1647 Oakbrooke DrAddIOss 1647 GAKBBGOKE DRIVE
Zip $$122
LAi j Blk h $Ub OAKE,ROOKE
THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECT'ION.
Date: q_)d_ q ti Yes No Inspecior:
Final grade (6" ftom siding)
Permanent steps (garage) 1
Permanent steps (main entry) ?
Per[nanent driveway
?
Permanent gas
.? ?
Sod/Seeded grass ?
?
TraiUcurb damage ?? G
Porch X ?
Basement finish ? ?
Deck x G
Please verify with the builder the reroovai of roof test caps from the plumbing system and the shut-off of wa[er suppty to
the ouLSide lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Residen[ Copy Pink - ContraMOr Copy w
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
? -?,o Iz?
Date 7 ! 3 ( / 03
Site Address LEE, HOCHOON Unit #
1647 OAKBROOKE DRIVE
' EAGAN, MN 55122
(651) 575-4910
Property Owner _ Telephone # ( )
Contractor NORBt? ??ING CO.
(612) ?27-4033
Address City
•
State ip Telephone # ( )
The Applicant is _ Owner 11-1-- Contractor _ Other
Septic Sys[em New Refurbished Su6mit 2 sets of plans and MPC license $ , 100.00
Includes Counly fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ new installation _ repair _ rebuild g; 30.v^0
? Lawn irrtgatioo syetem bac-`ldyJ P1/13 O-Y7
/
_ Water softener _ Water heater $ 15.00
_ replacement _ additlonal E
AUG 0 6 2003 $ .50
state surcharge
Total
By _.. ?.._-?-------- ? $ S
I hereby apply for a Resiclen[ial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a pemrit, and work is not to start without a perntit; that the work will be in accordance with the
approved plan in the case of work which xequires a review and approval of plans.
Je? t?CwblcrvYA
ApplicanYs Printed Name A p" t's Signature
Address: 1647 Oakbrooke Dr Zip: 55122
Lot: 5 Block:6 Subdivision: Oakbrooke
THE FOLLOWING ITF,MS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 1
Yes No Comments
Final grade - 6" from siding
Permanent ste s- ara e
Permanent ste s- main ent
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace 71-
Verify with your builder that roof test caps from the plumbing system have been removed.
Tum off water supply to the outside lawn faucets before freeze potential exists.
Call [he City's Engineering Depariment at 651-6814645 prior to workmg in right-of-way or installing
iuigation sysfem.
DUILDMG INSPECTOR
V
cd/bldginsp/forms/2002/fina1 inspection checklis[
t
Site address: /??? Lot 67 Block -k- Subd. ?.
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 that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of ihe Mn Energy Code, Chapter 7670
OR
? This structure: will he constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFA TURER MODEL BTU'S VENTING TYPE
WaterHeater /0 5-0 & ?
Fumace
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitcnen kitchen V?lg6CJ 3(JCJ
pe,
Bafhroom 1
IIZIAI
G??as?,?rc?
V_ 08 V
80
Bathroom 2 `V- p.? ?O SO ?
Baihroom 3 f -,5-U sv
Bathroom 4 J _SV -5-0 ?
EE
Other sv `-!nd g-p• V---
J
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
? /(/?(0 ?
OQ7 ? ?l? Z7 ?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Date
CompanyName
* This form is the responsibility of the General Contractor.
Lo? S B I o Jr- ln
Opj<,Lj r00 ?-
City Of Eagan Vlj ""
3830 Pilot Kuob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAZ# 651-675-5674
,2"
RESIDENTIAL BUII.DING ?`- '?S 30 '-1 O.r?o
Permit Application
New Construction Reauirements Re eUfteoair Reauirements
3 registered site suneys showing sq. R. of lot, sq. R of house; and all roofed areas 2 apies of plan
(20% maximum lotcoverage allowed) 1 set of Energy Calculalbns for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 sile survey for addNOns & decks
1 set ot Energy Calculations Add'fion - irrdicate ilarsRe sepfic system
3 copies of Trce Preserva6on Plan if lot pla@ed after 7/1/93
Rim Joist Defail Options selectlon sheet (bldgs wJ'th-3 or less unib - ^
/?1 f s v. n.. Q,1 J Y\O l1- S.e
Gc.t?b
? -:sx,??. T
-?? 3?`b0 .?l S
Office Use OnN ?
_eCeA oi Survey Recd
Tree Pres Plan Recd
!,:Tree Pres Not Reqd
On-sde SepGc Sys m
?}
L VV?U1? ? ?-C}J'.' ) .--D.c) .d ?
?C, \ ZC7 Oc->J
Date Ct Vv`-k LjConstr?.ucC1 l,tiooost
Site Address L.i o pV? I`. -A2 UniUSte #
Description of Work
Property Owner Telephone k(?s
Contractor
Address .Q?S Nu? a?. w es? u.r?Lw ? y City
State _ ?\AV\ Zipl??'SVZ.\ Telephone # (oj\
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category
(J submission type) Minnesota Rules 7670 Cateeorv 1
• Residential Venfilation Category 1 Workshaet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber V?\` ?? \?'^^? ? ^
Mechanical Contractor ?NSV??.
Sewer/WaterContractor`k- z?,?b ?netb?-
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone
Telephone #?a)
Telephone #r43) 4C'-n5'Z9? 3g
I hereby apply for a Residential Building Pernut and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th cas ' a review and
ap roval of plans. ??
G ) -"
2003 f
ApplicanYs Printed Name Appli t' ignatur?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
?Q' 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?31New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation ? coO
CensusCode /01
SAC Units 7 J
Nbr. of Units
Nbr. of Bldgs ?
Type of Const
ly Footings (new bldg)
_ Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace _Y R.I. _yA'uTest X Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demoiish (Bldg)• ? 43 Reroot ? 46 Windows/Doors
`Demolition (Entlre 81dg) - Give PCA handout to applicant
Occupancy rZ 3 -? MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV ?
Length ? Fire Sprinklered
Width ?
REQUIRED INSPECTIONS
C FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _
_ Siding Stucco Stone
Windows (new/replacement)
Retaining Wall
Approved By r2, , Building Inspector
------- - ------------------- -------------- - -------------
&A5c 1a92. y i5 = ?4,3K0
??? ? ?q '?.
2--10 11 ?-?
? ??? qS14
6"?/ 46 ?
7?
..?
l y3,?s?
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 675-5675
PERMIT
Permit Type: Building
Pemrit Number: EA043708
Date Issued: 1 l/22/2000
Site Address: 1647 Oakbrooke Dr
Lot 5 Block: 6 Addihon: Oakbrooke
PID: 10-53760-050-06
Usc:
Description:
SubType: Miscellaneous UBCOccupancy:
Wark Typr. emolish Bldg Conshuction Type:
Description: SF dwg - due [o explosion Zomng
Census Code. ?dt Square Feet
Remarks' Call for final inspection.
Aase Fee - Fized 60.00 9001.4085
Fee Summary: Surcharee - Fixed 0.50 9001.2195
560.50
?
Contractor: - Applicant - OWllCT:
Pulte Homes of MN Coip St. Lic.: 1371 Pulte Homes
815 Northwest Pkwy Ste 140 1355 Mendota Heights Road
Eagan, MN 55122 #300
6514525200 Mendota Heiehts, MN 55120 651452-5200 _
[ hereby aclmowledge that [ have read this application and state that the information is correct and agree to compty with all applicable
State of Minnesota Statutes and City oF Eagan Ordinances.
Applicant/Permiter. Signature
Issued By: Signature
r ..+..? ?,..
MAR-16-20W 10!28
_ -:.,,.,,
MNOheck COdtPLTANC;E ztERORT
MitaseaoAa Snar9X Gods
NQdcheck 9oftware Vexsion 3.0
CfJONM Timkata
8T7#iB: Ml,YitxaaoCa
dbi,'E s 2
CQNGTRUCT20N TYPEe 3'l.n,qlm ramily
DATZa 3-16-2040
p,A1'E C1E' PLR1Q9 e 3/16 j C16
TTTLP1: $ALKTIcK Id/D EL. #2
CQMPLXAMCB: &A98EF
erm C
acke y DaCe
Asqulx8d tTA a 509
Yaur Hom@ m 467
19.9* Hetter Than Coda z Cavity Caxat. alazing/Daor
Area O
PerimStex R-Value R-Value Value! _ Y
U
_,.______________^_-_--.-
-- _
----_-__-------__.--...__.
0
0 8
44
CETI"ZNGS
1611 O.C.
wALL?, Waad FriLyRa ,
.
1444
2327 19.0 '210 1
,
W.A,LL6: 9Pae:d Fr.SAte, 16" O.C. 283 10.0 2•0
0 0.0
11
83UtT: Conc, 9.0` hT.l8.31 bg/9.01 .
inaul 402 0.250
1
GLA.Z2D1G s VPti.ndow8 or poare, Above drade 485 0.350
DOQR$
Erid7oR6: 4ver tTnaoxiditiwned space 38
352 38.0 0.0
liVAC HQVIFNI]1NT : k'urttaCo. 92.0 A Fn
COMALTA*TGE STATEMBNT: .The progosed building desiqn deeoribed har.e iO
laulatiQne
coneiataat wiCh the bulldinc_r plauns, aPecifioMtiassse, and othsx
T
'rO
A ca
0 $ b°en
submitt0d with th-c ?rmit applic
'
?
" ation.
Mi P
Enetgy C4d
OCa
ir
?I
deeigx?ed ta mmyrr `...
ffiuilaerlDee i5a.er_.. nar ??,?°"?
TOTAL P.02
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DOCUMENT STANDARDS
Q ? • Registered Land Surveyor signature and company
[[?Yp ? • Building Permit Applicant
,0 ? • Legal description
p' ?
?? ? • Address
L
CI ? . North artow and scale
0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
6d/,EI ? . Directional drainage arrows with slope/gradient °,6
??[] ? . Proposedlexisting sewer and water services & inveR elevation
H' ? ? • Street name
? ? • Driveway
6'?Cl ? • Lot Square Footage
0? ? ? • LotCoverage
ELEVATIONS
Existina
/
¢' A ? • Sewer service (or Proposed)
? • Property comers
f9??1 ? • Top of curb at the driveway and property line extensions
? • Elevations of any existing adjacent homes
? • Adequate footing depth of sVUCtures due to adjacent utility trenches
d ? ? • Watenvays (pond, stream, etc.)
Prooosed
Y3' jCl 0 • Garage floor
B ? • Basemenf floor
? • Lowest exposed elevation (walkouUwindow)
p? ? • Property comers
Ct/ ?? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? H jo • Easement line
? d/ ? • NWL
HWL
? H ? •
? g, ? • Pond # designation
? ¢?y] • Emergency Overflow Elevation
? ?? ? • PondNVetland buffer delineaGon
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lo-? ? ODcX 6 ??46-rT d?
DATE OF SURVEY:
LATEST REVISION:
DIMENSIONS
'D 3
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requiremei
Reviewed:
G:/FORMSlBuilding Permit Appilcation
?; , . Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot s, Block 6, OAKBROOKE, City of Eagan, Dakota County, Minnsota and
reserving easements of record. JA{?' 2"r REC'D
?v
.y,,I
f?
00
E?J
C?
CJ?
?
0
?
?
29. I 929.2
30 ?'
1 Ns?o
929.4
j 00
° ? o;
?oi ? fEtii? >,S
I Ln
I
?
,
,s.< ? I 937.7 ko
o ? ?o. op OY
I Q I I o 42? 00 ???UIr?
I O I I ?o ProppB 937.8
00 ? ?v 2?gtor? )/6
41- BFCw o ? i 938.4'??J-?`
I m ?5.0 20.00 N I ? i
I l i
1 ? I 37.
/
u 907.2 Existing Home
I 0) GOfp9e oo 1 1 938.2 TOB = 939.0
? ??C' N •3J??
I r4 ?zoo 1 ; • ,?..,.
? ?.
Plon # 18052
PROPOSED ELEVATI
937.9 4
8
?0 d o ?
° C.B.S4937.0 36.4 36 . Q 937.0 ?
9
i~iEWER 9 6.4 ? 956.3 • ., ?
-------- ? ? . ? L?' , r':
,
LOT SQ. FOOTAG_-_E -= ?41140
HSE. SQ. FOOTAGE = 1,576 '-
I nT COVERAiGE _ ? 1 %
Top of Foundotion I =9sa.s
Garage Floor =938.i
Basement Floor =q3o.s
Aprox. Sewer Service = 92i.ai
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = • SCALE: 1 inch = 30 feet
HEDLUIIfD
PLANNlNG 6NGINSSRING SURY6YING
2005 Pin Oak Drive
Eagan, MN 55722
Phone: (651) 405-6600
Faz: (651) 405-6606
I HEREBY CERTIFY THAT THIS
OF THE BOUNOARIES OF THE,
BY ME OR UNDER MY DIRECT
SHOW IMPROVEAIENTS OR ENE
onTE _bZ!/Q3 -
BENCHMARK, .
- ..? __. . . , ,;.,,..
MIN. SETBACK REQUIREMENTS
Front-25 House Side -25
Rear -is Garage Side-
IRRECTy REPRESENTATINJ
PROPERTY;.AS SURVEYED
DOESNOT?PURPORT TO
JOB N0:
99R-200
- LANtj SURVEYOR
NUMBER 14376
OAKBROOKE
ij:?-Ll ' l- z.z -o.s
s4- wekNA" ,3 7 d 53
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ca:rv OF r_aGaN
r.,aSH.r.rk; s rFhMzNAi.. Nne 819
narti:- 05i19i99 7IME: 13:4:t?24
ID.,
NFlNEr, F'UI_T£ FI[lMES 01'= MN
22J2 9220 ;I.fS4tiE OAfiBROUfir 30.00
3c :ICJ 9001. :1.643 17AF`.$FiOUf.F 4 7::30 r.3 5
:3866 3379 1643 CIAE;Rf2001';E 100.00
3422 000:1. 1643 onf'Rf<Of]f:hZ 849.78
2275',9'r'20 it',43 UAI:£tfil:IDKE i.(739.50
3446 190.01 1.643 0A4!TiIt0UI:F I.O..;D
?'L?1..JJ '9O0i 1643 DAKDI\OOKE. 0.50
3743 b2c!0 1ti43 0AI{$4;0O1(li: 50.,00
i?155 9001. 1648 OAKk;fi00f(E 78„00
386£1 32.20 :I.E, f 3 CIAI:$ItUCIN.F' 4.63. U0
CF:1.09301 X??k „I)NTINLIG:
Usr_a, _rD.- MnNcv r?sk C;I.}NT.T.NUE,
kc%?Xs?CM?K?k?k?k?F?>X??MX??:??i6??X?kk:?:ak??9d&<Xc C;C;P!TINUE:
C] TY C.1F 1=„GAN
CASHiERu 5 T'ERMINAL N0: II19
P.A'fE05/19/:39 T.T.MIc. 13e41.a2;
ID:
NAMEa^ F•UI.Tk. 4IOMI'S OF i°fM
37:16 9220 1643 Or1KeRnrn;F 114„q0
3713 "3220 164:1 CIAKbROOF.E 50.00
3EI65 '.3L.'.P..O 1.643 0AFiIiRUOKE (?I t.1cJ.OO
22.52 3220 1.647 pAKIiP{OOK{` 30,00
:3r iq 9001 1647 00i4:Rfi0Ql(E I.,i'_1.r .1.5
3866 9379 1647 UlaI:BR001;F' 1.00.00
3422 9001 1647 UFII{BRUUf;E 787.90
2275 9220 1.647 OFlKDeiDOKE i 7 G39, 50
i446 9001 1647 Oer1CBi:ODK[ LQ„50
2i55 9001. :1.647 OAhtzSRonKF 0.50
Cfi-109301 ?kW C;ON'rLNtlf
USER TLie NANCY CONTIMUE
?k*>k?k?k????:?k?ktXts?XtM??k*k:??k??Xt?k?kk:X??#? CONTSNUE
CITY OF FAO,AN
(:A3H.T.E.R: 5 iLfiMINf1l_ NU; 80
DF7TEe 05/1.9/99 TIME; 13:41e25
ITJ r
t.AME: 1='ULTE IiOMFS OF MN
3748 9220 1647 OAt:R4`?UOI:F 50.f70
zit.-,s aoo:i. J.64-7 aaicBhooi:r-_ 69.50
3868 9220 1647 oAE:BRnc7Ve 469.00
371.6 91220 1.647 UAI;L+!i00ltF' 114. 00
371.3 -9?.=.2o 1647 oWBr,ocF;r•_ 50.00
3P65 92.20 i.e4-7 anF:«F,oui<k:. 82.5.00
225? 9220 164.5 OAF:HRfJOF`.E 30.00
3210 9001. J.645 UF11•tRR00t:E 19G60„95
3866 93'79 t64 i 0FlI{Hi2!lf)i:E 1.00.(]0
3422 9001 1.645 OAY.Af'CfOF:f._ 4;69.62
CRi.49301 ** G!7PaTINUl-:.
U51=1i IU: idf•tNl;Y ?k?n C;ON7INUF..
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C:QN'iINUI"'
CT7Y OF F_(tC,Ah
CFlSHIE::F.- 8 1'F'fiMINAL NQa 819
1999 BUILDING PERMIT APPLICATION (RESIDEN'f1AL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
New Consiruction Reauirements
651-687•4675
? 3 regfstered sHe surveys showing sq. ft. ol loi, sq. ff. of house
and all roofed areas (20% maximum Iot coveraae ollowed)
> 2 copies of plans (show beam a window sizes; poured fnd. deslgn; eTc.)
> 1 set of energy calculaTions
1 3 copfes of tree preservation plan ff lot plaRed a(ter 7/1 /93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
.'? H,-j
Remodel/Reoair ReauiremenTs o
2 copiet o( plan `-? /
? 1
7 sef of energy calculaTions for heated addifions
1 sHe aurvey for exTerior additiona 8 decks
CONSTRUCTION COST:
\y\ ?108
.??e??. ??\AN>
LOT: ? BLOCK: _\-Q SUBD./P.I.D.#: DU??ioc??l.a_
Name: Phone #:
PROPERTY Lost Ftrzt
OWNER
Sheet
City
State:
Zip:
rr-0\03
Company:?Phone#:
(area code)
CONTRACTOR \ `,, \\
Sheet Addressx?S's S`"A-?License #\3R\ Exp. 3 5\LZL%-ST
City\??o'tR?:.r. State: k\X:n.n Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone lk: area code (
Street
Registration #:
City State: Zip:
? f ??bCv (' i -a-- ?-f a-ata(
Sewer & water Itcensed plumber (reaulred for new construction onlv):
Penalty applies when address change and tot change Is requested once permit is issued.
I hereby acknowledge ihat 1 have read ihis applicatian, state that the tormafion is c cf, an agree to comply wRh all applicable
State af Minnesota Statutes and City of Eagan Ordlnances.
? - - - - -- -
Slgnafure of Applicant: i I I
OFFICE USE ONLY '
?
yM,AY
Certificates of Survey Received ? Yes _ No ? Tree Preservation Plan Received - Yes ? No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
. ,
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
?K 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 Misceilaneous
WORK TYPE
f< 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handou t to applicant for demoli tion permit
GENERAL INFOR MATION
Const. (Actual) 5•4 Basement sq. ft. 101 y Census Code 1 o I
(Allowable) Main level sq. ft. 1 oqz SAC Code
UBC Occupancy 12-- 3 2`'9 1 V sq. ft. 1 b l2 No. of Units
Zaning P• p Czh?sq. ft. S'SO No. of Bldgs
# of Stories 2 sq. ft. MC/ES System
Length 52 sq. ft. City Water
Width Footprint sq. ft. Booster Pump _
PRV
Fire Sprinklered
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation
BSMT :
Mk I ?1 U? ?
Giik2a£.6 '.
$ ?3q,O&o=-
IbRZrA xtS=
I, b `j2 VC 51- =
I, o 1-2-- x s4 =.
55b x l 6 =-
l(o.i
64 ? ?48 ?
8 l 8 06='
-FOT-WL- = 138j -79(. =° -
% SAC
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: ,x.•' ?? ?- ??,,:.F; ??????r,r.,?,:?_??;; Eto?ioniControi?:Requireine`nts?of?BuidingPe, t?:?
,C'.afeit'4?'. ?':?:,.?+,, •'m`q'. „?"Lri??F').,aiRf4^<k...;y:;: aa,.fy.+ ?Yfuv,lfi'1_?F ?-n?+A::??'? 't?',??I •.'k'':?:'Y??
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Ari erosion ?control inspectiori-?s?rec?itle1ore?any:irartiingrbegiiis 7The inten' to stre±et;8nd wa'sh'e? iritoy?;?
•, ad?ecent watervvays o"r,property'1' ?-At;ih1s er6sionpconUol and'girlin9?in ??pection "all backfiilirig stjalllli?timleted;?the site s
". h? ,.,•?
•s? gratled to bottom of'taPsoit?eldVatbnr?artda gravel pad lo?P??y'?? e de il i " e`s (e z te ?? e? J jt o? t h? e l? g a? el? d r i v e u v? ?; `?,i?!!i
eqdal.shall Ge in3tall8d:l4teE (?) ieLftrom the b?ek of cu , - '? 'i eedn??d?partment??
L?f'i?'a's?8i??ct?l;tiy ser?taiWexui 2?? n ,
opening.' Additiorial?`sGt?tence shgll tie??feCtetl,in siareais,
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? and grading Inspection a rovat or to iramu? or lack ot rtia?ritenance ot?tences , I; ? i 9
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?
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? At ?Aal inspeeflbn; aii dlsturbed are?s mu?t be §oilded or seede? and !in+fdh+ed.; if dirt ente?s
t:,',' . ? f?
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'
-0002
rriotrFtt'cTA'IE ON&CALL BEFOILE DIGGiIYG--CALL 454
_.,.?._. ,.,.., ..,,......«...?.w
?
. " JOB INITIATION ORDER
? Pulte Homes of
Minnesota Corporation
1355 Menaota lietahts Road, Swte 200
Menoota Heigncs. MN 55120-1172
Phone: (657)452•5200 Fax: (651)452•5727
?
conRancrowsuaPUe,:
I
JCBNO. D ? z O, G C' ,Cj r 0 ? LEG,yDESCRIP'i7CN: LOT 'J BLOC( ? UMi
GChMUNITY: i:w?i.?I??G?Z'?C.-Z? PDORiON: ?yiLZ1'i?."J
`'
BUILOINGADORESS:??Fy"(-\
nJ`
MCCELNPME ?3'L( I/./'Lv'?- `'
CfiY: FctL;? GZYLSTATE &IA'9P:
p ?
MCOELNUM6E4: ELEbA"RON: GARAGE IEiT PoGNT
BUYE.9'S W W1E
: /% &
C 71
CATE OF CRDER: 0
CJRRENT.IDORE55: Uiy; S{p7E; qp;
FiCS1EPNCNE _ BUSWE:SPHCNE BUSWESSPHCNE: -
SALES REPRES'cNTAT7VE ..`'n?
?QTY:'=' ?.OPTION?:. _• :r;..-:?.? ?,?,-.??y?<,y,?r.,.a::?.<:•?ESCRIP'TIaN'',?::?s.?t???"??'?+'.r?!.?;.r'?;±?? ?uEFR[C?
OOCO I BASE PRICE
-- ILOT'PRE'ulfUM
; ?
IEU=lATIONa
1 I lIGG`I I! Fct!( gctSrwi?n'I? ?
2 I3vrck7 I
? ( ?5?1L ( 5(`E?'?LLri,Z? ?-?,-^?,rv?iac,f?, G?DnVS w?? ?????G?l:t,l?(C lvllVl
fo ;Zr.r?luU? (nc,;?ple )
I ?(IG:2 ( i'C7KS T!Ytif)?..'l.C'vJLL??-VZLI'L'1,1.?.:SLC?"%Z?I.L'lnL? `? ?N?ZiG'1 iM11G1%?7I?
I lGOL• l a4
A1,6,5kz-v Hv/
czc?a7-6Y ,2 2PRy
? ? /-?07 7 I ??+?.?v'l('tcl Tc?? I
i O i AL/, ? L
ag
'_wiaer; LZansa =CCO1C--
?.FF=CVED SY 5lJycp. (Sl:
AFPFCVE:) cY SALE:: ?
- c^^I l. -,? yTAF cr?iAl 40USit1C
nCL_'?...?L I C'NVi-.
.. r^.?nniUiliT'(
? ?
'nis -ons-,itu[es a con:rct'-enveen ,ne ?a!ler ar.d ;he P?,:rchaser?S) `or the acove ite?;s.
JOB INITIATION ORDER
Pulte Homes of
Minnesota CorporaHon
1355 Mendota Heights Road. Suite 300
Mendoca Heights, MN 55120-1 N2
Phone: (657)452-5200 Fax: (657)452•5727
P?o°F3
coHraac-owsuaaueS:
J08 NO. 0 3-?!? O 1 ? C? Sil l ?' L
CCINUIVN?7y. l?'Gi. k Cv ??l?^ '
LEGALDESCRIPTiCN; LOT BLCCR r& UMT
ADCfT10N:
BUItOWG P,CDSiE55: 2 ?y; eG2 L'iPn;?Y 1- srarE: 1'v1 r gp:
MCOELNPAtE S? ?l LLQ(,?. MCCH.NUMBER: I rJ ELFJA7ICN: GARAGC L£°T RIGM
au,?.?s ?: ?i U ?{,? I x
oa,TEaFOROER: ??{l SJ9 c
CSIARENTADCRESS: CT': 57ATE: ZIP:
NCMEPHCNE
BUSWESSPHONE
SALES REPqESENTATiVE "" ' `7 I 144tA I?
BUSPlESS PFICNE:
OOCO IBASE PRICE
---- ILOTPRE?IAIUM
ELEMlATION #
? ! ?G 2? I ;?2c?.ctiu?GLLt?v'?G?'.-? G?1L'ru-vw S (xll & -fr'zws ; Ftrv?tl/
3 I /7073 Aly Vu.-,^rs CGccls, 9-,3 ??l I
? ?700 7 L(.g?rG:?i?
%d
1 r.5u31
? 562.? bLWe Cz- PVL,1 1/2 rJtak YVliL.'i-
? ??Z(p l bA-0'rv-a---b- vlJIV` f/{-?SY('I{'? (;j/lll.l.'vLVfG?.'fr?.
I SC'i J Z ? l.F•' VTA-(.c.t.<.C? /L/.Z. m11 fkY 1"JG(Al
1
:Od + -
TOiAL JlXE-
- _uicer; L:ca^5a =CCC:---'
?FP=GVEM :Y 3UYE:i jSi:
AFcFCVE] cY SAL=3:
TO STP.F.T CC?.NS i.
121
F_-27p„L HOUSii:G
,pan:.ruviirr
nis ccns,itutes a:C^LfcC, ter,veen :he : e.izr and ;he F::;Cn252C(5) `Of the acove !tE:T15.
?.
JOB 1NITIATION ORDER
PulEe Homes o#
AQinnesota Corporation
7355 Mendota Heiants Road. Swte 300
Mendota Heights. MN 55120-7772
Phone: (651)452-5200 Fax: (651)452-5727
;
? ?, 3fl?F3
corrraac-owsuPPUEa: 1
?
I
JCBNO. ?'1? ,? 0 / O 6 LEG,yCESCRiP'fiCN: LOT BLOCX " "" UM
'
CChMUNtTY: ?[L??? h ?li D '? PDORiCN: T
BUILOING AOORE55
: CRy: y-TRTE: 1?',I lv ac_
`
A
MCOELNPME: +X?/"l ? YLLL/iL MC00.NUMBER: I f,n JI ELFJATION: GMAGE LE!'T PoGM
i
BuYex'S ruME: ?
DATE OF CRDER: /
- CJRRENTAOC
HC1E PHCNE
GTY: STATE: LP:
I BUSWESS PHONE BUSPIESS PHCNE:
SAlES REPRESENTATIVE
„ctrr: -.oanoru#.: ??•..:,:,? a
OOCO BASE PRICE
---- ILOTPREMIUM
I EI-EIlATION #
7 ? (/' ? •l
•?
3 Zanr A:-L,
( l?o ??U? G4 oe ir Gu??7 ?{1-E /V+-cz Sttr L?d trz?ot?
?
I ( ?l I
( ? I
(
I ?
I I I
iOTAL ? i
' blasterBuiZder `
3.:::c_r'; ucanse =CCC'?;'
a.FF'GVED BY 3UYE , (5}:
AFF=OVcD 2Y cAL°_S.
R=___aS=_D ro ? ?ART coNS-..
2
ECUaL'0l1St1G
,==^-„turIirY
(115 c0f15i1tL'I?S 3 COnIrcC: -er,veen :!:e ?B!lB.` '(1C ,he Furciia=zr(5) :`0( ,he a-cove items.
. ... }/??'
• EXTERIOR ENVELOPE AVERAGE "U'.' COMPUTATfON
, , .
OWNER: .
7-
SITE AOORE55:
DA7E: Z PH EQ3S'?1?'1"3
LONTRACTOR:
DETERMINE 410RK1NG SOUAHE FOOTAGE OF EACH: ?
1. TOTAL EXPOSED WALL AREA,,,,,,,, sq ft x"U" ?' ?-? ??•;7J
Z, TOTAL ROOF/CEILING AREA,,,,,,,, I1 ^I(a sq ft x"U" ? p?{O
3. TOTAL EXPOSED WALL AREA CALCUlATI0N5:
Total exposed wall
area above ftoor,,,,.,.. ?' sq f't
a) Total wa11 wlhdow area: •
DOLELE 9lazed...... sq ft x"U" , J'ra _* ll : s
?l 'll ? --
glazed,,,,,, -- sq ft x U
b) Total door area ,,,,,,,.. _ 3?? 7 Sq ft X"U" ? °-J-'=-
c) Total sliding glass door area:
.
d sq ft x 1 IUi I
o
......
DooRL5 glaze
d s9 ft u?i
x 1, - _ ?T -
? ...
..
glaze
d) Total ffreplace wall area sq ft x"U" _
e) Total wall framing area
ft
x "U"
.09Z Z
= Z2,
-
(Average lOR)......•... ?i - sq -
f) Total net wall area above
?
"
"
•??
f8
7??3 s9 ft U
x.
floor (insulated).......
12? 5
30? sq ft x"U"
`
) Total rim Joist area......
g
Total foundatlan
ft
area (Exposed).......... gq
h) Total foundatlon 'Sq ft x"U" °
window area...........
I) Totat net foundation ft x"U" •? ' ?
area above grade........ Sq _
TOTAL a) [h ru 1)
3
•
If ftem R3 is the same as, or less tfian item 11, you have met the intent oF
2 t1CAR 1.16008 A and 0. •
Page 1
h.* TOTAL EXPOSED ROOF/CEILING CALCULATIOtJS:
Total exposed
roof/ceilfng area........ 5q ft
? sq ft x "U" °
J) Total skyltaht area.......
k) Total roof/celllnq framfng
area (Averaqe 1D9,) ......?sq ft x"U" OZ ?
1) Total ne[ insulated t?5
roof/ceiling area....... sq ft x U ?= -
4 TOTAL j) thru 1) ?
If totat oF d'h is the same as, or less than 92, you have mei the intent of
2 PICAR 1.16008 A and 0.
I
ALTERtIATE BUILDING ENVELOPE (IESIGN
To utflize the tatal envelope system method, the values esta611shed by the sum
of items 93 and 94 shail,not be greater chan tfie sum oi items N1 and 02.
I . + 2.
3
+ 4.
C c R T I F I_ A T I 0 N
I herehy certlfy that ! have calculated the "U" factors and "R"
values herefn and that the hulldinq here descrlhed meets or exc,eeds_[k?e State
of Mlnnesota Enerqy Conservatlon Act.
5(qnature
(Date)
i`agc 2
Zx? 5?J?5 Z5/3z° ?;??? ,;? ' M SIDINt,lG
•. _ coNsreUcTroN n vatuE
41ALL FRAMING SECTION:
1 Intertor air film 0.6R
?
?
-{F ExterSor air tlim n.i/
. TOTAL R - r'
U- 1/R-c?Z
WALL SELTION (INSULATEO)
-(1 Interior atr film n,68
4
Exiertor air tllm • a.l/
u
Ua 1/R°-'
RIH d015T SECTIQH:
-( i Interior
?
IC
E
6
FOUNDATION INSULATIOH REQUIRED:
U
1/R °
Min. R-5 on entire wall OR °
Min. R-10 down to frost.depth
?
, = ?
A,• FOUNDATION SECTION:
d: "• '? 1 Interior air fTlm n,hR
•.o:: ?.• 2 fL-I l BATr r IID
'
3 12" Cnl IC ?LO CIL -_ I.ZPz
•- '-'A' 4 Exterior ai r i Im n.17
P•• d ' G ?5
•,y
: q • ?'
"
-
d
a• J TOTAL R ? ?
13 13
??
i n U - I/R ° IV 7b
I
l ° ??
SLAA ON GRADE
?'?, a•'?v?; ?Q• ?Q'? r ?i. A
:a . • • • c ? ' ? , ? /!'•: „ ?
. o.
• '• Heated Slahs:
.a •'',.'a, Minimum R = 8:5
.p; ..4. Unheated Slabs:
•v . Minimum R = 6.2
4 ?a?Q.o1'6 4?a? .4'1 ??,? 4•fJ
?" '• tipi a 4?.. ?'• '4'Q
? 1 ?f?q , ?. •t ' ? _ ' a''' `. ??
.. Ll .'q ? •. ..d
0.•'a '.' d. , ,.4:, .4',. .. -
?q; :.q?. • '??. ??i ?
.?q:.,?' •a'?••
. AQ •Q ;• )4
Page 3
CONSTRUCTION R VALUC
F
?
CEILING SEGTIQN (INSULATED):
1 Interfor alr flim • O.Fl
2 5/R" 5L1F?-c'.a?CK ,?Q
3 AL`UL?"?D+?! G4.Co
4 Exterlor air film (still) n,Fi
TUTAI R -
U- I/Ra?L
CEIIINf. FRAMING SEGTION:
1 Interior alr fiTm ?.F1
2 -5HO?:Mn".K
3 I i r.1-<UL?.?inti[
4 Interfor air film 'still rl.,l
5? J-L inches soft woo(i q15
TOTAL R d 3"1.b7
' U - 1/R A -?G7
CEILING SEf.TfON (INSULATED):
1' Interior air film
2
3
4 Exterior air film stfll 0.61
TOTAL R =
U!0 1/R°
VENTEQ
CEILINr, FRAMINr, SECTION:
1• lnterior air fiim O.fl
z
3
4 Exterior air film still 5.7
S ` inches soFt wood
TOTAL R ?
U= 1/R=
?
Inside alr film O.Al
2
3 ?
4
5 Outside air film ^.17
TOTAL R
U= 1/Ra J-
Page 4
n.61
• Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 5, Block 6, OAKBROOKE, City of Eagan, Dakota County, Minnsoto ond
reserving eosements of recard.
.??+..
r?- --?
?
,
? 7
a?
?
,
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4
f 42g o
30
1
ol ?
W
?1 q
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N ?
OI
V
a
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ZL 14.6
¢
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O
W
wP
mi
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u
cn
E 8.1 ?6?• 9?F
r r '?
706 ?3
bo? ? ?LY FEW?
IC Ji I / `?
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? 931.
I p0p otio
I ? 93Z / O
i ?? 0 4z.oo ? ,nro
1-0 ,sed ?lSln`n ^
?
? BPCwory o !
-? .0 21.00 ry /!
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i ?
I I ? o° 4 00 !
rv Cor°9e
I J7.0 N I
i z5.00 i5 a d
7 4
---,?:?°?-
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3p
V.
0
7 CL ? ? ? L
0
39. 9 1
^i
?-??014ff-BIRpp _
LAO Nol?
1(,'? crz ?e
LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
Plan # 18231
PROPOSED ELEVATIONS
LOT
Top of Foundation =q38.5
Goroge Floor =938,1
Basement Floor =930.5
Aprox. Sewer Service = Qzi
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stoke = •
COVERA E _
SCALE: 1 inch = 30 feet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front -z5 House 5ide -25
Reor - 15 Gorage Side.-
JOB N0:
HEDL (//IrD I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R- 200
OF THE BOUNDpRIES OF THE ABOVE DESCRIBED PROPERTV AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVi$ION AND OOE$ NOT PURPORT TO BOOK: PAGE:
PLANN/NC 6NCIN6ER/NC SORV6Y/NC SHOW IMPROVEMENTS OR ENCROACMMENiS, E%CEPT A$ HOwr?.
2005 Pin Ook Drive Qp
Eagan. MN 55122 OAiE ?_/_? /?1 CAD FILE:
Phone: (651) 405-6600 E . LINDGREN, LAND RVEYOR
Fax: (651) 405-6606 MINNESOTA LICENSE NUMBER 14376 OAKBROOKE
?
i
i
? Prcposed
i House
;
= 9 4, 140
= 1, 753
12%
,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ? oT S BLQ.^k lo 6AKB,RdOK9-
DATE OF SURVEY. ?I ?/f q f ?I q
LATEST REVISION:
DOCUMENTSTANDARDS
?? ? • Registered Land Surveyor signature and company
? ? ? • Building PermitApplicant
y' ? ? • Legaldescrip5on
? o ? • Address
p? ? ? • North artow and scale
d? ? • House type (rambler, walkout, split wlo, spld entry, lookout, etc.)
k' p ? • Directional dreinage artows with slope/gredient %
r9? ? ? • Proposed/epsting sewer and water services 8 invert elevatlon
P/p ? : Street name
f? ? Driveway
d ? ? • LotSquare Footage
d/ ? ? • Lot Coverage
ELEVATIONS
E)tistina
/
,§' o a • Sewer service (or Proposed)
ev o • Properry corners
?9 ? • Top of curb at the drivevray
? m" o • Elevations of any ebsting adjacent homes
? cr ? Adequate footing depth of structures due to adjacent utiliry Venches
Prooosed
m/? ? • Garage floor
W-110 ? • Firstfloar
e?o o • Lowest exposed elevaton (walkouUwindow)
?p ? • Properry comers
e? ? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicade)
? ol a • Easement line
? V ? • NWL
? ml ? • HWL
? 2/? • Pond # designation
o m/ ? • Emergency OveAlow Elevatfon
DIMENSIONS
U/? ? • Lot lines/Bearings & dimensions
P/ o ? - Right-0f-way and sVeet+nndth (to back of curb)
e? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. alI structures requinng permanent fooGngs)
m/ ?? • Show all easements of record and any Ciry utilides within those easemenfs
?? p • Setbacks of proposed shucture and rd setba k of adjacent ebsling structures
? ? ? • Retaining wall requirements, 'rf anuor ?
Reviewed.
March 1989
CRAI(iIBLDGPRMT.FM
LOT: 11?
H 3?U?Z
BLOCK: G SUBD./P.I.D #: Oa-U<) YU-CYt?-?-
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•881-4675
New Construction Reauirements
? 3 registered site surveys showing sq. it. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coveraae allowed)
D 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
D 1 set of energy calculaFions
? 3 copies of free preservation plan H lot platted atfer 7/1/93
D Rim Joist Detall Options seiection sheet (bufldinas wNh 3 or less units)
! rI
/
Street
DATE: I b vU CONSTRUCTION COST:
DESCRIPTION OF WORK: DG/r10 k'f") ?n If muRi•family bidg., how many units?
STREETADDRESS: 107 O,yxYjYZDA? DyVC
PROPERTY
OWNER
City
Lasf
! S (. c') _?
Remodel/Repair Reauirements
2 copies of plan
1 set of energy calculations for heated additions
1 sffe survey for exterior additlons 8 decks
Phone #:
State:
Zip:
Company:Id! C/7ont5 O0AN [iO4P Phone #: o
(area code)
CONTRACTOR 13s? ? ,?,y l3 )1
Sheet Address: 4"? + S License # 6cp.
City State: Zip: S'SI2" a
ARCHIiECT/
ENGINEER
Company:_
Telephone #: (
Street Address:
Cfy
- Name:
_ Regisfration
State: Zip:
Sewerlwater licensed plumber (if installina sewer/water): Phone #:
I hereby acknowledge that I have reod this application, state that the fnformation is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant: Z? ?-G
OFFICE USE ONLY
Flrst
CertiflcatesofSurveyReceived _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
O 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
? 35 Ini Improvement ? 42 Demolish (Foundation) 0
? 36 Move Bldg. ? 43 Reroof ?
? 37 Demolish (Bldg)' O 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to appNCant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
_ Foo[ings: New Bldg
_ Footings: Deck
_ Footings: Addirion
Foundation
_ Fratnirtg
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
_ Insulation
_ FinaUC.O.
_ FinaUNo C.O.
Fireplace: _ r.i.
Pool: _ ftgs
Building _
air test fmal
air/gas tests _ fmal
Engineering
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
45 Fire Repair
46 Windows/Doors
_ Windows - new/replacement
_ Siding
_ Stucco/Stone
Roof: _ ice & water _ final
Variance
, ?? ?
? L BL CITY USE ONLY
n
SUBD. C.Q ?-fLYYWU'?
RECEIPT#:
RECEIPT DATE:
PERMIT# ?to 2--
1999 PLUM$llVfi PERMTf (RESID£NTIAL)
crrY oF F-As,uv
S$SO PILOT KNOB itD
EAfiAN, MN 5512E
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
PIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x Z = $ '
Floor drain 3.00 x / _ $
Gas i in oUtlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = a
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x L = $
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 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 = $
Water softener if dwellin 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: Cail for inspections of alterations, i.e. water heaters, water softeners, etc.
------- ---------------------------------------------------------------------------- -----
I hereby acknowledge lhat I have read this application, state lhat the informahon is correct, and agree to wmply with all applicable Ciry of Eagan ordinances.
It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance activities to the (acilities constructed under this permit within City property/nght-of-way/easement.
SITE ADDRESS:
OWNER NAME. :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: STATE: /2/22 ZIP:
SIGNATURE OF PERMITTEE
(P CITY USE ONLY
SUBD. o ? wVJ ?Q'1A.Ci
RECEIPT #: dq
RECEIPT DATE: /1 J J I GPERMIT # -) 1 '7 W )
1999 PLUMBIN6 PERMTC (RESIDEP17lkW
crrYoFfr?eM
3850 PE.oT xiNoe sn
_ £ABAA.IlIV 551E2
. ? (651) 6$1-4675
Please complete for: D single famiry dweilings
? townhomes and condos when pertnHS are required tor each unit
? backflow preventer for underground sprinkler system
i1X7'tIRES
EACH #
TOTAL
Bath tub $ 3.00 x - $
Fioor drain 3.00 x - $
Gas i in outtet ' minimum - 1 3.00 x - $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund Va 3.00 x - $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x - $
Private Dis osal S stem new/reTurbished ` re uires MPC iic. 75.00 x - $
Private Dis osai 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 - $
Unde round s rinkler 'rf 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 - $
Water softener 'rf ewent unaer wnswcuon 5.00 x - $
Water softener if existin dwellin 30.00 x - $
Water turnaround 30.00 x - $
State Surchare .50 -> -> -> $ .50
TOtal _> 6'3
Reminder: Call for inspections of alterations, i.e. water heaters, water soiteners, etc.
i i?retiy ad?;oMdedee iriai i i?e read mi? appica+twi: 'siaie eiai ihe inio?re'na; is c«red; ara ?r'ee o0 oo?iy wm; ad'aPa?ad'e'air oi ?-wd??o?s:
It is the applianCs responeibN'iry ro notlfy the Properly owner that the City oT Eapan assumes no Ifabflity for any damages nused by the City during its
namal operafional and mainWwnce activities to tfre faalttles mnsWCted untler fhis pertnlt wlthin City property/riphtoi-way/easement.
?
SITEADDRESS:191jjK rtTn!!-a_ ,/7i'Cc,c
OWNER NAME: : {t ddW SS TELEPHONE #:
(AREA CADE) ,
INSTALLER NAME: og??o9 !/ac c? Al, rc.cF fT?ELEPHONE #:??
STREETADDRESS: oZd?- 4'7'? ?D?1(/?- """"""DE)
CITY: ?rAlLw,% STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONI,Y
LOT 5 BL 5 RECEIPT #: //s 4 et ?
SUBD. RECEIPT DATE:
MECHANICAL PERMIT # ??UYJ
1999 M£CfiANICAL PEftMIT (RES1DENTIAL)
CITY Of Ei4fiAN
S$SO PILOT KNOS $D
£A6AN bfN 55122
Date: css» 681-4675
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuvied.
• 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
.50
$ .3 6 Sj
r
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.
7--
Furnace
New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
Air exchanger
Air conditioning
? Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: 12
y-e ? Nh ?Q PHONE #: b S l
OWNER NAME: T":j
(AREA CODE)
INSTALLER NAME: PHONE #: 614- -?rqv OOO-f?
( (AREA CODE)
STREETADDRESS: (JL{X/ La??i_ A - S?
STATE: V'l," ZIP: 5??3-?g
O ?
SIGIGA?NRE OF PERMITI'EE
CITY USE ONLY
L BL
SUBD.
APPROVED BY: INSPECTOR
t
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 Ir1ECHANICi4L PERMIT (COMM£fZCIAL)
CITY Of EkfiAN
S$SO PILOT KNOB RD
E,ateALx, btlv 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: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ]% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x ] %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
($.50 per $1,000 of pEinllt fee due on all pettniu.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE