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.
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H'ETLAND
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Hm=ezs? ?
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LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
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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 $LpPE ZN TN=g ARgp ExCf605
3:1, 4 9yErasN=n6 (%jau,. MAr 8E"
REt,'tusRao .
,-
'k` q41,A
-Exist. Home
`.` TOB = 951.0
.
.
.
.
\?>
0
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949.
?qqq b ?\S \
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i
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'= go9? 35
p ? 1
ZCLT
FeN?.
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BENCHMARK, TNHe )/3
fleu= 995.°3
MIN. SETBACK REQUIREMENTS
Front -25 House 5ide -
Rear -15 Garage Side-
JOB NO:
HEDL(JND I HEREBY CERTIFY THA7 Ti15 I$ 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??
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94"7.4 949.
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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
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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
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Exisl.s 9q6.5
TOB ?
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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
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R?'L 2? .• ' '?. .
9r/
? '?g ?? 635
I
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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
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061
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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