1659 Oakbrooke Cir,- 7 (", G K
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
sa S?
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Date
Y 0 o "e
Sit
Add c
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ress
-
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Property Owner 6 nl-i I ' \Q- ? L
Telephone -(
Contractor
Address D 1r? r?' ) ? City LQ1Y,?--v'1 I
State Zip ^ Telephone #?^?^
The Applicant is _ Owner Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant tees may apply.
Alterat'ons To Existing Dwelling Unit, Including
?
$ 50.00
Adding fxtures 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 $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ 50
State Surcharge
T
t
l $
o
a
I hereby apply for a Residential 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 1 understand this is noi 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 dic
approved plan in the cas of work which requires a review and approval of plans.
pplicant's Printed Name Applicant's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReouiremenLS RemodeVReoair Reauiremenls
3 registered sita surveys showing sq. ft ol tot sq. ft. of house; and all raofed areas 2 copies of plan
(20% mazimum lot coverage allawed) 1 set of Eneyy CalalaYOns for heated addNOns
2 copies of plan showing beam 8 vnndow sizes; poured found design, etc. 7 site survey for additions 8 decks
1 set of Energy CalculaUons Add'rtron - indicate iloo-site septic sysfem
3 oopies of Tree Preservafion Plan if lot platted after 7/1/93
Rim Joist Debil Options selectian sheet (bldgs vrith 3 or less units
?
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Office Use Onlv
_ CeR of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-sBe SepGc System
51a ??1- m?
Date -` /2-0 / 8 3
Site Address l(,2,5-7 0"_eM*At Construction Cost 7 V/itco
?2 . UniUSte #
Description of WorkA'f 06WtW1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner M?(IV'"S Telephone # 7/qJo
Contractor REMOD
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-P Address 6Lef"
TAUA[ ei Af+C-
'/ City
y
State Zip Telephone #(Kf) 7 f? S 1 S?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Ener6y Envelope Calculations Subm.:ed
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
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
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.
Nf ..+frcrCcA/ sd,c4oez? W`
Applicant's Printed Name
- i
t '
7elephone #(
?nr 2 $ ? r` III Telephone#(
A?_,
Ap "'s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
0 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 18-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LawerLevel
? 12 12-plex Plbg_Y or _ N
? 31 New i
? 32 Addition
3c 33 Alteration
? 34 Replacement Valuation
Census Code ?
SAC Units
Nbr: of Units Nbr. of Bldgs
Type of Const v?L
_ Footings (new bldg) ?
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Au Test _ Final
? Insulation
Occupancy 11
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
.\ ?. ?
REQUIRED INSPECTIONS r
FinaUC.O.
_x FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
?
Approved By Building Inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screen/gazebo)
O 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 E#. AIt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation). ? 45 Fire Repair
? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA handout to applicant
LG
?-70
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
. CITY OF EACAN
? 3830 PILOT KNOB RD - 55122
651-681-4675
NawConstruction Reouiremenls
• 3 registered site surveys showing sq. fL of lat, sq. iL of house; and all roofed areas
(20% maximum lot coverege allowed)
• 2 copies of plan showirg 6eam & window sizes; poured found desgn, etc.)
• 1 sel of Energy Calculations
• 3 copies of Tree Preservatlon Plan if lo[ platted afler 7/1193
. Rim Joisf Detail Options selection sheet (bldgs with 3 or less units)
DATE ?IZ7I6 Z-- VALUATION
JOBSITEADDRESSA-S`3 0A43(Z00V-(_r (=iTLC(.iz
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER a 9O M i?? kZ
TYPE OF WORK
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Su^i 5_147FF ConICFzPTS PHONE#
ADDRESSZ9/D 4•+47-tL25 ?/zAC,iqi4` M/V S-S ZIPCODE '51-12I
PAGER# CELLPHONE# (oSl (003 JS'/3 FAX#ldS) 1,43 0Z`f,3
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM ?
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY MAR 2 7 2002
(check one) - Residential Ventilation Category 1 Worksheet S itted ?
?
- Energy Envelope Calculations Submitted By
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbfng Contractor:
Plumbing System Includes:
Mechanical Contractor.
Mcchanical Syslem Includcs:
Sewer/Water Contractor:
_ Air Conclitioning
Heat Recovery System
Phone M
Phone #
Fee: $.90.00
Fee: $70A0
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
_ Water Softener _
_ Water Heater
_ No. of 13aths
RemodellReoairReuuirements
• 2 copies of plan
. 1 set o( Energy Calculations for heated additions
• 1 site survey forentenor addifions 8 decks
• Indicate'rfhomeservedbysepticsystemforadditions
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
O Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ,30 Accessory Btdg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 , Siding
x 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) • Give PCA handout to applicant
600 •
Valuation 2 co
'
O '
- ccupancy MC/ES System
Census Code Y3 Zoning City Water
SAC Units ? Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const U-/J Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
? Footings (deck) FinaUNo C.O.
_ Footings (addition) ?T Plumbin
g
Foundation
- HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final
- FranunS Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
------------ - ---------------------------
------------
------- ?
Approved By
, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
2-?0a a ?-
U?-?'?'?? .?
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SURVEY FOR
DESCRIBED A5
:PUITE
; Lot 6,, Blxk 5, OAKBROOKE 4TH ADDIPON, City of Eogan, Dakoto County, Mlnnsota and
reserhng easements of record.
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Exlst. Home
TOB - 932,9
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LOT SQ. FOOTAGE? = 11,004 ?I
HSE. SQ. FODTAGE = 1,669 QS%
LO7'? COVERAGE = 15% 04K01
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#W.
Plon / 18231
PROPOSEO ELEVATIONS
Top of Foundotion = 954.5
Goroge Floor = qs0
Bosement Floor = 145.5
Aprox. Sewer Service = i¢p,tt
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
SCALE: 1 Inch = 30 feet
3ENCHMARK,
Vt.",
MIN. SETBACK REQUIREMENTS
Fr•ont -25 House Side -
Reor -15 Garage Slde-
JOB N0:
HEDLIlND ' HEREBY CERPFY iNAT TMIS IS A iRUE ANO CORRECT REPRESENTA710N OOR-216
OF THE BOUNDARIES Of fHE ABOVE DE9CRIBEO PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERM510N AND DOES N07 PURPORT TO BOOK: PAOE:
PLANXINQ dNGlNBBRlNG SUR{'d'YINC ?OW IMPROVEMfN7S OR ENCROACHMENTS, EXCEPT AS SMOhN.
2005 Pin Ook Drive ^? .
Eapon, MN 55122 DA7E A-1-Z/-2P y CAD FILE:
Phone: (851) 405-6600 F1+ . LINOOREN. LA SURVEYOH
Fax; (851) 405-8806 ?? D INN TA UCENSE NUMBER 74376 OAKBROOKE
Surveyor's Certificate
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Address: 1659 Oakbrooke Circle Zip: 55123
Lot: 6 Block: 5 Subdivision: Oakbrooke 4th
Date:
Inspector:
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTIOA'
Yes No Yes No
Final grade- (6" from siding) X Porch
? Permanent steps (garage) /?_ Lower level
? Permanent ste s(main entry) X Deck
,X" Permanent drivewa Fireplace
X Permanent as
)( Sod/seeded yard
X Trail/curb damage
• Ask your 6uilder:
l. if roof test caps from the plumbing system have been removed.
2. [o verify the location of water supply shuUOff to outside fauce[s. Outside water needs to be shut off prior to freezing
temperatures.
• Prior to insCalling underground sprinkler system or working in City right-of way, please call 651-681-4645 for information.
Occupancy oheok off list
Site address: -9nAvslnr6&- 6rtc, ,Lot la BIodG_ Subd. a1Yk4'.f- vt-
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 followimg infoimation be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is consWcted to meet minimum requirements of the Mn Energy Gode, Chapter 7670
OR
? This sWcture: will be conshucted to meet more resficUve requiremenfs of ChapterS 7672 or 7674
APPLWNCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ?
pr
Ql J
Fumace ? ? ?,'St) ktaN ot?a Qaa
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's" VENTED
YES x0
Kitchen kitchen
-.?.
Bathroom 1 VAA, N Bv? ??aw-?= Uv ?
Bathroom 2 s v
Bathroom 3
Bathroom 4
Other
PIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRE47 ATMOS
I hereby acknowledge that the above information is correct and agree lo comply with the Minnesota Energy Gode and City of Eagan
requirements.
Signature Date
.?i w •
Com am
' This form is Ihe responsibility of fhe General ConUactor.
City o# Eaqan
Ca=.h Receipt
Receipt Date 10/910
Time Printei 12:14s33
Receipt Number 1231
n
ViiLLEY PLUMBING COMPHtd'? INC
I659 OHI{Bft00KE CIk
9801.2195 5o
FP 43192 ?
9801.4087 4°.59
FF 43192
Total ReceiFt F;iaourit 90.00
Ils?r HMGGRAId
LI CITY USE ONLY
L? f„ BL _]
suBO. n A 1n vo-e4?
RECEIPT #:
RECEIPT DATE:
PERMITff J'I -3 I 1
E000 PLUM$INa PE$MIT (fiESIDENTlA1-)
crrYoF EA?sr,rt
ssso Pu.ar KNos sn
SAfiAN, MN 551 EE
s51-691-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
• backflow preventer for underground sprinkler system
onru ie
TOTAL
Alterations to existing dwelling - minimum fee
^s^,c'ibe:
$ 30.00
6ath tub
Floor drain $ 3.00
3.00 x
x = $
$ -?
Gas i in OUtlet ' minimum -1 3.00 X = $
Hot tubls a
Kitchen sink
Laund tra 3.00
3.00
3.00 x
x
x =
= $
$
$
Lavato 3.00 x = $ /Z '-
S0 tIC S stem nawlrefurbished 're uires MPC Itc. 75.00 X = $
Se tic S stem abandonment 30.00 X = $
RPZ new installation/repair/rebuild 30.00 x = $
Rou h o enin
Shower 1.50
3.00 x
x =
= $ $ 3-
Under round s rinkler if dwelling is under construction
Under round s rinkler if existin dweuin
Water closet 3.00
30.00
3.00 x
x
x =
= $ ` ?
$ 9- ?
Waterheater 3.00 x = $3-r ?
W ater softener if dwelling under consttuction
Water softener • if exisnn dwelling 5.00
30.00 x
x =
= $
$
Water turnaround 30.00 x ---- _ $
State Surchar e
---->
---->
$ 50
Total --? --? ----> ----> S I
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- ordinance-s..
- of E-agan-
---------------------------------------------------------------•-------------•----?------------------------------------ -----.
I hereby acknowledge that I have read this application, state that the informalion is cortect, and agree to comply with all applicable City -
It is the applinnCs responsibility lo notify the property owner Ihat the City ot Eagan assumes no liabiliry for any damages caused by the City during its nortnal
operalional and maintenance acGvitles lo the facililies consVUCted under this permit vrithin City property/right•of-wayleasement.
.-.. , . s n . ,
SITE ADDRESS:
OWNER NAME: :
TELEPHONE #:
(AREA CODE) .
fNSTALLER NAME:
STREET ADDRESS: 6(/V LrGfll IC6r !/7(/?V-
crrv:
TELEPHONE #:
SIGNATURE OF PERMITTEE
S TE: G(? ZIP:
??„?„?c
Gity o+ Eayan
Cash Receipt
Receipt Date 1411-5,'00
Time Frinied 13:05:09
Receipt Number ,. 1142
BURNSVILLE HEATING 8 AIF
1654 dAK6900KE CIk
9601.2145 .SL^
iiP 43153 ?
9801.4080 39.Okl
IfF 43153
Tatal Receipt paount 39.50
llser HiiCGkpW
' C[TY USE OIYLY
t?
LOT Y BL -? PERMIT #:
. , i ?
suaD. ?l) K? ro b kP? '? ?} xECEipr a:
q 3153
RECEIPT DATE:
2000 MECHANIC1hL PERMIT (ftUIDENTIAL)
crrY oF Easm
S$SO P1LOT KNOB RD
f.A6AN MA 55122
Date: `00 651-687-4675
Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
3 06
.50
s 3q. '6-_D
Complete this section onlv if you are remodelinp, adding to, or renlacing an exisring single-family dwelling, ,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New _ Replacement
' Furnace
Air exchanger
Reminder: Call for final inspection.
SITE ADDRESS
Fee $ 30.00
State Surchazge .50
Total $ 30.50
c
OWNER NAMEr }-U L`Ve {-U YVLSL,S PHONE #: (pSl
'? (AREA CODE)
INSTALLER NAME: ?y y?vt (1S \ PHONE #: 8"9 ?6?
STREET ADDRESS: _ _\ 2US5 ( '_I'LOd D S • (ARFA CODE)
CITY: SSTATE: Y-'t .) ZIP:
Other
Air condirioning
Other
CITY USE ONLY
L _ BL _
SUBD.
APPROVED BY: , INSPECTOR
PERMIT #: _
RECEIPT#:
RECEIPT DATE:
2000 MECfiANIC1kL {'£RIIdIT (COMM£RCIihL)
CITY UF Ek(L4N
3$30 PILOT KAOB RD
£!4&AN, MN 55122
651-6$1-4675
?
a
Please compiete for: all commercial/industrial buildings ,
multi-family buildings when separate permits are not required for each dwelling unit 11 DATE
WORK TYPE: New conshuction Install U.G. Tank il
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Wken installing/removing i+nderground tank, cal! 651-681-4675 for inspection by fire marshal ai:d
plumbing inspector.
Description of work:
?
Fees: 1% of contract price OR $30.00 mioimum Fee, whichever is greatec
Underground tank removaUiastallation = minimum fee +
Contract price: 3 x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Bue Fee
TOTAL ?
,
..
SITE ADDRESS:
OWNER NAME: PHONE #: '
(AREA CODE) ..
TENANT NAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ZIP:
11
SIGNANRE OF PERMITTEE
CASHIER: JS TERMINAL NO: 679
DATE: 08/30/00 TIME: 07:16:28
ID:
NAME: PULTE MASTER BUILDER
3716 9220 1659 OKBRKE CIR 114.00
3713 9220 1659 OKBRKE CIR 50.00
3866 9379 1659 OKBRKE CIR 840.00
Total Receipt Amount: 4,875.27
CR136626
USER ID: JAN
******??********************????*******
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 07:16:25
ID:
NAME: PULTE MASTER BUILDER
2252 9220 1659 OKBRKE CIR 30.00
3210 9001 1659 OKBRKE CIR 1,228.95
3866 9379 1659 OKBRKE CIR 100.00
3422 9001 1659 OKBRKE CIR 798.82
2275 9220 1659 OKBRKE CIR 1,089.00
3446 9001 1659 OKBRKE CIR 11.00
2155 9001 1659 OKBRKE CIR 0.50
3743 9220 1659 OKBRKE CIR 50.00
2155 9001 1659 OKBRKE CIR 71.00
3868 9220 1659 OKBRKE CIR 492.00
CR136626 ** CONTINU
USER IDc JAN ** CnNTTNTT
--M::r `4 a- Co U -.11
, . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN ?j
3830 PILOT KNOB RD - 55122 ? v 1?27
1
? . 5 a5 651-681-4675
yalleq UIZ'S160
New Conshuctlon Reaulremenh Remotlel/Reoair ReauiremeMS ^
D 3 reglsteretl slte surveya ahowing sq. tl. ol lot, sq. R. of house Z copies ol plan
and II rooletl areas (70% rtwuimum lot coveraae albwed) 1 sei of energy calculaMOns fa healetl adtlifiona flm
? 2 copies ot plans (show beam 8 window sizes; poured 1nd. tleslgn; etc.) 1 site wrvey fw exfetlor adtliMoru & tlecks
? 1 set o1 energy CulculaNons
? 9 copies t tree preservaNOn plan II IW piaMed after 7/1/93
DATE: IX2460 conisraucnoN cosr: ?40) " 10
DESCRIPTION OF WORK: "??dm71A I II mulfl-famiry bldg., how many unlts?
STREET ADDRESS: 1&s? CDA /? 'el?Obr C.11-U_Q
LOT: 6 BLOCK: -5- SUBD./P.I.D. #: OJr ?'6)?MKr- ?-?Llh
Name: Phone #:
PRoreenr Las+ FiBt
OWNER
Sfreet Address:
City State: Zip:
Company: Ahk.1JeYhLS QMV CaPhone#: ?( 7? a•???D
(area code)
CONTRACTOR Sheef Address: I3SS,4? t n(AT,"}h D llUl Klt?L ZQ;-O LlCense M 37 ? Expf J?/?pO)
cny ,Ac,nd4a kfs stare: np: c-4KJ20
ARCH
NGINEER / Company: SAMf7.4S )0/90 KC Name:
Telephone #: (
Sheef Address: Regishatlon #: _
Ciy State: Zip:
Sewedwater licensed plumber (if insWllfm sewerlwater): V)C/-L.r?/ PLU??GI?G Phone #: ( b iZ ) f 7Z"24Z I
I hereby acknowledge that I hwe read this applicaibn, state thaf the infortnalion Is cortect, and agree to compy wNh all applicable Skrte
of Minnesofa StatuFes and CRy of Eagan Ordinances. n? f
Signalure of ApplicanY. vuA?1
Certificates of Survey Received I&Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY [B1AUG 2 3 2000 No
_ No ?Not Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-piex
)6 02 SF Dweliing ? OS 06-piex
? 03 01 of _ plex ? 09 07-plex
0 04 02-plex ? 10 08-plex
O 05 03-plex ? 11 10-plex
? 06 04-plex p 12 12-plex
WORK TYPE
PP 31 New
? 32 Addition
? 33 Alteration
0 34 Repair
-' .
t .. I .
? 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext Alt - Muld
O 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. AR - SF
? 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 19 Lower Level ? 24 Stortn Damage
Plbg _YOr_N 0 25 Miscellaneous
O 20 Pool ? 30 Accessory BWg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)` ? 44 Siding
? 38 Demolish (Interiw) O 45 Fire Repair
O 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to appticant for demolition permit
GENERAL INFORMATION
SaC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupency
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
&?ie?e/sq. ft.
l;aca r sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
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:
Building /
,2 sq. ft.
?-T'.2, sq. ft.
dyF Footprint sq. ft.
/0912 CensusCode
io9-2 MC/ESSystem
_ ia /1 City Water
4 8.2.. Booster Pump
PRV
Fire Sprinklered
Engineering Variance
? ??-
Valuation:
/?f}? N?,F?E[ /U 3;d,?S?/
a'? LE???- lo ?i ??Y : SY6?l? ?
Garage ' 687 l616
( v7'r?L
: CU,911I l
??-
( 77Y?
rv i
SAC Units
% SAC
MAR-28-20M 09,03
MDlehpck C
Minneaotp
Flqcheck 8,
Vexqiqn 3.0
COUNTX: Cakqta
STATB: M3,anpppte
ZONE: 2
cONSTRUCTION TYP$: Sinqle Family
DATE: 3-26^3000
DATE OF 8b7lNS: 3/28/00
TITLE: 9H$PRIELG EBR W/O EL. #2
COMPLTANCEs FR.$Sy;S
P. 02/03
8ermit
` ecked by Date
Ra<Euaxod Aa? 5?9
CJ
'
Yqur Homqi
;• 29
2
`
O
4.6t #eb?
6
'Thqp
"?
'?
P
Q??gaiAt9/Door
,??Y
' ? <14k V'Vaa.11B
+ w.?Y,??Jrwwr?ite4?•??+r .r S '?!!'^.pa ^???r.r.w?».r a,9-?jA'>•-..."..`___
CSSLIldC49 1176 44
9
0
0
wALLS? WCK,1d11tmo, .46" D.C. 1772 .
.
1910 2.0 i
WALL$s Wood Bratue, 16" O.C. 290 10,0 2.0
BsNtm: Cor?c.:0.0' ht/8.3' bg/9.0' ineul 736 11,0 0.0
GLAZINC3: win49we or poqrn, Aqovq 6raQe 460 0.350
i
DOORS 38 0.350
FIAORS: Ovor°?Out91dC Air 84 38.0 2_0
IIVAC EQUI?M$N'P: Ihxrn8ce, 92.0 AFU&
...__--------'-- ^ ----------------------------
COMPLIANCE 9TAT8MNT: The proposed building -..---- - --------
deaign describsd --------------
here is
consimtent with the building plane, epecificatione, and other calculations
submitted wikh Che permit appiication. The pxopo6ed building haa been
deeignad to meet tha requiremante of the Minnteota Energy Cpde.
?n ??23?j6
suilder/Desl.gner
n?.el? D ate
JOB INITIATION ORDER
. Pulte Homes ef
Minnesota Corporation
1355 Mendota Heights Road. Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
2, OG>
CONTRACTORlSUPPLI ER:
J08 NO. 0320 / 206 ? OS LEGAL DESCRIPTION: LOT ps BLOCK Q$ UNIT
coMMUNiTV: Oakbrooke SF ADDITION:
BUIIDING ADORESS: ( B cirv: Eagan STATE: MN ZIP: 55104
MODEL NAME: ? CyMODEL NUMBER: ELEVATION: L GARAGE: LEFT RIGHT
171
BUYER'S NAME: 'ra(? t e?tbam M[,l?Y DATE OF ORDER: 3?? 60
CURRENTADDRESS 13+3-7 Wyy\md tAj AA/?? CITY: . . STATE: kw ZIP: 55-0-
HOMEPHONE: BUSINE5SPHONE: (P(Z°?p7'a-ag-r'j ? BUSINESSPHONE: ?J2 SALES REPRESENTATIVE ?
,?. ,. . - . , t,. . ..
?
.
.
'
,
:.. .
, . ., ?_..?
8g@0 J0 73 .,R.. .
. , ,. .,.
BASE PRICE . ..._
,
d
--- LOT PREMIUM 400
jIpI0j,S- ELEVATION # d
22030 J-, -( a -?
L 1'S. .
TOTAL as7
APPROVED BY BUYER(S): ? r0?d gA ?
?
7e.E2es-
APPROVED BY SALES: EQUAL HOUS
rr
RELEASED TO START CONST.: oaPORTUNi
ING
This constitutes a contract between the Seiler and the Purchaser(s) for the above items
Builder's License #0001371
CHANGE ORDER CONTR.ACT
Pulte I3omes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAO, SUITE 300
MENDOTA HEIGHTS. MN 55120-1112
PHONE: (851) 452-5200 FAX (651) 452-5727
JOB NO.!0 0 49/
cor,wiuroTV:
T
BUILDINa ADDRESS:
MO?EL W?ME?I./? ?I
CONTRACTOFUSVPPLIER: AI, uY1tNao
MODELNUMBER:
BUYER'S NAME(S7:
CURRENTPDDRESS: 0137 (7??+n'?-
HOME PHONE: !Y,? Z•E(? I, ZS BUS NE
SALES REPRESENTATNE:i ?2?
O&
IEGAL DESCRIPTION: LOT BLOCK ? UNIT
?7
"j'o
AODITION: L-
CiTY: STATE/? LP: ?
?? ?
Vi
/ li ?_
t"`_ ELEVATION: GARAGE: IEFT IG T
? ?
?
/. DATE OF ORDER:
^
CITY: K STATE? ZIP: ?S L
y
PHONE: I IZ' (!J 7C;I' BUSINESS PHONE: I `
CHANGE ORDER FEE: YES OR NO
PREVi0U5 J.I.O. OR CHANGE ORDER: PRICE >
# I 6 TOTAL: 2347 315
QTY... >.aPT10N #". i °-!:DESCRIRTION'OF'CHANGE .
a oZ 1 &J 00aci ?
I o43 ? 25
? ao-7 S ?, -? cce o
38 o0
I Zo7
c o ?s 5-zs
008 00 ? v?-?
I 2S053 2- h ' a '-V? , e-2) 0 0
1 ?3 ool
170m ?Sd
1 /7 05 00
1707- J;?2gA'oCX3 Fk L4 oC?
2- /V
(3LU 50
3uilders License #0001371
APRROVED BY BUYER: 1
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
This constitutes a coniract between the Seller and the
TOTAL
s
?
for the above items.
_ CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS, MN 55120.1712
PHONE: (651) 452-5200 FAX(657)452-5727
CO NTRACTOR/S U PPLIE R:
JOB NO. 1 (,/'J LEGAL DESCRIP710N: LOT Dl_ 6LOCK vS
/L,,?; c ? UNIT
COMMUNITY: ?OO_F?- - d? ADpRION ? ?
i
BUILDING ADORE55: y CfTY: S7ATE: ? ZIP: ?S?
MODEL NAME'T MODEL NUMBER: ELEVATION: GARAGE: IEFT RIG T
BUVER'S NAME(S):
CURRENTADORE55:
MOME PHONE: y J
SALES REPRESENTATNE:,??-
" DATE OF OROER: ?
j CII: ?'? STATE: ?71P7• ?S?I/?/
PHONE: ?IZ' (071 ' 7- OpYS4 U BUSINE55 PHONE:/?'r • o •"7?'f y?
CliANGE ORDER FEE: YES OR NO
PREVIOUS J.I.O. OR CHANGE ORDER: •! i P. RICE. ,
# TOTAL:
QTl`..:; yE,.OPTIOM1I #:: S+ •`_. 4+ .` „ ?',=s ', i.OESCRIPTION:OF 6HANGE
ZD"Lo / ?C? OC?
. ( nn , I ) TOTAL 34?
PULTE
MasterBuilcfer
APPROVED BY BUYER:
APPROVED BY SUPERINTENOENT:
APPROVED BY SALES:
?
3uilders Llcense 710007371 This constitutes a contract helween the Seller and the Pudcpdser(s) for the above items.
CHANGE ORDER CONTRACT ? 2-
Pulte Homes of
Minnesota Corporation
1355 MENOOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS, MN 55720-1112
PHONE: (851) 452-5200 FAX (851) 462•5727 ?
JOB NO. 0,3 ?L v / `L O ('
GOMNAUNRY:
DPLIER: ) M
rTn'?1v1?.? _ /V/v-1 f ?)M2 , V,
IEGAL DESCRIPTION:
BUILOINCi I1DM93: ? ?q
MOOEL NPME: MOOEL NUAABER: Id a c3 I
BUYERS NAME(Sy:
CURRENTADORE35:
HOME PHONE:
SALES REPR89ENTATNE: 7YY. .? CNANGE ORDER FEE YES OR &
-???/?J? ?DA?TE OF ORDEfiR:rp?/
??:f 57ATE: "???' 7JP:SSIa
_
BUSINESS PHONE: &r 2-&t 7- 3 S &
PREVIOUS JJ.O. OR CHANGE ORDER ,?rPRICE. :
# TOTAL:
;QTIt''.??,::QP•T?OI??EV?l9;w??nd'p??p?tiy?"?!??I"?`??t???r??1?'?"•°«'t'?E$CRIP?TIOl1I;O?CHEKNGE;;p??'?4lT?? <.,. ? ??, t;3:1
?ooo Ar so - ,az?A a?S? l'J?as
! 9 9000 0- Q e S't-- c(-"
1 4pa
ca-??>
out?
?-a 5
?
-514
V dt..?i
?Btt(lder
Builtlers tJcvree #0001377
TOTAL
APPROVED 8Y BUYER:X ? APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
?
?
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
LOT? ?BL?O?CK ? UNIT
/?n,t, /-
CRY: '?-'??-STA7E: ? , V'? ZIP:
EIEVATION: ? GARqGE: LEFT RIGHT
? 57
: HANGE ORDER CONTRACT
Pulte Homes'of
Minnesota Corporation 1
1355 MENDOTA HEIGHTS ROAD. SUITE 300
MENOOTA HEIGHTS, MN 55120-1112
PHONE:(651)452-5200 FAX (651) 452-5727
J08 NO. V
COMMUNITY:
BUIIDING AODtRES'?S?:
MODEL NAM6<JYJ
BUVERS NAME(S):
CURRENT
CONTRAGTORJSUPPLIER: ?JI ?7 ?GfC7??S
Z/ O`-?! 0 -5 LEGALOESCRIPTION: LOT ?e_ BLOCK 6 UNIT
DOTI? ?? AOOITION: _f?i .?
ID&
---777 CRY: F? fSTATE:M ZI[?
/ MOOEL NUMBE? ELEVATIO?N: ?GARAG£: LEFT RIGHT
HOME PHONE: L- LT'- ?,?( ('n (,O u9 BUSINESS
SALES ftEPRESENTATNE: `I 1 j Y_1
CITY:
CHAtJGE OROER FEE: YES OR NO
? I
onre oF oROjea:
?? . STAT??F! °? ZIP:?/'/
9USINESS PHONE: QzZ . ??7?%"
CNANGE
I # TOTAL:)
I OTY_1vT. s.OPTION fV: ..iDESCRIPTION OF.. GHYINGE
1,,v
I
?
PiJL,T.?E.
r0-raL . L?
APPROVED BY BUYER:
s
APPROVED BY SUPERINTENDENT: 6 U 6
APPROVED BY SALES:
8uilders license M0001371 This constitutes a contract between the Selier and the Purchaser(s) for the above iterns.
\ ._.
CHANGE 4RDER CONTRACT
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAD, SUITE 300
MENOOTA HEIGHTS, MN 55120-1112
PHONE: (651) 452-5200 FAX (651) 452-5727
? ?
CONTAAGTOFUSUPPLIER: -
JOBNO.() 2)-? V /g?ZU (C'IEGALDESCRIPTION:
CANPriUNITY: -
BUILDING ADORES?S: ?/j?? C?i 5 Cv Q
MODEL WVNE:???YJX?Y --(6?7MODELNUMBER: I/b4 ? I
BUYER'S NAME(S):
CURRENTADORESS:
LOT 4?1_ BLOCK -5 UNff .
PDDff1ON: ? CRY: STATE: P::MLP
Fl E/ATION: GAR4GE: LEFl' RICHTj
f V
DATE OF OROE/R?:
_ STATE:' j? ZJP-'5
HCME PHONE: BUSINE55 PHONE: /? BUSINE55 PHONE:
SALESREPRESEMA7NE: CHANGEORDERFEE YES o(ZNO 1 \?
PREVIOU J.I.O. OR CNANGE ORDER:
# TOTAL: 4?0P..RIGE?t'p:
?
QTYW OPTION.#1_: .„ .?f , :DESCRIPTIOISI'OE"C1-IANGE._?rv:?.. .k?:
Builders Ucense #0001371
APPROVED BY BUYER:
TOTAL
APPf20VEb BY SUPERINTENDENT:
APPROVED BY SALES:
. ?
<o.
This constitutes a contract beriveen the Seller and the Purchaser(s) for the above items.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIJCATION
PROPERTY LEGAL: Lar BtrtC'R S 4? HO/li r
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
8 22-?
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
- Address
• North arrow and scale
• House type (rambler, walkout, split w/o, spfR entry, lookout, etc.)
• Directional drainage artows with slope/gradient %
• Proposed/epsting sewer and water services & invert elevation
• Streetname
• DrivewaY
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
/ -
9
? ? : Sewer service (or Proposed)
? Property corners
,0 ? • Top of curb atthe driveway
d? a ? • Elevations of any ebsGng adjacent homes
??? Adequate footing depth of shuctures due to adjacent utility trenches
Prooosed
a13/ ? • Garegefloor
e' ? ? • Firstfloor
tr?/ ? ? • Lowest exposed elevation (walkouUwindow)
? ? • PropeM1y comers
?? ? • Front and rear of home at the foundation
PONDING AREA (R ap icade
? d ? • Easement line
? ?/ ? . NWL
? 4x ? • HWL
? 05/ ? • Pond # designation
? ;/ ? • Emergency OveAlow Elevation
? ?
?
a a
2 ? ?
a d o
DIMENSIONS
Lot lineslBearings & 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 permanentfoatings)
Show all easements of record and any City u6lides within those easements
Setbacks ot proposed sWdure and sideyard setback ot adjacent existing strudures
Retaining wall req..'.^-°^'° " °^•,
Reviewed:
March 1999
caAuueLDGvaMr.cM
Surveyor's Certifieate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 6,, Block 5, OAKBROOKE 4TH AO0I7ION, Clty of Eagon, Dokoto County, Minnsola ond
raserwng eaeements of record.
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ED ry' c
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IB
IDate
?T ERING DEPT. 5y / I ?
EACrpilv T'.•N'
- -? I ?
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,- ?
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?? 2 ?.?
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5 II
0
C?\; •. o ?`5.?. ,ase 8 9b3'?n. ?I'??'
9?pt? w?°
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., s •? ,, ? ?
1 \?
Ex1st. Home
70B - 952.9
LOT SQ. FOOTAGE' = 11, 004 ?,? HSE. SQ. FOOTAGE = 1,669 Q5%
L O T?;CO VERA GE = 15% pAK$
.,?
61 0Ro Vo ??-??=5??
?w
Plon # 18231
PROPOSED ELEVATIONS
Top of Foundation = 154,5
Goroge Floor = 959.1
Bosement Floor = R45•5
Aprox. Sewer Service = ?.?r
Proposed Elev. = L„""'7
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
3ENCHMARK,
?) ' : ra1,' 939.?°
MIN. SETBACK REQUIREMENTS
Ddfop°
?
SCALE: 1 Inth = 30 Met
Front -25 House Side -
Rear -15 Garage Side-
JOB NO
HEDL(J/VD , HEREBY CEftTFY 7HAT T1iIS IS A 1RUE AND CORRECT REPRESENTATON DOR-216
OF 7}1E BOUNDARIES OF THE AB01?E DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER NY DIRECT SUPERY190N AND DOES N07 PURPORT TO BOOK: PApE;
PGINNINC SN6lNBSRINC 5URY6Y7NC `'HOW IMPROVEMEN75 OR ENCROACHMENTS, EXCEPT AS SNOwN.
2005 Pin Ook Drlva
Eapon, MN SS122 Dn7E AA-Z/? y ' CAD flLE:
Phone: (851) 405-8800 FR . UNDOREN, Ln SuRVEmn
Fax: (851) 405-8608 INN TA LICENSE NUMBER 74376 OAKBROOKE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114586
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 1659 Oakbrooke Cir
Lot:6 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Barbara K Miller
1659 Oakbrooke Cir
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115676
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 1659 Oakbrooke Cir
Lot:6 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Barbara K Miller
1659 Oakbrooke Cir
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature