1640 Oakbrooke DrAddress _ I64o O a k b r o n k a n r Zip 55122
_
LAt 5 Blk 7 Sub Oakbrooke
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding) x
Permanent steps (gazage) k'
Permanent steps (main entry) X.
Permanent driveway
Permanent gas x
Sod/Seeded grass
TraiUcurb daznage
Porc6
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze po[en[ial exists.
ContaM engineering division at 681-4645 before working in rightrof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
1****** * W**M***** ** :q ** I% *?k*?*)V* *?F*** ***
rT'fY 7F' [:AG(-Nd
CASN7:E'R: JS TE.F;MTNAL N0: Si.F3
DA7E:! 02/08/00 :r.T.NiF : 0:52:46
ID;: w
hAME; F•Ul_1'E MASTFR CiIJCI_IiER
2252 ji.'_i?q 1640 UHI:RROOF;E 30.00
3c^.1.0 9001 W0 OA4($ItOnl.E 9.yi7£3..55
3E66 :3379 Q40 CIAh:L'fif)OI:E 100.00
3422 9001 16E0 CIAPiLiI?UI.'f'..f 'Fib.ClEr
2275 9220 040 OAF:RR(701!L 1y089,00
3446 9001 040 ?aaF;Hl';Of)KF: i
L
.00
2155 r? .:I0f_7?. .?i`?'U ' ??filFiB?i??[?fih !
?
L. J0
3743 9220 ir.-.an nAi<.Bhoof;E ;o.oo
2155 9001 040 OAI(EshO0F:E 66.50
3869 922I:1 040 C)Ai(BhDOf:E 492.00
Cfi:123048 *1 CONTINUE
U4iF:R IT?: JfiN *# t.ONT'.T.NUE.
c:oNr:rNuF
rI7Y OF F."::AGAh
L'ASfdCF_.f<. JS TE:RMINAL. N0: G1e
?AiLc 02/03/00 T7ME: 105047
II? a
NAMF': I-'UI_7F MA87ER BUII_CiCf:
370 9220 1640 OA1:RIi0f]f:.E 114.00
37:13 922(] 040 UAI:RF:OUI.F 50.00
3e365 9220 040 oAi;riRnof.c 8goeno
r
Tot,al. lir,ceapt Amoumi;^ 4.7Ei7.6i
CR 123q48
IJSFfi IC?r. JAN
?k?C?F?kM h:YF?kYF?k??Fw?k?F.#?C?Y(•?k?kR;Y,<MM?C?:k'k,.h?lk7kM?k
t
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
% ? cirr oF EAcnN
C) 3830 PILOT IOYOB RD - 55122
851-681-4875
1 New Consfiucllon RaaAre maMa C? ?
Remodel/Reodr Reaulremenh
D J reOatere0 slte wneys towlny sq. rt. d bt. tq, fl. of hqne 4 copiee of Plan
aW gH roofed areaa MO% maedmum bt oovaroce anowed) 1 sef of energy ca0adallom fa heated adtDtlont
> 2 coplea of Waro (show bean & wlntlow si:es: Pouretl hW. desiyn; ete.) 1 site wney 1or wdedw addHlons & decka
D 1 wf of eMrpy calcWtAlqy
? 3 capies of hee prefervaMon pldn H loT pltAleC tAbr 711/93
DATE: 6/ av CONSTRUCiION COST: ?? ???6 v
n i
DESCRIPfION OF WORK:
sMEET ADoREss: _ 16q-o owko,7?zr &,vc-
LOT: s BLOCK: 2 SUBD./P.I.D. 0: 0AICU00JCC
PROPERTY
OWNER
CONTRACTOR
4RCHRECT/
eNGINEER
Name: Phone #:
LOEf Rnt
Sheei Address:
Cly
Sfate:
Zip:
Compcny._toUl`tC/%m G6 0-t'cJY"p Phone#: v?? /?.??S2o?
(area code)
Sfreetndchress:I33TNend5Fc, l-?-1s Pd s,/I fe 2o b ucensea I271 ExP. -'131
Clty I?Cn_ dot4 hc,15 State: &V zip; ?rJ20
Company:_ SAAag-AS 46?C. Name:
Telephone #: (
Slreet Address: Regishaibn
CMY State: Zip:
ewerhvaterlicensedplumber(ifinstaliinasawer/watar): V?7IILY f'LII,jAB17If6 Plwne#: ( 61) 1?q) -Lj"Z,T
?ereby ackrawledge fhaf I have read this applkaMon, dafe thaf the infortnaMOn is carect, and agree to compy wNh a9 appOoaWe State
? Minrt,9sotc Siclufes and CNy of Eapan Ordinances.
? s?n?,re otnppnoanr. ?, ?ic r ?dlfie (?mw
3rtificates of Survey Received _
OFFICE USE ONLY
Yes _ NO
ee Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 05-plax
19? 02 SF Dwelling ? 08 06-plex
03 01 of _ plex O 09 07-plex
O 04 02-plex O 10 08-plex
? OS 03-plex O 71 laplex
0 06 04-plex O 12 12-piex
WORK TYPE
)( 31 New
? 32 Addition
? 33 Alteration
O 34 Repair
r
O 73 16-plex O 21 Porch(&sea.) O 31 Ext.Alt - Muld
? 17 Garege O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
0 18 Deck p 23 Porch (screened) ? 36 Multi
O 19 Lower Level ? 24 Storm Damage
Plbp Yor_N 0 2$ MISCBII8n80US
0 20 Pooi o so nccessory sag.
13 36 Move Bidg. O 43 Reroof
O 37 Demolish (Bldg)• O 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) 0 46 Windows/Doors
• Give PCA handout to applicant for demolitlon permft
GENERAL INFORMATION
SAC Code -?r-
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
M 'n levei sq. ft.
sq.ft.
(kAL-k--.4q- ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Tralls Ded.
Other
Copies
Total:
SAC Units
% SAC
9-
i
ti?
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
G I!
4
Engineering Variance
Building &
i;L/
Vaiuation: $' .
?'1 ?3"???
?..
(411} .? ?.
'7 % `T (?' /
1 03'? / / ???
{r >)
r..?
r
. .,. ? -- ? 3Z -?
.------`-?-- ":-_
.
JOB INITIA3ION ORDER
Pulte Homes of I
Minnesota Corporation
1355 Mendola Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651)452•5727
CONTRACTORISV PPLI ER:
J09 NO. V/
COMMUNfTY: l.L ?L ,?i^''
BVILDMO ADDRESS: 1? Cl l,'O' LII1 C. E-.
......?..... -.I M '1l1 V ., e , - '1
BUYER'S NM9E:
CURRENTADDF
HObff PMONE:
BUSINESS PHONE:
SALES REPRESENTATIVE !t.J?F-1 AJ
DATE OF ORDER:
STATE LP:
BUSYNE35 PHONE:
I : Mli,
0000
. ? ? ? : , M i??i, ? x? ' . :' .; • a
BASE PRICE
,q
I ---- LOTPREMIUM
ELEVATION #
tv- -I:CW -oLU LU?U ? t hI.Lt-G1 K. 2 E?C
? ? 2?u3 I;??eS?,t ???:e.ti? -? "?"`?F f?l?t? (? ?S
a k c,o
(
'J7
I 1055
I 2 om? .. a_ ' 306
r GDYV ? tiL? ?'75-
N- 1 ? o? ? iAN
CF,c?C,?-1t e, ?it-vt.?l "• ??e? ?-+, '? ol)
1 z 3oG`1 3 7oN `-' AC 2 3S O
I 3 2e7_v 5c,
I ?bo ?V) ?25
? ?,oG
? v
TOTAL
?
i
?
Builder's License q0001371
NIODEL NUMBER•
CYIY:
? I c°t2-
APPROVED BY BUYER (S):
APPROVED BY SALES: :
RELEASED TO START CONST.: eouai riausinc
OPPORTUNITY
This conslitutes a contract between ihe Seller and the Purohaser(s) for the ahove items.
?''J
IEGAL DESCRIP710N: LOT ? BLOCK / UMf
AI701TION: n//
(i-1 CRY: STATE:"/n'I Z1P:5S?-D?
?- D 1/?i I ELEVATION: ? I OARAGE: ? RI?
m '
JOB INITIATtON ORDER
Pulte Homes of
Minnesota Corporation
7355 Mendota Heights Road, Suile 300
Mendota Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452-5727
CONTRACTOWSUPPLIER:
JOBNO. v? 2- C L
A ?
/
COfuTM1NITY
P EG
LDESCRIPTION: LOT
BLOCK UNfT
: _ PDDITION:
?
?"IJ
&ALDINOADDRESS
IB
:
?
I
C (??-t%
Y?? C- D? ?.C qry: 'LCE-C P?'l/1 STATE: ()'JULP J???.2-
??
p
?
c
? :
'
?
.
MODEL NPME:
!?'?{,ry; W?E'?- ?
-T??----
- MppEL NUMBER: I? 2 Z? ELEVATIOM: ?I OARAGE: LEF
T RKiHT
-, /
j
?"1 ?
eurEas wWe: onrE oF ORDER:
CURRENTADDRESS: p7y; STATE: ZIP•
FiOME PHONE: BUSINESS PHONE: gUSryEgg prypryE:
SALES REPRESENTATIVE
---- LOTPREMIUM
ELEVATION #
TOTAL I12
?
l
,M
Builder's License #0001371
-"?`0(`-
APPROVED BY BUYER (S):
APPROVED BY SALES: e
RELEASED TO START CONST.: eauaL Housinc
OPPOflTUNITY
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
4 M 1
` EXTERIOfI ENVELOPE AVERAGE "U'.l COHPUTATION
0WII[R:
--
SITE AODRESS:, Iv (lJ 0 ?jI?'??`?'`?I?? Pllu ?
LOfITRACTOR
DATE : z
DETERHINE 410RKIIIG SOUARE FOOTAGE OF EACNs
1. TOTAL EXPOSED IIAIL AREA, ,,,,,,, 2'r I7- sq f t x"U"
2. TOTAL ROOF/CEILING AREA,,,,,,,, Il ?I?O sq ft x"U"
). TOTAL EXPOSED 14ALL AREA CALCULATIONS:
PHONE:
To[al exposed wall
area above Floor,,,,,,,, `yq'v& sq ft
a) Total wal) wlndaw area: • .
DOLIBLE glazed...... sq ft x"U" ll is
N' P qlazed,,,,, ?-' sq ft x"U"
b) Total door area ,,,,,,,,, ?J7e 7 3q ft xl'U"
c) Total slidlfig glass door area:
?UFSLE 9lazed...... sq ft x nUn
glazed...... "-? sq ft x "U"
d) .Total flreplace wall area sq ft x"U"
n 74 ° ,Z O?
e) Total wail framing area Z 2, 2
(Averaqe 109)........... ??1 sq ft x"U" .O z °
f) Total net wall area above •
f?J?10r3
sq ft
x"u" ''/?,
•(?`f?
°?
floor (Insulated) .......
"?
J
tst a
ea
) T
l
l sq ft x"U" •?? °
......
m
o
r
g
ota
r
Total faundatlon
??
6
sq ft
area (Exposed)......... J
h) Total foundatlon L} ??
f t U
x 7 lr?y
wlndow area........... ? Sq „
- -
I) Total net foundatlon "
" ?
v
d
b sq ft U
x
e........
e gra
o
area a
3 TOTAL a) thru i) ° 27?•%
If Item F3 Is the same as, or less than item 91, you have met the lntent of
2 tiCAR 1.16008 A and 0. •
/17I
.Sl-???Jc1??-D
r,,r,? t
. t
?s?'e E$(PDSEO RQOF/CEILINf CALLULATI0115:
Total exposed (I?sq ft
rooF/celling area......?.
J) Total skylloht area........ '-" sq f t x
k) Total roof/ceilfnq framing „„? e?±
area (Averaqe l?f)......?5q ft x U Z?
1) 'Total net lnsulated Sy ft x"U" Q7 7- ° Z 31 ?
roof/cellinq area....... ?
TOTAL J) thru 1) 2
q,
(F total of Bh ts the same as, or less than N2, yau have met the intent of
2 PICAR 1.16008 A and 0.
. ?
? .?..
ALTERNATE BUILDIfiG ENVELOPE fIE51fN
To utlllze the tatal envelope system method, the values esta611shed hy the sum
of Items 93 and H4 shail.not be greacer chan the sum af icems dl and 02.
1. _ + 2.
3 + 4. °
' C E n T I F I C A T I 0 N
1 hereby certffy that 1 have caleulated Che "U" factors and "R"
values hereln and that the bulldlnn hera descrlbed meets or exceeds_the State
oF Hinnesota Energy Conservatlan Act.
•-???%--:1 i
Slqnature
t
ii6 • , ?
;.4 . (Date)
?' ' d
A
.
? ?T Jlls "/3z? t?ui?::?.,,?, JIVIrVV --I vEult-
COflSTRUCT(011 R VALUE
NALL FRAHING SECTION:
1 Incerlor alr fllm 0.68
4
air
U - 1/a a ?jr..
?
WALL SECTION (INSl1LATED)
?1
--{ 2
--( 3
-{4
u-1/R? =r -
RIM JOIST SECTIOtI:
-?1 Intertor air fllm n.68
?
I-,
- 6 Exterior air fllm 0.17
TOTAL R?- 7-4,A
i FOUNDATION INSULATION REqUIREO: •
Min. R-5 on entire wall OR Ua 1/R
p p-:•,e Min. R-10 down to frost.depth • '
FOUNDATION SECTION:
°' r' •'• 1 Interior air fllm n,f,R
rL-11 Fi,ttY rNi_kl' _ D
? '. s -. % =' 3 12 ('nAIP- _CiL.?CIL • 1.28
'?!" 4 Exterlor ai r i m ?, 17
-° a •a:• G (S
aq . J_4 •i? ?? f6
TOTAL R a 13i13
u - t/a - ,br)b
SLAB ON GRAOE
,
.4„ ;'o? a,•.. ,, A
?'' ? ' Q' ' ? i /!'•:,, ?
•a.
• ?' Neated Slabs:
Minimum R = 8.5
Unheated Slabs:
,• • ?.. Mi nimum R= 6.2
a•a•a.,,,'a ?a 4'?: : q'..
,? ,'q• -'?. .. ??.'A
?^?? (l. iQ•Q•
'•, t°..?. ??•??_ ?a'• •d;??
,?'? c1 • ?.•.4• .,•Q-I'.?, .,?.
'; q ?• .
, ,a .?•.?
. .44?, ?;•• ??.
'Q. • q' , -?
• • - • ' _ •?1
Pa ;? 3
• ;.
?
?^???!nF4-?S?r?+SS-=!yL??a ,(?? wati •
GT
i?
? ? i•r ,
VENTED
?
CONSTftUCT I OM
CEILIItf SECTION
1 Interto
2 .3 „
3
- 4 EXt?eri
R VALUC
(117SULATED) :
? air f11m • ? ?,?
-a
44,00
air Ilm-:(stf) 1) ry
TOTAL R =
u- t/R.
CElLINC FRAHING SECTION:
1
2
3
4
5
CEIUftG SECTION (INSULATED):
I' Interior air film rf.61
2
3
4 Ex[erior air film still 071
TOT L R =
U? 1!R°i
CEILINr, fRAMI?IR SECTIOPf:
1• Interior air f11m D.bl
z
3
4 Exterlor a r im st i n. 1
5 lnches so t wood
707AL R =
U d 1IRm
? • __
I inside a!r fiim n.F+I
2
3 4
i Outslde air ilm R717
TOTAL R -
U ? 1 /R °
Page 4
' V ° I/R ° ZQ-22
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPLICATION
? PROPERTY LEGAL / v7' ? :51-01;A / HiYK1V0K1-'
n DATE OF SURVEY:
H
?
W
LATEST REVISION:
?
p DOCUMENT STANDARDS
? O
Q Q
s?y
? •
Registered Land Surveyor signature and company
0/? a . 8uilding PermitApplicant
d ? ? • Legaldescripdon
q?y ? • Address
? ? ? • Narth artow and scale
a,-'o ? • House type (ramWer, walkout, splitw/o, splk entry, lookout, etc.)
G??e ? Directional drainage arrows with slopelgradient %
o/,a ? : Praposed/exdsling sewer and water services & invert elevation
,?' ? • Street name
r?,d ? Driveway
? : Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existina
? ? • Sewer service (or Proposed)
? • PropeRy comers
?Y ? ? • Top of curb atthe driveway
0? p? • Elevations of any existing adjacent homes
L? ? Adequate footing depth of structures due to adjacent utilily trenches
Prooosed
CZI/o ? • Garagefloor
q/'? ? • Firstfloor
vo o • Lowest exposed elevation (walkoufhvindaw)
;0 / ?
v o • Properry comers
? ? • Front and rear of home ffi the foundation
/ PONDING AREA (if aodlcade)
? t9' o • Easement Bne
? ?p . NWL
o m? ? . HWL
? G?a • Pond # desigaation
? ra-o • Emergency Overflow Elevadon
DIMENSIONS
?p o • Lot tines/8earings & dimensions
?? o • Right-of-way and sfreet width (to back of curb)
?a ? • Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc.
? • (i.e. all atructures requiring permanentfootngs)
? Show all easemenfs of record and any City u6litles wRhin those easemenb
? o • Setbacks of proposed structure and sideyard setback of.adjacent exdsUng structures
? m,-'c • Retaining wall requiremenis, if any n j
i ?
Reviewed: ?j?????
March 1998
CRAKLBLOOPRMf.FM
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 5, Black 7, OAKBROOKE, City of Eagon, Dokoto County, Minnsota ond
reserving eosements of record.
16410
OAKBROmIKE ?IDRIVE
17
?
a?
o iy
C?
G?
?
?
?
?
W..,.
=J.S89'42'B5fW 360.
----------, -----
3t.00
-
27.00
i ? 9K
i I 1
^' N I
i I Carage
?i 934•
40 o
o
0
°
Exist HomF ?
roe =9979 ?
o ?
? i oo I
?
? O I
' I
J n?
1 Prapose0
O1 ro
' ?
I 2-Story a I
?
N I o Ov B'PCw
___"_____ m I 42.00
I
q1 o?bo 34. 3?. °j
qi?' ?
o
i
i
o 2.0
i
? dl?j
? 938.tS
93?
-l?5m L°r FiwG°&
o I? 1-----
? 'o
O i Exist Home
roe =9vz•d
il
N ,r?
v' ?1- --- ?- "l ,
0
0
?
.
.-. ? ? .-.
? -, ,
? L -J ,
__ (3EIRM ____
>
qKl
t'?S89'42'35"W 60.00
Plan # 18221
PROPOSED ELEVATIONS
Top of Foundation = 9,10 •S
Garoge Floor = 940• I
Basement Floor =93z.S
Aprox. Sewer Service = 9ZT•7
Proposed Elev. _ (::--D
Existing Elev.
Droinoge Directions = -
Denotes Offset Stoke = •
DIFFLEY RDAD
? q??
?
?
? . y y (' .?e
LOT SQ. FOOTAGE
HSE. SQ. F00TAGE
LOT CnVFRAGF =
SCALE: 1 inch = 30 feet
= 7,800
= 1,801
23%
BENCHMARK,
TN 11 @ 5• E. GoR .
(,OT i (;ll<,(o
Fa. = 9w5.o3
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -t5 Gorage Side-
JOB N0:
HEDL(!ND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-O4'I
OF 7HE BOUNDARIE$ OF THE ABOVE DESCRIBED PROPERTY AS SIIRVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOE$ NOT PURPORT TO BOOK: PAGE:
PLANNlNC 6NC/N66R/NG SURVEY/NC SHOW IMPROVEMENT$ OR ENCROACHMENTS, E%CEPT AS SHOWN.
2005 Pin Oak Drive Eagan, MN 55122 DATE _L_/Zti5I -oD CAD FILE:
PhOn2: (651) 405-6600 J RE . IINDGREN, LP.ND RVEYOR
Fox: (651) 405-6606 ? I rvNE TA LICENSE NUMBER 14376 OAKBROOKE
i
nta,tlVtU ),9N I i 2(Wli
CITY USE ONLY
LOT ? BL PERMIT #:
SUBD. 04 L il nn k D RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN 3830 PIIAT TQNOH RD
EAGAN AIIi 55122
651-681-4675
Date: ( 7 (/ _
Complete this section on/v if you are installing HVAC in a single family dwelliag, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITiONAL 50 M BTU
• Gas outleu (minimum of one required @$3.00 ea.)
S 30.00
6.00
?.dQ
State Surcharge .50
Total $ 39• 5'0
Complete this section onlv if you are remodeline, addin¢ to. or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
ONew Alteration
_ Repair _ Ot6er
_ Fumace
_ Air exchanger
Reminder: Call for inspections
_ Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
siTE Annxsss: I Ca 4 0 OZk6ma1[ Q. INf
OWNERNAME: aukke {AOfY14S PHONE#: &51 5 2Ub
(AREA CODEl ,i
INSTALLERNAME: Bufl1SU1I I2. 4-?4??i1Mn ??1 C_ PHONE#: ?o I a- - A7?-OC?S
STREETADDRESS: 1.2 (I?) I 2hcy? Islr-.CCJL- PuC- J, (AREACODE)
`
CITY: c7O(-A) 0-? e. STATE: , M ll'U ZIP'37
X
]SI ATURE OF PE TTEE
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL pER1aT (CODMRCIAL)
CITY OFEAC',RN
3830 PILOT 1Q70B RD
EAGAN, MIIN 55122
651-681-4675
Please compiete for all commerciaUndustrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
DATE:
WORK 1'YPE: _ New construceion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
R'hen ixstalling/removing rurderground 1ank, call 65I-681-4675 jor inspection by Jire marshal and
plumbing inspector.
Description ofwark:
Fees: 1% of conhact price OR $30.00 minimum fee, whichever is greater.
Underground tank removaViastalladon = mmimum fee - - -- - - - - - - - - ConuaM price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
S
SITE ADDRESS:
OWNERNAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLl): (AREA CODE)
WAS TEIERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER: .
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: Z[p:
CITY USE ONLY
SIGNATURE OF PERMITTEE
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- 'INSTACEER.N
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ot,Eagan asw---------------^----^----=•--=-°-=°--°•------•--^-°
-----------=-and agree to comply w?h,all applkable Cily oi Eagan adinances.
mes rio Ilability Por wry damages caused by tlte City during its
uriderM?spertnnvnlhfnC' DroDBrtYlrigA4-of?ray/easement ' ,
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.i'.A?EP`CODE) .
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REOF,PERMITTEE
_ -,. ,. . ?. RECEIPTi1: . . .. . .
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use I
I Permit ~ I
Ilk I
Clay of Elation
Permit Fee:
3830 Pilot Knob Road I r I
Eagan MN 55122 Date Received: Z '1
I
Phone: (651) 675-56~75 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: J/6UQ_ N S Phone: 6571 -99~(-9J'7Y
Resident/
Owner Address / City / Zip: i
l V Oa k r e to ~j Z Z
w Applicant is: t/ Owner Contractor
Type of Work Description of work: t
Constr6ction Cost: ~50o Multi-Family Building: (Yes / No
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMF~LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No' If yes, date and address of master plan:
Licensed Plumber: Phone:
'
Mechanical Contractor: Phone:
Sewer & Water C' ntractor: Phone:
NOTE: Plans
nd supporting documents that you submit are considered to be public information. Portions of
the informati, may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG.' Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive', locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved pla~ 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 Minnes State Building Code ust be completed within 180
days of permit issuance.
x T)o tcG 76 k P S x
Applicant's intent-Name j - App scant s rgnatar -
Page 11 off 3
City olEaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
R C.JVED
JUN 232016
Use BLUE or BLACK Ink
For Office Uae �j �7 -7
Permit*: 3T1 '2;?
Permit Fee:
Date Received:
Staff:
r, r� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (1,2 u-`(, Site Address: ) (..p40 OC.44.4.141A4-t. IDA I ' /' (flij 631Z
Tenant: �ha� ° Do
Suite #:
Name:
JJ7 i.GE Phone: (I 1- 1 C 1't -w i$ re--
Address
JAddress / City /Zip:16 () S) A , /CS D
Nanie: Milbert Conitpan► Inc dba Culligan Water (.
Address: 1:801 50th St East
State: Mn Zip: 55077 Phone:
Contact:
William R Milbert Email:
License#: VWC641376.
City: Inver Grove Hgts. ,
651-451-2241 •
_ New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Wafer Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 100
TOTAL FEES $ D , O 0
Water Heater
Lawn Irrigation (RPZ / PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures Main _ L..ver Level)
Water Tumaround
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aooherstateonecall.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 1 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 cpse of workvfhlch requires a review and approval .of plans.
•
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Applicant's Printed
ame
,16d
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179655
Date Issued:10/17/2022
Permit Category:ePermit
Site Address: 1640 Oakbrooke Dr
Lot:5 Block: 7 Addition: Oakbrooke
PID:10-53760-07-050
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rohit Arvind Bobade
1640 Oakbrooke Dr
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature