1634 Oakbrooke DrRESIDENTIAL 6P- ll4N531
- ? 5 ?16. ??
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructian Renuirements RemudeltReoair Requirements ? ?
. 3 registered site surveys Showing sq k. of lo( sq. k. of house; and all roofed ardas . 2 copies of plan
(20°6 mazimum lot coverege allowed) . 1 set of Energy Calculations (or heated additions
• 2 copies of pian shaxing 6eam 8 wmdow sizes; poured found design, etc ) • 1 sde surrey for extenor addinons & decks C61 I
• lsetofEnergyCalculatlons 16,d 9'Zl0'
• 3 copies of Tree Preservafion Plan if Iot platled after I11193 ?
• Rim Joist DeWil OpUons selection sheet (61dgs with 3 or less units)
DATE VALUATION (EXCLUDING LAND) I? 7l ?3-?
JOB SITE ADDRESS I43'7? ??kA&DkE- IDl)lfe-
IF MULTI-fAMILY
PROPERTY OWNE
TYPE OF WORK
APPLICANT
MANY UNITS?
n l1G
PIREPLACE(5) _?'YES _ NO
PHONE #
PAGER # CELL PHONE #( l.2-3 6q-l7a 1 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLF
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?
(check one) - Residential Ventilation Category 1 Worksheet Submitt
- Energy Envelope Calculations Submitted
-?/
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumhing Contractor: ?11`1511-?'8=0 W f4U- Phone
Plumbing System Includes: Water Softener I.awn Sprinkler Fee: $90.00
' Water HeaCer 41 No. of R.I. Baths
3 No. of Baths
Mechanical Contractor: Pu?113ale ii7iccL'fln4-
Nlcclianic+il Syslcin Includes: _ Air Gonditiomne
_ Hcat Rccovery Sys'tem
Sewer/Water Contractor: #cl ro GUne,/ci1 c5C{VEC_f..
Phone # $olf' Gd UJ?'
Fee: $70.00
Phone # 96'3 -42?-1 -51 3X
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable Stote of Minnesota Statutes and City of Eagan Ordinances.
?? ??vl?c?lo?1L5?1Y??1
SignatureofApplicanf 5
Certificates of Survey Received
Tree Preservation Plan Received _ Not Required _
S
Updated 1I01
OFFICE USE ONLY
? Ot Foundation
.
02 SF Dwelling
? 03 0 1 of _ plex
? 04 02-plex
? 05 43-plex
? 06 04-plex
,:?61 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex q 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLeve!
? 12 12•plex Plbg_Y or i N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4•sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 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 WindowslDoors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
?,
Valuation 1 S? ODU, pO
Occupancy
MC/ES System
Census Code )G ( Zoning ? p City Water
SAC Units 0_ Stories 2 Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs ` Length S I Fire Sprinklered
Type of Const ? Width 27
x Footmgs(new bldg)
? Foohngs(deck)
Footings (addition)
? Foundation
_ Dram Tile
Roof Ice & Water Final
x Framing
? Fireplace ? R.I. XAir Test '<- Final
'1?- Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Buiiding Inspector
Base Fee
Surcharge
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
REQUIRED INSPECTIONS
? FinaUC.O.
FinaVNo C.O.
x Plumbing
k HVAC
St
pec ?(- a?oao ?
.A?',A 1 I -)0 x S`I =? 3,1 s ?
12 l4f r 5'-I =A6 S, ???
Gu??Se. zzxzz = Y4Y ?/6 ???y`?
LIt- e, c,? 1 ! 70 ,r !S 17, SSS
x)56,2s I
Address _ L: 3a naxr,RooKE D?t Zip 5512 3
Lot 2 Blk 4 Sub
OAKBROOKE 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: G-? Gi • Q 1 Yes No Inspector:
Final grade (6" from siding)
Pennanentsteps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please ve ' with the bw(der the removal of raof test caps from the plumbing system and the shuboff af water supply to
the outside awn faucet before freeze potential exists.
Contact engineering division et 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracwr Copy
?-----------------
I F_o'r'OfSice'1Jse ?
? Parmit#: ? O I
I Permit Fee: /
I ?
? Date Received. ?
? I
? StaR I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y'I S'-d k_ Site Address: 1?1 3 S1 Ch? P7LCC21,P I/c& '
Tenant:
Suite #:
RESIDENT 1 OWNER Name: ?21 yk ¢ Ila nn &,9 J1 Phone: j?- fZV6 -S'I/-?4
Address / City / Zip:
Applicant is _ Owner ? Contractor
TYPE OF WORK Description ofwork arcc?? -
& 5i2L
,
Construction Cost: te%/),seL . Cz)_ Multi-Family Building: (Yes No
CONTRACTOR Name: 112G _ License #: 43l
Address'
City: ?4?a ((1/?!D State 1)?)A-) Zip: SSDq?,
Phone: ?-J,S,2_ pW- Contad Person: 0_,n5gpk lY\Pcri t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
?
Energy Code
. Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Cafe9ofy Submitted Submitted
(4 Submi551on type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master p1an:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
= NOTE: Plans and supporting documents that you submit a{e considered to 6e public informafion..: Portions of.
the information may be classffed as no?r-publfc-if you,provide specific reasons that woald `permit the City to
coFlClude thaYYhe a're trade secrefs., °
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 oNy an application for a permit, and work is not to start without a permit; that the work will be in
accordance with ihe approved plan in the case of work which requves a review and approval of plans.
X Sei,rn?,.1? X ?
ApplicanYs Printed Name Applic t's Signature
Page 1 of 3
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL. Z/'t ? 1? q ?'Ja1L?LirnoR'F' /1
OATEOFSURVEY:
Z, LATEST REVISION: 3'/- D I
?
?
? DOCUMENTSTANDARDS
? ? • Registered Land Surveyor sgnature and company
L? ?
? ?
? •
• Budding PertnitApplicant
n
L
l d
ri
ti
? ega
esc
p
o
E? ? ? • Address
G?
? ? • North arrow and scale
/
6X ? ? • House type (rambler, walkout, splft w/o, splR entry, bokout, etcJ
f,2/ o ? • Directional drainage artows with sbpe/gradient %
? ? • Proposed/existing sewer and water services & invert eievation
o ? • SVeet name
C3'/ ? 0 • Drneway
? ? • Lot Squa2 Footage
e' ? ? • Lot Coverage
ELEVATIONS
Existin
?/u ? • Sewer service (or Proposed)
d jC ? • Property comers
G? ?? • Top of curb at the driveway
??? • Elevations of any existing adjacent homes
?P( ? • Adequate footlng depth of structures due to adjacent utildy trenches
Prooosed
? ? ? • Garage floor
? ? • Firstfloor
? ? • Lowesi exposed elevation (walkouUwindow)
? ? • Property comers
I? ? p • Front and rear of home at the foundation
PONDING AREA (if aoolicabie)
? ? • Easement line
? 9 ? • NWL
? ? ? • HWL
? U • Pond # designation
rfl
El
ti
E
O
? GY ? • on
mergency
ve
ow
eva
DIMENSIONS
Lot lines/Bearings 8 dimensions
/
?J
? u ? • Right-of-way and street width (to back of curb)
orches
etc
reater than 2'
h
n
s
k
i
d
? ? • ,
.
, p
s, over
a
g
g
ng any proposed
ec
Proposed home dimensions mclud
(i.e. all structures requiring pertnanent footings)
u ? • Show all easements of record and any City utiikies wRhin those easemenls
Ci/ i.-i • Satbacks of proposed structure and sideyard seffiack of adjacent existing structures
i 1 ?3' u • Retaining wall requirements, rf any
Rewewed:
?
Name
1 uate
March 1999
rwnm.mi nroararcra
Surzeyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 2, 61ock 4, OAKBROOKE 47H A00111aN, City of Eogcn, Dokotc County, Minnsoto and
resarving eaeomenta of record. I
s icT FENcE
lw
: -
LOT SQ. FOOTAGE
NSE. SQ. FODTAGE
LOT COVERAGE _
Plan p 18232
PROPOSED ELEVATIONS
Top of Foundation = 947.e
Garage Floor =qA74
Basement Floor =93g,g
Aprox. Sewer Service =932.7=
Proposed Elev, = U
Existinq Elev. _
Drainage Oirections = -
Denotes Offset Stake = .
,.
° ,? E,?y
4L
?(.V E D.
-:. I-r
BENCHMARK. TNHL0 !13
Eko. q45 oa
scALM I mch - ao raec
?
;
?
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear -15 Gcrage Side-
JOB N0:
yE????? I HERE9Y CERTIFY THAT Ti1S IS A 1RUE f?ND CORREC7 REPRESENTATION OOR-083
OF iME 80UNOARIES OF 1TIE a80vE DESCPoBED PROPpiN AS SURVEYED
BY AtE OR UNDER 4Y DIRECT SUPERVI90N AND DOES NOT PURPORT TO BOOKt PAGE:
PLANNING 6/VGINB6R)NC SURi'dYINC SMOW IMPROVEAIENTS OR EN OqCHMENTS, EKCEPT AS POYM.
2005 Pfn Oak Orlve
Eogan, MN 55122 OA7E ?/.01 E . UNOC? utr uRYEYOR CAD flLE:
Phone: (661) 405-6600 ` A UCFNSE,NUMB t4396 OAKBROOKE
FaK: (651) 405-6606
Z'd 9619- 0 N N1833N19N3 0 N(110 3H Wb?041 IOOZ I 'IpW
= 1D,697
= 9, 669
169'
PULTE HOMES OF MINNESOTA
CHANGE ORDER #3
DATE: 1/10/01
JOB NO: 0320-202-04 LOT: 2 LOCK: 4 UNIT:
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 2
BUILDING ADDRESS 1634 OAKBROOKE DRIVE CITY: Eagan STATE: MN ZIP: ##?#
MODEL NAME: Sterling MODEL# 18232 ELEVATION 1 GARAGE: LEFT
BUYERS NAME: MARK & LeANN BUGNI
CURRENT ADDRES 5644 28TH AVE S
HOME PHONE: 612-7244170
SALES REPRESENTATIVE: JMM
BUSINESS PHONE:
CITY: MINNEAPOLISSTATE: MN
BUSINESS PHONE:
PHONE:
ZIP: ###k
1 18232 Sterling $229,990
1 00000 Lot Premium $0
1 28053 42 UPPERS - BASE $335
1 31001 LAUNDRY CABINETS - BASE $250
1 14007 1 ST CARPET PAD UPGRADE $215
1 14084 1 ST CARPET UPGRADE $1,440
1 40026 LAMINATE KITCHEN/DINETTE $1,500
1 40027 LAMINATE FOYER AREA $1,025
1 17000 ADD'L ELECTRIC OUTLET $50
1 17002 FREEZER CIRCUIT $100
5 17024 CEILING ELECTRIC OPENING ALL BEDS, LOFT, FR $500
1 23007 3 TON AIR CONDITIONER $2,350
2 32012 T.V. JACK-CABLE READY MSTRBR, LOFT,BR2,FR $100
2 32020 ADD'L PHONE JACK MSTRBR, LOFT,BR2,FR $100
1 10055 SPACEMKR MICROWAVE $575
1 21020 GAS FIREPLACE - CERAMIC W/SH.ROCK $3,825
1 13021 BRASS TRIM BATH $325
1 16036 DECK ON GRADE 16'X 12' $4,700
$0
$0
$0
$0
TOTAL $247,380
THIS CONSTITUTES fyE6JJTWT BETWEEN THE SELLER$ND THE PUCHASEOfM TIjQ ?RQ?F{yEft
APPROVED BY BUYER
APPROVED BY BUYER
APPROVED BY SUPERI
APPROVED BY SA :
Builders License # 0001371
I PULTE HOMES OF MINNESOTA
I Zt CHANGE ORDER #4
DATE: 1117101
JOB NO: 0320-202-04 LOT: 2 BLOCK: 4 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 2
BUIi.DING ADDRESS: 1634 OAKBROOKE DRI CITY: Eagan STATE: MN
MODEL NAME: STERLING MODEL#: 18232 ELEVATION02, GARAGE: 0
BUYERS NAME: MARK & LeANN BUGNI
CURRENT ADDRESS: 5644 28TH AVE S CITY: MINNEAPOLIS STATE: MN ZIP: 55417
HOME PHONE: 952-884-0563 BUSINESS PHONE: 0 BUSINESS PHONE: 0
SALES REPRESENTATIV JMM PHONE:O
TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $247,380
1 19021 FULL VIEW ALUM COMB DOOR $150
1 17043 ELECTRIC PANEL-BASEMENT $295
1 32020 ADD'L PHONE JACK $50
-1 16036 DECK ON GRADE 16'X 12' ($4.700)
-1 18015 ELEVATION #1 $0
1 18023 ELEVATION #2 $3,000
-1 40026 LAMINATE KITCHEN/DINETTE ($1,500)
-1 40027 LAMINATE FOYER AREA ($1,025)
1 40036 WOOD FLOOR KITCH. & DINETTE $2,000
1 40037 WOOD FLOOR FOYER $1,450
; 40039 WOOD FLOOR HALL $555
1 22002 3RD CAR GARAGE-ELEV#2 $7,215
1 22025 GARAGE DR OPENER/2 CONTRLS $400
1 26043 WOOD RAILING - 2ND FLOOR $540
$0
$0
$0
$0
LK , $0
_ .? ? . .. . _ .. . ,..... $0
$0
TOTAL $255,810
THIS CONSTITUTES A NT T BETWEE THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED SUPERINTEND NT:
APPROVED BY SALES: !'o ?i.n a 6A ,±f I1C?
0
Builders License # 0001371
ZIP: 55122
LEFT
7UL-27-2020 14:42 PULTE HOMES
MNoheck COMFLIANCE REPpRT
Minneaota Ensrgy Code
hff4ch6ck Boftware versian 3.0
CPUNTY: Dakota
STATE: Mianesota
zoaE: z
CON3TRUCT?GN TYEE: 9ingle Family
DATE: 7-27-2000
DATE OF PLANS: 9/2E/00
TITLE: Oakbrooke Starlir_g with Lookout
CO:MPLIANCE: PAS9ES
P. P2./02
Pe--- y?T--
Chec1-ed by Date
Rsquired UA = 532
Yvur Home m 443
24.2% Batter Thar. Code
area ar Cavtty Cont. alazing/DOOr
Berimecer R-Vaiue R-value u-value
-------------------- - ------------------------------------^.--------^-°----
CBILINGS 1218 38.0 0.0
1
4JA:Z9: Woad Frame, 1611 0. C. 2473 19 10 2.0
HSMT: ConC. 5.0' ht/9.3' bg;9.6' ineul 1047 11.0 0.0
GLAZING: Windows or Daors, Above Grade 402 0.350 1
DOQR9 38 0.350
FLCOFtS: OvOr OuGdide Air 48 38.0 0.0
FNAC EQJrPMENi : FL'rn8ce, 92.0 FLZ'UE
---'-^ " -----°---_- " '"--'-- - ----'----'---'----------"--'----_" -------- ^ '-
eOMPLiANCB 9TATEMENT: The proposed building design described hexe is
conelatent with the building plans, specifications, and other calculations
eubmitted with the permit appllcaticn. 'I'he propoeed building ha9 been
deeigned to m??c emaz??linnesota Bnergy Code.
Builderibsa
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x6 SPF 7650f-].SE
BOT CHORD twB SP 22581-1,9f
2 Complete Trusses Reauired ?
NEBS 1x4 SPF 43 :Vp YxA Spf #11#2:-
NAlLIk6 SCHEDtlLE: (12d_iommon_nalis)
SPECIRL GOADS TOP CHOAD: 1 ROp @,72^ p,c, o
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TC • from 44 PLF at 0.00 to 94 pLF
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21 pE85 : 1 ROW @ 4• p,c, °
BC - From 20 PLF et 0.00 to 20 p1F .
at 22
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Siteaddress: ?4 0 Lot -? Block! Subd. (&
On April 15, 2000 the Minnesota Energy Cotle, 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 constructed to meet minimum reqwrements of the Mn Energy Code, Chapter 7670
OR
? This structure: will be constructed to meet more restric6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
Furnace Q)-1C-(7-
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1 ? ,f ?J ? 7l/? US ? ? 6 `
Bathroom 2 ? . . ? _ ? ?v- l/ U ? \
Bathroom 3
Bathroom 4
Other
FIREPLACE 5
LOCATION
GAS
WOOU
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
26A rr )? 0 `9 ') 0? 017 ob?
MAKE-UP AIR MODEL TYPE CFM's
? ?i
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
qu?? ?
sip,1at ?
!/''??2??m
Company Name
4 ti/61
Date
This form is the responsibility of the General Contractor.
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
1001 S' S.
Permit #:
Permit Fee: ` 1' `'J
Date Received: - I0 I i3
Stas:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: LI- 8 - 1.3 Site Address: I %3'J Oii'eALODE C)/td lit✓ Unit #:
f,ww..
Name: M ft -21G BO (oNI 1
Resident/
Owner
Type of Work
Contractor
J
L i D Phone: 6152-- 3 i3b - 0418
Address/City/Zip: f!(D3i7 O/`166/117d1`E/2/21!%C 1 EA. -6'04W, MN 59 az
Applicant is: Owner X Contractor
Description of work: kO D �%(p 1 5 cj et r 1 O 13f -s
Construction Cost: # 1100 Multi -Family Building: (Yes / No X )
Company: CO (L(3�2 (-CA AN! ES , at Contact: TEFF / J i/A-1,f
Address: SS 17 1'+5 TTM sr. ni City: Nu GO 1
State: M 14 Zip: S—So 3 7 Phone: 6 / L —' / 4 - 5-s "? Sr
I
License #: $C 63/ 7 ZI
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
Lead Certificate #:
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:
I Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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 m be completed within 180
days of permit issuances. J
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Applicant's Pried Name
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Borrower: MARK & LEANNE BUGNI
Prrtv Address: 1634 OAKBROOKE DRIVE
City. EAGAN
Leynder:'PRIMESTAR MORTGAGE, MC
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tl, ty Rpaz N"l#7A-2.8.10442