4160 Oakbrooke DrAddTess 4160 Oakbrooke Drivw Zip 5512 2
Lot 17 Blk 6 Sub Oakbrooke
THESE 1'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) x %
Permanent steps (main entry) x
Permanent driveway
Permanent gas
Sod/Seeded grass x
TtaiUcurb damage
Porch x
Basement finish
Deck
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shutoff of water supply to
the outside lawn fauce[ before freeze po[ential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
While - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILOT N 6 RD • 54122 651-681-4875
--?.? c?
c:-O?W ?,?w«o, ?re?.
> s replaroraa s11e a,rveys "wmg iq. n a wt w. e. a nouw
antl gH rooled arew (20X mmdmum bf coveraae aabwedf
D 2 eopWS ol Waro (ahow bean & wintlow alzes; Poured Md tlealgf; ofc.)
9 1 set d 6neryy edcWallonf
D J coPies Wft" preaerva110n plm B bT plallaG adla 7/1/93
a
s copes a olan
i ait of enerpy CaICWaflOnt fo111eaRBtl addHOrM
i dre a,nner ror exten« aarnnorn a aeew
oA,E: a?Jc? ? ??UCnoN COSP
DESCRIPTION OF WORK:
Name: Phone li:
I.ast Flist
SfREEfADDRESS: 7/(IAJ U1f USKUvI<F
LOT: ' ) BLOCK: 6_ SUBD./P.1.0. t:
fl ??-
04 lei
PROPERiY
OWNER
ARCHRECT/
ENGINEER
Slreet Address:
citY
Slreef Addreaa: I3-5/VC JJ? ttHJS P Llceriae ¦LExP. 3' "1/Ob
cny /? e nr?b L P wfi stcre: ?v zio: -???2 6
Stafe:
Zip:
Company:AUlte I'N1hts Phoneo:
(area code)
Company: Name:
Telephone a: (
/JO)2CjO
Street Addreaa: Regisfrafbn #:
CRY
State:
nP:
SowerMrater licensed plumber (H Insfallira sewar/waterl: Phone P. FherebY acknowledye Mwf 1 have read Mk aPPiknHon, date fhaF Ihe intonnalbn is corted, ond ayree b compy wiMi a1 appleable Staft
c?Minneaota Stalutea and Ciry of Eapan Ordhwncea ,? /
cr
s?re or naau?nr: J-(M
OFFICE USE ONLY
ceroflcates or survey Received ZS?qes _ No FEB 2 5
Tree PreservaUOn Plan Received _ Yes _ No Iot Repuired ?
OFFICE USE ONLY ` A
BUILDING PERMIT SUBTYPES
O 01 Foundation p 07 05-plex
)K 02 SF Dwelling O OB OB-plex
0 03 01of_plex p 09 07-plex
O 04 02-plett O 10 08-plex
O 05 b3-plex O 17 10-plex
O 06 04-plex O 12 12-plea
WORK TYPE
? 31 New
O 32 Addition
O 33 Alteration
O 34 Repair
O 13 16-plex p 21 Porch (&sea.) p 31 Ext Alt - Muttl
O 17 Garage O Yl Poroh/Addn. (4sea.) p 33 Ext Alt - SF
O 18 Deck O 23 Porch (screened) p 36 Multl
? 19 Lower Level O 24 Storm Damage
Plbg _Va_N 0 25 M(scellaneous
O 20 Pool O' 30 Accessory Bldg. O 36 Move Bidg. O 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
0 36 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Oxupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
94%AO s4•ft.
eata" sq. ft.
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
?
9
ulca
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
TiT:
?%K
APPROVALS
Planning Building L6M/ Engineering Variance
Permit Fee Valuation: $,! S/. 4901>
Surcharge
Plan Review
Li ?O ?
cense
MC/ES SAC
CiriSAC
water Conn.
Acct. Deposit
S/W Pertnit
??
S/W Surcharge v c
Treatment PI.
Park Ded.
Trdils Ded.
Other
Copies
Total: 4 La LS'-(
. SAC Units
°Yo SAC
JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
7355 Mendota Heighis Road, Suile 300
Mendota Heights, MN 55720.1172
Phone: (651)452-5200 Fax: (651) 452-5727
J00NO. 0 '-? ?;)- V. A,-) I -I
COMyNNITY:
BUILDINO ADO
MOUEL NAME:
BUYER'S W1ME:
CURREPR ADDF
HOhE PHONE:
LEGAL DESCRIPTIM. LOT
IIDDITION:
• rm
SALES REPRESENTATIVE ft
BLOCK / UNIT
DATE OF OR[
STATE:
BUSINESS PHONE:
' v . , M
0000 3a
BASE PRICE &.
'
a ?(P 990
- - - - LOT PREMIUM 3000
D7J ELEVATION # 3 ?D
o
ir
AC70
-F(
?oa
a2:e- - z
k
lv ao
?-?sv
? ?2oo
J'l j,o' ? 7
57S
! ??c c3SD
i ?900
r °°4 h,ea.P? 54?
.23007 3 DN
3 zo2c? ?bt.? ?k- 50
1
?° `?
Ivw -oc
dk
iin
m
2075
/) ? /,/ / TOTAL lia 4 -
? -
Builders License W0001371
' U ? I?'2D'fy
APPROVED BY BUYER (S): ' q, RE"v F EB
LLF-L
APPROVED BY SALES: z -
RELEASED TO START CONST.: UNTI' `B 7 9 •' E0{JAL HOUSING
u '1-FIPBORTUNIiY
This conslitutes a contract belween the Seiler and lhe Purchaser(s) for the above items.
W
CONTRACTOR/SUPPLIER: ?
JOB INITIATION ORDER 00
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
MendWa Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452-5727
.?NO. 0I1
CONMUNRY: ?W?11 YU U ? S?
h10DEL PU1ME:
ry
CONTRACTOR/SUPPUER:
I 0?0- LEGALDESCRIPTION: LOT BLOq( ('f Vryff
l?DDITION:
? CITY: STATE: V"!V ZIP: ?ILC_
NpDEL NUMBER: ELEVATION: IS
OARAGE: RIGHT
BUYER'S NAME: /'"? VA' U w^? ?!M!'lW Q4TE OF OROER: -1?2
U V"' W I
CURREMADDR(E?SS: na.I'"`1 ?S+ ?(j??7 q7y?;? STATE:I ZIp:?
HOME PHONE: Vl?? ? a / J" I BUSINESS PHONE: 0'7V BUSINESS PHONE:
l
SALES REPRESENTATIVE n
'--- Lvl YKtM1UM --,
ELEVATION #.3 -
(?
I 1 I-41040 I If.B1? (!tln.?.,,,9r? _,,,,,,,,I" I ;,.?r-
I '5 . 0 a w th . Q?Ry t -Lq
'e2ooD
TOTAL I ,?LI'gA0
= .
iu
Bullder's License #0001371
?-
APPROVED BY BUYER (S): ', '
APPROVED BY SALES: Z- -!I C
REI.EASED TO START CONST.: eauaL HausiNc
OPPOHTUNITY
This conslitutes a contract between ihe Seiler and the Purchaser(s) for ihe above items.
t.. vr .
i .
'i'aw ?`""E7?TeRIOR ENVELOPE` AVENAGE COMPUTAT I ON ,
OH?IErR:;'"?er•;?4-r ??-;, ??-,t::: :•
..a"i. .-5:'? •.f
? ?.,_, .?.. •? .-;;_`''?; ?/??Z?n???2? D??U? .
SITE ADORESS:
CoBTR/ICTOR: oL7'5 Ctpwu!S ' . _'DATE: Z hHONE:, ,.. ` ?.
DETERMINE 4tORKING SOUARE FOOTAGE OF EACHt
?
?
TOTALQEXPOSEO 11AL1
.=fcFltl4?i•..::7 AREA;,,,,,,,
;e5.a.c+ Z'jIZ sq ft x "U"
_?
?/
U?`- >
??
2, TOTAL`ROOF/CEILING AREA,,,,i„, (11?0 sq ft x "U"
3. TOTAL'EXPOSEU NALL AREA CRLCULATIONS: ,
, .., .,,
. ? .. ..
,.. . .
. ,
Total exposed wall
fl
ft
s
area a6ove oor,,,,,,,, q
a) Total wall wlhdow area:
DOUBLE 9lazed...... sq ft x"U" : , J'rQ __* 1? ? S
glazed,..... Sq ft X!"U"
b) Totai door area ... sq ft xHU" _ ?7?,? •__ °?_-8
? . . . . ? ?----- , . • ..
c) Total sliditig glass door area: ' ' • '
bOL?EiLE 9lazed...... sq ft x"U"
glazed...... `- sq ft x "U"
d) .Total flreplace wall area
sq ft x "U"
?, CjQ ?y0
*+s
y
e) Total wall framing area 7,C1
, Z
(Average 109)........... y41 sq ft x"U" •Q ' °
f) Total net wall area above •
floor (InsulBted).......
/vr7013 sq
ft
X IiUil
'044 /?
)
t a
ea
l
) T
l
i 30? } 5q fc x??u,.
......
m
o
ota
s
r
g
r
Tota) foundatlon
6
?
ft
area (Exposed)..,....... sq
7
/
h) Total.foundatlon S "U"
d
l p
g ft x --
ow aroa .............
w
n p
I) Tatal net foundation
„
ti
?? ?
area above grade........ sq ft U
x •
3 TOT¢L a) thru I) ° Z??•/
If Item 93 Is the same as, ar.less th'an iyem PI, y ou have met the Intent of
2 tICAR 1.16008 A and 0. • " '
L
w
? , <;.. . . .
. ,.,
5 a??,?;;
. .:.cR f ? ,?.;+.'<
; EXPOSED RdOF/CEIL Nf'CALLULATIONSi ,
o •. '±,..
..??a?i?aa
SQ f C •. .... . .
?a.,:..?.... ?.
J To*tal skY Ilaht `-- ' ft x"U" "
) :area....... sq
:'}, :rrv±'O ? ' . . • ? •
k) Tote) ro"oFjcel l,liqq framing sq ft x"U" QZ 6_,.
area (Average A9,),•••••?
. :. . .?, .'1 { 1 •' ?.
I) "Tota) net,lnsUlated I?(7 sq ft x"U" .??- ? 23I
roof/celllnq.area....... -
TOTAL J ) thru 1) . ?
?i , , •
If total of Oh ts the sameas, or less than P2, you have met the Intent of. .
2 PICAR 1•16008 A and 0.
---
.. •,; ? ? ? ?
.. ?..??
? .? ? ?.:.•iS . .
ALTERNATE BUILDiflf. ENVELOPE DESIGN
Ta utllize the total envelaPe.,system method, the values establlshed by the sum
uf items N3 and 04 shall,not be greater chan the sum o? items fl1 and %2.
+ 2. ?
3 + 4. °
C A T I 0 N
C E R T I F I
I hereby certify that l have caleulated the "ll" factors and "A"
values heretn and that the bulldlnq here descrlhed meets or exceeds_the Sta[e
of Ninnesota Energy Conservatlon Act.
' Slqnature
(Date) 2
,. A
B
?,.?.
?
:x:Z' '
? •, NALL SECTION (INSllLATEO)
=1•` ' (1 Interlor atr fl
4
..?....'. :,
i;
U ` 1/R ,?... v??.
r?
n.6R '•?:
TlITA1 R . 7'7 Q"l "
U - I /R °
RIH JOIST sEr.TIaN:
-(1 Interior
C
IC
3
4
FOUNDATION INSULATION REQUIREU: a
U - I/R
" Min. R-5 an entire wall OR
Min. R-10 down to frost-aepth
--- F4UNDATION SECTION:
1 (nterior aIr film n.69
p,
. .
'
. rL-1 I
I
' ffiz=HK
L
r a.::
••,.•:•A• n
j J.? (
4 Exterlor air i n i 7
a.-°' '
• G (5
• 4
? q.• a'.4 ?? ?' i (? TDTAL R- I?l i 1"3
d• .;J',.
? u - t/a - X'lb
SLAB ON GRADE
;'•.y.;'y?..? ? : q ?
' p • a ',', , ??,
\:4? , ?`A '. ° a• ? /l.:.,
• n , Heated Slabs:
Minimum R a 8:5
.a' ?• d.
Unheated Slabs:
Minimum R = 6.2
'' a, ? •
a:
.?
JI'VI?VVll,-
.?i • ?5 c??3-?• ?JI(??1G1I? .f'.WIV\ vj
? COfIS TRUCT IOH R VALUE
VaI_L fRAMING SELTION:
?'"? ?.•?v; a : 4 ?,.
??' '?, • ? • ' a•..'d~??
';+114'
' Q
?• ''q .• '•, ,•- ?,
4
L•,qi' q; ?..'?•'. I•u' '.4'
. 4; • ?.q.? ? .° ,v
d ? . ,.,o rac:A 3
, ,,?'>{Y. .
? ?aiR
FLOW , ..
?
coNST? autr,? a va c,.
cEiLI?ir, sFCrInN (INSULATED): I ?ntertor alr film ' A 61 ;
2 /R" -SLt??"?
3 .r GG I AL ?TtD 1 4 D
? 4 ? Exterior alr fitm $tiil r1,F?
TOTAL R a
u• T/R-
,
VENTED
,
CElLlkf FRAtIfNf SECTlON:
1
2
3
4
5
CEfL1NG SECTION (IHSULATED):
I' Interior air film n.61
2
3
4 Exterior air film stlll A. 1
AL R =
U= 1/Rd
VENTEd
CEILINP, fRANtHG SECTION:
1• Interior air film 0.61
z
3
4 Exter(or air film stili n.
S Inches so t wood
TDTA! R -
U= I/Ra
?
I ins(de a!r film n.Fl
2
3 4
S Outside air film ?.17
TOTAL R s
U a 1/R e
Page 4
...?;
• u• vA - zav
,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
? BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?LOL'A( ?o J'A.Y.BRcXJIf?
? DATE OF SURVEY: ,L - L'3' OO
H
? LATEST REVISION:
W
?
o DOCUMENTSTANDARDS
0
p? : Registered Land Surveyor signature and company
? BuildingPermitAppGcant
? ? : Legaldescription
g ? Address
?g ? : North arrow and scale
m/p ? . House rype (rembler, walkout, split w/o, split entry, lookout, etc.)
e • Directional drainage arrows with slope/gredient %
? PraposedlebsUng sewer and water services 8 invert elevation
y? ? ? • Streetname
?? ? : Driveway
? ? Lot Square Footage
{Y ? ? • Lot Coverage
ELEVATIONS
Ewstina
P-/o ? • Sewer service (or Proposed)
V? ? • Propertycorners
M-/ ? ? • Top of curb at the driveway
u?? /? • Elevations of any ebsting adjacent homes
c 7o Adequate footing depth of structures due to adjacent u61'Ry Venches
Prooosed
(Al ? ? • Garage floor
y? ? ? • First floor
? ? ? • Lowest ezposed elevation (walkout/window)
P? ? o • Property corners
0"' ? ? • Front and rear of home at the foundation
PONDING AREA (if aoWicade)
? 0" ? • Easement line
o ? ? • NWL
? ?? • HWL
? (p/ ? • Pond # designation
o ;/? • Emergency OverAow Elevaton
W/? ?
Vo ?
c ?
0? o ?
qr, ? a
o m/?
DIMENSIONS
• Lot IinesBearings & dimensions
• Right-of-way and sVeet width (M back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all strudures requiring permanentfootings)
• Show all easements of record and any Ciry utiliEes within those easements
• Setbacks of proposed strudure and sideyard setback of j?nt ebsting strudures
• Retaining wall requirements, tf any I /
Reviewed:
_ `i
/ Date
Maroh 19BB
CRA16JBlDGPRMf FM
t
.. Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 17, Block 6, OAKBROOKE, City of Eagan, Dokoto County, Minnsota and
reserving easements of record.
N.
?
'.E•
,
F,.
,
?
;
,
F
RF? ? '17D
Iiy
Date ?--'y --
Et`iGAN ENGINEERII\TLT DEFT.
9\
11
Plan # 18231
PROP05ED ELEVATIONS
Top of Foundation = 937.5
Garage Floor = 937.1
Bosement Floor = 9z9.5
Aprox. Sewer Servir.e = 9Z3•Z16
Proposed Elev. _ C=>
Existing Elev.
Drainage Directions = -
Denotes Otfset Stake = •
r
?
1".
LOT
HSE.
LOT
?
Tj?7354,
?oo•o's?s,.
?R_22o.00
34
- \•s
- Sya.T ?NG?'
C
SQ. FDO T,4 GE
SQ. FOOTAGE
COVERAGE _
SCALE: 1 inch a 30 feet
= 8,320
= 1,801
22%
BENCHMARK,
rNN@ 2/5
Elco = 93A, i9
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - 15 Garage Side -
° JOB N0:
HEDL(lND I HEREBY CERTIFY THAT LHIS IS A TRUE AND CORRECT REPRESENTATION OOR-064
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEVEO
BY ME OR UNDER MY DIRECi SUPERVISION AND DOES NOT PURPORT TO BOOKPACE:
PLiNNlNC E'NC/NE6R/NC SURVEY/NC SHOW IMPROVEMENTS OR ENCROACHMEN75, EXCEPT S StiOwN. ,
2005 Pin Oak Drive 2.? ? r )
Eogon, MN 55122 DATE CAD FIIE:
Phone: (651) 405-6600 ? Wnt?Y D. LIN CREN, D SURVEVOR
Fox: (651) 405-6606 1niNNESOTA uCENSE NU BER 14376 OAKBROOKE
RECEIVED FEB 2 5 2000
CITY USE ONLY
L ? BL `
SUBD. lJ?1' 1 Y?1`0OC1?oi
RECEIPT #: t d q393
RECEIPT DATE:
3c) 573
PERMIT# 1?
2000 PLUMSING PERMIT (RESIDENTIAL) ?
CITY OF EAGAN
3630 PILOT IQTOB RD ?
EAGAN, tMi 55122
651-661-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas piping outlet ' minimum • 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $ Z
Septic S stem new/refurbished 'requires MPC Iic. 75.00 x = $
Septic System ebandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 X = $
Rough o enin 1.50 x =
Shower 3.00 x = $
Underground sprinkler If dwelling is under construction 3.00 x = $
Undergroundsprinkler rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under tonsWction 5.00 x = $
Water softener if existing dweiling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> --> $ .50
Total -> -> -> --->
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------- • --- •--------------------• ---- •------•------- • --------------• ----------------• • ---------------------------------------
I here6y acknowledge thet I have read this application, state that the iMomiation is arted, and egrea to comply wkh all applicable Cky of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during Rs
normal operational and maintenence activities to the facildies construc4ed under this partn"ithin City propertyfright-of-way/easement.
SITE ADDRESS
OWNER NAME: :
INSTALLER NAME:
STREET ADDRES£
crn-: ///?"l.
TELEPHONE #:
(AREA CODE)
ZIP: ??Sc1?
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT 1 ( BL ? PERMIT#: "1o;)7o 1?'luti
SUBD. V?t,( IbrOCi11?_ RECEIPT #: 1?6?D ()
RECEIPT DATE: ? " 6 '00
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date• o C)
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Totai
$ 30.00
6.00
d0
.O C7
.50
$ 39.60
Complete this section onl if you aze remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
?
_ Fumace
_ Air exchanger
Reminder: Call for inspectioru
Repair _ Other
Air conditioning
Other
Fee $ 30.00
State Sutchazge .50
Total $ 30.50
SITEADDRESS: "71 (PC) nQI'C+"U/-OC?/,-/0- -D(- -
OWNERNAME:c__71) 4? uuL 1 PHONE#:?- ?ISo?I-Sc'?UO
INSTALLER NAME:?( PHONE #: (75 G?DE) - V?Y
(
STREET ADDRE55: /?-! ? ?1 S , ?A CODE)
crrr: SQ1?C?u,? STATE: /"'( /V zir: ?53W
SIGNATURE OF PERMITTEE
CITY OF EAGAN
3830 PZLOT PINOH RD
EAGAN bAi 55122
651-691-4675
rnYj ?
lY
L BL
SUBD.
CITY USE ONLY
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECBANICAI. PERMIT (COI•II•IERCIAI.)
CITY OF EAGAN
3830 PILOT 1QIOH RD
EAGAN, MII1 55122
651-681-4675
Please complete for. all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground lank, cal! 651-681-4675 jor inspection by fire marshal and
plumbing inspectos.
Description of work:
Fees: l% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE #: -
(AREA CODE)
SIGNATURE OF PERMITI'EE
I ???? ? 2007RESIDENTIAL BUILDING rERMIT nrrLIcaTioN ?
{
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction ReauiremenLs
3 registered site surveys showing sq ft. of lot, sq. ft of house; and all roofed areas
(20% maximum bt coverage allowed)
1 Soils Report if proposed building is to 6e placed on disturbed soil
2 copies of plan shaxing beam & window sizes; poured found design, etc.
1 setof Energy Calculations
3 copies M Tree Preserva6on Ptan rf lot platted after 7l1193
Rim Joist Detail OpLOns selecUOn sheet (buildings with 3 orless units)
Minnegasco mechanipl ventilation form
.°?
RemodeUFteoair Reauirements Office Use WnN
2 wpies of plan showing fao6ngs, beams, joists Cert of Survey Reoi _ Y_ N
lsetofEneyyCalcula6onsforheatedadditions SoilsReport _Y _N
1 site survey for addNOns & decks Tree Pres Plan Recd _ Y_ N,
Addifion - indicate iforr-sde septic system Tree Pres Required _ Y_ N
On-sfleSeplicSystem _ Y _N
Plans are considered public information unless vou state thev are trade secret and the reason.
Date _/6 /,__?_ / 2. vU 7 Construction Cost ?7 ?/.?(J dlJ
SiteAddress UniUSte #
Descriptionof Work ???1 ?/= ?•. --./ ? n,zyT GLlrc-/- 1??- ?h? Te' S??cTLii6i.,, ?"'
Multi-Family Bidg _ YXN Fireplace(s) _ 0 _ 1 _ 2
Property Owner puyi r4cv/1 ?'!i u
I _?o /( -e v Telephone
Contractor
&11'-[ lZoZozeS
.
naares8 cicy
State Zip SS/? / Telephone #?)
COMPLETE TNIS AREA ONLY IF COldSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Woricsheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, daTe and address of master plan: Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building 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 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
pemut; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval o£plans.
?I ervrrlLZ_ ,-Z-i?- If,
Applicant's Printed Name
? ?-.-e?
licanYs Signature
DO NOT WRITE BELOW THIS LINE
0`14
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
V 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
B' 33 Alteration ? ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCrIqtiOll: WaterDamage_Yes
Valuation I GOv Occupancy R-3_ MCES System
Plan Review -100% orr`25% Code Edition
Census Code Zoning Q' ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ?? Width
_ Footings'(new bldg)
_ Footings (deck)
_ Foorings (addition)
_ Foundatron
_ Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
? Final/No C.O.
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: M;kC.. LAu.c+a--guilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
ti
4160 Oakbrooke Drive
Scope of work
• Remove brick on front elevation of home
• Inspect fiberboard sheathing for moisture
• If fiberboard sheathing shows moisture remove
and inspect wall cavity
• If remediation is needed DryTech to perform
work
• Call for city inspections as needed
• After city inspections and approval
• Install new brick as listed below:
(a) Use Through Wall flashing at base, tops
of windows & doors
(b) Double "D" paper on wall
(c) Install vent mat from Through Wall
flashing to top of first floor window
across the full wall
(d) Install venting first row of brick every 2
feet
(e) Install venting across the tops of
windows & doors every 2 feet
(f) Install venting across top row of brick
every 2 feet
Use BLUE or BLACK Ink
~________________--i
I For Office Use I
Permit I
Win
City of EaRd
Permit Fee. Z
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I 1
j r1n2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: OZO Site Address: 0A6(' 0(2)~L . Unit
Name: 1)3,U l 4t~1 1 ~ Phone:
RESIDENT /
OWNER Address /city / zip: aW~bcu!&2 DL
Applicant is: Owner X Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes /No
)
Company:"E0C4 L,~Aq ~P;t1 \/1 kk_Q LC Contact: ~ZCt t ~ 3
CONTRACTOR Addres,~s::_t-GG Per(h Cce-A Dc, City: j as pc~A (JI
State: K VU zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information 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 plan 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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x A-ava.r 14 cw x &~Z_
Applicant's Printed Name Applicant's Signature
Page 1 of 3
AUG/23/2013MI 12:37 I'M City of Eagan PAX N0.651-975-5694 0.-
..001/001
Use BLUE or BLACK Ink
I For Office Use
j Permit 10 @1
` I I
y EaQan I Pemnit l=ea: oa ~ I
I I
3830 Pilot Knob Road ZLV
Eagan MN 55122 Date Received:
Phone: (65t) 675-6675 1
Fax: (651) 675-5894 1 Staff:
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: r Xr cu br'OL Q' Unit#:
Name; i )1A ' V01 ; UaL'V~L Phone:
Reside W -
!1 G(li •[.t'1 i~l rlJ ~~/~c~
OWner Address I City [Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construetion Cost: om- ^Multi-Family Building: (Yes t No
n
Company: 1 1~ l ontact
Address:PPif~ COW, r
y. }
Contratkor
$late: Zip: ' Phori!s ~i JLJ
License 1~1 Lead Certificate tt: AJPI = F1 1014-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan.
Licensed Plumber: Phone:
Mechanical Contractor: Phone,
Sewer & Water Contractor: Phone.
NOTE: Plans and supporting dcimmen.Es :Flat ybu•subnlit are considered to be bubNc inforifiation.. Poftfdna of
the information may be classffted as hon-pvblfc if you provide specific reasons that would pennif the:Clty to
conclude thatthey are-trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at 16511464-0002 for protection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonacsll.oro
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 titan without a permit; that the work wilt be in
accordance with the approved plan In the catie of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building C must be completed within 180
days of permit Issuance.
Ap li ant's -Printed Name Ap icaffs Signature
Pagel o1`3
I.•d Zl,6£6£b699 6ugapou.la~J alUGH U13oiaetuy 1359:60 £6 96 100