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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? r Date Y 0 o "e Sit Add c e ress - ? 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 ? ?? 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 L E -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?-?'?'?? .? ? SURVEY FOR DESCRIBED A5 :PUITE ; Lot 6,, Blxk 5, OAKBROOKE 4TH ADDIPON, City of Eogan, Dakoto County, Mlnnsota and reserhng easements of record. r ED ?.; ? ,. .. ? ? "'(I F D:zLe_ -2 -' C . T.....{{ ,ncnN rrrczrr.?•???el>r<..; , : i ? co ? ? ? ,.? ?; ^ , o ? y I ??? o Vs'?' I ?, (0n ?o • ?_ ;,? `;?c?j,V ? 7? p0ot'1'a oo .? ? ? •. S ? ? I I N Exlst. Home TOB - 932,9 . LOT SQ. FOOTAGE? = 11,004 ?I HSE. SQ. FODTAGE = 1,669 QS% LO7'? COVERAGE = 15% 04K01 o ? , ? Vo R,.?, #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 . s ? ? ? > I rS LT FE(qCE gir) s- 9sz.? QD ?- O f 95?,?! ?oKE 1; PkECE1VED :tUG 2 :; ?i110U6 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. w ! . L n H ? w ? C 0 O og < ?o ? ? ? ? ? p _? ? ? 'o ? 0 ? ? ? 0 0 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. ? S? cz ?c. ? ED ry' c . ? IB IDate ?T ERING DEPT. 5y / I ? EACrpilv T'.•N' - -? I ? '°' ,- ? , ?? 2 ?.? ??. 5 II 0 C?\; •. o ?`5.?. ,ase 8 9b3'?n. ?I'??' 9?pt? w?° ?o• ., 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 :• F-. ,-. --' ? ? ?.. ? I Ism L-T FE-nqCff 152.7. ?95:-?? E R OK fNCl.C?vGU HUV L J [uuu •          ÿ  ÿ þ þýý  ÿüüúú     ùýý ÿ îòèè ßûö ô âßß  þýö  ýüûúùø  Ý öïõ öüúùø  ÷öúùø Ý ø  öø ü Üãö õ  ü õ ôôüøù ó  ýòüö ñ  ï ö   øö  ø øööïþ ööîü î   ø öÞ öïûöë  ý üö ö  øû  üï ø  ë õöûîí   ö ö ö òüö ûù   ïîù î ë  ñ èôçèëëô õù  ýüö èëæëæ éüþë  ô óú  ö òñ øø   Ý î  öûöçå ö æÿî ñö ùàôôßæûö õö î åáôÿ åá ìæê  ö ûù    ð ö   øø    ïöî öö  ö îøù øøû ý  ïå ýü õùïÿ ö ë øøÞ öî ý üö  ü ùý üö 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