4162 Oakbrooke Dr****************************#k*********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 677
DATE: 09/26/00 TIME: 12:24:57
ID:
NAME: JOYCE TURNEIt BYRON TURNER
3210 9001 4162 OKBRKR DR 60.00
2155 9001 4162 OKBRKL DR 0.50
Total Receipt Amount: 60.50
CR137891
USER ID: JAN
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
' CITY OF 6ACAN
3830 PILOT KNOB RD - 55122 ?
651•681•4875 f?0 s0
_? D v
New Confhuetlon Reaulremenh ••RemodeUReoalr Reauiremenls
? 3 reylsfered Yfe wrveys ahowlnp sq. H. of lof, sq. tl. of house 2 copiea of plan Calltd Q-i Q o
and ? rooled areas f2D96 rtwximum lof coveraae albwedl 1 aef of energy calctAatlons tor Ifeafed addl?
* 2 coples of plana (ahow beom 8 wlntlow sizea; paired fnd. dealpn; ete.) 1 sife wrvey for extedor adNNOna d decka
* 1 selofenerqyoalculaXOna •r???Il
> 3 coples OI hee preservallon plan II bt platted alter 7/1/93
DATE: CONSTRUCTION C05i: 7-
DESCRIPTION OF WORK:
STREET ADDRESS: '7116 Z
LOT: A? BLOCK: ?;_ SUBD./P.I.D. tl:
Name'?-?? ? y,ed, t.l ,' PvE?2 Pnone u: G??' EB7 ? q,3c/
aRorErm `°n 1 T A/
OWNER
Sheet Address: z- j>2
cny srare: ?Y)N zip: 5512 Z
Company: c5-IyYJE Phone C (area code)
CONTRACTOR
Sheef Address: License N Exp•
CBy
State:
ARCHITECT/
ENGINEER Compuny: C?F? Name:
Telephona 0: (
Zlp:
Sheef Address: Regishaflon #:
CHy
Sewer/water licensed plumbar
State:
1 hereby acknowledge Mat I haveread this applicaHon, date thaf the
of Minnesota Stafutes and CHy of Eagan Ordinancea
Signafure of ApplicanY.
OFFICE USE ONLY
Phone #:
ZIp:
to compty wNh atl app4cable Sfate
Certificates of Survey Received _ Yes _ No ' $EP 2 2
2000
Tree Preservation Plan ReCeived - Yes - No _ Not Required aY, DMA,,
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 07 Foundation O 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 ' 01 of _ plex ? 09 07-plex ?18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level 0 24 Storm Damage
? 05 03-piex ? 11 10-plex PIDg _Yw_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
0 31 New
Sz- 32 Addition
? 33 Alteration
0 34 Repair
GENERALINFOF
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
<
? 31 Ext Alt - Multi
? 33 Ext. Alt - SF
O 36 MuRi
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) 0 46 Windows/Doors
' Give PCA handout to applicant for demolltion permit
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building t6e 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:
Valuation: $
SAC Units
% SAC
04:14!1Jdb L3:tiL b.L/tl/tlC/b iJ?NtJ{ FIy,? dl
? VYII. 1' YY V? I'V?Itr??l ??V?tV ll??l
I?V1.I?II?V ? v'
Surveyor's G"ertificate
suRVEY FoR :PULTE
DESCRIBED AS :?a;b?9 1ea emen°ti aROrece eCity or eopan, ooweta ceuney, Minjento onc
rt
47N.0
LO'' SQ. FOOT,?GE = 7,530
HSE. S0, FGOTAGL ? 1, 68c:
plan r+azo, LrJ T CO VEf7AGE = 22 °l,
PRbPOSED E:EVATIONS
Tpp 01 FOUndatlp? e 4v.,0 6ENCHMARK,
Caraqe Fioo* = 1is.to
Cossment F!oar ? Trs.e
Aprox. Sewer Servfcs = !aa•L
PfOpOEld EICV. a'?"J MIN SCTAe!Ne DCnior?.r...
CITY OF EAGFlN
CASHIFh: JS TFFit'iINAL 1'!(]' 937
DFlT6 01/26l00 T7MI=: 12:23:59
P
ID r. ,
NAMF: PUI._TF_ MA;iTEli BUZLDER
2252 92E0 4162 OAI;RF'Q01: D 30.01l
3210 9001 QE,r OAY.D({(]Olt ll t7032._)5
3866 9379 4162 OA4;kfR.ODK D 00.00
3422 9001 4162 QAFCRf'OQF, I1 671.42
2275 9220 4162 OAI;Pfit70K D q009.00
3446 9001 4i.62 OAF:fsR00F: D i1..00
205 3001 062 QAI•:B1"001( Li 0,50
3743 9220 4162 QAF;I+hOUK 11 50.00
205 9001 4162 ClAF.9RO0F: D 53.50
3868 9220 416c^_ 0AI(PFiC1LJt: D 492.00
CFii22i';36 ?C>1c CONCiINUF_
USL=.R .[De lAN CONI`]:NUf.:.
hok 'M>k}k %K yn? yF kcAcak %??k?K?k YF>X>k>X?K?k ?C>k>k?X?X 'M 'M>k ?+k>k YFX? #?CyF ?F
1jr+-AW ? °l '--( b 3
cnNT.r.nuE
c.r.TV ?F Enrnn
CASH:CE:R: J5 TF_RMINAI_ N0: 397
DA7L: 01./i'6/00 1'IME.n 0a2000
i%
NAMCe F'UI._7C MASTI=fi RU:[LDEf<
306 9220 0E17G OAI:.ItROQK Ii 04.00
3713 9e.'.c?U 4162 OAI(RFi00Y, D 50.00
3865 9220 402 OF1KRR001: D S4Os00
?
c
f
Total f;nrr_a:ip+, Amouritz 4y'ri34•.37
CRi.22?36
USI_.Ft ID: JAN
WJ?W?4J??4WWWWWWWWYJiWWJiWWW?L?XJ?J??L?4WMi?YWJiWWWaYWJi
, 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' cirr oF eacaN
3830 PILOT KNOB RD - 55122 ? ? 3 Y • ?J ?
851-881-4674
c.:tW I-o G?o
> s regis+erea siro wryavs r,onvhV sq e, a wi, .q. n. a nana s coaiec a da+
aid gl roded areas (2076 mmamum bt covemae affowem t set o1 eneryy cdcWaMoru tor healea atlmllons
D T coplet of Wans (alww bean a wintlow sizea: Poured fid. tleslyn: etc.) 1 sNe wrveY lu exleAor addHlons 8 decks
D 1 tal of enerpy CdcWptlpns
D 3 coples of hea presenaMon pWn H lof plaMed aRer 7/1/93
J7
DATE: l ?I 00 CONSiRUCiION COST:
DESCRIPTION OF WORIL• RtSdtn(! Q I
srReEr,4nuRESS: Lfi6 a04ICffobl? f-= D-tiv e
Lor: l6 sLocic E susu./P.i.D.u: O&CdPODKE
Name: Phone S:
PROPERTY last Flnt
OWNER
Sheet Address:
City
State:
Lp:
Company: AU/ fP h'ume 5 Phone o: ?'?/ ?f?a-S2 0?
(area code)
CONiRACTOR
Sheet Addreas: 13SSIQ t,, c%?A ?/s fs kd ucense ? Ul3 ? 1 ¢xp.
cny ,??rAN srate: At'?'i zip:
4RCHrtECT/ 1;
eNGINEER Company:?/? ?/ 7 s?/ K?? v e Name:
Telephone t: (
Shee1 Addreas: RegfshaHon ffi:
Cly
Stote:
Lp:
.3s/ a o
ewerJwater licensed plumber (if installina sawer/waler):??A& )q?Aw PMne #: bU r-l 2-Z ???,
"y xkrqwledge that I have read thia applk,wHon. *We Mwt Ihe infortnation b cortecf. and agree to compty wllh a9 app8ooble Sfate
' M,innesota Stalufes a CHy of Eagan Ordinances. ?
! 1 Sipnalure otApplicant??1??G.e-k^Pt? je2 10Ulte l7Unrs O1 NA/ Co%l'i
' 6/z-36?
OFFICE USE ONLY
3Nficates of Survey Received ?_ Yes _ No '
ee Preservation Plan Received _ Yes _ No ? Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation p 07 05-plex
9 02 SF Dwelling O 08 06-plex
03 01 of _ plex O 09 07-plex
? 04 02-plex O 10 OB-plex
O OS 03-plex ? 11 10-plex
O 06 04-piex ? 72 12-piex
ORK TYPE
?
31 New
O 32 Addition
O 33 Alteration
? 34 Repair
? 13 16plex O 21 Poroh (3-sea.) ?
? 17 Gardge O 22 Porch/Addn. (4-sea.) p
O 18 Deck O 23 Porch (screened) O
? 19 Lower Level O 24 Stortn Damage
Pibp _YOr_N ? 25 Misceilaneous
? 20 Pool 0 30 Accessory Bldg.
O 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to appticant for demolition permit
GENERAL INFORMATIOJV
SAC Code rJ?
No. of Units
No. of Buiidings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
MISCELLANEOUS
)k Stucco/Stone
APPROVALS
Planning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
INSPECTIONS
G ng-C
Building
bil sq.ft.
t sq.ft.
Footprint sq. ft.
' Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi
?
Permit Fee Valuation: $ 10f1!/!'i 0
Surcharge -'-?*-
Plan Review
License
MC/ES SAC ?? 0? ?
City SAC
Water Conn. +" -- ?
Water Meter
Acct. Deposit
S/W Permit ? (/ ?}(} ?
S/W Surcharge 0/ U !
Treatment PI.
Park Ded.
Trails Ded. ?'J ?
Other
Copies
Total: -3
SAC Units
% SAC
JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
7355 Mendota Heights Road, Suite 300
Mendota Heights. MN 55720-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
.OB NO. O3a v, o i ('01
COIYMUNITY: (it. /?
BUILDING ADDRESS: lo
?? 2 ? ?Q/?. it(op
MODELNPME: Yn7'1.L'G}'YV?.AY`-V
l?-Pt??
0
CDNTRACTOP/SU PPLIER:
/ -CLEG/LL DESCRIPTION: LOT 9LOCK ? UNfT
L ?- (?. A,O? OI710N: .¢. ^?
vV /?r? lC../ qN: 1Q-Cw7 ? STATE ? LP: S.U4ad
MODEL NUMBER: 1/J b ZOI ELEVATIOM ?a OARA6E• LEFf RIOHT
&JYER'S NPME: ? W ? I(J I?
T ??
DATE OF ORDER:
CURRENTAUDRE55: I U ?? /?
,? /
,- /
V Q /?f 1 O! I ,,
CITY: / L(. L STATE: P:
7 ?
?-- ? L
HOME PHONE_
?/aI 3- 71?'i
BUSINE35 PHONE; BUSWESS PHONE:
SALES REPRESENTATIVE UL ?
;"QTY.i'-' ;h:OPTION"#,.
0000 q
BASE PRICE
/ Jr?O
---- LOTPREMIUM L-0 I?,, 6IUL 3000
ELEVATION # o79d'
/ ?aoia Gn ? ? vq?k ? c &4-- -e, ?sv
I alDa U 6a, hr a-? - wn wck 2q0 0
1 1 4o D? ? j0a-( Q11)0
1 ? 2v aftd cojaw?f ? [300
? I o/o e l lc Ge-t? ,90
? 3? o o e4znt;?? (64 asa
J r 700,? ?- ? ?? !ao
i?oa ? o
I
? a -?bd(a
3300 a V.;I-
' s '200-0
loo
t 9q5q2 &s e- AIL pZ? ?qoo
RECT :?E C i = x
AL
1= •
Builder's License b0001371
k
APPROVED BY BUYEA (S):
?
APPROVED BY SALES: f / ? Z' ._
RELEASED TO START CONST.: eouai FiousirJc
orPOarunirv
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
' EXTERIOR E?dVELOPE AVERAGE COHPUTATION , /3;,216
OWtlC,ft:
StTE ADDRE55:
? 'DATE: 1//-PHONE: ySz -sZoo
CDNTRAC70R: ?..rG h'o.rC ? °i?• M'? -
? . .
DETERMINE 4rORK1NG SoUARE FaOTAGE OF EACN: ?
]. TOTAL EXPOSED klAIL ANEA, ,,... ., 2?'1 q sq f t x"U^
2, TOTAL ROOF/CEILING AREA,,,,,,,, I1?2 ? y sq ft x"ll"
3. TOTAL EXPOSED WALL AREA CALCULATlONS:
Total exposed wa11
area ahove floor,,,..,.. sq ft
?-
a) Total wall w3ndow area: • ,
DOIJBLE S3azed...... Zr-?2 sq Ft x1.l1.1
?-I, , F glazed,,,,, -- sq ft x ??U"
s4 f
b) 'Total door area ,,,,,,,., ?-t x ?'U"'
c) Total sliding glass doar area:
9lazed......
F
?OURI 40 sq fi x "L"'
_
_
qlazed...... sq ft x "U"
d) Total flreplace wall area
sq Ft x "U"
Q ?n zo
?
e) Total wali framing area pp a ZO
IZ -
(Average 10`-!).......... 2Z? _59 ft x , ,u, ,
f) Total net wall area above • ?d
floor (Insulated)....... sq ft x."U" •0? ° ?--
g) Total rim )oist area...... f?? sq ft x"U"
Total foundatlan
area (Exposed)..........
h) Total foundatian
window area............
1) Total net foundation
area above grade......,.
3
76 gq ft
'sq ft x "U"
sq ft x "U"
TOTAL a) thru 1)
If ftem ,43 ls the same as, or less [han item il, you have met the in[ent oF
Z ttC.\R 1.16008 A ar.d 0. •
Pag_ 1
TOTALI EXPOSEO HOOF/CEIL1ttf, CALLllLA7IOPl5:
Tatal exposed
raoF/celling area.....,••? S4 ft
J) Totai skyliaht area....... g9 ft x"U" °
k) Total roof/cellfnq framing I(? D Sq ft x"U" ?6
area (Averaqe lOR).•••• ( /_- ?
1) Total net tnsulated
sq ft x-'U" OZZ ° 7
roof/ceJling area.......
TOTAL J ) thru 1)
if total of i4 is the same as, or less than.R2. yau have me[ the intent oF
2 P1CAIi 1.16008 A and 0.
. ?
. ::..
? ALTERttATE BUILDING ENVELOPE OESIr,N
7o utillze the [otal envelope system method, the values established by the sum
of items 93 and ;?4 shail,aot be greater cfian tfie sum of items 91 and 32.
l. + 2. °
3 + 4. °
C;_ T I F I c A T i o N
I hereby certlfy [ha[ ! have calculated the "U" factors and "R"
vaiues herr.(n and thai the buildinq here.descrlheA meets or e:ccaeds [he State
oP tilnneso[a Energy Conserva[ton Act.
" 51qna[ure)
(Oate) , P:,,;,. '
?
[ONSTR(7C?fOt! R VALllE
NALL FRAHlNG SECTlON:
I Intertor air film' n.68
2 7 7- 'I I t ?'r C' _ Q-5
j ?'/-z (nches soft waod /asz-7
?UILTIT'v ?
5
h ExterSor af rim (1.17
T(1Y&1 A a I!1 r'.r
u-t/a- CP, Z
ilALL SECTiON (1NSULATED)
--{ 1
3
4
R!N jOIST SECT10tl:
-?] Interfor_air ftim n.6R
?
?
4 ?? .
h ExLerior air riim •?
TOTAL R. ° -^. -
FOUNDATIaN INSULATIOrJ REQuIAE?: '
Min. R-5 on entire wal] OR U°I/R °.?
R-10 down to frost-depth -
p.• .. :
?FOC!NOATION ScCTION:
e:?- "4•;^ --{1 Incerior air film n•i;g
•.a : ? . • z2 T&11 RC('' rt.? ,•: s..::• 3 J2° rn?ic r z?
•-,.-_•A 4 Extetlor air ilm ?•17
.°' (5
?q:a•_?+i?, (6
?• ?: .4 TOTAL R? 13 ? l'3
?? r U ? i/R
T9 ?
SLAB ON GRAOE
? Hea"ted Slahs:
. q•", .•'Q. Minimum R= 8: 5
?
.• a.?;
•
G Unheated Slabs:
P1? mmwn R- 6.2
?
,a??_
?'??
a-? 4 .,•S
,
'
,•' •
,^ . a• g
' - . _ - . .? V ,- ° : -4 •? , cl' ' a 4
1 . , . ..
;at` , S •4 ;, .-, d:,.'d'.
a
jg_ 3
U - 1/R=104?-
CONSTRUCTION n vnLuc
?
?
CEILIMG SfiCT10N {INSULATED): '
I Interlor air film
2 !545"
3 =?-?r ?n L`UC_l??rDr?! =-?.i1O
4 Excertor alr flim (st1I1)
T07AL R -
U' 1/ft -
C=1LIN6 FRANING SECTiON:
T Interfor aIr f.llm n.Fl
2 hFfFr`rm!'_K
3 c. 77-I i KLUt ?L.7r'?
4 Interfor air fiim rs[iilj-o.I
5 :-S !2 Inches soft wnnd A
70TAL R - 37 n7
. U A 1/R ° <.ic. r
CEIUIIG SEf.TION (IHSULATED):
1' Interfor air film 0.F1
2
3
$ ExLerior air ilm stiil
707AL R = _---
Ur 1/R=
VENTED
4 Exter(or atr film still ?• ?
S I nc:ies so f t woad
TOTAL R
CEIL1Nr, FRAHItfr SECTIaN:
1- Interior air fiT
2
U= 1/R=__
?
Instde air film ?.(,'
2 --
3 --
4
5 dutside air film ??_
TOTAL R
U
o.Fl
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
ti
n
H
?
W
?
LV
0
O
O? Q
? ?
?
d ?
? ?
m?}a ?
a
? ?
?o a
p a
? ?
e-'? o
Vo ?
_ ii- -
• Registered Land Surveyar signature and company
• Building Permi[ Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, spti[ entry, lookout, etc.)
• Directional drainage artows wdh slope/gredlent %
• Proposed/existing sewer and water servicea 8 invert elevation
• Sheetname
• Driveway
• Lot Square Footage
• Lot Caverage
ELEVATIONS
istin
o/? ? • Sewer service (or Proposed)
m/? ? • PropeAy comers
m/o ? • Top of curb atthe driveway
o ra/? • Etevations of any exdsting adjacent homes
?2?a Adequate footing depth of struc4ires due to adjacent u6?ity trenches
Prooosed
/
? o o • Garege floor
m?? ? • Firstfloor
p/ ? ? • Lowest exposed eleva6on (wslkouVwindow)
? • Property comers
pi ?? • Frorrt and rear oi home at the foundation
PONDING AREA (if aod'?cadel
/
? ra'/ ? • Easement line
? t?' ? • N4VL
o ?/ ?
? m',? • HWL
• Pond Il designa6on
? ? ? • Emergency Overflow Eievatlon
la'? ?
r9' ? ?
,/-? ?
r5l o ?
a?a?
? ?' ?
DIMENSIONS
• Lot IineslBearings 8 chmensions
- Rightot-way and street width (to back of curb)
• Proposed home dimensions induding arry proposed decks, overhangs greater than 21, porches, etc.
(i.e. all structures requiring permanentfoodnga)
• Show ap easemeMs of record and any Cily uGliUes within thase easemenis
• Setbacks of proposed structure and sideyard setback of adjacent epsfing structurea
• Retaining wali requiremenb, if any _,;,
Reviewed:
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVIStON:
DOCUMENTSTANDARDS
Name
Mareh 1999
cauoMocvnr.rt.Fre
I'
i r-.
Surveyor's Certificate
SURVEY FOR :PULTE
D ESCRIBED AS : Lot ,a, elock e, OAKBROOKE, City of Eagon, Dakota County, Minnsoto ond
reserving easements o( record.
.
iR
n- --?--?
P DEPT.
?
lp?
O??
?
LOT
HSE.
LO T
Plon # ,ezo,
PROPOSED ELEVATIONS
Top of Foundotion = 934,0
Goroge Floor = 9a5.40
Basement Floor = yt0•0
Aprox. Sewer Service = 92Z•?
Proposed Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stoke = •
SQ. FOOTAGE
SQ. F00TAGE
COVERAGE _
SCALE: 1 inch = 30 feat
_ ?-Z; 530
= 1,680
227o
BENCHMARK,
MIN SETBACK REQUIREMENTS
Front -25 House Side -
Rear -15 Garoge Side-
HEDL(J/1rD I HEREBY CERTIFY THA7 TMIS IS A TRVE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF TNE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISIDN AND DOES NOT PURPORT TO
PLANN/NC BNC/NEERINC SURV6Y/NC SMOW IMPROVEMENT$ OR ENCROACHMENTS. EXCEPT SHOWN.
2005 Pin Oak Drive I pp I Eogon, MN 55122 DATE 1?/1b/_L7 '
•
PhOne: (651) 405-6600 (teV I-1-t-00 F E OLINDGREN, L SURVEYOR
Foz: (651) 405-6606 vu SOTA LICENSE NUI Ett 14376
N0:
99R-661
OAKBROOKE
f2ECEIVED 3AN 1
L BL CITY USE ONLY
?
SUBO Oa? 614LZ
RECEIPT#. / 3 ? 77K
RECEIPT DATE: l17'OU "? ?
PERMIT# 47
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PIIAT KNOB RD
EAGP,N, NA7 55122
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
?...eor
ceru !/
TOTAL
!?A ? YniJ
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ' minimum - t 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refufiished ' requlres MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler rfdwelling is underconstruction 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if exlsun9 dweuin9 30.00 x $ 30 0
Waterturnaround 30.00 x $
State Surcharge ,50 $ 50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
1 here6y acknowledge that I heve read this app?ication, state thet the irrformation is correct, and agree to comply with all epplicable City of Eagan ardinences.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during rts
normal operational and maintenance adivities to the facilities constructed under this permit within CRy properrylright-of-wayleasement.
SITE ADDRESS: #&oZ. OCu? &-00k br"
OWNERNAME:: &roh sJpllCe i,erner TELEPHONE#: 6?'?- ??7- 693`J
-f (AREA CODE)
WSTALLERNAME: llnknk Wl?.Ia--Ti{a{yyiCn f TELEPHONE#:
(AREA CODE)
STREETADDRESS: 17?gY Goodland ?rL"?
cin•: L&ke v??4t, STATE: /WA/ ZIP: Jr5 0?
S ATURE OF PERMITTEE
C1TY USE ONLY
LOT ? BL PERMIT #:
SUBD. RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
cxTx os EAcax "
3630 PZLOT IINOH RD
EAGAN tMi 55122
--'? ? ?t/, n 651-681-4675
?I/(
Date: 9,Z20
? -
Complete this section on if you are installing HVAC in a single fsmily dwelling, townhome or condo under
consttuction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
$ 30.00
6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
.50
$39.?
Complete this section onlv if you are remodeline. addins to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
Y New _ Aiteration
_ Fumace
_ Air exchanger
Reminder: Cal1 for inspections
_ Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
SITE ADDRESS:
OWNERNAME:` PHONE#: 6cSl - yJ?a? So`ZOO
/ (AREA CODE) pqfi
INSTqLLER NAME:JY/J?41/IC? PHONE #: le X2_-
STREET ADDRESS: I? K?l 1Z1X)G6C- 1S1a/2(?-1;;'iC S (AREA CODE)
CITY: STATE: ZIP: ? 372
- ?
SIGNATURE OF PE TTEE
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #
RECEIPT#:
RECEIPT DATE:
2000 mzCHANICAL pERMIT (COMMRCIAL)
CITY OF BAGAN
3830 PILOT 1QT08 RD
EAGAN, HU 55122
651-681-4675 --
Please wmplete for all commerciaUindusUial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: -
WORK I'YPE: _ New constrnction _ Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping -
When installing/removing underground tank, call 651-681-4675 jor inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimom fee, whichever is greater.
Underground tank removaVinstallation = minimum-fee -- --- .- --= - -- - -- - -- -
Contract price: S x I%_$ (Base Fee)
State surchazge calculate at $.50 for each $I,000 Base Fee
TOTAL g
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLy): (.4REA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER
ADDRESS:
CITT':
CITY USE ONLY
PHONE #:
(AREA CODE)
STATE:
21P:
SIGNATURE OF PERMITTEE
L gL (49 CITY USE ONLY RECEIPT #:
? I
SUBD. _ Q??YIC-R RECEIPT DATE:
PERMIT# ^7"l ? 6 b
PLUM$INfi PEgMTT (RESIDENTLUL)
2am crrY oF E?sna
3830 Paor xaos Rn
enanx, auN 55122
(651)6$1-4675
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
R3?? tUt 1 3.00 X = $
Floor drain 3.00 x = $
GeS I in Outlet ' minimum -1 3.00 X =
Hot tubfs a 3.00 x = $
Kitchen sink 3.00 x $
Laund tra 3.0 0 x = $
Lavato 3.00 x $ /?
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' 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 sokener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> --> ----> S .50
Total --> --> ---->
? -
$
Reminder. Call for inspections of alterations, f.e. water heaters, water softeners, etc.
-
-
-
-
-- --- --- --- ------ - • ---- -------re---------------------------------- • ---------- m--------...----W ?m-- • --------------------------- ---- ---
• .
- ordinances-
I hereby acknowledge that I have ad this appliratlon, state that the informahon is rtect, and agree ply with all applicabie City-of Eagan-
It is !he applicanPs responsi6ility to notlty the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its
nortnal operedonal and maintenance activiGes to ihe fa ities cons cted under this pertnit within propertylright-of-way/easement.
SITEADDRESS: I?lL//e
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: ?
(AREA CODE)
STATE: /ZIP:
SIGNATURE OF PERMITTEE
' Z/J?
?
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651) 675-5675
Fax: (657) 675•5694
iI ?1??
JrL aPR 2009 ------------------
? FOf OffiCQ U58 I ?
j Permit
i Permit Fee: $/?' U v I
? Date Received: j
I I
I Staff: I
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: LI - `< - 0 I Site Address: 4 lL"L QLKbv-ODr?C 151 t ?C-
Tenant: TY-W T????'OI.v?l'e'r Suite#:
RESIDENT / OWNER Name Tro-^ -7?,rntir Phone OqM
address i ary i ziP: LI1i.4- DaK.brooKL IlriVL
Applicant is. _ Owner V"' Contractor
TYPEOFWORK Descnptionofwork. hit-roi* 3tAb
Construction Cost. 11?0, tD ?01) Multi-Family Building: (Yes _/ No -L
CONTRACTOR ?rx. Cohti?ur, ?
Name: P,n ?'l?D?l, .?'?«. License
'
Address ai
i -Jf . AVliOV111 wU
city: nio1L0u0ali5 state: ?A N ziP: 51YE)
"ONI(t" 1:V"4f_,
Ph
t
tP
C
one:
on
ac
erson.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CategOfy Submitted Submitted
(4 submission type) • Energy Envelope Calculalions Submittetl
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan 6ased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contrector: Phone:
NOTE: P/ans and supporting documents fhat you submif are considered to be public information. Portions of
the information may 6e classirted as non-public it you provide specifrc reasons that would permlt the C/ty to
conclude that the are trade seciets.
I hereby acknowledge that this information is complete antl accurate, lhat the work will be in confortnance with the ordinances and codes of the Ciry of
Eagan; lhat I understand this is not a permit, but only an application for a permit, and work is nol to start without a permR; that the work will be in
accordanw with lhe approved plan in the wse of work which requires a review and approval of plans.
X MdNiQ,u,t Gru'VOOAL x?wm? I aAk?
ApplicanYs Printed Name ApplicanYs gnatu
Page 1 of 3
Ii
jjO(
For Office Use
Permit
G~
Ib• ty of Eva n
Permit Fee:
3830 Pilot Knob Road Eagan MN 55122 Date Received:
Phone: (651) 675-5675 stair:
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y_4-p9 Site Address: '4(L2_ 0 ,brooke _Dr?t?
Tenant: Tra?1 ~ QI,JV Suite
RESIDENT/ OWNER Name: T r o _ v N . --T ,r Phone: &5 O'11 /
Address / City / Zip: L4_1 - Oo,K brooKe_, T yiVj~_
Applicant is: Owner U" Contractor
TYPE OF WORK Description of work: Qe- ro A 3 -to 2un lv
Construction Cost: Y V. ~0 CD. 0V Multi-Family Building: (Yes No
CONTRACTOR Name: yP.o CV1' WUCA'10 N V IC-, License
3
Address: I I "JT . AV1 V10 . Aws(,
City: i V\V\. &Da ~ I S State: Zip: _ i p
_
Phone: ~Q I 1St ~~O~Z Contact Person: \ONiG.u .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) . Energy Envelope Calculations Submitted
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.
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.
x of)Ntau_ _r_&' x UN_~_ *_Lt~
Applicant's Printed Name Applicant's gnatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121313
Date Issued:03/25/2014
Permit Category:ePermit
Site Address: 4162 Oakbrooke Dr
Lot:16 Block: 6 Addition: Oakbrooke
PID:10-53760-06-160
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Susan Reilly
4162 Oakbrooke Dr
Eagan MN 55122
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143340
Date Issued:06/13/2017
Permit Category:ePermit
Site Address: 4162 Oakbrooke Dr
Lot:16 Block: 6 Addition: Oakbrooke
PID:10-53760-06-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Susan Reilly
4162 Oakbrooke Dr
Eagan MN 55122
(651) 366-7935
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature