1645 Oakbrooke DrAddress 1645 OAKB?200KE Dr Zip 55122
Lot 4 Blk
Sub oAxaRo
THESE ITEMS WERE / WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECI'fON.
Date: o9 0 A Q 9 Yes No Inspedor:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entty)
Permanent driveway c,?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please vecify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy w
Site address: I? T?OtI KBJ? NX? 10 K1 V t LotUol? BlockiJb Subd. vA r(AWOWl 9
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring thalthe following information be
submitted prior to issuance of a Certificate of Occupancy. -
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: will be constructed to meet more resVictive requirements of Chapters 7672 or 7674
pPPLIANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTINGTYPE
Water Heater
Fumace ? L e ? G a? ? OOOa
?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathrooml ?0? Q g? v
Bathroom 2 'iD ? v S b 1?
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT armos
V 1????IG ??oo - 2?1-000 ?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
??yo1v
Sign v?.
Company Name
3/I61
Date
' This form is the responsibility of the General Contractor.
L BL CITY USE ONLY
`'
suso. `fAk?O(1Kb
RECEIPT #:
RECEIPT DATE: I? 6 o D
PERMIT# UW)rI
2000 PLUNBING PERMIT (RESIDENTIAL)
CITY OF,EAGAN
3830 PIIAT IRNOB RD
EAGPN, 2MI 55122
651-681-4675
Please camplete for: ? single family dwellings
D townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
ARerations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet " minimum -1 3.00 X
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x $ ?
Laundry Ua 3.00 x = $
Lavato 3.00 x
Septic System newrrefurbisned ' requlres MPC Ile. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $ ,
Shower 3.00 x = $
Underground sprinkler fidwalling is underconstruction 3.00 x = $
Underground sprinkler Hexisting dwelling 30.00 x = $
Water closet 3.00 x = $ -?
Water heater 3.00 x = $3 --
Water softener if dweliing under consWCtion 5.00 x = $
Water softener H exis8ng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Suroharge .50 -> -> -> $ 50
Total ->
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------•------•----------------...---• •---------------------------------------•---------------------------------------------------
I hereby acknowledge that I have read this application, sfate that fhe infortnadon is cortec[, and agree to oompty with all applrcable City of Eagan ordinances.
tt is the applicanPs responsibility to notify the properly owner that the City of Eagan assumes no liability for any damages caused by the City during i[s
normal operational and maintenance activities to the Ydcilities construdad under this pertnk within City property/rightof-wayleasement.
. - /h i . / Ivi -
SITEADDRESS: 141V0
OWNERNAME:: 0-'Gf I7?
INSTALLER NAME: I'llG{'l
STREET ADDRESS:
ciTV:
R 2 R 0 U ?
!ELr ; 1
TELEPHONE #:
(AREA CODE)
TELEPHONE #: OZ1,21
(AREA CODE)
OF PERMITTEE
LOT: T BLOCK: lo SUBD./P.I.D #: f 1a-C_-Y 1 v- L`-?,+
,
; 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN -?,
Z3830 PILOT KNOB RD - 55122 V
651-681-4675
New Construction Reauirements
? 3 reglslered sffe surveys showing sq. fl. of lot, sq. ff. of house
and aIl roofed areas (207, maximum lot coveraae allowed)
? 2 coples of plans (show beam 8 window sizes; poured fnd. design; efc.)
? 1 set of energy calculafions
? 3 coples of free preservation plan ff lot platFed affer 7/1/93
? Rim Jolsf Detail Options selection sheef (buildinas wkh 3 or less units)
i ( / /
Telephone #: (
DATE: /6 ?0 CONSTRUCTION COST:
DESCRIPTION OF WORK: ioe mo h?un If mum-family bldg., how many units?
STREETADDRESS: lW-4.'r OAK&PQQiKE &I Vk
PROPERTY
OWNER
Lasf
Street
Cify
Firsi
Phone #:
SheM
Company: /0U /k /70m C S O12J? i/ CnJJD, Phone #: 4?-/ ??-j ' SZ 0-b
(area code) /
CONTRACTOR ?37?
SheetAddress:/?sT/?7?n pj4 /??fs ?c/ ,S?lfG 30 ?5 Ueense# F?P•
City /Wo'Doiti ffifS ft State: 111(l
ARCHRECT/
ENGINEER
Cily
C e3_?.e-& I?_ 1-I - C; U
Remodel/Reqair Requfrements
2 copies of plan
1 sef of energy calculailons tor heafed addkions
1 sNe survey for extertor additions 8 decks
State:
Zip:
Name:
Regiatratlon 6:
Zlp:
Sewer/water licensed plumber (if installina sewedwater): Phone #:
I hereby acknowledge that I have read this applicafion, state that the information is correct, and agree to
comply wlth all applicable State of Minnesota Statutes and Cfty of Eagan Ordinances.
Signature of Applicant: Po/'ta OL.U[rFl"d
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No i
Tree Preservation Plan Received Yes No _ Not Required
- - NQ1' i "- 2020 ?
?
OF{FICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screened)
? 05 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
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bidg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) C
? 36 Move Bidg. ? 43 Reroof C
? 37 Demolish (Bldg)` ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
45 Fire Repair
46 Windows/Doors
_ Footings:NewBidg _ Insulation _ Windows-new/replacement
_ Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addition _ FinaUNo C.O. _ Smcco/Stone
_ Foundation Fireplace: _ r.i.
air test fmal RooE _ ice & water _ fmal
_ Framing _
Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning
Building
Engineering
Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
' ?? 1'?-??ti c,?
? l`??
?? ??
LOT: ?
BLOCK: SUBD./P.I.D 0brQOKPJ
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
851-681•4675
New Construction Reauirements
? 3 registered site surveys showtng sq. N. of lot, sq. R. of house
and all roofed areas (20% maximum lot covera4e allowed)
? 2 copfes of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set ot energy calculations
? 3 copies of free preservafion plan If lot platted aMer 7/1/93
? Rim Joist D tail OpHons selectlon sheet (buildinas wNh 3 or less unksl
? l ?
Remodel/Renair Reauirements
2 coples of plan
1 set of energy calculatlons for heated additions
t slte survey for e?erior addNions 8 decks
DATE: 25 ? CONSTRUCTION COST:
D)-o
DESCRIPTION OF WORK: /\ eS jdt /11 I G) H multi-fam0y bidg., how many unih?
STREETADDRESS: M W V, IICgr)OX?% a y)If e"
Name: Phone #:
PROPERTY Las1 Flrst
OWNER
Street Address:
City
State:
Company: Phone #: 9V / r`?Z?20 D
(area code)
CONTRACTOR 1 1
SheetAddress: 1??61r(d 6vA3o-0 License# 32 Exp.
city Aemjbtti F}?j5 state:M zip: ST) l'O
ARCHIiECT/
ENGINEER Company: S? tl S?i b
Name:
Telephone #: ( )
Sheef Address: Registratlon #:
CHy
State:
Zip:
Sewer/water licensed plumber (if Installina sewerlwater): VA) Ig Y /OLA OS?J P, Phone #: f 1
1 hereby acknowledge that I have read this applicatfon, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
???? -
Stgnature of Applicant `"??`t 611
OFFICE USE ONLY
Certificates of Survey Received ? Yes No
Tree Preservation Plan Received _ Yes ? No _ Not Required
pT @ T OdT
NOV 2 9 2000
?
By Man
Zip:
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool
)< 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
O OS 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
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code ?
SAC Units ?L
Nbr. of Units 1
Nbr. of Bidgs /
Type of Const
? 30 Accessory Blgg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applieant
_ Occupancy rL 3(11 MC/ES System
Zoning 110r) City Water
Stories Booster Pump
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
? Footings: New Bldg
_ Footings: Deck
Footings: Addition
Foundation
Framing
? Insulation
? FinaUC.O.
F" a C.O.
ueplace ?( r.i.
Poo : _ ftgs
?j air test _ fmal
_ air/gas tesu _ final
Engineering
PRV ??
Fire Sprinklered
_ Windows - new/replacement
Siding
? SNCCO/Stone
Roof: ice & water final
APPROVALS
Planning
Building
Variance
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
ToWI:
tiGqa.+S
- - --- -- --- --
I 4p v
70 !1 70
?Z( ?(
' JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452-5727
CONTRACTORlS UPPLIER:
JOB NO. 0$20 ?t)bA /? LEGAL DESCRIPTION:
connnnuNirr: Oakbrooke Sin I@ Fertlll ADDITION:
BUILDING ADDRE55: im ?JGVC_?CITY:
MODEL NAME: StCrIllig MODEL NUMBER: 18232
Eagan STATE: MN ZIP 55122
ELEVATION: 5 GARAGE: LEFT RIGHT
F7 Fxl
Bl1YER'S NAME: StBrllllg MOdBI DATE OF ORDER: 11/6100
CURRENT ADDRESS: CITY:
HOME PHONE: BUSINESS PHONE:
SALES REPRESENTATIVE Sh@IdOfl
STATE:
BUSINESS PHONE:
ZIP:
, ...
0000
„
BASE PRICE
229,990
---- LOT PREMIUM
1 18047 ELEVATION # 5 10, eo ?
1 10104 Refri erator / Icemaker 1 Waterline 1100
1 10119 Washer / Gas D er 1050
1 10085 U rade Ran e Features 125
1 13077 Whirl ool Tub Master Bath 1175
1 14007 U rade Car et Pad 215
1 14160 3' Car etU rade z205 S*a'
1 15026 Vin 1 U rade Kitchen ! Nook -sw
1 15028 Vin I U rade Laund Room
1 15029 Vin I U rade Hall 225
1 75030 Vin I U rade Bath #3 ?s
1 15032 Vin I U rade Bath #2 ?I S
1 16000 Concrete Patio 750
2 17028 Ceilin Fan 1 Brass I White MBR & FM RM -599-
1 19021 FuIlView Storm Door 150
1 21021 Gas Fire lace ! Ceramic I Wood Mantel 4250
7 23007 3 Ton AIC 2350
1 23012 Humidifier 625
1 25000 Double Interior poor 260
1 25012 Six Panel Oak Veneer poors / Solid Core 1410
TOTAL See
Pa e 2
APPROVED BY BUYER(S): 1211111
ddd?mfthhk ? APPROVED BY SALES:
EQUAL HOUSING
? RELEASED TO START CONST.: oPPORruNirr
TM This constitutes a contract behveen the Seller and the Purchaser(s) for the above items
Buitder's License #0001371
LOT BLOCK 10_ UNIT
JOB iNITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax. (651) 452-5727
Page 2
CONTR4CTOR/SUPPLI ER:
JOB NO. 0320 / 004 1 006 LEGAL DESCRIPTION.
connMUNrn: Oakbrooke Single Family ADDITION:
BUILDING ADDRESS: 1645 O8kk11'OOkB DrIV2 CITY:
MODEL NAME: St21'llflg MODEL NUMBER: 18232
BUYER'S NAME: StBrII
CURRENTADDRE55:
HOME PHONE:
SALES REPRESENTATIVE
Model
CITY:
Sheldon
BUSINESS PHONE:
LOT 4 BLOCK s UNIT 004006
Eagan STATE: MN Z1P 55122
ELEVATION: 5 GAR4GE: LEFT RIGHT
71 5-1
DATE OF ORDER: 11/6/00
STATE: ZIP:
BUSINESS PHONE:
ued
1 25013 Six Panel Oak Veneer poors 1 Solid Core 2"O Floor 3195
1 28046 U rade Cabinets Raised Panel 1015
1 28057 U rade 42" U ers Raised Panel 440
1 30009 Lawn Irri ation 4675
1 31011 Laund Tub Sin le Com artment 275
3 32012 Additional Cable Jacks BR#2 & 3, Loft 150
1 32023 Securi S stem 850
1 36039 Water Softener Loo 240
1 39010 Solatube Bath #7 525
2 17024 Ceilin Electric O enin s BR#3  200
225
1 10055 Microwave 373
t i 5C7 8^I 0 a s ftnMtic. 4-t l-e - 1=n ?,,-r J- 1 5
Cider
TOTAL
APPROVED BY BUYER(S): 111112?
? APPROVED BY SALES:
EQUAL HOUSING
RELEASED TO START CONST.: oaaoRruNirv
This constitutes a contract between the Seller and the Purchaser(s) for the above items
Builder's License #0001371
.TUL-27-2000 14:42 oUL?E HCMES
MNoheck C4MpLI,21NCg ggppRT
?dinneapta Energy Code
MNChe=k 9aftware version 3.0
COUNi'Y: Dakota
STATE: Minnesot&
7AhE: 2
CONSTRUCTIGP7 TYPE: 3ingle Family
DATE: 7-27-2000
P.ATE OF PLANS: ?/25/00
TSTLL: oakhrqpke 8tar11r_g witY. Lookouc
COMPLIANCE; pAs`3E9
Reqttired UA = 532
Your home . 443
24.2% Batter Thar. Code
P. OZ/]2
PeYmit #
Chec ed by Date
Area ar Cavity Conk, Glazing/Door
Herimeter R-Vaiue R-value U-Value
_.._-------°----------
- ------------------------------------ ?------°._,._---
CBILING9 1218 38.0 0.0
Wood Frame, lE° O.C. 2673 ly p 2.0
SSMT: Cona, 9.0' ht/8.31 bg;'g,pl inaul 1047 11.0 0.0 I
GLAZING: Windpws or poore, Aoove Grade 402 0350 1
AOOR9 38 0.350
FLU4AS: Over putside Air 4B 38.0 0.0
HVAC L*QUiPN1yNT; Furnaca, 92.4 AF7E
COM2LIT,NCB 3TATEME2TT ^T}ye progosed buil3ing dEeign-d89CY1bAd t14Y2 is
eonaietent with the building plans, specifications, and other calculations
eubmftted with the permit ap lication. The propased building hae been
daeigned ta m t' emen innesota 3neY5Y GCde.
BuilderJDesigue
D8L•e Ji?
TOTA F.92
f`
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?7 `t lS47C,,C (s ??{4K1t,FOGKE
n DATE OF SURVEY; II-17 -OO
W LATEST REVISION: Id - e? - OQ
?
? DOCUMENTSTANDARDS
Y 0
? Registered Land Surveyor signature and campany
J? ? :
BuildingPermitApplicant
ra?p ? Legal description
? ? :
Address
? • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? o Directional dreinage arrows with slopelgradient %
? ? :
Proposedlebsting sewer and water servicea & invert elevatian
? Street name
?
,o ? ?
Driveway
dy? ? •
Lot Square Footage
? ? ? • Lot Coverege
ELEVATIONS
Existina
5r/o ? • Sewer service (or Proposed)
m/ o
?
/ ? • Properry corners
d
T
f
b
t th
M
a
? ? op a
cur
a
e
r
eway
•
?? p • Elevatons of any exdsting adjacent homes
?? ? Adequate foating depth of struclures due to adjacent utility Venches
Prooosed
/o ? • Garage floor
q? ? ? • First floor
ra/? ? • Lawest exposed elevation (walkouUwindow)
? • Property corners
d? ? • Front and rear of home at the foundation
PONDING AREA (iF aodipWe)
? o' ? • Easement Gne
? m ?
/ ?
? c • NWL
• HWl
p
? R? o
? • Pond # designaGOn
? q
? • Emergency Overflow Elevation
? • DIMENSIONS
? ? • Lot tlnes/Bearings & dimensions
? ? Rightof-way and sVeet width (to back of curb)
m? ?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
0 ? • Show all easements of record and any Cily utilities within those easements
?? ? • Setbacks of proposed sVucture and sideyard setback ot adjacent existing structures
67/ o? • Retaining wall requiremenls, if agy _ z
Reviewed:
Meroh 1999
caaaeLocvnW.FM
Surveyor•'s Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot a, 81ack 6, OAKBROOKE, City of Eagan
reserving easements of record.
?
A
, ?
.i _.. ,i tl ^ T I'ry i?r??? j??l lx' ,i(:'i1 A, i-• 1??
p •r
7?5°Pose
8p? ?o?yd
w
i ?
i
,
?
Proposed i :V
House (p +
/
r $C ?
/ 3j ??37.2 `y orp9e o? ?
Z ?? .; `O7
937
939.7 a\ 4 4
?
•r ' , ?
9sa3 23 J?•• ?
49 • Op a.
0.4TTr _ . ?4_ .434,
1A-???
Plan # 18232
PROPOSED ELEVATIONS
LOT
H SE.
LOT
Top of Foundation = 4137•6
Garage Floor =qsi•4
8asement Floor =928•a
Aprox. Sewer Service = 9z3.9*-
Proposed Elev. = 0
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = .
HEADLunra
PLANNINC 6NClNd6RlNG SURV6YINC
2005 Pfn Oak Drive
Eagon, MN 55722
Phone: (651) 405-6600
Faz: (651) 405-6606
SCAIE: 1 Inch = 30 feet
= 10, 325
= 1,674
1670
BENCHMARK,
I
'..'1
MIN. SETBACK REQUIREMENTS
Front - 25 House Side -
Rear -15 Garage Side-
N0:
99R-201
I HEREBY CERIIFY TMAT iH15 IS A TftUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNOER MY OIftECT SUPERNSION AND DOES NOT PURPORT TO
SHOW IMPROVEMEN75 OR ENC HMENTS, EXCEPT AS 5 NTI. oA,E _1L,LZ/QO C b-
?I&•
BDOK:
INDGREN, LANO S VEYOR
LICENSE NUMBER 14378 OAKBROOKE
?
9?9
Y?
Dakota County, Minnsoto and
REcF, vF
t?c 0, o
D
S?
F
? j
? i 2F SLOPE YN TH??
; ARA ExeeirDS 3A,
? .'J? A P-8`$'d4YNtQi G Ill
CO MAY TE NQ'SCs?.D.
? House
i ?ue•99B.1
?
?
<
Fo)
LLo l/o
SQ. FOOTAGE
SQ. FODTAGE
COVERAGE _
CITY USE ONLY
PERMIT #: RECEIPT DATE: ??3 t 0 I
RESID£NTIAL M£CHANICAL PEiiMTP APP1-1CATlON
cirY or EAsax
3830 PaoT tcxos ttn
$asMauv ss1sE
651-691-4875
Please complete for; 9 single family dwellings
townhomes and condos when permits are required for each unit
Date: oC'o?3 c) ,
SITE ADDRESS: I (_g' ( 5 00_i?-?(-60LQ- kl)f
OWNERNAME: TELEPHONE#: CoSI ?/5?'SaGO
(AREA CODE)
INSTALLER NAME: ? NYL u??- ?4C?+1t0? ?I-?IC TELEPHONE #: Q S'?-_
(AREA CODE)
STREET ADDRESS: \a4K
CITY: STATE: ?to ZIP: SS32lJ
n I...... .. ..I......I. .....,.1. ......I Fn FL... .. .«i{ .. n.L 1..nn
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ 50
$ ?? s-0
L Total
Reininder: Cal! for inspectioris.
SIGNATURE OF PERiMITTEE
Updated 1/O7
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHAN1CAl. PERM1T APPLICATION
CI'['Y oF EA6m
S$SO PILOT KNOB itD
EAsAx,Mrt 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(nReA coDe)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PRE VIOUS TENANT P.V THIS SPACE? Y N. NA.VIE:
INSTALLER:
ADDRESS:
PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: _ New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nanue of Work
Wleen installing/removing undergrouied tank, calf 651-681-4675 for inspection by Fire Marskal axd
Plumbing Iinspector.
Fees: l% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Connact price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each 51,000 Base Fee
TOTAL s
S[GNATCJRE OF PEILMIITEE
I
:
Updated V01
PERMIT # " T?) d- I1--f RECEIPT DATE: s - 1- c)
USIDENTIAL PLUM$1NF PEiMIT APPLICATION
crrY oF F,e?sLAv
3$30 PILOT KNOB i{D
f.tkfiAR, b1N b51 ES
681-691-4675
Please complete for:
? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: A/U
OWNERNAME:: /yfSre!!?2!<J TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ?? ???????
STREET ADDRESS: (AREA CODE)
??-
CITY: STATE: ZIP: ??f Y3
Place a check mark next to the uermit work tvae
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: _4??n
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total lr ??
$ -?
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
:
I hereby acknowledge tlial I have read [his application, state Ihat the informa6on is correct, and agree to comply with all ap{tlicaM€Cityoi Eagano-rdini
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no IiabAity for any damages caue?d by IFie Cdy dunng' i[s non
operatlonal and maintenance activitles to the facilities constructed under this permit wifhin City p p ylright-of-way! e e?? I
?,???VIAY 0 4 2001 i
SIGNATURE OF
"'-Uodated 1/01
5o
'l- I-J'3 7 a s?
cIrv OF .r-..niyAN
(:A;;H.IE'fia 5 7'nR.MINAL NQ„ 80
DATE: 05/19/99 T7ME: J.;3:4:L04
NAMF_s !='UL7E: hl0hfF5 f]f- Mtd
2252 9220 1643 C)AF(DROOE`F_ 30.00
320 9001 it43 4HKHROOi:r 17:307.35
;??E,l:, 9379 043 GA};F+l;IIt?F•F. 10I7.00
34c.'.c? 9001 043 CIAI.EsfiQOKE 3?"3e i'S
2275 WLO 1643 (J1F:BI;OU4:C i.y039.50
3446 PC)f1:L 164:3 t1A}.B{tUU(:F: iU,°in
203 1001 1643 QAt.Br.noicE. 0.50
3743 9220 1645 oaicBFZOnE:E 50.00
2155 9001 043 anKDr•:Oc3E;c zFae0o
3868 9220 i.643 OAt;Z3R0OtiF 468.00
CR:f.09301. ** CqNTSNUL.
USGF' ID: NANCY *%k CONT1NUE
:*?X7k%k%kY:?yn?kM' Xpk??%# fi?4:sk??kT:?FM' ?K#%ktk%k??f 3X? 'M1k?fi#XCPn?k?k
CONTT.Ni.IE
r.lrv OF r.::nr;AN
c?SHr.G.R. s rERrsINAL Nn: et9
Dr-,rF:, 05/19!99 rzMen 00035
m",
rtarsEr-vi_Tr_ I-innrS OF ViN
:3716 ?c%'U 1643 C.1fiKRfiUUKF 04.00
303, 9220 1643 OAF;Ii4il7(]1;.F 50.00
3865 :92?0 043 UAi<i3R0pF;E 825,.00
2202 9220 i[47 pAI:HROr,i:E: 30.00
32:t0 9001 lU47 QAI:DRt]GI:E 1,212.0
3866 9379 1647 OAI:AFi0C11:F. 100. CIU
3422 9001 047 L)AF:PI;CtDt;E 787.90
2275 9220 t647 4AKDR(10{'E. 1y0:39.50
0446 9001 047 nni;DrnOi;E 10.50
2135 3001 l647 OAh;PFO(11{F_' 0.50
Ck:1.09301 ** rONTTNUI'
!)Sf::fi 7D: NAiJCV ** C:ONTINUL
,f„Orv[TINUF.
CITY C1F f=AG,AN
CFi5H7.E:R- S 1F=1iMINAI. Np: 81.7
rAT4:.P 05/19/99 7.T.ME:: 13:41e36
T.D;
NAME: !°'l.)L.TF i-1nMES OF MP?
3t'4•3 32r(] 047 OAF.13k001:E 50.00
205 9001 i.647 0f41:?iFi[}Oi;L 63.:50
:.?868 3220 i:E,$t' 0Al'.T3FiOfJl•CE 468e00
1716 9220 164 i' L7AKDR.CJOi:F_' 1. i4 .0o
3713 9220 047 OAF;Bf:C)OFG=. 50.00
3865 '9220 1Ez4 r Qhl(:bFi00l.L'-" 825.00
2252 5220 041 0(-11:BRpt71:.E 30.00
AWO 9001 i ii45 nAi,BKnni.x_ i, oF,o. 9s
3666 9379 1645 OAF:kSItt1C14:C I.oO.fJp
3422 9001. 1645 L)F1K$fiOfJNiE 689.62
CRJ(l9I3C}i. A# C;OPdTINU4
USI:.F', CU. NANG`d #* CON'rTNUI
?'dA',Y(i ?C%k`1FYG'R?X'MW>#'fF?k7K7k?k>'n%k?k7k7k?kW%I?W.MW'M'M>kh"?K?i<?KKM?X7k9R
''t7NT'IOUI
L':L1'Y OF FA(;(-tN
GASHII:'Fi: 5 rE.RNs:CNAL NCl. 819
1999 BUILDING PERMIT APPLICATION (RESIDENTfAL)
• ' CITV OF EA4AN
3830 PILOT KNOB RD - 55122 d- ?? Q? y? 7
657-681-4675 `?
c '?? cg ?
S-
N?w Consiructlon Reauirements Remodei/Reoair Reaulremen s
9 3 regisfered sfle surveys showtng sq. ff. of loi, sq. H. of house 2 coptes of plan
and all roofed areas (207, maximum lof coveraae allowed) 1 set of energy calculotions for heafed addffions
? 2 coptes of plans (show 6eam 8 window sizes; poured Fnd. deslgn; etc.) 7 sRe survey for exferfor addRions & decks
1 set W energy calculaflons
> 3 copies of iree preservahon plan If lot platfed aMer 7/7/93
DATE: CONSTRUCTIONCOST:
DESCRIPTIONOFWORK: ?P.?-._l S??ts..? ?U?•?ti l ?«*?1w?are.??o.\
STREET ADDRESS: V'
LOT: 4 BLOCK: ko SUBD./P.I.D. #: c?\V-e'
Name: `?&N? Phone #:
PROPERTY Last First
OWNER
Street Address:
Cify , State: Zip:
c?9 ?ia3??- I-??1 ?'?•`, to?z-?3?-????
Companv: Phone #:
(area code)
CONTRACTOR s q ? ?? ?1,? a
Street AddressX??S \?1 p? \Qr`? oRP- ?2Z5? t?D, ticense #Exp.3
City ?V?i"42Z?A&c State: Mh Zip: 1Z-:l51\Z-6
ARCHITECTJ
ENGINEER Company:?.n- Name:
Telephone #: area code ( )
Street
City
State:
Zip:
Sew4r 8 water Ilcensed plumber (reaulred for new construct(on onlv): ?r2.'r0 ?2ee'Bt'c?.\ ?'rZ - 4z8- Zg3S
PenclFy applies when address change and lot change Is requested once permit is issued.
I hereby acknowledge that I have read thts application, stafe that fhe inf rmafion Is co ct, an agree to comply with all applicable
State of M[nnesota 5tatutes and City at Eogan Ordinances. ?
`-
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes 7No _ Not Required
RegistraNon #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 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 ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas L+ne Only ? 43 Siding/Soffits/Fascia
0 32 Addition ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` 0 41 Wood Stove ? 45 Fire Repair
C] 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. Census Code ? D I
(Allowable) 5- LowSK.Aevel sq. ft. 5 2°I SAC Code oI
UBC Occupancy 2- 3 M ! , sq. ft. -ri R1 No. of Units ?
Zoning P,A 2.`O L?/, sq. ft. SSL No. of Bldgs
# of Stories 50.4T Csk2-. sq. ft. So?, MC/ES System
Length 45 DEt-4G sq. ft. City Water
Width 4T-? Footprint sq. ft. 1(c43 Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
-zf
Permit Fee Valuation: $ ? lZ-i DDo ?'
Surcharge
Plan Review
License f?'vn.t-C-;
MC/ESSAC
City SAC
y pS : g1 85
Water Conn.
Water Meter
Acct. peposit 529 X 25- = I?b? 225 °-=
S/W Permit
S/W Surcharge MhW t..E.tiEL'
Treatment PI. 5°!9 x 54
Park Ded.
Trails Ded. Ut?P? Lz-i1e:L'.
Other gM x 54 ? 4-7,064
Copies
A?h?6 ;
G
Total: 50 (o X i6= g 1 p? ?O ?
SAC Units
% SAC
-PTAL- ,-73j(
?
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTVLEGAL: Z°r 21? aKE'
DATE OF SURVEY: 8- 2"/
LATEST REVISION: 5 ' 13" qq
DOCUMENTSTANOARDS
/? o • Reg'istered Land Surveyor signature and company
M" ? ? • BuildingPermitApplicant
Q/ ? ? • Legal description
m" ? ? • Address
2( ? ? • North aROw and scale
V/? o • House type (rambler, walkout, splR wlo, spld entry, lookou; etc.)
¢' ? ? • DirecGOnal dreinage arrowa with slope/gradient °h
V ? ? • Proposed/epsting sewer and water services & invert elevation
U, ? ? • SVeet name
p
ig/ ? • Driveway
?
: o • Lot Square Footage
m/ ? ? • Lot Coverage
ELEVATIONS
Ewstin9
d ? ? • Sewer service (ar Proposed)
v ? ? • Property comers
Ev ?? • Top of curb at the driveway
?0?"o • Elevations of any ebsting adjacent homes
? ml ? Adequate footing depth of structures due to adjacent utiliry trenches
Prooosed
d o ? • Garagefloor
15,0 ? • Firstfioor
?a ? • Lowest exposed elevation (walkouVwindow)
y1/? o • PropeRy comers
¢Y a? • Front and rear of hame at the foundation
PONDWG AREA (if applipWe
m" ? ? ? Easement line
? ra1 ? • NWL
? m' ? • HWL
? Mr ? • Pond # designation
? c? ? • Emergency Ovefiow ElevaSon
raXo ?
m" ? ?
rY a ?
V? ?
CP/ ? ?
? m/?
DIMENSIONS
• Lot IineslBearings & dimensions
• Right-of-way and sVeet width (to back of curb)
• Proposed home dimensions induding any proposed decks, averhangs greater than 2', porches, etc.
(i.e. all sVuc[ures requiring permanent footings)
• Show all easemenCS of record and any Ciry uti4fies wkhin those easements
• Setbacks of proposed structure and sideyard setback adjacent exasting structures
. Retaining wall requiremenb, Aany _,,? ,f
Reviewed:
Name
March 1998
GRAIG/BLOCPRMf FM
-......' H.._._ " '- - ' ? - --.. _..-- ._..,_... -.,r,.. ? .. .......... .-•___._.__ .-.-.- . _, T ...i-..,...r-_..r.,.. ..-_, -,
! . I . . " ' ;•e?Aj,???.1?;:
• ?'d - . ,., '>t'
i Ey'o
i . ? .
Erosion
; An"ero"sion control inspectionie?jeq?iire,i1;Dch
? adjacent waterways'orproper? At tfiis eros
; graded to bottom of.'topsoifelevaGon;' a?4
•; f eqUal.shatl be installed, three'(3) feet from?Gii
! opeaing. °Additional "silt fenge?hall"_be BreFte
? , r?y,a.,: _. . !. . -? r''; ' ;i'', . :.;.• ? r , r..} ....,-.a
All lences shal) be.continuousiy rttafnfairieii u
•,?,,and greding iASpee?on approvai pri00 to,frem
: are`required to use the gravel.drivewaq.acce
?,. , .
At Rnal inspection; ail ;disturbed areas rhuit C
to remove.
?,j'N,
.4.__ yly, ._ i ..
7, ?
?• aA? +2.5' '12-6fsl
=(Mn?/D(OT.Spec„??? IJ/ ?'//ayyb?r?c;se1
?Wt C • J .?h ?L
Y?• I ?4?.Yr?+ -? ?' •L??{ t{?puded..
? x ..
mr •._ ` ? ?' ?1?
? ??a< ? , x?'? r•
? ? ;E•? ? ,, ???
n
• , 4., ' ? - ?14
' {...'{,>,.', ?;?.; 't `?2;:::,R??T'y;i:;,;:..K ?f,f"c,';
?isr knae, tima0sd .01
i. sod kavow
' ?.eloper'
j
i
TICE
O ?
, t
.
i
R
i
Control Redwrements,of i
er
n?
ng
BuUd
I•7
..
a'anv Yamine?beoins':?..The ?int@nt I5 to, limitdin,tra,cke
'i
cur6
ig ot la'ck of.mainten8rtce'C
s point iristead oi.ddvirig`'ov
'soadea uflseeded?ana mu
, h ? .V ?. ??., . . ?v..?•. ?.1.k
,. .. .,. ,? ,•
. ?^'.?Iwefall t!k'hufCe A/O
?
I
f . . ... , ? .,,. _{
1• ? • , • . - ? 1v '?.? ?? . ?Iki •,1.
I heve read and understand 1he Nol?CS oP Ero
. ; requlremeMa, • , „?- ,,.. ? " ?
? : rf " . ' ? b v P
,:t;; .y;. } :,?i•
6lis6ed in the yai
tences will reiul
?r,thecurb.,
ned r N Clr?t ents
g pohd bouritfa
.
fng. proPehY 111
' : )•3'' '),?? ???t?:
?. ??-? ? ?Pas)e
,
, stte
?F-
} ?;.
L.
..4t.:'
e., r,?..,_,?, ; :.i+::.?.? ..J,; ?
d requlremenffi of the buildin0, P
ai y
i, ?,.? i
I
i
I?6?t.and washbd
ted,!.the sile?;st1
ilace. A siit ferj
;? !I
i.
rr
an erosion'c
?r.' All cnnW
let wiil bie r?e
;
?b..?±' •?'.
T
{,,'.
SI ?? •
? VI??
C ? II t
61
??.??? i;,Jl:•'
? ? i grc.el &am I?,
?i??11 b pa?[r ,.??i
???'
i•
1?
•?: I? } li ?.
nd wili£?comp7 ritui'ttiese;
il..
dBt'Ne
; -?(P
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)
Date 1 il
,€(OwnedPe oldetSiO?mtute)?ardl?
?
;
,
? ? - ?£. .,,.?._;?.•. -:t?;:?,. , ;:<,.f ,,,;;,r ,4 ?-?...,{. 1;. ?.? ?, ?: ;i ?; ,:;
• . , _ .?,?_. ._. . .;,Ai?S . ... . ,.. . ? ? ?r ? 4. i , ? ?
?'
?.,.,.-.. .,.-.. ?...?e?r wirvrrr V(S(]PHER STATE ONFrCALL BEFORE DIGGING--CALL 454-0007
JOB INITIATiON ORDER
? Pulte Homes of
? lbiinnesota Corporation
1355 Mendota Heights Road. Suite ?00
Mendoca Heignts. MN °5720-1172
Phar.e: (651)452-5200 F;x: (651)452-5727
CP6k, /ofL>
CD NTRACTOF/SUPPLI ER:
JOB NO. LEGAy DE
CCNMUNT': RDCIT]CN:
LOT ' I BLOpC (J UMT
euaciNG aeoeess: \lo`l ll?l Oc.kb? ? (-71-S&,42 crrr: 'r'a GiC -2- srare: fU!/l,'" rr:
r?ncoa.ww?e?Ct-?J,`Yli`Y?? 1 MccELNUn+eEa: /Swo/ aeiArcN: -?---
caHaGe: LEFr aIGHr
eure.aswune: ca-rEOFCaoER:
,
CJRRENTADLRE55: GN: STA7E: ZIP:
HCME PNCNE: BUSPIESS PMCNE
SAlES REPFiESENTA7IVE
' J
BUSAIESS PHCNE
iQT1?.- ;:OPTIOAL'?- ;:::-,w••- ^->:.•.?:;rt::t??r-?n???F?,=-?_ ..::DESCRlPTIOPi?':r.:??f--._"8[C
1 OOCO IBASE PRICE
--- ILOTPRE?NIUM
1 ti ? /-? i% 3" Ei -IATION ?
1 ; i?2, 3) l e- cK, - lc
I- I t-?? ??.r c«? -h-im. ?-
I (.?-?G?(.' I"?7d5 Fir< 'ci.c?, Gzvtc?l2lcc, cc?t?v?c?ti??f .St??fD?c?{c YYutrl???.I
? «!C7 I lu-?fVILi?C'vLi'!O? ? Ci,L-?f.
i l5'C??? ? ?r?-?'?w Ti,lt: Lvt. ?? ?){??
1 I yGD `7 ( L? r,&P Pa-d
7'
? 7'v? ? .,
( ? • ??? ?u? ??,?w? ? ir?'lG l?c????rii c a .lu v,.?:.?c? -n?i )
r I 36%00?? ? "co.a'.'vv
? 320-? L' ? ?GQIV i6v?/?5
rSu
ag
?
TOTAL
aFF=GVED SY 3UYE?,
AF=RCVE:) o`! SAL==.
TC STAP.T CCNS-.:
?-,
e?ua? ?austNe
-=-n3iU?lIT'!
_,;,,cer; ,-:Cansz -ac?c-• ?nis consutuces 3 Ccntr2c:'?-e;ween ihB Sa:ler and :he YUfC8252!(S) `orthe cCOVC !IB!TIS.
JOB INlTlAT10N ORDER
PuIte Homes of
MinnesoEa Corporadon
1355 Mendota Heights Raad, Sude :00
Mendo[a Heighcs. MN 55120-7772
Phane: (651)452-5200 F;x: (657)452•5727
cnrTRwc-cwsuPPUea:
JCB NO./ 2?-G- -() / ?! LEWLDESCRIPTiON: IAT ? BIOCW/? UMT
CChMUNT': 0Gcov 6 ?C7 77-? PDCRiON:
BUII.DING ADORES
3
: Crry: g7ATE; LllL Z,Ip:
y
?
MCCELNPME: F?V ta.G?i?J'litiv'V`?-_. MCC0.NUMBER: ELZfATiCY: J 7 GARAG'c: LE°T PoGXT
BUYEf7S NPME OATE OF CRCER: s. I??7
CJRAENTAOGRESS: ci7y; yTpTE: qp;
HCME PHCNE:
6USINEfS PHONE:
SALES REPRESENTATIVE ?YlIL
BUSWESS PNCNE
..Q1Y: OP7'lalU#-. =
OOCO IBASE PRICE
---- (LOTPRF-MIUM
IEL-MJA710N :
o l7 1 Sc-c,ct V7-?l rv?-
! 1 -g //2 T?n,-_?r?=-_
?
? I n
I?i:/) r SG?cr Ccr?L-eY--(ad,?/., f=u n?!I _1?.? ,?z ?'c.?(7 -l U?-uVi?Lti ?
? I 61 X V?-Ltte?
? M-`'; I i'? Lr????i?a?
? ? ,?1 ?e ?? ??-r.'_ (•_? ?z_ ? `?? ?
?
iOTAL
EE
3cucer't ! :censz <CGC'C??
?.FF=GVED GY 3UYER (S'r
AFFRGVE) oY Sr^.L=_.
2
TO STAFT CONS 7: e:uaL iousIns
;=?nni0illTY
Tf115 COnstiwres 3 !=f12;2C: Ce;w2°!1 :.^.2 Sa!ler anc :h2 '::;C:125d!(5) `orthe aOOV@ :tB:i15.
1• EXTERiOR ENVEIOPE AVERAGE "U'.? COHPUTATION
OWtI[R: u?ry. e?.•-•t 3 0? S1TE AOORESS: Va 16t
?
'DATE• ??3'??PHONE: ?/S?=-szco
CON7RACTOR:
1 l1ETEftNINE 410RKIfIG SOllARE FOOTAGc OF EAGH:
1. TOTAL EXPOSEO t1ALL AREA........ -;?41 ?J sq f t :c "ll"
3?i,? jc
2. TOTAL f100F/CEILING AREA,,,,,,,, ??7V y sq fi x"U"
j. TOTAL EXPOScD 11ALL AREA CALCULATIONS:
Total exposed wall 2 24?
area above floor,,,,.... (?_ g9 ft
a) Total wa11 xlndow area: • ,
IDGl.16LE 9lazed...... fi(? sq fe x,,U,, .?70 . lC
u lf ? --
glazed,,,,,. sq ft x U
3q ft x iv,. -.?.--
b) 'Total door area ,,,,,,,., .?-? - , • ,. .
c) Total sltding glass door area:
CI?UBL? 9)azed...... ? sq ft xflUil
glazed...... sq ft x "U"
d} .Tocal ftreplace wall area
sq ft x
? -
e) Total wall Framin9 area OqZ z 4?D
(Averaqe 10:!)........... sq f t x U
f) Total net wali area above floor (Insulated) . . . . . . . 1(0sq ft x."U" •? ,a..--J---
,
g) Total rim Joist area...... 59 ft x"U" •??? °
Total faundatlan
erea (Exposed).......... 7 6 sq ft
h) Total foundation 9 Sq ft x"U" •?r?
wlndoH area.............
f) Total net foundatian sq ft x"U" •G7 ?
area above grade........?_ .
TOTAL a) [hru 1)
3
5
?
?
If Item ,{3 is the same as, or less [han Item ,;1, you have me[ [he in[en[ oF
2 itC.1R 1.16009 A and 0. '
Pag_ 1
• 1
I _ • . ' . . . .
TOTlII EXPOSEp ROOF/CEIUIIG CALCUTATIOHSa
Tatal expnsed
roof/celllnq area........ ?sq ft
J) To[al skyllaht area...... ?r sq ft x"U"
k) Total rooF/celllnq frer:ing '/?,D' ' . •
area (Averaae 1f19;) ...... , .`/ sq ft x U o-Z 6
1) Tocal net Insula[ed -? n -t?? ..•
roaf/cellinq area....... sq ft x "U"
11TOTAI j) thru i)
If rotal of #4 Is the same as, or less than.92. you have met the Intent of
2 NC.1R 1.16008 3 and 0.
?
i ? •'-
ALTER!lATE BUILDItIf. ENVELOPE DESIGN
Tn utllize the [otal envelope system methad, the values establlshed 6y tllr_ sum
uf items P3 and P4 shail_not oe greater chan the sum oF items A1 and ?2.
• ?, + 2. °
+ 4. °
C 5 R T I F I_ A T 1 0 II
I hereby eertify that I have ealculated the "U^ factors and "A" ;
values hera(n and that the bulldfnn heee.described meets or e:cceeds the State
'
oF Hinnesota Eneray Conservatlon Act:'"
Slqnature!
•?• /' : /- "7 ----
(Oa Ce)
i , •.
! X?J Ji V'L? -/J?- i??/??,:c? ?,=. „?:..:??Y? ?ivi?uv --t vµ???U,;;l •
' ' • CDNSTRUCTfON Ii VALUE ,•
. • ., ;.
HALL FRAHING SEtT10N:
--zl Interlor atr flim^ 0,69
?
4
a
n
u-t/R:,7
soFt
WALL SECTiON (INSULATED)
-?1
?
RfH J015T SELTIQN:
?
D
p p'.?•4
.
e: - ..
6a.;a 4
.- ,. -: • :
sa'.o'4
FOUNDATIQN INSULATI0N REQUTAED:
Min. R-5 on entire waTl OR ?
U? i/R =
Min. R-10 dawn ta frost.depth - ?
FOUNDATION SECTION:
1 interior atr film -r1.FR
Z TZ-11 Cf" !A!`?CY
R
I2" ('niZIC f. .o .
CtL• LZ ?
?---44 Exterior air film r1.17
(5
TQTAL R a 1lr l3
U - I/R - ?i71Lo
Si.AB ON GRADE
-- d• j •'1?•-• tit1? ° - 4 ?• `?. 'd ?Q'
,:.7,y{,?1• . •r .D Fi l.• ' f . .- ..d
A L'' • y ? 9 ??? ? ? - ?'
\.41 .? .3 ^ ,-?' C' , ?Ir (1????1?:i??? ??? . • ??. 4'
a' Heated STa6s:
Minimum R = 8:5
Uhheated S1a65: , a? , a Q ; • ? ?
Minimum R = 6.2 'd. • 4.? _;,
a-?•4 ,?'d ?a "? ?: r+,.
4' p:3;,_ 3
• . ? o ' -'? . .. .? 4
?„ .
U- 1/R??-
. ? , LONSTRUCTION R VALUt•.
?
CEiIlItG SELTIQN (1NSIILATED): '
1 Interior air film
' A f,T
2
3
Exteriar air film (stiil) ?.(,l
_ TDTAL R
U - 1/R = ?z
CEiLING FriAHING SECTION:
1 Interfor a1r f.ilm A,61
2 =/PJ ' hF4E-?•^Tr2Y' K ?(
3 V_ -: 1 , < 1 TJ
4 Interiar air film 'still (1. ?
5-a'/2 inches soft wood q
TOTAL R a -t-f n
' U= 1/Ra.627
?
CEILING SECTION (IHSULATED):
1' interior air film n.Ei
2
3
4 Exterior air film stitl Q. i
TOTAI ft =
Us i/R=
VENTED
CEILtNr, FRAHlNr, SECTIOH:
1• In[erior air film 0.61
3
4 Exterfar air film still n. 1
5 inches soft woad
TOTAI. R =
U= 1/R=
?
Instde air film O•At
2
3 •?
4
?•?7
S Outside air film
TOTAL R =
U= 1/R=
Page 4
?
? ? - Surveyor's Cert%ficate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 4, Block 6, OAKBROOKE, City of Eagan, Dakota County, Minnsola ond
reserving easements of record.
?o
?'
?O
?O Proposed I
House ?
C.
?
V
w
LOT
H SE.
LOT
Plon # 18201
PROPOSED ELEVATIONS
Top of Foundotion = 437.8
Garage Floor = q3,7,4
Basement Floor -4z8.e
Aprox. Sewer Service = 423,
Proposed Elev. _ ?
Existing Elev. _
Drainaqe Directions =
Denotes Offset 5take = •
SQ. F00TAGE
SO. FGO TAGE
COVERAGE _
SCAIE: 1 inch s 30 feel
I t:L)
ly` ' > > , -•
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Reor -15 Garoge Side-
JOB N0:
HEDL?J/Vl? I HEREBY CERiIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-201
OP THE BDUNDARIES OF THE ABOVE DESCRiBED PROVER7V n5 SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NDT PURPDRT TO BOOK: PACE:
PLANNlNG 6NC/NBBR/NC SURVC'Y/NC SHOW IMPROVEMENTS OR ENCROACHMENiS, EXCEPT AS OwN.
2005 Pin Ook Drive DATE CAD FILE:
Eogan, MN 55122
PhonE: (651) 405-6600 J Y LINDGREN, LAND RVEYOR
Fox: (651) 405-6606 E50 LICENSE NUMBER 14376 OAKBROOKE
= 10, 325
CITY USE ONLY
Date:
LOT BL Ur
SUBD. Gi/
z
Complete this section onlv iF you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
t
• HVAC: 0-]00 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
New
Furnace
_ Air exchanger
SITE ADDRESS: I 6
OWNER NAME:
$ 30.00
6.00
1999 MECi-IANICAL PERhIIT (RE.SIDENTIAL)
CITY OF £AfiAN
3$30 PILOT KNOB itD
EkBAN MN 55122
(65] ) 6$1-4675
20 C)O
State Surchazge .50
Total $ ?0!?s
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
Air conditioning
` Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
0 ,4k (3200,?e ?-?2
REC£IPT #:
RECEIPT DATE:
?7
Ir?L
MECHANICAL PERMIT # 3 L?`T
4-F )yC7
INSTALLER NAME: zb«-rrO S U i
S'fREET ADDRESS: l d'`6d" f
CITY: '40'4C'
4'lL ?
PHONE #: --
(AREA C DE)
_ PHONE #: (
(AREA CODE)
_ STATE'l/?7 h ZIP: 5?S-3 79
IG '- RE OF PERMITTEE
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
RECEIPT #:
_ RECEIPT DATE:
INSPECTOR MECHANICALPERMIT
1999 M£CHANICAL i'ER1HIT (COMb[ERCIAL)
CI1'Y Of EkHAN
3$30 PILOT KNOS RD
SA6AA, MN 55122
(ssi) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separete permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING ,
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
L'ITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
($.50 per $ I,000 of uermit fee due on all permits.)
PHONE #:
(AREA CODE)
f
SIGNATURE OF PERMITTEE
? CITY USE ONLY
L _ L
SUBD.
RECEIPT #: I1O SCo X
RECEIPT DATE: ) O 9
PERMIT#
1999 PLUM$llvfi PEiMIT (RESIDEVTtAL)
crrY oe EAsAv
S$SO PILOT KNOB RD
EAfi1kN, MN 55122
(651)6$1-4675
Please complete for: 9 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 e,? _ $ -
Floor drain 3.00 x = $
Gas i In oUtlet ' minimum - 1 3.00 X $ -
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ -
Laund tra 3.00 x = $ ?
Lavato 3.00 x = $ 1
Minimum fee aiterations to existin dwellin 30.00 x = 5
Private Dis osal S 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 =
,
$-
Shower 3.00 x = $ ?
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x J = $
'
Watef Softener if dwelling under construction 5.00 x = $
Water softener 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 acknowledqe that I have read this applicaGon, sWte that the information is covect, and agree to comply wRh all applicable City of Eagan ordinances.
It is the applicant's responsibilily to noti(y the property owner that lhe City of Ea9an assumes no liability for any damages caused 6y the City during its
normal operetional and maintenance achvihes lo the facilities wnstructed under this perQiit within Gty property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
TELEPHONE #:
(AREA CODE) -
INSTALLER NAME:
STREET ADDRESS:
C ITY:
TELEPHONE #:
ZIP: -`?-!??..4?ti.-?
SIGNATURE OF PERMITTEE
L CITY USE ONLY
?
SUBD. llBL
RECEIPT#. L4 33
RECEIPT DATE: M0
PERMIT # 3-750-
1999 PLU113BIN6 PEPMIT (REsIDENTIlkIa
crrYoF FAeM
3830 PILJar sROS su
F,+s", MR 5512a
. (651)8$1-4675
Please complete for. ? single family dwellings
? townhomes and condos when pertnifs are requ(red for each unit
D backflow preverrter for underground sprinkler system
FIXTURES
EACN #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i In Dutlet " minimum -1 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 S 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 - $
Shower 3.00 x = $
Under round s rinkler if dweilin is under construction 3.00 x = $
Under round s rinkler if existin dweliin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construcuon 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x - = $
State Surchar e .50 --> -> -> $ .50
Total $
Reminder. Call for inspections of alteraUons, i.e. water heaters, water softeners, etc.
i ri?eny acbioiuied?e iriai i have roaa ti,is epa?icstion, stite eiat 4ie Infonr?stion is correct a? agree ic complY wfti? all appltpble CitY of Eagan adinances.
It is Me applicanYs responsfbillty W notify the PropertY owner that Me Cily of Eapan assunres no tiability for any dameges raused M' me Cily during ifs
nortnal opewtional and mainlenance actlvities to ihe f8dlities construcied under Mfs pertnit within City propertylriBhtof-way/easement.
SITEADDRESS: Il?/S? & K-.!12 1, aolCt- I?riac
OWNER NAME: :Pte /7"O? t? TELEPHONE #: 6ri v?i? ?a D v
(AREA CADE)
INSTALLER NAME:
STREET ADDRESS:
cirv:
STATE: Pklln-- ZIP: ?d 3
SIGNATURE OF PERMITTEE
2665145th SlreetWest
Box 455
flosemount, MN 55068-0455
800-303-0752
Faa: 651-423-3306
October 27, 2000
Dear Valued Customer:
PEOPLES NATURAL GAS
ENERG7/DNE
Peoples Natural Gas has completed its preliminary investigation into the cause of the
explosion at 1645 Oakbrooke Dr. in Eagan on Monday evening. A gas main that supplies
natural gas to the model home where the explosion occurred was found to have a
?
o
construction defect. The main was improperly installed by a third-party contractor rt11 ar4
resulting in a gas leak that subsequently migrated into the model home and was ignited. I) i /le
!
Peoples has conducted an extensive leak check of the entire neighborhood, and no other
gas leaks have been found. As an added precaution, we will be spot-checking other
" f Ji o c
ia
0-
2 C, -
mains in the azea to further insure that this was aD isolated case.F,,?e
er-,TeQ r. c -?
?
/a?C'i`. /.`f/i: C4?a ?G ', i - ?y
H Vta!a , ln-d;rr
Some customers have inquired about whether a gas leak can have an effect on the ground
water. Since drinking water is drawn from very deep underground sources and the water
system is pressurized, there is no way that natural gas can get into the water supply., ,, (PS
,s 4
G ra c??
Should you have any additional questions about this incident or anything related to the
natural gas service to your home, you may call:
Rory Lenton at 507-529-5117 or 1-800-620-8891 or
Dave Perron at 651-423-8920 or 612-840-1709
Our customers' safety and peace-of-mind aze our highest priorities.
(h?:l,«?t ?sl?•-?,? T- vc.?c?? ???? ?-oax,?, m?--?? ?
?
41jW
/
A Drvision al UllhCorp I1mteA
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA106929
Date Issued:09/17/2012
Permit Category:ePermit
Site Address: 1645 Oakbrooke Dr
Lot:4 Block: 6 Addition: Oakbrooke
PID:10-53760-06-040
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 8,950.00
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 -
Claude C Medici
1645 Oakbrooke Dr
Eagan MN 55122
Superior Exteriors MN Inc.
4520 Tower Street
Edina MN 55424
(612) 382-2549
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119663
Date Issued:12/11/2013
Permit Category:ePermit
Site Address: 1645 Oakbrooke Dr
Lot:4 Block: 6 Addition: Oakbrooke
PID:10-53760-06-040
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 -
Claude C Medici
1645 Oakbrooke Dr
Eagan MN 55122
Bac Construction Services
3032 Minnehaha Ave
Minneapolis MN 55406
(612) 721-5500
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163678
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 1645 Oakbrooke Dr
Lot:4 Block: 6 Addition: Oakbrooke
PID:10-53760-06-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Claude C Medici
1645 Oakbrooke Dr
Eagan MN 55122
(612) 910-0166
Superior Exteriors Mn Inc.
4520 Tower Street
Edina MN 55424
(612) 382-2549
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170530
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 1645 Oakbrooke Dr
Lot:4 Block: 6 Addition: Oakbrooke
PID:10-53760-06-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Claude C & Candyce L Medici
1645 Oakbrooke Dr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature