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1635 Oakbrooke Dr Use SLUE or BLACK Ink For Office Use I MAY 13 2010 I City of E; Permit: j Permit Fee: 3® I - 1 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 t staff` 2010 RESIDENTIAL PLUMBING (PERMIT APPLICATION Date: Sh 0 Site Address: l Le ~5 V(^^d. ~S ax La I? r . Tenant: Suite RESIDENT I OWNER Name: Ty e__ Phone: ~O J t!DB Address / City / Zip: vLjP_ CONTRACTOR Name: c A)k 1 & a License 0 (o t 35-~3_ AddressTo~ S_~ A SGR, La State: 1 1 I Iv `Zip: SS3S 9 Phone: lx v~ + U 0- Contact. Email: TYPE OF WORK New _ Replacement ^ Repai(r~ _ Rebuild , Modify Space -Work in R.O.W. Description of work: ` cyl 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) $80.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 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. 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 withou 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 plan . X ✓ ~14l x Applicant's Printed Name Appli s Sl ure FOR OFFICE USE Reviewed By: Date: 7 Required Inspections: -Under Ground -Rough-in Air Test -Gas Test -Final ~eV v . -r • ??? c? akb Yo--6 RemadellReoairReauirements . 2 copies of plan . 1 set of Energy Caiculations for heated additions • 1 site survey fa extenor addiGOns & decks ?y i g?- rn P New Construction Reauirements . 3 registered site surveys showinq sq. fi o( IoL sq. fl. of hause, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan shovnng beam & window sizes; pouretl found design, etc.) • t set of Energy Calculations • 3 copies of Tree PreservaGon Poan ii lol piaHed atter 711193 . Rim Joist Detail Options selecUOn sheet (bldgs with 3 w less units) DAiE JOB SITE ADDRE: IF MULTI-FAMILY PROPERTY OWN! TYPE OF WORK APPLICANT _ ADDRESS PAGER # FIREPLACE(S) _0 _1 _2 _3 PHONE# L lLc1- l --l?lt CELL PHONE # ZIP CODE FAX # 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 Cade Worksheet Submitted Plumbing Contractor: -V OkXA'., . 1 4?0 ?. _ Phone #: ? 1-)- I 4 Ql -)- ?- I -)' ? P1uinUing Syslem Includes: Water Solte r Lawn Sprinkler Fce $90.00 _ Water Heater No. of R.I. Badis No. of 13alhs Mechanical Contractor: ?1'" 5 Uk li, ?`2 L??_ blcch.miral Systcm Includcs: Air Couditioning Hcat Rccovcry System nn ?l1_ Sewer/Water Contractor. qSaLgG4 -000? Pee: $70.00 ? a- All above information must be submitted 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ (EXCLUDWG IAND) I 1? , cli C? 0 1-4 AL ? ? ? ? RESI NTI BUILDING PERMIT APPLICATION y'?-L HOW MANY UNITS? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681•4675 y ? J -C.f Pfione # Phone # Updated t101 OFFICE USE ONLY ? •? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi ? 45 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolisfi (fnterior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bldg)* ? 43 Reroot ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Crty Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED 1NSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) _ FinaVNo C.O. _ Foo[ings (addition) _ P(umbmg Foundation HVAC Dram Tile Roof Ice & W ater Final Other _ Praming _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco S[one _ Tnsutation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Lk a( 'FS QI . "l S Building Inspector Address "i6is fl a k h r n n k a n,- Zip 5512 z Lot Z Blk 3 Sub Oakbrooke Gtri Addition THESE IT'EMS WERE ! WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'ION. Date: S-10 - D/ 7'es No Inspector: Final grade (6" from siding) ?i Permanent steps (garage) Pennanent steps (main entry) Permanent driveway ? Peimanent gas Sod/Seeded gtass X TraiUcurb damage Porc6 X Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the oufside lawn faucet 6efore freeze potential exists. Contact engineering division at 6814645 before working in rightof-way or instal6ng underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Convactor CoPY , ? • 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) , CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4875 New CmsfiucMon RaadrerneMa D 3 rogltlereC slAe wrveys thpwlny tq. R. d bt. tq. }I, of house 2 copias of plan aW qU roofetl areas C10X mmdmum bl covemae allowedl 1 fef o1 energy cdadallau for tfealetl adc9tlons D 4 coplet O/ Wan (stww beam & window dus; Poured hW. detlfln; etc.) tsite wrveY for exleda admMOnt & dacb D 1 Wf 0/6f19fpy CdCWGtlp1f > s cop? a,ree preseNana, vlan n la dcKea dror 7/lros DATE: ,IOO 1 CONSiRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: I6aS? C) A K RI),f I Jt- LOT: 20 °? BLOCK: C3 SUBD./P.I.D.t: C)A laM PROPERTY OWNER Streef CNy coNrR?croa Sheet Address: 4RCHRECT/ cNGINEER CiN n! t N4't"s / FlKt Company: 5 Ao-jP Telephone M: ( ) Sheet Address: CHy / ewerAvater licensed plumber ,?ereby ackrawledpe fhat 1 I Minneaola Stalules and C Sfate: t'? Zip: Phone::6Sl oo (area code) Uc.nsa? ? i Fxp. Sfafe: Lp: ?.j-?120 Name: Registra8on i: _ Stcfe: Zip: Phone #: h5-J. ?? oi -d / i) ve read Mds applicaHon, afote that Me Wonrwtbn ia cortecf, and agree b comply wHh aY aPp6eable State of Eapnn Ordinances. Sipnalure of Applicant ?U-?1 3rtiflcates of Survey Received ? Yes ee Preservation plan Received _ Yes OFFICE USE ONLY No ' _ No ? Not Required { J A N 3 2001 i By BUILDING PERMIT SUBTYPES O 01 Foundation O 07 05-plex 'VO 02 SF Dwelling p OB 06.plex ? 03 01 of_plex ? Og 07-plex ? 04 02-plex ? 10 08-plex O 05 03-plex p 11 10-plex ? 06 04-plex O 12 12-plex WORK TYPE V 31 New ? 32 Addition ? 33 Alteration ? 34 Repair OFFICE USE ONLY ) ' ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext AIt - Multi 0 17 Garage 0 22 Poroh/Addn. (4-sea.) 0 33 Ext Alt - SF 0 18 Deck p 23 Porch (screened) O 36 Muitl O 19 Lower Levei ? 24 Storm Damage Plbg _Y or_ N ? 25 Miscellaneous O 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)• O 44 Siding _ O 38 Demolish (Interior) O 45 Fire Repair O 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code O / No. of Units _L No. of Buildings _L Const. (Actual) ? (Allowable) UBC Occupancy ? Zoning # of Stories Length W idth Basement sq. ft. MaiQ level sq. ft. a ?'?L Ev sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone -?_ /o gaz, 7 !? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVAt.S Planning Building t-'?A Engineering Variance Permit Fee r- Valuation: $ /`l Surcharge Plan Review License ?o?ax i s= ? 6 3Fo ? MClES SAC ? CitySAC //?? ?G Water Conn. l G?a- ?? Ql 8' Water Meter Acct. Deposit a SNV Permit SNV Surchar9e ? o J6 SS ?54? ? S6??t 70, -" Treatment PI. Park Ded. e- ? Trails Ded. Other 1f 4vv p ?-m Copies •,[T( Total: 8a ? lv i SAC Units % SAC MRR-16-2000 10:26 7+NCheck COMPZ,IANCg REpORT Minnesota Eriergy Code MID7check saftwsre version 3.0 COUD7'PY : Dakota STATE; Mianesotn 2ANE: 2 CpN9TRUCT204i Typg: Sisigle Family DATE: 3-16-2000 DA'fE OF PLA,Ng; 3/16/00 TI'PyE : F]LKI?K W/0 EL. #2 COMPLSANCE: pA„q,$gg Required UA . 50B Your HomE = 407 19-9k Better Than Code P.02i@2 Perm t # ` Checke y7D8Ce Area or Cavity Cont. Glazing/Dopr --^--°------------------ Perimeter R-Value R-Va:.ue CT-Value ------- - CEILIN09 ------------- --------- ------°- ------------- WALLS: t4ood Frame, 16« O.C. 1444 ?3 a7 44.0 19 0 Q.0 W?+?: Wood Fratae, 16" O.C. BSMT: Co 9 1 283 . 10.0 2.Q 2.0 y nc. .0 ht/8.3' bg/9.0, Gr?AZSNG: Windows inaul 402 11.0 0.0 or poara, Above DOQRS arade 485 0.356 Z ?+dORS: Ovar Unconditiqned 3paee 3352 8 38 0 0.350 FNAC EQUZEMENT: FuYYLace, 920 pg ? . 0.0 -'---^-----^-------'°----- oneis ent with t?he buildingrplanaa pecificatione andcothex calculatione submitted with t11e pexntit applica=ion. The praposed buildiag hae been daaigned to ma d e M?ota Energy Cade. Suilder Date 3J?/_` /'? T r."ee? TOTRL P.02 ? ` - PULTE HOMES OF MINNESOTA gsfdsjl?) CHANGE ORDER #7 Atmi DAT E: 10/7/00 ? JOB NO: 0320-202-03 LOT: 2 BLOCK: 3 UNIT: 0 COMMUNfTY: Oakbrooke Single Family ADDITION: Phase 2 BUILDING ADDRES 1635 Oakbrooke Drive CITY: Eagan STATE: MN ZIP: 55122 MODEL NAME: Falkirk MODEL#: 18052 ELEVATION 2 GARAGE: RIGHT 0 BUYERS NAME: Todd and Gina Cook CURRENT ADDRES 3605 Pleasant Ave So HOME PHONE: 612-822-1448 BUSINESS PHONE: 0 SALES REPRESENTATIVE: JMA CITY: Minneapolis STATE: BUSINESS PHONE: 0 PHONE: 0 MN ZIP:55409 1 18052 FALKIRK $230,990 1 00000 LOT PREMIUM $4,000 1 11012 FULL BASEMENT - WALK OUT $3,525 1 18023 ELEVATION #2 $1,500 1 22019 3 CAR GARAGE W/BRICK $6,825 1 19021 FULL VIEW ALUM COMB DOOR $150 1 25017 CLNST.DRS(WHT)W/PF BRH/MPL $700 1 26043 WOOD RAILING TO 2ND FLOOR $775 1 28044 UPGRADE CABINETS - MAPLE $1,450 1 28056 42 UPPERS - MAPLE $500 4 17024 CEILING ELECTRIC OPENING $400 1 23007 3 TON AIR CONDITIONER $2,350 2 17000 ADD'L ELECTRIC OUTLET $100 1 29006 CAST IRON KITCHEN SINK $425 1 17083 R.I. ELECTRIC - MICROWAVE $100 1 13077 WHIRLPOOL TUB $1,175 1 17005 ELECTRIC DRYER OUTLET $100 1 14007 1ST CARPET PAD UPGRADE 6PA $200 1 36038 WATER SOFTENER .$1 175 1 21021 GAS FIREPLACE - CERAMIC W/WOOD $4,250 1 14084 1ST CARPET UPGRADE $1,125 1 40009 LAMINATE FOYER AREA $550 THIS CONSTITUTES P APPROVED BY BUYER (Sfr?_-_?, APPROVED BY BUYER (S)? APPROVED SUPERINTENDENT: APPROVED BY SALES: THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS. 16/lj Builders License # 0001371 PULTE HOMES OF MINNESOTA CHANGE ORDER --i? 7 ? ? DATE: 10/7/00 JOB NO: 0320-202-03 LOT: 2 BLOCK: 3 UNIT: 0 COMMUNITY: Oakbrooke Single Family ADDITION: Phase 2 BUILDING ADDRES 1635 Oakbrooke Drive CITY: Eagan STATE: MN ZIP: 55122 MODEL NAME: Faikirk MODEL#: 18052 ELEVATION 2 GARAGE: RIGHT 0 BUYERS NAME: Todd and Gina Cook CURRENT ADDRES 3605 Pleasant Ave So CITY: Minneapolis STATE: MN ZIP: 55409 HOME PHONE: 612-822-1448 BUSINESS PHONE: 0 BUSINESS PHONE: 0 SALES REPRESENTATIVE: JMA PHONE: 0 TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $262,365 1 40020 LAMINATE KITCHEN/DINETTE AREA $1,500 1 40028 LAMINATE BATH # 3 $200 1 26011 VAULT CEILING- MASTER B.R. x, oen $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 APPROVED BY BUYER (Sr?7-,t ? APPROVED BY BUYER (S) APPROVED BY SUPERINTENDENT: APPROVED BY SALES: * d Builders License # 0001371 !.. '% LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL' L rz Z?/v°.f' 3J&B/1vvl(,E ¢1?4' f-PIJDrTZON h DATE OF SURVEY: H ?y LATEST REVISION: ? a DOCUMENTSTANDARDS O O ? ? . Registered Land Surveyor signature and company 01-5 ? • Building Permit Applicant p? ? • Legal description ? ? • Address ? • North arrow and scale ?y ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) d°?z ? • Directional drainage anows with slope/gradient °k m? f o Proposed/existing sewer and water sernces 8 invert elevaUon rb%6 ? : Street name El • Drrveway ra? ? • Lot Square Footage 0 ? • Lot Coverage ELEVATIONS / ' Exis4na P d i o e o • ce (or ropase ) Sewer serv 0/0 ? • Property corners p? ? / ? • 7op of curb at the driveway ? ? • Elevations of any ebsting adjacent homes ? v ? Adequate footing depth of structures due to adjacent utiliry Venches Prooosed v/o ? • Garage floor d ? o • Firstfloor V o ? • Lowest exposed elevation (walkouUvAndow) ??a ? • Property corners :? ? • Front and rear of home at the foundaUon PONDING AREA (if applicade) ? (13/o • Easementfine ? ? ? • NUVL o cR? ? • HWL ? ? ? • Pond # designation ? ra? ? • Emergency Overflow Elevation / DIMENSIONS c9' o? • Lot IineslBearings 8 dimensions ruK, ?? • Right-of-way and street width (to back of curb) o"?? • Proposed home dimensions induding any proposed decke, overhangs greater than 2', porches, etc. (i.e. all sVucKUres requiring permanent footings) ? o ? • Show all easements of record and any Ciry udlitles within Uiose easements m/ o? • Setbacks of proposed structure and sideyard setback of adjacent epsling shudures ? c5' ? • Retaining wall requirements, if any Reviewed: - It / Date Mareh 7989 CRAqIBLO(IPRM.FM • Surveyor's Certificate SURVEY FOR :PULrE DESCRIBED AS : Lat z, Block 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and t reserving easements of record. ,, ' ?'?',?. BP-25 ? # H'ETLAND Nv+L=szs.o Hm=ezs? ? , • ? rn_ ? t? t LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ K q v ?/\\\ RJ. \ ? Q \ ? ? Q \ ?Z7S 9AD. ?.,?CsATd ENGiIdL'IERINGDM-3-7?* ???--- E16sL 110131'46 5 11 To8 ' ? ? 1 ? 1 1 1 1 ?Y It p00 Plan # 18052 PROPOSED ELEVATIONS Top of Foundation = qso.o Garage Floor = qqq.b Basement Floor =941.o Aprox. Sewer Service = 93e.z' Proposed Elev. = 0 Existing Elev. Drainage Directions =- Denotes Offset Stake = . i ? SCALE: 1 inch - 30 feet = 11,414 = 1,819 157o IR $LpPE ZN TN=g ARgp ExCf605 3:1, 4 9yErasN=n6 (%jau,. MAr 8E" REt,'tusRao . ,- 'k` q41,A -Exist. Home `.` TOB = 951.0 . . . . \?> 0 ? oqa o? 949. ?qqq b ?\S \ ? . i ? ??Dc o '= go9? 35 p ? 1 ZCLT FeN?. ? . ? BENCHMARK, TNHe )/3 fleu= 995.°3 MIN. SETBACK REQUIREMENTS Front -25 House 5ide - Rear -15 Garage Side- JOB NO: HEDL(JND I HEREBY CERTIFY THA7 Ti15 I$ A TRUE AND CORRECT REPRESENTATION OOR-573 OF THE BOUNDARIES Of THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT 70 BOOK: PAGE: PLANNlNG 6NG1NB6R/NG SURVFYlNG SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN. 2005 Pin Oak Drive .?^ G ?' • CAD FILE: Eagan, MN 55122 DATE I?/???-M Phone: (651) 405-6600 FR D. LINDGREN, LANPF SURVEYOR Fax: (651) 405-6606 MINN OTA LICENSE NUMBER 14376 , OAKBROOKE .- ed QioQ??oc9?l0 9Q?? "o o? \ ? ? ryo 94"7.4 949. \ ? ? ? ?yoc \\ :? ?\q4b.b i? 996.1 JAN 1 1 PFr°D CLAINI VOUCHER - REFUND REQUEST CITY OF EAGAiN NIAKE CHECK PAYABLE TO: ADDRESS: LOCATION:,- 1635 Oakbrooke Dr RECEIPT#/DATE:? 4536/1-19-2001-- REASON FOR REFUiND: Duplicate permit Valley Plumbing 860 Quaker Aveoue Jordan iMN 55352 P.I.D./LEGAL: Lot 2 Bock 3 Oakbrooke 4th VALUATION: PERIVIIT #: 44187 TYPE OF REFUND: Plumbuig Permit 9001.4087 $ 40.00 Mechanical Permit 9001.4088 $ Building Pemvt Fee 9001.4085 $ Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (Ciry) 9379.4681 s SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Permit 9220.4532 $ Water Pemvt 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ WaterTreatment 9220.4685 $ Surcharge 90012195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 92202253 S Construction Meter Dep Refund 9220.2254 $ Other ? TOTAL $ 40.00 I declare under the penalties of law that this account, claun, or demand is just and that no part of it has been paid. SIGNATURE March 20, 2001 DATE (??C-v?-?"`? ?" ?j?a-b?bI a L L-)-- aL CITY USE ONLY _ L n ?' SUBD. nC??'1 Y? A `[ RECEIPT #: RECEIPT DATE: !-)- " f S' 0 v PERMIT # qj? y 9 c) (i ? 8000 PL[TM$INfi PEfiMTf (fiES1D£PTIAL) ctn'or eneax G G saso Pu.ar Kvoe Etn gfk6AN, biN 55122 651-681-4675 Please complete for. ? single family dwellings D townhomes and condos when permits are required for each unit ? backFlow preventer for underground sprinkler system rrvr' Ierc FACH # TOTAL r ?n I v ?c.a Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ - Floor drain 3.00 x = $ Jn' GeS i in OUtlet ' minimum -1 3.00 x = $ -3 ? Hot tub/s a 100 x = $ Kitchen sink 3.00 x Laund tra 3.00 x ? 3f Lavato 3.00 x = $ Se tic S stem new/refurbished • re uires MPC lic. 75.00 x = $ ? Se tiC S Stem abandonment 30.00 X = $ ? RPZ new installatlon/repaidrebuild 30.00 x = $ ? Rou h o enin 1.50 x = $ ? Shower 3.00 x = $ 3' '• Under rounds rinkler ifdwellin isunderconsWCtion 3.00 x = $ ? Under round s rinkler irexisun aweuin 30.00 x = $ ? Watercloset 3.00 x 3 = $ Waterheater 3.00 x W ater softener If tlwelUn under conseruccion 5.00 x = $ W ater softener if exiscin dweuin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e .50 --> ---> ---> $ .50 Total' -? --? ---> ----? S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------- -------* •---...---••-------------------•-•--....------• •-----•-----------------------••----•----•---•--------••------------------- I hereby adcnowledge lhat I have read this application, state that the informafion is correct, and agree to comply with all appliqble Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities lo the fatll" s consVUCted under^ is pertnit ' City property/nght•of-wayleasement. SITE ADDRESS: ??/ (?6r??C r OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) TELEPHONE #: STREET ADDRESS: lS`LPIJ /,v(/.C1:?e/' nl/`C? CITY: ST. SiGNATURE OF - Ny?- '7- /' / r EG: PERMIT# 9 S0) P) RECEIPTDATE: )7 O I itUIDENTIAI. i'LUM$INfi PERM1T APPLICATIOA crrYoF EnsAv 3830 Pn.or xxoe Rn EAe,ax, huv 55isa 651-6$1-9675 Please complete for: SITE ADDRESS: OWNER NAME: : D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system 1- 50. SD &V INSTALLER NAME: STREET ADDRESS: 5 ?) (0 Il? ciTV: /?t:U) Place a check mark next to the ermit work t e STATE: 0443 ZIP: S? Y?rf' New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system . new installation/repair/rebuild of RPZ . lawn irrigation system • water turnarou d ? Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 ? v Tota I $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge that I have read this application, sfate lhatthe information is cortect, and agree to complywilh all applicable City of Eagan ordinances. It is the applicant's responsibility to noti(y the propeAy owner ihat the City of Eagan assumes no liability for any damages caused by the Cily during its normal operational and maintenance activiGes to the facilities construCted under this permit within nt. SIGNATURE OF PERMITTEE TELEPHONE #: 41.2 36 / JGU 7 (AREA CODE) TELEPHONE#:61; ?-Uy (o)?26 (AREA CODE) Updated 1/01 ? Site address: /?P3S Qx ?hr?ke ?' y Lot _ Block _ Subd. k-6-&6ICe- On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilafion, 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 sVucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR ? is structure: will be constructed to meet more restricfive requirements of Chapters 7672 or 7674 APPLIANCE GAS EI,EC MANUFACTURER MOOEL BTU'S VENTING TYPE Water Heater ?ijQra?h /p) e p5a S B Fumace ,Sp IRt}{/O3bo(o0 5?'?0 U/-ec)F" Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom t 149A F? .- py 8athroom 2 11 FV' OS v Bathroom 3 Bathroom 4 i? SV I Sd sb Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS ? ? lfcat-Al &tlo 600072_ a7ct? ? I hereby acknowledge that the above information requirements. Signature CompanyName is correct and agree to comply with the Minnesota Energy Code and City of Eagan ?f 9 Date ' This form is the responsiGility of the General ConVactor. RESIDENTIAL BUILDING Permit Application + Z:?- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauiremenis RemodeVReuair ReouiremenLS ONfce Use Onlv 3 regislered site surveys shavirg sq. h. of bt sq. ft of house; and all roofed areas 2 copies of plan Cert o( Survey Recd (20% maximum lot coverage all(ywed) 1 set of Energy Calculations for heated additions Trae Pres Plan Recd 2 copies of plan showing beam & window sizes; poured (ound desgn, etc. 1 site survey for addrtiore & decks Tree Pres Not Reqd lseto(EnergyCalculafions AddAion-indicafei(on-sitesepticsystem _OnsiteSepticSystem 3 copies of Trce Preservation Plan i( lot plaried after 7l1193 Rim Joist Detail Options selaction sheet (bldgs wflh 3 or less uniLs Date 1,2 l 3 / SiteAddress / ODZ /? / ConstrucHon Cost &DD ? ??.3? dG??bl-OpKe ?h'I?'L° UniUSte # Description of Work C_.BNS? uLT Property Owner ? j? ?pp e Telephone #(6sf ) ySo7-(2)095 Contractor G(C(K ?i,?n{?pn3 ?pit7jf?GtL?fb? Address?q y?/ State /?(N ff /IJp-W Voek , Ue__ Zip City Telephone#((/v;?) ?0?90 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Pemut and acknowledge that the information is complete and accurate•, that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. t7t2t k YLM? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub TypeS , '' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types r 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation 2i') 06?> census Code ? 3y SAC Units Nbr. of Units Nbr. of Bldgs Type of Const VA Footings (new bldg) ?O Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Au Test _ Final Insularion Occupancy I?'3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doars 'Demolition (Entire Bldg) - Give PCA handout to appliwnt -9 Z Doo p ??k . ?` 1? ! Surveyor's Certificate SURVEY FOR :PULre DESCRIBED AS : Lot 2, Block 3, OAKBROOKE 4TH ADDITION, City of Eagan, Dokota County, Minnsoto ond t reserving easements of record. ,. .; -,,. # BP•25 . WETLAND NWt=926.0 ` HWL=9267 LOT SQ. FOOTAGE = 11,414 HSE. SQ. FOOTAGE = 1,819 LOT COVERAGE = 151'o ,- ;.. .A oa?9 \?? ? ? ; , 2i? \? O•. U,'h? ? \ \ . ? ? ? ' 4= ''?#?<: . .? Exisl.s 9q6.5 TOB ? i, ? i ? .? ? ??j Plan Jj 18052 PROPOSED ELEVATIONS Top of Foundation = qso.o Gorage Floor = 949.b Basement Floor =9q1.0 Aprox. Sewer Service = 93b.2' Proposed Elev. = C Existing Elev. Drainage Directions = - Denotes Offset Stake = • • iF S"Pt 1N TN=s ARea ExeEebs 3:1, 4'qETALN=nr. WAL.t,. MAY BE REQuzReO . E-xisl Home TOB = 951.0 ? , o ?\ N? ?p9? ?o onn?f .,?n1 ? i %oa2p • 9 Agu a/ R?'L 2? .• ' '?. . 9r/ ? '?g ?? 635 I ? BENCHMARK, 7NH@ 1/3 Eicv= 945.°3 MIN. SETBACK REQUIREMENTS SCALE: 1 Inch - 30 feet Front -25 House Side - Rear -15 Garoge Side- JOB NO: HEDL?lND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-573 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED 8Y ME OR UNOER MY DIRECT SUPERNSION AND OOES NOT PURPORT TO 800K: PAGE: PLANNlNC 6NG/NS6RlNG SURYdYlNC SMOW IMPROVEMENTS OR ENCROACMMENTS, EXCEPT AS SHOKN. 2005 Pin Ook DrWe ?/ y? ? Eogan, MN 55122 OnTE SJ_/?!/QQ ' CAO FILE: Phone: (651) 405-6600 FR D. LINDGREN, LA SURVEYOR Fox: (651) 405-6606 MINN OTA LICENSE Nl1MBER 14376 OAKBROOKE ? - oe 061 ei ?zV \, aQ . \ °° p0 .?,0. \\ 947.4 999. \ ? ? ?y o0 \???i 1 ciqb,b 996.1 'o . n,s, 4 1 1 1 11i?,•a(1 PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA103167 Date Issued: 03/01/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1635 Oakbrooke Dr Lot: 2 Block: 3 Addition: Oakbrooke 4th PID: 10-53763-03-020 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: - Occupancy: Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Home Depot At Home Services Todd K Cook 656 Mendelssolm Ave. N 163 Oakbrooke Dr Golden Valley MN 55427 Eagan MN 55122 (763) 42-8826 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:Plumbing Permit Number:EA132166 Date Issued:07/28/2015 Permit Category:ePermit Site Address: 1635 Oakbrooke Dr Lot:2 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 (WS &/or WH)$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 - Todd K Cook 1635 Oakbrooke Dr Eagan MN 55122 (763) 234-8248 Blue Sky Mechanical Llc 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature