4164 Oakbrooke Dr
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Address_4164 Oakbrooke Drive Zip 55122_
Lot 15 Blk 6 Sub Oakhrooke
THESE IT'EMS WERE / WERE NOT COMPLETE AT THC TIME OF THE FINAL INSPECTION.
Date: _5_CV Yes No Inspector:
Final grade (6" ftom siding) •
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish
Deck
Please verify with the bui(der the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in right-of-way or installing undergmund sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
R ` (V?0GI (?-Sa(o-7
? _-__ -^-_---- ?
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? Penni[tl:fZ? I`?2 j
City of ala? I
I PeMIRFee:? ?
3630 PiIOt Knob Roed ? pate Received:-L?6gi
Eagan MN 55122
Phone: (651) 675-5675 j ?
Fax: (651) 675-6694 ? ----------------?
20D8 RESiDENTIAL BUILDING PERMIT APPLICATION
oate: site Aderesa: qllaq 7P<K [iPCOK ?(L
suite S:
TenaM:
RESiDENr/ owriER r,am:?" pn«e: (ol?, -q?53
aecress / c.itr I ZIv:
AppGcant is: _ Owner ?LCorm'actor
TYPE'OPWORK Descriptionofvark:
Construction Cost: ? ?t • D MultiEamity Buildirg: (Yes _/ No.Lj
? Licer?se#: ?????
CONfRACTOR Nsme:
Address: ? ol
cfty: SEN11u..?7a*er _ stale:.?_zip:?
Phone: G1?! • yS9-L(jX Contact Person: IC=I2
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A :Mlnn:= W BUILDING
Mfineaota Aules 7870 Cateaorv 1 Rules 7fi72
Energy Code . ReWdumed vwmiatlon Getwry i wwkst+eec -• New EnQrgY C0dvwoncstW
sudnilmd
(J submiasion? 1Ype) •??er9Y Enveiope Camftais Submitted
in vie mst 12 mornhs, nas cha CitY of ftqan issusd e pumR for a simtlar plan based on a mastsr pian?
_Yes __NO If yes, date ard address of master dan.
Licensed Plumber: Ph".
Meehanleal Contractor. Phow.
Sewer & water Contractor. Phone:
• rv3?'`_ ,.e,,
i nereby advrowledge fhat ttits IMwmatlon ic oomplele anC acausos; tlret the xoAC wW Oe in corrtortnanc0 xMN the adlnances antl cotles of tlia CKy d
Eapan; uat i undmVand this 18 not a pBrmi, but ONy en 2ppilomdaf for a pBRnfL aM work is nOt t0 BtBrt whh0ut a pemiit fheQ the work wM be m
aaadance wM ft approved plw in Me tase af wwk wttidf iaqudres a teAaw entl aPPwW of PkM
x M- ?,IK I 1HLLl1T xL
ApPOcant's Prmted lame ApDlicani's Sigrrefu?e Pepe 1 of 3
A74
r . rv t.-,F E:A.r,OiN
CA;ili:[F_I=:e J:S rl=!?t4:NAl_ Nt:3e r,73
11A(C: 03I00/00 .C..f.ME: 0912202
II? a
\':1MFh i'UL'f'E' M(-'?.i I L'R i=l_!:f I_IiF R
?c;5<S ':??..?il t 16A t?f'.h;ItPDOi.L 30.00
32.U.". JUflj ';[h+`. Ui'ti?LiFiL1I11"" I.y212. ..`.!
3866 9::379 4164 04);;URCiOF;E iGi:i.0(]
3420 9001 4164 (J61`:b'ft(liJ;iE 7870(]
220 :?i''r?Q 1W i:1"rif:!'.'lil]DKE 5POt;9.00
3446 3001 4+,.64 U^,KE'{JJ:7-. ii..00
i?i:.:;:i _DOt.li. 41t,1 CAI'..Itf•:f`l'F'E IJ,,:iU
2743 9200 41a,4 Od;l(C3f?I]01'c WeLiri
2153 900; 4164 QFIKFdROIJ;iF_' 69e59
3968 9220 065. f.'.r,';E''rt00'4E -92.09
CR'I 2435° ;<,+,< C;tl"! T lNUC-
USiEft T.D: .'iAN VA 0(:1tdTINUE
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7E;c5dY,:?:>.':'?C:?iY::?F'?Y,(i;:i,<.i:(.*;;X?>R%It?:i;si`:^,t;;o;caev?:?Xc ?'f};d77:N1lI"
t,:CfY Gu' r-':Ai;AN
CAS>4:CFR: 35 Ilrri74TNPI NL. 673
DFl'YEe 03108/00 i fNiEn 09.3034
?D:
NAriF: i'ULT:i: htAS fl:.ft', B!f l.I.DEh:
3i'16 9220 4d6E• OA••'RRO[3{'.E
37:1.^ 9220 ai 6b OA`'Yt4'OOi'E
2061 9220 4:I.64 O(il:F:Rf][iI;F'
7'
1'i4,.(JD
50.00
£i41LCILi
ro+,:; r,f;;reii„t nmoun+,s 41846.05
i,h:i.R.,.:i.-, ,
i)f_LP zIie .,at,
i;5'd>;;i`. •i'?:$"k•??k'l,^;?Y,?:k ?6 !;7 ;<;;:.%Y!>,;:? :;c:,? : :ri7:t?r `nB;?IU,"M?k);:%X ?%Y,(
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-? ? ----1 ? ?i 3830 PILOT NOB RD • 35122 g 4
C? 651-681-4675
C a-DS-Ov
?w ??o, ??.
a s reylnered $ile wrvan "winy a. R a at, sa. e. a naua s coWes a Wan
antl gl rooled area C10% rmzlmum loi covemae dbwetll 1 set of enerpN edadaMan tor heaW addMOm
D 2 coples o( Dkm (slww bearn a wlntlow tizes: Doured hW. aedyn; etc.) 1 We aneY tor aulaAa atltllUOm 3 dacb
D 1 wt of anerpy cdeu9atlorq •
D 3 copNt of Pretervallon plai M bi Wc1?ad aRa 711/93
J
DATE: ?/ °?g /J? _ CONSiRUCT10N COSf: 130 / 1 (?'O
DESCRIPTIONOFWORK I`e-?1(I,LV1'1"lk l-
STREETADDRESS: 1(b'T OTIUROOICr pY11/1-
ar: 1? sLocIC 4 suso./r.i.o.r: 04apDa1Zr_
PQOPEQflI
OWNER
ARCHITECT/
ENGINEER
Nome• Phone i:
I.CA FlRf
Sheet Addreae:
CHy
4??-.QOb
m«t naar. I39A-f0d'046 a ucense : 3 7! ..
cnr Mtndofi? 14t;fs srote: / yp; ?Sf Z O
Stafe:
Lp:
Company.r"UI r e- & iYIGS a -IAN Co $p Phone 1t: v S/
(areo code)
Company-_?I/'/?EFJ45 J7b 0?t' Name:
Telephone t: (
?? -??W
6 ?/-) _,?
Sheet Addresa: Regishafbn 1:
CRY
Slafe:
Zip:
Sewerlwater licensed plumber (H Irefallina sewer/watar): V)l Phone #:
1 helebY aCkrawledpe Mw1 I have read Mfis applla?ion, dale thaf ihe tMamaNon b cortect. and apree b canpy wilh a1 app6cable Slafe
of Minneaota Statutea and Cily o} Eapan OrdGwncea.
Sipnolure of Apphcant tw
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No FEB 2 5"
Tree Preservation Plan Received _ Yes _ No '?JNot Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundatlon p 07 OS-plex O 13 16-plex p 21 Porch (3-sea.) 0 31 Ext Nt - Multl
,W 02 SF Dwelling p 08 06.plex 0 17 Garage O 22 Ponch/Addn. (Msea.) O 33 Ext. Alt - SF
0 03 01 of plex O 09 07-plex O 18 Deck O 23 Poreh (screened) O 38 Mukt
E3 04 02-plex O 10 08-plex ? 18 Lower Level p 24 Storm Damage
G 05 U3-plex 0 ,17 10-plex Pinp r a_ N O 25 Miscellaneous
O OB 04-Plex p 12 12-plex O 20 Pool O 30 Axessory Bldg. WORK TYPE
X 31 New O 36 Move Bldg. O 43 Reroof
O 32 Addition O 37 Demolish (Bldg)' p 44 Siding
0 33 /Uteration O 38 Demolish (Interior) O 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demotition permit
GENERAL INFORMATION
SAC Code _QL # of Stories sq. ft.
No. of Units Length gq, ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) -V?J_ Basement sq. ft. Census Code
(Allowable) VA) Main level sq. ft. ? MC/ES System
UBC Occupancy /L, ?= f 03 gq, ft, City Water
Zoning 404AJt&sq. ft. ? Booster Pump ?
PRV ?
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
E3 Stucco/Stone
APPROVALS
Planning Building I T/ -ul Engineering Variance
Permit Fee Valuation: $
Surcharge ?
Plan Review
License 666)f /096 1 X l ?
MC/ES SAC
City SAC
Water Conn. x ? ? ` / -
A? e?s,t l o,?
S/W Permit
S/W Surcharge ? ? ?
Treatment PI. y /
Park Ded. ,rs?i// s o /` `
Treils Ded. W U ?'?'
Other
Copies v
Total:
. SAC Units
% SAC
JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suile 300
Mendota Heights, MN 55120.1112
Phone: (657) 4525200 Fax: (651) 452-5727
JOB IJO. U / ? (J 1 tl
COmTIUM7'Y: c'V? f
BUILDIN3ADDRESS: (?
eureas NAMF-
CURHENTADDRE55:.
H«W P,a,E: fRs[- (da?t r?9?
??
tl?laster Builder
Builder's License q0001371
corrrFwcTOwsuPPuea:
-Q?
)026L
MDDELNUMBER:
LEGALDESCiUP71DN: LOT BLOqC (0 UNff
/)yl
BUSMESS PHONE:
CRY: STATEAltj ZIP:?T?--
? EIEVATION: CiARpCiE: LWT RIpHT
DATE OF OROE D
CffY? ? .?C STATE• ZIP: ?/
3a1?-rss08 BUSINESS PHONE: 5•aSSZ
APPROVED BY BUYER (S): ?44 -
?
APPROVED BY SALES: C
RELEASED TO START CONST.: eount eousiNc
OPPORTUNITY
This constitutes a contract between the Selier and the Purchaser(s) for the above items.
SALES REPRESEMA7IVE ( 1-/ ' //7 / [ /T D y1
JOB INITIATION ORDER
PulEe Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendota Heighls, MN 55120.1172
Phone: (651} 452-5200 Fax: (651) 452-5727
CONTRACTOWSUPPLIEFt
JOBNO.0 Z L U ?, ?
??i I?v1n L? ! Q?J LEGALDESCRIPTION: LOT L? BLOCK ? UHff
COMTMINRY: ?-7?-+??1 ?.1.+ AD?D'ITION:
BVILdN[iADDRE5S3 C(. !X?I CfTY:STA _LP:Z_S
hIODEL NAME:O MOUELNUMBER: ELEVATION:? OARAGE: RlGlfr
BUYER'S DATE OF ORDE?R.:, ?-ZIP?t?-? -?O,?
CURRENTADDRESS?: )?3Z- LT
L---/? ?• 'jra`f ^? c v CITY: O/ 5TATE:_ ///`? C:?C'?
???E: ?•oZ BUSPIESSPHONE:?.,Y•'? .7i;'?O?g BUSINESSPFIONE: 1o1.Z, ?J=J Z.sy
SAlES REPRESENTATIVE L/
0000 BASE PRICE
- - - - LOT PREMIUM
ELEVATION #
c 7 C P?'l.
? e? ti ?7s
? i C?
1 201z Le, c?c. ti L/
2pz? ? 1 vb
71'? 0 TOTAL I__V'/
? APPROVED BY BUYER (S): ?
APPROVED BY SAIES: ?
RELEASED TO START CONST.: eouni twusixc
OPPORTUNITY
Builder's License g0001371 This constitutes a contract between the Seiler and the Purchaser(s) for the above items.
OIJIICR:
SITE AD
/i7!
EXTERIOR ENVELOPE AVERAGE "U'.' GOMPUTATION • S?F????-L?
E0L.? ?6PAe.?5. . DATE: Z PHONE:
C017TRACTOR:
DETERHINE HORKING SOUARE FOOTAGE OF EACH: ?
1. 70TA1 EXPDSEU l1ALL AREA, ,,,,,,, Sq f t x"U"
2. TOTAL ROOF/CEILING AREA,,,,,,,, II ^I& sq ft x"U"
3. TOTAL EXPOSED WALL AREA CALCULA710NS:
Total exposed wall
area above floor,,.,,,,, Z40g sq ft
a) Total wall wlhdow area:
D0l1F3LE glazed,,,,, j'!jq sq ft x"U" . Jrn * (1 ??7
H,F_qlazed,,,,,• ` sq ft x'iU"
b) Total door area „ sq ft X?'?"
....... ..
c) Total slldlhg glass door area:
...
lazed
U
L6
d sq ft x"U"
...
9
O
FS
.
lazed
?
n ' sg ft xatuli - ? ._.. .
.....
g
.
' d) ll area
w
l ff
l
T sq ft x"U"
-
? ace
a
.
ota
rep
e) Total wall framinq area
104)
(A
i sq
yq
ft
x"U?? p
Q IZ, Z 7,?
°
..........
verage ?
f) Total net wall area above •
flvor (Insulated)...... . fa90r3 sq ft x"U" •?"1-I °?
l.Z! a
) l
T
i
l sq ft x"U" •??"? °
g st area.....
m Jo
ata
r .
Total Foundatlon
? ?
6
ft
area (Exposed)..,...... sq
J
h) Total Foundatlon
ft
x "U"
• 5O
?
wlndow area ............ . sq .
1) Total net foundation ft x"U"
'
area above grade....... Sy
.?_
TOTIIL a) thru I)
3
If ftem 93 ts the same as, or less than (tem Ri, you have me[ the Intent of
2 tICAR 1.16008 A and 0. •
i'ar? 1
h.70TM.,EXPOSED RODF/CEILING CALCULATIONS: .
• Total exposed
roof/celling area........?_ 54 ft
J) Total skylight area....... `- sq ft x"U" °
k) Total roof/celllnq framing { 1
area (Averave lff9.) .•••••? sq ft x"U" . Qz O -° 3 r 1
I) Total net Insulated •??.Z
roof/celllnq area....... 1nt7 54 i t x "U"
I' TOTAI j) th ru 1)
If total of Ih is the same as, or less than 92. you have met the Intent of
2 MCAR 1.16008 A and 0.
.. ,
? ?...
ALTERtlATE BUILDIfIf ENVELOPE DESIGN
To utilize the total envelope system methad, the values estabilshed by the sum
of items F3 and 94 shail.not oe 9reater than tfie sum of items 91 and N2.
1. + 2.
3, + 4. °
'.E R T I F i_ A T I 0 N
I hereby certify that ! have calculated the "U" factors and "A"
values herein and that the butldinn here,described meets or ex-ceeds_the Sta[e
.. , ?•.
of Hinnesota Ener9y Conserva[lon Act.
; ,.
Stqnature
(Date)
"t vVN?U ...
CONSTRUCTf0m R VALUE
, . - NALL FRAHING SECTION:
1 Interior alr fllm f).6R
?
3
4
so
or air
WqLI SECTION (INSULATED)
--{1
?
4
TOTAL R - ? -,.1-
u-tla-?
RIN JOIST SECT1017:
?
D
E
lor air
1 I
t film 0
61
n
er .
2 9
9 J
"( 4
G
?
- I
I u?U 1nI
LA 1
.
C
J 1r-7^ .50r"t ' Wnr n ( ees
'
-- 4 25/i2" SUIt -fKITF- ' Zs?id
- ---------- -
5 bLUM :-51 hi Q Ci ,Col
fi Exterior af r f i Im 11.17
TOTAL !E- = 7A. G7
FOUNOATION INSIILATION REQUIRED: '
Min. R-5 on entire wall OR U a 1/R
.
. Min. R-10 down ta frost.aepth
p a
;
,e
t
= ? fOUNDATION SECTION:
e
- a"•
- 1 Interior aIr fllm O.hR
'•A EiATT r?LtJ[_ L,a
?•?6• J:
l IZI 1JA1C
?\JC
IL q
I.ZLI
•' r'-'A' 4 Exterior air ?ilm n.17
'
?
a• - w ,, (b
TOTAL R= f? r 13
,.
? u - t/a ? ?i°Tlb
SLAB ON 6RAOE
//a
:4. - - o• ?, I /?;'"
• Q.
• '• Neated Slabs:
.?".'Q, Minimum R = 8:5
Jy: ..4. Unheated Slabs:
? Minimum R = 6.2
a ?•aQ'6-4•°• °?'`.?,4.A
.,
?" ?.-• tiq?'? :'4??. `t'• '(3'[t
"? ? •? ??-
q 'd
Ly • ? ' • • , .
?•? d- . .• . ? . - ?
..q'. •?'., ?'.' .?' `
, ?4? • , ? ' • Q -•
. .44
.d , ?; ; •
Ya^e 3
U A 1/R = '-j?-
?.
CONSTRUCTIQM
CEIUNR SECTION
I lntertor
2
3 :r-?'?'. I ?
4 Exterior
R VALUC-
(INSULATED): '
air fT1m
?= 1 .K 10 ?
L'`UL?TtDti! 4aCO
ai? rlim st111? n,/,i
TOTAL R w4lm-
U- 1/R-Z
!
G
CEILIHG FRAMING SEG7IQN:
1
2
3
4
$
CEII.ING SEf,TfON (IptSULATED):
1' Interior air film A,61
2
3
++ Exterior air ilm sttl] A, i
TOTAL R =
U=1/R=
VENTED
CESLINr, FRAMING SECTiaN:
1- Interior air film (1.61
z
3
4 Exterior atr film stiil n. I
S lnches so t wood
70'fAL R =
U= I/R-
?
1 insfde air film n.1; l
Z
3
4
i Tutside air fi9m A.17
TOTAL R ?
u ° I/R °
Page 4
V ° IIR
.?.
, .
? PROPERTYLEGAL.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
?,77- / 5 f? ???? /,.-, /
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
- Registered Land Surveyor signature and company
• Building PermRApplicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, spfR w/o, split entry, lookout, etc.)
• DirecLOnal drainage arcows with slope/gredient %
• ProposedJebsting sewer and water services 8 invert elevation
• Streetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
/
? Exis6na
P
d
? ? • Sewer service (or
ropose
)
? ? ? ? Property corners
p ? Top of curb at the driveway
?? ? • Elevations of any ebsting adjacent homes
_E-?o Adequate footing depth of structures due to adjacent utility trenches
Prooosed
V/? ? • Garage floor
? ? ? • Firstfloor
? ? • Lowest exposed elevation (walkouthvindow)
r/? ? • Property comers
?' ? ? • Front and rear of home at the foundation
PONDING AREA fif aodicade)
? klo • Easement line
? P/ ? • NWL
? v? • HVUL
? m?p • Pond # designation
? ?? • Emergency OveAlow Elevation
DIMENSIONS
?0 ? • Lot Gnes/Bearings 8 dimensions
??? ? • Rightof-way and street width (to back of curb)
?? • Proposed home dimensons induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVUCtures requiring permanent footings)
T? :J ? • Show all easements of record and any City utilrdes within those easements
?o • Setbacks of proposed sVUCture and sideyard setback of adjacent ebs6ng shudures
?? • Retaining wall requirements, if any
Reviewed:
March 1999
cRAICi/BLOCaaMi fld
' Surveyor's Certificate
,
SURVEY FOR :PULTE
i DESC.RIBED AS ; Lot 15, Block 6, OAKBROOKE, City o( Eogan, Dakota County, Minnsota ond
reserving easements of record.
?
Ir
U n? ?? p cnD,
SQ. F00TAGE
SQ. F00TAGE
COVERAGE _
Plon # 18231
PROPOSED ELEVATIONS
Top of Foundotion = 435•0
Garaqe Floor = qsy.G
Basement Floor = qiT.o
Aprox. Sewer Service = 910.3 ±
Proposed Elev, _ (z::::)
Existinq Elev.
Droinaqe Directions = -
Denotes Offset Stoke = .
= 11, 388
= 1,801
167o
f
SCALE. 1 inch s 30 leel
BENCHMARK,
TNH(? Go?z ?31k.S
E?= 43Y./?/
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -15 Goroge Side-
JOB N0:
HEDLIlND I HERE6Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-082
OF THE BOUNDARIES OF 7HE ABOVE DESCRiBED PROPER7V AS SUftVEYEO
BY ME OR UNDER MY DIRECT SUPERVISIDN AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NC ENCIN66R/NC SURVBYlNC SHOW IMPROVEMEN75 OR ENCROACHMENTS, EXCEPT AS SH wN.
2005 Pin Ook Drive
Eogon, MN 55122 DnTE • ?_/ a?/? ?• CAD FlLE:
Phone: (651) 405-6600 FR D. UNDGRE . LANO RVEYOR
Fox; (651) 405-6606 MINNESOTA LICENSE NUM9ER 14376 OAKBROOKE
. 11-. ?, •,.t? r?r ? ..rlu :
t?..::__. _'..k_.._._T.
L? BL / CITYUSEONLY RECEIP7#: Id "1 7??
SUBD. ?AL24D-- RECEIPTDATE: -Q
PERMIT #
2000 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PZLOT IINOH RD ?
EAG7+N, 1+P1 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
PIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x z = $
Floor drain 3.00 x = $
Gas piping ouUet ` minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x $ 3
Laund tray 3.00 x = $
Lavato 3.00 x = $
Septic System newirefurbishea • requtres MPC nc. 75.00 x = $
Septic System abandonment 30.00 X = $
RPZ new installetioNrepaidrebuild 30.00 X = $
Rough opening 1750 x = $
Shower 3.00 x = $
Underground sprinkler ff dwelling is under construction 3.00 x = $
Under round sprinkler aexisting dweliing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener "rf tlwelling under conswctlon 5.00 x = $
Water softener iT existlng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> _-a $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------- ---------------------------------•----------------------------------- -------- ----------------------- ------ •-----• -----
I hereby acknowledge that I have read this application, stete that the iMortnaNon is corred, end agree to compty wkh all applicab? City of Eegan ordinances.
It is the applicanPs responsibility to notify the property owner thal the Ciry of Eagan assumes no lia6ilily for any damages caused by the City during fts
notmal operetional end meintenance activities to the YacilBies constructed under this pertniljyithin Ciry property/right-of-way/easement.
SITE ADDRESS: ?
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS
CITY: -??i
SIGNATURE OF PERMITfEE
CI'CY USE ONLY 43q ?
LOT ? BL ? PERMIT #: ?U"f V J
sUBD. Cl nk Inroo kv xEcEIPr a: 1la7 o aq
RECE[PT DATE: 01- q ' ?G' U 0
2000 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
&AGAN NN 55122
I',? ,1' Dv
Date: 651-681-4675
Complete this section onlv if you are installing FiVAC in a single family dwelling, townhome or condo under
conswction and not owner/occuoied.
• HVAC: 0-1QQMBTU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
3.00
.50
$ 3q•
Complete this section onlv 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
_ Repair _ Other
_ Air exchanger
Reminder: Call for inspeclions
SITE ADDRESS: 'T / CP Y Ua.Kbroo 14_e. Dr
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
OWNER NAME: ?L3I7'C.. ?40/'7'L!2 S PHONE #: u 7 -
/ (AREA CODE)
INSTALLER NAME: ?)f Y1Sl7Z 9_ 4 G"Yl(?/? PHONE #: '01 ? - t?9?? ?00((S~
STREET ADDRESS: BC(R_ I? I GL1? ? n!I, cS . (AUA CODE)
CiTY: 30AJ QGQ-, STATE:" 0_ ZIP:.5ISZ78,
Lt"
SIGNATCTRE OF PERMITfEE
-7'?A
L _ Bl _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAI. PERMIT (COI•Il•lERCZAL)
CITY OF EAGAN
3830 PILOT KtiOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: New cor.savction ]nsta!l U.G. Tank
_ Interior [mprovement _ Kemove U.G. Tank
_ Processed Piping
When installing/removing undergroudd 1ank, call 651-681-4675 for inspecfion by ftre marshal and
plumbing inspector.
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% = S (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME ([MPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
O
2000 gUILDINC PEItMIT APPLICATION (RESIDENTIAL) '??O• ?
. . cmr or eacnrr
` 3830 PILOT KNOB RD - 55122 L
851-881-4675 Cg i?' t?g 775 9,-a.
How ConMUCMm Reaulremenh
D 3 roylilered tlfe wrv6Yf towb0 s4 R d W. W./1. d hauw Z coWes af Plan
Gnd gu roo19d araw (20% rtwndmum lot covemae albwedl 1 fet of energy cdcWaBm la Iwated a"tiaiq
> s copa, a Waru (enow qeam & winaow sIzea aouied ma aa4¢N atc.) t,ft nuvey ra exertor addin«u a aecla
D 1 sat W enerpy edeuta116ru D S coplet of fr9e Pretervalbn Plan tl lot plaMad aRar 7/1/93
DAlE: Yc)??UCFIoNCOST:
DESCRIPiIONOFWORK: ?tDP?,??+? Av.se
SiREET ADDRESS: L/ DY O?T??!.?s'?t2'J?? D`r 11/ -e-
IOT: IS_ BLOCK: ? SUBD./P.I.D. #: n !7 ln ,o cdx
Name: Phone li:
PROPERIY laat Flnl
OWNER
Sheet Addresa:
citv
State:
Zip:
Compcny; / v l/ Z-- /,vvYi (,5 Phone i: " ) ??1
(area code)
corrtRAcroR sn.et nadrem e,,C4J4 N-u+-:7 fiCl ucenae # 1321 ?
cny state: Ss)2O
ARCHIiECT/ ?1 /1 h
ENGINEER Company: ll,ua v? Name:
Telephone t: (
Sheet Addresx Reglslraibn #:
CIIY
Stafe:
ZIP.
Sewer/water Ikensed plumber (H Installino sewer/watar): K/-) / C?b )OZ U/Yl VPhone #: `CY z , ! z?2 1) 2)
I herebY xknowledpe Nwf I hove reod Mb appqcolbn, dde fhallhe IMortrwNon b cortect and apree b eomWY with W appicable Stale
o( Mtnneaofo Stafutea and Ciy of Eapan Ordirwncea. P__7
Sipnahireof ApplicaM: _1IJ4'
- 651 -pos--oy9s
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes
Tree PreservaUOn Plan Received _ Yes
_ No
- No _, Not Required
?-
28
?1.
?
OFFtCE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon O 07 05-plex
0 02 SF Dwelling p Og pg.plax
O 03 01 of plex O 09 07-piex
O 04 02-plex p 10 08-plex
O 05 03-plex p 11 10-ptex
0 06 04-plex O 12 12-plex
WORK TYPE
.fBf 31 New
O 32 Addition
O 33 Alteration
O 34 Repair
0 13 1Eplex O 21 Porch (3-sea.) O 31 Ext Ait - Multl
O 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext Ait - SF
1( 18 Deck O 23 Porch (screened) p 36 Mutti
0 19 Lower Level p 24 Stortn Damage
Plbp va_N O 25 Miscelianeous
O 20 Pool O' 30 Axessory Bldg. 0 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) p 45 Fire Repair
0 42 Demolish (Foundation) p 46 Windows/Doors
' Glve PCA handout to applicant for demolitlon pertnit
GENERAL INFORMATION
SAC Code OL
No. of Units 0
No. of Buiidings I_
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main Ievei sq, ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O StuccolStone
APPROVALS
Planning Building _A?L
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code 1/,Tq
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering
Variance
Perrnit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Aoct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies _
Total:
ValuaUon: $
SAC Units
% SAC
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 75, Block 6. OAKBROOKE, City of Eaqan, Dokota County, Minnsoto ond
reserving eosements of record.
,?.
SQ. FOOTAGE
SQ. F00TAGE
COVERAGE _
Plon y 18237
PROPOSED EIEVATIONS
Top of Foundotion = Q35.0
Goroge Floor = qsy.G
Bosement Floor = 917.0
Aprox. Sewer Service = 910.3 t
Proposed Elev. = U
Existing Elev.
Drainoge Directions = -
Denotes Offset Stoke = •
T
= 11,388
= 1,801
16%
SCAIE: t inch - 30 feal
>rtr ?'NCU-
BENCHMARK,
7NH g Lofi I31k•S
Et= 43Y•/'/
t
MIN. SETBACK REQUIREMENTS
Fron1 - 25 House Side -
Reor -t5 Goroge Side-
JOB N0:
HEDLUND I HEREBY CER7IFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-OBZ
OF TNE BWNOARIES OF TME ABOVE DESCRIBED PROPERTY AS SUR?'fYED
BY ME Oft UNDER M7 DIRECT SUPERVISION AND DOE$ N0T PURPORT TO BOON: PAGE:
PL,1NN/NC 8NC/N66R/NC SURY6YlNG SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SM wnl.
2005 Pin Ook Orive •
Eogon, MN 55122 DATE -3_/.p?6/gn ?• CAO FIIE:
Phone: (651) 405-6600 FR D IINOGRE . LANO RVEYOR
Fav: (651) 405-6606 MINNESOTA LICENSE NUM9ER 14376 OAKBROOKE
_ ._. ------? ..... _ . . .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125860
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 4164 Oakbrooke Dr
Lot:15 Block: 6 Addition: Oakbrooke
PID:10-53760-06-150
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 -
Michael J Peterson
4164 Oakbrooke Dr
Eagan MN 55122--421
Rooster Exteriors Inc
986 Inwood Ave N
Oakdale MN 55128
(612) 382-4057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152835
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 4164 Oakbrooke Dr
Lot:15 Block: 6 Addition: Oakbrooke
PID:10-53760-06-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Benjamin Wiltse
4164 Oakbrooke Dr
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
For Office Use
:::e:
/ 3 0 /X
RECEIVED
Date Received: ��� ✓/�
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 SEP 2 3 2019 Staff:
buildinoinspectionsacitvofeacian.com L
�O//
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/19/19 Site Address: 4164 OAKBROOKE DR Unit#:
Judith Wiltse
Fa '� Name: Phone: (612) 481-6073
' } Address/City/zip: 4164 OAKBROOKE DR
Applicant is: Owner 1 DI)
TYRO'S Work
Description of work: Installation of a flush roof mounted solar array
Construction Cost: 7,914.00 Multi-Family Building: (Yes /No ✓ )
company: All Energy Solar Contact: Isaac Lindstrom
Contractor,
Address: 1264 Energy Lane City: St.Paul
State: MN zip: 55108 Phone: 651-842-9404 Email: Isaac.lindstrom@allenergysolar.com
License#: BC665819 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
LESS THAN 6 SQFT DISTURBED
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents Oat You submit are considered to be public information,Portions of the baton may be-
classmed as rublic It You provid4►.spa reasons that would permit the City,to Conclude that'MY are tie secrets•
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 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 Isaac Lindstrom x W.d aa. ,Leizc4_ .at-rr.
Applicant's Printed Name Applicant's Signature
ob bale 6evok.,C bi /yg/ 9y
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
x Single Family _ Garage —
Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition j _ Move Building _ Reroof _ Demolish Interior
j( Alteration _ Fire Repair _ Windows _ Demolish Foundation
_r Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 210
0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%)() Zoning fj.A City Water
ow
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) ', Final I C.O. Required
Footings(Addition) XFinal/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
'y Framing 30 Minutes 1 Hour Drain Tile
' Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /11/ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 9 D 171/11L.L,
Plan Review ,,, riot—
MCES SAC pp'
City SAC cr1/411)! tt
Utility Connection Charge
S&W Permit&Surcharge /2 L
d 0 0
Treatment Plant
Copies
TOTAL
Page 2 of 3