address: 1629 Oakbrooke Dr
Lot:5 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
James A Roberts
1629 Oakbrooke Dr
Eagan MN 55122
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Us,City , j r/ CC
4*fr Permit [.(�� oy I
U� � Permit Fee: I 41
3830 Pilot Knob Road I t M
Eagan MN 55122 I ECE ED Date Received:
Phone:(651)675-5675 , I
buildinoinspections@citvofeagan.com AUG 0 8 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION C—'
Date: 8/7/17 Site Address: 1629 OakBrooke Dr. Eagan, MNUnit#: o ` l
Name: Marcy McHenry Phone:
Resident/ 1629 Oak Brooke Dr. Ea an 55122
owner Address/City/Zip: g
Applicant is: Owner Contractor
Type of Work
Description of work: Basement finish(2 beds, 1 bath, living room, mech room)
Construction Cost: 35,000 Multi-Family Building:(Yes /No X )
Company: Blue Ocean Properties LLC Contact: Jake Grothe
Contractor
Address: 870 mendakota ct cry: mendota heights
State: mn Zip: 55120 Phone: 6125983341 Email:jakegrothe@gmail.com
License#: BC682879 Lead Certificate#: NAT-F147056-1
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 yea submit are considered to be pubic information. PortiOns of the
information may be classified as non-public if You ProvidesPeci110 reasons that would permit the City to include that�'
aretradesecr+ _ -
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
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.
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.gooherstateonecall.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 t art 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
xJake Grothe XY _
Applicant's Printed Name A.t mss Signature
Page 1 of 3
L( 1 r (4r q
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Isa,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 0 Occupancy v ,�` MCES System
Plan Review Code Edition ,, ., ,, 4 '' SAC Units
(25%_100%1,1 Zoning { City Water
Census Code Stories Booster Pump
#of Units 1 Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VD Width
REQUIRED INSPECTIONS
Footings(New Build ng) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) X Final/No C.O.Required
Foundation Foundation Before Backfill X 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
fInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
7s Shower Pan Other:
Reviewed By: \ ,Building Inspector
RESIDENTIAL FEES
Base Fee
SurchargeI ,(./
Plan Review t-' " 1
MCES SAC
City SAC
Utility Connection C arge
S&W Permit&Surch=rge /"`
� �
Treatment Plant i ' , l (. 0 0
Copies ( v
OTAL
Page 2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145236
Date Issued:08/30/2017
Permit Category:ePermit
Site Address: 1629 Oakbrooke Dr
Lot:5 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 (miscellaneous)$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 -
Jacob D Mchenry
1629 Oakbrooke Dr
Eagan MN 55122
Visionary Plumbing
7198 Hidden Valley Cove S
Cottage Grove MN 55016
(651) 769-9267
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163347
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 1629 Oakbrooke Dr
Lot:5 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jacob D Mchenry
1629 Oakbrooke Dr
Eagan MN 55122
(612) 849-8082
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163372
Date Issued:08/28/2020
Permit Category:ePermit
Site Address: 1629 Oakbrooke Dr
Lot:5 Block: 3 Addition: Oakbrooke 4th
PID:10-53763-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jacob D Mchenry
1629 Oakbrooke Dr
Eagan MN 55122
(651) 503-6411
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature