1639 Oakbrooke DrI Q RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConslruction Reouirement5
• 3 registered sita surveys showug sq. ft of lot sq ft of house; and all roofed areas
(20%a macimum lot coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 mpies of Tree Preservation Plan if lot platted aRer 711/93
• Rim JoLst DeWil Opdons selection sheet (bidgs wiN 3 or less uni6)
DATE `l -Zl -
JOB SITE ADD
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? V
PROPERTY OWNER ? A-T i\ R 0-0 \-,-7
iYPE OF WORK FIREPLACE(S) _ YES X NO
APPLICANT PHONE#
PAGER# (VII? CELLPHONE# ?,I?t????SSI PAX#I?SI?t??3?b
' \,?, o - 1: 1= A Y
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Systein Includes:
Mechanical Contractor:
Mech.miril Systcm Inclucics:
Sewer/Water Contractor.
Phone #
Phone #
1!lll
Fee: $90.00
P'ee: $70.00
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 Applicanf `S h Ay ""L?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
A -? o.6 0
?°- C? `f- " -U ?
RemodellReaair Requirements
. 2 copies of plan
• t set of Energy Calculations for heated addihans
. t sile survey for extenor addi6ons 8 decks
VALUATION (EXCLUDING LAND)
Water Softener
Water Heater
No. of Baths
Phone #:
Larvn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ HcaC Recovery System
Updated 1101
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AN - Muiti
? 03 01 of _ plex ? 09 07-piex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 019 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Rapair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Oemolition (Entire Bldg only) - Gfve PCA handout to applicant
p G
J
Valuation
?OO
D
Occupancy ??
/t -.3 MGES System
Census Code '
/
?` 3 Y Zoning 1-9-10 City Water
SAC Units C?L Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs -/ Length Fire Sprinklered
?
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundahon
_ Dram Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Air Test Final
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool Ftgs Au/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved ByMI-Of , Building 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
Address 1639 oakbrooke Drive Zip 5512_9
L.ot I Blk 6 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 5100 Yes No Inspector: r
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the remoI
Mof roof test caps from the plumbing system and [he shut-off of water supply to
the outside lawn fsucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in rightroSway or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
ct7v nF EAcAN
CASHIEfte 1S TCkMINAL NQ: 770
DATE- ir/09/93 7IME: iD:02:22
ILI:r
NAMEe PUI...TE MASTF..R BUILIiEF.
2252 3220 1E39 OAF:RRClOf:E 30.00
3210 3001 i633 OAF:HROOf:E 1? 083.35
3866 9373 1639 OAF.Hfi00F;E 10I7.00
3430 300i. 1639 OAY.Bk'OQF:F 0.25
3422 9001 1633 OAf:BR00F.E 704.18
2275 9220 1633 OAF:BROOKE i7tl39.°i0
344E 3001 1633 OAI.Rfi00f:E 10.50
E155 9001 1.639 UAY.BROOF:E 0.50
3743 9220 i639 DAt:RR00hE 50.00
2155 900:1. 1639 QAf.RFiOQF:E 58.00
CR120857 CONTINUE
USEF IIi: JAN CONTINUE
?K?k?K%c?K*X?k?X??X?kkc??kX?? X? ?X ?K*#?**XckCY??%?Y?? %? #%??k ?#M?K
coNTiNuE
CTTY UF EAGAN
f;ASHIER: 36 TERMINAL N0. 770
DATE: 12/09/39 TIME: 10:02:23
ID:
NAME: PUI.TE MASTEfi BUILIiER
3868 3220 1639 OAI•:RROOh:E 468.00
3i 16 9220 1639 OAFCRFi00F(E 114.00
3713 9220 i633 OAKTifi001•:E 50.00
3865 3220 1639 OAY,PROOK.F.. 825.00
Total Receipt Amasn+„ 4y533.28
CR:1.208 i i
USEF ZU: JAN
#xtXekc?? ?K ?CXc?KXc?Y?%c?XXC ?Y??k*Xe?X??XXe?C?CXe??k?X*?k??C*AckCkC
r
1999 BUILDINC
,-?)?f --I Fs
New ConshucHon Reaul2meMs
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122
651-681-4675 ?
Remodel/Reoalr ReauhemeMs
D S regbtered siFe surveys showing sq. k. of loT, sq. H. of house
and all roofed areas I20% maximum bt eoveraae allowed)
D 2 cople: of plans (show beam a wlndow sizes; pourod Md. design; etc.)
D 1 sM o} energy calculaNons
? 3 coples of h e preservaHOn plan H bf plalled atfer 7/7/93
DATE: I 3/G q
DESCRIPTION OF WORK:
2 copies ol plan
1 sM of energy cakulaflons for heated addiNons
1 sRe survey for extedw addiHons a decks
CONSTRUCTION COST: I Wi 71Z) t
STREET ADDRESS: 1629
LOT: ! BLOCK: 6 SUBD./P.I.D.#: O/JfM/ COOKE
f ROPERTY
OWNER
Last
First
Phone #:
Street
City
State:
Zip:
Company: Poltc- /kr»ts Yhone 1k: 6S-1 1/sa- sa0b
(area code)
CONTRACTOR
Street Address: Uo ? Jt?'?s ?(d? ? S?l??,3?J 0 License # I 3? Exp. ? b
City AX2NdoIti /70-5 State: zip:
]
ARCHITECT/ s n?? /? /? ?// ^ r !
ENGINEER Company: t? ? f7 S?} b??? Name: / ?i Telephone #: area code (
Stree't Address: Registratfon #:
City
State:
Zip:
Sewer i water Ileensed plumber (reaulred for new conshucfion onlvl: VAII )0IUM RYN6 d!a -?5 z-21 Z 1
Penaly applies when address change and lot ehange i; requested once permN is issued.
1 hereby acknowledge fhat I have read thls applicatlon, state that the tMormatlon is correcf, ond agree to comply with alt applieabl
State of Minnesota Statutes and CHy of Eagan Ordinances.
Signalure of AppllcanY. "?-? D?IL? V & r7? m e5
OFFICE USE ONLY 61?'`?6?1')7
Certificates of Survey Received _?'es _ No
Tree Preservation Plan Received - Yes _No NoYRequired ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01
' Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace O 21 Porch (3-sea.)
g 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
* 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Sidinq/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bldg.' ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demol ition permit
GENERAL INFOR MATION
Const. (Actual) Basement sq. ft.
? Census Code 4 17 /
(Allowable) Main level sq. ft. ? SAC Code
UBC Occupancy sq. ft. _- No. of Units
Zoning tp (?1 sq. ft. ? No. of Bidgs
# of Stories sq. ft. 40 MC/ES 5ystem
Length ? sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ? l ?C7D
5urcharge
Plan Review
!
? 4
p JrT?7r?
License
MC/ESSAC ?./
,jDq
q7
City SAC
Water Conn. ?
f?/Q ? 1
.?
? ? :?:? ?
Water Meter
Acct. Deposit g t?l.? g
SNV Permit
S/V1/Surcharge
/OX30,? ; •. ? ?? ?
Treatment PL W ----
Park Ded.
Trails Ded.
Other
Copies ?
Total:
SAC Units
°h SAC
10/29/99
RECAP
Job 0320/001/06
Addl'ess: 1639 Oakbrooke drive
Legal:
C0I1IIp: Oakbrooke SF
OwnerS: Inventory
Phone #:
I OAKBROOK SINGLE FAMILY OPTI
Quantity
#
1 18241 BASE HOUSE
1 LOT PREMIUM
1 11012 FULL BASEMENT - WALK OUT
1 18075 ECEVATION#1 ,
1 22031 4' A6DtTION TO GARAGE W/BRICK
1 21021 GASFIREPLACE-CERAMICWIWOOD
1 25012 6 PANEL OAK MAIN FLOOR
1 26043 WOOD RAILING - 2ND FLOOR
1 14007 1ST CARPET PAD UPGRADE
1 14084 1ST CARPET UPGRADE
1 40009 LAMINATE FOYER AREA
1 70055 SPACEMKR MICROWAVE
7 28053 42 UPPERS-BASE
1 29006 CAST IRON KITCHEN SINK
1 I 7043 ELECTRIC PANEL-BASEMENT
1 23007 3 TON AIR CONDITIONER
2 32020 ADD'L PHONE JACK
4 77024 CEILING ELECTRIC OPENING
5 ??-
30
?----
gg t
n?.?l?
ocT-e4-1999 ia: a< , 11'dl""
f f VPT- j l??t? t?T?z:? .`
, . • . . :':,?:.'
+' ' • : EXTERIOR ENYELOPB AYEMGE °?;1 ?HPUTATION
OMIER: , ° ? r . _
SITE AQBRESSs I G'J ?. ?OC7 k? ??? .
,.i DATE:?_r.-PNON?: ?/rz-fZoo _
GOtITMCSOR: Z-r
[tETEftH1NE HORKING SO.UARL FOOTAGE OF EACH:
) . TOTAL EXPOSED WAU. AHFJ?. . .. .... sq f t x ''Uu
Z, TOTAI RODF/CEILING AItEA,,...... _39 ft x"U" ^! __
3. TOTAL fiXVO5E0 I1A.L AREA CALCIlUT10NS:
Total axposed w411 .?d '.?, sq PE
aroa a6oye floor.,...... ? .
- (E?
a) Total Wa11 Mindo?+ area:
b)
Q ?r I b2.-
t?Ol.!R9{az?d...... _ 3ZLf4 f[ x non i
Pt x
glazed.?.... ?9 ---
sq f t x?'U". 7-
,Totat daor area ........+ ? . ?. .
c) Totsl s1lding glass door srea= '
'?-- 6q
giaud... ... ft K.
uU?s. .
-
e yQ . , Z?
-=_- ?
•'?'"' aq Ft x "ul'
d) .To[al flreplaee wall area f= %????? -- ?`-- ?'--
e) Total wo11 fnming area sq gt x„U?? Oq?
(Arerage lOh)......,....
f) Totai net watl area above • -
floor (Irtsuliited)...•••. 4q 4t ----?^
?s9 I t X I?UI I? r ?' I O "'
g) Total rim 3olst at'oa......
Total Ioundatlon ( iq ft
area (Ex7osed) ......... 3•
h) Total foundation ?iq ft x
Nladow JIraa...........
I) Tatal nee foundattan •• ?, (')?(? s ?
?.,,?-
area above grede........?.?. a4 ft x „U„
TOTAL a) thru lI '
If ltem ?q7 Is th• same as, or lees thsn Item 01, yau have met the (ntent aF
Z 11C.1R 1.16008 A and Q• '
page 1
OCT-04-1999 14!4b _ .4, TOTAL EJ(POSEA fIQOF/CE1L1N(i CALCl1LATIONS: .
Tatal ezpnsed /?fI 'q ft •
rooF/eollln9 afea........
J) 7ota1 sky114ht area.......s4 ft x"U"
k) Tetal roof/tallln4 framin9 1+' 5q ft x„u„
area (Averaca 1nx)......?L?---
1? 'Tatal nat InsulaCad ? 2?
raof/esillnq area.......?„? s9 ft x"tl" .,g_.._._.°
TOTAL f) th ru 1)
IF total of A4 Is the same as, or tess tfian.?2, You hava roet the tatenc of
2 lSCAlt 1.1008 A snd 0. _
.. ,
ALYHRTIATE Bl11lGINC EHYELOPE DESIGH sys
val of itemsZ/3Tandt:!48shail,naieba grrat?tshen tfis sumllo$ ictems'@Ihandb?Z?he sum
+ Z . a
?. _
i'{• r
? 1.9 T 1 F I C A T l 0 N
1 here6y aerilfy thae 1 hava ealculatnd th• "u" faetore and "R"
valuas hereta ard that ths buildfnq hera described meets ar txeeads the State
of Hinnesoca Enerqy Conservatlon Act.
Slqnature
(Oatal r,?„ 2
*1
I OCT-04-1999 14:45 ."' "'
A
Iirre secrton:
Irtterlor alr fflm^•
TGTAL R ¦ f17.fi4
u-Ila?•?Z
WALL SiC1'ION (IHSULATEA)
-{1 incerior a(r_fi
?
ll a I/K o dtnld-
IU M JOIST SEC710M:
?
IC
IUNDATION SHSULfITIOH REql1TRE0: ?
Min. R-5 on eatire wail OR t
u° 1/9
°
Mfn. R-10 down to frost•dapth -
FOl1HDA110N SECTIOPl:
Interfor alr f11m .?.RR
i
_"??3 ?'
n'
' ?S
..
?
~"----44 terlor a r rtim 0717
`S
fF
ft
7
TDTAL A++ 13 r i?s
qGr't[ U - I/A ¦ . Xr7b
SLAA OH GR,40E
- ,_•?••.••v-a
r:,A ;•a.:
??'.. ?'•' : 4..t,• •. „'dI
E
l)nhmted S1abs:
Hinimum R = 6.2
Page 3
ocr-04-1999 sa:as
?
,
P.05i05
CONSTM q?UCTIOp
ClILINri
I
z
3
4
R YALUC•
C£iLtHG FRp,F11NG SEGTIOH:
t Interier aIr F.lim A.61
a
3 . -a ? , ?( ?.?n --•-°+
"4 rttartof a r
- F1Tn , se n. I•
S ??+es
? soFt vood a
TD AL R .
" q . I/A ¦ ;W
CEILING SECTIOH (irasuuirea); 1' Interior eir fiim q.E1
2
3
q Exter or a r ? sct 1 0,
7 ?
U r l/R -
VE,y7ED
tlILINr, RRppIyq SFCTION:
1• Interior air Pilm O.E1
z
3
4 Exterlcr a r lm st . I
S nc ea so t wao
TOTAL Rm
U = 1IR =
1H
I Instde a1r Pi1m A,RI
Y
3
6
$ Outside a r i m ?. 7
roraL R p
!J• I/A+
D.. L
TOTAL P?05
.
u - 1/R . =
\W PROPERTYLEGAL
n
H
?
w
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILOING PERMIT APPLICATION
L'V T i ?z-0('1t r
DATE OF SURVEY:
LATEST REVISION:
_ ir> >
a DOCUMENT STANDARDS
O
O?Q
y ? • Registered Land Surveyor signature and company
v-?El ? • Building Permit Applicant
0 ? • Legal description
? ? Address
?' ? :
North arrow and scale
e% _? ? House type (rambler, walkout, split wlo, split enVy, lookout, etc.)
G??z ? Directonal drainage artows with slopefgradient %
eY?[i ? • Proposed/exissDng sewer and water services & invert eievafion
? Sheet name
? ?
Driveway
? ? •
Lot Square Footage
? • Lot Coverage
ELEVATIONS
? Existina
? ? •
Sewer service (or Proposed)
? .
Properry corners
?
p ? .
Top of curb at the driveway
??
? • Elevations ot any eadsting adjacent homes
u Adequate footing depth of structures due W adjaceM utiliry trenches
/ Prooosed
0 0
- ? • Garage floor
va
? ? • Firstfloor
c? ? o • Lowest exposed elevation (walkouUwindow)
V/0 ? • Property comeB
?' ? ? • Front and rear of home at the foundation
W/Io 0
ru, ? ?
a/ a ?
? ??
? lR' ?
?
? ?
a o
? o
s? o /?
? m' o
PONDING AREA (if aoolicade)
• Easementfine
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Rightof-way and street width (to back of cur6)
• Proposed home dimensions induding any proposed decks, overhangs greater tfian 2', porches, etc.
(i.e. all strudures requiring permanentfootings)
• Show all easements of record and any Cily utllides within those easements
• Setbacks of proposed shucture and sideyard setback of adjacent ebsfing shuctures
• Retaming wall requirements, 'rf any
Reviewed:
,
March 1989
cr+AKveLocvAMr.Fl.+
Surv e y o r's
Cert2ficate
SURVEY FOR : PuLTE
DESCRIBED AS : Lat 1. BJock 6, OAKBROOKE, City of Eogan, Dakoto County, Minnesota and
reserving easements of record.
444,
.?
It
V4
4}? ?JO
Vo
4op
9 3 ?
POND
R(a
BP-25
- L ??- D
NN1a926.0 L? .•
HWL-926J ' '9p?yy. --
,
? ?,,'{??jp?,{'? ?
.A• .S' J?'.^.Sl.?.'YS?.F '.:'p??i 1'? A.
n .?
' t
.
.- ,
93z. ._
-5,;:-r FeNeE
N -7
5 18.75 o 23.25 O !1
i ? ° p+ ? a
ProDOSeO
Exist Home i I°' 2-Stor
TOB =940.0 i t,Op ? 9'pcw w o 4,0p 0 ?
0
'_______? ? 41. 2200 Gorage ? 1? m
? ?YZ•?_ 24.00
i 32.00 qAl. 447,o gA?, i.?
?°' -- =6. 8 az
938? =220 009
93L uN89'42 5" 62.066401 ' 45 5?"
_9vby
_?Af_ ROOKE RIVE
>639
LOT SQ. FOOTAGE = 13,079
HSE. SQ. F00TAGE = 91787
LOT COVERAGE = 7?'
Plon ;y 18241
PROPOSED ELEVATIONS
Top of Foundotion = 9y3.5
Gorage Floor =qya.l
Basement Floor =934•s
Aprox. Sewer Service = 938.0 "-
Proposed Elev. _ ?
Existing Elev. _
Droinoge Directions =
Denotes Offset Stake = .
SCALE: 1 inch - 30 lett
MIN, SETBACK REQUIREMENTS
Front - 25 House Side - 25
Rear - Garage Side -
I HERE6Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 108 N0:
HEDLU.Na Of THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 99R-617
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BOOK: anGE:
PLANNINC 6NClN6BR/NC SURVEYINC
2005 Pin Ook Drive
Eagon, MN 55122 DA7E CAO FiIE:
Phone: (651) 405-6600 EF Y 0. LINDGREN, L ND SURVEYOR
Fox :(651) 405-6606 MINNESOTA LICENSE NUMBER 14376 OAKBROOKE
BENCHMARK,
PF('FIVED DEC 0 3 1999
CI1'1' USE ONLY
LOT ? BL ? PERMIT #:
SUBD. O(%IKLJ\ h? RECEIPT #:
RECEIPT DAT'E: I - ?--I - cD a
2000 MECHANICAL PERMIT (RESIDENTIAL)
cixY os $ac,aN
3830 PILOT IQTOS RD
EAGAN MN 55122
/_ arL r _ 1 651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo tmder
construction and not owner/occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
Z3 md
.50
$ t-; 9'1V
Complete this section onlv if you are remodeline, addin¢ to, or renairina an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, altera6on, or repair.
_ New _ Alteration
_ Furnace
_ Air exchanger
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
T'otal $ 30.50
Reminder: Call for inspectfons
SITE ADDRESS: 1(.1,3q ?
OWNER NAME:
STREET
CIT'Y:
STATE: ?h zrn: 5:S 3 Z3°
?/T 6ti-?t?-GC C I?L<?cr"-7
SIGNATURE OF PERMITTEE
?7L
? ??_ • 'u ?? J ?
PHONE #:
PHONE ( T% r
(AREA CODE)
_ Repair _ Other
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT# _
RECEIPT#:
RECEIPT DATE:
2000 NECBANICAL pERMIT (COMaRCIAL)
CITY OS EAGAN
3830 PILOT FNOB RD
8!?GAN, MN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: _ New construction Install U.G. Tank
_ Intcrior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 65I-681-4675 jor inspection by frre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is geater.
Undergound mnlc removaVinstallation = minimum fee - - - -
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL g
SITE ADDRESS:
OWNERNAME: PHONE #:
REA CODE)
TENANT NAME (IIvIPROVEMENTS ONLI): (A
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE: ZIp;
0
SIGNATURE OF PERMITTEE
?y CITY USE ONLY J?? g??
L ? BL `RECEIPT#: iIh ., l11
SUBD. l/U/I(C/I RECEIPTDATE: ?7- a) 'OD
PERMIT# 400.7I
2000 PLLMBING PERMIT (RESIDENTIAL)
CITY OF EAGHN
3830 PILOT EQIOB RD
EAGAN, LPT 55122
651-691-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existi?g dwel?g(' minimum fee
Describe:WAi'@TV 6'?'? $ 30.00
Bath tub $ 3000 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum - t 3.00 x = $
Hottub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry Vay 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefur6ished " requires MPC lie. 75.00 x = $
SeptiC SyStem abandonment 30.00 x = $
RPZ new installatioNrepaidrebudd 30.00 X = $
Rough opening 7.50 x = $
Shower 3.00 x = $
Underground s rinkler if dwelling i5 under construction 3.00 x = $
Undergroundsprinkler iFexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consuucuon 5.00 x = $
Water softener if exlsting dwelling 30.00 x = $ 3-
Water turnaround 30.00 x - = $
State Suroharge .50 -> -> --> $ .50
rotal -> _> -> ---> $
Reminder: Call for inspections of alterations, i.e. water fieaters, water softeners, etc.
------------------•----------------------------------------- ------------------------------------------------------
I hereby acknowledge that I have read this application, state that the infOrmatian is correct, and agree to compty with all applicabie City of Eagan ordinances.
It is the applicanYs responsi6ility to notify the property owner Mat the City ot Eagan assumes no liability for any damages caused by the City during ils
normal operational and maintenance activities to the acilities CAnstruded under Mis pertnit within City propertylright-of-way/easement.
SITEADDRESS: 24&&z kQ4 ,
OWNER NAME: : k TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
r?
STREETA (AREA CODE)
?? r=^? _
CITY: I Y r ?.? i U,??, 3 ? STATE: ZIP: ?
v
SIGNATURE OF PERMITTEE
PERMIT # L4 li?_ I V-( RECEIPT DATE:
itESIDERILAI. PLUM$ING PEPJAiT APPI1CATlON
crrYoF E,e?sa?rr
S$SO PllAT KROB iiD
F-k6AR, MA 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
r
cz
OWNER NAME: :? A I..?DYJ TELEPHONE #: ?? E!CODE) _9 ? ??
INSTALLER NAME: ? q? A I,.'1"uLi TELEPHONE #: LS 1- 91S 1- 17 Z- 3
STREET ADDRESS: ? b? ? fl ?C R r 6 ? 1? n h. 1' ?< < EA COD
?-?? 113
CITY: ?, STATE: 1 Y\ /N ZIP: 2
Place a check mark next to the ermit work t e
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
• water turnaround
,
Nature of work: Y\ Y, lS W N t br ?Uj
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?Sb_ n n
Reminder. Be sure to schedule inspectians of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read thls application, state that ihe informa[lon is correct, and agree to complywith all applica6le Cityof Eagan ordinances. It
is the applicanPs responsibility to noti(y the property owner thal the Cily of Eagan assumes no liability for any damages raused by the City during its normal
operational and maintenance activifies to the hacilides constructed under this permit within City ropertylright-of-way/easement.
Q -?'--?
SIGNATURE OF PERMITTEE
Updated 1/01
? L CITY USE ONLY
SUBC. ? B?.dLkp "" " ' _ '_
w
RECEIPT#'
RECEIPT DATE:
PERMIT#
1999 PLUMSINfi f'EiMIT (RESIDEPTIAL)
CI'CY OF ERfiAN
S$SO i'ILOT KNO$ RD
£A&AN, MN 55122
(651) 6$1-4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in oUtlet * minimum - 7 3.00 x $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $
Laund tra 3.00 x $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem .. abandonment .__ - 30.00 x $
RPZ new installation/re air 30.00 x = $
Rou h o enin - .. . --- ° _ 1.50 x $ s
Shower 3.00 x = $
Under round s rinkler if dwellin is underconstruction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener if dwelling under consVUCtion 5.00 X = $
Water sokener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --? ---? ----> $
?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------------------ --------------------------- ----
I hereby acknowledge that I have read fhis application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances
It is the applicanl's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to theJacilihes construcled under this pe"it within City property/right-of-way/easement.
SITE ADDRESS
OWNER NAME: :
INSTALLER NAME:
STREET ADDFj?ESB
CITY:
TELEPHONE #:
' (AREA CODE) .
TELEPHONE #: -
e??) ZIP:
STATE: 7
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA084641
Eagan, MN 55122 . Date Issued: 07/25/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1639 Oakbrooke Dr
Lot: 1 Block: 6 Addition: Oakbrooke
PID 10-53760-010-06
Use
Description:
Sub Type: e-Reroof & Siding Construction Type:
Work Type: Reroof & Siding
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Schmidt Roofing
Fee Summary: BL - Base Fee $6K $132.75 0801.4085
Surcharge - Based on Valuation $6K $3.00 9001.2195
Valuation: 6,000.00
Total: $135.75
Contractor: -Applicant - Owner:
Schmidt Roofing James L Good
13401 County Road 5 1639 Oakbrooke Dr
Burnsville MN 55337 Eagan MN 55122-4205
(952) 888-4889
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
Use BLUE or BLACK Ink
Permit r
City of Wan _
1
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 - I I
(8$1) 675-35675 i Date Received: 12-
Phone: Fax: (051) 6754694 ~,QR 1 Sta}E I
L.-- " :
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: J' aJ Site Address:
Tenant:
uib tf:
RESIDENT I OWNER 'Name: c Phone: f e~
Address / City / Zip:
r
CONTRACTOR NaMe:,MII BERT COMPANY INC.dba CUU11GAN WATER
Address: 1801507% ST EAST Il~
city, : M GROVE HG`TS
State:' MN ' Zip 55.077' Phone: 65.1'."45t-2241
Contact BILL.MILB11 Email:
TYPE OF WORK _ New Replacement _Repair _Rebuild _ Modify Space Work ill-R.O.W.
Desert tton of dorek:,
PERMIT TYPE Rd IDEMT/AL
Water Heater wa
Lawn trrlgatign RPZ PV8) Add Plumbing Fbdures Main / Lower Level)
Septic System Water Tumaround
_ New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation anclddes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtutes, Septic System Abandonment, Water Tumaround' pncludes $5.00 State Surcharge)
`Water Turnaround (add $166.00 ita 518" meter Is required)
$105.00 Septic System V_2* ($10.00 was built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) pncludes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU Did. Cali 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 utiUties.• www.oocherstateonecall-ora
I hereby acknowledge that this ki$rmadon Is complete and accurate: prat the work will be in conformance vft the ordinances and codes of the City of
Eagan: that I understand this Is riot a permit but only"an application'for a permit, and walk Is not to ataR ~Ipout a "rmle, that the work will be In
accordance with the
approved pl In th as of work "Ich requires a ravlew and approval'
A je UYA J-
x / .2
x 106
'
Applicant's Printed Name Ap I a re
FOR OFFEUSE R`e
v ewe Q)r
Req)kre~1 nape ..d aI9
I •
i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117427
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1639 Oakbrooke Dr
Lot:1 Block: 6 Addition: Oakbrooke
PID:10-53760-06-010
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Edin Alic
1639 Oakbrooke Dr
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122061
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 1639 Oakbrooke Dr
Lot:1 Block: 6 Addition: Oakbrooke
PID:10-53760-06-010
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 -
Edin Alic
1639 Oakbrooke Dr
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
ID icd
0 4 2020 rill
mg
Office Use I L .,;(
I
» a i ,,, MAY ' :::::c.' c
N y i
I
kw ,w t
Date Received: i
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 I Staff: I
buridinginsiections(3cityofeagan corn L.._.
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/1/20201639 Address: 1639 Oakbrooke Drive unit#.
Name: Edin Alic Phone: 9528470941
Resident/ Address,cry/Zip: 1639 Oakbrooke Drive, Eagan MN 55122 I
Applicant is:I i
Owner Contractor
Description of work:
Replace existing deck
Type of Work 7000
Construction Cost. Multi-Family Building: (Yes /No � ) i
1 Company: Contact:
a
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#: i
If the project is exempt from lead certification, please explain why:
4
—A .,
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:
1 Sewer&Water Contractor: Phone: ,
Fire Suppression Contractor. Phone:
NOTE.Piens and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic if you vide eciflc reasons that would . it the C" to conclude that the 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 atyryiw,citvofeasan.cornistibscrlbe.
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 OM 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 cooherstateonecall-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.
t.„&./
x Edin Alic X
Applicant's Piloted Name Applicant's Signature
I
- dO NOT WRITE BELOW THIS LINE /e3q Cfia(6,06--_ ii.r__ ,
SUB TYPES
___ Foundation _ Fireplace _ Porch(3-Season) ^ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi J Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
—
_ 01 of_Plex _ Lower Level — Pool ` Accessory Building
WORK TYPES
_ New Interior Improvement Siding _ Demolish Building*
Addition ! Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows __.. Demolish Foundation
X Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation --?,ocbo Occupancy --TZC- \ MCES System
Plan Review Code Edition ac•:. SAC Units
(25%_100%_) Zoning P City Water
Census Code 413U Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction S-(3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) 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
X 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:_FootingsBackfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: -. Ale A0 ,Building Inspector
RESIDENTIAL FEES 9.-fro....:,./ fpc't•{X;1-t:J% dte k
Base Fee V S eX:SA:1k3 FodN,-55
Surcharge
Plan Review
MCES SAC
bee 7C "5.--et. : /& It i t ,z. 191 xiS-AMC
City SAC Occ k S4*-:t % : H$'% X'S = VI-
Utility
rUtility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
P ,Il ir
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