Loading...
1633 Oakbrooke DrRESIDENTIAL . ` " BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ? ? ? ? ? 657-681-4675 NewComWctionReauiremeMS RemodeURaoairReoufremeMe m"/?- • 3 regrstered site surveys slwwing sq, k. of lot, sq. tt. of Iwuse; and all roofed areas . 2 copies of plan b --y-I - C) (20% marimum lol coverage allawed) . 1 set af Energy Calalations for heated addNOns . 2 copies of plan showing beam 8 window s¢es; pou2d found design, etc.) . 7 sRe survey for extenor addifions & decks • 1 set of Enefgy Calculations • Indicete if hame served by seplic system for additions . 3 copies af Tree Preservahon Plan if lol platled after 7/1193 • Rim Joisl Detail Options seledian sheet (61dgs with 3 w less units) DATE 6 Ck '" 6 VALUATIO? JOB SITE ADDRESS A 33 11b-, / A_ IF MULTI-FAMILY BUILDING, F?????M nY UNITS? PROPERTY OWNER Jeo I TYPE OF APPLICANT ADDRESS PAGER # # 65?1 ?Y?yp? F??x # ?? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Condirioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Appiicant FIREPLACE(S) _ 0 _ 1 _ 2 (,?e PHONE# GI?` 0010 I133 W°'? ZIPCODE SS P-?- Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # ree: $70.00 Phone to Certificates of Survey Received _ Tree Preservation Plan I?e?eive'a _ Not Required _ V Updated 1l01 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 04 02-plex ? 10 08-plex ,W 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ?31New ? ? 32 Addition ? ? 33 Alteration ? ? 34 Replacement dd Valuation ?DDOI Census Code SAC Units Nbr. of Units ? Nbr, of Bidgs Type of Const ?6 ys em City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By 11?9 , Building Inspector Base Fee C,.U 0 Surcharge 1, C) ? Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ccupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addiuon) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation ? 30 Accessory Bldg ? 31 Ext. Alt - Multi O 33 Ext. Alt - SF ? 36 Multi 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bidg only) - Give PCA handout to applicant O A?),3 MC/ES S t FinallC.O. ?J FinaUNo C.O. _ Plumbing HVAC Address tF3z nnunupniCF nurnU Zip 551'L? IAt 3 $Ik 3 SUb OAKBRUOKE 4TA THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL 1NSPECTION. Date: I•/ Z• D/ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) vl? Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Ptease verify wit6 [he buildet the temoval of roof test caps from the plumbing system and the shutoff of water supply to ihe outside lawn faucet befo[e ftee2e potenGal exists. Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White • City Copy Yellow - Resident Copy Pink - Contractor Copy Siteaddress; 1030AXPzlhbK? Loto_3 81ock?_ SUbd.Ofl Www On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. This structure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR L/ This sWcWre: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE WaterHeater ? f14A J 3. Fumace v 6r 33O A 03060 !il'020 Wei- Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES ao Kitchen kitchen Se?1C Bathroom 1 ? 14 ? v-0 1/ Q 86 bl Bathroom 2 Fl STv ?1 ? ' O.? V a b Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFAC7URER MODEL BTU'S VENTING oiaECr arMas i) ? Hc-44 ow ciZj o - a)oao t/ MAKE•UP AIR MODEL TYPE CFM's I hereby acknowledge that ihe above information is wrrect and agree to comply with ihe Minnesota Energy Code and City of Eagan requirements. G njtig? S?Utul7e Arnrt CompanyName V12-lob Date ' This form is the responsibility of the General Contractor. PERMIT # ? i ?lq 105 RECEIPT DATE: I ^ ,3'V 0 RESIDEPTIAL PLUM$IN6 PERMIT !lPPLICi4TION crrYoFFAs,arr 3830 Pnor xxos sn EAsM. nfx 55122 651-681-4675 Please complete for: SITE ADDRESS: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system OWNER NAME: : _fa?? TELEPHONE #: ?o_ y (AREA CODE) INSTALLER NAME: TELEPHONE #: ?? 5.??(O Sv2? STREET ADDRESS: n (AREA CODE) S?J Y? (Y CITY: ? STATE: iVGl. ZIP: Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnar nd Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ S-71- Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I herebyacknowledge ihat I have read this applicaGOn, state that the informafion is correct, and agree to complywith all applirable Cityof Eagan ordinances. It is the applicant's rasponsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City duAng ils normal operational and maintenance achwties to the facilities conshucted under this permit?ithm itypropertylright-of-w leasement. i SIGNATURE OF PERMITTEE Updated 1/01 CITY USE ONLY L ?_ BL ? rf RECEIPT#: SUBD • (In1n??8?p ?`?in ' RECEIPTDATE: aeannira 2000 PLI]MBING PERMIT (RESIDENTIAL) / CITY OE EAGAN ? ? 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single tamily dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # iTi} rI I Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = g Floor drain 3.00 x = $ 3- Gas piping outlet ` minimum - t 3.00 x = $ 3 l- Hot tub/spa 3 00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ &j Lavatory 3.00 x = $ -- Septic System new/refurbished • requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x Underground sprinkler rf dweliirrg is under cansbuction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x Water softener if dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x $ Stafe Suroharge 50 -> ---> --> $ .50 Total --> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------- ---------------------------------- -------------- ----- --------------------- ------------------------- - I hereby acknowledge that f heve read this applicatibn, state that the infortnation is correct, and agree ta comply with all applica6le City of Eagan ordinances. It is the applicanPs responsihili[y to notiry the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City durirg its normal operetional and maintenance ac[rvRies to the facil@ies constructed undar this permit within City propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: L STREET ADDRESS: 6UU / I.?G d?-?? d?/.?Y CITY: J(JO?AA? TELEPHONE #: (AREA CODE) TELEPHONE #: ' 4 ? JI/cl)I (AREA COOE) STA ZIP: SIGNATURE OF CITY USE ONLY LGT- V BL SUBD. ? PERMIT#: X "` '.` ")7 7 RECEIPT #: RECEIPT DATE: I I` ;'() n 2000 MECRANICALI. P£RbIIT (ftE.SIDENTIihL) , crrY oF Ensm . s$so Pu.or Kxos Rn EALs,axMxssizE e51-681-4675 Date: Complete this section onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occuaied. . HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU °•"" • Gas outlets (minimum of one required @$3.00 ea.) 3' State Surcharge .50 Total $ 3'?''T .., . . , ., . . . I Complete this section onlv if you aze remodelinQ, adding ta, or re"placinp an exisring single-Family dwelling, ' townhome, or condo. Please indicate if it is a new item, alterarion, or replacement. 4 _ New _ Replacement Furnace _ Air exchanger Other Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder: Cal! for fina! inspection. SITE ADDRESS: lL 33 ci OWNERNAME: Qv?'tC ?dYvx.-s PHONE#:_92_- U50_5aod (?REA CODE) INSTALLER NAME: PHONE #: 7?a "7-"-- (pREA CODE) , srxEET AnDxEss: ???[ & l 12{n o I.e SCITY: S. STATE: ZIP:. 1 / ? I 'i% jG > CITY USE ONLY L _ BL _ SUBD. APPROVED BY: , INSPECTOR PERMIT#: _ - - - -RECEIPT#: _, RECEIPT DATE: 2000 MECiiikNICAL i'£R14I1T'(C0WN£RCL4L) CffYOF EAGM 3$30 PILOT KNOB fiD f.A6M. MN 55188 651-6$1-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit , ., . . DATE: °- - - WORK TYPE: New coashuction Insbll U.G. Tank _ Incerior Improvement _ kemove U.U. lank _ Procased Piping ' 07ten insralling/removing underground tank, call 651-68I-4675 for inspection by fire marskal and plumbing inspector. Description of wotk: -. . . . _ _ ... . . .,,_. . , , ., _. , . . . ? ... . - .-.-....., _. - - , , . . . Fees: 19'0 of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installauoR' minimum fee.: ' _ _. _ . ._ , .. . . Contract price: $ x l%= $ (Base Fee) „ Srate surcharge calculate at $.50 for each $1,000 Base ee TOTAL $ S1TE ADDRESS: OWNERNAME: PHONE#: - (pRFA CODE) TENANT NAME (MIPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: . PHONE#: (AREA CODE) , C1TY: STAT'E: ZIP: . SIGNATURE OF PERMITTEE Citu o( Eagan Qash Receipt Receipt Date 10/4f80 Eioe Frinted 14:39:36 Receipt iduo6er 1194 F'tIL TE MHSTER 8UIL6ER 1,43 3 OAKBROOKE Dk 9225.4688 848.01 ei' 43187 9228.4587 50.00 EF 430$'e 9221.4589 114.00 8P 43867 9226.4865 492.08 BP 43087 9101.2145 61.e0 BP 43087 41120.4532 50.9l8 8P 43887 9091.4244 11.69 BF §3887 ' 9226.2275 1,884.00 ' RF' 43087 +.otal Receipt Nmount 4,679.97 Usae HMCGRRlO City o# Eagan Cash Receipt 9001.4222 726.02 BF 43087 9379.4681 100.00 BF 430$7, 9001.4885 I,116.95 9F 43687 9210.2252 30.00 BP 430$; M .1 tOS31 4'ei eli'S HI?OU1'!L ?,ofY.Y? iJsqY EMCt;Rfit; ) 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' '?\ 3830 PILOT KNOB RDN 55122 4 v 651.681-4675 J New Conatructfon Recuirementa RemodellReoafr Reaufremenls > 3 regfateled?31e wrveYS ahowing sq. H. oi loi, sA. tt. oi house antl Q rooted areas (2076 mmcimum lot coveraae.allowed) ? 2 coples of plans (ahow beam & wfndow aizes; poured Md. design; eM.) ? 1 sat ol energy-calculaNons ? 3 coplea of ee p urvalfon plan N bt platted aRer 7/t/93 DATE: Rb D DESCRIPTION OF WORK: 5fREET ADDRESS: 2 copiBS of plan 1 aef W energy calculaliau 1or heated addiMOns 1 sHe wrvey lor exfedor atlqMons & decka CONSTRUCTION COST: / C202-20 Ii multi-famity bldg., how many units? LOT: 3 BLOCK: 3 SUBD./P.I.D. Y: O??B tTw?l ? ??? Name: Phone #: PROPERiY Last First OWNER STreet Address: CiN CONTRACTOR ARCHITECT/ ENGJNEER State: Zlp: Company: AU ITe- Tl??'tiJP,.S' Phone 11: / -?'? J? (area code) Street Address: License M/,39/Expl CiN ''9" yz, State: Zip- 0 ComPany: S-Mr- 4S/y ??AS, Name: Telephone #: ( Sheef Address: RegisMation #: Ci1y Stafe: Zlp: Sewerlwater licensed plumber (if instalfins? sewerlwaier): U 1T )I?YAL Z09 Phone #: 1I 1 hereby ockrawledge fhaf 1 hrne read this application, slate that fhe information Is conecf, and agrea to comply with all applicable State of Minnesota Statuies and Cily of Eagan Ord'mances. ? Certificates of Survey Received _ )Yes Tree Preservation Plan Received _ Yes Signature o( Applicant: OFFICE USE ONLY No d Str u 3 2000 _ No _ Not Required ?7 OFFICE USE ONLY , BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dweliing ? OS O6-plex 03 01 ,of _ plex ? 09 07-piex O 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10.plex ? 06 04-plex ? 12 12-plex WORK TYPE of 31 New ? 32 Addition ? 33 Alteration ? 34 Repair , ? 13 16-plex O 21 Poroh (3-sea.) ? 31 Ext. Alt - Multl ? 17 Garage ? 22 Poreh/Addn. (4-sea.) ? ?3 Ext Att - SF 0 18 Deck ? 23 Poroh (sCreened) ?'36 MuRi ? 19 Lower Levei ? 24 Storm Damage F4bg Yor_N ? 25 Miscellaneous ' O 20 Pool ? 30 Accessory Bidg. ? 36 Move Stdg. ? 43 Reroof ? 37 Demolish (Bldg)• ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demofish (Foundatian) 0 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAI INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) S -A) (Ailowable) ? UBC Occupancy 9:2 Zoning # of Stories ? sq. ft. Length sq.ft. Width ? Footprint sq. ft. Basement sq. ft. °- Census Code Main level sq. ft. i0 Q?. MGES System d"`?e?e-(sq. ft. _/o i a City Water GA,A,t?4b sq. ft. Y6.2 Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? Engineering Variance . Permit Fee - Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. a?L ? v? l Water Meter Acct. Deposii S?f ? S?Ir 6?? S/W Permit S/W Surcharge Treatment PI. T' 6 Park Ded. Traiis Ded, Other Copies Tacai: ?-l G SAC Units % SAC C° / )JJ n H ) w (Z L? 0 O O ? ? 5V?< ? 0 ? ? ? ? ? ? 0 ? ? ? ? o Vo ? 0 ? ? ? ? ?o 0 ? e?a DOCUMENTSTANDARDS • Registered Land Surveyor signature and campany • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, splitw/o, sp4t entry, lookout, etc.) • Directonal drainage arrows wRh slope/gradient % • Proposedlexisdng sewer and water services & inveR devation • Streetname • Drrveway • Lot Square Footage • Lot Coverage ELEVATIONS Ewstina • Sewer service (or Proposed) • Praperty corners • Top of curb at the driveway • ElevaGons of any eristing adjacent homes Adequate foating depfh of struclures due to adjacent utility trenches ? Prooosed ra' ? ? • Garage floor m/o ? • First floar m? ? o • Lowest exposed elevation (walkouUwindow) ? ? ? • Property corners ?? ? • Front and rear of home at the foundation PONDING AREA (if aootlcable) m/ ? ? • Easementlfne ¢/ ? ? • NWL a ? • HWL m/? ? • Pond # designation a w? • Emergency Overflow Elevation DIMENSIONS ? o ? Lot IineslBearings & chmensions ? Right-of-way and street width (to back of curb) v? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all sUuctures requiring permanentfootings) a?/o o • Show all easements of record and any Cily u0lides witFiin those easemeMs d o ? • Setbacka of proposed structure and sideyard setback of adjacent ebs6ng strudur? ? m/ ? • Retaining wali requirements, if any ? Reviewed: ??/0JZ'O? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: Zdf ¢TH //? /r DATE OF SURVEY'. LATEST REVISION: March 1988 CqqkiRLLOPRMf,FM 71RR-28-2000 09 :03 P.02/ 03 t+IDTcheck COMPLIANCE REPORT Minneeota 8nergY Code NlNCheck Softwar0 Varpipn 3.0 FarmiC Checked by Dats COUNTY: Dakota STATE: Minnesota 20NE: 2 C'ONSTRIICT2JN TYPE: Single Pamily AATE: 3-28-2000 DATE GF PLANS: 3i28/00 TITLE: 9HEPFISLD 4BR w/O EL. #Z COMPLTANCE: PASSES RCquired UA = 569 Your I4ome = 429 24.6t Satter Than code Area oY Cavity Cont. C3lazing/Door Perimeter R-Value R-Valv.e TJ-Value ------- 1176 44.0 0.0 CEILING3 WALLS: Woosi Frame, 16" O.C. 2772 19.0 2-0 WALLS: Wooa Frame, 16" O.C. 290 10.0 0 11 2•0 0 0 BSMT: Conc. 9.0' ht/8.3' bg/9.0' insul 736 . . 0 350 GLAZING: windows or poors, Above arada 43B . 350 0 DOORS FLOORB: Ovar Outsirie Air 84 38.0 . 2.0 HYAC EQUIPMENT: Furriace, 92.0 AFUE -------------- --------------------------------------------------- COMPLIANCE STAT8ME+7T: The proposed building design deecribed 'nere ie ccatlsisteat with Lhe bu'-lding plans, epecifioatioue, and other calculations submitted with the permit apglication. The pz'oposed building has baen deaigned to meet the raquirements of the Mitineeota Energy Code. Euiider/Demigr,er Date ? 03 ' CHANGE 4RDER CONTRACT Pulte Homes of Minnesota Corporation 1355 MENDOTA HEIGHTS ROAD, SUITE 300 MENDOTA HEIGHTS, MN 55720.1112 PHONE: (651) 452-52D0 FAX (651) 452-5727 CONTAACTOR/SUPPLIER: tti JOB NO. -a3 0 _ / c?:)-g?3 la-s LEGqL DESCRIPTION: LOT ? BLOCK ?3 UPQI' coMMwwn: r iu l(Xr]`4/ aoomorr: BURDINGADORESS: ?7?H'JWT?j )/1JOwC(TY: CC. STA7E ? MODELWWiE: ??DELNUMBEH: ELEVA710N: GARAGE: LEFT PoGHT BWEF35NPME(5): c'57. pATEOFORDQt -ZO k CURRENTADDRE55; CffY- !??MLIYCAIA STAT? n O-W -3'C HCMEPHONE: ?y "?V??I? BUSINESSPHONE?_C??5S? BUSWESSPHONE: SALESREPRESENTATNE , /? YY/ CIUWCEORDEftFEE: YES OR& . PREVIQUS J.I.O.OR CHANGE OROER: . RK16?=, # `# TOTAL: IS : QTYw'-. xJ€ ! I c?s Lc u - C? GJ o f '? i ?rn. Cl'?es W ? eh [R 71X? ? - - ? oc?--T:: > (A n e 7 -=-3 - 1 L324?Z ` I 3g C? ? 1175-1 ? ----------- v ?VLu? 3viiders license #0007371 TOTAL APPROVED BY BUYER' APPROVED BY SUP $DENT: l?Gs'h W06- of 12 APPROVED BY SALES: This constitutes a contrad befwesn ihe Selier and the Purchaser(s) (or the above iiems. CHAPulte Homes of bAo Minnesota Corporation 7355 MENDOTA HEIGHTS ROAD, SUITE 300 MENDOTA HEIGHTS, MN 55120.1112 PHONE: (657) 452-5200 FAX (651) 452-5727 JOB NO. V Cm"lT`!: ? BUILDING ADORESS: MODEL NAME: ?E ORDER CQNTRACT r? 't 7 CONTRAG70R/SUPPUER: ! ? O i! vv LEG/LL. DESCAIPTION: l0T <.l BLOqC 3? UWT ADOrtiON: O? ? . CITY: STATE: 21P: EI.EVATION: GMAGE l, }EF/T RIGHT ? ? ILJ L ! BWERS NAME(Sy: V DATEOFORDEFt ?• IL 'Dl! CURftENTADORE55? Cftt: STATE• ZIP: HCME PHONE: BUSINESS PHONE: BUSINE55 PHONE: SALESREPRESENTATNEi? C}UWGEORDERFEE: YES OR NO PREVIOUS J.l.O. OR CNANGE ORDER: RRICE5g:k+: # TOTAL: ,.QTY? OPTiONe#: 5 - l? ZZ ' Cc 3 1 g90 d ro?- w o00 o2-8 t? ff o 8 Z Z ?SL?-?.S C- ? Cc, zlo ? ? Z -CXj-t C - "I-e W CAC?s " ? ` ( 70Z'?, D&&& a i ?e rt? g APPROVED BY BUYER: 7? MasterBuild r APPROVED BY SUPERINT yE DENT: ? e _ APPftOVED BY SALES: 3uilders License #0001371 This constdutes a contract tretween the Seller and the JV`~ " OV?OTAL ? ? . ? the above items. > 1r JOB INITIATION ORDER _m ? Pnlte Homes of Minnesota Corporation CONTRACTOR/SUPPLIER; ' 1355 Mendofa Heights Road, Suite 300 Mendoha Heights, MN 55120-1112 Phone: (651)452-5200 Fax: (651)452-5727 JOB NO. 0320 ?PR 1 03 LEGAL DESCRIPTION: CoMnnuNiTV: Oakbrooke SF ADDITION: 4-oci BUILDING ADDRESS: ?c7j. --?D CITY MODEL NAME: MODEL NUMBER: CK?i?L BUYER'S NAME: CURRENTADDRESS: M Rqp,„QJq,/l?O CITY: HOME PHONE: -7Ip7j-5cj,?-I'Dlo7BUSINESS PHONE: 1'2-1 SALE5 REPRESENTATIVE J l0T 03 BLOCK 03 UNR ? Eagan STATE: MN ZlP: 55104 ELEVATION: 1 GARAGE: LEFf RIGHT r ? DATE OF ORDER: DO STATE: " ZIP: cou"_ BUSINESS PHONE: 1 0.000 BASE PRICE GI` --- LOT PREMIUM 16 O O ELEVATION # f S c•f 2 TOTAL 1 Builder's License #0001371 APPROVED BY BUYER(S): APPROVED BY SALES: ° RELEASED TO START CONST.: This constitutes a contract between the ?3?? 9b C 1C1- _ EQUAL HOUSING T" OPPORTUNITY the above items . ?? CHANGE ORDER CONTRACT Pulte Homes of Minnesota Corporation CONTRACTOWSUPPUER: 1355 Mendota Heighls Road, Suita 300 ? •' Mendota Heights, MN 55120-1172 - Phone: (651)452-5200 Fax: (651)452-5727 Jpgryp_ U J ZC) , 2 o 3 , 03 LE6ALDESCRIPTION: LOT /??. ?./J BLOCK v UNR CIXV61UN1TY: ??.y ? ADOITION: _ ?? 0/' /--t-d'L BUILDIN6ADDRE55?• I?( p?.L??±SQ .?( L?II'?. CYfY: ?'- STATE:__ LP. S??- Z MODEL ? ?» MODEI NUMBER: / `yZ ELEVATION: _ OAHAGE: L FT R16HT BUYER'S NAME: DATE OF ORDER: 7/19 v0c? CURRENTADORESS?: 7oC.?/ c? • Q.S C?7yQ? STATE:? ZIP; ? C1C? MOME PHONE: ?/ O' ?F? OQ?02 USINESS PHONE: • S(?JS BVSINE55 PHOPJE: SALES REPflESENTATIVE y :22M I 0000 BASE PRICE ? ? - 6 Z ? RRICE-.;.?: o:?* 996 - - - - LOT PREMIUM 5= ELEVATION# $77S ax) o J? ag APPROVED BY BUYER (5): APPROVED BY SALES: RELEASED TO START CONST.: TOTAL a2 21-4 l OUAL IIOUSitIG OPPOftTUllil't 8uilder's License 90007371 This constitutes a coniract between the Seiler and the Purchaser(s) tor the above items. ` SZ,crveyor's Certificate SURVEY FOR PuLrE DESCRIBED AS : Lot 3, 81ock 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dakoto County, Minnesoto and raserving easements of record. 925,8 6? R L;zp , 0 , ?y L`?f'- 25 I)ate - ? ? WETLAND ? E?,x?.N ENGINEE?NG DEP'r NWL=926A ? -- H'NL=9267 `. ?,hi? \`? ?•. \ \ 5 ? \ 990. ? .\ y9 Ezlst. Home ?8 ' . TOB=949.9 2i9• 9\ \\ \ o 9?9 4+ ? > \ 990 \\ \0? so ??4 450 \\ ?OO .4O r 99 L 0 T HSE SQ. FO 0TA GE SQ FOOTAGE = 16,311 8 . . = 1, 01 LOT COVERAGE = 19% 0 Plan # 18231 PROPOSED ELEVATIONS Top of Foundation = qsi,o Garage FIOOr = 950.b Basement Floor =qa2,o Aprox. Sewer Service = 935.5'_ Proposed Elev. _ (:=-D Existing Elev. _ Drainage Directions = Denotes Offset 5take = . HEDLLlND PLANNlNC BNCIN6ER1NC SURVBYING 2005 Pin Oak Drive Eagan, MN 55122 Phona: (651) 405-6600 Fax : (651) 405-6606 ?LAFUa?? .? .?,. BENCHMARK, TNM6) 113 EIeJ = Q45. 03 MIN. SETBACK REQUIREMENTS Front-25 House Side - scnLe: i inon = 30 feet Rear -15 Garage Side - I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNOER MY DIftECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. N0: OOR-479 DATE U49FFFWY D. LINDGREN, LFWD SURVEYOR MINNESOTA LICENSE NUMBER 14376 ? inIC!^CI1lCf'1 rr? ? 6 7(1(lfl CAD FILE: d OAk6R00KE 111 v?I .-... ..,_. ?un.iy.ceni in:i5rn ?ic rccb Uu?i5 nU.eya FRCTi : Oakbruoke5E FRX. tM]. : 6516862948 Ian. 15 2002 65:WM P2 SURVEY FOR auLn ' OE'SCRIBED AS : a a 3, 0;y6 ;3. oA"A00NJ 'M a0011M. Glq ct Ecpn, ue4a?e ceunil uwnnaie ?m' o N? Noase to?n?'?r' a•.?d P,?ds /1l1.) Lodkauc reccC? e?, )?r F 1 ifoNl LM^?V?') r?P ?lp?G ? IIETi?ND uwisxi ?fi ?o \ •?{ ?, ? a ` ?'`,: ?• 5 LOT SC. FOOTAGE B 16,377 HSE. 54. FODTAGE = 1,801 Lor COVERAGE = tiX cw? 0 18231 PaOPO5EO C.F,van0td5 Top oi Fameeqen - qsto GGiQ92 f16M - 460.b eaaemen! floa -ype Aprv.. sewn seW-a +.spas : P.eposed Eleu . Q fzfstirtg Elex oroi?,g. o.ecv?e Oenotes OHset Steke ? . IIEDLUI'D eeiMnMe fro.nuae awt?x?uc r 5g 16 0£NfNMARK, T,nm ? Crv. 9?s V MIN. ?78?[K 4ECUIR[AI[ F.ant-3J ?ovne 5ide »•," ? ? - ? ? Rex -+s Garage 5iae I NEREHV GFFIIFY 11Ui IIU$ IS 1MF YA Wpq[LL RFPpEffiIlAT.GY 40 xo. Of iX[ 6dI+WKS " 1Ni P9M[ OESqW80 ?tt IS Stw? OG2?aJ BY HE tll WO[R MY OMFt eWfllx4w NL ORS NDi PURVIT Pd SNEMN. 31104 WDAb?)s ae W(G4?0?Wd??LM15. 34T eaK.L/YYlW ^ ,. 4;, 11]]6 I MKBAOM t Use BLUE or BLACK Ink t Fix Qtfrce t1.se I j Permit -7 Lit of FAJ'a a~ 1 E I Permit Fee: ! 6 3830 Pilot Knob Road t 1 Eagan MN 55122 Date Received Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1 ~ _3 ('~;4k_b r4"'o ke `"'-tt Tenant: Suite M RESIDENT I OWNER Name-.-r,,^,3 kK s-)t'1 Phone: Address / City / Zip: / 33 04k bt oc Z Applicant is: Owner X Contractor TYPE OF WORK Description of work: ~ 0_1CA Construction Cost: ice( f 534J-7 , (ray 1 Mutti-Family Building: (Yes ! No CONTRACTOR Name: i2 n6'~ 5c bl,-,- es ~ ► G License* 2,03 7(oLF-S- Address: I I ~'S( OJAVU 5,7_/V City: 2-c4")se ~ State: MA) Zip:1 S kS3 O Phone: 76 Y 2- L_ - l '70 Contact: el-~ V~' ~t~iuPC~ Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan 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 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.gopherstateoner-all.org 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 n hout a permit; that the work will be in accordance with the aapproved plan in the case of work which requires a revi tans. Applicant's Printed Name j I can ' ignature Page 1 of 2 NIAR 0 3 2~1t~ M Y 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 1"" N` WORK TYPES ~tl'C.c+w PLO rv° 00f- L., 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 0 Occupancy 4:: MCES System Plan Review Code Edition SAC Units (25%-100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction I/ A 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 NI4ir Test Final Windows Insulation Retaining Wail: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: L , Buiiding Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review* D MCES SAC City SAC Utility Connection Charge f 0 S&W Permit & Surcharge Treatment Plant 71jr Copies dZ TOTAL Page 2 of 2 Use BLUE or BLACK Ink r v -----------------i '1~~ j Permit ! l City o E o. ii . 3830 Pilot Knob Road Permit Fee: r Eagan MN 55122 j Date Received: / l Phone: (651) 675-5675 I l Fax: (651) 675-5694 Staff: I I 2010 MECHANICAL PERMIT fMIIT APPLICATION Date: 3-12,10 Site Address: 16 g 0QL.~l1~(o ,C Tenant: Suite RESIDENT/OWNER Name: - -hor nbar4 ki, Phone: Address /City /Zip: r g A Q SCSI Z2_ CONTRACTOR Name: SIADOASbrt tumbeYlCs -F f-jj°Q (►'jicense#: Address: 355D Y~°mcQ.Qlan- `JJ City:L'1JtIY9 State:. MV Zip: 5so Phone: 33 1j=2i -43-7-92lS Contact: VL%ihU h Email: 51A.anSOrI hll&CM49~ tW l'coy^ TYPE OF WORK New Replacement Additional v/Alteration Demolition Description of work: NOTE: Roof mounted and ground rnouoted mecal; tuipmerrf i requiredAo c aened lay City Code. Please.contact the Me9hanical Ins pectorfi.t'information on permitted'screer oing'methocJs. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ '50.50 TOTAL FEE COMMERCIAL FEES. $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.aopherstateonecall.org 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 w m.v x Applicant's rinted NaMe~ Applicant's Witune FOR OFFICE USE e".mewed lay i lat+e 7- 71 Required Inspections: Under-Ground Rough In gitTest Gas° ervj" ,N est ~ - h?~flgor treat Extenor,.HVAG Screening Inspection = ti Use BLUE or BLACK Ink I-----------------, Permit )20 1~ City of Ea R I Permit Fee. I 3830 Pilot Knob Road I _ Eagan M N 55122 I Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 L________ 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5-12--10 Site Address: 1(n 32, Cwtwriopte Dlr Tenant: Suite 1, Phone: RESIDENT / OWNER Name: ► orn bLtrc Address / City / Zip: 33 ©CcY. r tc 1 r 5 1 Z CONTRACTOR Name: tStkm lA6rn Piumi2na- V Hea.-fl License#: ~.~5la05l~1r? Address: 355o YermU ,f nn 5S city: Q~ 10QS State: M0 Zip: 55033 Phone: (o51-4137-97_16 Contact: f..L, fh YYI U h Email: Swanson m . o-M I r, TYPE OF WORK ✓New -Replacement _Repair -Rebuild !!:fVodify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation ✓Add Plumbing Fixtures RPZ / - PVB) Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ SO-SO 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.org 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 fans. x 6thy MLGr~1u x Applicant's rinted Nam Applicant's Si ature FOR OFFICE USE Reviewed i ' 7 ,Date. Required Inspections: Under Ground Rough-Inf'ir Test Gas Test _Fi~~l,;r PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085719 Eagan, MN 55122 . Date Issued: 09/02/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1633 Oakbrooke Dr Lot: 3 Block: 3 Addition: Oakbrooke 4th PID 10-53763-030-03 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Signature Home Services Timothy M Thornburgh 758 Reaney Ave. 1633 Oakbrooke Dr St. Paul MN 55106 Eagan MN 55122 (651) 731-1147 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 PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA102044 Date Issued: 11/09/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1633 Oakbrooke Dr Lot: 3 Block: 3 Addition: Oakbrooke 4th PID: 10-53763-03-030 Use: Description: Sub Type: e-Siding & Windows Doors Construction Type: Work Type: Siding & Windows doors Description: SEE COMMENTS Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: 111411 Per Tim, the homeowner. they are not having American Exteriors do the work on his house. pf 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. Fee Summary: BE - Base Fee S6K $132.75 0801.4085 Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195 Total: $135.75 Contractor: - Applicant - Owner: American Exteriors of Minnesota LLC Timothy 1\1 Thornburgh 1408 Northland Drive =106 1633 Oakbrooke Dr Mendota Heights MN 55120 Eagan MN 55122 (303) 86-3328 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA102166 Date Issued: 11/21/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1633 Oakbrooke Dr Lot: 3 Block: 3 Addition: Oakbrooke 4th PID: 10-53763-03-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Kara Benson 9533 - 367th Street North Branch. MN 55056 651-674-1766 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Renewal Andersen Timothy 1\1 Thornburgh 1920 County Road C West 1633 Oakbrooke Dr Roseville MN 55113 Eagan MN 55122 (61)264-4777 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA102636 Date Issued: 12/30/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1633 Oakbrooke Dr Lot: 3 Block: 3 Addition: Oakbrooke 4th PID: 10-53763-03-030 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Josh McGuire 1424 3rd St N Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing Timothy 1\1 Thornburgh 1424 N 3rd St. 1633 Oakbrooke Dr Minneapolis MN 55411 Eagan MN 55122 (612) 604-428 X61 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118288 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 1633 Oakbrooke Dr Lot:3 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Timothy M Thornburgh 1633 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA119682 Date Issued:12/12/2013 Permit Category:ePermit Site Address: 1635 Oakbrooke Dr Lot:2 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-020 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 - Todd K Cook 1635 Oakbrooke Dr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature 416-4 For Office Use tfo-i@ g 1 • Permit#:EAGAN 111 Permit Fee: ig7 Date Received: -/Z-71 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 "` "*'N (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 IVE Staff: buildinginspectionsc citvofeagan.com i 'y iI ‘i 1 3 2C:.)h 2019 RESIDENTIAL BUILDG PERMIT PLICATION Date: Site Address: Unit#: q Name:K( 5+1{ye -Thar r��fivf Phone:�i�I��(.,00..)237-6'68/.6t/8 1 Resident/ // � Owner Address/City/Zip: /11.33 (Jq k J9roc4 P 11111-C Applicant is: Owner 'VContractor PL Type of Work Description of work: 7lr e. a 6-9. i•JY 1 I7�6J Construction Costa 31SC Multi-Family Building: (Yes /No ) Company: �7 f!11 BYrI DP.r,K Si:k., 71171 Contact: G/f/m a e arkeij'' COlttrat for Address: 17 eOe�SJnr�,d � City: ZiJ State:MZip: 5.0// 0 Phone: (q. )�o(S�.8-eiJ'/l Email: 7- ‘6447IPiC.,eG rai License#:13G S-02J J Lead Certificate#:1 Tf/5?Q5 2 Z 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. 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.aopherstateonecall.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 p x ce n Pic x �-� Applicant's Printed Name App rcant's nature DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration (Single Family) kY Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi X Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building 1 WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior X 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 f y`P/C Occupancy A44.T MCES System Plan Review Code Edition poi aolS T/2.0 SAC Units (25%_ 100%1C ) Zoning ef) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction r Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: ` Footings (Deck) Final/C.O. Required Footings (Addition) IX_ Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood 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 Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee (2.. 7( 2 0 ^ ,41 0 Surcharge -r Plan Review It MCES SAC 2% cis Pi- jC I S =4(GI�P yO City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 t 3-`' i iq a a eC irk • • Surveyor 's Certificate SURVEY FOR " :PULTE DESCRIBED AS : Lot 3, Block 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. t' , `, �,'I'• .f .�bc h� - RE1— Nw \e/ L-.. D 1‘l: '1' o is Date /- -'' A WETLAND EAGAN ENGINE G DEFT. N4'&=926.0 kl . __ HWL=92fi7 ' b '-' A,li ` ,4// \\\ 9 �/ O it)/ \\\ // °'y \ 0 5/ \ \ / VTD S t.T FP4CE\/ \ / I ,'� < \\\ i f �,' 42•\\ \ v\,/ g 990. \ \ _';LQ. \\\ G0\qc `c 4 •'J 911, \\\ •' 90 ?s"'.\ ET08=949.9 ti. v3 \90 7A T0 -47, ADO po \\\`, 9% 9;.° ///77:\\\\:), / (a) # ''' ...•• \ . • REVrED 99�_.y\� "�o0 2 2,\ %�+7• .� n \\\9/8 ?°0 9 .ow , 9�`+si�i ki Eagan Building Insplectlons Division 9 \, � �,°° o 9. \ \ /1...,o `` ONI 9&q \V .� 4BJ. .ii \\" i &9 O LOT SQ. FOOTAGE = 16, 311 q4�.i45 -� u HSE. SQ. FOOTAGE = 1, 801 7 '16 LOT COVERAGE = 11Zzi r- EV PAM RE*U1R 4.4 Plan # 18231 PROPOSED ELEVATIONS BENCHMARK, TNHp '/3 Elegy=445.03 Top of Foundation = g5i.c� Garage Floor = 950.co Basement Floor =9a2.0 Apron. Sewer Service = 935.5 Proposed Elev. = MIN. SETBACK REQUIREMENTS Existing Elev. Drainage Directions — Front —25 House Side — Denotes Offset Stake = • SCALE: 1 Inch - 30 feet Rear —15 Garage Side — I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 00R-479 HED1.LIIND BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO 800K: PAGE: SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT S SHOWN. 'PLANNING ENGINEERING SURVEYING 2005 Pin Oak Drive G� Eagan, MN 55122 DATE I /2.176/CX) CAD FILE: Phone: (651) 405-6600q FF D. LINDGREN, D SURVEYOR OAKBROOKE Fax : (651) 405-6606 l 2j—+(SIL/7j MINNESOTA LICENSE NUMBER 14376 2(_,P.,,2(_,P.,, pr rivl=n CCP 2 q 711011 PERMIT City of Eagan Permit Type:Building Permit Number:EA178837 Date Issued:09/06/2022 Permit Category:ePermit Site Address: 1633 Oakbrooke Dr Lot:3 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Timothy M Thornburgh 1633 Oakbrooke Dr Eagan MN 55122--420 (612) 237-5689 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature